Softer lines. Natural movement.

    Anti-Wrinkle Injections

    A doctor-led, conservatively dosed approach to dynamic lines, designed to soften expression without altering it.

    Injectables · London & Dubai

    The Treatment

    Anti-Wrinkle Injections

    Anti-wrinkle injections work by gently relaxing the small muscles that create expression lines, the ones that gradually etch into the forehead, between the brows, and around the eyes. Used well, they soften those lines without changing how your face moves.

    Lines aren't the problem, exhausted-looking lines are. The aim is never to remove expression, only to take the edge off the deepest furrows so the face reads as rested rather than tense. The right dose, in the right places, leaves your expressions intact. The wrong approach flattens them. At 23MD, we deliberately err on the side of less.

    Duration

    15–30 min

    Downtime

    None

    Pain level

    Low

    Sessions

    Every 3–4 months

    Results start

    3–5 days

    Results peak

    10–14 days

    About

    What it is, how it works.

    How it works

    Tiny amounts of a purified medical protein are placed into specific muscles. Over the next 1–2 weeks, the treated muscles relax, not freeze, which allows the skin above to settle and the lines to soften. The effect lasts around 3–4 months as the body naturally restores normal muscle activity.

    Why it matters

    Lines aren't the problem, exhausted-looking lines are. The aim is never to remove expression, only to take the edge off the deepest furrows so the face reads as rested rather than tense. The right dose, in the right places, leaves your expressions intact. The wrong approach flattens them. At 23MD, we deliberately err on the side of less.

    Indications

    What We Treat

    • Forehead lines
    • Frown lines (glabellar)
    • Crow's feet
    • Bunny lines
    • Lip flip, masseter, neck bands (assessed individually)
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    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Reduced appearance of dynamic lines
    • Smoother forehead, frown, and crow's feet
    • Subtle preventative effect on deepening static lines
    • A refreshed, less fatigued appearance

    Timeline

    Onset typically 3–5 days; peak effect at 10–14 days. Duration is generally 3–4 months.

    Results vary between individuals. Treatment is designed to soften, not eliminate, lines, particularly those that are already static at rest.

    Suitable For

    Safety & Suitability

    Not suitable for

    • Pregnancy or breastfeeding
    • Certain neuromuscular disorders (e.g. myasthenia gravis)
    • Active infection at the injection site
    • Known hypersensitivity to botulinum toxin or its components
    • Patients seeking a fully expressionless outcome

    Consultation required: A medical consultation is required before treatment to confirm suitability and plan dosing.

    FAQs

    Your Questions, Answered

    Medically reviewed by Dr Suha Kersh, MBBS, GMC-registered on April 2026.

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    Testimonials

    What our patients say

    Dr Suha Kersh at 23MD, the only person to trust with filler — she's queen of natural.

    Polly Vernon

    The Sunday Times, April 2026

    Felt like myself again within four months, which I really didn't think would ever be possible again. Dr Galy is the first doctor who actually listened and built a proper plan around me.

    Charlotte H., London

    Dr Galy — BHRT, London

    Dr Kersh doesn't overdo it. I just look less tired — and weirdly, more like myself. Tried clinics everywhere from New York to Geneva, and this is the only place I go now.

    Lina A., Dubai

    Dr Kersh — Anti-Wrinkle, Dubai

    Friends keep asking what I've been doing and none of them have guessed. Dr Kersh is an artist — she has a real eye and does just enough, not a millimetre more.

    Eleanor M., London

    Dr Kersh — Filler, London

    Same team, same standard of pure excellence in both cities. My records, doctors and protocol follow me everywhere — honestly the easiest part of splitting time between London and Dubai.

    Alessandro V., London & Dubai

    Dubai & London

    Under-eyes are a complete game changer. Dr Kersh also told me what I didn't need, which I really appreciated — rare in this industry.

    Isabella F.

    Polynucleotides — Dr Kersh