Rate Raman Malhotra
Company logo          Enlarge view     Site map     Search



This web site uses cookies.
More information can be found here »
You can remove this notification by clicking here »

Botox for lines and facial twitches


Botox is well-known for freezing facial muscles to soften lines, such as frown lines and crow's feet. It can also help to correct facial symmetry and reshape features without surgery in the forehead, around the eyes and mouth and in the neck. For example, Botox can help to raise an eyebrow or prevent your mouth turning down at the corners by paralysing the muscles that drag features down.


It is often used in conjunction with an eyelid lift (blepharoplasty), chemical peel or fillers. It can even be used to combat excess sweating.


Before it was adopted for aesthetic procedures, Botox had been used for many years to treat tics and other medical disorders. As well as using Botox in cosmetic procedures, Raman Malhotra runs a botulinim toxin clinic (Facial Dystonia Clinic) at the Queen Victoria Hospital NHS Trust in East Grinstead, where he treats patients with:

  • Involuntary blinking of the eye (blepharospasm), repetitive twitching of the muscles on one side of the face (hemifacial spasm) and related facial spasms (facial dystonias).
  • Aberrant facial nerve regeneration.
  • Corneal exposure (therapeutic ptosis).
  • Uncontrolled eye movements (opsoclonus).




Botox is injected into a muscle with a fine needle, causing a temporary paralysis that allows lines to soften. Effects are usually seen between three and five days and last for approximately six months. Repeated injections lead to a gradual weakening of the muscles.


A local anaesthetic cream can be applied 45 minutes before treatment to reduce any pain from the injections, although this is usually unnecessary. Cooling with ice packs helps reduce any discomfort.

facial lines pre botox treatment

Facial lines pre-Botox

facial lines 6 weeks after botox treatment

Facial lines six weeks after Botox injections

Applying botox for eyelid

Applying Botox for the eyelid

applying botox between the eyebrows

Applying Botox between the eyebrows (the glabella)


What to expect


  • Side effects are uncommon — you may feel a mild burning sensation with the injection or experience some tingling for up to two or three days after treatment.
  • Minimal bruising may occur.
  • There may be some mild redness of the skin — this usually lasts only one or two hours.
  • Rarely, there may be weakness of nearby muscles if Botox spreads unexpectedly.
  • If treatment is being given for medical reasons to the deep areas of the eyelid, there may be temporary double-vision if the Botox spreads unexpectedly.


All procedures begin with a consultation. For full information about what to do before and after surgery, see Patient information.

Back to top



Raman Malhotra site map




The consultation

Academic role



Lectures and presentations

Research papers


Fellowship programme

In the news


Benign eyelid lump — Chalazion

Benign eyelid lump — Chalazion — Patient information


Cataracts — Patient information

Drooping upper eyelids — Ptosis

Drooping upper eyelids — Ptosis — Patient information

Excessive, involuntary blinking — Blepharospasm

Excessive, involuntary blinking — Blepharospasm — Patient information

Eye bags/heavy eyelids — Blepharoplasty

Eyelid skin cancer

Eyelid skin cancer — Patient information

Facial paralysis — Facial palsy

Facial paralysis — Facial palsy — Patient information

Inward-turning eyelid — Entropion

Inward-turning eyelid — Entropion — Patient information

Outward-turning lower eyelids — Ectropion

Outward-turning lower eyelids — Ectropion — Patient information

Thyroid eye disease

Thyroid eye disease — Patient information

Watery eye — Epiphora

Watery eye — Epiphora — Patient information


Artificial eyes and orbital implants

Artificial eyes and orbital implants — Patient information

Asian eyelid surgery

Asian eyelid surgery — Patient information


Botox — Patient information

Brow lift

Brow lift — Patient information

Cataract removal and lens replacement

Chemical peel

Chemical peel — Patient information


Eyelid lift — Blepharoplasty

Eyelid lift — Blepharoplasty — Patient information


Cheek and facial contouring

Cheek and facial contouring — Patient information

Lip filling and shaping

Lip filling and shaping — Patient information

Tear trough fillers

Tear trough fillers — Patient information

Upper eyelid contouring

Upper eyelid contouring — Patient information

Mohs surgery

Mohs surgery — Patient information

Ptosis surgery


9 Harley Street

The McIndoe Surgical Centre

The Queen Victoria Hospital

Spire Gatwick Park Hospital


Site map

Terms of use