Non-surgical Procedures

Behind the scenes: What goes in a non-surgical cosmetic consultation and treatment

Article medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)

Templestowe Lower and Berwick Clinics

Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections. Read More



Have you ever wondered what really goes on during a non-surgical cosmetic consultation and treatment? Do you want to get anti-wrinkle injections and dermal filler treatments but would like to know what it’s like from a patient’s viewpoint? During patient Erin’s consultation, Dr Gavin Chan (MBBS, Cosmetic Physician, Liposuctionist) asked her what concerns she had with her face and what improvements she would like to see.

At a reputable medical clinic that focuses primarily in these procedures, highly trained and experienced Cosmetic Doctors and Cosmetic Nurses will take the time to consult with you and examine your face closely before suggesting the best non-surgical cosmetic treatment.

The cosmetic consultation process

Anti-wrinkle injections and dermal filler patient consultation process

During Dr Gavin Chan’s consultation with Erin, said that she really didn’t like her frown lines because they were there even when she wasn’t frowning. She also noted that, “in the last couple of years I’ve developed wrinkles on my face and noticed the crow’s feet around my eyes are getting deeper. I’d also like to improve the shape of my nose without having surgery. Down the track I will get rhinoplasty surgery, but for now I’d like to improve the way I look from the side.” Erin also mentioned that she would like to address her lips by adding some volume and improving the shape of her top lip.

While Erin was keen to have plumper cheeks, Dr Gavin Chan suggested that a better treatment option would be to improve the hollow areas under her eyes, also called tear troughs To improve the transition between Erin’s lower eyelid and cheek, dermal filler treatment under her eye area would make her look less tired and more youthful.

Frown and Tear Trough

Dr Gavin Chan explained that dermal fillers could be used to reshape Erin’s nose. This cosmetic enhancement is called non-surgical rhinoplasty and is a good alternative to surgical rhinoplasty. He notes, “It will give you a good idea of what your nose may look like after rhinoplasty surgery.”

Frown lines are frequently treated with anti-wrinkle injections as they help to relax the underlying muscle that contracts and causes a frown line crease; also known as dynamic wrinkles. Anti-wrinkle injections are also effective at addressing frown lines that are evident even when you’re not frowning. These wrinkles are called static wrinkles. Dr Gavin Chan noted that using dermal filler treatment to add volume in her brow area would also improve the tone and texture of her skin.

To enhance the lip area Dr Gavin Chan suggested a combination of anti-wrinkle injections and dermal filler treatment to improve the shape and volume of Erin’s lips.

How your face is examined before your non-surgical cosmetic treatment

After a Cosmetic Doctor or Cosmetic Nurse consults with you, it is important that they examine your face closely. Dr Gavin Chan notes “it’s important to have a good look at your patient. To touch their face and gauge how elastic their skin tone is. You can’t do this sitting across a consultation desk.”

During Erin’s examination, Dr Gavin Chan noted that as a result of her habitual frowning, the forehead area had developed muscle bulk. There was also a difference in volume between the lateral and medial brow areas. Erin’s tear trough areas were quite hollow and were making her look tired and feel old. When Dr Gavin Chan examined Erin’s nose he saw it was not symmetrical and had indents when viewed from the side.

While Erin was keen to remove her crow’s feet, Dr Gavin Chan suggested that because they were hardly noticeable, using anti-wrinkle injections in this area would make her look unnatural.

Dr Gavin Chan the cosmetic consultation process

What really happens during anti-wrinkle injection and dermal filler treatment?

Before treating Erin’s face, Dr Gavin Chan thoroughly cleansed it with an alcohol disinfectant called Chlorhexidene. To provide a visual roadmap for her treatment, he next marked her face. Using an Accuvein machine to detect veins under her skin, he used red marks to signpost the treatment areas to avoid. This important step reduces the likelihood of any bruising occurring. Using a white marker, Dr Gavin Chan then marked out where the dermal filler and anti-wrinkle injections would be placed.

To ensure Erin was comfortable during the procedure, local anaesthetic (Xylocaine) was injected into the treatment areas to numb them. Ice used in combination with a handheld vibration device was also used.

Dr Gavin Chan used a blunt tipped cannula for Erin’s dermal filler treatment. A key advantage of using a cannula is that it helps to prevent entry of the dermal filler into arteries and veins, which can cause bruising. As the cannula is long, fewer entry points are needed to insert the dermal filler.

During Erin’s dermal filler treatment procedure, Dr Gavin Chan used a variety of different fillers. When he treated the tear trough area he used a particular layering technique, ensuring the under eye area was smooth and plump. To treat Erin’s lip area, Dr Gavin Chan used a fine cannula to inject the dermal filler. This technique is preferable to traditional lip treatments where multiple needles are used to inject filler, which can result in bruising and swelling.

Dr Gavin Chan used a fine needle to inject Erin’s anti-wrinkle injections. When Erin was asked if she felt the injections, she noted that, “I feel really comfortable.”

After the cosmetic consultation process

Why we follow up and review your cosmetic enhancements

Four weeks after Erin’s non-surgical cosmetic enhancements. Dr Gavin Chan reviewed the results. A follow up consultation is important to assess whether more anti-wrinkle injections and/or dermal filler treatments are needed to meet patient expectations.

Erin noted, “I’m really happy with the result and had no bruising at all.” As Dr Gavin Chan examined Erin’s face he noticed that despite the amount of anti-wrinkle injection used in her frown line, it was still evident. Because the frown is a negative expression, Erin was happy to have more anti-wrinkle injections in her forehead area.

Pretty results cosmetic consultation

The best skincare products to use after your non-surgical cosmetic enhancement

After you’ve had non-surgical cosmetic enhancement with dermal fillers and anti-wrinkle injections, it’s important to use skincare that nourishes, protects and hydrates your skin. PRESCRIBEDsolutions Urbane Renewal Triple Action Antioxidant Serum. is a power packed antioxidant serum that helps protect and repair the skin against free radical damage. This lightweight, nourishing serum will keep your skin radiant and glowing.

Take your beauty sleep to the next level with Aspect Gold Probiotic Sleep Mask. This hydrating probiotic rich mask firms, soothes and nourishes the skin while infusing the skin with moisture throughout the night. Wake up with calm, balanced, fresher looking skin.

Need some help choosing skincare that suits your skin, tone and condition? Our highly trained and experienced Skin Therapists can help you with a skin care regime that achieves optimal results. Call us on 1300 863 824 to book your skin consultation in.

Where to get the best dermal filler treatment and anti-wrinkle injections in Melbourne

Since 2005 led by Dr Gavin Chan, our highly trained and experienced Cosmetic Doctors and Cosmetic Nurses have successfully enhanced thousands of people’s faces. Find out how our dermal filler treatment and anti-wrinkle injections can make you look younger and feel more confident. Call us on 1300 863 824 or contact us via the consultation form below.