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Is sunscreen really that important? Anon, Whenuapai   When we look at someone’s skin and try to guess their age, what we’re really seeing is sun exposure over time.  Fine lines, pigmentation and uneven texture are far more influenced by ultraviolet radiation than by the passage of time.  That’s why sunscreen sits at the top of my anti-ageing list.  Not serums, not injectables, not treatments .  Sunscreen.   Ultraviolet radiation quietly damages the skin, even when it’s cloudy.  UVA rays penetrate deeply and break down collagen and elastin, the structures that keep skin firm.  UVB rays cause surface damage and sunburn.  The result?  Long-term DNA injury, leading to wrinkles, brown spots and skin cancer.   Sunscreen works differently to most skincare. Rather than trying to repair damage, it prevents damage from happening in the first place.  Used consistently, it protects collagen, stabilises pigment production and minimises skin cancer risk.  Sunscreen also allows the skin to age more slowly.  This is why people who wear sunscreen daily tend to have smoother, clearer skin, regardless of other products they use.   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 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. Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - 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.

Before we talk about cosmetic medicine, I want to talk about something deeper. Self-worth. It’s a phrase we hear often, but rarely pause to explore. In the debut episode of the All or Nothing  podcast , I’m starting where I believe all meaningful cosmetic conversations should begin - with how you feel about yourself. WHY SELF‑WORTH MATTERS I see it every week in clinic. When someone walks in feeling grounded in who they are, their approach to treatment is completely different. They’re not chasing perfection. They’re not trying to look like someone else. They’re simply enhancing what already feels right to them. But when self-worth is fragile, cosmetic medicine can become a mask. It might offer a momentary boost, but it rarely brings lasting peace. That’s why this conversation matters - because beauty isn’t just about how we look. It’s about how we see ourselves. WHERE SELF‑WORTH BEGINS For many of us, self-worth is shaped by the past. Old trauma, criticism, comparison. I’ve been there myself. But one of the most powerful things I’ve learned - both personally and professionally, is that we’re not defined by those stories. We can re-frame them. And yes, we can choose to make cosmetic changes… but not because we need to. Because we want to. HOW IT RELATES TO COSMETIC TREATMENTS When you approach a treatment with good self-worth , you make more thoughtful decisions. You ask better questions. You know where the line is. And you trust yourself to stop when you’re happy - not when someone else says you should be. That kind of confidence isn’t superficial. It's powerful. A PERSONAL BEGINNING This episode isn’t about techniques or trends. It’s about laying the groundwork, which can be confronting. I have been on my own journey building self-worth, and it is why I believe the most beautiful transformations begin long before you ever walk into a clinic . Watch Episode 1: Building Beauty from the Inside – Cultivating Self-Worth Youtube Link: https://www.youtube.com/watch?v=fYEU8a7bABg Or you can listen on Spotify: Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - NZSCM | ALLOR Cosmetic Medicine, Auckland

We talk a lot about beauty, but not enough about what shapes it. Trends. They can inspire us, connect us, and give us ideas to explore. But they can also quietly lead us away from what makes us feel like ourselves. In this episode of the All or Nothing   Podcast , I’m talking about why we follow them, how they influence our choices, and what happens when we stop questioning whether they truly serve us. WHEN BEAUTY BECOMES A TREND In cosmetic medicine , trends move fast. One year it’s fuller lips . The next it’s sharp jawlines or contoured cheeks . Social media and celebrity culture have blurred the line between individuality and imitation - and it’s easy to lose sight of what really suits you. Sometimes we follow trends because they feel exciting. But sometimes, without realising it, we start to drift from our natural beauty in the process. THE LINK BETWEEN TRENDS AND SELF-WORTH This conversation connects deeply to self-worth. When you feel grounded in who you are, trends can be fun and inspiring. When you don’t, they can become a way to fill something that feels missing. But beauty doesn’t need to be rushed. Confidence grows when you learn to appreciate what’s already yours. THE “PICTURE-PERFECT” TRAP In a world of filters and photo edits, perfection has become the goal. But real faces move. They express. They live. And that’s what makes them beautiful. FINDING YOUR BALANCE Every face has a point where it looks its best - natural, balanced , and authentic. Knowing when to stop is just as important as knowing where to start. That’s something I talk about often, finding your aesthetic end point and protecting it. GROWING YOUR OWN ROOTS When you nurture who you are on the inside, you grow beautifully in your own direction. Trends will come and go, but your sense of self doesn’t have to. Because true beauty isn’t about keeping up. It’s about knowing who you are and staying rooted there. Watch Episode 2: Beauty Trends - Inspiration or Manipulation? Youtube Link: https://youtu.be/fZSL8Ur-1N8 Or you can listen on Spotify: Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - NZSCM | ALLOR Cosmetic Medicine, Auckland

We talk a lot about careers, but not enough about the paths behind them. Many of us are taught that a career should look a certain way. You pick a direction, stay the course, and follow the steps in order. In medicine especially, the path is often presented as fixed, linear, and unquestionable. But real life isn’t linear, and most careers aren’t either. In this episode of the All or Nothing Podcast , I talk about what it feels like to drift off the “expected” path and why that doesn’t make you a failure. I explore the pressure to stay inside the lines, what happens when your interests change, and why it can feel confronting to choose a different direction. A non-linear career isn’t a detour. It’s often where growth happens. It’s where people discover strengths they didn’t know they had, reconnect with what matters to them, and build a path that feels more authentic than the one they started with. We also look at the identity side of career change. When so much of your self-worth is tied up in titles, exams, roles, or achievements, stepping into something new can feel uneasy. But it can also be grounding. Clarifying. Liberating. Your career doesn’t have to follow a straight line to be meaningful. You’re allowed to evolve, to shift direction, and to choose a path that reflects who you are now rather than who you were when you began. Subscribe for more insights from the All or Nothing Podcast with Dr. Heather Anderson by ALLOR Cosmetic Medicine. Watch Episode 3: Carve Your Own Path – Embracing the Non-linear Career Youtube Link: https://youtu.be/WePaqdpzzXw Or you can listen on Spotify: Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - NZSCM | ALLOR Cosmetic Medicine, 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

An honest conversation on the science, safety and realities of cosmetic medicine. Dr. Heather Anderson recently joined Himani Singh on the Beautiful Chords Podcast for a thoughtful discussion about cosmetic medicine. The episode explores Botox, lip filler, microneedling, chemical peels and skincare through a clinical lens rather than a social media one. The conversation centered on safety, sound clinical process and achieving natural outcomes without chasing trends. Thank you to Himani Singh for the considered questions and the warm welcome. It was refreshing to have space for a grounded discussion about what truly matters in cosmetic medicine. At ALLOR, that means careful assessment, precise technique, informed consent and decisions guided by long-term outcomes rather than short-term results. What This Conversation Explored Looking good versus feeling good. Cosmetic medicine can support confidence. It should never be used to mask insecurity or pursue an entirely different identity. Why good work should be invisible. The best result is usually, “You look great.” Not, “What have you had done?” Lip filler requires planning and restraint . Lips are one of the most technically demanding areas to treat. A rushed five-minute appointment is a red flag. Lip filler should be approached as a six-week settling process, not an instant transformation. Botox ® expectations for first treatments. Botox ® softens dynamic lines and may help prevent early static lines from deepening. It does not erase deeply etched lines overnight. When done well, results remain natural and expressive. Microneedling and the collagen myth. Microneedling is one of the most effective way to improve collagen is to stimulate your own skin cells. Quick fixes such as collagen supplements and topicals rarely deliver long-term structural change. Patient selection is critical, particularly where pigmentation risk exists. Sunscreen as foundational care. UVA damage accumulates quietly over time. Daily sunscreen remains one of the most effective long-term investments in skin health. Choosing the right practitioner. Ask about training. Ask how complications are managed. Ask what the follow-up plan is. If you feel pressured, pause. Cosmetic treatment should feel considered, not rushed. Watch or Listen Or watch the full episode here: Beautiful Chords Podcast - Youtube You can follow Beautiful Chords on: Spotify , Apple Podcasts and Youtube If you are considering treatment, or simply want to understand what happens behind the clinic door, this episode offers a practical and balanced starting point. Good cosmetic medicine should feel calm, deliberate and well judged. Written by Dr. Heather Anderson, MBChB, BSc, Urgent Care FRNZCUC, Cosmetic Medicine PGDip - 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.

Are there any differences between different brands of Botox ® ? Anon, Huapai.   Botulinum toxin comes in many forms, manufactured differently by different brands.  “Botox®” was a clever name coined by the company Allergan and is still readily available today.  Other players on the New Zealand market include Xeomin®  by Merz and Dysport® by Galderma.  Multiple other brands exist worldwide, however in Aotearoa MedSafe approval only exists for these three players, meaning only they can be used legally in New Zealand.   Every brand will tell you theirs is best, for the simple reason they want people to use their product.  Interestingly, all research around individual brands usually come to the same conclusion: the higher the dose used, the longer the effects last .  So the more frozen you are to start with, the longer it will take for full muscle strength to return.    Xeomin® is formulated without complexing proteins, so is considered purer than the other brands.  Injectors may prefer this option as it theoretically minimizes risk of neutralizing antibodies developing over time and hence less risk of resistance to repeated treatments.  Other brands argue this effect is negligible as complexing proteins are released when the product is injected into and metabolized by muscles.   Dysport®  is formulated and concentrated differently to Botox®  and Xeomin®.  Less volume of Dysport® is therefore needed to achieve the same effect, so injections may be less painful.  This is a subjective advantage however, as many do not notice a difference, especially if certain saline preparations are used to take away the stingy sensation.  Some argue Dysport® is more spready in its effect, so is advantageous for larger treatment areas, however other companies argue against this, claiming all brands spread equally from their respective injection sites.    So there are many ways to skin a cat.  So long as injectors are aware of the properties, advantages, and disadvantages of the products they use, then it probably doesn’t make much difference at the end of the day.  The most important considerations for injectors are to ensure the products they use are made by legitimate manufacturers (i.e. not counterfeit), are stored and reconstituted correctly, and are used before they expire.  It always pays to ask your injector what they use and why, to ensure you have confidence they understand what they are using, so you receive the best possible care you deserve. Quick Answers: Are there differences between Botox® brands? Yes. Different brands of botulinum toxin are manufactured differently and have varying formulations, concentrations, and properties. Which Botox® brands are approved for use in New Zealand? In New Zealand, Medsafe approval exists for three brands only: Botox® (Allergan), Xeomin® (Merz), and Dysport® (Galderma). Is one Botox® brand better than the others? Not necessarily. Research generally shows that results depend more on dose and technique than on brand alone. How does Xeomin® differ from other Botox® brands? Xeomin® is formulated without complexing proteins, making it a purer form of botulinum toxin, which may reduce the risk of resistance over time. How is Dysport® different from Botox® and Xeomin®? Dysport® is more concentrated, meaning less volume is needed for similar effects. Some people find injections more comfortable, although results are comparable. What matters more than the brand of Botox® used? The skill and knowledge of the injector, correct dosing, proper storage, and using legitimate, approved products are more important than brand choice alone. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz . Xeomin® (incobotulinum toxin) Prescription Medicine for the treatment of upper facial lines: glabellar frown lines, crow’s feet around the eyes, horizontal forehead lines.  Xeomin® has risks and benefits. Ask your doctor if Xeomin® is right for you (incobotulinum toxin A, purified Botulinum toxin type A 50 Units and 100 Units). 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. Dysport®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes. Dysport® has risks and benefits. Ask your doctor if Dysport is right for you. Botulinum toxin type A 300 or 500 Ipsen Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Galderma, 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.

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

Can men get cosmetic treatments too? Anon, Riverhead Ask Dr. Heather Column Absolutely! Cosmetic treatments are for everyone, regardless of gender.  Men generally don't talk about it as much, but there are plenty who like a wee tweak now and then to keep them looking and feeling their best (Brad Pitt anyone?). Fortunately the stigma of cosmetic treatments is diminishing, however it can still feel stigmatised for some, especially men.  Discretion is key and something every injector should adhere to as dictated by the Health and Disability Code of Rights .   You should also never feel judged by your injector.  Our journeys are personal, so always choose someone who makes you feel safe, comfortable, seen and heard. If any of those niggly uneasy feelings surface, best to move on as our intuition is a great guide to picking out what is right for us. Every gender requires a different approach, as masculine and feminine features manifest differently in our faces. Feminine features include wider cheekbones and fuller cheeks whereas masculine features include a wider jaw in line with cheekbones and flatter cheeks. Understanding and appreciating these differences applies to men, women and gender diverse individuals. All facial features must be respected and discussed , so you feel confident your goals are addressed. Skin quality should also be taken into consideration.   We are all humans who deserve to feel great in our skin, regardless of gender, ethnicity or age. It all depends on your priorities and your injector must respect these and involve you at every step, in a kind, discrete way.  Quick Answers: Can men get cosmetic treatments? Yes. Cosmetic treatments are suitable for men and can help improve confidence, refresh appearance, and support skin health. Are cosmetic treatments for men different from those for women? Yes. Men and women have different facial structures, so treatments are tailored to respect masculine features such as jaw width, flatter cheeks, and overall facial balance. What cosmetic treatments are popular with men? Common options include anti-wrinkle injections, dermal filler for structure, and skin treatments to improve skin quality and texture. Is cosmetic treatment for men still stigmatised? Less than it used to be, but some men still feel hesitant. Discretion and privacy are important parts of good cosmetic care. Should I feel judged when asking about cosmetic treatments? No. You should never feel judged. A good injector will make you feel comfortable, respected, and involved in every decision. How do I choose the right injector for men’s cosmetic treatments? Choose an injector who understands male facial anatomy, respects your goals, and prioritises natural, discreet results. If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz .

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. 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.

I always feel very anxious over Christmas time, any recommendations on how to get through it all without being a nervous wreck? Anon, Whenuapai. Anxiety is very common.  Add in pressure to attend multiple events, cook, host, buy presents, all whilst coping with the ever-increasing cost of living?  Relentless. It's a stressful time.  All wrapped up with feelings of guilt for not enjoying it as we are supposed to, it can leave many loathing the holidays.  For those with children, the seemingly endless school holidays add another layer of pressure. Firstly, it is important to realise you are not alone.  As humans we are built to feel anxious as a natural response to threatening situations.  The adrenaline rush dilates our pupils, increases our heart rate, and puts our digestion on pause so we are ready to fight or flight.  Sometimes less threatening situations trigger this response and we feel just as intensely when we aren't actually going to be physically harmed in the same way (although it feels a lot like it we are when dealing with tantruming children!). Social media, news and endless information at our fingertips triggers us to think more about issues we never used to.  We are constantly bombarded so sometimes don't obtain the respite we need to switch off, so this must be done intentionally.  This means forcing ourselves to stop.  Really  stop. Mindfulness and meditation are one of the ways we can achieve this.  Thinking about our breath and body in real time helps ground our thinking and reminds us to be in the present.  Taking even 1 or 2 minutes a day to do this can be so powerful.  You can even do it whilst going for a walk.  A great alternative is guided mediation or Hatha yoga, where yoga is combined with meditation (Google these and you will discover a raft of excellent free resources).  These practices settle the mind, helping the clouds to clear and reminds us that just as aeroplanes escape clouds as they ascend, so can we. Even when it is raining, the blue sky is always there. Another great technique is writing down what triggers your anxiety.  Be specific and really think about where it comes from, then write what would actually happen if the worst-case scenario played out.  Then write how it makes you feel.  Finally, write an affirmation of a positive way you can respond to the trigger.  Something along the lines of "I am strong" or “I can…” to re-programme the mind to switch automatic negative thoughts into automatic positive ones.  Doing this and re-reading your affirmations can really help you believe in your strength and power.  Because we all have these qualities, we just need to realise them. Anxiety is best faced head on.  That may feel scary, but just as a shadow monster grows in the eery darkness, it disappears once the light is switched on.  You too, can switch the light on.  If that still feels overwhelming, talking to you GP will help as there are pharmacological and professional services available if you need them. And finally, be kind to yourself.  This is a busy time; however it can be wonderful if we pace ourselves and keep our boundaries.  Say no to things that don't serve you, if it's not a "heck yes!", it's a no.  A polite one of course. Quick Answers: Is it normal to feel more anxious over Christmas? Yes. Extra social pressure, costs, and family demands can make anxiety feel more intense at this time of year. What’s one simple thing I can do daily to calm anxiety? Try mindfulness or meditation. Even 1–2 minutes a day focusing on your breath and body can help ground you. How can I work out what’s actually triggering my anxiety? Write it down. List your triggers, imagine the worst-case scenario, note how it makes you feel, then write a positive affirmation for how you can respond. Should I talk to my GP if my anxiety feels overwhelming? Yes. If anxiety feels too hard to manage alone, your GP can help and can talk through professional supports and medication options if needed. How do I reduce holiday stress without feeling guilty? Set boundaries and pace yourself. Say no to things that do not serve you, and be kind to yourself. If you have a question for Dr. Heather yo u would like answered anonymously, please email askdrheather@allor.co.nz .