Someone told me to wait until winter before booking a chemical peel. Is that true? Anon, Huapai. Mostly, yes. The cooler months can be a good time for certain skin treatments, but not because there is anything magical about the season. The main reason is sunlight. Treatments such as chemical peels can make the skin more sensitive. Winter usually means less intense sun exposure and fewer long days outside, which can make aftercare easier, however that does not mean you can forget sunscreen. We all need daily SPF, especially after treatments that affect the skin barrier. Winter light may feel softer, but UV exposure doesn’t disappear just because the weather is cold. I also find winter a useful time to reset the skin. Many people come in with dullness, congestion, uneven texture, pigmentation or dryness that has built up over time. A carefully chosen chemical peel can help refresh the skin surface by stimulating regeneration of baby skin cells. So yes, the advice has truth behind it. Winter can be a good window for skin treatments such as chemical peels because the timing often suits recovery with less time spent outside. It should not however be treated as a seasonal sales push by injectors. The right treatment still depends on your skin, your goals and what your skin can safely tolerate. If you are unsure, start with a consultation with an injector you trust. A good plan should feel measured, not rushed. Quick Answers Is winter the best time to get a chemical peel? Often, yes. Cooler months may mean less intense sun exposure and less time spent outdoors, which can make aftercare easier. However, the right timing still depends on your skin, the peel selected and what your skin can safely tolerate. Can you get a chemical peel in summer? Yes. Chemical peels are not limited to winter, but careful sun protection and following your aftercare instructions become particularly important during warmer months. Do you still need sunscreen after a chemical peel in winter? Yes. UV exposure continues during cold and cloudy weather and recently treated skin may be more sensitive. Daily broad-spectrum SPF remains important after a chemical peel. What skin concerns can chemical peels help with? Depending on the peel selected, chemical peels may help with dullness, congestion, uneven texture and some types of pigmentation. The treatment needs to be matched to your skin rather than simply choosing the strongest peel. How do I know which chemical peel is right for me? The choice depends on your skin type, concerns, sensitivity and previous treatments. A consultation allows the practitioner to assess what your skin can safely tolerate and recommend a measured treatment plan. Should I avoid the sun after a chemical peel? You should minimise unnecessary direct sun exposure and follow the aftercare advice provided for your particular peel. Sunscreen remains necessary, but it does not replace sensible sun avoidance while the skin is recovering. 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

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 the PREEMPT protocol. 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.

"I keep seeing people online talking about vascular occlusion after filler. How would I actually know if it was happening to me, and what should I do?" It is a fair question, and the online chatter has made a lot of people nervous about it. Vascular occlusion is rare, but it is one of the filler complications that needs to be taken seriously. It is the reason filler should never be thought of as "just a beauty treatment", when in fact it is a medical procedure, so the person treating you needs to know how to recognise and manage complications straight away. Vascular occlusion is when filler blocks blood flow in a blood vessel, leading to compromise of the tissue the vessel supplies, and in extremely rare cases it can affect vision. Early recognition is key. The sooner a true vascular occlusion is identified and managed, the better the chance of re-establishing blood supply. After filler treatment some tenderness, swelling and bruising are normal. What is not normal is severe or increasing pain, skin that turns pale or white, a dusky purple or mottled, lace-like discolouration, skin that feels cool, blisters, pustules or an area that does not pink back up when you press it. A vascular occlusion can happen during treatment, soon after treatment, or several hours or days later, sometimes after you have already left the clinic. That is why aftercare instructions are important and not something to lose in your handbag. If anything looks or feels wrong, always contact the clinic that treated you immediately rather than waiting until the next day to see how it goes. Send clear photos in good light and describe exactly what you are feeling, as that helps your clinician act quickly. If you have any vision symptoms after filler, such as blurred vision, loss of vision, double vision, eye pain, or a severe headache, seek urgent medical attention and tell your injector straight away. Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase, which is only stocked by injectors and not routinely stocked by the hospital, so it is important to see an injector you trust. It is worth asking what their clinical training and registration is, whether they keep hyaluronidase on site, and what is their plan if a complication occurs, and how would you reach them after hours? A confident clinician will welcome those questions. So, to answer your question directly: know the signs, but do not let them put you off. Choose your injector carefully before anything goes wrong, ask them how they manage risk, keep their after-hours contact handy, and take your aftercare seriously. This combination is what keeps you safe during the filler experience, which should be an enjoyable one, rather than a scary one. Quick Answers What is a vascular occlusion after filler? A vascular occlusion happens when filler blocks blood flow in a blood vessel. This compromises the tissue that vessel supplies and, in extremely rare cases, can affect vision. It is rare but serious, which is why filler is a medical procedure, not just a beauty treatment. What are the warning signs of vascular occlusion? Severe or increasing pain, skin turning pale or white, dusky purple or mottled lace-like discolouration, cool skin, blisters or pustules, or an area that doesn't pink back up when pressed. Mild tenderness, swelling and bruising are normal. These warning signs are not. How soon after filler can a vascular occlusion happen? It can occur during treatment, soon after, or several hours to days later, sometimes after you have already left the clinic. That is why aftercare instructions matter and why you should keep your injector's after-hours contact handy. What should I do if I think I have a vascular occlusion? Contact the clinic that treated you immediately rather than waiting until the next day. Send clear photos in good light and describe your symptoms. If you have any vision changes, eye pain or severe headache, seek urgent medical attention and tell your injector straight away. Can vascular occlusion be treated? Yes. Hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase, which injectors keep on site but hospitals do not routinely stock for this purpose, so your treating clinic is your first call. Early treatment gives the best chance of restoring blood supply. How do I choose a safe filler injector? Ask about their clinical training and registration, whether they keep hyaluronidase on site, their plan if a complication occurs, and how to reach them after hours. A confident clinician will welcome these questions. 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.

I keep seeing terms like “biostimulators” and “bioremodelling”, and it’s getting confusing. Are they actually different, or just names for the same thing? Anon, Hobsonville It is understandable to be confused, especially as the names are similar and with the growing cosmetic industry, there always seems to be a new term to learn! The short answer is yes, there is a difference, but they are more closely related than you might think. Biostimulators such as Sculptra® and Radiesse® are treatments designed to encourage your skin to produce more of its own collagen. Rather than adding volume, they work by stimulating your body’s natural processes to improve firmness, structure and skin quality. Bioremodelling, on the other hand, focuses more on improving the skin’s behaviour. Treatments such as Profhilo® spread through the skin to also stimulate collagen whilst enhancing hydration, elasticity and texture. If we simplify it, biostimulators are about rebuilding support whereas bioremodelling is about improving skin quality. In practice, both approaches do the same thing by creating healthier, more resilient skin. The difference lies in how they get there and what they prioritise. Which one is more suitable depends on what you are noticing in your skin. The important thing is not the label. It is choosing the right injector who will guide you to the best approach for your skin, and use it in a way that still looks like you. Quick Answers Are biostimulators and bioremodelling the same thing? Not exactly. Biostimulators and bioremodelling are related, but they work slightly differently and are usually chosen for different skin goals. What do biostimulators do? Biostimulators encourage the skin to produce more of its own collagen. They are often used when the goal is to improve firmness, structure and support over time. What does bioremodelling do? Bioremodelling focuses more on improving skin quality. It helps with hydration, elasticity and texture, rather than adding volume or changing facial shape. Is Profhilo® a biostimulator? Profhilo® is usually described as a bioremodelling treatment rather than a traditional biostimulator. It can support collagen and elastin activity, but its main focus is skin hydration and quality. Are Sculptra® and Radiesse® biostimulators? Yes. Sculptra® and Radiesse® are commonly described as biostimulators because they are used to encourage collagen production and improve skin support. Which is better: biostimulators or bioremodelling? Neither biostimulators nor bioremodelling is automatically better. The right option depends on what your skin needs, what you are trying to improve, and how your face is assessed during consultation. 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 Sculptra® Medical Device Class III, to increase volume of depressed areas, particularly to correct skin depressions. Sculptra® has risks and benefits. Contains Poly-L-Lactic acid implant suspension. Ask your doctor if Sculptra® is right for you. For product information check with your doctor or from product details with the supplier. Click for further details. Galderma Australia Sydney. Distributed by Healthcare Logistics, 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.

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.

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.

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.