Can our moods be affected by Botulinum Toxin?

Did the chicken or egg come first?

Does are mood reflect our facial expressions or does our facial expressions reflect our mood? We assumed that our emotions directed our facial expressions, but studies have suggested it is in fact our facial expressions that determine our emotions.1

You cannot feel depressed if you are smiling and being expressive with your face. To feel depressed you need to have little expression on your face, look sad, look down and curl up your body. Whenever my children are upset or start crying, first thing I do is to get them to open their body up, look towards to the sky and crack a joke to get them to smile, and it works every time. Researches also understood the above strategy and started asking themselves on whether if we prevented a negative facial expression, such as frowning, could we change that persons mood and help depression.

William James an American philosopher postulated in 1890 that the common sense of viewing emotions is wrong. He went on to say without our bodies ability to express an emotion, it ceases to exist. For example we can not experience fear without faster heart beats, more shallow breathing, trembling lips, weak at the knees, goosebumps, etc.

Our facial expressions have evolved over millions of years. Charles Darwin in 1872 wrote2, ‘A man may be absorbed in the deepest thought, and his brow will remain smooth until he encounters some obstacle in his train of reasoning, or is interrupted by some disturbance, and then a frown passes like a shadow over his brow’.

We can all tell if someone is angry by the negative facial expression such as frowning. We know the opposite to the negative frown is the positive smile.

‘A smile cures the wounding of a frown’ – Shakespare

There are different types of smiles and a true genuine smile has been classified as the Duchenne smile. In this smile, Duchenne a French anatomist in 1860, observed the ‘smile of joy’ where the orbicularis oculi is activated and contracts to produce the crows feet. This is in stark contrast to the ‘Mona Lisa smile’ where the eyes are not involved at all when smiling. This can be used to our advantage, very few people can fake a genuine eye smile. If they don’t create lines around their eyes when they smile its either because it not a genuine smile or that’ve had Botulinum Toxin. Smiling is good for us. Smiling creates positive emotions and thus leads to a reduction in stress related hormones.

A third type of smiles is known as the Hawthorne’s ‘sad’ smile. This is where you are experiencing a sad/depressing event, lets say a funeral and you see a relative who is struggling to cope with the circumstances, you may just give them a small smile to indicate we are in this together and we will be ok.

Lets go back and look at the negative facial expression of frowning. There are different types of frowns (sad versus angry) depending on which muscles are recruited, and each one has a different meaning. If the inner part of your eyebrows point upwards whilst frowning, you will look sad. If however the eyebrows are drawn together and down whilst frowning, you will look angry.

Frowning occurs by the contraction of the glabellar muscles, of which there are two major ones – the corrugator supercilii and the procerus. It is the corrugator supercilii that contributes more to the frown. Translated from Latin, corrugator supercilii literally means ‘the wrinkler above the eye’ and the contraction of this muscle draws the eyebrow together to create the frown. We all know that the appearance of a frown will tell others exactly what you are feeling, but lets take it a step further, the actual process of frowning will tell you what you are feeling and this creating a state in your conscious mind and this will influence your decisions and your results.

Recent research has put flesh on the bones of these musings. Neurobiologists such as Antonio Damasio of the University of Southern California have demonstrated that emotions begin with actions – rapidly increased heart rate, for example – and end with the perception of those actions – the sensation of fear or anger. Damasio calls this the “body loop”: the brain learns of the body’s response to change via chemical and electric signals conveyed by the bloodstream and nervous system. Thus feeling follows behaviour; the mind follows the body.

I break this down using acronym T.E.A.R – Everything starts with Thoughts. This sparks off certain Emotions, which lead us into Action, which eventually determines our Results. We can see that our initial thoughts determine the results we achieve in life.

If we are postulating that its your facial expressions that determine your emotions and mood at any given time, then where we can seek this evidence. Hollywood. Actors have to take up their various roles and associated moods on a regular basis. As far back as the 18th century, a German dramatist Gotthold Ephraim suggested that, ‘the actor properly imitates all the external signs..and all the bodily…expressions of a particular (inner) state’ and therefore they will recreate this internally all the exact same emotions, thoughts and feelings of the acted part. This began the research into ‘facial feedback’.

Charles Ball in Essays on the Anatomy and Philosophy of Expression wrote, ‘by the actions and expressions of the body betraying the passions of the heart we may be startled and forewarned , as it were , by the reflection of ourselves, and at the same time learn to control our passions by restraining the expression of them’.

Charles Darwin then described, ‘the intimate relation which exists between almost all the emotions and their outward manifestation and partly from the direct influence of exertion on the heart, and consequently on the brain’.

In 1890 William James, a Harvard psychologist in his work ‘Principles of Psychology’ suggested that our muscles contribute to our emotions and that changes in the muscles are occurring all the time to suit the emotions of the moment even if we are consciously unaware of them.

More recent studies have shown a correlation between the intensity of the smile and the internal emotion it produces.

We all want to be happier and reduce the amount of stress we experience. How can we do this?

After reading this one simple way is to smile more and have more positive thoughts, this will lift your mood and decrease you producing any negative facial expressions.

What about the use of Botulinum Toxin. Eric Finzi carried out Botulinum Toxin treatments on his patients that were depressed but showed no visible frowns. On review he noticed that these patients felt a marked improvement in their emotional state. He postulates that the contraction of these frown muscles are sending negative emotional signals to the brain and the brain is measuring the strength of the frown muscle contraction, weighing it against the strength of the smile and this deciding which emotion to produce.

My patients come in for a number of reasons, some cosmetic and some to improve their confidence. I would say it probably does put you in a better mood if you feel better about the way you look. It’s like doing your hair, your teeth, whatever else.

It is not what happens to you that is important, it is what you feel and do about what has happened to you.


Finzi, Eric ‘The Face of Emotion’, 2013

2. Darwin, Charles ‘The Expression of Emotion in Man and Animals’

For workshops please visit

Botox® Training

NEW FOR 2018

***2 DAY INTENSIVE BASIC BOTOX® RESIDENTIAL*** By the Botulinum Toxin Club


Only a small amount of practitioners that embark on Botox® courses or Botox® workshops training are confident enough to carry it through. I have devised a two-day programme where you will have plenty of hands-on experience, and you’ll be taking models through the whole patient journey including a detailed assessment. This is not for everyone. You will need to be passionate and determined to make this work. You will need to pass the pre-workshop interview call, and we will only accept six delegates per intensive.

Whats included – Summary

Minimum three models per delegate to be treated for all three areas – forehead, frown and eyes
Opportunity to observe and treat models for their review/top-ups on the 2nd day
Live demo by me
Unlimited post-workshop support
Free team member for both days
Overnight accommodation – one room
Champagne reception at the end of first day
Dinner for the first evening
Business aspects covered during the two days including how to promote, price, package, ask for referrals and retain
Role-playing the whole patient journey from initial enquiry, to consultation, assessment and treatment planning
How to avoid and manage complications to allow you to become a safer practitioner
Gift box valued at over £50
Private forums and groups
Accountability partner
All templates provided – assessment, consent, post-op
Pre-workshop reading material and marketing materials, so you are a step ahead of attending
Pre and post workshop calls with me personally


Stand out from your competition and excel at the whole face approach and not just be a line chaser

Please click the link to see dates and availability –

Please hurry, due to the intensive and interactive nature of the two day residential; places will be limited to six per weekend

Aesthetics marketing

In terms of lead generation for aesthetics, I break it down to the 3M’S of Marketing.



Who is your target market? Essential to know who you already have on your books or the type of patients you want or the type of patients that will be attracted to your services in your locality.
Do you want to be a big fish in a small pond? I would rather be the go to guy/ girl in a very specific niche than be a generalist for everyone.

There are 2 parts of target market – demographics and psycho graphics 
– demographics – age/sex/income/location 
– psycho graphics – lifestyle, where do they spend their money? What are there hobbies?

Tip – find the people who already buy from you (proven buyers), ask them why do they buy from you via focus groups, then repeat. Rinse and repeat. Why reinvent the wheel. 

Joint venture with people with the right database. In facial aesthetics I target beauty salons and hair salons. They have a client list of proven buyers that care and are willing to spend money on their appearance – a prefect match for my facial aesthetic treatments. 


In a nutshell its what you do and how it benefits the end user. 
You will also need to consider in this competitive market, why should they choose you?

What is it about you that distinguishes you from the market place when considering facial marketing? 


This is what message delivery system you will use to reach your market with the correct message to get facial aesthetics marketing.

This is divided into the following categories;
 – Internal marketing – newsletters, open evenings, email shots
 – External marketing – newspaper/magazine ads, leaflets, radio
 – Internet marketing – websites, Search Engine Optimisation (SEO), Pay Per Click (PPC)
 – Social media – Facebook, Twitter, LinkedIn, Instagram 

Use the one that appeals to your market (found out from your research of the market – new and existing patients). 

Add another string to your bow with Botox®

Increasing numbers of general and cosmetic dentists are branching out by adding Botox® to their list of treatments. If you are looking to add it to yours, then the BTC is the place for your Botox® workshop for dentists.

Botox® workshop for dentistBotox® is one of several non-surgical procedures used to mitigate the signs of ageing, including unwanted folds, lines and wrinkles. Botox® is the brand name for Botulinum A type toxin. It works by blocking the nerve impulses that tell muscles to contract. Injected into the area around a facial wrinkle, such as the frown lines between the eyes, over a few days it gradually relaxes and smoothes out the muscle and therefore the wrinkle as well. This is temporary treatment that wears off after three or four months.

Until recently most people sought out a beautician to administer Botox®, but increasingly the general public is turning to medical professionals, such as dentists, to administer these treatments. This is because people already trust the professional ethics of the medically-trained, and they also realise that dentists have been through years of in-depth training in the anatomy of the face, head and neck. Going for treatment with a dentist who has spent so many years learning how the skin, nerves, tendons and muscles all interact pays off in a more natural-looking result.

More and more dentists are coming to Botox® workshops for dentists because they see how a whole new skill set can boost both footfall and revenue at their practices.

BTC runs Botox® workshops for dentists so that they can add such treatments to their practice. Courses at the BTC are run by renowned practitioner Dr Harry Singh.

A dentist himself, Dr Singh has treated more than 3,000 patients with facial aesthetics in his 13-year career. He loves sharing his knowledge so that other dentists can learn his blueprint for successfully offering facial aesthetics within a dental practice.

The courses come with 6.5 hours of verifiable continual professional development (CPD) included in your course, and you can bring along another staff member to learn more about facial aesthetics, so that they talk knowledgably about these treatments to prospective patients. This could be a dental nurse or treatment co-ordinator.

Put your skill set to good use with Botox® workshops for doctors

If you are a doctor, you have two things that people looking for facial aesthetics treatments want. You have a sound knowledge of the anatomy of the head, face and neck, and you have great people skills.

Botox® workshops for DoctorsHaving a cosmetic procedure is sensitive; patients are looking for someone they can trust and who knows what they are doing to deliver Botox® treatments.

Doctors have the advantage in this area, having trained in medicine and anatomy. You already know to administer injections. You know which muscle joins to which nerve. You can put your hard-earned skills, knowledge and experience to good use and add an extra string to your surgery’s bow when you attend a Botox® Workshop for Doctors at the BTC in London.

Our courses cover the areas of the face that patients most often want treated: frown lines, forehead and crow’s feet. You will have a model to practise on in the course, so you don’t have to worry about finding someone to bring with you. And you can meet up with them again two weeks later to find out how your work looks. And, to make sure your business gets the most out of our Botox® Workshop for Doctors, there is also a place for another member of your surgery team, for no extra charge, so that they can observe your training and be able to talk to your patients about what Botox® can do for them.

After you have completed the workshop, you can continue to come to us for support via email and phone for an unlimited amount of time and also for private group discussions. This will support your efforts to expand your surgery business, and, maybe even one day move on from medical work altogether in favour of facial aesthetics. We help you get the most from your training with our 9-Step Blueprint for Increased Profits in Your Facial Aesthetics Business.

As delivering Botox® is a skill as well as a science, the learning never stops, and each basic or advanced course you complete with The BTC will credit you with 6.5 hours of continuing professional development.

Book an appointment for Basic Botox®, Advanced Botox® and Basic Dermal Fillers with us now.

Become a trusted practitioner of Botox® treatments

When you attend a properly accredited Botox® workshop for nurses, as an RGN you can expand your skill set with a valuable new set of procedures that enable you to deliver increasingly popular facial aesthetics procedures.

Botox® workshops for nurseMore and more people in the UK are choosing to try out Botox® as a way to maintain youthful looks. This is a new avenue of exploration for many people, and naturally they are concerned to find a trustworthy practitioner who can safely deliver Botox®. They also want someone who is familiar with the use of the equipment and understands human anatomy well enough to be able to use the right level of treatment to create a subtle, natural improvement to their looks that speak of looking well and young rather than of having had ‘work’ done.

As a nurse, you are high on the list of practitioners trusted with fine injection work. The BTC’s Botox® workshops for nurses will help you add value to your existing knowledge, giving you more a whole new skill set, which is highly in demand these days.

What our Botox® workshops for nurses give you

Our Botox® workshops for nurses give you the detailed foundations of delivering facial aesthetics, including an in-depth understanding of what patients are looking for from Botox®.

As well as all theoretical knowledge, our Botox® workshops for nurses give you plenty of practical hands-on time, on at least one model provided by the BTC, so that when you leave you will have reached full confidence in delivering this treatment.

Your Botox® workshop for nurses will be with a small group of trainees, with no more than five people per workshop. Botox® workshops for nurses are run over the weekends as well as during the week so that you do not have to miss work to expand your skill set.

You will also receive advice and materials to help you promote your new business. We will continue to support you after the workshop is over, with the chance to conduct a review appointment (and provide top-up treatment if required) with your model two weeks after your course.

Your workshop will also give you 6.5 hours of verifiable continuing professional development (CPD). To be eligible for our Botox® workshops for nurses, you must be a registered nurse in the UK.

Boost your career and business with Botox®

With the rise of cosmetic dentistry, patients are increasingly looking to achieve a complete facial rejuvenation. Botox® injections offer a clinically proven way to soften expression lines. In the hands of a medical professional, such as a dentist, a fresh look can be achieved. Offering Botox® treatments at your dental practice can boost you career, expand your skill set, as well as cater to your patients’ needs. With Botox® courses for dentists at the BTC, we can help you achieve all of this.

Botox® courses for dentistWhat you can expect from the BTC

Our specially designed courses are created by dentist Dr Harry Singh. You will benefit from his 14 years of experience in the field and walk away with a comprehensive understanding of the clinical and practical sides of offering Botox® injections.

Our Botox® courses for dentists offer you lots of hands on experience, with each delegate provided with at least one model. We will guide you through how best to apply Botox® injections for aesthetically pleasing results. We cover the three most asked about facial regions: the forehead, in between the eyebrows and around the eyes. On completion of our course you will have the skills and confidence to safely administer Botox® injections.

It’s all well and good having the clinical expertise but it’s equally important to be able to reach the patients who are looking for professional Botox® treatments. We offer advice on how to market your Botox® treatments and make your business a success.

Going the extra mile

Our training and support goes beyond the hours you will spend attending our Botox® courses for dentists. Once you register you will gain access to a wealth of pre-course material. This includes an introductory video on facial aesthetics, paperwork you’ll need to get started in this field and helpful tips and advice.

After the course you will continue to receive email and telephone support for three months as you begin your exploration of facial aesthetics independently. If you ever feel like you need a refresher, you are welcome to attend our courses again for free.

Register for our Botox® courses for dentists today and look forward to happier patients and a healthier business.

Expand your career horizons with Botox® courses for doctors

The health and wellbeing of your patients lies at the heart of being doctor. These days however there is more to it than just physical health.Outward appearance can have a significant impact on confidence and self-esteem. This is why people often turn to Botox® treatments to rejuvenate their facial appearance. As a doctor you have the clinical and people skills to safely and responsibly administer Botox® injections. The BTC offers Botox® courses for doctors to guide you through the world of facial aesthetics. With our training you will have the expertise to provide your patients with the cosmetic boost they have been longing for.

Botox® courses for doctorsHow it all began

Dentist Dr Harry Singh is the creator of our Botox® courses for doctors. He has successfully treated over 3000 patients. Through this he has gained a thorough understanding of the clinical and emotional implications for patients undergoing Botox® treatment. With well over a decade of experience in facial aesthetics, his knowledge is captured in our comprehensive courses.

What the course entails

Patients most often request Botox® treatment for their forehead, in between the eyebrows and around the eyes. Our Botox® courses for doctors address all three of these problems areas. You will be armed with the skills needed to confidently apply Botox® injections in theses areas to achieve the best possible outcomes.

Getting started in facial aesthetics also involves familiarising yourself with the business aspect. We will guide you through what you need to know to begin your career in Botox®, from indemnity insurance and setting up a pharmacy account, to marketing your skills and retaining your patients.

Our fully accredited courses additionally contribute 6.5 hours to your continued professional development. You can also bring along a colleague to observe for free and share the experience. As a course delegate you are assured ample hands-on experience and time to have your questions and concerns addressed.

Get started today

You can register to secure your place on one of our Botox® courses for doctors today. This will grant you access to our introductory video on facial aesthetics, as well as reading material with advice and practical information. Start your journey today to grow your skills in facial aesthetics.

Maximise your career potential with the BTC

Are you a UK registered nurse? Do you want expand your skill set? If so, the BTC is here to help with Botox® courses for nurses. In today’s society people often long to freshen up their look. Botox® injections provide a clinically approved way to soften wrinkles. With your experience as a nurse you are one of a select few professions who have the appropriate training to learn how to administer Botox® injections. Your patients will be able to walk away with a fresh-faced look and the peace of mind that their treatment was carried out safely and responsibly.

Botox® courses for nurseWhat do you stand to gain from a Botox® course for nurses?

Our fully accredited courses will arm you with the skills to administer Botox® injections to achieve the best possible aesthetic outcomes. We cover the three main areas that patients request treatment for: in between the eyebrows, around the eyes and the forehead. Our courses are kept small to ensure you have ample time to ask questions and for hands-on experience. No more than five delegates are taken on per course and each delegate will have at least one model to work on.

On completion of our course you will have a solid foundation in facial aesthetics and the confidence to carry out Botox® injections safely. You can even bring along a colleague to observe for free so they can share in the experience. If you feel like you need a refresher, you are also welcome to come along to our course again for free.

Our courses have been developed by Dr Harry Singh, who has well over a decade of experience in facial aesthetics. His knowledge and expertise is distilled into our comprehensive Botox® course for nurses.

Get started now

You can register online to secure your place on one of our courses today. Once you do, you will have access to our introductory video to get you started in the world of facial aesthetics. We additionally provide a variety of reading materials, including helpful tips and guidance. Botox® courses for nurses are available on Saturdays to help accommodate your working schedule. So don’t hesitate, sign up today.

Our Botox® training course for nurses

Botox® can become an important new income stream for nurses who are NMC registered. We want to make sure that you get the finest training and feel confident to administer Botox® to anyone hoping to revitalise their look.

Botox® courses for nurseWhen you offer a facial aesthetics treatment to someone, it is important that they are prepared and well informed. Once the treatment has begun, they should feel relaxed and able to trust the process. Afterwards, they will feel able to care for themselves, be fully aware of the effects they will see and feel happy to get in touch if they need anything. These are the broad steps of a great treatment and we think the same steps should apply during our Botox® training course for nurses.


When you start the learning process with BTC, we give you lots of preparatory information because we know that this forms the basis of a successful education experience.

We also provide you with promotional materials and tips so you can get started thinking about your business. You will be able to start practising right away after qualification and so, if you want to hit the ground running, this is a great place to begin.


We run our Botox® training course for nurses with small groups so that you can get the attention you need. Alongside the important theory, you will also gain practical experience as we supply a minimum of one model per person. All the materials you need are provided and you will get plenty of discussion time. People often feel a great benefit from the time allowed to ask questions and we will endeavour to answer them all as fully as possible.


Our relationship with you doesn’t end when the training course stops. For three months afterwards, you can get unlimited support. We think you will feel confident quite quickly but, any questions and we’ll be there. You can also come back and watch the course again for free if you feel you need a refresher. You can also reference a video we supply you with where you can see our course leader, Harry Singh, performing Botox® treatments on patients.