Chin Crease

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The deep groove that runs horizontally across the chin just below the lower lip is referred to as the ‘mental crease’. As we age the horizontal crease on the chin can become very deep, sometimes with associated overuse of the associated muscle in the chin. The crease itself can look unattractive and ageing, but the other issue is that when the muscle is contracted, the length of the chin can be shortened, which adds to an aged appearance.

Whatever the cause or effect of your chin’s creasing or wrinkling, these concerns can be treated with anti-wrinkle injections to relax these overactive muscle movements and smooth the existing lines that they’ve caused.

The procedure itself takes less than 5 minutes and treatment of the chin area is very low risk. Our experienced nurse will examine the face and chin area. In particular, she will look at many features, such as location of the crease and whether there is asymmetry. She will also assess whether there is chin dimpling/chinulite present (chinulite is the appearance i.e. the dimpling that appears on the skin ).

Results from your treatment will be seen about one week after treatment and full effects are usually visible in 14 days. These results then last for approximately 3 to 4 months, after which most patients return to the clinic for a repeat treatment.

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Procedure Information

How are anti-wrinkle injections performed?

An initial consultation with our practice nurse is conducted to discuss and prioritise your facial concerns. During the consultation, specifically looking at a holistic ageing process, possible benefits and likely treatment outcomes. A full medical history is taken to determine your suitable to have possible treatments. Some patients may have underlying conditions that will contraindicate anti wrinkle injections, in which case other alternatives may be suggested.
The injections are performed by our practice nurse, under the supervision of Dr Aggarwal.
Most injections are performed the same day except in patients:
- Who are taking blood thinning medications, or other over the counter agents that thin the blood.
- Who have an infection, cold sores, or other wounds at or near the site of potential injection.
- Who have other contraindications such as a neurological or muscular disorder, have had a previous allergic reaction to injections, may need extra consideration as to the suitability of treatment.
The injections are performed in our procedure room, at our main Gordon practice.
- After an initial consultation and assessment by our practice nurse, a treatment plan is made.
- Clinical photographs are taken before to look at muscle strength, wrinkles and skin quality.
- o The injections are conducted in our procedure room in absolute privacy – for your comfort they are conducted using an ultra-fine needle and syringe.
After treatment, you can return to work immediately. Some bruising and discomfort may occur during injection, and you are best to apply an ice pack to the area to reduce this post-treatment. It is important not to massage the area after treatment as this spreads the product to other muscles that may not have been intended to be blocked by treatment.You will be given aftercare guidelines and how to care for your newly injected area.

How much time does it take?

The initial consultation and injections take approximately 1 hour.

How quickly will I notice the effects?

Effects begin after 2-3 days and can take up to 3weeks for full effect. They last 3 to 4 months. The duration depends on location of the injections, the muscles being targeted, and the patient’s overall metabolism, as well as if maintenance dosing is given – we recommend that patients are regularly reviewed and a top up dose applied to restore effects.
In general we will ask patients to return at the 2 week mark, to evaluate the effects, and it is typical for dosing to be added at this stage to produce desired results, rather than a large dose at the first sitting.
Thereafter we suggest a return to clinic at 3 – 4 month mark for assessment and retreatment.

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.

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

Know you are in the safest of hands with a Plastic Surgeon who is experienced, highly respected, and appointed at premier Sydney hospitals- including Sydney Adventist, Hunters Hill Private, POWH and RHW.

Safety

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

Accommodation

Have your surgery at premier, accredited Sydney private hospitals.

Upfront Costs

We provide written quotes, so there are no surprises.

Patient Care

We will always make you our top priority. Need to ask a question? Whether its before or after your surgery, we will always be at your beck and call.

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. We will treat you, how we would wish to be treated if we were in our patients’ shoes. 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 our 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. Please remember that a GP referral is now mandatory for both reconstructive and cosmetic plastic surgery appointments.

Upfront about costs

We will always be upfront about all costs of surgery including surgical, anaesthetic and hospital fees. Our quotes include all follow up care associated with your planned surgery, and there is never 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 treatments if its not going to achieve what you want. We will always be honest with what you can realistically achieve, and endeavour to deliver beyond our promise.