Non-Surgical Procedures

Anti-Wrinkle Injections

US-Trained Surgeon15+ Years ExperiencePatient-Centred Care

Consultations are based at Christiaan Barnard Memorial Hospital in Cape Town, with patients visiting from the Western Cape and across South Africa.

What is Anti-Wrinkle Injections?

Anti-wrinkle injections are a purified protein treatment that temporarily relaxes facial muscles responsible for dynamic wrinkles. When injected in small, controlled amounts by Dr Maresky, these injections safely and effectively reduce the appearance of:

- Forehead lines (horizontal lines across forehead)
- Frown lines (vertical lines between eyebrows, also called "11 lines")
- Crow's feet (lines around the eyes)
- Bunny lines (wrinkles on the nose)
- Gummy smile (excessive gum display when smiling)
- Neck bands (platysmal bands)

Anti-wrinkle injections are one option for temporarily softening dynamic facial lines. Suitability, expected duration, side effects, and aftercare are discussed during consultation.

Dr Maresky plans injectable treatments around facial anatomy, conservative dosing, and preservation of facial expression where possible.

How Much Does It Cost?

Anti-Wrinkle Injections at Dr. Maresky's practice typically ranges from R3,500 to R7,000, depending on your specific needs and goals. Final pricing is always confirmed during your consultation, once Dr. Maresky has assessed your individual case.

Factors that influence the cost:

  • Number of units
  • Treatment areas
  • Product used

The consultation is an independent clinical assessment. Final costs are confirmed before any treatment is scheduled.

Prices are indicative and quoted at Christiaan Barnard Memorial Hospital. Subject to change. Medical aid contributions may apply for reconstructive or medically indicated cases.

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The Procedure

Duration: 10-20 minutes (quick "lunchtime" procedure)

Anesthesia: Topical numbing cream (optional) or ice to minimize discomfort

Procedure Steps

  1. Consultation: Dr Maresky assesses your facial anatomy and discusses treatment goals
  2. Cleansing: Treatment area is cleaned and disinfected
  3. Marking: Injection points are identified based on muscle activity
  4. Injection: Small amounts of the treatment are injected into specific facial muscles using a very fine needle
  5. Assessment: Dr Maresky evaluates symmetry and may make adjustments
  6. Post-treatment instructions: You receive detailed aftercare guidelines
Dr Maresky uses advanced injection techniques including:
- Microdroplet technique for natural diffusion
- Anatomical mapping for precise muscle targeting
- Conservative dosing to maintain facial expression
- Symmetry assessment for balanced results

Recovery & Aftercare

Recovery Timeline

Immediately after:
Minor redness, small bumps at injection sites (resolves within 1-2 hours)

Post-Operative Restrictions

First 24 Hours

  • Avoid lying down for 4 hours after treatment
  • No strenuous exercise or heavy lifting
  • No facial massage or manipulation
  • Avoid excessive heat (saunas, hot yoga, sun exposure)
  • No alcohol consumption
  • Stay upright as much as possible

first48hours

  • Avoid facials, chemical peels, or microdermabrasion
  • No swimming or hot tubs
  • Gentle skincare only

First 2 Weeks

  • Avoid other facial treatments unless approved by Dr Maresky
  • Protect skin from sun exposure

Pain Management: Minimal discomfort - most patients describe it as a slight pinch or mosquito bite. Topical numbing cream available if needed.

Scarring: No scarring - injections use very fine needles that leave no marks

Expected Results

Initial effects: 3-7 days
Full results: 10-14 days
Duration: 3-4 months (varies by individual)
Maintenance: Repeat treatments every 3-4 months for sustained results

What anti-wrinkle injections CAN do:
- Temporarily soften the appearance of dynamic wrinkles
- Help manage wrinkle formation related to facial muscle movement
- Support a more rested appearance when clinically appropriate
- Lift eyebrows slightly (brow lift effect)
- Reduce excessive sweating (hyperhidrosis)
- Soften wrinkles while preserving facial expression where possible

What anti-wrinkle injections CANNOT do:
- Remove static wrinkles (wrinkles present at rest) - may need fillers
- Tighten loose skin - may need surgical facelift
- Treat deep volume loss - may need dermal fillers
- Provide permanent results - effects are temporary
- Replace healthy lifestyle habits (sun protection, skincare)

Patient experience varies. During consultation, Dr Maresky will discuss expected duration, possible side effects, aftercare, and whether injectable treatment is suitable for your goals.

Ready to Get Started?

Schedule your consultation with Dr. Maresky today

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Why Choose Dr. Maresky

Safety First
Personalized Planning
Personalized Care
Anti-Wrinkle Injections - Image 1 of 1

Frequently Asked Questions

How long do anti-wrinkle injections last?
Anti-wrinkle injections typically last 3-4 months. Results vary by individual based on metabolism, muscle strength, and lifestyle factors. Regular treatments may extend duration over time as muscles become trained to relax.
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Do anti-wrinkle injections hurt?
Most patients report minimal discomfort - similar to a slight pinch or mosquito bite. The needles used are very fine, and treatment is quick. Topical numbing cream or ice can be applied if you're sensitive to needles.
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Will I look frozen or unnatural?
Anti-wrinkle injections are planned conservatively to soften wrinkles while preserving facial expression where possible. Results vary, and dosing is discussed during consultation.
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When will I see results?
You'll notice initial effects within 3-7 days, with full results visible at 10-14 days. Some patients see improvement as early as 24-48 hours, but it's important to wait the full 2 weeks before assessing final results.
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Can I get anti-wrinkle injections if I'm pregnant or breastfeeding?
No, anti-wrinkle injections are not recommended during pregnancy or breastfeeding. While there's no evidence of harm, there's insufficient safety data. Wait until after pregnancy and breastfeeding to resume treatments.
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What's the difference between anti-wrinkle injections and fillers?
Anti-wrinkle injections relax muscles to reduce dynamic wrinkles (wrinkles caused by facial expressions). Fillers add volume to treat static wrinkles (wrinkles present at rest) and restore facial volume. They're often used together for comprehensive facial rejuvenation.
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Can men get anti-wrinkle injections?
Yes. Anti-wrinkle injections may be suitable for men as well as women. Dosing and placement are planned around facial anatomy, muscle strength, and treatment goals.
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How often should I get anti-wrinkle injections?
Most patients return every 3-4 months for maintenance treatments. Regular treatments may allow for longer intervals over time as muscles become trained to relax. Dr Maresky will recommend an optimal schedule based on your results.
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What should I avoid after anti-wrinkle injections?
For 4 hours after treatment: Stay upright, avoid lying down. For 24 hours: No strenuous exercise, facial massage, or alcohol. For 48 hours: No facials, chemical peels, or excessive heat. Follow Dr Maresky's specific aftercare instructions.
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Can anti-wrinkle injections be reversed?
There's no reversal agent for anti-wrinkle injections. However, effects are temporary and will naturally wear off over 3-4 months. If you experience unwanted effects (like eyelid drooping), they will resolve on their own, typically within 2-4 weeks.
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Are anti-wrinkle injections safe?
Yes, when administered by a qualified practitioner. Anti-wrinkle injections have been used safely for over 30 years with millions of treatments performed worldwide. They're FDA-approved for cosmetic use and have an excellent safety profile when proper technique is used.
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At what age should I start anti-wrinkle injections?
There's no "right" age - it depends on when wrinkles appear. Some patients start in their late 20s for prevention, while others wait until their 40s or 50s. Dr Maresky can assess whether anti-wrinkle injections are appropriate for you during consultation.
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