A calm, clinical consultation in South Kensington. We assess goals and suitability and discuss appropriate options — including prescription treatments where clinically indicated.
Regulatory note: In the UK, botulinum toxin is a prescription-only medicine. This hub is educational and does not advertise prescription medicines. Any treatment can only be offered after a face-to-face consultation confirms suitability.
Educational overview: how it works, safety and what to expect.
What’s normal, simple do’s & don’ts, and maintenance tips.
Gentle, natural approach with micro-dosing and precise mapping.
Function-first consultation; dental collaboration; review included.
Clinical assessment and resource hub with triggers diary.
Hyperhidrosis assessment and practical management plan.
Anatomy-led assessment; conservative, staged options.
Simple timeline, red flags, and combining treatments.
Guides, checklists and a downloadable diary.
Shoulder/neck contour + tension relief — clinician-led dosing.
Colloquially called “TrapTox” (or “Barbie Botox”), this targets the upper trapezius to soften bulky shoulders, create a longer neck line, and reduce trapezius over-activity from posture or training.
*Varies by dose, baseline bulk, and metabolism.
Distributed micro-doses of botulinum toxin partially relax the upper trapezius fibres. We use conservative, step-wise titration where appropriate to protect shoulder function.
Dose is individualised to muscle bulk, asymmetry and goals. Risks include bruising, temporary weakness, asymmetry and rare adverse events. Full consultation and consent provided.
Athletes/lifters: tell us so we can plan appropriately.
Consultation-led treatment at Santi London (South Kensington)
Suitability, dosing and fees are tailored after assessment. Results vary.
Most notice changes in 1–2 weeks, best definition by 4–6 weeks. Maintenance is typically every 3–4 months.
Expect reduced upper-trap over-activity. Pause heavy shoulder training for 24 hours post-treatment.
Dose depends on anatomy and goals. We often start conservatively and refine at review.
We review medical history, facial animation and goals. If a prescription option is suitable, your clinician will explain benefits and risks.
Where appropriate, any treatment typically takes 15–30 minutes using fine needles and light placement for subtle results.
Most clients resume normal activity the same day; we provide written aftercare and offer a review.
Some options discussed are prescription-only medicines. These are not advertised here and are only provided after a face-to-face consultation confirms suitability.
Our approach favours subtle, natural movement. We avoid an over-treated look and tailor dosing to your goals.
Duration varies by area, dose and individual factors. Improvements may appear within several days and soften gradually over months.
Most clients return to usual activities the same day. We’ll provide aftercare and an optional review.
This section is informational. Prescription-only medicines are not advertised. Any treatment is only considered following a face-to-face assessment for suitability.
Suitability, dose and outcomes vary. Your clinician will advise what’s realistic for you.
Common aesthetic and medical uses discussed during consultation can include frown lines, forehead lines, crow’s feet, eyebrow position, DAO/downturned corners, and neck bands. Medical uses may include chronic migraine and hyperhidrosis (on assessment).
Clinician-reviewed guidance, trigger checklists, and a downloadable diary to prepare for a productive consultation.
Open hub →Compliance note: This hub is informational and does not advertise prescription-only medicines. Any treatment can only be offered after a face-to-face consultation confirms suitability.
The world of wrinkle-relaxing injections continues to evolve. While Botox® has remained the reference standard for decades, newer products periodically emerge. Availability, indications and durability vary by market and ongoing regulatory guidance.
Daxxify™ is a newer neuromodulator discussed in the literature and media. We review emerging evidence and discuss options case-by-case during consultation. Brand choice and suitability are clinical decisions — not advertised here.
Galderma and other manufacturers continue to publish research into onset, longevity and precision. We remain evidence-led and safety-first.
Read our latest overviewNot instantly. Unlike dermal fillers (which can sometimes be reversed), botulinum toxin gradually wears off as nerve-muscle communication returns — typically over weeks to months. If a result seems stronger than you'd hoped, your practitioner may use minimal adjustments while the effect settles.
Educational information only. Treatments require face-to-face assessment and prescription.
