Anti-Wrinkle Injections in St Ives
Anti-wrinkle treatment is a prescription-only medicine, so it always starts with a face-to-face consultation with Karen, our nurse prescriber. That consultation is free, and it is where we decide together whether treatment is right for you.
- Appointment
- 15 to 30 minutes
- Results
- Gradually from 2 to 14 days
- Lasts
- Around 3 months, varies between individuals
- Downtime
- None
This treatment uses a prescription-only medicine. UK advertising rules do not permit clinics to name or promote the medicine, publish its price, or show before and after photographs of it. This page explains the treatment and the consultation. Suitability, the medicine itself and the cost are discussed with you in person, free of charge.
A prescription-only medicine, prescribed in person
The medicine used to soften expression lines works by temporarily reducing muscle activity. It blocks the chemical signals between a nerve and the muscle it controls, so the targeted muscle contracts less strongly and the lines it creates over the skin soften. As the effect wears off, muscle activity gradually returns.
Because it is prescription-only, a qualified prescriber has to assess you in person, decide whether treatment is appropriate, and prescribe it for you specifically. Karen is a V300 independent nurse prescriber and has been a registered nurse since 2000, and she carries out every prescription consultation herself. If treatment is right for you, it takes place at a separate appointment on a different day, with Karen or with Lorna, our HCPC-registered operating department practitioner.
UK advertising rules do not allow clinics to name or promote prescription-only medicines to the public. That is why this page talks about anti-wrinkle treatment rather than a product, and why prices are discussed at your consultation rather than listed here.
Areas commonly assessed
Most people come to us about frown lines between the eyebrows, forehead lines, or crow's feet at the outer corners of the eyes. These three areas often work together, so we will usually look at them as a group even if one is bothering you more than the others.
Other areas can be assessed at your consultation, including a gentle brow lift, jaw slimming for teeth grinding or clenching, neck bands, a gummy smile, a lip flip, downturned mouth corners and a dimpled or pebbled chin. Excessive underarm sweating is a medical rather than a cosmetic concern and is assessed separately.
Which areas are suitable for you is a clinical decision, based on how your muscles move at rest and when you make expressions. It is never simply a menu choice, and it cannot be promised before you have been assessed.
Softened, not frozen
Our aim is softened movement that still looks like you. On a first treatment we tend to be conservative, because it is straightforward to add a little more at a review and not possible to take it away. If a review is needed, it is free of charge.
How you respond depends partly on your history with this kind of treatment. Some people see a change within a couple of days, while for others it takes the full two weeks, so we ask you to judge the result at two weeks rather than two days.
Safety first, in St Ives
Avismo has been nurse-led since it opened in 2014, and today our small team of registered healthcare professionals works together on every client's care. The clinic achieved Save Face accreditation in October 2025 after an independent assessment of training, clinical standards, the treatment environment and patient care, and was recommended in The Tweakments Guide in January 2026.
Your prescriber, Karen, is NMC registered and a member of the Aesthetic Complications Expert (ACE) Group and of BAMAN, the British Association of Medical Aesthetic Nurses, and Lorna is HCPC registered. Whether you live in St Ives itself or travel in from Huntingdon or Cambridge, you are treated by a medical professional who will still be here if you have a question afterwards.
Two appointments
Your consultation, then your treatment
- 01 First, your free prescription consultation with Karen: a full medical history, including any medicines you take, and a conversation about what you would like to change
- 02 Karen assesses your muscle movement at rest and during expressions, and talks you through the risks, the alternatives and the option of not going ahead
- 03 If treatment is appropriate, Karen prescribes it for you, and your treatment is booked for a separate appointment on a different day
- 04 At your treatment appointment, with Karen or Lorna, your consent is confirmed and the injections are given, which takes only a few minutes
- 05 Written aftercare, and a review arranged if one is needed
Safety
What you need to know before anti-wrinkle injections
Every treatment carries risk. Nothing here replaces the consultation, where all of this is discussed with you before you consent to anything.
Not suitable if
- Under 18s, as treatment for cosmetic purposes is not permitted by law
- Pregnancy, breastfeeding or trying to conceive
- Neuromuscular conditions such as myasthenia gravis
- Known allergy to any component of the prescribed medicine
- Active skin infection or inflammation at the treatment site
- Some medicines, including certain antibiotics, can interact, so please bring a full medication list
Common and expected
- Small raised bumps at the injection points, which usually settle within an hour
- Pinpoint bruising
- A mild headache for a day or two, particularly after forehead treatment
Serious risks
The main uncommon risk is a temporary drooping of an eyelid or eyebrow (ptosis), or some asymmetry, caused by the medicine affecting a nearby muscle. These resolve as the effect wears off, and careful dosing and placement make them less likely. Very rarely, effects can spread more widely and cause difficulty swallowing, speaking or breathing, which needs urgent medical attention. Karen covers all of this with you at your consultation before you consent.
Aftercare
- Stay upright for four hours after treatment
- Avoid rubbing or massaging the treated area for the rest of the day
- No strenuous exercise, saunas, steam rooms or facials for 24 hours
- Avoid alcohol for 24 hours
- Expect little change on day one. Movement softens over the following days and settles by around two weeks
- Contact the clinic straight away if you have any concerns
Full anti-wrinkle injections aftercare guide · All aftercare guides
Questions
Why do I need a consultation first?
Because the medicine is prescription-only, it can only be prescribed after a face-to-face assessment by a prescriber. Karen carries out that consultation, and your treatment then takes place at a separate appointment on a different day. Your consultation is free and there is no obligation to go ahead. It is where we check your medical history, talk through what you would like to change, and agree a plan together.
How much does it cost?
Pricing depends on the areas that are suitable for you, and UK rules mean we cannot advertise prices for a prescription-only medicine. You will be given a clear price at your free prescription consultation, before you decide anything.
When will I see a difference?
Changes usually appear somewhere between two and fourteen days after treatment. It depends partly on whether you have had this treatment before, so judge the result at two weeks.
How long does it last?
Muscle activity typically returns gradually over around three months, although this varies from person to person.
Will it hurt?
You may feel mild discomfort as each injection is given. The needles are very fine and the treatment itself takes only a few minutes.
Will I look frozen?
Not if we can help it. We treat conservatively, especially the first time, with the aim of softening movement rather than stopping it.
Can I have treatment on the same day as my consultation?
No. Karen carries out your prescription consultation first, and if treatment is right for you it is booked for a different day. Your treatment can then be with Karen or with Lorna.
Who carries out the treatment?
Your prescription consultation is always with Karen, our independent nurse prescriber. The treatment itself is carried out by Karen or by Lorna, an HCPC-registered operating department practitioner with more than three years in aesthetics.
What is your cancellation policy?
Please give at least 48 hours notice if you need to move or cancel your appointment, so the time can be offered to someone else. Deposits and late-cancellation terms are explained when you book through our online booking system.
Do you see clients from Huntingdon, St Neots and Cambridge?
Yes. The clinic is at 28 Edison Road, St Ives, PE27 3LF, roughly 15 minutes' drive from Huntingdon and around 30 minutes from St Neots and Cambridge. We also welcome clients from the villages around St Ives, such as the Hemingfords, Houghton, Fenstanton and Somersham. You can book online, or call 07958 129660 if you would like to talk anything through first.
Your practitioners
Looked after by the Avismo team
Every practitioner here is a registered healthcare professional, trained in this treatment and working to the same clinical standards, so you are in safe hands whoever you see.
Karen Moseley
Founder, Registered Nurse and Independent Prescriber
Founded Avismo in 2014 after many years in the NHS. Karen carries out every prescription consultation in person.
Lorna
Operating Department Practitioner
An HCPC registered Operating Department Practitioner with more than 19 years in healthcare, who joined the team in May 2025.
Client reviews
Rated 5.0 on Google by 93 clients
Excellent friendly service with Lorna, the clinic is spotlessly clean and I’m always happy with the results. Thank you!!
I’ve tried laser hair removal at other places before, but this has by far been the best and most effective experience! I’ve noticed a real difference from my very first session. The space is incredibly clean and calming, and Andrea provides such a professional and thorough service, always making me feel comfortable and at ease. Highly recommend!
I’ve recently had a skin booster with Karen and have most definitely seen a difference. Karen has treatments to suit everyone so highly recommend her as there is absolutely no pressure. You always leave feeling good.
The team here are so fantastic. They’re so good at identifying the specific treatment plan you need, and Lorna always does the best job, I wouldn’t go anywhere else!
Had HIFU with Andrea. Felt very cared for and informed, the full face and neck treatment was administered efficiently in a relaxed environment. I would recommend and will be returning to Andrea in the future.
Karen is great! Really warm, professional and I’m over the moon with the results. I will definitely be returning for future treatments.
I had a really lovely experience at this clinic. The clinic itself is spotless, welcoming and professional, and the staff are medically trained, which gives you real confidence in the care and advice you receive. What really stood out to me was the holistic approach. Rather than focusing on one specific area or simply trying to make you look younger, the advice was centred on enhancing my natural features in a way that feels right for my age. The approach is thoughtful, personalised and genuinely rooted in medical knowledge. I felt listened to, reassured and in very safe hands. I cannot recommend this clinic enough to anyone looking for a professional, considered and natural approach to aesthetics.
Had a lovely HIFU treatment with Andrea. Very friendly and professional. Was my first cosmetic treatment and couldn't have asked for a better one. Wonderful experience.
Karen is brilliant, she gave me some great advice suggesting a different area to what I thought I needed and the results were perfect! She definitely knows what she is doing and gives you choices to enhance your face. Would highly recommend her to anyone.
I felt so understood by Andrea and bonus that she has professional background of my journey. The atmosphere was relaxing and comfortable along with privacy and reassurance. I am looking forward to my next session. If anyone is considering acupuncture please come and have a chat with this team.
Karen & Lorna are truly professional, it was my first time and I can say I’m very pleased with the result! Would highly recommend!
I visited Karen for my first ever treatment. I was immediately impressed by her professionalism, knowledge, and warm welcome. I felt instantly reassured ahead of the treatment, and was extremely pleased with the results. It was a fabulous experience, in which I felt safe due to her professional background. I have already rebooked!
I have been having treatments with Karen for 8 years, she is fantastic at what she does, a complete professional. When making decisions about ‘tweakments’ you want to be sure you’re in safe hands and you absolutely would be. I have recently started my laser hair removal journey with Lorna and I cannot recommend enough, I have seen a noticeable difference from my first session. Lorna makes you feel completely comfortable and explains the whole process. Thank you dream team!
Karen listens to concerns and the objective desired, discusses the treatment options available and their outcome, she did not just advise the most expensive! Karen made me feel at ease, I will definitely be revisiting!
Always a great experience having a treatment. Karen listens and advises, puts you at ease and is so knowledgeable. She’s the best around if you’re hoping for natural looking enhancements. Extremely happy with the results, I wouldn’t go anywhere else.
Karen runs a really lovely clinic for aesthetics. I’d been wanting to give micro-needling a go for about a year and wish I hadn’t waited so long. Karen is super-professional and the procedure was not painful at all. Karen will put you at ease immediately.
Really wonderful treatment with Andrea. She explained everything so well and was very thorough and professional. The place is amazing- so lovely and clean. I will definitely be back!
This was the first time i had ever had any treatment. The whole experience was amazing. Lorna was very professional and explained everything to me. And made me feel comfortable. I am very pleased with the results. Very pleased that those lines have gone 😊 Thank you
Karen was warm, professional, and very knowledgeable. She explained everything clearly, which made me feel comfortable and confident throughout the treatment. I had microneedling and am so far pleased with the results. I was looking for a more natural way to rejuvenate my skin, and this feels like exactly the right treatment for me. Thank you, Karen!
Karen is extremely knowledgeable and friendly, she has given me a variety of aesthetic treatments over the years and I have always been very pleased with the results. She has also advised me about skin care regimes to help optimise results.
I went through crytherapy treatment for skin tags on my face and chest area twice now with Karen. Both times the marks disappeared without a trace. The treatment is not painful at all however it could be a little unpleasant but Karen made it easier and more bearable with her professional approach and lovely personality. I will definitely recommend this place to everyone who wants professional support on affordable price.
Karen has done facial peels and also micro needling for me for over a year and I have been delighted with the results every time. She is a highly qualified nurse prescriber and, working in the NHS myself, I feel huge confidence in her skills and knowledge, and feel very safe in her hands.
I had the most fantastic treatment with Karen. She takes her time in explaining the treatment in detail and she makes you feel comfortable and at ease. Super professional and would highly recommend Avismo.
Karen is brilliant at what she does, fills you with confidence both during and after your treatment and always has time for your queries. It's also very comforting to know that your practitioner is a trained nurse with many years of experience behind her.
Karen takes the time to listen and understand what I want from my treatment. Her clinical experience and the compassion she has for the care of her clients fulfils the 100% trust and reassurance I look for.
I would highly recommend Karen at Avismo Aesthetics. She is very friendly, professional and extremely knowledgeable about all aspects of skincare and treatments. Already booked in for my next appointment!
Not sure where to start?
Your consultation is free and there is no obligation to book anything afterwards. Tell us what you would like to change and we will talk you through the options honestly, including when the answer is to wait.