Frequently Asked Questions

Who can legally perform cosmetic medical treatments in Australia?

In Australia, Anti-wrinkle Injections (Botulinum Toxin A) & Dermal Fillers can only be performed by qualified Medical Doctors and Registered Nurses working under direct supervision of a prescribing doctor. It is illegal for a Nurse to perform cosmetic injectable treatments independently without a doctor directly supervising him or her.

Patients who have been treated by “independent” Nurse injectors need to inform the matter to Australian Medical Board (AHPRA).

Why Cosmetic Medicine or Surgery?

There is a direct co-relation between how we look from outside and how we feel inside. Beauty may be only skin deep but its a well known fact that when people feel good about their physical appearance, it has a positive affect on their mood and self-confidence.

With the recent ground breaking advancements in non surgical cosmetic procedures, more and more people are able to afford them and benefit from something which, only a few years ago, was available to only the rich and famous.

Not everyone is suitable for a cosmetic enhancement procedure though. It is important to understand that such procedures should only be considered when you have realistic expectations and your budget allows you to do it.

The aim has to be to look fresh and rested, not  fake or plastic.

What Is Beauty?

The secret of beauty and attractiveness has been a quest of humans since the dawn of civilization. Recent studies have shown that the secret of beauty may at last be understood. It seems that attractiveness may be hard wired in our brains.

Experiments designed to measure attractiveness usually involve showing a series of images of human faces and asking subjects to rate their visual appeal. Surprisingly, people from a variety of different ages, races and cultures agree on what is and isn’t beautiful. Babies as young as 3 months can identify and prefer faces that most adults would deem beautiful.


Studies show that when we recognize a face as “beautiful” we are actually making a judgement about the health and vitality of that individual. We interpret facial symmetry (the similarity of left and right halves of a face) and the smoothness of the skin to mean that a person has good genes and has been free from diseases. Facial symmetry is one of the best observational indicators of good genes and healthy development and that these traits are what we mean when we say someone is attractive.

Physically attractive people are often more popular and get special attention from those around them.

Mathematical evaluation of facial symmetry and attractiveness:

The Rule of Thirds: Leonardo da Vinci’s facial thirds extend from the hairline to the glabella line (eyebrows), the brow to the base of the nose, and the base of the nose to the chin. In a well-proportioned and attractive face the resulting thirds are equal.

The Rule of Fifths: Vertical lines drawn at the outside and inside corners of the eyes, and at the outside of both ears results in the face being vertically divided into fifths. In a well-proportioned and attractive face the resulting fifths are equal.

Phi, The Golden Ratio-( 1: 1.618): Identified in ancient Greece, this magical mystery ratio somehow governs the proportions of everything from human embryos to azalea buds. It is now an accepted fact that an average human eye finds facial features that are closer to the Golden Ratio, more attractive.


The Golden Ratio Mask superimposed on Angelina Jolie’s face

Whats the difference between Botulinum Toxin-A and Dermal Fillers?

Anti-wrinkle Injections, Wrinkle Relaxer is a purified protein (Amino Acid), which is injected into the muscles of facial expression to relax them temporarily.

It is used to treat areas such as crows feet, frown lines, forehead lines etc. Botulinum Toxin A does not have a filling affect. Hence it can not be used to plump the lips up or restore volume loss in cheeks.

Dermal Fillers are mostly carbohydrate based gels, which are injected in and under the skin to plump it up. They have volume enhancing affect and hence used to augment various facial areas such as lips, cheeks, etc.

Both Botulinum Toxin A and Dermal Fillers are often combined together in one treatment session to comprehensively address the signs of premature photo-aging.

What is B'Tox Made up of? Is it a chemical or a poison?

As mentioned above, Anti-wrinkle Injection or Wrinkle Relaxer product is primarily a naturally occurring purified protein (Amino Acid). It is an organic substance that occurs naturally and is extremely safe and harmless in therapeutic doses. There are more chemical preservatives in the food we eat and more chemical pollutants in the air we breath these days.

Would I look fake or plastic?

As mentioned above, the aim of any cosmetic procedure, whether surgical or non-surgical, is to restore and enhance your features; not to make anyone look fake or plastic.

At Medaesthetics™, our team is fully aware of the current trends in cosmetic industry where budget clinic chains are injecting way too much botox and fillers in their client’s faces, making them look very fake and frozen.

We believe in natural looking results. No hideous trout pouts or chipmunk cheeks.

How long should my Wrinkle Relaxer and Dermal Filler results last for?

No two vials of Wrinkle-Relaxers have 100% similar potency. Botulinum Toxin-A is a biological product (a protein) and hence there can be up to 10% difference in the potency between any two vials. Even if they are from the same brand.

For majority of patients, Wrinkle Relaxer treatment carried out with standard dosing lasts for around 3-4 months.

Dermal Fillers can last anywhere between 3 months to 18 months depending upon the amount and type of filler used.

In our experience, we find that the following key factors affect the longevity of Wrinkle Relaxers and Dermal Fillers:

  • Amount of product used: Different patients have different dosage requirement. Some need more product, others need less. Men may need twice as many units of Wrinkle Relaxers as females.
  • Brand of product used: Different brands have different longevity and efficacy.
  • Patient metabolism: Patients with high metabolism seem to have higher requirement for Wrinkle Relaxers and Dermal Fillers.
  • Patient’s physical and emotional health: In our clinical experience we have observed that some patients undergoing any physical or emotional stress may require more frequent treatments.
  • Exercise: Excessive physical activity (heavy manual labour or exercises like running, swimming, gym workout etc) may make certain patients burn off Wrinkle Relaxers and Dermal Fillers more quickly.
  • Diet: We have observed that Patients on low carb diet and those trying to loose weight by restricting caloric input tend to burn off their Wrinkle Relaxers and Dermal Fillers more rapidly.
  • Smoking & Sun Damage: Smokers and those with badly sun damaged skin, generally have higher dose requirement and they also need more frequent treatments.
Once the treatment wears off, would I look older than before?

We often get asked by patients that they have been told by their friends that if they ever stopped having cosmetic medical treatments, they will actually look older than before!

The answer is no. Numerous clinical studies indicate that people who look after their skin and get occasional cosmetic treatments to minimise the signs of photo ageing; look fresh and feel better about themselves in the long run. Their skin ages slower than those who have extensive sun damage and have never done anything to prevent it. People taking pride in their appearance often have healthier eating and exercise habits. Even without any cosmetic interventions, they tend to live healthier and happier lives.

There are so many treatments out there, I don't know what to choose!?

We often see patients who have done their own research and are often overwhelmed by the wide variety of treatments available in todays market. They find it difficult to understand what works and what doesn’t and who they should see.

Here are a few basic points that you need to understand to find out the most suitable treatment option available for you:

  • Seek professional advice for all your skin concerns from a medically qualified practitioner. Beauty Therapy salons are not qualified to treat medical skin conditions like Acne and skin cancers.
  • In Western Australia, only doctors are allowed to operate medical grade dermatological lasers.
  • Facial ageing happens at 4 levels. Skin, Muscles (of facial expression) Soft tissue fat pads and bone. Ideally, any comprehensive anti-ageing program should involve addressing all 4 layers of the face.
  • Experience and qualification of your treatment provider is more important than the dollar figure. Patients on a budget often try to have the cheapest possible treatment and usually their treatment providers don’t have much experience in the field. As the saying goes, you get what you pay for..
How much does it normally cost?

Contrary to popular belief, cosmetic medical treatments are not as expensive as most people would think they are. The key is to find a reputable and ethical Cosmetic Practice where up-selling and over-correction is not the norm.

In our experience, each patient has individual cosmetic and anti-ageing requirements. A realistic, comprehensive yet minimalistic treatment plan has to be devised by the treating doctor to achieve natural looking results where patients don’t look fake or overdone.

A Patient’s budget can be anywhere from $150 to $15000 and at Medaesthetics, we are capable of offering the entire spectrum of anti-ageing and cosmetic treatments based upon patients expectations and their budget.

Who is not suitable for cosmetic enhancement procedures?

Not everyone is suitable to undergo cosmetic surgery or non-surgical cosmetic enhancements. In our opinion following type of people may not be suitable:

  • Those with a known medical contraindiction
  • Suffering from a chronic medical illness
  • Those with unreal expectations
  • Disparity between their budget and results they want to achive
  • Emotional instability
What is the right order to apply skin care products?

A good skin care routine consists of several products: cleansers, moisturisers, serums, gels and sunscreens. The order in which these products are applied is important to get the full benefits from them and to prepare the skin for a dermatological procedure. Here’s a quick guide to help you.

Day skincare regimen

1. Cleanser

Always start with a gentle cleanser. Wash your face to remove dirt, oil and other impurities. We do not recommend using soap on your face.

2. Exfoliant

Exfoliation removes part of the upper dead layer of skin cells. This helps with better penetration of products that follow.

3. Toner

Toning restores skin’s pH to normal for better penetration of 
products to follow.

Note: Some cleansers are now available with built in exfoliation and toner properties.

4. Topical prescriptions

If your doctor has recommended any prescription strength topical products, apply them now on your clean and dry skin to help them better penetrate.

5. Serums/gels

You should always start applying products with a thinner consistency first as thicker products may block the thinner ones from penetrating the skin and doing their job properly. For example, vitamin B and C serums should be applied at this stage.

6. Eye cream

Eye cream and all other creams are applied after topical serums

7. Moisturiser

Next in the line is the moisturiser. Apply it at this stage as it will boost the efficacy of the other products by locking them in.

8. Sunscreen:

Ideally, all sunscreens should be applied on bare skin before any other product is applied. This should particularly be the case with chemical sunscreens, if you are not on a corrective skin care program and if you are likely to spend time outdoors in the sun.

Chemical sunscreens need to interact with skin cells to be effective. Therefore you should apply them on clean and bare skin and wait for about 20 minutes till they are absorbed before using serums, moisturisers and other skin care products.

However, if you:

  • have just undergone a medical skin resurfacing procedure
  • are on a corrective skincare program with active ingredients
  • are likely to spend most of your day indoors

then it is important to use topical products as advised by your doctor before you apply the sunblock for better product penetration. In this case we recommend:

  • Using a sunblock (physical sun screen) with built in moisturiser after your topical products and serums have been applied and thoroughly absorbed.
  • Topping this up with mineral makeup/ foundation with an SPF factor. We recommend Oxygenetics[C1] ™ range of foundation and makeup.
  • Wearing protective clothing, sunglasses and a protective hat if you have to spend time outdoors.
What should I apply first, sunscreen or a moisturiser?

For chemical sunscreens that do not have a built-in moisturiser, we recommend to apply those before you put on your moisturiser. That’s because active chemical sunscreen ingredients need 20–30 minutes to bind to the skin so the chemical reaction that activates them can occur.

By applying your moisturiser first, you’re interfering with this chemical reaction, as the sunscreen won’t be able to interact with the skin the way it should.

What about physical sunscreens?

Physical blockers are products that contain titanium dioxide and zinc oxide. These two ingredients work differently from chemical sunscreen agents, as they don’t need to be activated through a chemical reaction with the skin – they work as a protective shield. When the sunrays hit them, this shield bounces them off and away from the skin, thus protecting it from sun damage. For this reason, physical blockers can be applied both before and after moisturiser.

What about reapplying sunscreen during the day, when you already have your moisturiser on?

By the time you need to put on your sunscreen again, most of your moisturiser will have already worn off, and won’t therefore interfere with the sunscreen. However, if you are spending time outdoors in the sun and are likely to sweat, you have to reapply your sunscreen every 2 hours after cleansing first.

At Medaestetics® we recommend physical sunscreen (sun block) with a built-in moisturiser and primer.

Night skin care regimen

Night skin care routine is much simpler and easier to follow as no sunblock is required. Basic steps are the same as the day routine.

1. Cleanse: Remove makeup, oils and dirt.

2. Mask: Use only once or twice a week if required.

3. Tone: As above.

4. Prescription topicals: As above.


Products containing retinoids (Vitamin A) are best used at night as they can increase skin’s sensitivity to sunlight. Sunlight can also degrade retinoids causing them to lose their efficacy.

5. Serum/gels: As above.

6. Eye cream: As above.

7. Night moisturiser: During the night skin cells shed more easily and microcirculation is higher so the skin can heal itself. Applying a night moisturiser helps this process.

How do I use sunscreen with makeup?

We advise our patients to use a broad-spectrum sunscreen (which means it blocks both UVA and UVB rays) with a built-in moisturiser and an SPF rating of at least 15.
Apply a thin, even coat, approximately one teaspoon for face, neck, and ears. Let the sunscreen soak into the skin and dab the excess with tissue before applying makeup (preferably mineral makeup with SPF factor).

Many foundations and powders contain sunscreen, is it enough for daily protection?

Many foundations and other makeup products offer a built-in sun protection factor (SPF). We recommend not to rely upon them alone and to use them in conjunction with a proper sunscreen. Makeup does not provide enough coverage for it to be fully effective on its own. You need seven times the normal amount of foundation and 14 times the normal amount of powder to get the sun protection factor on the label!

However, even in this case, some experts think it’s best to apply them on clean, bare skin before using any other skincare products.

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