Wrinkle treatments

https://www.tga.gov.au/news/media-releases/referring-cosmetic-injectables-advertising

According to the TGA doctors must not even allude to S4 treatments on a website

1. Moderate, evidence-based doses
   Academic audits show that textbook “standard” doses often overshoot real-world cosmetic goals, increasing the risk of a stiff, mask-like face. A 2023 multi-centre analysis of naïve patients found that starting 30–40 % below label recommendations still delivered high satisfaction while halving the incidence of “frozen look” complaints.jmatonline.com          We adopt that conservative, start-low-review-and-top-up philosophy: once a unit is in, it cannot be removed.
2. Truly bespoke dosing
   Controlled trials of glabellar treatment report up-to-ten-fold variability in the units required to achieve an identical clinical endpoint.pagepress.org What matters is the individual’s muscle bulk, activity and aesthetic goals — not a cookbook number. We therefore map your facial dynamics first, then titrate precisely.
3. Anatomy-driven treatment plans
   No two brows, smiles or jawlines share the same vector forces. Detailed anatomical mapping (palpation, animation testing, occasionally ultrasound guidance) lets us place minimal product exactly where your hyperactive muscle fibres originate, avoiding the blanket “one-size-fits-all” grids sometimes taught in entry-level courses.
4. Slightly subcutaneous depth — not deep intramuscular
   Randomised trials comparing intradermal/subcutaneous versus deep-muscle injections for forehead lines show equal wrinkle reduction with significantly less brow-ptosis when the needle remains in the superficial plane.pagepress.org Modern consensus papers now recommend a “just-under-the-skin” approach for most aesthetic zones.
5. Stretch-and-blanch technique to minimise bruising and pain
   Gentle skin tension plus a very shallow angle collapses capillaries, reducing ecchymosis and discomfort; specialist chapters on injection safety endorse this method.SpringerLink
6. Comfort options on demand
   Most patients breeze through with nothing more than an ice pack, but we keep topical anaesthetic cream and low-dose nitrous oxide (“laughing gas”) on hand for the needle-shy.
7. Fee-per-unit, not fee-per-area
   Charging by the unit means lighter doses cost less and nobody subsidises the neighbour who prefers a stronger freeze. It also nudges the conversation toward natural results rather than “getting your money’s worth” from a pre-paid area.
8. 25 + years of cosmetic-medicine leadership
   Dr Mahony has taught injection anatomy and complication management since the late 1990s, keeping Peach at the forefront of safe, subtle outcomes.

First described by Carruthers and Carruthers in 1992; today’s split-face trials confirm that tailored, low-dose protocols can soften the “11s” without brow heaviness.proceedings.ageditor.ar

I've offered this treatment to my patients since 1998.

True “Duchenne smiles” engage the outer orbicularis; careful dosing here preserves warmth while smoothing radiating lines. An under-correction is safer than over-paralysis.

Horizontal lines across the forehead can be readily reduced with treatment, but if not careful some brow drop might eventuate. We go for the "Goldilocks zone": not too mobile, not too frozen, but just right. Dose, and treatment pattern, must be highly individualised for each patient: more than for any other treated area.

These are the lines on each side of your nose. Patients who have just the frown lines treated will often get exaggerated bunny lines - a "give away" that treatment has occurred. Treating these lines will often help improve a "gummy smile" as well.

The muscle "depressor anguli oris" or "DAO" is responsible for pulling down the corner of your mouth. Treating it can reduce that sad look and improve the marionette lines on either side of your chin. Ultrasound studies show average lift angles of 4–6° at three weeks.SpringerLink

People who grind and clench their teeth a lot often get jaw pain/"TMJ" pain, and develop a masculine-looking squareness to the jaw's appearance. Treatment into the masseter muscle can relieve the pain and soften the jawline. Placebo-controlled trials report meaningful reductions in nocturnal clenching, pain scores and jaw width within one month, lasting 4–6 months.BioMed Central

Judicious and small doses of treatment around your mouth can help your lips pout and reduce so-called "smoker's lines" (caused by pursing lips moreso than smoking). But doses have to be very careful or you will lose mouth control.

Treatment can have a number of other uses. Treating migraine and treating sweating are two more examples. Explore your options in a consultation.