George Practice

3 Trefoil Square, Gloucester Ln, George Central, 6529

Opening Hours

Mon - Thu: 8am - 5pm
Friday: 8am - 3pm
Sat - Sun: CLOSED
24 Dec - 2 Jan: CLOSED


Fax : 044 874 6299


Feel free to contact us

Botox for the first time? Here’s what you can expect

What is Botox?

Botox is the brand name of a chemical derivative of botulinum toxin. Botox is developed and sold by Allergan. Unlike regular botulinum toxin, Botox is not harmful to your health and does not cause illnesses that are associated with the toxin, such as botulism.

Botox works to temporarily weaken the muscles in your face that cause laugh lines, the creases that form at the sides of your mouth, crow’s feet, wrinkles that present around the outer corners of your eyes, and other forms of wrinkles. The treatment results in the reduction of wrinkles and an improved appearance of younger looking skin. Botox does not paralyse the face completely or result in an unnatural appearance when the procedure is done by a qualified specialist.

Who is eligible for Botox?

With time, the contraction of muscles caused by laughing, smiling, or frowning produce permanent wrinkles and furrows in the skin. Generally, patients consider getting Botox after they notice these signs of aging. However, Botox is also effective as a preventative treatment beginning in your late 20s or early 30s. While Botox is most commonly associated with women, 9% of all Botox treatments are done on men.

If you’re considering Botox, we’ll help you determine if you’re a good candidate for the treatment during your consultation appointment.

What can you expect?

Botox is a quick, safe, and effective treatment. In an effort to be completely transparent with our patients, here’s what you can expect before, during, and after your Botox treatment.

Before your Botox treatment

Before getting Botox for the first time, you’ll meet with Dr Shani van der Spuy for a consultation appointment. At your consultation appointment, you’ll be asked to share the details of your medical history, to ensure Botox is a safe treatment option for you.

Our specialists will also answer any questions you may have regarding the treatment, and discuss which areas of the face you wish to have treated. At the end of the consultation appointment, you’ll have a clear understanding of the amount of Botox you will be getting, and where you will be getting it.

During the appointment, we will need to know about the following items before recommending you for Botox treatments:

  • Medications
  • Medical conditions
  • Surgical history
  • Pregnancy


We need to know all the medications you take, including prescription medicines and over-the-counter remedies such as aspirin, vitamins, and herbal supplements. This is done to ensure that Botox will not react negatively with any of your medications.

Medical conditions

Any medical conditions you have will be discussed at your consultation appointment. If you have any muscle or nerve conditions, or have had swallowing or breathing problems in the past, you may not be a candidate for Botox treatments.

Surgical history

If you have had surgery on your face, or plan to, our specialists will need to know, as this can impact treatment. Facial surgeries include elective procedures, such as brow lifts and face lifts, as well as medically necessary surgeries to the face and jaw.


If you are pregnant, nursing, or plan to become pregnant, your specialist will need to know. Botox is not generally recommended for pregnant women. While there have been no studies to indicate that there is any risk involved with getting Botox while pregnant, stay on the safe side and schedule your treatment for after the baby is born.

During your Botox treatment

Your first Botox appointment will likely be quick and easy. Typically, the entire treatment is completed in 20 minutes or less. Here’s a detailed list of what to expect from beginning to end of the treatment:

  1. I will review how much Botox you’re getting and in which areas.
  2. I will carefully identify and mark the areas to be treated.
  3. If you’re concerned about discomfort, I will use ice or a numbing cream to numb the targeted area(s).
  4. I will use a narrow micro-needle to inject Botox directly into the facial muscles.
  5. Ice and pressure will be applied to the treated areas to discourage swelling.

After your Botox treatment

Botox requires no initial downtime or recovery period. Meaning, you’ll be able to resume most of your normal activities immediately after your treatment. You should begin to notice results in the first week following treatment.

Sun Care Tips

  • Avoid direct sun exposure between 10AM – 5PM when the sun is at its hottest.
  • Always wear protective sun gear (glasses, hats, UV protected clothing etc).
  • Stay in the shade when and where you can.
  • AVOID tanning devices like tan-can – it can cause accelerated skin ageing and can even cause skin cancer.
  • You should apply sunscreen every day, and use a day cream with UVA and UVB protection.
  • Drink water. This is important to keep your skin hydrated, flush out toxins from your body, and feel refreshed during the hot summer days.

For more advanced skin concerns, book a consultation with Drs van der Spuy.

Enjoy the summer sun, but enjoy it responsibly.



Are you feeling overwhelmed and daunted by what will happen during the “Change of life”? Are you suffering from hot flushes, insomnia, depression, irregular or heavy periods?



Starting in your late 40’s you may experience physical and psychological changes over the space of a few years.  Changes can occur well into your postmenopausal years (age 55 and over). On average women have their last period at 51.  Menopause is really just another phase in your life and if you understand the physical changes that are taking place you will be better prepared for the psychological changes.

What happens during menopause?

As you get older, the ovaries slowly start producing less and less of the hormone estrogen.  During menopause the ovary stops producing estrogen completely and you stop having monthly periods.  The lack of estrogen causes the symptoms of menopause.

Interested to know more? We can help guide you through menopause and make it a time of positive change!

Fun in the sun! (or not?)

December is holiday time and that means being outside and enjoying our South African sun!


As much fun as the sun can be, it can also be dangerous and we should all be aware of the dangers of skin damage, especially the sun’s role in skin cancer.


Skin cancer happens when normal cells in the skin change into abnormal cells. Skin cancer can occur anywhere on the skin, but is often on the head, face, neck, back of the hands, arms, and legs. This is because those body parts are most exposed to the sun’s rays.Skin cancer is often caused by sun exposure and sunburn. In fact, the damaging effects of the sun build up over time. The more you are exposed to the sun (or to tanning beds) in your life, the higher your risk of skin cancer.
Most forms of skin cancer can be easily treated because they grow slowly. But if not treated, some skin cancers can become large or spread inside the body.
What does skin cancer look like?:


Lesions can be:

●Pink or dark
●Red and swollen
●Bleeding or look like an open sore
●Thick or crusty


Worried about a skin lesions? We can help put your worries to rest! We offer a variety of treatments.

A happy festive season to all our patients!  We look forward to looking after your health in 2019.



Request an Appointment

Contact us by submitting your information in the form below.




  • Mon - Thu8:00 - 17:00
  • Fri8:00 - 15:00
  • Sat - SunClosed
  • HolidaysClosed
  • 24 Dec - 2 JanClosed

Welcome! We are two dedicated doctors offering a full-service family practice situated in the centre of George on the beautiful Garden Route. We are eager to optimize the health of patients in and around George, as well as the surrounding area. Our doctors collaborate in order to meet the health needs of the whole family, from baby-care to care of the elderly, in a friendly relaxed atmosphere. We regard our role as being family doctors, concerned with care and support to each member of the family. Being familiar with the personal and family history of each patient, ensures that we will be able to give high quality care and service.

Drs. van der Spuy © 2019 All Rights Reserved