Patient of Dr Sib
Less is more


This quick virtually painless anti-wrinkle injection (Botox) has been the most popular anti-ageing cosmetic procedure performed for the past three years. Anti-wrinkle injections can temporarily eliminate deep forehead lines, frown lines between the brows and Crow’s feet at the corners of the eyes.

By limiting the movement of the muscles that cause horizontal lines, the lines are softened and made less noticeable. The key to injecting this area is to maintain a natural look by not over injecting and addressing the muscles involved to lift the eyebrows and minimise the heavy brow appearance. My goal is to soften the look of the face making it prettier but not expressionless.

I build up a blueprint of your face by drawing diagrams and keeping accurate records of points injected and doses given, rather than prescribing everyone with the same amount of treatment. I start with small injections and then get you back in two weeks for a complimentary review if more is needed. Done properly this will still allow a little bit of movement in your forehead while ironing out the wrinkles.


What is the ideal age to start having anti-wrinkle injections?

There is no “ideal” age. We all want to look good as we get older. There have been significant developments in non-surgical treatments that help combat signs of ageing. Thanks to their safety and effectiveness, these walk-in treatments have become extremely popular during the past few years. These treatments have grown in popularity among younger individuals who prefer to intervene at an earlier stage of wrinkle development. Anti-wrinkle injections are a unique aesthetic treatment primarily used to soften facial expressions to leave you looking refreshed. Don't overdo it. Especially true for beginners, it's best to under do it – you can always work your way up doing more when it's truly needed.

Is there a risk that anti-wrinkle injections will make my face look frozen?

My philosophy has always been 'less is more'. I always treat my patients conservatively so as not to give them a 'frozen' look whereby they cannot make any expression. A complimentary follow-up review is scheduled after two weeks to ensure that the patient is happy with the result. If there is still too much movement I will treat the area some more.

Who would benefit from this treatment?

At a certain age, many individuals will begin to notice a spider web of lines creeping around the eye area.  These “crows feet” generally appear when a smile occurs. Anti-wrinkle injections temporarily relax these facial muscles which then diminish or disappear.  Frowns are due to hyperactive facial muscles. They may give a person an angry, tired or displeased appearance. Anti-wrinkle injections temporarily relax these muscles. By injecting specific muscle groups of the face with small amounts of treatment, the wrinkles and creases will gently disappear. It has now become the most popular and safe non-surgical cosmetic treatment performed today.

Is there anyone who should avoid anti-wrinkle injections?

Anti-wrinkle treatment is not recommended during pregnancy or breast feeding. It is not recommended if you suffer from a neuromuscular disorder. Your medical history will be discussed at the initial consultation.

What results will anti-wrinkle injections achieve?

Lines and wrinkle reduction are usually what people are seeking to correct. The aim of the treatment is to break the habit of frowning and squinting to reduce the appearance of the lines which will then also help to reduce the development of further facial lines.  We also use anti-wrinkle injections to elevate the eyebrows which open up the eyes. There are however far more uses of anti-wrinkle injections than you think; some of these include the prevention of migraines, reducing teeth grinding, contouring the neck and upturning the corners of the mouth. Injections can also stop excess sweating. It works by blocking the release of a chemical named acetycholine as this chemical is responsible for stimulating sweat glands. This remarkable procedure boasts impressive results that actually work. This is a popular treatment for men who have problems with excessive sweating.

Are there any areas on the face which you should resist having injected to retain a natural look?

Generally the mid face and lower face.

What after care is involved after the treatment?

Any minor redness near the injection sites will normally disappear after an hour or so. Do not touch the area or wear make-up immediately after your treatment to avoid infection.

How long will I need between treatments?

The effects last 3-4 months but with on-going treatments the effects can last much longer. I have a few patients that receive treatments every 6 or 9 months. 

Should anti-wrinkle injections be used as a preventative measure to stop wrinkles from forming?

Yes. Catch them early enough and they will disappear.

Does the treatment hurt?

The discomfort experienced is minimal. The treatment itself will only take a few minutes. If a patient is needle phobic, I will use a cooling device to reduce any pain. Muscle relaxing injections are safe and there are no known long term side effects.




I highly recommend. Dr.Sibthorpe.  He is brilliant and meticulous at his craft. He has integrity, great bedside manner, is professional and a great listener. He will NOT do something that he does not believe is correct and he will NOT create an overdone look. If you want that overdone look, don’t look to him. He is about creating a beautiful, rested, natural look. I feel so fortunate to have had the opportunity to have him do my cheek fillers and anti-wrinkle treatment and will definitely return to him when the time arises for any ‘updates’.


There are so many cosmetic treatments available that it’s hard to decide which is best for you.  Not to mention who to trust with your face! My friend recommend Dr. Sibthorpe.  He is totally committed to giving you the best results.   I have had two treatments that he recommended  – anti-wrinkle injections for my frown lines and fillers for my cheeks —and I am thrilled with the results– “subtle and natural”… which is how I prefer to treat my face.  He always spends time listening to what you want and then suggest what is possible and what is not possible.   I totally trust Dr. Sibthorpe and highly recommend him.


I had a lovely experience and enjoyed all aspects of it. I almost forgot what it was for, simply because it was a totally relaxing experience.   I hate needles -which is why I kept my eyes closed the entire time. It is a big tribute to you that I did stay relaxed all the way through and thank you for that.


Dr Sibthorpe is quite simply an artist and I can not recommend him more highly. If you are looking for a subtle, “less is more” approach he is the Doctor for you. I am absolutely thrilled with the results of my anti-wrinkle treatment and only wish I’d started sooner! 


At my consultation, Dr. Sibthorpe said I would be a perfect candidate for the 8 point lift. I have been receiving various treatments with him for the past five years and totally trust him.  Well -needless to say I went forward with the 8 point lift and I am extremely pleased with the results.  I highly recommend this prodcedure.


I first visited Dr Richard Sibthorpe in September 2019 and immediately after my first consultation, knew I was in safe hands with his remarkable knowledge and expertise. Firstly, I had anti-wrinkle injections to soften the lines and wrinkles and Dr Sibthorpe recommended fillers for cheeks and jawline. I am so delighted with the results and it was a question of less is more, which is his mantra! There was very little discomfort and I wholeheartedly recommend this treatment. I admit I do not look 35, being in my early 70’s, but people, I have met,  have said how well I look and I can see just looking in the mirror that my cheeks look fuller and I have lost the dreaded double chin and have a much more defined jawline. Cannot wait to see Dr Sibthorpe when he returns to London in February!


Thank you as always for your artistry!


Richard has looked after me for nearly 20 years. He has always told me what is best for me, even if it means I do not have any treatment. I love his honesty and integrity and the fact that I look 10 years younger thanks to his expertise!


Dr Sibthorpe is superb! He is honest, trustworthy and most importantly, detailed in his explanation of the patients desired procedure. His advice is so valuable and he goes out of his way to ensure patient satisfaction. There is never any pressure and I continue to go back to him only! He is just a delightful professional who I truly recommend to anyone whether first time procedure or experienced. Thank you always Dr Sib. Sara is also an asset to the welcome desk.


Call us on +44 203 131 3041

Latest Media View all media

Before & After – Non-Surgical Rejuvenation

Treatment: Non-surgical rejuvenation with dermal filler to restore volume to mid-face (smile lines). Anti-wrinkle injections to the frown between the […]

Dr. Sibthorpe Answers Your Questions – Part 10

Join Dr. Sibthorpe, London’s leading aesthetics doctor, as he addresses the most commonly asked questions from his patients. Whether you’re […]

Dr. Sibthorpe Answers Your Questions – Part 9

Join Dr. Sibthorpe, London’s leading aesthetics doctor, as he addresses the most commonly asked questions from his patients. Whether you’re […]