Cityskin – anti-wrinkle experts in Melbourne, Sydney & Adelaide
At Cityskin we are passionate about giving you the best possible results from your treatment. We are open and honest about the cost of treatment, how many units you may need and how the treatment is likely to look. We love providing as much information for you as possible so you are fully informed about anti-wrinkle treatments before your consultation. If you have any questions about treatment then please contact us and we will get back to you with an answer.
By law, we are not allowed to use the real names of the products so we have to call them ‘anti-wrinkle injections’ rather than use the brand names. Frustrating, but we have to abide by Australian law!
How do anti-wrinkle injections work?
When anti-wrinkle injections are performed we place a small amount of anti-wrinkle product into the muscle. This product prevents the nerve from telling the muscle to contract (see diagram below).
How long does it take for anti-wrinkle injections to work?
It takes between 5 and 12 days for the anti-wrinkle product to take effect so results are not instant. The “European” brand of anti-wrinkle product generally works quicker than the “American brand” (the most commonly known anti-wrinkle brand in the world).
Anti-wrinkle treatments available at Cityskin
We offer a wide range of anti-wrinkle treatments at Cityskin – some of which you may not have heard of before. Click on the links below to read about these treatments.
How long do anti-wrinkle treatments last?
Anti-wrinkle products are made of a protein which is broken down naturally by the body. Ideally the effects of anti-wrinkle injections should last 3-4 months but it can vary depending on the strength of the muscle (the stronger the muscle the more anti-wrinkle ‘units‘ that you need) and how quickly your body breaks down the product.
How safe are anti-wrinkle injections?
Anti-wrinkle injections have been used to treat patients for over 20 years. There are no known long term side effects from having treatment.
Dr Brown from Cityskin discusses how anti-wrinkle treatment reduces lines
What is an anti-wrinkle ‘unit’?
You may have come across the term ‘anti-wrinkle units’ when searching in Google or talking to friends. A ‘unit’ is simply a measure of anti-wrinkle product. We know that certain amounts of units work to reduce muscle movement in certain areas. If you have never had treatment before and would like to read all about ‘units’ then click here.
How many ‘units’ do I need to treat my lines?
A female face generally needs:
- 20-25 units to treat the frown muscles
- 5-10 units to the forehead
- 6-12 units each side to the crows feet.
- 2 units to treat ‘bunny lines‘ around the nose
- 2 units each side to treat a gummy smile
- 50 -60 units in total to treat tooth grinding (bruxism)
- 50 -60 units in total for facial slimming treatment
Men have stronger muscles than women and, generally speaking, need approximately 1.5 times more units than women to treat the frown and forehead areas. We have a full treatment guide for men here.
How much do anti-wrinkle injections cost?
Anti-wrinkle injections cost from $4 per unit at Cityskin, depending on the brand used. For more details have a look at our cost page.
Where do wrinkles commonly form?
Repeated contraction of muscles forms wrinkles. This is inevitable. In Australia, where the UV light is strong, we commonly see lines around the eyes. These are known as ‘crows feet’. By wearing sunglasses you can reduce squinting and slow the onset of crows feet
A video showing how to treat crows feet
Frown lines or the ’11’ mark are the lines inbetween the eyebrows. It is normal to have these lines when frowning but some people have these lines when at rest. If you have strong frown lines at rest you may feel that you look angry. Anti-wrinkle injections can safely and easily treat these lines and the effects last for up to 4 months. Read our full guide to frown line treatment here.
A video showing how to treat frown lines
Forehead lines are common as we age. These lines are caused by the use of the forehead muscle ‘frontalis’. If you look in the mirror and lift the eyebrows you can see frontalis in action, lifting the eyebrows. Read our full guide to forehead line treatment here.
Upper lip/smokers lines
Lines around the upper lips generally start to appear when a patient is over 40. As the skin loses elasticity, muscle tone and collagen small lines can start to appear around the lips. Smoking can rapidly accelerate the formation of these lines due to repeat pursing of the lips when smoking a cigarette
There are a number of ways to treat upper lip lines. Anti-wrinkle injections can be used to soften these lines (4 small injections of 0.5 units in each injection point). We often use dermal filler to help give the upper lip area more support and less prone to wrinkling.
Facial slimming and tooth grinding (bruxism)
What is the difference between anti-wrinkle injections and dermal filler?
Anti-wrinkle injections prevent muscle movement and in doing so reduce lines.
Dermal filler is a gelatinous product which is injected under the skin to replace lost volume. Dermal filler can ‘plump’ up the skin. Imagine the skin being like a circus tent with poles to hold it up and keep it taut. As we age the canopy of the tent becomes looser and we lose volume which allows the skin to become saggier. When we inject dermal filler it is like putting extra poles up to lift the canopy of the tent up to make it taut again.
The other way of looking at dermal filler is that it treats shadows on face. As we age we lose collagen and volume and this can cause shadows going down from the corner of the mouth.
Which is the best anti-wrinkle brand?
There are 2 main brands of anti-wrinkle product in Australia. Dr Brown discusses which brand is best in this short video.
Having anti-wrinkle injections for the first time. Have some concerns? Read on…
If you have never had anti-wrinkle injections or dermal filler before then there are undoubtably going to be anxieties and concerns. Common concerns and questions that patients ask are:
1. I don’t want to look ‘frozen’
2. I want to have natural looking results
3. I’m not sure about the clinic reputation and the person performing the treatment.
4. Is it painful?
5. How common is a droopy eyelid after treatment?
6. How do patients feel after treatment?
7. How much do treatments cost?
8. Anti-wrinkle myths – what can I do after treatment?
We will address all these concerns one by one to help you understand more about the treatment and our views on how your treatment should look.
1. I don’t want to look ‘frozen’
The frozen look often looks terrible. There was a vogue about 10 years ago when anti-wrinkle treatments were fairly new where patients had lots of treatment to the forehead to stop forehead lines. The lines were reduced but it gave a shiny, frozen look. I’m sure you can name a few celebrity examples of the frozen look and it doesn’t look good at all.
The way to prevent having the frozen look is to do one of two things:
i) don’t place any anti-wrinkle injections in the forehead, or
ii) If you are going to treat then use very small amounts.
I (Dr Brown) have my forehead treated to reduce the fine lines and nobody would guess because the nurse uses very small amounts when treating me.
Read about how to avoid the frozen look here.
2. I want to have natural results
Time and time again we hear that patients want to have natural results. There is sometimes stigma around having cosmetic treatments and often patients don’t want their friends, family or sometimes even partner to know that they have had treatment.
Natural looks are easy to achieve and it is the skill of the injecting medical expert to understand where to place the injections to give the natural result.
At Cityskin we performed a survey of 50 patients to see how they felt and looked before and after treatment. The most common words to describe how people felt and looked before treatment were, “Tired, wrinkly, stressed and worried”. After treatment the most common words that patients used to describe themselves were, “Fresh, resfreshed, great and youthful”. When asked what compliments they received after treatment, the most popular words were, “Well, young, good, refreshed, relaxed and amazing”. Not once did the word ‘frozen’ or ‘un-natural’ come up.
We want you to feel more confident about yourself without people guessing that you have had treatment. For us, that is a great result.
3. I’m not sure about the clinic reputation
Trust is a huge factor in deciding where to have your treatment performed. The cosmetic industry can be slightly murky with websites often not showing before/after photos, not discussing costs and not disclosing information about themselves.
We feel that open-ness, transparency and care before AND after your treatment are vital and we make this our priority.
At Cityskin clinic we treat over 1500 people per year. We are full open about the cost we charge for treatment (see the ‘cost’ page for prices) and do not charge a consultation fee. You can contact us before the treatment to ask any question (click on the ‘contact us’ link at the top). Education is important and we train Doctors and Nurses in cosmetic treatments. You can read all about our medical specialists and watch educational videos on different treatments.
Feedback is important as it allows you to read about the experience of other patients. Have a read of patients reviews here.
4. How painful are anti-wrinkle injections?
21 patients who had never had anti-wrinkle injections before were questioned on how painful they thought the procedure would be. Patients were asked to give the discomfort a score out of 10 before the treatment and again afterwards. Patients were treated in either crows feet, forehead or frown lines (glabella). Ice was used to numb the skin before injection and 31g needles were used for treatment
Results: The average pain score before treatment was 5.48 and the average after treatment was 3.90
Conclusion: The results show that, for patients having anti-wrinkle injections for the first time,injections are less painful than patients expected.
When I had treatment for the first time that was my major concern. The treatment really isn’t as uncomfortable as you might think. We performed a study of 21 patients that had never had treatment before. They were asked how painful they thought the procedure would be and then had anti-wrinkle injections. Patients were asked to give the discomfort a score out of 10 before the treatment and again afterwards. Patients were treated in either crows feet, forehead or frown lines (glabella). Ice was used to numb the skin before injection and 31g needles were used for treatment
Results: The average ‘expected’ pain was 5.48 out of 10 and the average ‘actual’ was 3.90 showing that injection are significantly less painful than patients expected.
5. How common is a droopy eyelid after anti-wrinkle injections?
Thankfully a heavy eyelid, known as a ptosis, is incredibly rare after anti-wrinkle injections. We quote a 1 in 7,000 chance of a temporary heavy eyelid after treatment. If a heavy eyelid occurred it would last approximately 2 weeks and have no long term side effects. Eyedrops can be used during the 2 weeks of heaviness until the effect wear off.
Our expert medical injectors have years of training and are extremely careful when treating the brow to avoid eyelid heaviness.
6. How do patients feel before and after anti-wrinkle treatments?
We asked 50 Cityskin patients how they felt before and after anti-wrinkle injections – below is a summary of the words that they used to describe how they feel. The answered are shown in the word clouds below – the larger the word the more often it is given as a response
Use a word, or words, to describe how you looked BEFORE your anti-wrinkle treatment
Use a word of words to describe how you felt AFTER treatment
7. How much do treatments cost?
We charge from $4 for anti-wrinkle injections. It can be very confusing when trying to explain how much treatments cost as we are not allowed, by law, to use brand names.
8. Common anti-wrinkle myths
There are a lot of myths surrounding anti-wrinkle injections without much good evidence to support in. In 6 years of injecting experience these are the most common questions I get asked about anti-wrinkle injection aftercare:
Can I do exercise after anti-wrinkle injections?
Yes. To be honest, in 5 years of performing cosmetic injections I have never seen any problems with people exercising after injections
Can I drink alcohol after anti-wrinkle injections?
Yes, you can drink alcohol on the evening of injections
Can I lie down after anti-wrinkle injections?
Yes you can. There is no evidence to say that you can’t lie down or sleep after treatment so go ahead!
Dr Brown discusses aftercare following anti-wrinkle injection and dispels a few myths
Three questions to ask before having anti-wrinkle treatment
1. What Brand of anti-wrinkle treatment are you having?
There are 3 brands of anti-wrinkle treatment in Australia and they vary in cost, how quickly they work and how long they last. Clinics will not always tell you which brand they are using, as people assume it is always the American Brand. We are very open at Cityskin about which brands we use – ask us on the day.
The European brand starts working quicker than the well known American brand and they last for about the same time period, as long as it hasn’t been diluted too much! (see below). Always ask your practitioner which brand you are receiving.
2. How much is the anti-wrinkle product diluted?
Ask your injector what dilution they are using to make sure you aren’t being short-changed. We always tell patients that there are 2 brands that we use at Cityskin Clinic: an American brand (the most well known brand in the world) and a European brand. This is where it starts to get confusing. We feel that you need to have 3 times as many European units to have the same effect as 1 unit of the American brand.
Most clinics give patients 2.5 times as many units but at Cityskin we feel that a 2.5:1 ratio isn’t strong enough and you are being short changed. We feel that the golden number that you need is 3:1.
3. Don’t have ‘areas’ treated
If you have easy crows feet you might only need 5-6 units each side to reduce the lines. Some clinics can treat ‘areas’ but you have no idea how many units you are receiving which means you may be paying much too much. At Cityskin we treat by unit rather than by area.