MQ Health - Macquarie University

Plastic and Reconstructive Surgery Clinic

Anti-wrinkle injections / Botox

Botulinum toxin is a natural protein purified from the bacterium Clostridium botulism. It is used to temporarily relax a targeted muscle. Botox has been approved and registered with the Therapeutics Goods Administration for specified uses only. Only a registered health professional (specialist, doctor or nurse), who has undergone appropriate training, is able to administer Botox.

What is Botox used for?

  • Blepharospam (uncontrolled blinking)
  • Strabismus (lazy eye)
  • Hemifacial spasm and VIIth nerve disorders Crow's feet (lines that radiate from the corners of the eyes)
  • Forehead lines (horizontal lines across the forehead)
  • Glabellar frown lines (frown lines between the eyebrows)

When can you not have Botox?

  • If you suffer from Myasthenia Gravis
  • If you suffer from Lambert-Eaton Syndrome
  • During pregnancy
  • When breastfeeding

What cannot be treated with Botox?
Creases and lines caused by sun damage and gravity.

How is a Botox treatment performed?
It is injected using a very fine needle into specific muscles. The actual injection may sting for a few seconds. There is no downtime so you can resume most of your normal activities as soon as you leave the clinic (note there are some exceptions which are listed in the Botox-Post Treatment Care).

How long does a Botox treatment last?
The onset of treatment effects can become apparent in 2 to 3 days but it can take up to 10 to 14 days to see the full effects of your Botox treatment. Treatment results will last approximately 3 to 6 months. Muscle action will slowly return, and lines and wrinkles will begin to reappear. Discuss your Botox treatment plan with your specialist.

What is the difference between Botox and fillers?
Botox is used to relax muscles. Fillers are used to increase volume of tissue underneath skin lines and folds.

Can I have Botox and fillers at the same time?
Yes. Talk to your specialist about when a combination treatment of Botox and fillers may be beneficial.

Brow lift

Brow lift surgery is used to reduce the horizontal and vertical frown lines that develop on the forehead. The procedure removes loose skin to soften facial lines and elevate droopy eyebrows, and results in a rejuvenated, younger appearance of the brow.

Three different techniques are available, including a minimally invasive approach using endoscopic instruments for suitable patients. A browlift can be performed in conjunction with other facial rejuvenation procedures such as a facelift or eyelid lift to harmonise the overall facial aesthetic.

Dermal fillers

MPRS uses naturally derived fillers made from a natural complex sugar called hyaluronic acid and collagens. Hyaluronic acid is normally found within human skin tissue assisting skin hydration by attracting and holding water. It also combines with collagen and elastin for structure and elasticity. Only a registered health professional (specialist, doctor or nurse), who has undergone appropriate training, is able to inject fillers.

How do fillers work?
As the name suggests fillers are used to fill in the area under the skin to plump up small areas (such as the lips), and re-volumise larger areas (like the cheeks). Fillers enhance volume, fill creases and plump the skin resulting in a softer, smoother appearance.

What are fillers used for?

  • Filling out depressions under the eyes
  • Filling out thin or wrinkled lips
  • Filling out ‘smile lines’ or ‘laugh lines’
  • Filling out frown lines between the eyebrows
  • Plumping up cheeks
  • Contouring the jaw line and other areas of the face
  • Improving imperfections like scars and indentations caused by acne

When can you not have fillers?

  • If you have a history of anaphylaxis
  • If you have an allergy to lidocaine

What cannot be treated with fillers?

  • Crow's feet (lines that radiate from the corners of the eyes)
  • Forehead lines (horizontal lines across the forehead)

How is a filler treatment performed?
Fillers are injected using a very fine needle into the skin. The filler injection contains a local anaesthetic to minimise any pain. Ice packs are applied to the area immediately afterwards to help reduce bruising and swelling. There is no downtime so you can resume most of your normal activities as soon as you leave the clinic (there are some exceptions which are listed in the Juvéderm-Post Treatment Care).

What do I have to do after having filler treatment?
To learn more about Post Treatment Care, download this information sheet.

How long does a filler treatment last?
You may feel firmness at the injection site for the first few days and for up to two weeks. This is perfectly normal. The firmness will thereafter soften leaving a soft natural look. Filler treatments can last up to six to twelve months depending on the type of filler used. Fillers are temporary and will eventually be absorbed by the body.

What is the difference between fillers and Botox?

Fillers are used to increase volume of tissue underneath skin lines and folds. Botox is used to relax the muscle.

Can I have fillers and Botox at the same time?
Yes. Talk to your specialist about when a combination treatment of fillers and Botox may be beneficial.

Ear reshaping

Ear reshaping surgery (Otoplasty) is commonly performed to correct protruding or over-prominent ears but also where the ear(s) may not developed correctly (congenital malformations), or has been subject to injury or trauma.

Eyelid lift

Eyelid lift surgery (Blepharoplasty) improves the aesthetics around the eyes by reducing drooping or protruding eyelids that are characteristic of the ageing process. During the procedure, small incisions are made in the upper and lower eyelids, and excess fat and skin removed or redistributed. Very fine sutures are used to close the wounds. Blepharoplasty is often combined with other facial rejuvenation procedures such as facelift and neck lift.

Facelift and necklift

Facelift surgery (Meloplasty) involves tightening and elevating the facial muscles and skin of the mid and lower face. In some cases, this may also involve removing, or repositioning, excess facial fat and muscle.

Neck lift (Cervicoplasty) surgery improves the appearance of the neck and under the jaw line by reducing excess skin. The procedure can involve liposuction to remove excess fat deposits from the neck. Some excess skin is also removed through the incisions near the ears.

Our surgeons are trained in the latest techniques and, based on your individual preferences and case, they can determine the best approach for you. Current facelift techniques are sophisticated and able to achieve a long-lasting natural result. Patients typically choose facelift surgery in their 50s or early 60s, however, this surgery can be considered earlier or later depending on your individual ageing process.

Fat injection / Transfer

This surgical procedure moves a patient’s own fat cells to certain areas on the face giving more volume and enhancing the youthful appearance of the face.

Specially prepared after being removed by harvest of fat cells from the thigh or abdomen, the patient’s fat cells are placed carefully in to an area with a contour deformity to achieve a long-lasting effect. Small sutures are removed after about a week and antibiotics are given to prevent infection. Overall, because this procedure uses the patient’s own tissue, allergic reactions do not occur, making the procedure relatively safe. Often a series of fat injections are required to achieve an end-point in treatment.

Nose reshaping / Rhinoplasty

Nose reshaping (Rhinoplasty) improves on the shape of your nose to enhance it's appearance or to address unnatural changes to shape caused by injury in sports, accidents or otherwise. In addition to redefining nose size and profile, rhinoplasties are also performed to achieve subtle changes to other parts of the face to best fit your desired nasal shape and overall facial proportioning.

Rhinoplasties also plays an important role in correcting nasal obstructions or breathing problems that might develop due to structural abnormalities causing a deviation of the cartilage/bone of the nose. Nose surgery is best performed after the age of 18 years, when the nasal and facial growth has reached maturity. It can be done under general anaesthetic or sedation, depending on the patient and procedure.