10 Things To Know On Cosmetic Injections

If you have been wondering about cosmetic injections, I have teamed up with Andrea, the owner and Registered Nurse of The Skin Manifesto Cosmetic Skin Clinic in Sydney to outline some important things to know – from finding the right clinic, to the range of treatments, cost, side effects and what to expect before, during and after the treatment.

1. Before Your Treatment

Ask yourself, are cosmetic injectables for me? Is this something that I want and will I be happy with the end results? Your health comes first. I don’t think they stress enough how important it is to be in good health when having this procedure. Before your first treatment starts, a doctor should assess you to determine if you are in good health and a good candidate for cosmetic injectables. All clinics should arrange for you to speak with a doctor that will diagnose you and prescribe the cosmetic injectable medication. If your cosmetic injector is a registered nurse, prior to your first treatment, they will ensure you conduct a face-to-face consultation with a doctor.

Your treating Nurse or Doctor should check your temperature and blood pressure before your treatment. Be aware of yourself, ensure you are feeling 100% and are completely committed to the procedure before you even think about anything else.

2. Find The Right Clinic Or Injector

Cosmetic Injections at The Skin Manifesto

Don’t go for the best price, go for the best person to suit your needs! Cosmetic injections are quite a common procedure these days, so it should not be hard to find an expert in your area. I went to The Skin Manifesto Cosmetic Skin Clinic in Miranda, Sydney. I was so happy and comfortable with having chosen them as my preferred clinic. Andrea, a Registered Nurse, and owner of The Skin Manifesto, has kindly helped me put together this post to cover the professional medical aspects and what to look out for when choosing a cosmetic clinic:

  • Ensure that the clinic is a proper medical facility and that your treating injector is a licensed medical professional, such as a Registered Nurse or Doctor.
  • Ask your treating injector about their experience and formal qualifications in undertaking cosmetic injections.
  • All cosmetic injectables are considered a “prescribed” medication, your clinic should organise a consultation with a doctor to do this for you; either face-to-face or via Skype.
  • Take a look around the clinic. Check that you are in a clean, medical environment when undergoing any treatments like this – make sure it is not a house or a ‘Botox Party’ environment.
  • Try to find someone who has a strong understanding of the cosmetic results you are trying to achieve. Check some of the Before & After pictures of their work to get their idea of ‘natural’.

3. What To Look Out For

  • Always ensure that you book in for a consultation. All good clinics will offer an initial consultation that is either free or around $50 (usually redeemable against the treatment).
  • Your cosmetic injector should listen to all your concerns and take a thorough look at your face and its features to determine what is right for you to achieve your desired results.
  • Some areas for treatment such as the tear-troughs require a highly skilled and experienced injector for it to be injected safely.
  • Use the consultation time to ask as many questions as you want. Don’t think your questions are silly – you want to be as comfortable as possible with your cosmetic injector.
  • Did you know that it is best not to get cosmetic injections if you have a wide range of health issues such as autoimmune diseases, infections or some previous facial surgeries? Your Doctor will discuss this with you, and of course the obvious ones such as breast feeding and pregnancy. I had had a sinus operation and had to be careful that enough time had passed for me to heal before going ahead with the dermal fillers treatment.

4. What Are Cosmetic Injectables?

There are two types of cosmetic injectables:

  • Anti-wrinkle Injections (Botulinum Toxin Type-A)

    use a toxin to relax the muscles so as to reduce the appearance of fine lines and wrinkles. The most common brands of anti-wrinkle injections are DYSPORT® and BOTOX®. Both of which are approved by the Therapeutic Goods Administration of Australia (TGA).

Find out more about each product brand from www.botox.com/ www.dysport.com and check the most up-to-date TGA requirements at www.tga.gov.au.

  • Dermal Fillers (Hyaluronic Acid)

    are primarily used to smooth out lines and enhance facial features and structure. In Australia, the two most well-known brands are Juvederm and Restylane. You can find out more about these products at juvederm.com or www.restylane.com.

Registered Nurse Andrea explains, “hyaluronic acid is a jelly-like substance that fills the space between collagen and elastic fibers. The role of hyaluronic acid in the skin is to provide a mechanism of transport for essential nutrients from the bloodstream to living skin cells, hydrate the skin by holding and retaining water, and act as a cushioning and lubricating agent against mechanical and chemical damage.”

5. Types of Treatments, Costs & How Long They Last

Dermal Filler treatments

in Australia vary considerably. They can range from anywhere between $395-$800 per ml or more, depending on the experience of your cosmetic injector, the area to be treated, and the product used.

Here are some examples of the most popular areas to be treated:


  • A standard lip enhancement can be around $395-$700 for 1ml. Some clinics also offer ‘Hollywood Lips’ that can be more than 1ml of filler in one treatment – but it is always best to start with a smaller amount of filler (up to 1ml) as a good foundation to build on in later treatments. These fillers usually last 6-12 months depending on product used.
  • For the under eye-hollows and tear-troughs, prices start as above; however, as the under-eye area is a very delicate, Registered Nurse Andrea recommends that you seek an injector that is highly skilled and experienced so that they are able to safely inject into this area for the best results.
  • Cheeks are a little dearer due to the size of the area needing to be filled. 1ml of filler in this area starts at about $600, you will likely need a minimum of 2ml to achieve results. There is also a longer acting dermal filler called Voluma that’s great for cheek volume with a higher price tag, again around the $700 mark for a reputable injector, and they can last up to 1.5 years.

Anti-wrinkle injection treatment prices

across Australia may vary considerably. The two main brands of Anti-Wrinkle Injections available in Australia are DYSPORT® and BOTOX®. For DYSPORT® prices start from $300 for one area such as your frown lines, which averages around $5.95 per unit. For BOTOX® prices start from $500 for one area such as your frown lines, which averages around $14.95 per unit. Both DYSPORT® and BOTOX® can last up to 3 to 4 months but this can be prolonged if regular treatments are maintained.

6. During Treatment & Pain Management

Always ensure you are feeling completely comfortable and are aware of exactly what to expect during treatment. Your injector should take you through again exactly what you are about to go through, this is your opportunity to clarify anything.

Some things to look out for during treatment:

  • Watch them open the packet and record the syringe and batch so you know exactly what has gone into your face.
  • Only use the brand-new syringe in one sitting and ensure no products are mixed.

The pain of an injection should not be more than an uncomfortable sting. If anything hurts more ask for more pain management – aesthetic should be available in a topical cream (applied 20 minutes before the first injection) or an injection similar to what a dentist uses can also be administered. Ice is also commonly applied right before the needle goes in really helps with immediate pain management.

7. After Cosmetic Injections

Follow after-care instructions carefully and don’t expect to see results right away, the final look will take a few weeks to settle. Your clinic should give you some after-care instructions according to your specific procedure. This includes instructions not to touch the area treated. You can use topical creams such as Annika to reduce bruising and swelling, some people have other methods to reduce swelling such as eating pineapple, which won’t hurt to try.

8. Possible Side Effects

Providing you have an experienced practitioner who follows protocol, you should not experience any adverse side effects apart from short-term effects restricted to the area of injection, such as minor bruising, redness, swelling and maybe some little lumps. This can occur for up to 4 weeks after the treatment so it is best not to touch the area immediately afterwards, nor to massage or push injection sites during this time. Your face may be a little sore and red afterwards, even a little numb, but all should be normal after a month.

More severe side effects depend on the area of injection and can cause issues with discoloration, lymphatics and blood vessels. If you start Googling, you will likely to read tales of injections gone wrong, but most are very uncommon. However, there are possible side effects when using this toxin including drooping of the eyelids and permanent ‘relaxation’ or weakness of the muscles. If you make sure you are feeling 100% before treatment and be sure to chose an experienced practitioner this is highly unlikely.

9. Results

You may be able to see some results for fillers right away, BOTOX® takes a few weeks to kick-in and show results. Results vary from person to person but are usually quite noticeable (but no-one will know what you have actually done!) You can take a look at the Juverderm website for results or to see my results, read the blog Dermal Fillers At The Skin Manifesto.

10. Upkeep


It is not hard to maintain the look you want to achieve, especially if you look after your skin. To get the most out of the treatments, carefully follow the post-treatment instructions and try to use products to compliment the treatment.

Upkeep will also give you another excuse to be healthy as regular exercise helps blood flow and to keep the area fresh. So does drinking lots of water as hydration can help keep up appearances.


The content in this story is the opinion of the author, they are not a medical expert. Please consult a doctor before proceeding on any of the above procedures.

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