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Is sunscreen really that important? Anon, Whenuapai When we look at someone’s skin and try to guess their age, what we’re really seeing is sun exposure over time. Fine lines, pigmentation and uneven texture are far more influenced by ultraviolet radiation than by the passage of time. That’s why sunscreen sits at the top of my anti-ageing list. Not serums, not injectables, not treatments. Sunscreen. Ultraviolet radiation quietly damages the skin, even when it’s cloudy. UVA rays penetrate deeply and break down collagen and elastin, the structures that keep skin firm. UVB rays cause surface damage and sunburn. The result? Long-term DNA injury, leading to wrinkles, brown spots and skin cancer. Sunscreen works differently to most skincare. Rather than trying to repair damage, it prevents damage from happening in the first place. Used consistently, it protects collagen, stabilises pigment production and minimises skin cancer risk. Sunscreen also allows the skin to age more slowly. This is why people who wear sunscreen daily tend to have smoother, clearer skin, regardless of other products they use. This matters even more when you are investing in cosmetic skin treatments. Treatments such as chemical peels, microneedling and active skincare can help improve texture, pigmentation and overall skin quality, but ongoing UV exposure can work against those results. Daily sunscreen helps protect the collagen, pigment control and skin clarity we are trying to preserve, which is why I see it as the foundation of any sensible anti-ageing plan. That doesn’t mean other factors aren’t important. Skincare, skin treatments and injectables all have their place. But without daily sun protection, it’s like constantly mopping up water while the tap is still running. The best sunscreen is one you’ll use every day. Broad spectrum protection and an SPF of at least 30 are good starting points. Apply it as the final step in the morning, including your neck, chest and back of your hands. For more on choosing and using sunscreen in New Zealand conditions, visit our Sunscreen & SPF Guide. Dr. Heather Anderson features in the All or Nothing Podcast (available on Spotify, YouTube and iHeartRadio). If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - NZSCM | ALLOR Cosmetic Medicine, Auckland

I am currently losing weight with Wegovy® and have noticed dimpling on the front and back of my thighs. Is there anything that can improve how they look? Will I ever be able to show my thighs in public again? Anon, Whenuapai Thank you for your question and sharing where you’re at. Losing weight, especially with support like Wegovy®, takes commitment, and it’s common for new concerns to arise as your body changes. The dimpling in your thighs is usually related to cellulite and changes in skin structure, which can become more noticeable as weight reduces. This is common in people of all shapes and sizes, with even the most flawless of celebrities affected. There are treatments that can help skin quality and firmness such as Radiesse® and Profhilo®, but these are focused on overall skin appearance rather than targeting cellulite itself, and results are usually subtle. As your weight changes, the appearance of your thighs will also change, so it’s best to wait until your weight has settled before any treatment. Staying active and building muscle tone can also help support the area, which can sometimes make it less noticeable. The real key though is to celebrate how far you have come. Learning to love ourselves by building self-worth can help us see ourselves through a healthy lens of gratitude and grace, where we appreciate how human we are and embrace all aspects of our body for the gift it truly is. Quick Answers Can Wegovy® make cellulite worse? Wegovy® does not cause cellulite, but losing weight can make existing dimpling more noticeable as fat and skin redistribute. Why do my thighs look dimpled after losing weight? Thigh dimpling is related to cellulite and the structure of skin and fat. It often becomes more visible as your body shape changes. Will cellulite after weight loss go away on its own? Not usually. Cellulite is a normal structural feature of skin and fat, though its appearance may soften as your weight settles and muscle tone improves. Can Profhilo® or Radiesse® improve cellulite? Profhilo® and Radiesse® may improve skin quality and firmness but do not directly treat cellulite. Any improvement in thigh texture is usually subtle. Should I wait until my weight has settled before treatment? Yes. Skin and tissue can shift again as weight fluctuates, so it is best to wait until things have stabilised before considering treatment. Is thigh cellulite normal? Yes. Cellulite is extremely common and affects people of all ages, shapes and sizes. It is a normal skin texture variation, not a personal failure. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Radiesse® Medical Device Class III. Lidocaine injectable implant is indicated for plastic/reconstructive procedures in adults, including deep dermal and subdermal soft tissue augmentation of the facial area and is also intended for restoration and correction of fat or volume loss (lipoatrophy) in the facial area and for rejuvenation of the hands. Radiesse® has risks and benefits. Contains Calcium Hydroxylapatite. Ask your doctor if Radiesse® is right for you. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Merz, Sydney. Distributed by Healthcare Logistics, Auckland. Profhilo® containing low & high molecular weight hyaluronic acid, is a Class III medical device for the treatment of the face and body for contours redefinition and laxity remodelling where skin laxity is a problem. Profhilo® has risks and benefits. Do not use with treatments such a laser resurfacing or medium deep skin-peeling. Caution in people on blood thinning medicines. Do not inject into inflamed areas or intravenously or intramuscularly. Possible side effects: pain and swelling at injection site. Accelagen Pty. Ltd. Whanganui.

My hands make me look older. Is there anything that can be done? Anon, Kumeu Hands are one area that often goes unnoticed until the contrast with other areas becomes obvious with ageing. This is because the backs of our hands have very little natural fat. As we age, that small amount reduces further. The skin becomes thinner, making veins and tendons more visible. Hands are also exposed constantly to sunlight, washing, environmental stress and daily movement, which all accelerate collagen loss. Unlike the face, the skin here produces less natural oils and has less structural support. Over time, this combination leads to volume loss and a hollow, crepey appearance. The great news though is that there are treatments that can help. Radiesse® is one of the most reliable options for ageing hands. It works by stimulating your own collagen production over time, improving skin quality and firmness. This helps tighten and thicken skin, leading to a more youthful appearance, where your hands match the way your face looks. Skincare (including sunscreen) applied to your hands as part of a daily routine is also recommended to minimise ageing and maintain results. Other skin treatments such as microneedling and chemical peels can also be used to boost collagen production and minimise pigmentation. Ageing hands are common but signs of ageing don’t need to be. With a little care and consistency, your hands can glow just as much as the rest of you. Quick Answers Why do hands look older than the face? The skin on the back of the hands is thinner and has less fat. Over time, collagen loss and sun exposure make veins and tendons more visible. Can ageing hands be treated? Yes. Treatments that stimulate collagen and restore lost structure can improve skin thickness, firmness and overall appearance. What does Radiesse® do for the hands? Radiesse® works by stimulating your body’s own collagen production. This helps improve skin quality and reduce the hollow, crepey look. How long do results last? Results develop gradually over time and typically last 12 to 18 months, depending on the individual. Are skincare products enough on their own? Skincare helps maintain results and slow further ageing, but it usually cannot restore lost volume or collagen on its own. What else can help ageing hands? Treatments like microneedling and chemical peels can support skin quality and pigmentation, and are often used alongside collagen-stimulating treatments. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Radiesse® Medical Device Class III. Lidocaine injectable implant is indicated for plastic/reconstructive procedures in adults, including deep dermal and subdermal soft tissue augmentation of the facial area and is also intended for restoration and correction of fat or volume loss (lipoatrophy) in the facial area and for rejuvenation of the hands. Radiesse® has risks and benefits. Contains Calcium Hydroxylapatite. Ask your doctor if Radiesse® is right for you. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Merz, Sydney. Distributed by Healthcare Logistics, Auckland.

We have all seen it. Someone in the media, on social media, or even walking down the street who has had too much cosmetic work done. We look at them and wonder why. Why would someone allow themselves to get to that point? In this episode of the All or Nothing Podcast, I explore the reasons behind extreme cosmetic choices and what drives people past what we call the aesthetic end point, where treatments start working against your natural identity rather than for it. There is real psychology behind it. Dopamine reward cycles, a need for control, the influence of social media validation, and in some cases body dysmorphic disorder all play a role. It is rarely as simple as vanity. Most people going too far genuinely do not realise it is happening. I also talk about the responsibility that sits with the injector, and why having the confidence to say no to a patient is one of the most important things a practitioner can do. A good injector is your trusted advisor, not just someone who gives you what you ask for. The episode closes with two practical things you can do as a patient to make sure you are in the right hands. Subscribe for more insights from the All or Nothing Podcast with Dr. Heather Anderson by ALLOR Cosmetic Medicine. Watch Episode 4: Extreme Treatments – Why Do People Go Too Far? YouTube Link: https://youtu.be/fcB31l_Qly8 Or you can listen on Spotify: Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - NZSCM | ALLOR Cosmetic Medicine, Auckland

Is Botox® used for helping migraine headaches the same as the Botox® used for lines and wrinkles? Anon, Kumeu Yes, it is the same medicine. The difference lies in how it is used, where it is placed and what the treatment is trying to achieve. In cosmetic treatments, Botox® is injected into specific facial muscles that create lines. The focus is on softening lines, while keeping your natural expression. Migraine treatment is completely different. The goal is not cosmetic. Botox® is used to interrupt muscle and nerve activity that contributes to migraine attacks, leading to a decrease in severity and/or frequency of headaches. The injections are tailored to areas of pain and can include the face, temples, back of the head, neck and shoulders. The beauty of Botox® for migraines is that is also achieves wonderful cosmetic results when used correctly on facial muscles. Looking and feeling good? Yes please! A common concern however, is whether migraine Botox® will “freeze” the face. When the procedure is performed correctly, it usually doesn’t, so it is important to see an injector who understands facial anatomy so you achieve good functional and cosmetic results. If you are considering this treatment, start with a conversation with your GP and/or Neurologist to see whether it fits into your migraine plan to ensure it is safe for you and that other causes of migraines have been excluded. Results are often very effective with huge improvements in pain and function, which many describe as life-changing. Quick Answers: Is the Botox® used for migraine the same as the one used for wrinkles? Yes. It is the same botulinum toxin medicine. The difference is in the injection pattern, dosing and treatment goal. How is Botox® for migraine different from cosmetic Botox®? Cosmetic treatment targets specific facial muscles to soften expression lines. Migraine treatment follows a medical injection protocol across the head and neck to reduce headache frequency and severity. Where is Botox® injected for migraine treatment? It is typically placed across the forehead, temples, back of the head, neck and shoulders. The pattern is designed around common migraine trigger zones. Will migraine Botox® freeze my face? When performed correctly, it usually does not. An experienced injector adjusts placement and dose to preserve natural expression while still delivering therapeutic benefit. Who should consider Botox® for migraine? It is generally considered for people with chronic migraine, defined as 15 or more headache days per month. Assessment by a GP or neurologist is recommended first. How long does it take to see results? Improvement often begins within several weeks, though full benefit may take two treatment cycles given approximately 12 weeks apart. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

What are the best treatments to make my skin look its best before the holidays? Anon, Whenuapai The lead-up to the holidays often shows on our skin. Warm weather, late nights, Christmas shopping and the general rush of December can leave your face looking a little tired (coffee anyone?!). Many people ask me what the best treatment is to look and feel fresher before the holidays, especially when they want something quick and simple that still makes a noticeable difference. When someone wants fast results, I often start by looking at expression lines. Fine lines around the frown, forehead and eyes tend to show more when the skin is tired. Botox® can soften these areas and create a lighter, well-rested look without changing your natural expression. It is a straightforward option with minimal downtime, and the results settle in over the following few days, with maximal results achieved at two weeks. For many people, this alone is enough to look and feel confident heading into the social season. Skincare is just as important, especially when time is short. A good routine can refresh the skin very quickly. I recommend simplifying things in the lead-up to the holidays, using evidence-based skincare brands such as ZO, Synergie and Emepelle. A gentle cleanser, an active serum and a barrier-supporting moisturiser from these ranges help brighten the skin and reduce dullness. When the barrier is steady and hydrated, the skin looks smoother and glows. Even small changes in skincare can make us look and feel fresher. No holiday routine is complete without sunscreen. Consistent SPF is one of the most powerful ways to keep the skin bright and even throughout summer. Sun exposure can undo improvements very quickly, especially when you are outdoors more often. A lightweight SPF such as Heliocare used every morning prevents new pigmentation, protects collagen and helps maintain treatment results. The added bonus of Heliocare is that it has a slight tint that blends beautifully with any natural skin tone, giving a luminous finish that can easily blend with concealer and set with a light mineral powder to give a natural glowy look without the aged, matte appearance of foundation. So, what is the best way to refresh your skin before the holidays? For most people it is a combination of softening key expression lines with Botox® and supporting the skin with a nourishing skincare routine backed by daily SPF. These steps work together to create a natural, rested look that carries you confidently through the holiday season. Merry Christmas everyone! Quick Answers When should I get Botox® before the holidays? You should plan Botox® around two weeks before events. Results begin within a few days, with full effect seen at about 14 days. Is it too late to improve my skin before the holidays with skincare? No. Barrier support, hydration and active serums can improve brightness and texture within days, especially when the routine is kept simple and consistent. Should cosmetic treatments be done all at once or staggered? Staggered treatments usually look more natural. Combining subtle Botox® with skincare allows changes to settle without a rushed or overdone results. Does sunscreen really make a visible difference to skin over summer? Yes. Daily SPF helps prevent new pigmentation and collagen damage, which directly affects skin brightness, texture and how long treatment results last. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

Should I have Botox® and fillers before or after cosmetic tattooing? Anon, Riverhead If you’re planning both injectables and cosmetic tattooing, timing matters more than most people realise. If you’re thinking about lip tattooing and also want lip filler, do the filler at least 6 weeks beforehand. Filler changes the shape of your lips, which is what the tattoo artist uses as their guide. If you want eyebrow tattooing, it’s best to have Botox® worn off first as it can affect eyebrow position. As a rule of thumb, allow at least 3-4 months after your last Botox® treatment before tattooing. Once the tattoo has healed, you can resume Botox® treatments as normal. If you already have microblading and want a more refined look with cosmetic tattooing, you will need laser removal first. Removing the old pigment gives a clean canvas for your artist to create the ideal shape. It usually takes a few laser sessions spaced several weeks apart, but the result is worth the patience. I have personally had cosmetic tattooing done by Jeni Hart from Brows and Beyond in Kumeu (browsandbeyond.co.nz). I highly recommend Jeni as she is not only skilled with brows and lips, but she also has a laser, so can remove previous pigment. Jeni also works in reconstructive tattooing, creating realistic nipples for women after breast cancer surgery and restoring features for people with facial deformities. Her attention to symmetry and balance is exceptional, which sets her apart from the rest. Quick Answers: Should I do lip filler before lip tattooing? Yes. Do filler at least 6 weeks before lip tattooing so the final lip shape is stable for mapping. Should Botox® be worn off before eyebrow tattooing? Yes. Allow at least 3–4 months after your last Botox® treatment before tattooing brows, because Botox® can affect brow position. If I already have microblading, do I need laser removal before cosmetic tattooing? Often, yes. Laser removal can clear old pigment to give a clean base, and it may take a few sessions spaced several weeks apart. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Dermal Filler, Medical Device Class III to smooth facial wrinkles and folds, correct facial atrophic scars, restore or enhance the lips or restore facial volume. Dermal filler has risk and benefits. Ask your doctor if dermal filler is right for you. For product information check with your doctor or from product details with the supplier. Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

Is Botox® reversible? Anon, Kumeu No. It is understandable to want reassurance that if you try a treatment and don’t love the result, there’s a way back, but Botox® isn’t reversible the same way dermal fillers are. Most fillers are made of hyaluronic acid, and if needed, can be dissolved instantly with a special enzyme call Hyaluronidase. Botox® is different. Once it’s placed into a muscle, it binds to the nerve endings and blocks their signals. This relaxation is what softens expression lines and prevents new wrinkles from forming. There is no medication that can “erase” Botox® once it’s there. That doesn’t mean you’re stuck if you don’t like the look. The effect is temporary. Your body naturally breaks down the toxin over time, and the nerve endings regenerate, returning to full function once it wears off gradually over three to four months. In some cases, if there is any imbalance, a small adjustment can be made with additional units to restore symmetry. If you’re nervous about trying Botox®, the best approach is to start with a light dose and build up gradually. That way you can ease into the treatment and feel confident about how your face responds. The key takeaway? Botox® isn’t reversible in the moment, but it’s never permanent. With careful, conservative treatment, the results should feel natural and reassuring. And if you decide it isn’t for you, your face will always return to its normal movement as the effects wear off. Quick Answers: Is Botox® reversible? No. Botox® cannot be reversed once it has been injected, unlike dermal fillers. Why can’t Botox® be reversed? Botox® binds to nerve endings and blocks their signals to muscles. There is no medication that can undo this once it has taken effect. What happens if I don’t like my Botox® results? Botox® is temporary. The effects gradually wear off as nerve endings regenerate, usually over 3–4 months. Can Botox® be adjusted if something looks uneven? Sometimes, yes. Small additional doses can be used to improve balance or symmetry if needed. Is Botox® permanent? No. Botox® is never permanent. Muscle movement fully returns once the toxin has worn off. How can I reduce the risk of unwanted Botox® results? Start with a light, conservative dose and build gradually. This allows you to see how your face responds and keeps results natural. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland. Dermal Filler, Medical Device Class III to smooth facial wrinkles and folds, correct facial atrophic scars, restore or enhance the lips or restore facial volume. Dermal filler has risk and benefits. Ask your doctor if dermal filler is right for you. For product information check with your doctor or from product details with the supplier.

Do I need skincare if I have Botox®? Anon, Hobsonville I’m often asked this. The short answer is yes. In fact, I’d argue that combining Botox® with good skincare and skin treatments is the secret to truly radiant results - not just smooth skin, but healthy skin. Botox® works by softening lines caused by repeated muscle movement. It doesn’t improve skin texture, sun damage, hydration, or pigmentation. That’s where a personalised skincare plan and professional treatments come in. They target the quality of your skin, while Botox® targets the movement beneath it. Think of it like ironing a shirt. Botox® takes out the creases, but if the fabric itself is stained, or worn, no amount of wrinkle-smoothing will bring it back to life. That’s what skincare does. It restores glow, clarity, and strength to your skin. At ALLOR, I tailor your skincare and treatment plan around your Botox® cycles. This might include things like microneedling to stimulate collagen, NCTF® or Profhilo® to hydrate and plump, and skincare products with active ingredients like vitamin C, B and retinol. The result? Your skin looks fresh even as your Botox® wears off. So yes, Botox® can help you look rested. But if you want skin that actually glows - skincare matters. And it doesn’t need to be overwhelming. I can help you build a personalised plan that gives your skin exactly what it needs, because loving the skin you’re in truly is the key to looking and feeling your most radiant self. Quick Answers: Do I still need skincare if I get Botox®? Yes. Botox® treats muscle movement but does not improve skin texture, hydration, pigmentation, or sun damage. What does Botox® improve compared to skincare? Botox® softens wrinkles caused by muscle movement, while skincare improves the quality, strength, and appearance of the skin itself. Can skincare make Botox® results look better? Yes. Good skincare supports collagen, hydration, and skin health, which helps Botox® results look more natural and radiant. What skin concerns does Botox® not treat? Botox® does not treat pigmentation, dryness, sun damage, uneven texture, or loss of skin glow. Should skincare be timed around Botox® treatments? Yes. Skincare and skin treatments can be planned around Botox® cycles to support skin quality as Botox® wears off. Is combining Botox® and skincare better than Botox® alone? Yes. Combining Botox® with good skincare and skin treatments delivers healthier, more radiant skin, not just smoother lines. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland. Profhilo® containing low & high molecular weight hyaluronic acid, is a Class III medical device for the treatment of the face and body for contours redefinition and laxity remodelling where skin laxity is a problem. Profhilo® has risks and benefits. Do not use with treatments such a laser resurfacing or medium deep skin-peeling. Caution in people on blood thinning medicines. Do not inject into inflamed areas or intravenously or intramuscularly. Possible side effects: pain and swelling at injection site. Accelagen Pty. Ltd. Whanganui.

I’ve heard Botox® can help with hayfever – is this true? Anon, Whenuapai As spring begins to bloom, so does the dreaded wave of hayfever. If you're one of the many New Zealanders who dreads this time of year - itchy eyes, sneezing, runny nose - you're not alone. And while antihistamines and nasal sprays are helpful for some, others find they barely scratch the surface. That's where Botox® for hayfever, sometimes called “Haytox”, is changing the game. I know it might sound surprising - Botox® for hayfever? But the science is well-established. When a small amount of Botulinum toxin is placed inside the nasal passages (using a fine atomiser or applicator), it helps to calm the overactive nerve endings responsible for hayfever symptoms. The result? Less nasal congestion, reduced sneezing, and fewer tissues (hooray!). I offer this treatment at ALLOR for people who’ve tried the usual approaches with little relief. It’s fast, well-tolerated, and requires no needles in the face - just a simple in-clinic procedure with effects that typically last 3-4 months. That covers most of spring and summer. Haytox isn’t for everyone, and it’s not a complete cure. But if your hayfever gets in the way of daily life, or you simply want to enjoy the outdoors without discomfort, it’s worth considering. After all, spring should be a season to enjoy, not endure. If you're curious whether Haytox could work for you, I’m happy to talk it through. Book a consultation, and we can create a plan that helps you breathe easier this season. Quick Answers: Can Botox® really help with hayfever? Yes. Botox® can reduce hayfever symptoms by calming overactive nerve signals inside the nasal passages. What is “Haytox”? Haytox is the use of botulinum toxin placed inside the nose to help relieve hayfever symptoms such as sneezing, congestion, and a runny nose. How does Botox® for hayfever work? Botulinum toxin reduces nerve activity in the nasal lining, which helps decrease mucus production and irritation that trigger hayfever symptoms. How long does Haytox last for hayfever? Results typically last 3–4 months, which often covers most of the spring and summer allergy season. Is Botox® for hayfever a cure? No. Haytox is not a cure, but it can significantly reduce symptoms for people who do not respond well to antihistamines or nasal sprays. Who is Haytox best suited for? It may suit people with moderate to severe hayfever that interferes with daily life, particularly if standard treatments have not provided enough relief. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz or contact us here. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

I see many patients who come to me feeling frustrated, embarrassed, or just plain tired of dealing with excessive sweating. This isn’t the kind of light perspiration most of us experience on a hot day or when we’re nervous. Hyperhidrosis is something else entirely - it can happen out of nowhere, and it often interferes with daily life in ways most people don’t talk about. It affects confidence, comfort, and even simple things like what clothes you wear, how you greet someone, or whether you feel at ease in your own skin. The good news? There’s a safe and highly effective treatment available. At ALLOR, we use botulinum toxin to treat hyperhidrosis by gently blocking the nerve signals that overstimulate your sweat glands. It’s especially effective in the underarms, but we also use it with great success on the hands, feet, and face. Results usually begin within a few days, and for most people, the dryness lasts between six to nine months. If you're curious whether this treatment might be right for you, we’ll walk you through exactly how it works, what to expect, and how we approach it here at ALLOR. Because once you understand your options, it becomes much easier to take that first step towards relief. What is Hyperhidrosis? Hyperhidrosis is a condition where your body produces far more sweat than it needs to. This isn’t about being hot or exercising - it’s a medical issue where the sweat glands become overactive, often without any clear trigger. It is sweating that simply doesn’t match the situation. You might be sitting calmly in a cool room, yet still find your underarms, hands, or feet completely drenched. It can be unpredictable, and for many people, incredibly disruptive. There are two main types. Primary hyperhidrosis usually starts early in life, often during childhood or teenage years and tends to affect specific areas like the underarms, palms, soles of the feet, or face. It often shows up symmetrically on both sides of the body. Secondary hyperhidrosis, on the other hand, tends to involve larger areas and is usually caused by an underlying medical condition or certain medications. This type is more likely to begin later in life and sometimes continues even during sleep. Primary and Secondary Hyperhidrosis Understanding the difference between these two types helps determine the best treatment approach for your specific situation. Primary hyperhidrosis has no underlying medical cause that we can identify. Your sweat glands simply produce more sweat than necessary in response to normal triggers like stress, heat, or emotions. Secondary hyperhidrosis results from another medical condition or medication. The sweating usually occurs across larger body areas and may happen during sleep. Common causes include diabetes, thyroid disorders, menopause, certain medications, or infections. If you develop excessive sweating suddenly as an adult, we recommend investigating potential underlying causes with your family doctor (GP). Primary hyperhidrosis is more common and responds well to treatments like Botox® injections. Secondary hyperhidrosis often improves when the underlying medical condition is addressed. What Causes Hyperhidrosis? The exact cause of primary hyperhidrosis remains unclear, but does involve your sympathetic nervous system sending stronger signals to your sweat glands than necessary. Genetic factors also play a role. About 30 - 50% of people with hyperhidrosis have family members with the same condition (Haider A, Solish N. Focal hyperhidrosis: diagnosis and management. CMAJ. 2005;172(1):69–75). Emotional triggers like stress, anxiety, or embarrassment can worsen symptoms. Many patients say their sweating increases in social situations, which creates a cycle where worry about sweating causes more sweating. Physical triggers include heat, spicy foods, caffeine, or physical activity. However, people with hyperhidrosis sweat excessively even without these triggers. The condition isn't related to fitness level or personal hygiene. Hyperhidrosis is a legitimate medical condition and not something you can control through willpower alone. How Sweat Glands Work To really understand how we treat hyperhidrosis, it helps to first understand what’s going on with your sweat glands. Your body has two main types of sweat glands: eccrine and apocrine. The eccrine glands are the ones we focus on when treating hyperhidrosis - they’re small, numerous, and found all over your body. They produce the clear, odourless sweat that kicks in when your body’s trying to cool itself down. How Botox® Works for Excessive Sweating When we’re treating hyperhidrosis, the goal is to calm the overactive sweat glands in specific areas without affecting the rest of your body’s ability to regulate heat. That’s exactly what Botox® allows us to do. Botulinum toxin works by blocking the nerve signals that normally tell your sweat glands to turn on. When injected into the right area, it essentially creates a temporary barrier between your nerves and sweat glands so your glands simply stop overproducing sweat. The result? Far less sweating - without affecting your body’s ability to regulate temperature in other areas. You’ll still sweat naturally where you need to, like during exercise or in the heat. But in the areas we’ve treated, the overactive response is switched off. The effects typically begin within 2 to 4 days and results can last up to nine months. Common treatment areas include: Underarms (most popular) Palms and fingers Soles of feet Face and scalp for facial hyperhidrosis The beauty of this treatment is its consistency. Research shows that patients typically see a significant reduction in sweat production, with many experiencing up to 80 - 90% average reduction in sweating in treated areas. I find that patients are often amazed by how quickly their quality of life improves. Within weeks, they're choosing clothes based on style rather than sweat concealment. What to Expect from a Botox® Treatment for Hyperhidrosis We recommend stopping any antiperspirants 24 hours before your appointment and shaving the treatment area. This helps us see exactly where your sweat glands are most active. You'll want to avoid blood-thinning medications and alcohol for 24 hours before your session. Also, avoid active skincare ingredients like retinoids or exfoliants for 3 - 5 days beforehand on the treatment area. On the day of treatment: Wear loose, comfortable clothing Arrive with clean, deodorant-free, hairless skin Avoid caffeine, which can increase sweating Bring a list of current medications If needed, we may perform a starch-iodine test to help map the sweat-prone zones before treatment. The injection process is straightforward but requires precision. we use a very fine needle to inject small amounts of product just under the skin surface. Each injection feels like a quick pinch. Most people find the discomfort minimal and brief. Numbing cream or distraction tools can be used to enhance comfort. Results, Safety and Potential Side Effects Most patients begin seeing improvement in 2 to 4 days, with peak dryness usually by 2 weeks. You’ll likely feel very dry for the first few weeks, before returning to pre-treatment levels around the 6 - 9 month mark. Botox Side Effects for Treating Hyperhidrosis Side effects are generally mild and temporary: Redness or swelling at injection sites Soreness or slight bruising Muscle weakness near treated areas (less common) Rarely, compensatory sweating in untreated zones Complications are very rare when the treatment is performed by an experienced practitioner. Is Botox® Right for You? You may be a good candidate if: Excessive sweating affects your daily life You've tried antiperspirants without relief You prefer a non-surgical option You want targeted results in specific areas We’ll assess your medical history and lifestyle at your consultation to ensure this is the safest, most effective approach for you. If hyperhidrosis is holding you back, let’s change that. Book a consultation and we will guide you through your choices step by step. Book online or reach out to the clinic today. Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

Should I save up for a facelift or have injectable treatments? Anon, Kumeu Ask Dr. Heather article discussing "Facelift vs Injectables" This is something I get asked a lot - Facelift vs Injectables? - should I save up for a facelift, or start with injectable treatments? The honest answer? It depends on where you're at and what you're hoping for. Injectables like dermal fillers and Botox® can work beautifully for smoothing lines, restoring volume, and refreshing your look without surgery. They’re especially helpful if you’re noticing changes but aren’t quite ready for something more invasive. Many of my patients use them as a way to delay the need for surgery altogether - or to make the most of the years leading up to one. A facelift, on the other hand, is a surgical procedure. It can offer a more dramatic lift, especially for deeper sagging or looser skin around the jaw and neck. But it also comes with more downtime, higher costs, and longer recovery. It’s a commitment, and it’s not always the best “first step.” Facelift vs Injectables If you’re unsure, starting with injectables often makes sense. You can target specific concerns, adjust as you go, and see how your face responds. There’s no one “right” choice. But you don’t have to figure it out alone. Choose an injector who you feel comfortable with who will respect your journey, because the path to looking and feeling good is a personal one. Just remember to always remain firmly in the driver’s seat. Quick Answers: Should I choose a facelift or injectable treatments like fillers and Botox®? It depends on your goals, age, skin quality, and how much change you are looking for. There is no single right answer for everyone. When are injectable treatments a better option than a facelift? Injectables are ideal if you want to soften lines, restore volume, and refresh your appearance without surgery or significant downtime. Can injectables delay the need for a facelift? Yes. Many people use fillers and Botox® to maintain facial structure and skin quality, which can delay or reduce the need for surgical intervention. When is a facelift more appropriate than injectables? A facelift may be more suitable for significant skin laxity, deeper sagging, or changes around the jawline and neck that injectables cannot correct. Is a facelift a good first step in cosmetic treatment? Not usually. Surgery is more invasive, involves higher cost and downtime, and is often better considered later rather than as a starting point. What’s the best way to decide between a facelift and injectables? Start with a consultation. A trusted practitioner can assess your face, discuss options, and help you choose a path that suits your needs and comfort level. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland Dermal Filler, Medical Device Class III to smooth facial wrinkles and folds, correct facial atrophic scars, restore or enhance the lips or restore facial volume. Dermal filler has risk and benefits. Ask your doctor if dermal filler is right for you. For product information check with your doctor or from product details with the supplier. Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.