Whenever you laugh, frown or squint, your facial muscles contract and your skin creases. As you get older your skin loses its elasticity and those creases deepen. Frown lines between your eyes, forehead lines and so called "crow's feet" can make you look tired and angry. By temporarily relaxing these facial muscles, this treatment can smooth out those lines, restoring a more youthful, less stressed expression to your face.

What is injectable wrinkle treatment?

This treatment uses a natural protein derived from the bacterium Clostridium botulinum. The protein was initially used for the treatment of various kinds of neurological conditions including cerebral palsy and eye squints. When used cosmetically, it reversibly blocks the nerve impulses responsible for contraction of tiny facial muscles that are related to expression lines. 

Is the treatment painful?

It's very rare for treatment to be painful. Most patients experience a feeling of slight discomfort during the treatment.

How long do the effects last?

For most people, the results last 3-4 months. After several treatments the effects may last longer.

Who is suitable for the treatment?

Starting in our late twenties, facial lines and wrinkles begin to appear that affect not just your appearance, but also your self-esteem. By smoothing out those lines this treatment can help you restore a more youthful, less stressed expression to your face. It can work as well for men as it does for women. 

Who is not suitable for the treatment?

Anyone who is pregnant, breast feeding or suffering from severe neuromuscular disorders, Bell's palsy or blood coagulation disorders are not suitable for treatment.

Will it interact with medication that I am taking?

You must ensure that your doctor is aware of any medications you are taking, especially aminoglycoside antibiotics (gentamicin, neomycin), aspirin, anti-inflammatories, Gingko Biloba and St John's Wort.

Are there any side effects?

Over the past 15 years, a large amount of clinical evidence has supported the effectiveness and safety of this treatment in all its uses. It is approved by the Federal Drug Administration (FDA) for cosmetic eradication for wrinkles on the face and for the treatment of hyperhidrosis (excessive perspiration). However, side effects can occur but are rare. The most significant complication is a temporary drooping of the eyelid (<1% risk) or eyebrow. This is a result of local spread of the medication at the injection site and can be minimised by accurate dosing. 

Preparing for the treatment.

During your consultation with me a full medical history will be taken to assess your suitability and the benefits with potential side-effects will be discussed in full. 


All botox treatments take place in Barnstaple, North Devon

Cost of the treatment.

Botox prices from:
1 area: £140
2 areas: £230
3 areas: £300

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  • I have always used Baljit for my Botox. He instantly made me feel at ease when I had my first Botox procedure and always works really well to create the perfect look for my face. I have been back a number of times now and I'm always very happy with the results. A very professional and conscientious person, would highly recommend.
  • Dr Kalsi is a true professional who acts with sensitivity, patience and reassurance at all times, making you feel at ease with his warm manner, carefully explaining all elements of the treatment. I am so pleased I made the decision to have Botox to reduce the wrinkles in my crow feet area and frown lines. It's given me a fresher and brighter appearance and has improved my self esteem with a very natural look.
    — SUSAN L
  • Baljit is very friendly, professional and reassuring. My results have been excellent and I am extremely pleased. I would absolutely recommend Dr Kalsi
    — HELEN P
  • I went to Dr Kalsi for Botox to smooth out my frown lines between my eyes. He spent time explaining Botox to me and how it would work overall rather than just focusing on one area. He took time and care and made me feel at ease. He injected Botox in my frown lines and a small amount in my forehead to give an overall fresher look and giving my eyebrows a much better shape. I wanted it to look subtle and not to look ‘overdone’ which I really think he has managed to achieve. I’m very happy and would definitely go back to Dr Kalsi for further treatments.
    — RACHEL E


NICE recommends botulinum toxin type A as a possible treatment for preventing headaches in some adults with chronic migraine.

Who can have botulinum toxin type A?

You should be able to have botulinum toxin type A if you have chronic migraine (that is, you have headaches on at least 15 days each month, with migraine on at least 8 of these days) and: • you have already tried at least three different drug treatments to prevent your chronic migraine headaches, but these have not worked and • you are not taking too many painkillers or using them too often. Get in touch to find out more