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How much filler do you use during a treatment? Anon, Waimauku Dermal filler is a fantastic tool used to replace volume and enhance structure to achieve facial harmony.  It is designed for injection into different areas of the face, at variable depths, depending on what it is trying to replace such as bone loss, fat loss and/or skin smoothness.   As each treatment is individually tailored, it can be tricky to know exactly how much filler is needed.  We as injectors are pretty good at estimating, however tissues can respond differently, and some require larger volumes than expected.  This is why a volume range is often quoted when planning a treatment, the more deficient tissues requiring more filler to achieve the desired harmony and favourable light reflections we are looking for (think makeup contouring without makeup).   Dermal filler is typically manufactured in 1mL syringes.  Most injectors plan their treatment around what they can do with each syringe so they minimize waste and obtain the most bang for buck.  As filler is packaged sterile, it is best to use each syringe at the time of treatment to reduce the risk of contamination and therefore complications such as infection.    Cheeks, chin, jawline , temples and central face require at least 1-3mL of filler and more may be necessary for optimal results.  Smaller quantities however can also achieve lovely softening of problem areas, especially if done with a tactful artistic eye.  If your injector is clever, they will be able to target specific areas that will achieve overall improvement with minimal product.    Lips typically require the least amount of filler (less than 1mL), however this also depends on the surrounding tissues, as it is imperative lips are supported by their surroundings, so they look natural .  Forcing an entire 1mL syringe of filler into one’s lips is not a good idea for most of us to avoid looking overdone or puffy.    A good honest conversation with your injector is always a great place to start if you are looking at having dermal filler treatment.  Multiple considerations must be discussed including your needs, wants and budget.  You should always feel heard and in the driver’s seat so be sure to ask questions (writing them down can help).  The aesthetic journey is a personal one and should be respected, so listen to your instincts and ensure your injector is listening to you. Quick Answers: How much dermal filler do I need? It depends on your facial structure, areas being treated, and the degree of volume loss. Filler amounts are always individualised. How is dermal filler measured during treatment? Dermal filler is supplied in 1 mL syringes , and treatment plans are usually based on how each syringe can be used most effectively. How much filler is usually needed for cheeks, jawline, or chin? These areas often require 1–3 mL or more , depending on how much structural support or volume replacement is needed. How much filler is typically used in the lips? Lips usually require less than 1 mL . Using too much filler in the lips can lead to an overdone or puffy appearance. Does using more filler give better results? Not always. Strategic placement and injector skill often achieve better, more natural results than simply using more product. How do I know what amount of filler is right for me? An open discussion with your injector about your goals, facial balance, and budget is essential. A good injector will tailor the plan and adjust as needed. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz . 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.

Can Botox ® be used for sweating? Anon, Kumeu Botulinum toxin (commonly known as Botox®) is a versatile beast.  In addition to its well-known function of relaxing muscles , it can also stop sweat glands from working so is a great treatment for sweating.   When injected at a superficial depth (very close to the surface of the skin), it acts to interfere with sweat glands and results can last up to 6-9 months.  It is particularly helpful for those who experience excessive sweating ( hyperhidrosis ), which can affect a variety of areas including armpits, hands, feet and face.  The very superficial nature of the injections minimize muscle involvement, however sometimes muscles close to the skin surface are also weakened, so a tailored approach is needed to ensure treatment is appropriate.   It is also important to ensure your injector is confident other causes of hyperhidrosis have been excluded such as tumour, thyroid disturbance, medications and diabetes.  If any doubt, it is always best to check with your GP in the first instance.   As the warmer months approach (yay!), so too does sweating.  This can be embarrassing and affect quality of life significantly.  It is helpful to know reliable treatments for this exist and our good ol’ friend Botox®  can help us once again. Quick Answers: Can Botox® be used to treat excessive sweating? Yes. Botox® can block the signals to sweat glands and is an effective treatment for excessive sweating (hyperhidrosis). How does Botox® reduce sweating? When injected very superficially, Botox® interferes with sweat gland activity rather than muscle movement, reducing sweat production. How long does Botox® for sweating last? Results can last 6–9 months , which is often longer than cosmetic Botox® used for wrinkles. Which areas can be treated with Botox® for sweating? Common areas include the armpits, hands, feet, and face, depending on where excessive sweating occurs. Is Botox® for sweating safe? Yes, when performed by an experienced practitioner using correct technique. Treatment must be tailored to avoid unwanted muscle weakness. Should other causes of excessive sweating be ruled out first? Yes. Conditions such as thyroid problems, medication effects, diabetes, or rare tumours should be excluded, and a GP review is recommended if there is any doubt. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz . 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.

How long does filler last? Anon, Riverhead. Dermal filler is an injectable gel made of hyaluronic acid.  Every gel on the market varies in terms of firmness and in general, the firmer the filler, the longer it lasts. Filler selection is based on how well it mimics tissues, whether that be skin, fat or bone. Firmer fillers are usually injected deep onto bone and tend to last up to 1-2 years on average based on manufacturer information.  Softer fillers such as the sort that is typically injected into lips and wrinkles tend to last 6-12 months as they are metabolized quicker by our tissues. Recent MRI (Magnetic Resonance Imaging) studies have shown filler can last much longer, up to 8 years, possibly longer.  This has created quite the stir on social media.  Many injectors have claimed this is a bad and scary thing; even going as far as to say they will not inject filler anymore.  This is bogus in my opinion, as the product itself is inert and mimics naturally occurring hyaluronic acid we have in our tissues, so is safe to remain for years, unless there is a complication.  Thankfully complications are rare and minimised by appropriate patient selection and precise sterile injecting technique at the outset, so it is always best to choose your injector wisely. The trendy concern regarding longevity of filler is often aimed at people who look progressively odd, where filler on top of filler is administered over many years without a good objective eye keeping everything looking natural.  This is crucial, as there are many instances where filler may no longer serve us, the tear trough (under eye area) a classic example, where under eye bags become puffier over time.  The wonderful thing about hyaluronic acid filler however, is that it can be dissolved. Regular clinical photography and a good, sensible eye are imperative to prevent the slow deterioration of one's appearance, often coined "Boiled Frog Syndrome."  This phenomenon is where one is treated with multiple treatments over time just as a frog tolerates slow heating in a pot.  When the pot boils, the frog does not realise how hot it is and dies, much like the natural appearance of someone who falls victim to too much filler.  On the contrary, if a frog is placed into a pot of boiling water at the outset it quickly jumps out, just as one should stop and correct unnatural results that can only be seen with a keen, objective eye.  This is sadly variable amongst injectors, but a great rule of thumb is if your injector looks a bit puffy or odd, you probably will too. Quick Answers: How long does dermal filler last? It depends on the type of filler used and where it is placed. Firmer fillers can last 1–2 years , while softer fillers often last 6–12 months . Does the type of filler affect how long it lasts? Yes. Firmer, more cross-linked fillers last longer than softer gels because they are metabolised more slowly by the body. Do fillers really last longer than advertised? Yes. MRI studies show hyaluronic acid filler can remain in tissues for many years , sometimes up to 8 years or longer , even if the visible effect fades earlier. Is it dangerous if filler lasts for years in the face? No. Hyaluronic acid filler is inert and mimics a substance naturally found in the body, so it is safe to remain unless a complication occurs. Why do some people start to look worse over time with filler? Problems usually come from repeatedly adding filler without reassessment. Over time, this can lead to puffiness or distorted features if not monitored carefully. What can be done if filler no longer looks right? Hyaluronic acid filler can be dissolved. Regular review, clinical photography, and an objective injector eye help prevent long-term overfilling. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz . Restylane®, Medical Device Class III to smooth facial wrinkles and enhance lips by restoring volume and fullness. Restylane® has risks and benefits. Ask your doctor if Restylane is right for you. For product information check with your doctor or from product details with the supplier.  Click for further details. Stabilised Hyaluronic Acid 20mg/Ml. Galderma, Australia, Sydney or distributor Healthcare Logistics, Auckland.

I’m struggling to sleep as Christmas approaches, any tips? Anon, Whenuapai The holiday season can be stressful. Events, presents, gatherings, spending time with people you may not want to, it’s a lot. Squeezing in too many things can make us feel the weight of the world on our shoulders, and this commonly leads to poor sleep. Sleep hygiene is a great place to start when trying to achieve more slumber. It is where we do things to encourage our body clock to tick as it should, so we secrete the right amounts of the hormone melatonin and therefore achieve quality sleep. This means getting up and going to bed at the same time each day (easier said than done when there are presents to wrap). If that is difficult to achieve during the holidays, other tweaks such as exposing yourself to natural daylight as soon as you wake and darkening your bedroom with block out curtains can help. Our bodies like to be between 16 and 18 degrees Celsius for optimal sleep, so unless you have air conditioning (heaven!), it would be sensible to invest in a fan. There are clever mattress protectors that cool when you touch them, so are also a great option. A cold shower just before bed and sleeping with your hair wet is a great way to lower and maintain core body temperature as well - much easier to achieve if you start warm then go cold right at the end for a minute or so. Cold showers are also fantastic for stimulating release of anti-ageing proteins, strengthening the immune system, releasing endorphins and stimulating production of brown fat (fat that keeps us warm and helps us lose weight). A great option to add to your routine for multiple benefits – I now miss it if I don’t go cold at the end of my showers! Other great ways of stimulating sleep is to exercise during the day (a good walk can do wonders), avoid daytime naps and reduce blue light exposure from screens before bed. Avoiding caffeine at least 6 hours before bed is also recommended, as is having a solid bedtime routine, where you wind down with same sequence of events. A great example would be a cold shower, reading a book, meditating and a non-caffeinated tea such as chamomile. Writing a list of things you need to do to remove them from your mind is also a great way to minimize brain chatter when lying in bed. If these fail, the next step would be to have a chat with your family Doctor about medications and to address any other possible causes of insomnia, such as anxiety or thyroid dysfunction. Sleep is something we don’t miss until it’s gone. Sleep disruption is common, especially around the holidays so remember to be kind to yourself. Sometimes letting go of our own self-criticism can unlock the barriers we have with sleep, allowing a much more enjoyable slumber and holiday season . Quick Answers: Why do I struggle to sleep during the holidays? Holiday stress, overcommitment, and disrupted routines commonly interfere with sleep and can lead to short-term insomnia. What is the best way to improve sleep during the holidays? Focus on good sleep hygiene. Keep consistent sleep and wake times where possible, get daylight exposure in the morning, and darken your bedroom at night. What temperature is best for sleep? Most people sleep best in a cool room, ideally around 16–18°C , as a lower core body temperature supports melatonin release. Can cooling techniques help with insomnia? Yes. Using a fan, cooling bedding, or taking a cold shower before bed can help lower body temperature and promote sleep. What habits should I avoid if I can’t sleep? Avoid caffeine within 6 hours  of bedtime, limit screen use before bed, avoid daytime naps, and reduce blue light exposure in the evening. When should I talk to my GP about insomnia? If sleep problems persist despite good sleep habits, or if anxiety or medical causes are suspected, your GP can help assess and discuss treatment options. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz .

There’s lots of talk about “new year, new you”, so it has me thinking about what my options are for looking good, but I have no idea where to start.  Any suggestions? Anon, Whenuapai Ask Dr. Heather Blog as featured in the K umeu Courier   Welcoming the new year can feel intimidating as it sets expectations for what we should achieve.  Looking good helps us feel good and thankfully there are multiple options down the cosmetic track if you feel you need a bit of a tweak.   The cosmetic treatment options range from dermal filler (injected hyaluronic acid gel that replaces volume and structure) to botulinum toxin (colloquially known as Botox®, a neurotoxin that relaxes muscles to stop skin creasing).  Skin treatments and skincare are also important, as one can never truly glow if their skin is dull.    Skin treatments include microneedling (tiny needles penetrate the skin to stimulate collagen), chemical peels (controlled peeling of skin cells generating radiant, less pigmented new skin) and injectable skin treatments (injectable hyaluronic acid such as Profhilo® or mineral cocktail such as NCTF® with or without Art Filler®).    Navigating what’s on offer can feel just as overwhelming as entering the new year.  Its best to consult an injector to discuss what will work best for you, as many treatments target multiple areas and provide bang for your buck.  A thorough, initial consultation is a great time to chat whilst also ensuring you feel comfortable.  Our faces and bodies are precious, so only put them in the hands of someone you can trust.  And remember, if your injector looks weird, you probably will too! Quick Answers: Where should I start with cosmetic treatments if I’m new to them? Start with a consultation. A good injector can assess your face and skin and help prioritise treatments that suit your goals and budget. What are the main cosmetic treatment options available? Options include botulinum toxin (Botox®) to relax muscles and soften lines, dermal filler to restore volume and structure, and skin treatments to improve texture and glow. What skin treatments can help improve overall skin quality? Common options include microneedling, chemical peels, and injectable skin treatments such as hyaluronic acid or mineral-based skin boosters. Do cosmetic treatments work better when combined? Yes. Many treatments complement each other and can target multiple concerns at once, often giving better overall results than a single treatment alone. Why is a consultation important before cosmetic treatments? A consultation ensures treatments are tailored to you, helps avoid unnecessary procedures, and allows you to feel confident and comfortable with your injector. How do I choose the right cosmetic injector? Choose someone you trust, who explains your options clearly, prioritises natural results, and makes you feel heard and supported. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz . 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. 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.  ART FILLER® containing low & high molecular weight hyaluronic acid, is a Class III medical device for the treatment of facial contours for redefinition, laxity and remodelling where skin laxity is a problem. ART FILLER® 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. Distributed by Cryomed Aesthetics Ltd. Auckland.

Microneedling is a great treatment for skin rejuvenation.  It’s like giving your skin a wake-up call, stimulating collagen and elastin to correct fine lines, wrinkles , acne scars, and improve overall texture. If you’re looking for a way to refresh your skin without major downtime, this treatment is definitely worth considering.   HOW DOES MICRONEEDLING WORK? Over time, our skin naturally loses collagen, leading to fine lines, sagging, and uneven texture. Microneedling helps reverse this by strengthening your skin from within, making it a fantastic option for improving: Fine lines and wrinkles Acne scars Uneven skin texture Enlarged pores Tiny, sterile needles penetrate the skin, creating microscopic channels and stimulating the body’s natural healing response.  Growth factor TGF-β3 is released in a process unique to microneedling, triggering what many refer to as the holy grail of healing, where repair happens without scar formation.  Fresh collagen and elastin are therefore produced to smooth skin and give it a youthful glow. And the best part? The results get better over time as your skin continues to build collagen in the weeks following treatment (go skin, go!).   MICRONEEDLING FOR ACNE SCARS If you’ve been struggling with acne scars , microneedling can be a game-changer.  By stimulating collagen production in scarred areas, the treatment helps smooth out irregularities.  When combined with topicals such as insulin, the results are even more profound.   Before and after photo of acne scars after 3 microneedling sessions. Before and after photo of acne scars after 3 microneedling sessions.  For acne scars, I usually recommend a series of 3-6 treatments, spaced about 4-6 weeks apart.  Some scars - especially deeper ice-pick scars - may need a combination approach with chemical peels , but even on its own, microneedling can make a noticeable difference.   MICRONEEDLING FOR FINE LINES AND WRINKLES One of my favourite things about microneedling is how well it works for fine lines . The tiny needles trick your skin into thinking it needs to repair itself, so it becomes firmer and more radiant over time. Most patients notice an improvement in skin texture after just one session, but the real magic happens around the 3-month mark when collagen remodelling peaks.  What’s even more beautiful about this treatment is that in can be used on any skin on the body, popular areas include face, neck, decolletage, hands, and caesarean section scars.   WHAT TO EXPECT DURING A MICRONEEDLING TREATMENT If you’re nervous about pain, don’t be.  A numbing cream is applied before treatment , so most people only feel a mild prickling sensation.  The procedure itself takes about 30-45 minutes, depending on the area being treated. Afterwards, your skin may be red - similar to a mild sunburn - but this usually settles within 24-48 hours.  You might experience some dryness or light flaking as your skin renews itself, but nothing that will keep you from your normal routine.   HOW TO CARE FOR YOUR SKIN AFTER MICRONEEDLING Post-treatment care is crucial for getting the best results.  Your skin will be more sensitive than usual, so I always recommend: Avoiding makeup for at least 24 hours  to let your skin breathe. Applying a gentle moisturiser  to keep skin hydrated. Using SPF 50+ daily  and avoid sun exposure. Skipping harsh exfoliants and active ingredients  (like retinol ) for a few days to allow your skin to heal properly.   HOW MANY SESSIONS DO YOU NEED? This depends on your skin goals.  For general rejuvenation, 3-4 sessions spaced a month apart are ideal.  For deeper acne scars or more pronounced wrinkles, you may need 5-6 sessions. Once you’ve completed an initial series, I usually recommend maintenance treatments every 6-12 months to keep collagen production active and skin looking fresh.   FINAL THOUGHTS Microneedling is one of those treatments that keeps on giving.  The results aren’t instant, but with each session , your skin gets better - smoother, firmer, and more radiant.  If you’re looking for a natural way to boost collagen and improve skin texture, microneedling is definitely worth a try. Your skin has an incredible ability to heal and renew itself.  Sometimes, it just needs a little encouragement! Dr. Heather Anderson MBChB, BSc, RNZCUC

I've noticed more brown spots on my skin in the past few months and was wondering what I can do to get rid of them? Anon, Whenuapai   Brown spots can be very frustrating and are common at the end of Summer (cue crying emoji face). All the wonderful long sunny days pepper us with bits of ultraviolet radiation, even when wearing sunscreen .  Now that's not to say SPF isn't necessary (if anything it shows just how necessary it is), but even with the best sun protection, we can develop unwanted pigmentation just from the increased exposure over the glorious long days of daylight savings.   Thankfully there are treatments that can help.  Chemical peels in particular are wonderful at lifting pigmentation, and as the weather cools, they are the perfect treatment as we start to spend more time inside.  Peels also are fantastic for anti-ageing as they remove old skin and expose fresh, clearer baby skin.  Winter glow anyone? The real key to a successful peel is for skin to be prepared with the right skincare in the weeks prior to ensure it is ready for pigment removal, followed by maintenance after the peel to sustain results. Just as the old, brown leaves shed off the trees in Autumn to make way for new growth, you too can shed old aged cells to reveal a glowy new you.  After all, we have to make most of all the seasons of life, even if it means cold weather (cue crying emoji face). Quick Answers: What causes brown spots on the skin? Brown spots are usually caused by sun exposure. Ultraviolet (UV) radiation triggers excess pigment production, which often becomes more noticeable after summer. Can brown spots appear even if I use sunscreen? Yes. Sunscreen is essential, but increased daylight and cumulative sun exposure can still lead to pigmentation over time. What treatments help reduce brown spots? Chemical peels are particularly effective at lifting pigmentation and improving skin clarity, especially in the cooler months. Why is autumn or winter the best time to treat pigmentation? Cooler seasons mean less sun exposure, which reduces the risk of new pigmentation forming while the skin is healing. Do I need to prepare my skin before pigmentation treatments? Yes. Preparing the skin with the right skincare beforehand and maintaining results after treatment is key to successful pigment reduction. Can treating brown spots also improve skin quality? Yes. Treatments like chemical peels not only reduce pigmentation but also refresh the skin, improve texture, and support anti-ageing. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz .

If you’ve ever looked in the mirror and thought, “I’d love just a little more shape or volume to my lips,”  you’re not alone. Lip fillers are one of the most popular cosmetic treatments and for good reason, it can gently enhance what’s already there giving your lips more structure and definition. Before you decide to go ahead with lip fillers, it's crucial to prepare for your consultation and understand what to expect. What are Lip Fillers made of? Lip fillers are a type of injectable  filler treatment made of hyaluronic acid , a natural substance in our bodies that attracts water, and hence volume. Common brands of filler used in lips include Restylane®, Belotero® and Juvederm® however there is no particular “ best lip filler ”, as it depends on how it is injected.  Some hyaluronic fillers are softer and perfect for smoothing out fine lines, while others are designed for more structure and volume.  That’s why a personalised consultation matters so much. It’s not about copying someone else’s lips; it’s about finding what works beautifully for your unique face and features. The Importance of a Personalised Initial Consultation During your initial consultation , we discuss your desires and concerns and tailor a customised treatment plan together that works for you and your budget.  Creating lips that look natural and feel like your own is our top goal. With strategic placement of filler, we aim to enhance your natural lip features rather than drastically change them. The objective is to achieve a lip enhancement that compliments your face and lips that reflect your individuality while feeling naturally yours.   BEFORE YOUR APPOINTMENT: WHAT TO KNOW A little preparation goes a long way when it comes to lip filler treatments. After your initial consultation you will be provided with a pre-treatment instruction sheet explaining what to expect and general measures to follow in preparation for your treatment.  These include: 1.      Avoid Blood Thinning Medication and Alcohol Avoid alcohol and blood-thinning medications (like aspirin, ibuprofen and other anti-inflammatories) for 24 hours before treatment to minimise bruising and swelling.   2.      Arrive at Your Appointment with Clean Skin Your skin is always cleaned before any treatment, however coming to your appointment make-up free is helpful to ensure a clean canvas and hence minimise risk of infection.   3.      Pause other Treatments Avoid facials, chemical peels , laser treatments, hair removal and microdermabrasion for at least one week beforehand and one week after.  It is also a good idea to avoid active skincare ingredients like retinoids ( retinol /vitamin A), AHAs and exfoliants for at least three to five days beforehand, as these can make the skin more sensitive.    4.      Stay Hydrated Drink plenty of water in the days leading up to your treatment to support healthy, hydrated skin.   5.      Let us know about any Skin Conditions If you have any active skin infections, cold sores, or other concerns, please inform us ahead of your appointment so we can guide you accordingly.   6.      Check Your Schedule Try to schedule your treatment at least two weeks before any important events and ensure you remain in Auckland for one week after your treatment, to ensure any complications can be swiftly treated.   7.      Plan Your Future Trips Try to avoid flying overseas four weeks after your treatment ensure no unwanted swelling occurs due to in-flight pressure treatments.   8.      Leading up to Your Treatment If you feel unwell, have dental work or vaccinations in two to four weeks prior to your treatment, let us know as we may need to re-schedule your treatment.  Dermal filler must only be injected when someone does not have an active immune system, to avoid complications such as granulomas or nodules.   WHAT HAPPENS DURING THE TREATMENT? When you arrive, we’ll go over everything again - your goals and any questions you may have. A numbing cream will be applied so you’re as comfortable as possible. Most of the time, the filler itself also contains a numbing agent, so it’s surprisingly gentle. We’ll take our time, using a tiny needle or a blunt-tip cannula to place the filler precisely where it’s needed. The process usually takes around 60 minutes, and you’ll see an immediate difference, although there may be some swelling right after.   AFTERCARE: TREAT THOSE LIPS WITH LOVE Post-treatment, your lips will need a little TLC: ·         Expect some swelling and possibly a bit of bruising - that’s normal. ·         Sleep with your head slightly elevated to help reduce swelling. ·         Avoid alcohol, caffeine, and spicy foods for 24 hours. ·         Skip lipstick or lip balm for a day or two. ·         No kissing, saunas, or heavy exercise for at least a day or two (yes, really!). And remember don’t poke, prod, or press your lips. Let them settle naturally into their new, beautiful shape. POSSIBLE RISKS (AND HOW TO STAY SAFE) Lip filler treatments are generally very safe when performed by experienced hands , but like all medical treatments, they do come with risks. Most are minor and short-lived, swelling, bruising, or mild tenderness. In very rare cases, more serious complications can occur, such as filler being injected into a blood vessel (vascular occlusion). That’s why seeing a trained professional who knows facial anatomy inside and out is absolutely essential as they also know how to reverse the filler in case of any emergency. If you have an autoimmune condition or allergies, we’ll discuss that during your initial consultation to make sure this treatment is right for you. A FEW QUESTIONS YOU MIGHT BE WONDERING… 1.      Do lip filler injections hurt? Most patients say it’s far more comfortable than expected. Between numbing cream and local anaesthetic in the filler, discomfort from the lip injections is minimal.   2.      Are lip fillers right for me? During the initial consultation we will go through the process and decide if lip filler is right for you. However, we cannot provide this service if you are pregnant, breastfeeding, have severe allergies or autoimmune disorders.     3.      Are lip fillers permanent? No, on average lip fillers last between 6 to 12 months but can in some instances last for up to 2 years. The exact duration depends on your metabolism, the type of filler used, and how much was injected.   4.      How much does lip filler cost? Lip filler typically costs around $800, depending on the product and how much is needed. We’ll go over all the details with you in clinic - no surprises.   5.      What will my lips look like right after treatment? They might look a little puffier than you expect at first - that’s normal and settles down in a few days. You’ll start seeing the true results within a week, with the final results expected at four to six weeks afterwards, when the filler has fully integrated into your tissues.     6.      Are there lip fillers near me? ALLOR Cosmetic Clinic is located in Whenuapai, Auckland only a few minutes drive from Westgate, Hobsonville, West Harbour, Kumeu, Greenhithe and the North Shore.  If you are interested in lip filler in Auckland, book online today for an initial consultation with Dr Heather to start the process.   YOUR LIPS, YOUR WAY If you’re thinking about getting lip augmentation, know that you’re in control. There’s no pressure, no one-size-fits-all, and no need to chase trends. This is about feeling confident in your own skin and your smile. When done safely and thoughtfully, lip fillers can be a wonderful way to bring balance and softness to your features. If you're curious, come in for a chat. No pressure - just good advice, expert guidance, and a caring space to explore what feels right for you.

I had the pleasure of joining The Smart Girls Club  podcast for Episode 14  - a conversation that felt both honest and rejuvenating.  Exactly what great cosmetic treatments and conversations should be. In the episode, we dive into everything from the myths surrounding Botox® and fillers , to how cosmetic medicine can be approached in a way that feels natural, thoughtful, and personal.  We also talk through the subtle shifts in how confidence, identity, and beauty evolve as we age and how important it is to feel informed and in control of your choices. If you’ve ever felt curious (or cautious!) about aesthetic treatments, this is a great listen. I share insights on lip fillers, Botox®, Profhilo® , and how I work with patients  to achieve results that still feel like you - just a little more rested and refreshed. At ALLOR , my goal has always been to create a space where people feel seen, heard, and never judged.  This conversation was a wonderful extension of that ethos, and I’m so grateful to have been invited. A big thank you to Sarah Cavanagh , the lovely host of The Smart Girls Club , for having me on and guiding such a thoughtful, engaging chat. You can listen now to Episode 14  on iHeartRadio or Spotify  on the links below or just search The Smart Girls Club  and look for my name. 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 been wanting to have filler in my lips, but am feeling unsure. How do you make sure they look good?Anon, West Harbour  Luscious lips are something many of us desire, and multiple things should be considered to ensure they look and feel good.  It is natural to feel nervous, as there are a lot of overdone lips out there that are enough to scare even the bravest of souls (Married at First Sight anyone?).   As injectors we firstly have to take into account overall facial proportions and surrounding tissues. Lips should never look stuck on, so there must be adequate support from tissues around the mouth in order to achieve a natural result . Correct filler choice (softer rather than firmer), injected at the correct depth (close to the skin surface) in the correct amount (not too much) and correct location (only in the pink area, also known as the "pink lip"), will ensure it looks natural. Specific areas of deficiency, width of your nose and eyes, in conjunction with your own natural lip shape, ethnicity and lip projection will also help yield a lovely result where you look subtly enhanced, but still yourself. Very few of us look good with large lips and none of us looks good with sausages. Harmony is key, so always see an injector who will respect this, so you look and feel like the best, most luscious version of you .   Quick Answers: How can I get natural-looking lip filler? Natural-looking lips come from careful assessment of your face, using the right type of filler, and avoiding overfilling. What makes lip filler look unnatural? Too much filler, filler that is too firm, poor placement, or lack of support from surrounding tissues can make lips look puffy or artificial. What type of filler is best for natural-looking lips? Softer hyaluronic acid fillers are best, as they move naturally and blend better with lip tissue. Where should lip filler be injected for the most natural result? Filler should be placed in the correct depth and location, typically within the pink part of the lip, and only where volume is needed. Do facial features affect how lip filler should be done? Yes. Nose width, eye spacing, natural lip shape, ethnicity, and overall facial proportions all influence how lip filler should be planned. How do I avoid overdone lips? Choose an injector who prioritises balance and harmony, uses conservative amounts, and aims to enhance your natural lip shape rather than change it. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz

Does Botox get rid of all wrinkles?  Anon, Whenuapai Botox® is a clever tool used to paralyse muscles, so can tactfully be injected to stop skin from creasing.  A common source of confusion however, is the extent to which Botox® can treat wrinkles .    Two different types of wrinkles exist – dynamic and static.  Dynamic lines are present when muscles are contracting during facial expression, so respond very well to Botox®.  Static lines however are caused by repetitive contractions over time in conjunction with ageing, where skin and fat become thinner .  The smoothening effect of these tissues is therefore diminished, leaving behind lines that stay there even after Botox® treatment.  This can seem disheartening, however with repeated Botox® treatments, good skincare, injectable skin treatments and sun protection, pesky static lines can eventually fade.    Botox® also indirectly stimulates skin cells (fibroblasts), leading to improved skin quality and a fresher appearance , regardless of how many static or dynamic lines are present.  Facial expressions associated with negative emotions such as frowning are also minimised, leading to a lighter, positive demeanour.  This is in turn causes re-wiring of our brains, triggering us to feel happier, and as we subconsciously mirror each other’s expressions, people around us feel happier too.    The beauty of cosmetic treatments such as Botox® lies within its diversity and depth of action.  Not only does it act on muscles, it also acts on our brains, in the most wonderfully positive way.  In addition to its ability to stimulate skin cells , it is the perfect treatment for that refreshed glow we are all looking for. Quick Answers: Does Botox® get rid of all wrinkles? No. Botox® is most effective for wrinkles caused by muscle movement and does not instantly remove all static lines. What wrinkles does Botox® treat best? Botox® works best on dynamic wrinkles , which appear when muscles contract during facial expressions, such as frowning or squinting. What is the difference between dynamic and static wrinkles? Dynamic wrinkles appear with movement, while static wrinkles are present at rest and are caused by long-term muscle activity combined with ageing and skin thinning. Can Botox® improve static wrinkles over time? Yes. With repeated Botox® treatments, good skincare, injectable skin treatments, and sun protection, static lines can gradually soften. Does Botox® improve skin quality as well as wrinkles? Yes. Botox® can stimulate skin cells, improve skin quality, and contribute to a fresher, more radiant appearance. Can Botox® affect mood or facial expression? Yes. By reducing frowning and other negative expressions, Botox® can influence emotional feedback pathways and contribute to a lighter, more positive demeanour. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz Botulinum toxin injections are prescription only medicine for the treatment of frown lines, horizontal forehead lines, and crow’s feet round the eyes. Botulinum toxin injections have risks and benefits. Ask your doctor if botulinum toxin injections are right for you. If you have side effects, see your doctor. You will need to pay for your botulinum toxin injections and clinic fees will apply. For details on precautions and side effects consult your doctor or go to www.medsafe.govt.nz. Botulinum toxin injections last about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. 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 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.