Eye Wrinkles / Crows Feet

Crow’s feet are wrinkles at the sides of the eyes. These wrinkles occur when a person smiles, using the outside part of their orbicularis oculi muscle. Over time, these lines etch in permanently and are there even when the person is not smiling.

Despite the happy reason for their development, these lines can end up making us look older or more ‘weathered’ than we really are. Targeted muscle-inhibiting treatments act to soften and smooth the lines around this area, leaving you with a noticeably youthful appearance.
Immediately after eye wrinkle treatment, sometimes there is nothing to see. Sometimes there can be bruising, redness or small lumps, which can look like mild acne and usually resolves quite quickly.
The effect will not start to occur for 3-8 days.
The maximal effect of the muscle relaxing injections will be at 4 weeks, so a review should be booked in at 4 weeks.

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Risks & Complications

Anti-wrinkle injections are not recommended for:
  • Patients who have disorders of nerve-muscle signal transmission such as Myaesthenia Gravis or Eaton Lambert Syndrome.
  • Patients who are currently pregnant, breast-feeding or trying to become pregnant.
  • Patients with an active infection, cold sore or other breakout at the site of intended injection.
  • Patients with a previous reaction to these injections
General Risks

General risks of antiwrinkle injections include

  • Bruising
  • Discomfort
  • Swelling
  • Headache
Specific Risks

Specific risks of antiwrinkle injections include

  • Insufficient effect – the dosing produces effect but not to the degree desired. In some ways this is performed intentionally to titrate the dosing to the required effect. The dosing varies widely between patients and it is therefore safer to titrate up to the effect desired.
  • Over-paralysis or unwanted blockade. In  rare circumstances  blockage  of unwanted muscle groups  can produce an unwanted appearance in unexperienced hands:
    • Injections near the eyebrow can cause upper eyelid droop (ptosis)
    • Injections in the forehead could cause brow heaviness (ptosis)
    • Injections of the crows feet can block muscles that aid in smiling to produce uneven smiling appearances
    • Injections near the angle of the mouth/lower lip can block other muscles causing drooling or uneven smiling appearance.
  • Asymmetry
  • Note with any unwanted outcomes, all care prior is  made to avoid these unlikely outcomes.  If you have any concerns please discuss during your consultation.

Hyperhidrosis

Procedure information
  • In hyperhidrosis (excessive sweating), these injections block the nerves that supply the sweat glands.
  • The injection is placed within the dermis of the skin and is very effective for areas such as the armpits, palms, and soles of the feet.
  • The average length of treatment duration is 7 months.
  • Injections of the armpit can be performed in the clinic (with anaesthetic cream), however a general anaesthetic is required as a day only procedure if the injection is for hyperhidrosis of the hands or feet.
  • A starch iodine test may be conducted prior to injection to exactly determine the area of sweating that needs to be treated.
Prodcedure cost

This depends on the total number of units

  • The standard fee for axillary (armpit) hyperhidrosis is $992(for standard number of units per armpit) – this is rebatable from Medicare under item no 18362 which may allow one to claim $185 for a total out of pocket cost of $805.
  • Please note that additional units required after the first visit will be charged at our standard rates, and these will not be rebatable from Medicare.
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Procedure FAQs

What is the cost of anti-wrinkle injections?
  • Please visit our price list for further information.
I am concerned that a plastic surgery clinic costs more for my anti-wrinkle injections.
  • In general the cost per unit is often more at a plastic surgery clinic. This is because the injections are being performed by experienced plastic surgery nurses under the supervision of a plastic surgeon. In many ‘cosmetic’ clinics there is often little to no oversight by a medical practitioner.
  • However the overall cost may not be all that different to other ‘cheaper’ clinics due to the following:
    • the skill of injections is in targeting the exact facial muscles to produce the desired effect. You may receive more product elsewhere to achieve the same effect versus precise placement of toxin, which can reduce the dose needed.
    • We believe in gentle titration of effect – so rather than give you a big dose upfront, we will give you a smaller dose at the first visit (therefore reducing cost) and will ask you to return at the two week mark. If you require additional dosing, you are only charged for the units used. By titrating the effect, we aim to reduce the cost for you.
    • We will happily suggest to you that antiwrinkle injections are not warranted if it will not produce the results you desire. Being a surgical practice, we can indicate to you if the benefits of surgery may outweigh the benefits and cost of nonsurgical treatments.

Why choose us?

Highly skilled
Highly Skilled

Highly skilled Fellowship Trained Plastic surgeon – know you are in the safest of hands with a Plastic Surgeon who is experienced, highly respected, and appointed at premier Sydney hospitals- including the SAN, RPA, POWH and RHW.

Safety
Safety

If sedation or general anaesthetic is required, it is delivered by an accredited anaesthetist

Acommodation
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Have your surgery at premier, accredited Sydney private hospitals.

Upfront Costs
Upfront Costs

We provide written quotes, so there are no surprises.

Patient Cares
Patient Cares

We make you our top priority. Need to ask a question, worried about dressings or something else post op? We will always be at your beck and call.

Real Reviews
Real Reviews

Our patients love us! Feel free to read our reviews online on independent websites, or you can speak to some of our existing patients who will gladly speak about their plastic surgery journey.

Our Promise

We pride our practice in personalised, professional and ethical care. Your safety and satisfaction is our utmost priority – we only provide sedation or general anaesthesia in accredited facilities and after your procedure you will have direct access to Dr Aggarwal and his staff to answer any questions or concerns.

Your First Consultation

At your first consultation, Dr Aggarwal will explain a personalised treatment option for your desired results. A comprehensive medical history and examination is followed by discussion of surgery, examination of before and after photographs and trial of implants in the case of breast augmentation. Remember to bring a referral for your consultation, to claim the Medicare Rebate.

Upfront about costs

We will always be upfront about all costs of surgery including surgical, anaesthetic and hospital fees. Our quotes are valid for 12 months so there is no pressure to decide quickly.

Customised Options

To help achieve your goals, we will tailor treatment options to what you actually need. We will never recommend surgical or non surgical treatment if its not going to achieve what you want. We aim to deliver beautiful, natural results.

Affiliations & Associations

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