Top 5 Cosmetic Injectable Questions

by Registered Nurse & Cosmetic Injector Robyn Hindmarsh

Cosmetic injectables represent the fastest growing non-surgical treatment option.

At Assure Cosmetic Centre we provide our clients with a full range of injectable treatments administrated by myself and my colleague Elizabeth Cusack, who is our other registered nurse cosmetic injector. Elizabeth and I have a combined 18 years experience with these treatments and we are supervised by our team of specialist plastic surgeons who own and operate the Assure Cosmetic Centre.

Many of my clients understand their cosmetic injectable treatments well and what sort of expectations they should have. They also appreciate that at Assure Cosmetic Centre we only seek to enhance appearance within the bounds of ensuring a natural appearance. However some Assure Cosmetic Centre clients haven’t tried cosmetic injectables so I thought I would introduce this treatment option by providing some brief answers to the 5 most common questions I get asked.

What is the difference between a Wrinkle Relaxer and a Dermal Filler?

Dynamic lines are expression lines caused when facial muscles move, for example “crow’s feet” lines around the eyes when smiling. These lines can become “static” lines over time, which means that even when there is no muscle movement, the lines remain. If left untreated, these lines deepen as we age and appear as wrinkles.

A Wrinkle Relaxer is a purified protein derived from a bacterium. When injected into a targeted muscle, it temporarily relaxes the muscle by blocking the nerve impulse that allows the muscle to contract. This controlled weakening reduces muscle movement, softening and reducing wrinkles. It can also be used in the same way to prevent wrinkles from forming. Wrinkle relaxers are most commonly used to treat crow’s feet, frown and forehead wrinkles.

Another side effect of ageing is that collagen levels in the skin decrease and the skin loses its fullness and elasticity. A Dermal Filler is made from a natural complex sugar, similar to a substance that is in our skin and it is used to combine with existing collagen and elastin in the skin to provide improved structure and elasticity. While dermal fillers can help reduce wrinkles and fine lines their main purpose is to restore volume loss caused by ageing and to enhance and augment certain areas. Dermal fillers are most commonly used on lips, around the mouth and in the cheek area.

At Assure Cosmetic Centre we also offer a third category of injectable treatment known as a Collagen Stimulator which we can explain further in a consultation.

For all our injectable treatments we use the leading global brands at the correct specified dilution rates.

Will the results look natural?

The short answer is yes, providing you aren’t over-treated.

Most people don’t look at themselves in the mirror when they are laughing and talking. But it is when your facial muscles are moving that over-treatment with wrinkle relaxers can make your expressions look odd or give a frozen or startled appearance, which is definitely to be avoided. The objective is to soften the muscles without removing all movement in an area. This will achieve a more natural looking result.

When having dermal filler for the first time, patients are often concerned that other people will notice they may look different or “have had work done”. Injecting dermal fillers with skill, care and in moderation will result in subtle changes that are difficult to detect. The goal should be for friends and family to comment on how well you look or how refreshed you appear.

Injectable treatments should enhance the way you look. It is important that your practitioner is experienced and practices with safety to achieve a natural result without the appearance of looking overdone.

Are injectable treatments painful?

Injections of wrinkle relaxers are administered with a very fine, short needle. Discomfort is quick and minimal. Usually patients can ice the area prior to treatment to reduce any pain and also decrease the risk of bruising.

Dermal fillers contain a local anaesthetic which helps to reduce discomfort by numbing the area as it is injected. We also offer the use of either a topical local anaesthetic cream prior to a dermal filler treatment and/or a short acting dental block when treating the sensitive lip area. Minimising pain is a priority to make treatments as comfortable as possible.

How quickly will I see an effect and what happens if I decide to stop having the treatments?

Muscle relaxers take effect between 3-7 days but the full effect is normally only evident two weeks after the initial treatment. Dermal fillers provide an instant result but this can only be seen after a few days when swelling settles. The result should improve in 1-2 weeks as the filler fully integrates into the tissue.

Injectable treatments are temporary and longevity varies between patients and the type of treatment administered. Muscle relaxer treatments last on average 3-4 months, although when treating the axilla (under arms) area for sweating, results can last up to 9 months. Dermal fillers last anywhere from 6 months to 2 years depending on the area treated and the type of filler used.

Although there are no guarantees to the longevity of individual treatments, at Assure Cosmetic Centre we only use premium products that are cross-linked to achieve optimal longevity and reliability.

If you decide to stop using injectables, gradually the tissue and muscles will return to their previous pre- treatment state and the ageing process will continue as normal.

How much do injectable treatments cost?

At Assure Cosmetic Centre we always dilute wrinkle relaxers at the manufacturers recommended ratio. We offer treatments based on the number of units used, ensuring you only pay for what you require. You should always know what wrinkle relaxer you are receiving, and how many units you are given per area treated. Your practitioner should discuss this with you.

We usually start conservatively with muscle relaxers and review your result two weeks after the treatment. Every individual has slightly different muscle movement and muscle strength and therefore it is important we formulate a plan of treatment to suit your individual needs.

For example a frown treatment may use anywhere from 12 to 24 units. We charge $15.50 per unit for wrinkle relaxers.

The cost of having a dermal filler treatment varies depending on the area treated and the product used. Lip filler is one of the most common treatments requested and the cost can range from $380 to $600. Cheek augmentation for volume loss also varies depending on the amount of volume loss and the desired effect to be achieved. 1-2mls would be a common amount used for a mild augmentation. This ranges from $800 for 1ml, to a discounted $1400 for 2mls.

Collagen Stimulators start from $799 per vial and multiple treatments are required to achieve the desired result.

At Assure Cosmetic Centre we offer a complimentary half-hour consult so you can come in and discuss your treatment interests and needs.

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