your guide to everything you need to know about anti-wrinkle Treatments

botox london

Line art to represent botox treatment london

each and every client is unique

Dr Asha's Philosophy Towards Treatment

If you are looking for a fresher and more youthful look, we think we can help. We are pleased to offer wrinkle softening Botox® treatments in London.

The use of Botulinum Toxin A (Botox) is becoming increasingly popular, and with good reason. It’s a quick and effective pick-me-up that softens frown lines, wrinkles and crow’s feet. It can take as little as thirty minutes and, because it’s non-surgical, there is very little recovery time. 

As we age, our skin starts to lose its elasticity- mostly due to the depletion of collagen and elastin, this can lead to the formation of static lines – lines that are present at rest i.e when you are not moving your face.  We also have Dynamic lines – lines that occur with expression,  i.e when you frown and you form a line between your eyebrows.  Overtime, due to either over expression or strong muscles –  dynamic lines can become static lines. 

Botox® works on reducing the dynamic lines (the lines between your eyebrows when you frown, the line on your forehead as you raise your eyebrows and the lines around your eyes when you smile). Static lines that are there at rest may gradually soften following regular treatment.

It is important to understand that not all wrinkles are alike. And while it may be hard to believe, not all wrinkles are bad!

Dr Asha believes that as we age, the face tells the story of wisdom gained throughout life, and erasing all of the wrinkles would void the face of personality which is the expression of  true beauty. Whilst we completely understand that some wrinkles detract from your beauty and can make you appear older than you actually are, the aim is not to eliminate all wrinkles, but to soften them in a way that still allows your unique features to shine through.

Dr Asha chooses to only use the original brand of Botox® for the purposes of safety and efficacy.  Botox® has been used extensively for medical treatments since the 1980’s and gained FDA approval in 2002 as a temporary aesthetic treatment for wrinkles.

Countless procedures have been performed successfully over the years. Botox® treatments hold much less stigma than they used to as there is a greater understanding that in the right hands, Botox® can be performed to achieve natural but effective results.

We actively encourage people to seek independent medical advice before committing themselves to treatment. Questions are always encouraged and Dr Asha Chhaya is only happy to carry out any facial treatments once her patients are fully educated about all the options.

For more information, scroll down to find the answers to the most common questions asked about Botox® treatments.




Dr Asha Chhaya is a London based Aesthetic Doctor and Women's Health Coach, helping women to soften the signs of ageing and feel at home in their body again.

Her career began at Kings College Dental School in London, where she graduated with an Honours degree and two prestigious awards marking her academic excellence. Shortly thereafter, Dr Asha knew her true passions lay in Integrative Health and Preventative Anti-Ageing and progressed to achieve a Level 7 qualification in Injectables for Aesthetic Medicine, being amongst the first students to achieve this qualification. Dr Asha is also a Certified Health Coach and has extensively researched ways in which women can support their physical and emotional wellbeing.

Over the last five years, Dr Asha has enjoyed working closely with women combining both her aesthetic skill and wellness research findings to achieve transformative results for her clients. She considers herself to be a conscious injector, understanding that beauty runs deeper than the surface and that each client requires a compassionate approach towards their own treatment journey to help enhance the natural beauty within them.

Read more about my qualifications here


General Dental Council logo
kings college london logo
Level 7 in Aesthetic Medicine with Harley Academy logo
Academy 102 - PHI Clinic - Dr Tapan Patel logo
MFDS Royal College of Surgeons logo
ACE-Group-Registered-Practitioner logo


Majority of clients are suitable for botox treatment. A full medical history will be taken from you. Those not suitable for Botox include: pregnant and breastfeeding ladies and anyone who suffers from or has a history of nerve damage or muscle conditions. 

Following an in-depth consultation where I perform a full facial analysis, I will be able to advise which areas I feel would provide you with the best and natural looking results. 

If I don’t feel a particular treatment would benefit you, I will always be honest and offer you an explanation as to why. Please note: for ethical reasons, I do not treat anyone under the age of 25 for botox treatment. 

Botox® is a prescription only medication and therefore should only be administered by appropriately trained medical professionals. Medical professionals i.e Dentists, Doctors, Nurses –  should have undergone the appropriate training and have completed a number of treatments before they can have a greater understanding on how to administer Botox® according to individual needs. 

Dr Asha has been a Dentist for 10+ years and is therefore very adept at providing injectable facial treatments. She was one of the first students to achieve a Level 7 (Masters equivalent) in Aesthetic Medicine and also has a history of being a lead trainer with one of the most reputable aesthetic training schools, to help medical professionals start their career in aesthetics. 

Having performed 5000+ treatments over the last 5 years, you can be certain you are in safe hands!

Common areas that Dr Asha treats in clinic include:

  • Frown lines also known as the glabella – which occur in between the eyebrows, also known as the ’11’s’
  • Crows feet or laughter lines – which is the area around the eyes that crease when you squint or smile.
  • Forehead lines –  which occur when you raise your eyebrows.
  • Gummy Smile – over exposure of the upper teeth and gums when smiling
  • Bruxism – those who grind their teeth and have strong masseter muscles
  • Hyperhidrosis – for those suffering from excessive sweating in the armpit region. This can be a life changing treatment for those conscious of sweat patches.
  • Chin – to help with the dimpled appearance that can occur with age
  • Bunny Lines – lines on the sides of the upper part of the nose that appear when the nose wrinkles up


It is of my medical opinion that Botox is a safe treatment when performed by an appropriately trained medical professional that puts safety at the forefront.

A study conducted in 2005 concluded that adverse reactions from Botox administration were more common when used for therapeutic purposes  (medical conditions) vs cosmetic purposes. This was thought to be related to the higher dosing, as  dosing for cosmetic purposes is  much lower in comparison.

In addition to this, between the years of 1989 and 2003 there were only 36 reports to the FDA of adverse reactions related to botox treatments administered for cosmetic. Out of these 36, 13 were due to underlying conditions rather than the Botox itself (which highlights the importance of a thorough medical history).

Overall, the risk of any serious risks from botox remain minimal. All risks associated with treatment will be explained clearly at the initial consultation so you are able to decide whether Botox is the right treatment for you.

Botox works by temporarily blocking the transmission of signals from the nerves to the muscles. 

This is done by reducing the efficiency of the chemical that relays the signals, which results in the muscle relaxing and allows the skin to sit smoothly on top of it. 

This process takes time which is why it can take 10-14 days before the results of the treatment can be fully seen.

As botox is an injectable treatment, there may be some discomfort but most clients report it is not as uncomfortable as what they initially imagined. 

The needles we use are extremely small and treatment doesn’t take long to perform at all.

Definitely! You are certain to see results and I am confident in the results I can help you achieve.

You will be invited to attend a complimentary review 2-4 weeks following treatment, at which point (with my perfectionistic eye) I can assess to see if we have achieved the desired result discussed at consultation.  

If necessary, further Botox will be administered free of charge at this review. You will also be able to view your before and after photo to see the effect of treatment. 

It’s very rare to experience side effects with Botox. 

If you are a first timer, you may experience a mild headache following treatment. But this does not last and it usually occurs with your first treatment only. 

Other minor side effects may include some redness and swelling at the injection site, which usually lasts for less than an hour, and, less commonly, some bruising.  To read the best tips on how you can prevent bruising from botox click here.

Before any treatment is carried, you will receive a full consultation so that you are well informed of any risks.

You will notice small raised areas where the botox has been administered but this will settle down usually within 30-60 minutes. 

You are welcome to enjoy a drink in the waiting room with a magazine if you feel a little conscious walking out like this. 

For the first 24 hours after treatment it is best to avoid:

  • Alcohol
  • Physical strain and sports/exercise
  • Touching the face
  • Make up 
  • Hot Showers
  • Rubbing the face
  • Aspirin/Ibuprofen (if you need to take painkillers it is best to take paracetamol)

For two weeks following treatment it is best to avoid:

  • Saunas
  • Steam rooms
  • Direct sunlight
  • Facials / Chemical Peels / Microdermabrasion
  • IPL/Laser treatments
  • Dental procedures
If you do have any other treatments scheduled, please inform me at your consultation so we can ensure we create a treatment plan that incorporates these treatments to achieve the best results, in a safe manner. 

All Aftercare will be discussed in detail at your appointment.


Usually results start to kick in about 3-4 days following treatment, however the best results are visible at days 10-14. 

Don’t worry if you cannot see results yet, everyone is different and sometimes you may not even notice any change till day 13! 

You will see results, it can just take some time.

3-4 months is usually standard.  

In more rare circumstances Botox can last for up to 6 months but this is not the case for most people. 

To maintain results it is important to keep up with regular treatments. For example if you are having treatment to try and soften a frown line – Botox will help over time however if you don’t have regular treatment, the muscles will start to contract again and reinforce the line which takes us back to stage one at the next appointment. 

It can be tempting to want more when you realise what you can achieve with a few subtle tweaks however a conscious injector will never let you ‘get addicted’ to treatment and they know when to say no.

I see all of my clients as my artwork, I want them to all emanate elegance and grace, this is certainly not achieved through overtreatment, but quite the opposite. 

The phrase ‘less is more’ couldn’t be more appropriate.

I personally do not believe in preventative botox, therefore I believe the best time to start getting botox is usually when you notice a line that is there at rest -i.e a frown line that is present when you are not frowning. If you are considering botox this is the perfect time for a consultation. 

There is no specific age for this however for ethical reasons I choose to not treat clients under 25 with Botox. 

Likewise and if I don’t feel you are ready for botox I may explain why it is better to delay having botox.

By visiting an experienced Aesthetic Doctor who understands the importance of Botox doses in the forehead. Light doses will prevent a shiny, frozen forehead and allow for some movement to achieve a natural appearance.

In the UK the two main other brands are Bocouture and Azzalure. 

My preference will always be Botox which is manufactured through the pharmaceutical company Allergan. It is the original brand, the one that has been around the longest and had the most clinical trials for safety. 

Other brands may be cheaper however this is reflected in the results (in my opinion) – either not lasting long enough or causing a frozen type appearance. 

Baby Botox essentially means smaller doses of Botox. It has become somewhat of a buzzword lately, but in my clinical opinion, baby botox should be incorporated as part of standard treatment rather than a stand alone request as I don’t personally believe botox doses should be high in general.

The optimal botox dose is the correct dose needed to achieve the result desired by the client.

It is important to understand that there are certain areas of the face that would benefit from small doses of botox for example the forehead to prevent a frozen appearance however, lower doses doesn’t necessarily mean better results as areas such as the frown and crows feet require slightly higher doses to soften these areas which baby botox would not achieve.

Following an initial consultation where I am able to fully educate you on what is the best dose for you specifically, you will gain a deeper understanding of baby botox vs standard botox.

It is a common misconception that Botox alone can help lift the eyebrows. I often get clients requesting botox due to their eyebrows feeling heavy and their eyelids are starting to get hooded.

I can tell you with almost certainty that in that scenario – botox to the forehead can result in a worse appearance. I see it too frequently (not from my own practice but from my clients who have previously had treatment elsewhere). I notice someone who is at risk of this almost immediately.

The forehead muscle naturally raises the eyebrows so when treated with botox – which relaxes the muscle, it is not possible to achieve a brow lift!

However, it is possible that through treating the frown area, the outer part of the eyebrow can achieve a subtle lift with botox but there is an emphasis on the word subtle. If performed incorrectly this can result in the outer eyebrow looking too high up and contributing to what we called ‘spocking’ ie looking like Dr Spock (see here) and nobody wants to look like that!

This really highlights the importance of not only seeking treatment from medical professional who has received the correct training, but also from someone who has performed enough treatments to understand the pitfalls and how to avoid them.

If I am giving my honest opinion, I would say no. 

There are other injectors who will happily inject beneath the eye, but from my training and experience it is not a practice I would recommend. 

It has the potential to be unsafe and I have had clients who have had this done elsewhere which has resulted in poor appearance. The reason being is because it can relax the muscle beneath the lower eyelid which can result in worsening of the ‘eyebag’ and thus highlight this area more. 

I have had some clients request this, but due to my need to put safety first, I am afraid this is not a treatment I perform.

Yes, this can be avoided with the right doses in the right areas. A skilled medical injector will be able to understand how to adapt dosing to ensure that you achieve a natural result. 

When done correctly, nobody should be able to tell you have had treatment done other than ‘you look really well’.

No, as you treatment wears off you will gradually return to your original appearance.

However after having botox, clients become used to their softened appearance and when treatment starts to wear off – they may perceive they look worse.

When reviewing their before photos, they understand how much of a positive impact the botox treatment makes and usually don’t wish to stop maintaining their treatment for this reason!

Botox treatments are usually priced per area. For example the frown is one area. the frown and forehead is two areas and the frown, forehead and lines around the eyes (crows feet) is three areas. 

The prices for Botox in London at Cosmetica in Balham are:

1 Area £242.00
2 Areas £303.00
3 Areas £363.00

The prices for Botox in Nottingham at SKN Clinics in London are:

1 Area £210.00
2 Areas £360.00
3 Areas £470.00



Botox clinics are available in both London and Nottingham

For Botox in London you can visit me at Cosmetica London in Balham

For Botox in Nottingham you can visit me at SKN clinics in Nottingham

*Please note, appointments at SKN Nottingham are very limited as I only work at this clinic once every two weeks on a Friday and I am usually booked up 6-8 weeks in advance as my lovely regular clients keep me busy! If you struggle to get an appointment I will do my best to get you in – please email Nina, the wonderful manager of the clinic who has direct access to the diary: [email protected] and copy me into the email: [email protected] so I can be sure that between us both you manage to secure an appointment! 

For appointments for Botox in London, the average wait is 4-6 weeks, so if you are planning to have treatment done before a special event or a holiday then please book the appointment sooner rather than later to avoid disappointment. 

Botox London 

Call: 020 7205 4046 or email: [email protected]

And ask to be booked in with Dr Asha Chhaya

Botox Nottingham 

or Call: 020 7205 4046  or email: [email protected] 

And ask to be booked in with Dr Asha Chhaya

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