Aesthetically over-injection of cheeks can sometimes make temples look hollow even if they are not, but Botox isnt causing the fat or muscle in the temples to prematurely wane
Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections
Prices are subject to change
This places them at elevated risk for B12 deficiency, and standard oral supplementation may not provide adequate absorption
The number of treatments will vary between 2 and 6, with most patients needing between 3 and 5 treatments to see maximum results
reassess after several weeks using objective logs and patient-reported feedback