Botox Cosmetic
Forehead brow lines treated with Botox
Botox Cosmetic
Crows Feet before and After Botox Cosmetic
Botox Cosmetic for Crows feet Reduction
Botox Cosmetic
Botox Cosmetic reduces Crows Feet Wrinkles

Botox Cosmetic

Botox is now the world's most popular cosmetic procedure, with millions of treatments performed safely each year.

For something as important as your face, it's vital to choose a skilled and experienced Botox practitioner who will achieve the very best results that Botox can provide. Whether it is frown lines, crows feet or one of the many other areas that Botox is useful for, you are certainly in good hands at Palm Clinic. Dr John Barrett was one of the first in the country to offer Botox, and Dr Sarah Hart trains other doctors in New Zealand and internationally in advanced Botox techniques. Expertise in facial anatomy is extremely important for the best Botox results without side effects.

If you're thinking about Botox, talk to the team at Palm Clinic. We can achieve the kind of results that will help you look and feel your best, at any age.

Palm Clinic for balanced, natural-looking results

Our aim is to help our clients look 'better', not 'Botoxed'. People may comment on how refreshed you look, and ask if you've been on holiday. (Whether you reveal your secret is up to you!)

Your Palm Clinic doctor will personalise your Botox treatment based on what you want to achieve. We find some people want maximum wrinkle reduction, while others are looking for a very subtle result over time. We can easily adjust your treatment plan to suit.

Another reason to choose Palm Clinic in Auckland for Botox is that we have the skills and techniques to enhance the 'whole face'. We may suggest you retain some lines, for instance, or perhaps complement your Botox with other treatments such as dermal fillersvolumising or Fraxel Dual laser.  Our goal is always to achieve balanced, naturally beautiful results.

Botox is also used for excessive sweating and migraines plus a variety of off label uses such as thinning the face.

Frequently Asked Questions

What is Botox?

Botox is a naturally occurring protein. It is manufactured in the laboratory from bacteria called Clostridium botulinum.

Used in small, precise doses, this protein has been used to relax muscles all over the body for more than 20 years. Some of its medical applications, for example, are to treat eye spasms, contracted muscles in cerebral palsy and hyperhidrosis (excessive sweating).

Botox was approved for cosmetic use in 2002, and has since been used for millions of cosmetic procedures worldwide.

How does Botox work?

During a Botox procedure, several small injections are made into the muscles where fine lines and wrinkles appear. This Botox protein fits exactly into receptors in the nerve endings of those muscles. This prevents the release of a chemical known as acetylcholine, which makes muscles contract and move.

Relaxing these muscles will help smooth the wrinkles - such as frown lines and crow's feet - that are caused by repeated muscle contraction.

How will Botox improve the way I look?

Relaxing muscles in your face can improve your appearance in a number of ways. Botox prevents repetitive creasing of the skin; allowing the body's natural repair process to lay down collagen across a wrinkle, reducing its depth. Muscles that pull the eyebrows down can be released, allowing a flattering upward lift. Frowning muscles which are fixed in a negative expression can be relaxed, making the face look happier.  Most importantly a natural look after Botox takes great care and precision in injecting the Botox in precisely the right anatomical area.  If this is not done precisely the results can look false or even worse can lead to relaxation of the wrong muscles which could leave the face looking frozen.

What is the overall effect of Botox?

While Botox does not completely eradicate the signs of ageing, it can greatly reduce the appearance of moderate to severe wrinkles, and even prevent new ones from forming. The skin often appears smoother and more youthful-looking. If you tend to frown a lot, perhaps without realising it, then Botox can help you look happier and more relaxed.

What is the best age to have Botox?

Botox is approved for cosmetic use from the age of 18. It can be used as a preventative measure to prevent lines and wrinkles from developing; however most Botox clients are treating lines they already have.

Which areas of the face does Botox treat?

Certain areas of the face often develop wrinkles or deep lines as a result of making the same facial movement, many thousands of times, over the years.

Botulinum toxin can be used to treat crow's feet, frown lines, forehead lines, lip lines and other common 'wrinkle zones'. Botox can also be used to lift areas of the mouth, chin and neck.

What else can be treated with Botox?

Botox is also approved to treat excessive sweating of the armpits, called hyperhidrosis. With a series of injections to the armpit area, it can reduce stains and odour, and eliminates the need for antiperspirant for 6-12 months. Botulinum toxin can also be used in the treatment of migraines and sweating of the palms.

What is botulinum toxin?

What's the difference between Botox and 'botulinum toxin'?

Botox is the registered trade name for botulinum toxin. The trade name is allowed to be used when describing a number of FDA-approved uses - namely crow's feet, horizontal forehead lines, frown lines, and armpit sweating. For all other uses, the non-trademark phrase 'botulinum toxin' is used.

The product and the procedure is the same - the only difference is whether the trademark name can be used or not.

What's involved in Botox treatment?

Botox is injected using a disposable syringe with a very fine needle. It is not too painful, and you don't need a local anaesthetic. Some people describe the sensation as a tiny sting or pinch which only lasts a few seconds.

The treatment itself takes around 15 minutes, but we prefer 30-minute appointments at Palm Clinic so we can ensure all your needs are fully discussed. You can go back to work or resume your normal activities straight away but we recommend avoiding the gym until the next day. You may notice a little swelling or redness for 10 minutes afterwards.

How long does the Botox effect last?

Botox starts taking effect in 2-3 days, and is fully 'settled in' at 14 days. Full dose treatments usually last four months. As the Botox is gradually broken down by the body's own natural processes, the muscle movement returns. Movement and wrinkles gradually return over this time.

How often is Botox treatment repeated?

Most of our clients have an ongoing treatment programme, because they like the results and want to maintain the improvement in their appearance. However some people do schedule a Botox treatment for a one-off event such as a wedding.

For maximum wrinkle reduction, most of our clients return three times a year to maintain the improvement in their appearance. After a couple of years of regular use, you may be able to reduce this to twice a year.

Is Botox safe?

Botox procedures are not recommended for pregnant or lactating women, people with infections in the area to be treated, and those with certain neurological conditions. You should also tell your Palm Clinic doctor about any medications you are taking.  Botox has a long track record of safety having been used in medical situations for well over 20 years.

What about Botox side effects?

The majority of people experience no side effects from their Botox treatment. Some people may experience minor and temporary side effects - such as a slight headache after treatment, or a tiny bruise at the site of the injection. The most significant complication, which is rare, is a drooping of the eyelid which typically lasts 2-3 weeks after treating the frown lines.

Your Palm Clinic doctor will explain the risks and possible side effects of Botox at your initial consultation.

What does Botox cost?

The cost of Botox will depend on the number of units of Botox used. It is charged at $21 per unit including gst. To give you an idea, a frown area may need 20 units. Your Palm Clinic doctor will work out the right number of units for you, and discuss the total cost before proceeding, so there are no surprises.

Botox and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655