Question 1

Will anyone see me arriving?

Accepted Answer

No. I deliberately designed the clinic this way. We sit back from Friars Lane, behind electric gates, with private parking entirely out of view from the road — your car can't be seen from the street. There is no signage on the building, no shopfront, no waiting room window. You walk straight through a discreet entrance, the door closes behind you, and you are the only client in the clinic. Many of my clients tell me Visage is the most private clinic they have ever used. That is by design, not by accident.

Question 2

How is this different from cosmetic anti-wrinkle treatment?

Accepted Answer

The product is the same, but the dose, the placement and the goal are completely different. Cosmetic treatment uses small doses to soften facial expression. The medical protocols use considerably more product, distributed across the underarms, palms or, for migraine, around thirty injection points across the head, neck and shoulders. The technique requires specific medical training, which is why I recommend seeing a registered nurse or doctor with experience in both indications rather than a general aesthetic clinic.

Question 3

How long does it last?

Accepted Answer

For hyperhidrosis, most clients see the benefit lasting around six months, occasionally longer in palms and soles. For migraine, the protocol is repeated every twelve weeks, which is the schedule that most clinical trials supported. Many clients notice the migraine benefit building over the first two cycles rather than peaking after a single session, so I usually recommend committing to two consecutive treatments before judging whether it is right for you. After that, the pattern of treatment can be tailored.

Question 4

Do I need a GP referral?

Accepted Answer

A referral is not required, but it is welcomed and often helpful. For chronic migraine in particular, a letter from your GP or neurologist confirming your diagnosis and medication history allows me to fit any treatment alongside your wider care rather than in isolation. With your consent I will share clinical notes back. If you do not have a referral, that is fine: bring as much detail as you can about previous treatments, headache diaries and current medication so we can build the same picture together.

Question 5

Will my insurance cover the treatment?

Accepted Answer

Some private medical insurers will contribute towards botulinum toxin treatment for diagnosed chronic migraine and severe hyperhidrosis, particularly when other treatments have failed and a clinical letter supports the request. Cover varies enormously by policy and provider, so I always recommend speaking with your insurer first and asking specifically about procedure codes for botulinum toxin. I provide a fully itemised invoice that you can submit for reimbursement.

Question 6

How effective is it?

Accepted Answer

For underarm hyperhidrosis the published response rate sits at around 80 to 90 percent of clients seeing significant improvement, often a dramatic reduction in sweating within two weeks. For chronic migraine, well-designed trials show roughly half of suitable candidates experience a meaningful drop in headache days, with some seeing eight or more migraine-free days per month back. It is not a guaranteed cure, but for the right candidate it is one of the most effective interventions available.

Hyperhidrosis & Migraines.

A medical decision, taken slowly.

A medical decision, taken slowly.

What it is, in plain English.

Why clients choose it.

Suitable candidates

Not suitable if

Before, during, and after.

Why this isn’t a high-street treatment.

From £200

Hyperhidrosis & Migraines FAQs.

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