Botox injections

What are botox injections?

Botox injections for the ageing face are used to help relax facial muscles and make lines and wrinkles less obvious.

During the procedure, the patient’s skin is cleaned and small amounts of botox are injected into the area to be treated. Several injections are usually needed at different sites. The injections usually take effect about three to five days after treatment and it can take up to two weeks for the full effect to be realised. The effects generally last for about three to four months.

Not normally funded treatment or procedure:

Botox injections for the ageing face are not usually funded by the patient’s local NHS commissioning organisation. This is because botox injections for this purpose are considered to be a cosmetic procedure.

The clinician in charge of the care of the patient’s specific condition, usually a hospital doctor, can assist the application, if there is exceptional clinical need for the treatment to be funded. The patient’s clinician must evidence clinical exceptionality and must be supported by the patient’s local NHS commissioning organisation.

See separate leaflet for more information on Individual Funding Requests (IFRs).

Advice and further guidance:

For patients wishing to have botox injections, it is worth remembering that the effect isn’t permanent, there’s no guarantee that the desired effect will be achieved and it is not normally funded by the patient’s local NHS commissioning organisation.

  • For more information search for ‘botox injections’ at
  • Choosing Wisely UK is part of a global initiative aimed at improving conversations between patients and their doctors and nurses.

Treatment policy for patients covered by NHS Birmingham and Solihull CCG

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