Wrinkle Treatment

Injectable muscle relaxants are used here at our Newcastle clinic for wrinkle treatment to reduce dynamic lines (lines caused by repetitive facial movement) and wrinkles that form in the upper face.

Anti wrinkle injections, also known as dermal fillers, are injected into the skin to help restore loss of volume in cheeks, enhance and define the lips, fill in facial wrinkles around the mouth and generally restore a smoother more youthful appearance. A receding chin and nose with a slight downward turn can also be artistically corrected with fillers.

Injectable muscle relaxants and dermal fillers have given Dr Rastogi the tools needed to further push away the need for the scalpel in the maintenance of a youthful appearance. This wrinkle treatment allows him to match the natural consistency of different facial tissues so that we have added ability to support, lift and sculpt the face against gravity and subtly and naturally enhance youthful, attractive features.

Wrinkle Treatment at Bellaface


From the age of 35 onwards, a noticeable decrease in volume occurs in the upper part of the face due to the combined effects of fat loss, bone reabsorbtion and gravitational pull.  The results are flattened cheeks, jowling (sagging of the jaw line) and looser skin, which wrinkles more easily.

Dermal fillers and anti wrinkle injections are designed to be injected deep beneath the tissue, says Dr Rastogi.  It has the ability to create significant bulk, is long lasting (1-2 years) and allows me to sculpt the face very precisely.  The product creates a similar effect to cheek and chin implants but without the surgery and takes roughly 30 minutes in the chair.  It has given me a much greater ability to rejuvenate the upper face but the added fill also takes up the loose skin and so tightens all the way to the jaw line to improve jowling.

Anti wrinkle injections can also help treat dark circles under the eyes. These are another feature that creates an aged, unhealthy and unattractive appearance to the face, often caused solely or in part by deep tear troughs.  This is a groove in the bone just below the eye socket, causing a shadow.  Dark veins running near it also add to the colour.

A soft but long-lasting hyaluronic acid filler which matches the consistency of the tissue around the eye is used to fill the tear trough and lift the overlaying tissues away from the dark veins.

Even a subtle decrease in brow height adds to an aged appearance.  It makes the face look more tired, makes the eyes appear less bright and wide open and causes an excess of skin on the upper eyelid.  Injectable muscle relaxants can create a very good improvement here by rebalancing the muscles and lifting the brow.  However, the results can be further enhanced by injecting a filler such as Juvéderm Ultra or Ultra Plus, which have a very soft and fleshy feel, and matches the natural tissue found in the brow area perfectly.

With this more advanced wrinkle treatment technique the brow can be further lifted and supported with the fillers and can also pad out the area below the brow plumping up the tissues to restore the youthful appearance here and in doing so further taking up the loose upper eye lid skin.  The technique is invaluable for patients who do not have enough active muscle above the outer brow to achieve an adequate lift with the use of injectable muscle relaxants alone.

Filling out the nasolabial folds and marionette lines which are the results of gravitational cheek sag around the sides of the nose and corners of the mouth are also essential in preventing the early signs of age as are filling out fine lines and wrinkles around the cheeks and mouth.  The right filler to use here is whichever has the right lifting ability and textural consistency to match the surrounding tissue.  And, of course never under estimate a subtle enhancement of the lip border and lip volume.

When a facelift is required to lift and tighten the face then nothing else will create the same improvement.  However, the gap between non-surgical rejuvenation and the scalpel is even greater with better products and better techniques.  And with a skilled and artful hand to create subtle and natural results the new products available certainly spread that gap by several years.

Visit our Newcastle Clinic today!

Or call us on 02 4929 7911 to discuss how anti wrinkle injections could enhance your appearance.


Q&A with Dr Rastogi

Q. What are Injectable Muscle Relaxants and how do they work?

A. Injectable muscle relaxants are a purified protein, a medicine that removes lines and wrinkles from the face by relaxing the overactivity of the muscles that cause the lines, with precision placement it can also be used to rebalance the facial muscles to overcome the ageing effects of gravity, and, therefore, produce a more youthful appearance.

Q. Are anti wrinkle injections safe for wrinkle treatment?

A. Yes, it has been used for many years in medicine without any cumulative or long term side effects, so we know it is safe.

Q. Why do people seek wrinkle treatment?

A. Largely because people are much healthier today, the physiological age and lifestyle at age 40 for example is that of a 30 year old.  However, when they look in the mirror, what they see is not consistent with the way they feel on the inside.

The essence of facial harmonising is to maintain the positive expressions, but relax away the negative ones to provide a youthful, and attractive balance to the face.  We highlight the positive character, maintain natural expression, and erase the negatives.  For example, the smile lines around the eyes and the little “comas” at the edge of a smiling mouth are pleasant lines.  They say I smile, I’m happy, I’m approachable.  These are positive expression lines.  However, when they extend from the side of the eyes, across the cheeks and temples or, when they become more deeply etched, they become ageing.  Facial harmonising with injectable muscle relaxants and dermal fillers allows the skilful Cosmetic Surgeon to give you your cake, and allow you to eat it too.

We can maintain our positive character but lose the signs of ageing by “balancing” the extent to which we erase the lines.  The frown line between the eyes (glabella lines) on the other hand, are negative expression lines.  They say, I’m grumpy, I’m always angry, I’m unapproachable.  These lines often misrepresent a happy person whose brow furrows when they think, talk, or face the sunlight.  In this instance injectable muscle relaxants can remove the unwanted, negative expression, leaving a more pleasant and serene look to the face.

Q. Can you explain about rebalancing the facial muscles with Injectable muscle relaxants?

A. We use precision anti wrinkle injections (muscle relaxants) to rebalance the anti gravity facial muscles against the muscles that pull the face down, therefore, lifting the face to produce a more youthful appearance.  It can be further used to harmonise the face, for example we can produce a “non surgical brow lift”, opening the eyes wider to make them more engaging and inviting, or to erase the marionette lines that run from the corner of the mouth down to the chin, and impart an aged appearance. 

This is produced by advanced anti wrinkle injections techniques that require the artful placement of precision Injectable muscle relaxants which rebalance the facial muscles.

There is an art and a science to the use of Injectable muscle relaxants and dermal fillers in facial harmonising.  An artistic and skilful Cosmetic Surgeon can enhance youthful beauty, maintain natural expression and erase negative and ageing attributes from the face.

Wrinkle Treatment Case Study 1

Wrinkle Treatment Case Study 1


Crows Feet, Forehead, Marionette Lines and Naso Labial Folds.


  • An Injectable Muscle Relaxant was administered to the crow’s feet around the patient’s eyes.  Worry lines in the middle of the forehead were also treated.
  • A brow lift was performed using an Injectable Muscle Relaxant to lift the eyes up and open them, making them look more awake and inviting.
  • The marionette lines were injected with an Injectable Muscle Relaxant, rebalancing the muscles here to lift the corners of the mouth and give a resting smile by overcoming the gravitational effects of age, which causes down turning of the corners of the mouth, and give a slight lift to the lower face.
  • A long lasting dermal filler was used to fill in the naso labial folds (the lines between the side of the nose and the corner of the mouth) to take away gravitational lines of age and reverse the heavy descent of the cheek.
  • Next and very importantly, a very precise injection was performed into the tear trough below the eyes to takeaway the dark circles under the eyes and give a refreshed and rested appearance to the area.
  • The brow lift and injection of marionette lines using an Injectable Muscle Relaxant and injection of a dermal filler into the tear trough are all “precision injections” and precision procedures, called this because placement and dosage must be extremely precise to create the anti ageing effect required.
  • By removing the dark circles under the eyes using these precise procedures Dr Rastogi was able to reverse the signs of ageing and more importantly build positive character into the face. Injectable Muscle Relaxant and Dermal Fillers, are used precisely and effectively to remove ‘ grumpy’, ‘worried’, and ‘sad’ appearance of the face, replacing these with positive features such as serene forehead, resting smile and inviting eyes.
  • This patient has gained a serene, refreshed and relaxed look, effectively turning back the clock.


Wrinkle Treatment Case Study 2

Wrinkle Treatment Case Study 2


Crows Feet and Brow Lift


Nicole was injected using an Injectable Muscle Relaxant to remove Crows Feet around her eyes and to lift her brow.

Wrinkle Treatment Case Study 3

Wrinkle Treatment Case Study 3


Brow Lift and Forehead


This patient’s olive skin means she has little wrinkling around her eyes, although she does have a deep forehead groove, so she was injected using an Injectable Muscle Relaxant into the forehead, and just above the eye to lift the whole brow and open the eyes up.