Anti-Wrinkle Injections at Cosmetica London

Anti-wrinkle injections remain one of the most effective tools in aesthetic medicine – not because they change the face, but because, when used well, they help it look more rested, more balanced and more like itself. At Cosmetica, Botox has always been approached this way: with precision, with restraint, and with a clear understanding of what it can and cannot do.

The Cosmetica approach to Botox

Anti-wrinkle injections are performed at Cosmetica London by Dr Mica Engel, Dr Asha Chhaya and Nurse Emma Wedgwood. All three bring medical training and clinical experience to every treatment, working from the same core philosophy: thorough individual assessment, a deep understanding of facial anatomy, and a light, considered hand.

Dr Mica Engel, founder and medical director, has been working with botulinum toxin for nearly 20 years. She has also trained in MD Codes with Dr Mauricio de Maio – one of the world’s leading experts in facial harmonisation – and that structural, balanced approach informs the way the whole team works. For Dr Engel, Botox works best when used thoughtfully and conservatively: softening where needed, preserving natural movement, and supporting the face rather than freezing it. She describes it as her ‘hard love’ – the treatment she has always believed in, precisely because it works so reliably when done well.

Dr Asha Chhaya and Nurse Emma Wedgwood share that same commitment to natural, refined results. All consultations are personal, all treatment plans are individual, and every patient is reviewed after treatment to ensure results have settled well.

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The Cosmetica approach to Botox

Treatment overview

 

  • Treatment: botulinum toxin type A (commonly referred to as Botox)
  • Appointment: typically 30–45 minutes including assessment
  • Results: visible from 10–14 days after treatment
  • Duration: usually 3–4 months, varying by individual
  • Downtime: minimal – return to normal activities the same day
  • Follow-up: review appointment included to assess results and make adjustments
Treatment overview

How do anti-wrinkle injections work?

Botulinum toxin works by temporarily interrupting the signal between a nerve and the muscle it controls. When injected into a specific facial muscle, it reduces the strength of contraction – softening the movement that causes expression lines to form and deepen over time. The effect is temporary. As the body gradually metabolises the toxin over three to four months, normal muscle activity returns.

What can anti-wrinkle injections treat?

At Cosmetica, botulinum toxin is used to address:

  • Forehead lines
  • Frown lines (between the brows)
  • Crow’s feet (around the eyes)
  • Brow lifting – subtle elevation to open and refresh the eye area
  • Bunny lines (across the nose)
  • Gummy smile – reducing the amount of gum shown when smiling
  • Chin dimpling
  • Nefertiti lift – jaw and neck definition
  • Hyperhidrosis (excessive sweating) – underarms, palms, forehead
  • Bruxism (teeth grinding and jaw clenching) – masseter reduction

Botox and skin quality – why we often combine them

Anti-wrinkle injections address what muscles do to the face. They do not directly improve the quality of the skin itself. This is why at Cosmetica we often pair Botox with a skin quality treatment – babyGLOW, Profhilo or Juläine – for a more complete result. When skin is well-hydrated and in good condition, the results of Botox tend to settle more naturally and look more polished.

What to expect at Cosmetica

All new patients have a consultation before any treatment. We assess your concerns, understand your goals, review your medical history and ensure that botulinum toxin is appropriate for you. The treatment uses fine needles positioned precisely to achieve the most natural, balanced result. A review appointment is arranged two weeks later to assess how the treatment has settled.

Book your Anti-Wrinkle Injection Treatment or Consultation today

Anti-wrinkle injections at Cosmetica London are performed by Dr Mica Engel, Dr Asha Chhaya and Nurse Emma Wedgwood. If you are a new client, please book a consultation first to find out what a carefully considered Botox treatment could do for you.  If a returning please book your next treatment here.

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Frequently Asked Questions

DO YOU HAVE A QUESTION ABOUT THIS TREATMENT? READ OUR FAQS BELOW.

FAQS