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Anti Wrinkle Injections

by the clinic that first introduced them into Australia in 1994!

Your complete guide and quick links to everything you want to know about Anti Wrinkle Injections in Sydney!

What Are Anti Wrinkle Injections?

Although most people know these products very well by brand name, current Government regulations prevent us from naming them on websites or in any form of promotion – even though they were widely advertised in earlier years and are still regularly mentioned by name in the media!

We are permitted, however, to give you printed information on them, including their names, at your Initial Consultation.

Anti Wrinkle Injections are muscle-relaxing proteins produced by a specific group of bacteria known as Clostridia Botulinum.

In their refined and greatly diluted forms, Anti Wrinkle Injections are effective muscle relaxants that owe their immense popularity to their ability to either improve or fully correct those facial lines caused by the repeated creasing of the skin by the facial expression muscles.

Their safety and effectiveness in the treatment of neurological and eye disorders featuring muscle spasm has been clearly established since they were first used in humans in 1977. In 1989 the FDA in America formally approved them for the treatment of neuromuscular disorders.

However, it was not until 1989, that their cosmetic value was discovered accidentally. A patient being treated for Blepharospasm (eyelid muscle spasm) by Professor Jean Carruthers in Vancouver, Canada casually reported to her that after each injection, their frown lines also disappeared!

In 1994, at the personal invitation of Professor Jean Carruthers, our Dr George Mayson, flew to Vancouver and learned first-hand from Professor Carruthers, her technique of injecting Frown Lines. After returning, Dr Mayson commenced treating our own patients and therefore our clinic was the first to introduce and promote the cosmetic use of Anti Wrinkle Injections in Australia.

Since then, our Clinic has not only treated thousands of patients, but has refined the early treatment techniques to deliver even better results. Over the years, we have featured on national television as well as in magazines and newspaper articles on Anti Wrinkle Injections.

Noteworthy is the fact that since introducing this cosmetic treatment into Australia in 1994, Sydney Cosmetic & Plastic Surgery Clinic is still a ‘Doctor Only’ Clinic with all Anti Wrinkle Injection treatments being performed by doctors only. We do not have ‘Nurse Injectors’!

The Areas Most Commonly Treated With Anti Wrinkle Injections

By relaxing the underlying muscles responsible for the wrinkles, expression lines will either improve or totally disappear depending on how deep they were to start with.

Reassuringly, Anti Wrinkle Injections only prevent the contraction of the muscles. They do NOT produce any numbness of the overlying skin or any internal side effects.

Other Areas For Treatment With Anti Wrinkle Injections

  • ‘Bunny Crunches’ on the upper nose
  • ‘Turned Down’ Corners of the Mouth
  • Droopy Brows
  • Flaring Nostrils
  • ‘Canine Smiles’ (a ‘snarling’ type of smile)
  • Vertical Neck Bands
  • Bruxism (teeth grinding)
  • Hyperhidrosis (excessive perspiration of armpits, groins, hands or feet)

'Before & Afters'

Frown Lines

4 Weeks After Anti-Wrinkle Injections
4 Weeks After Treatment

Surprise Lines

Before Anti-Wrinkle Injections
4 Weeks After Treatment
4 Weeks After Treatment

Crow's Feet

2 Weeks After Treatment

Lines Under Eyes

4 Weeks After Treatment

'Gummy Smiles'

4 Weeks After Treatment
4 Weeks After Treatment
4 Weeks After Treatment

Masseter Muscles for Facial Slimming

3 Weeks After Masseter Muscle Relaxation

How Is It Done?

The treatment is a walk-in, walk-out one with the ability to return immediately to work and social activities.

What Are the Potential Complications?

  • Temporary bruising at the site of treatment.
  • Temporary drooping of the upper eyelid after treatment of frown lines.
  • Temporary drooping of the eyebrow after treatment of forehead lines.
  • Temporary vision disturbances after treatment of crow’s feet.
  • Temporary weakness of any adjacent muscles from the spread of the product away from the treatment site – is only possible in the first 5 hours after treatment.

How Often Are Treatments Required?

Initially, most people require an injection every 3-4 months to maintain the correction. However, approximately 80% of people who have treatments regularly enough to keep the muscles constantly relaxed, eventually acquire longer durations in the order of 6-12 months.

When Are Anti Wrinkle Injections Contra-indicated?

  • In the presence of any active skin infection (e.g. active acne) in the area to be treated.
  • During pregnancy or lactation. 

Our Cosmetic Doctors

Consumer Awareness Guide – A MUST READ!

…. What Many Consumers Don’t Know!


Anti Wrinkle Injections are becoming so increasingly popular that more and more Cosmetic Physicians, Nurses, General Practitioners and now even some Dentists, are offering these treatments! Unfortunately for patients, however, some clinics are offering treatments at very low prices which, although tempting, may not deliver the best possible results.

The THREE ESSENTIAL CRITERIA for the best possible results and longest-lasting corrections are:

  • The ‘freshness’ of the product (see below)
  • Adequate dosage (see below)
  • Accurate placement – which is only possible if your Injector has a detailed knowledge of facial anatomy.

The more your treatment departs from each of the above criteria, the poorer will be your result.

1. The ‘Freshness’ of the Product Should Be Your First Consideration

The manufacturer clearly states on the label that the product should be used within 24 hours of opening. The reasons for this are twofold:

Firstly, it contains no preservative, and if the entire multi-dose vial is not used within 24 hours of opening and your injector stores the remainder of the vial in the refrigerator until they next have a request for it, it could become contaminated and produce a serious skin infection when next injected into a patient.

Secondly, one study by Dr Nicholas Lowe in the UK, reported that, beyond 24 hours, the product becomes less effective with time. So, if you’re given product that was opened more than 24 hours ago, you will likely get a weaker result – either less correction, less duration, or both. Consider this: If you can walk into any clinic and have the treatment immediately, how do you know when the vial was first opened? It could have been one hour ago (which would be acceptable), or it could have been one week or even one month ago (not acceptable). So, unless the clinic is prepared to guarantee you that it was opened less than 24 hours ago, go elsewhere!

Why do some clinics do this?

Simply because the product comes in 100-unit vials and it is an expensive product for clinics to buy, so unless they have enough patients to use up an entire vial of 100 units within 24 hours, there is the risk they may refrigerate the leftover amount for future patients instead of discarding it.  So, always get an assurance that the product is less than 24 hours old and don’t allow yourself to be convinced that it doesn’t matter. It certainly DOES and you deserve to get ‘fresh’ and not ‘expired’ product for your money!

Presumably, you wouldn’t buy ‘out-of-date’ food, so why allow yourself to be injected with ‘expired’ Anti Wrinkle Product?

2. Dosage and Cost

Don’t compare clinics on ‘cost per area’, otherwise you could be misled. You need to compare the ‘cost per unit’ of product.

Dosage is measured in terms of ‘units’ and each area of the face needs an optimum number of ‘units’ to deliver the best possible result. Moreover, this ideal dosage can vary between individuals depending on how strong their expression muscles are. At Sydney Cosmetic & Plastic Surgery Clinic, we customise the dosages for every patient in order to deliver the best possible result in each facial area.

3. Minimum Dosage Requirements

Ensure each area will receive the minimum required dose so that you get the best and longest-lasting correction. Insufficient doses deliver less duration, less correction, or both. Even worse, the practice of spreading a small dose over several areas – the so-called “a little bit here and a little bit there” technique – we consider to be a flawed technique because it delivers only a fraction of the correct dose into each area – the result being weaker corrections and shorter durations in ALL the areas treated!

4. Nurse Injectors

With only the best interests of our patients in mind, we remain a ‘Doctor-Only’ Clinic. Nurses are admirable and skilled individuals within their own profession but unfortunately, their training to become a Registered Nurse does not teach detailed facial anatomy which we believe is essential for delivering the most accurate placement of the product.

As a true illustrative story, one of our patients from Newcastle came to see us in Sydney because she’d had Anti Wrinkle Injections to her ‘crows-feet’ by a Nurse in Newcastle. Without a sound knowledge of facial anatomy, the Nurse had injected a little too low on her cheekbone and paralysed the muscle controlling one side of her upper lip, causing that side of her mouth to droop. For a whole three months until the Anti Wrinkle Injections wore off, people were asking when she had suffered her stroke! She vowed to never again be injected by a Nurse!

MOREOVER, IT IS ILLEGAL FOR ANY NURSE TO ADMINISTER WRINKLE RELAXANTS UNLESS YOU HAVE FIRST HAD A CONSULTATION WITH THE DOCTOR OF THAT PRACTICE. Unfortunately for patients, some non-medical clinics circumvent these regulations by performing Skype consultations with a doctor away from the premises for them to assess the patient’s suitability for treatment and then prescribe the Anti Wrinkle Injections. Such consultations are never as reliable as a detailed face-to-face assessment by the doctor in person.

5. Check the Brand You’re Getting

There are currently 4 brands of Anti Wrinkle Injections approved in Australia. Three of those currently-approved products are very similar in terms of cost and effectiveness but the fourth is cheaper because it is less potent and requires 4-5 times the dosage of the others to deliver an equivalent result.

Although the cheaper product may work equally as well as the others if sufficient dosage is given, there are differences between them, and, if you are expecting one of the other brands, ensure you get what you were promised by asking to see the label.

6. Avoid ‘Injection Parties’

We consider these unprofessional and not in the best interests of patients. Treatments should be administered in a proper clinical setting after individual patient assessment, not in a frivolous party atmosphere.

7. Be Wary of Any Clinic Offering a Medicare Item Number for Your Consultation or Treatment:

Consultations and treatments for the COSMETIC use of Anti Wrinkle Injections are NOT eligible for Medicare rebates, and it is both illegal and fraudulent for a doctor to issue a receipt in a way for you to claim a Medicare rebate.

In conclusion, remember that YOU are the consumer, you are spending your hard-earned dollars and accordingly you deserve the highest professional standards and the best possible results for your money.

Don’t accept anything less. At Sydney Cosmetic & Plastic Surgery Clinic, we can assure you of the highest professional standards and the best possible results from treatments carried out by doctors only and in strict accordance with the manufacturer’s instructions.

Terms & Conditions

  • Consultations must be pre-paid at time of booking.
  • Once pre-paid, all consultations are non-refundable and non-transferable but can be moved to another date with at least 3 working days’ notice.
  • Cancellations with less than 3 working days’ notice and ‘no shows’ are not refundable or transferable and will incur a new consultation fee to re-book.
  • All payments by Credit Card & Debit Card attract a 0.3% surcharge and Amex a 1.5% surcharge.
  • The Medical Board of Australia’s new Regulations which came into effect on 1 July 2023 require that:
    • All patients seeking a consultation regarding cosmetic surgery must provide a referral and the referral must be from a GP or other specialist who does not perform cosmetic surgery or non-surgical cosmetic services themselves.
    • If a patient arrives without a referral, the Regulations recommend that the doctor should refrain from seeing the patient – in which event, any pre-paid consultation fee would be lost.

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Our Cosmetic Doctors

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Our Specialist Surgeons

Dr Pouria Moradi, Plastic Surgeon

Dr Anthony Barker, Plastic Surgeon

Dr Sepehr Lajevardi, Plastic Surgeon

Dr Adam Honeybrook, Facial Plastic Surgery

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Our Liposuction Doctors

Dr Kenneth Brito, Cosmetic Doctor

Dr Sepehr Lajevardi, Specialist Plastic Surgeon

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