Wrinkle-reducing injections – otherwise known as Botox® – work by relaxing specific muscles and preventing them from contracting. It prevents the release of the chemical, acetylcholine, which is necessary to allow nerve impulses to send messages to muscles.

It is the contraction of facial muscles that produces lines, wrinkles, and furrows in the skin. These are sometimes referred to as ‘dynamic’ wrinkles. By preventing muscle contraction, wrinkles and lines can be reduced or abolished. These injections are used on the face to achieve a smoother, unlined, and fresher appearance. The most popular areas for treatment are the ‘crows feet’ at the outer edge of the eyes.

Why you might need Botox®

For most people, the effect of wrinkle-reducing injections is to abolish a tired or angry look and to produce a softer, rested, more youthful appearance.

A patient that is pregnant, breastfeeding, taking certain antibiotics, prone to allergies or has a neurological disorder would not be not suitable for this treatment.

Are there any side effects?

The side effects of Botox are rare but do include allergic reactions (this can be prevented by doing a patch test 24 hours prior to having the injections), rash, itching, headache, muscle stiffness, difficulty swallowing and shortness of breath. Should you experience any of these following the procedure a contact number will be provided for you to get advice of how to manage these symptoms.

How long does Botox last for?

Botox is not permanent and usually lasts for around 3-4 months. You will not see a change straight away. It takes about 2 or 3 days to start working, and 2 to 3 weeks to see the full effect. Top ups can be scheduled regularly, or as and when you feel like a top up is required.

What does this procedure involve?

Unlike dermal fillers, a Botox® treatment involves administering the injections with micro-needles. It takes only a few minutes and causes little discomfort. Some redness and swelling may appear at the injection sites but this normally disappears after a few hours.

Assessment for this procedure

Before you go ahead with this procedure, it’s important you understand how it works and what will work best for you. Mr Sherif Wilson MB, ChB, MS, FRCS (Plastic Surgery) will be more than happy to meet with you to ensure you are comfortable and happy before committing to go ahead.

Before and after gallery

Mr Wilson is able to go through before and after photos of this procedure with you during your consultation if required.

After care

A few hours after the procedure you should gently exercise your face to ensure normal function of the muscles. It is recommended that you relax for the rest of the day as you may experience some redness at the injection sites. This should have reduced by the next morning. You should not exercise or sweat directly after the procedure and maintain a normal heart rate. You should avoid touching, rubbing, or applying physical pressure on the affected area and should leave the treated area alone.

How much does this procedure cost?

Depending on the type of procedure you require, the cost of surgery can vary. These are guide prices and are subject to change following an initial consultation with Mr Wilson, where a bespoke quote will be provided, specific to each patient. Please see prices below:

Botox (1ml syringe) £350, each additional 1ml £250


Sherif invites his clients to leave a review about the service he provided on Google (Bristol and Gloucester), as well as Doctify, RealSelf and I Want Great Care.

Please visit the Testimonials page for the very latest, or click on the links directly below this contact form.

Enquire about Botox® with Mr Wilson

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Jen MooreJen Moore
10:12 01 Jun 23
I recently underwent a surgical procedure at Spire Clinic on 21st March 2023, under the expert care of Mr Wilson, and I am delighted to share my overwhelmingly positive experience. From the moment I walked through the doors of the clinic until my complete recovery, the service I received was nothing short of exceptional.First and foremost, I must express my sincere gratitude to Mr Wilson. His professionalism, expertise, and compassionate approach were evident from our very first meeting. He took the time to thoroughly explain the procedure, addressing all my concerns and ensuring I had a complete understanding of what to expect. His calm and reassuring demeanor put me at ease, instilling confidence in his abilities as a surgeon.The facilities at Spire Clinic were outstanding. The clinic's clean and welcoming environment helped alleviate any pre-operative anxieties I had. The staff members were friendly, approachable, and always ready to assist me with any questions or requests. From the receptionists to the nurses and support staff, everyone demonstrated a high level of competence and professionalism.Throughout my stay, the nursing team provided attentive care, ensuring my comfort and well-being at all times. They were highly knowledgeable, offering post-operative support and guidance that played a crucial role in my smooth recovery process. Their commitment to patient care was evident in their prompt response to any concerns or discomforts I experienced, making me feel valued and reassured.The post-operative follow-up care I received was exceptional. Mr Wilson regularly checked in on my progress and provided detailed explanations about the healing process. His willingness to address any post-surgery concerns, no matter how minor, further underscored his dedication to ensuring my complete recovery and satisfaction.The administrative staff at Spire Clinic also deserve commendation. They efficiently handled all aspects of my stay, including scheduling appointments, coordinating with my insurance provider, and addressing any billing inquiries. Their professionalism and attention to detail contributed to a seamless and hassle-free experience.In summary, my experience at Spire Clinic, under the care of Mr. Wilson, was exemplary. The clinic's commitment to excellence, paired with Mr. Wilson's expertise and compassionate care, made a significant impact on my overall satisfaction with the service I received. I would highly recommend Spire Clinic and Mr. Wilson to anyone in need of surgical care, confident that they will provide the same exceptional level of service that I was fortunate enough to experience.Thank you, Spire Clinic and Mr. Wilson, for your unwavering commitment to patient well-being and for exceeding my expectations at every step of my journey!!
Millie TaylorMillie Taylor
09:06 17 May 23
There are so many options when considering surgery, it can be a bit overwhelming as it's such a huge decision. Sherif was recommended to me by a friend of a friend, who talked very highly of him and his work. My first consultation with Sherif was informative and relaxed, there was no pressure to progress with the surgery and I felt I was in good hands. I was given time and space to make my decision, and felt comfortable asking any further questions. The surgery itself went smoothly, I felt safe and well looked after. My recovery went better than I'd imagined and I was comfortably back at work within 2 weeks. I'm now 11 weeks post op and I'm loving the results - it really is life changing, and I'm so glad I did it, and chose Sherif to do it. Huge thanks to him and his team.
lauren priestleylauren priestley
21:56 01 Aug 22
At my first consultation with Mr Wilson he made me feel comfortable and after explaining how specific I wanted my surgery to look, he took so much time explaining the procedure and answered all my questions and advised me on what my best option was.I am so pleased with the results.Him and all his lovely team were highly professional, helpful and very supportive during my surgery and during my post surgery follow up appointments.I cannot express enough how talented Mr Wilson is and I would highly recommend him.
Charmaine GriffinCharmaine Griffin
11:16 28 Jul 22
The service received from Mr Wilson and his secretary has been amazing. Kim has always been prompt and professional with all of our contact. At the initial consultation with Mr Wilson, he made me comfortable and at ease. Mr Wilson has always been so kind and considerate and made sure that he explained the options available to me and what each option would include. Mr Wilson was clear about what the results of each option would likely provide and the risks involved. On the day of my surgery Mr Wilson came to see me prior to the surgery to check that I was happy. The results of the surgery were better than I could ever have imagined. I got a small infection a couple of weeks after surgery and Mr Wilson got me in to see him the same day, provided me with antibiotics and it cleared up right away. I'm now 7 weeks post surgery and feeling right back to normal.
Ashleigh GoodwinAshleigh Goodwin
22:12 04 May 22
Wow, I honestly don’t even know where to start. I guess a MASSIVE thank you to Mr Wilson, he has quite frankly changed my life. From the moment I met him I knew that he was the surgeon for me, he listened to what I wanted, was very understanding and caring, he was honest with the outcome and explained everything perfectly. I knew that I had to have him as my surgeon for my Breast Reduction, the minute I left the consultation I booked my surgery, I only had 7 weeks to wait, I was beyond excited. About a week before the surgery I came to see Mr Wilson again just to settle my nerves, and he did just that. My surgery went incredibly well, I felt amazing and just so excited to see the results, I had no complications whatsoever and pain was minimal, the heeling process was so so smooth too. One year on and I am still on cloud nine, the scars are basically non existent and my new breasts are PERFECT. I’m not over exaggerating when I say Mr Wilson has changed my life, he really has done just that, and I will be forever grateful. Will recommend Mr Wilson over and over again to anyone wanting ANY surgery with him. He is incredible!