Anti-Wrinkle Injections

Professor Mark Ashton

MB., BS. MD. FRACS (Plas)
Specialist Plastic Surgeon

Professor Mark Ashton is a Melbourne-based plastic surgeon. He is chair of plastic and reconstructive surgery at Epworth Freemasons Hospital, former head of plastic and reconstructive surgery at Royal Melbourne Hospital (2001 – 2016) and Royal Women’s Hospital (2000 – 2016), and is one of Australia’s most respected and internationally renowned plastic surgeons.

The following information is designed to help you understand our process for anti-wrinkle injections, including assessment and suitability, and will emphasise essential information to consider before proceeding with surgery.

AHPRA registration number – MED0001135718

Anti-Wrinkle Injections Melbourne

What are Facial Anti-Wrinkle Injections?

Anti-wrinkle treatments involve the injection of a diluted Botulism toxin, which acts on the neuromuscular junction within specific muscles of your face to paralyse them. This weakens the muscle that causes the frown or wrinkle.

The period of paralysis is usually between 3 and 6 months.

The most common muscles targeted are the frontalis muscles in your forehead, the procerus and corrugator muscles in your frown line and the orbicularis oculi muscles around your outer eyes.


Prior to treatment, you will be assessed by Prof Ashton for suitability of treatment, which includes discussing your concerns, assessment of your facial structure, skin and clinical photos.

You will also be provided information regarding suitable treatment options, a financial quote, and an informed consent form, which must be signed prior to treatment being conducted.

How are Anti-Wrinkle Injections Performed?

Prior to your treatment, photos will be taken to assess facial muscle movement, and you must be assessed by Professor Ashton each time you visit our rooms.

Professor Ashton will assess your face, and prescribe the recommended dose of anti-wrinkle toxin to the specific areas of concern.

A topical anaesthetic cream is offered prior to treatment commencing.

The toxin is injected using a very fine needle, and ice is applied to the area immediately following treatment.

What Should I Expect After My Treatment?

You may experience redness and slight swelling at the injection site, however, this usually resolves within an hour.

You may notice slight changes from the treatment within the first 2 days, however, it usually takes 10 to 14 days for the full effect of the treatment to become evident.

It is important to take things gently and quietly for 24 hours post your treatment.  Please avoid heavy lifting, physical exercise or warm environments which increase blood flow and heating of the muscles in the facial area.

What Risks Are Involved?

Immediate Risks:

  • Redness
  • Swelling
  • Bruising
  • Headache

Delayed Risks:

  • Upper eyelid ptosis (droopy eyelid)
  • Infection

We recommend a review assessment 2 weeks post treatment, and will schedule this as part of your treatment plan.

Interested In Anti-Wrinkle Injections?

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Info For Patients

Info For GP's