Cosmetic Treatments . Lines & wrinkles

Anti-Wrinkle Injections in Havelock North

A woman receiving a facial injection from a medical professional in a clinical setting.

At Central CosMedic, Dr Danielle Waxman offers anti-wrinkle injections for patients across Havelock North, Hastings, Napier and the wider Hawke’s Bay. Treatment is doctor-led from start to finish, and the aim is to soften lines while keeping your natural expression.

Anti-wrinkle injections are one of the most common cosmetic treatments for lines caused by everyday facial movement, such as frown lines, forehead lines and crow’s feet. This page explains how they work, which areas can be treated and what to expect.

What Are Anti-Wrinkle Injections?

Anti-wrinkle injections use a purified protein that temporarily relaxes the specific muscles responsible for certain lines. It is a prescription medicine, so treatment is only available after a consultation with a doctor.

Many lines on the face form because of repeated muscle movement, such as frowning, squinting or raising the eyebrows. Over time, these movements can leave creases that stay even when your face is at rest.

When a small amount is injected into a targeted muscle, it blocks the signal from the nerve that tells the muscle to contract. The muscle relaxes and the skin above it smooths out. The effect is temporary, so treatment is repeated to maintain the result.

Areas We Treat

Treatment is tailored to the lines that concern you. The areas treated are:

Upper Face

  • Glabellar Lines (“11s”) – The vertical frown lines that appear between your eyebrows. 
  • Forehead lines – Horizontal creases that form when raising your eyebrows.
  • Crow’s Feet – Fine lines and wrinkles radiating from the outer corners of the eyes when smiling or squinting.
  • Bunny Lines – Vertical or diagonal wrinkles along the sides of the nose.
  • Brow Lift – Strategic injections to subtly elevate and open up heavy or drooping eyebrows.
  • Perioral / Lip Lines – Fine vertical lines around the mouth (often done via a “lip flip” to roll the upper lip slightly outward).
  • Chin Dimpling / Pebbled Chin – Relaxing the mentalis muscle to smooth out a puckered or bumpy chin.
  • Jawline and Masseter – Slimming a bulky jawline, reducing teeth grinding (bruxism), and easing TMJ tension.
  • Gummy Smile – Softening the upper lip muscle to reduce excessive gum exposure when smiling.
  • Neck Bands (Platysmal Bands) – Softening vertical cord-like bands running down the front of the neck.

Medical Uses

The same treatment is also used for some medical conditions. For more information, see Excessive Sweating and Migraine Treatment & Prevention.

Anti-wrinkle injections before and after – crow's feet
BEFORE & IMMEDIATELY AFTER

Anti-Wrinkle Injections

This image shows the appearance before and immediately after Anti-Wrinkle Injections treatment. Individual results and recovery vary.

How Dr Waxman Approaches Anti-Wrinkle Treatment

Anti-wrinkle injections are only given after a consultation, and only when they are a sensible option for you.

01

Consultation

Dr Waxman takes a full health history, including any medications you take, and talks through the lines that bother you.

02

Assessment

She looks at how your face moves, the strength of the muscles and the condition of your skin, and considers whether anti-wrinkle injections, another treatment or a combination would suit you best.

03

Informed Decision

You will hear the potential benefits, risks and side effects in plain terms, along with the costs, before you decide anything.

04

Your Treatment Plan

If you go ahead, you agree a plan together, including when to come back to review how the treatment has settled.

What to Expect

On the Day

An appointment takes around 15 to 30 minutes. Small amounts are injected with a very fine needle, and most people feel only a brief sting. Small bumps can appear where the injections were given, and these usually settle within about 30 minutes. There is no downtime, so you can go straight back to your usual day.

Dr Waxman will give you aftercare advice, which usually includes avoiding facials or massages for 24 hours, strenuous exercise for 24 hours, and rubbing or massaging the treated area.

Results and How Long They Last

Results start to show within a few days, with the full effect after about two weeks. They usually last around three to four months, although this varies with the area treated, the dose and how your body responds.

Combining Treatments

Anti-wrinkle injections treat lines caused by movement. Lines that are still visible when your face is at rest, or areas that have lost volume, may respond better to dermal fillers or a skin treatment such as a skin booster or collagen stimulator. Dr Waxman will explain your options.

Side Effects and Safety

Common side effects include mild pain, redness, swelling or bruising where the injections were given, and sometimes a headache. These usually settle within a few days.

Less commonly, the treatment can affect nearby muscles. This may cause a temporary drooping of the eyelid or eyebrow, or an uneven result. These effects wear off as the treatment does.

Anti-wrinkle injections are not suitable for everyone, including during pregnancy or breastfeeding, or for people with certain nerve or muscle conditions. Your health history is reviewed before anything is recommended, and Dr Waxman will talk through the risks and potential benefits so you can make an informed decision. If you have any concerns after treatment, contact the clinic.

Product Information

Anti-wrinkle injections (botulinum toxin)

Botulinum toxin injections are prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botulinum toxin injections have risks and benefits. Ask your doctor if botulinum toxin injection is right for you. If you have side effects, see your doctor. You will need to pay for your botulinum toxin injection and clinic fees will apply. For details on precautions & side effects consult your doctor or go to www.medsafe.govt.nz. Botulinum toxin injections lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals.

Dermal fillers

Dermal Filler, Medical Device Class III to smooth facial wrinkles and folds, correct facial atrophic scars, restore or enhance the lips, or restore facial volume. Dermal filler has risk and benefits. Ask your doctor if dermal filler is right for you. For product information, check with your doctor or from product details with the supplier.

Frequently Asked Questions

Usually around three to four months. It varies depending on the area treated, the dose and how your body responds. Dr Waxman will suggest how often to come back based on your result.

Most people notice lines start to soften within a few days of anti-wrinkle injections, with the full effect showing after about two weeks. Timing varies from person to person and depends on the area treated. If you have an event coming up, it is best to have treatment at least two weeks beforehand so the result has fully settled. 

Yes. The aim is to soften lines, not to remove all expression. Dr Waxman tailors the amount used to each area so your face still looks and moves naturally.

A very fine needle is used and most people describe a brief sting. The appointment itself is quick.

No. You can return to work or your usual activities straight away, following the aftercare advice Dr Waxman gives you.

Anti-wrinkle injections relax the muscles that cause lines when you move your face. Dermal fillers add volume and support to areas that have lost it. They treat different concerns and are often used together.

Anti-wrinkle injections are used to soften frown lines between the eyebrows, horizontal forehead lines and crow’s feet around the eyes. These lines are caused by repeated muscle movement. At your consultation, Dr Waxman will look at how your face moves and talk through which areas may benefit.

The cost depends on the areas treated and the amount needed. Dr Waxman will give you a clear quote at your consultation, before any treatment goes ahead. Pricing is available on enquiry.

Considering Anti-Wrinkle Injections?

Book a consultation with Dr Waxman at our Havelock North clinic to talk through the lines that bother you. You will get an honest view on whether anti-wrinkle injections are the right option.

Book a Consultation