Anti-Wrinkle Injections

Anti-Wrinkle Injections

… treat those expression lines!

  • Performed by the very Clinic that first introduced the treatment into Australia in 1994!
  • We are a ‘Doctor-Only ‘ Clinic. All treatments are performed by experienced Cosmetic Surgeons. We do not have ‘Nurse Injectors’!

Although almost everyone knows this product by name, current Government regulations prevent us from naming it in any form of promotion or advertising – even though it was widely advertised in earlier years and is still regularly mentioned by name in the media!

We are permitted, however, to forward you printed information on it, including its name, if you contact us and personally request it.

Anti-Wrinkle Injections have the ability to either improve or eliminate those facial lines that are the result of repeated creasing of the skin by the underlying facial expression muscles.

The product’s safety and effectiveness in neurological and eye disorders featuring muscle spasm has been clearly established since it was first used in humans in 1977.

Its cosmetic value, however, was only discovered “accidentally” in 1989 by Professor Jean Carruthers in Vancouver, Canada.

In 1994, our Medical Director, Dr George Mayson, was invited by Professor Carruthers to Canada to learn her injection techniques. After returning, Dr Mayson became the first doctor in Australia to use it cosmetically and therefore is the doctor with the longest experience with its cosmetic use in Australia.

The product is an extremely effective treatment for the correction of those facial wrinkles caused by the repetitive contraction of the underlying muscles of expression.  It is of no use in wrinkles caused by biological ageing or sun damage.

Which Facial Lines Are Suitable For Muscle Relaxant Injections?

Anti-Wrinkle Injections will either improve or totally remove those facial wrinkles caused by repetitive muscle contraction.  The most frequently treated areas are:

  • ‘Frown lines’ – the vertical lines or furrows between the eyebrows
  • ‘Surprise lines’ – the horizontal lines across the forehead
  • ‘Crow’s feet’ at the sides of the eyes
  • Lines under the eyes
  • ‘Bunny Crunches’ on the upper nose

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

However, even if they only improve and don’t completely disappear, you still have the additional benefit of preventing the lines from becoming deeper if you repeat the treatment as soon as the effects of the previous one start to wear off.

Reassuringly, the muscle relaxant only prevents the contraction of the muscles into which it is injected.  It does NOT produce any numbness of the skin in the injected area or any internal side effects.

Lesser known uses of anti-wrinkle injections include the correction of:

  • ‘Gummy smile’ (showing excessive amount of upper gum on smiling)
  • ‘Canine smile’ – a ‘snarling’ type of smile
  • ‘Turned down’ corners of the mouth
  • Droopy brows
  • Over-developed Masseter Muscles to slim the facial outline and/or treat Bruxism (teeth grinding)
  • Flared nostrils
  • Vertical neck bands
  • Bruxism (teeth grinding)
  • Hyperhidrosis (excessive perspiration of armpits, groins, hands or feet)

How Frequently Are Treatments Required?

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

How Is It Done?

The treatment is a very simple, walk-in, walk-out one and most people can return immediately to their normal work and social activities without any detectable swelling or suggestion that they have had ‘something done’.


…. What Consumers Aren’t Often Told!


Anti-Wrinkle Injections are becoming increasingly popular with the result that more and more doctors, nurses, some General Practices and now even some Dentists, are offering these treatments. Unfortunately for patients, however, some clinics are offering treatments at prices which, though tempting, may not produce the best possible results or in the safest possible manner.

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

  1.  The ‘freshness’ of the product (see below)
  2.  Adequate dosage (see below)
  3.  Accurate placement – which is only possible if the injector has an intimate knowledge of facial anatomy

The more your treatment departs from the above three criteria, the poorer will be your result !

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

  • Firstly, it contains no preservative and if the entire vial is not used within 24 hours and your injector stores the remainder in the refrigerator until they next have a use for it, it could become contaminated and produce a serious skin infection when next injected.
  • Secondly, one UK study showed that 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 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 it is an expensive product for clinics to buy and unless they have enough patients to use up an entire vial of 100 units within 24 hours, chances are they will refrigerate any leftover amount 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 ‘old’ product for your money! If you wouldn’t buy out-of-date food, the same should apply with your anti-wrinkle injections! 

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.

Therefore, always be aware of how many ‘units’  you’re getting in each area. And if any clinic won’t tell you how many units you’re getting and how much you’re paying per unit, find one that will!

Ensure each area will receive its minimum required dose so that you get the best and longest-lasting correction. Inadequate 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 – is 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!

With both the best possible results and patient safety foremost in mind, we remain a ‘Doctor-only’ clinic. We truly believe that a nurse performing these treatments is not in the patient’s best interests. Nurses are admirable and skilled individuals within their own profession but unfortunately they do not have an intimate knowledge of facial anatomy for the most accurate placement of the product. MOREOVER, IT IS ILLEGAL FOR ANY NURSE TO INJECT THESE PRODUCTS UNLESS THE PATIENT HAS FIRST HAD A CONSULTATION WITH THE DOCTOR OF THAT PRACTICE. And it should be a face-to-face consultation with the doctor, not a Skype consultation. Skype consultations do not allow a proper assessment of your face.  The Government has said it will review the legislation in relation to Nurse Injectors using Skype consultations with a doctor away from the premises in order to circumvent the regulations.

There are currently 3 brands of Anti-Wrinkle Injections approved in Australia.  Two of those are very similar in terms of cost and effectiveness but the third is cheaper because it is less potent and requires 4-5 times the dosage of the other two to deliver an equivalent result.

Reportedly, some clinics tell patients they use the best-known and costlier brand but then, unknown to the patient, inject the cheaper brand. This is both unethical and illegal.  Although the cheaper version may work equally as well as the other two if sufficient dosage is given, there are important differences between them and if you are expecting either of the other two brands, ensure you get what you’re expecting by asking to see the label.

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

7. BE WARY OF ANY CLINIC OFFERING A MEDICARE ITEM NUMBER FOR YOUR CONSULTATION OR TREATMENT so that you can claim a rebate. 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 itemise a receipt in these circumstances so you can claim part of it back from Medicare.

Remember, 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 and ethical standards and the best possible results from treatments carried out strictly in accordance with the manufacturer’s instructions.


Frequently Asked Questions

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Before and After photos

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