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.

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

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.

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 Written by Dr. Heather Anderson, MBChB, BSc, FRNZCUC, PGDip Cosmetic Medicine, NZSCM | ALLOR Cosmetic Medicine, Auckland 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.

If you’ve been curious about softer, subtler options for smoothing wrinkles, you might have heard about something called Baby Botox®. Baby Botox® is a treatment that uses smaller doses of Botox® to gently soften lines, while keeping your natural look and facial movement. People often tell me they want to look well-rested and not dramatically different, and that’s exactly what this trend is all about. By using less product, Baby Botox® can give the skin a smooth, fresh feeling without making you look like you’ve had anything “done.” That touch of freshness - without giveaway shine or stiffness - has made this approach especially popular with people who value a natural appearance but still want results. If you’ve ever hesitated about more traditional Botox® because you worried about looking too stiff or losing your expressions, Baby Botox® might be a gentle introduction. I find that it’s a helpful option for anyone just starting out with wrinkle relaxers, or for those who want to maintain a softer look. What is Baby Botox® and How is it Different? Baby Botox® is a cosmetic treatment that uses smaller, more precise doses of Botulinum toxin type A than traditional Botox®. This approach aims for a softer refresh, allowing facial movement and subtle expressions to shine through. Baby Botox® can also be injected directly into the skin to tighten pores and improve skin texture. Comparing Baby Botox® to Traditional Botox® Traditional Botox® treatments often focus on smoothing out deeper lines and freezing muscle action in targeted facial areas to create a smooth surface, especially in areas like the forehead, frown lines, and around the eyes. Baby Botox® uses the same botulinum toxin type A, but with smaller doses. By reducing the amount injected with each treatment, patients tend to see subtle, natural results. Facial expressions remain soft as movement isn’t as restricted. Here’s a simple table for a side-by-side look Why Choose a Subtle Approach? Many people - especially younger adults or those new to cosmetic procedures want a gentle refresh where lines are softened without that “frozen” look. With Baby Botox®, tiny tweaks deliver a subtler finish. Crow’s feet soften, but your laughter still shows. Frown lines ease, but you don’t look motionless. Some people even use it as a preventative, starting early to keep fine lines from deepening as they age. It’s worth noting, though, that Baby Botox® will not offer as dramatic a result for more obvious wrinkles and longevity of results will be less than that of traditional Botox®. The right choice depends on your goals and how much correction you want to see. Understanding the Technique The Baby Botox® technique is really about precision and balance. I use a subtler approach, spacing out small amounts of botulinum toxin in very careful spots beneath the skin. This allows me to soften specific lines - like around the eyes or forehead - without flattening out your natural expressions. Each treatment is a little different, tailored to what you actually need, rather than relying on a one-size-fits-all pattern. Most people notice the effects within a few days, with peak effect expected at two weeks. The results tend to last up to three to four months, depending on dosage used (higher doses last longer). Dose adjustments can be made at subsequent appointments to suit any changing needs or preferences. Baby Botox® Treatment Experience Baby Botox® isn’t just about smoothing lines - it’s a blend of personal goals, tailored care, and subtle changes that still look natural. Each step, from the first conversation to the days after your appointment, is shaped to your needs and comfort. What Happens During a Consultation? When I meet with someone for a Baby Botox® consultation, I start by asking about their goals and what concerns they’d like to address. There’s no pressure and definitely no rush to have any treatments. You get the chance to show me the areas you’re noticing changes, whether that’s faint lines, forehead movement, or a general wish for softer expression. I ask about your medical history, any previous injectables you’ve tried, and what you hope to achieve. We talk openly about the risks and benefits so you feel confident about both the science behind the treatment and what results we expect you to experience. By the end, I give you a clear treatment plan, an idea of the Baby Botox® cost involved, and answer any questions you might have. How an Appointment Unfolds Once we’ve settled on a treatment plan and you’re ready, the actual appointment usually takes less than 30 minutes. I ask you to gently move your face - raise your eyebrows, frown, smile - so I can see those little dynamic lines in action. It’s a bit like seeing where paint would settle on a canvas. I use a fine needle and carefully inject very small amounts of Botulinum toxin into specific muscles. This is the key difference with Baby Botox®: much lower doses are used compared to traditional treatments, which helps you keep your natural expressions. Most people say the sensation is mild, like a tiny pinch or a mosquito bite. I check in on your comfort the entire time and can use numbing cream and/or a distraction tool if you’re sensitive. Afterwards I apply a clean, tinted SPF and you’re usually able to head back to your day straightaway. Aftercare instructions are provided detailing what to expect and what activities to avoid in the days following your treatment, with a contact number in case you have any questions or concerns. Your First Few Days After Treatment Most people find that the first days after Baby Botox® are uneventful. There may be a little redness or swelling at the injection sites, but it fades quickly. Sometimes there’s a light bruise, but it’s small and easy to cover with make-up. I advise avoiding heavy exercise, rubbing the area, or lying on your face for about 48 hours after your treatment. This helps the product settle just where it’s supposed to. You can wash your face gently and go about most other normal activities. Within three to seven days, you’ll start to notice the softening of lines, but not a frozen or “done” look. You’ll still look like yourself - just a little fresher. If you have any concerns, I’m always just a phone call or message away. Areas Treated and Results you can Expect Baby Botox® is designed for small, precise improvements in facial lines and subtle changes that keep natural muscle movement. By targeting specific muscle groups, it can soften lines and wrinkles without freezing your expressions or creating an artificial look. Natural-Looking Changes Most people who come to me want to look like themselves - just a bit more refreshed. Baby Botox® is about supporting your own facial expressions rather than hiding them and keeping your skin looking its best. I focus on preserving your unique features and making sure movement is never frozen. One thing I notice: the best results are the ones where nobody can quite put their finger on what’s different. There's improved smoothness, but you can still smile, frown, or laugh as you always have. That’s why I always start conservatively and adjust based on your specific anatomy and goals. If you’re worried about losing your natural charm or looking too “done,” Baby Botox® is a good option to explore. We can always add more, but starting with less is the gentlest path to subtle changes. Results will gradually fade, making it easy to decide when you’d like another treatment. This flexibility is actually one of the reasons both younger patients and seasoned Botox® regulars like it. Creating a Maintenance Plan If your goal is to keep your skin looking consistently smooth, a regular schedule helps. Most people find that booking touch-up treatments every 3 or 4 months works well. These appointments don’t have to be set in stone, but keeping a routine does make a difference for ongoing results. Think of maintenance as “topping up” your treatment before old lines creep back in. A steady approach can mean you need fewer units each visit, and you’ll avoid the cycle of peaks and valleys that sometimes happen with longer gaps in between. This also gives you a sense of control with your anti-aging plan, so you’re never caught off guard. I also suggest reviewing your plan together at each visit, especially if you notice changes in how your skin responds or if your lifestyle shifts. Treatments should always fit where you are right now, not just what worked last year. Using Baby Botox® as a Preventative Measure There’s a growing trend of people in their 20s and 30s starting Baby Botox® before deep lines form. The thinking here isn’t just about turning back the clock, but slowing it down a little. By gently relaxing the muscles that cause expression lines, smaller doses can help prevent fine lines from setting in as strongly over time. This preventative approach is subtle - it doesn’t mean you’ll look like you’ve “had work done.” Instead, it’s like smoothing a piece of paper just before it gets creased. You stay looking naturally yourself, just with less wear showing in the usual places. Not everyone needs to start early. It depends on your family history, how expressive your face is, and your personal preferences when it comes to anti-aging. I always encourage an open conversation about your goals so we can make sure your plan feels right for you. Safety, Side Effects, and Recovery Like many aesthetic treatments, Baby Botox® is generally considered safe when performed by a qualified professional. There are a few side effects you’ll want to be aware of, and the recovery process is almost always straightforward, with little to no downtime required. Possible Side Effects to Know Most people experience only mild and temporary discomfort after Baby Botox®. The ones I see most often are a little redness or swelling where the needle went in. Sometimes, people notice a bit of bruising, which is a lot like what you might get after a standard blood test or injection. If you’re unlucky, you might have a mild headache or feel slightly achy for a short time after your treatment. These usually settle with simple pain relief such as paracetamol within a day or two without needing any special treatment. Some notice the area feels a bit tight or odd for a while, but this sensation fades as the product settles in. Very rarely, more significant issues like eyelid drooping or persistent discomfort can happen, but these aren’t the norm - especially when you’re seeing someone with skill and experience. If anything feels off, it’s always worth checking in, just to be on the safe side. Prioritising Safety and Comfort When it comes to safety, who you see matters more than anything. I always recommend checking your practitioner’s qualifications and not being afraid to ask about their experience. Good technique and clean conditions reduce the chance of infection, pain, or unusual side effects. If you’re nervous about discomfort, you can ask for numbing cream, but most people find the treatment very tolerable - like a quick pinch. I always take time to explain what to expect so you feel informed and relaxed beforehand. Your comfort is my priority throughout, not just during the injections. If you have questions, want to pause, or need reassurance, it’s completely okay to speak up. Feeling looked after is just as important as the results themselves. Questions to Ask and Alternatives to Consider Deciding on Baby Botox® isn’t just about saying yes or no. It helps to get curious about your goals, understand what goes into the treatment, and know what other options are available when it comes to smoothing lines or keeping your look fresh. Is Baby Botox® Right for your Goals? When people ask me about Baby Botox®, the first thing I want to know is what they’re hoping to achieve. If the goal is to gently soften fine lines while keeping as much natural movement as possible, this treatment might be a good fit. Some people imagine Baby Botox® as a preventative tool, starting in their late twenties or early thirties to slow down the development of wrinkles. Others are looking for a subtle refresh, rather than a dramatic change. In both cases, clear communication with the injector is essential. Asking the right questions helps set realistic expectations. I encourage people to be honest - What areas are you most concerned about? Are you open to just a little improvement, or looking for something more noticeable? Every face is unique, and so is every decision in aesthetic procedures. Making sense of Dosage and Price The “baby” in Baby Botox® really comes down to the amount of product used. While standard Botox® treatments rely on regular doses to freeze larger muscles, Baby Botox® uses smaller, precisely-placed amounts. This gives softer results with less risk of a stiff or “frozen” look. Pricing can vary quite a bit. Clinics often charge per unit, so the fewer units needed, the lower the cost - at least in theory. But costs add up with multiple areas or repeated touch-ups. It’s worth asking: How many units will I likely need for my goals? Will more frequent visits end up costing about the same as a traditional treatment? Here’s a quick comparison Feel free to use this as a way to start the conversation at your consultation. Considering Fillers and Other Injectables Botox® isn’t the only player in town, and sometimes the best result comes from combining options. Dermal fillers, for example, can restore volume in cheeks or lips and fill deeper lines that even Botox® can’t touch. Think of them as the plump to Botox’s smooth. There are also newer injectables, like Profhilo® and NCTF®, or even non-injectable treatments for boosting collagen such as microneedling and chemical peels. Each has pros and cons, and some people rotate between several. If you’re curious about what would work best - or just want to compare - bring this up with your provider. Sometimes a tailored blend gives the best and most natural outcome. 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. 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. 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. 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.