Medical & Surgical Facial Aesthetics (03) 95100714

Wrinkles on forehead – best treatment and the risks

Wrinkles on forehead – best treatment and the risks

Wrinkles on forehead? Let’s discuss a proven treatment and the risks of this treatment.

Some people will notice horizontal lines on their forehead early in life and if they left for too long, they will often deepen and may become almost impossible to abolish.

Let’s discuss the anatomy that cause the wrinkles on forehead. The forehead is made up of the frontalis muscle which spans across the entire forehead and ends above the eyebrows. This muscle is responsible for raising the eyebrows and keeping them from dropping or drooping downwards. When we raise our frontalis muscle, the eyebrows raise up and the skin above rises, causing the skin on the forehead to crease. This action us usually repetitive and a lot of the time we don’t even know we are doing it. When we think of anti-wrinkle injections that have gone wrong, we often think of either one eyebrow raised higher or shaped differently than the other or a drooping eyelid. Unfortunately this is a risk when having the lines on the forehead treated with anti-wrinkle injections.

About the treatment for wrinkles on forehead

A consultation with a qualified clinician is essential in order to assess muscle strength and anatomy. Once a dose is decided, small injections of anti-wrinkle injections are injected in the forehead. It is important for this area to remain as symmetrical as possible to avoid the tell tail signs. The dose that is decided is very important in trying to avoid any complications as discussed above.

Frown lines making you look angry?

Frown lines making you look angry? We can help!

Does this sound familiar? “You don’t look happy today!” or “Are you ok?”

“YES I’M HAPPY!!!!!”

Tired of being asked “what’s wrong?” but you feel no less happy than normal?
If the answer is yes, you are not alone. Your frown muscles may be building momentum! We can assure you this is completely normal and can be corrected or improved. In fact, treating frown lines at our St Kilda clinic is extremely common.

Why does this happen?

Our entire face is made up of different muscles, each with a different function so that we can express ourselves, open and close our eyes and mouth and twitch our nose! Our facial muscles are repetitively moving back and forth, which, over time, can cause them to strengthen and enlarge. Specifically, our frown muscles are made up of three muscles (two muscles called the corrugators, which are connected to the inner eyebrows, and the procerus muscle which is in between the corrugators). When we frown the two corrugator muscles squeeze inwards, or medially, to the centre of our face and at the same time the procerus muscle pulls downward. The squeezing in and down motion will help to explain why we often end up with vertical (aka the “11 lines”) and horizontal lines across the bridge of the nose. Try frowning in the mirror and see for yourself!
Frown lines on woman
The muscles are moving repetitively and at the same time, as we age, our skin cells (as well as all of the body’s cells) get replaced at a reduced rate, slowing down the speed of recovery. So if our muscles are getting stronger and pressing harder against skin that is slower to repair, the result is deeper and more permanent lines. The cycle will continue as we age if we do not intervene.

How can we help?

The gold standard treatment for frown lines are anti-wrinkle injections. This relaxes the muscles, slows down their movement (or completely stops the movement) and allows the skin above the muscle time to regenerate, resulting in lines and wrinkles beginning to soften. Whilst the muscle remains in a relaxed state, the skin is no longer being pushed and squashed between the muscles and this is when we usually start to see an improvement in the frown lines. However, if these lines are quite deep, then a dermal filler may also be helpful in order to push the lines up and out.

Anti-wrinkle injections generally last around 3 months (however, will vary from person to person) and we recommend this treatment for improving your frown lines. Dermal fillers in this area can last up to 18 months (depending on the dermal filler your clinician recommends).

Lastly, this is a relatively simple solution for helping you look as happy as you actually feel. If this is a problem area for yourself, contact our friendly staff in our St Kilda clinic to arrange a consultation on (03)95100714.

The PRP injection process in facial rejuvenation

The PRP injection process in facial rejuvenation

Any surgical or invasive procedure carries risks.  Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Platelet rich plasma (PRP) injections are generally a safe technique in facial rejuvenation. By using your own blood products with no foreign bodies or chemicals, your own blood can improve the quality or your skin. This process is sometimes referred to as a “vampire facial“.

What are some of the benefits?

– Improvements to fine lines and wrinkles
– Improvements to skin colour and texture
– Improvements to pigmentation
– Improvements to scars
– Improvements to skin elasticity

To see the PRP injection process in facial rejuvenation, watch our clinic video, above.

The difference between an open and closed rhinoplasty

The difference between an open and closed rhinoplasty

Any surgical or invasive procedure carries risks.  Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

If you are considering having rhinoplasty surgery, it is important to realise there are different approaches to this surgery. There are both the open and closed techniques. The open approach being more invasive than the closed. However, is it possible for the patient to choose which approach they would prefer?
Watch our surgeon, Mr Patrick Walsh’s video blog for the answer and to explain the difference between an open and closed rhinoplasty.

Rhinoplasty Journey

Rhinoplasty Journey – By Mr Patrick Walsh

Any surgical or invasive procedure carries risks.  Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

If you are considering undergoing rhinoplasty surgery, watch our video blog on a patient’s rhinoplasty journey to see what is involved. This operation was performed by our surgeon, Mr Patrick Walsh in a Melbourne hospital. The patient was more than happy to allow us to document her journey which includes pre and post-operative images, image analysis using image manipulation technology, patient interviews of before and after surgery as well as photos of the progressive healing stages during the initial post-operative period.

The image analysis on the rhinoplasty journey shows that the surgery requires a lot of planning prior to the procedure, a lot of discussion and good communication between the patient and the surgeon to ensure both patient and surgeon are on the same page when it comes to the aesthetic aims of the surgery. By using image manipulation technology, there is great improvement in communicating exactly what the patient would like changed and allows a visual interpretation of what is surgically possible from the surgeon’s point of view.
Image of a woman before and after rhinoplasty surgery
The patient’s rhinoplasty journey also shows that the patient must be prepared mentally with what they would like to change, physically in terms of good health and socially in terms of having time off work to recover and protect their healing nose.

If you have thought about rhinoplasty surgery for a while, it may be time for a consultation to see whether you would be a good candidate or not. Mr Walsh consults with his potential rhinoplasty patients in his St Kilda rooms which includes a full facial analysis. Since this video, Mr Walsh now uses 3D imaging during his consultations to demonstate what is surgically possible. For more information or to book a consultation phone: (03) 95100714.

The BIGGEST misconceptions about nose surgery

The BIGGEST misconceptions about nose surgery

Otolaryngologist and facial plastic surgeon, Mr Patrick Walsh sees many patients who want surgery to change the shape of their nose. Here are Mr Walsh’s top 3 biggest misconceptions about nose surgery that we will clear up below.
Image of woman looking in mirror at nose

1. A septoplasty will straighten my nose

This is incorrect. A septoplasty is an operation to straighten the septum of the nose which is an internal structure. It is a commonly performed surgery often with the aim of opening the nasal airway and improving airflow in the nose for the treatment of nasal obstruction. It is commonly mistaken for septorhinoplasty surgery which is an operation which straightens both the internal septum as well as the outer structure of the nose. Having a septoplasty surgery on its own will not change the look of the external nose.

2. I would like my nose to be like Angelina’s please!

Unfortunately, it is not possible to order a particular looking nose. When patients decide they want a nose job, they tend to look at many people’s noses and visualise what would look great on their face. However, each nose can only be surgically changed to adapt to what the person already has. It is all about making improvements on what you already have whilst keeping in proportion to the rest of the face. An ideal result of a nose job is to not notice the nose too much at all.  Fortunately our 3D imaging technology makes it easier to visualise what outcomes are possible when having surgery with Mr Walsh.

3. The nose can be made as small as I would like.

This is not necessarily true. There is a limit to how small any nose can be reduced to with a cosmetic rhinoplasty procedure. The reason is that the smaller the nose, the narrower the airway and the risk of an obstructed nose increases. By narrowing the airway too much, the nose could potentially be obstructed either partially or fully or the result could also be a permanent nasal whistle which can be very frustrating for the patient to live with. There is a lower limit to how small a nose should be reduced and it is the surgeon’s job to aim for the best visual result that is easy to breathe through. This is especially the case if you have thick skin. Thick skin needs a certain amount of structure beneath it to be able to define the nose.

To arrange a consultation with Mr Walsh contact our St Kilda rooms on (03) 95100714.

Gummy smile treatment

Gummy smile treatment

Everybody wants a beautiful smile. No one wants to feel self-conscious when we are happy! If you find yourself closing or covering your mouth to cover your smile then it may be time to take action. A gummy smile treatment could be the answer.
Image of a woman with gummy smile.

What is a gummy smile?

When there is a lot of the gum visible above the top teeth when we smile (generally at least 4 millimetres), it is referred to as a gummy smile. It can give the appearance that the teeth are either too small or the gums are too big for the face. Therefore your mouth can appear out of proportion with the rest of your face.

How does gummy smile treatment work?

The treatment is generally very simple and can be performed by either a registered nurse or a doctor. This non-surgical treatment for gummy smile is performed by injecting a drug commonly used for anti-wrinkle injections into the muscles close to the nose that are responsible for lifting up the upper lip. Once the medication starts working, these muscles start to relax and the top lip will not raise as high when smiling. Results are generally seen within 2 weeks of your treatment.

What are the costs for treating a gummy smile?

When you see a clinician that charges per unit of the medication used, then is can be a very cost effective procedure. Results can last up to 6 months (however, will vary from person to person) but it is usually an area that requires ongoing treatment.


For this simple, non-surgical gummy smile treatment, a consultation with your clinician is essential. Thankfully, the staff in our St Kilda clinic at Subtle Transformations are trained clinicians in this area and can help you with planning your treatment and assessing the results. Contact us on (03) 95100714 to book your consultation.

Revision Rhinoplasty Explained – By Mr Patrick Walsh

Revision Rhinoplasty Explained

Any surgical or invasive procedure carries risks.  Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Are you considering having revision rhinoplasty surgery? Otolaryngologist and facial plastic surgeon, Mr Patrick Walsh discusses this topic in this video blog. Mr Walsh has performed many initial rhinoplasty surgeries. He has also performed many successful revision rhinoplasty cases. As Mr Walsh explains in the video, both procedures are challenging, however, revision rhinoplasty is generally more complex and takes longer than an initial rhinoplasty.

Grafts required for revision rhinoplasty surgery

Grafts are sometimes required for an initial rhinoplasty, however they are more commonly required for a revision rhinoplasty. As Mr Walsh explains on his blog, a common graft required is from the rib. Such grafts can prolong the recovery period and can be quite painful but are an essential part to achieving optimal results for some patients.

Finding the right surgeon for your revision rhinoplasty

If you have already been through an initial rhinoplasty, then you most certainly will want to find the right surgeon for your revision rhinoplasty. To find the right surgeon, you may need to have multiple consultations with different surgeons. It is important that you feel comfortable with your choice of surgeon. A good line of communication between the patient and the surgeon is vital to ensure your wishes and the surgical possibilities are understood by both parties. For more information or to arrange a revision rhinoplasty consultation with Mr Walsh, you can contact his St Kilda rooms on (03) 95100714.

What are the risks of rhinoplasty surgery?

VIDEO BLOG: What are the risks of rhinoplasty surgery?

Any surgical or invasive procedure carries risks.  Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Are you considering having rhinoplasty surgery? If yes, you probably have many questions you would like answered. A common question is: What are the risks of rhinoplasty surgery? Our experienced, Melbourne based surgeon, Mr Patrick Walsh helps to answer this question in this video blog. In detail, he outlines the potential risks that are involved when having this sort of surgery. Not only are there risks in the surgery itself, but there are also risks involved in having a general anesthetic, as well as the post-operative recovery. Each case is individual and therefore the risks will vary from patient to patient. This will depend on the severity of the surgery and the general health of the patient. A consultation is essential, however Mr Patrick Walsh describes many of the general risks of rhinoplasty surgery in the above video.

Click above to watch this video blog to find out what the risks of rhinoplasty surgery are.

Mr Patrick Walsh is an ENT and facial plastic surgeon in Melbourne. He performs many cosmetic and functional rhinoplasty surgeries in private hospitals in Melbourne. For more information or to arrange a consultation, please contact his St Kilda rooms on (03) 95100714.

What is Hyperhidrosis? A simple treatment explained

What is Hyperhidrosis? A simple treatment explained

Hyperhidrosis is a condition whereby overactive sweat glands cause excessive sweating of the skin and various parts of the body. The main areas that can be affected by hyperhidrosis are under the arms, the palms of the hands and soles of the feet. If antiperspirant deodorants do not resolve this problem then it may be temporarily relieved by injecting a drug which is also used for cosmetic purposes as an anti-wrinkle treatment. The drug is injected into the dermis of the affected area into the site near the sweat glands. This causes a disruption to the signals which are normally sent from the dermis to the sweat gland. The disruption stops the sweating process altogether in that particular region.


How long does the injection treatment for hyperhidrosis last?

The longevity of this treatment for hyperhidrosis will vary from person to person.  However, generally, the average effects can last from between 3-6 months. Once sweating starts to reoccur then it is time to have another treatment.

What areas can be treated for hyperhidrosis?

Under the arms is a popular place that can be treated with these injections. It can be quite embarrassing, especially when clothes appear wet, accompanied by an unpleasant odour, and also staining of clothes is a common complaint. If antiperspirant deodorants don’t seem to be helping the problem, then injection treatment may be well worth trying.

The palms of the hands are also common areas that can be affected by hyperhidrosis and can be easily treated. Sweaty palms can affect people in many ways such as meeting new people; you may avoid shaking hands and it can get slippery making simple tasks difficult to complete.

Excessively sweaty feet often cause foot odour and wet smelly socks which can cause embarrassment at times.

Is this treatment for hyperhidrosis suitable for me?

If you are suffering from this hyperhidrosis, this treatment maybe worth trying. It has been proven to be effective and if excessive sweating is causing you worry in your day to day activities, then there is no harm in giving it a try. Some people will have this treatment just as the warmer weather begins as that is when the problem may be worse. Others will have the treatment 2-3 times per year to ensure the problem is kept under control all year round.   If you have been thinking about getting this treatment, consult your clinician for a consultation. This involves a short test to see the extent of the condition and to estimate the appropriate dose you will need for optimal results. The treatment is not suitable for pregnant or breastfeeding women.