Botox Birmingham with Dr Shah
Botox softens the lines that show when you frown, squint or raise your brows
GDC Registered · Harley St · de Maio Trained
From £190
Before we talk about Botox, treatment areas or prices, the honest first question is whether you need this at all?
Do you actually need Botox?
If you’re reading this, you’ve probably been weighing it up for a while — you’ve got a retinoid going, you’re using SPF, and you’re wondering whether Botox is the next step or whether you’re fine without it.
The honest answer is: maybe, maybe not yet, and maybe not Botox at all.
Skincare and Botox do different jobs. Tretinoin and SPF work on the surface — texture, sun damage, how the skin looks up close. What they can’t do is stop the muscle underneath from contracting.
If a line only shows up when you frown, that’s a movement line, and no cream is going to reach it. Botox can.
If a line is there when your face is completely still, that’s a static line, and Botox alone won’t smooth it. You’re usually looking at skin boosters, microneedling, or Profhilo alongside.
So when would I say no, or not yet?
- In your 30s — if the lines only show when you frown and vanish when you relax, you’ve probably got time. I won’t push preventative doses on you if you’re unsure.
- 40s and 50s — this is where Botox does its most visible work. The lines are there, starting to stay, and softening the muscle lets the skin settle.
- 60s and beyond — I’d treat Botox as one part of the plan, not all of it. Volume loss is the bigger story now, and Profhilo or Sculptra often do more for you.
There are also people I’ll turn away on medical grounds. If you’re pregnant or breastfeeding, or you have certain neuromuscular conditions, Botox isn’t going ahead — that’s a medical line, not a judgement call.
And there are people asking Botox to do something it can’t. If what you’re really after is a lift, a volume change, or a skin texture fix, I’ll tell you at the consultation rather than book you in for a treatment that won’t deliver it.
If I was to give you an answer: come in for the free consultation, let me look at your face moving, and I’ll tell you honestly whether Botox is your next step.
Will I look frozen?
Only if it’s done badly. The frozen look comes from too much product, the wrong placement, or an injector who isn’t paying attention to how your face actually moves.
Only if it’s done badly. The frozen look comes from too much product, the wrong placement, or an injector who isn’t paying attention to how your face actually moves.
Doses aren’t fixed. They’re a judgement call based on muscle strength, how expressive someone is naturally, and what they want to keep moving.
A 28-year-old with delicate frown muscles needs a fraction of what a 45-year-old with deep 11s needs. If someone’s giving every patient the same dose in the same spots, you get faces that all look the same. They look the same because they’re not moving.
In my practice, I dose to soften the muscle, not switch it off. You should still be able to frown, raise your eyebrows, and smile naturally after I’ve treated you — you just shouldn’t be able to dig the line in as hard as before.
I won’t flatten someone’s forehead completely, and I won’t chase a heavier dose because a patient is convinced more is better.
The result usually looks worse in two years than it did at week two.
I've had botox before at other places, but this was the first time I actually felt like someone took the time to really assess my face. Dr Shah was so honest about what would work and what wasn't necessary yet. Two weeks in and the lines are softened, but my face still moves naturally. I didn't want a frozen look, just a more rested one. Nailed it.
Areas I treat with Botox
These are the areas you’ll most likely be asking about. Tap any one for what I’d actually say about it in consultation.
Jaw slimming
Both weak and overly pronounced jawlines can be transformed with injectables. Filler can be used to add shape and definition to the face jawline. Jaw botulinum toxin can be used to relax the masseter (or chewing) muscle in order to reduce the jaw size.
Lip Flip
Where the Cupid’s bow is upturned using injectables, increasing the visible surface area of the lip. The natural shape of the lip is maintained, without over-volumizing. Cupid’s bow is the perfect injection for an elegant and feminine look. It’s great for the lips and cheeks, giving you a full and youthful complexion.
Eyebags
Circles under the eyes are treated for a fresher, more vibrant, more awake appearance. Eyebags—often caused by stress, genetics, and age—can appear as a frown line, giving you an older and more aged appearance that you may not like. Eyebags are now treated to help reduce excess skin and smooth the area for a natural, less fatigued appearance.
11's
Anti-wrinkle injections are used to relax the muscles in the forehead and frown lines. It allows them and wrinkles to soften. This is also an excellent place for preventative.
Gummy Smile
A gummy smile can be caused when the muscles around the mouth pull the lip too high up when we smile. Because we are able to relax these muscles, and prevent them from over pulling, less of the teeth and gums are revealed when we smile.
Brow Lift (Botox)
Our brows can drop over time. With a botulinum toxin brow lift, we inject between the face brows, allowing the muscles underneath them to relax, and the forehead muscles to ‘pull’ the brows up to their original position.
Botox Pricing in Birmingham
Every price below includes a one-to-one consultation with me, the treatment, and an aftercare briefing. No separate consultation fee, no surcharge for being seen by a doctor.
Additional area £50 · Prices include free consultation · All treatments follow a one-to-one consultation before any injection is administered.
Reviews For Our Botox
Professional and friendly, with a really thorough consultation. My Botox looks natural and refreshed, not frozen. Very happy with the result.
I've had botox before at other places, but this was the first time I actually felt like someone took the time to really assess my face. Dr Shah was so honest about what would work and what wasn't necessary yet. Two weeks in and the lines are softened, but my face still moves naturally. I didn't want a frozen look, just a more rested one. Nailed it.
I've had masseter Botox with Dr Majid twice now, he made me feel at ease about the procedure and I have been super happy with the results. I would definitely recommend him to anybody looking for masseter Botox.
Before & After
What to Expect at Appointment
Your appointment runs 15 to 30 minutes, and it happens in three stages. I think out loud through all of them, so you’ll know what I’m seeing as I go.
Consultation first — before any injection, I look at your face at rest, frowning, smiling, raising your brow. I want to see how the muscles move and where the lines are forming. If you’ve come in expecting a fixed plan, this is where it might get adjusted.
Then the treatment — the injections take five to ten minutes. Each one feels like a minor sting lasting a second or two, and most people find it far less uncomfortable than they expected. I’ll use a topical numbing cream first if you’d prefer.
Then aftercare — before you leave, I’ll take you through the 24-48 rule (no exercise, no heat, no rubbing the area) and tell you what to expect over the next few days.
Results — they start showing at day 3 to 5 and settle by around two weeks. If anything looks uneven at the two-week mark, that’s what the review is for. Small top-ups are common and they’re part of the treatment, not a sign something went wrong.
How often you’ll need it — that first treatment lasts 3 to 4 months for most people. Here’s the part nobody mentions up front: the intervals stretch with consistency. Treat regularly and your results often last longer over time.
Where this leaves you in ten years — if you start in your late 30s and treat consistently, you’ll spend a decade with softer expression lines. By year five or six, you’ll likely be coming in less often than you did at the start, not more.
The people who run into trouble over a decade are usually the ones chasing higher doses or hopping between injectors. Steady, conservative dosing with one practitioner is what holds up.
If you stop — Botox wears off. The muscle moves fully again within 3 to 4 months, the lines return to where they were, and that’s it. No withdrawal, no rebound, no permanent dependency. If life changes and you stop coming, your face goes back to its baseline.
Book a Free Consultation
With me, Doctor Majid Shah at our Botox Clinic Birmingham in the West Midlands. Over 4,500 successful skin treatments around the UK.
Safety & Regulation
Botox is a prescription-only medicine in the UK and is prescribed following an appropriate clinical assessment.
Dr Shah (GDC No: 195211) assesses, prescribes, and administers all treatments.
Mild redness, swelling or bruising can occur and usually settles within 24–48 hours. General guidance only, not medical advice. Suitability is confirmed at consultation.
Frequently Asked Questions
How much should you pay for Botox in the UK?
A genuine doctor-led treatment starts around £200 to £300 for one area. Mine starts at £190.
If you’re seeing “3 areas for £99,” treat that as a warning sign — at that price I’d want to know what product’s being used, who’s injecting, whether they’re a prescriber, and whether a proper consultation’s included.
You can view here our Botox and fillers prices in Birmingham. We currently offer various treatment packages.
Is 40 too late to start Botox?
No — but the goal changes with age.
In your 30s — mostly preventative, softening movement before lines stay.
40s and 50s — softening lines that have started to set but are still reversible.
60s and beyond — Botox does its best work as part of a broader plan, alongside skin boosters or Profhilo.
There’s no “too late.” There’s just a different conversation.
Can I just use tretinoin or good skincare instead?
Sometimes, yes. Tretinoin and SPF improve texture and prevent sun damage — real work that Botox doesn’t do. What they can’t do is stop the muscle from contracting.
If your concern is fine surface lines, skincare alone might be enough. If it’s the deep movement lines between your brows, no cream will reach them.
What's the downside of Botox?
The real ones: temporary bruising, occasional asymmetry that needs a small adjustment at the two-week review, and — rarely, almost always from bad placement — a brow or eyelid that drops for a few weeks.
The other downside isn’t medical: it wears off in 3 to 6 months, so starting means returning regularly.
Will Botox make me look frozen?
Only if it’s done badly. A skilled injector uses the minimum dose to soften the muscle, not freeze it — you should still frown, smile, and raise your brows after treatment. See the before-and-afters above for what that actually looks like.
What's the 4-hour rule after Botox?
For four hours after treatment: no lying down, no exercise, no heat, no rubbing the area. Botox needs to bind to the muscle where I placed it, and movement or heat too soon can let it migrate.
After four hours you’re fine; by 24 hours there’s no restriction at all.
How often will I need Botox?
3 to 4 months at first, often stretching with consistency — the longer you treat regularly, the longer each round tends to hold. [verify with clinic: longest typical interval] Most settle between every four and six months.