Anti-wrinkle injections Sydney North Shore

• In general the cost per unit is often more at a plastic surgery clinic. This is because the injections are being performed by the plastic surgeon or by experienced plastic surgery nurses.
• However the overall cost may not be all that different to other ‘cheaper’ clinics due to the following:
  • the skill of injections is in targeting the exact facial muscles to produce the desired effect. You may receive more product elsewhere to achieve the same effect versus precise placement of toxin, which can reduce the dose needed.
  • We believe in gentle titration of effect – so rather than give you a big dose upfront, we will give you a smaller dose at the first visit (therefore reducing cost) and will ask you to return at the two week mark. If you require additional dosing, you are only charged for the units used. By titrating the effect, we aim to reduce the cost for you.
  • We will happily suggest to you that antiwrinkle injections are not warranted if it will not produce the results you desire. Being a surgical practice, we can indicate to you if the benefits of surgery may outweigh the benefits and cost of nonsurgical treatments.

Specific risks of antiwrinkle injections include

• Insufficient effect – the dosing produces effect but not to the degree desired. In some ways this is performed intentionally to titrate the dosing to the required effect. The dosing varies widely between patients and it is therefore safer to titrate up to the effect desired.
• Over-paralysis or unwanted blockade. Injections in certain areas can block unwanted muscle groups that can produce a strange appearance
  • Injections near the eyebrow can cause upper eyelid droop (ptosis)
  • Injections of the crows feet can block muscles that aid in smiling to produce bizzare smiling appearances
  • Injections near the angle of the mouth/lower lip can block other muscles causing drooling or bizzare smiling appearance.
• Asymmetry

This depends on the total number of units

• A standard consultation fee is applied for the first visit of $240 with an appropriate referral.
• The standard fee for axillary (armpit) hyperhidrosis is $1150 (for standard number of units per armpit) – this is rebatable from Medicare under item no 18362 which may allow one to claim $185 for a total out of pocket cost of $965.
• Please note that additional units required after the first visit will be charged at our standard rates, and these will not be rebatable from Medicare. These injections are administered by Dr Aggarwal.

• This is directly related to the number of units
• A standard consultation fee is applied for the first visit of $240 with an appropriate referral.
• The cost can vary from $500-1000 depending on the amount of toxin used.
• A part of this cost is rebatable from Medicare under item no 18377 which may allow one to claim $93. However this has strict criteria including:
  • Patient at least 18 years of age
  • Patient has not had relief from 3 different anti-migraine medications
  • Patient has at least 15 days of headaches per moth of which 8 days are migraines, over a period of 6 months; and
  • The benefit cannot be used more than twice unless there has been an improvement in the number of headache days by 50%
• Please note that additional units may be required after the first visit and these will be charged at our standard rates (the injections are administered by Dr Aggarwal).