Wrinkle Assessment
DERMAL DISTINCTION
Cosmetic Anti-Ageing & Skin | Balwyn North
Wrinkle Assessment
Dermal Distinction
ANTI-AGEING & SKIN
Treatment areas
At Dermal Distinction, our approach combines aesthetic understanding with evidence-based skin science. Rather than focusing solely on reducing the appearance of wrinkles, our goal is to support skin health, facial balance, and natural expression. Every face has a unique interplay of muscles that lift and pull, and we begin with a thorough consultation to assess your individual anatomy and concerns.
From there, we develop a personalised treatment plan that may include both skin and muscle-targeted therapies. In some cases, a cosmetic medicine approach may be recommended based on clinical need. Our aim is to enhance your features while maintaining your natural character—sometimes this means preserving subtle lines in specific areas to keep your appearance authentic and expressive.
Neck
The lower facial and neck muscles can contribute to skin draping, lines, or changes in facial contour that some individuals may wish to address. Certain treatments offered at our clinic may help support these areas by targeting underlying muscle activity. A cosmetic medical consultation with our qualified practitioner is required to assess your concerns and determine the most appropriate approach. If clinically suitable, this may include a cosmetic medicine treatment as part of your personalised care plan.
Jowl Area
As we age, the lower face can gradually change shape, and the appearance of jowls may develop. This can result from a combination of factors, including changes in muscle activity and natural fat volume loss. Some of the treatments available at our clinic may help to support facial structure by addressing these underlying factors. A consultation with our cosmetic practitioner is required to assess your individual needs. If clinically appropriate, a cosmetic medicine approach may be recommended as part of your personalised treatment plan.
Grinding and clenching
In individuals who clench or grind their teeth, the jaw muscles—particularly the masseter—can become overactive and enlarged over time. This may contribute to jaw discomfort, facial changes, or wear on the teeth. At our clinic, we offer several treatment options to support this concern, including dental splints to protect the teeth. In some cases, additional treatments may be used to address muscle activity. A consultation with our cosmetic practitioner is required to assess your condition and determine the most appropriate approach. If clinically indicated, a cosmetic medicine treatment may be included in your personalised care plan.
Bunny Lines/Nose Shape
"Bunny lines" are the small lines that can appear on either side of the nose when you scrunch or wrinkle it. While some people embrace these lines as part of their natural expression, others may seek options to reduce their appearance. Certain treatments offered at our clinic may help address this area by targeting underlying muscle activity. A consultation with our cosmetic practitioner is required to assess your concerns and, if appropriate, a cosmetic medicine approach may form part of your personalised treatment plan.
Gummy Smile
A gummy smile can result from a variety of factors, including short teeth, excess gum or bone tissue, or overactive upper lip muscles. In some cases, non-surgical treatment options may assist in reducing the appearance of excess gum when smiling. Certain treatments may involve addressing the muscle activity contributing to this concern. A personalised consultation with our cosmetic practitioner is required to assess your smile and determine the most appropriate approach. If clinically indicated, a pcosmetic medicine treatment may form part of your care plan.
Forehead
Certain treatments offered at our clinic may help to support smoother forehead contours by addressing muscle activity in the area. As individual anatomy and movement patterns vary, a consultation with our cosmetic practitioner is required to assess your needs. Based on this assessment, a tailored treatment plan will be developed, which may include a cosmetic medicine approach if clinically appropriate.
Eyes
Lines around the eyes commonly develop over time due to natural facial expressions such as smiling and squinting. At our clinic, we offer treatments that may help to soften the appearance of these lines by addressing underlying muscle activity. A consultation with our cosmetic practitioner is required to assess your individual concerns and determine the most suitable approach. If appropriate, a cosmetic medicine treatment may be included in your personalised plan following this assessment.
Brow Shape
As part of the natural ageing process, the position of the eyebrows may shift over time, which can influence overall facial expression and balance. While this is a normal change, some individuals choose to explore treatment options to support this area as part of a broader facial rejuvenation plan. Certain treatments offered at our clinic may assist by addressing muscle activity. A consultation with our cosmetic practitioner is required to assess your needs, and if appropriate, a cosmetic medicine approach may form part of your personalised treatment plan.
Nose Tip Droop
We offer non-surgical treatment options that may assist in supporting the position of the nasal tip, particularly in cases where the tip lowers noticeably during smiling. This approach focuses on addressing muscle activity that contributes to this movement. A consultation with our cosmetic practitioner is required to assess your anatomy and concerns. If suitable, a cosmetic medicine treatment may be included as part of your personalised care plan.
Chin Shape
Chin dimpling—sometimes referred to as "peau d'orange" due to its resemblance to the texture of orange peel—can occur as a result of muscle activity and skin changes over time. This is more commonly observed in women, who typically have thinner skin and fewer sweat glands in the lower face. Non-surgical treatments may help to support smoother contours in this area. If chin texture is a concern for you, we recommend booking a consultation with our cosmetic practitioner to assess your needs. If appropriate, a cosmetic medicine treatment may be included in your individualised plan.
What happens during an wrinkle consultation?
Step One - Consultation and Consent
It is important to understand that wrinkle treatments can vary, and this means that it is important that we know about you and your medical history, and what you would like to achieve as part of the overall facial treatment. Additionally, the anatomy of the face is complex, it is advisable that the you only allow qualified practitioners, like Dr Giulia D'Anna (BDSc, MRACDS), carry out treatments.
Step Two - The Treatment
Once your anti-ageing treatment plan is developed, your treatment will usually take around 15 - 30 minutes. We will take photos of you. Then the first part of your treatment will be marking the target areas on your face, before treatment. Each area is cleansed before proceeding to the next. We will give you instructions of after-care procedures and organise a review appointment.
Step Three - The Check-Up
We will schedule a follow up visit, especially if it is the first time we are treating you. Each face is different, and each side of your face can also be different in the way they move, the facial contours present, and the exact treatment needed to achieve a great result. So it is normal for us to undertake adjustments in your result to balance any little nuances out. We know that some treatments are fully active at 14 days, so it is a perfect time to review and retreat any areas at this appointment.
Step Four - The Repeat Treatment
Depending on your body and metabolism, we will schedule a maintenance visit at 12 weeks. This gives us the opportunity to stay on top of the treatments we have done, before it has a real chance to return to pre-treatment levels. For some patients, this appointment might be scheduled a little later - usually 16-24 weeks after the initial treatment.
What areas will we assess?
There are a number of cosmetic areas we will assess. We can focus on:
- Forehead lines
- Bunny lines
- Softening or defining the jaw angle
- Crow’s feet (around your eyes)
- Eyebrow lift
- Frown lines/11s
- Marionette lines
- Neck lines (Nefertiti Lift)
- Chin dimples
- Gummy smile
- Mouth droop
- Lipstick lines
- Jowl Lift
- Facial slimming
How should I prepare for my anti-ageing treatment?
A week before your anti-ageing treatment, avoid taking aspirin, ibuprofen, vitamin E and fish oil supplements. These may increase bleeding and bruising. However, you can take paracetamol if needed.
If you are taking any prescribed medication, including aspirin, do not stop taking it – consult your practitioner or your GP first.
Avoid drinking alcohol 24 hours before your treatment, as this can alter the results of any treatment we do.
How much will my treatment cost?
We understand that knowing the potential cost of treatment is important when planning your care. While we are unable to provide exact treatment fees on our website for cosmetic medical procedures that may involve prescription products—as per TGA guidelines—we can offer a starting point. Our in-clinic consultation with Dr Giulia D'Anna is $100. During this appointment, we will assess your needs, discuss appropriate treatment options, and provide you with a personalised quote.
As a registered dentist and prescriber, Dr Giulia will meet with you face-to-face to ensure you receive comprehensive, real-time advice and care—no remote consultations are required. Following your consultation, we will provide you with a treatment plan and clearly outline any associated costs. We're committed to working with you to find a solution that suits both your goals and budget.
Can I have micro-treatment for natural results?
YES!
We do not undertake extreme treatments at Dermal Distinction. Most of our patients want to look very natural. We aim for this result too.
Our treatments are always based around creating natural results and a result that is almost undetectable. This is the true science of cosmetic treatments at Dermal Distinction.
I have heard of face slimming. What is that?
Facial width can vary for many reasons, including genetics, fat distribution, salivary gland size, and the activity of the jaw muscles. In some individuals, the masseter muscles—located at the angle of the jaw—can become enlarged either naturally or due to repetitive clenching and grinding, a condition known as bruxism. Over time, this may contribute to a broader or more square-shaped lower face.
To determine the most appropriate treatment for your concerns, a comprehensive cosmetic consultation is required. During this consultation, your practitioner will assess your facial anatomy and muscle activity. In some cases, additional imaging such as ultrasound may be used to better understand the underlying structures. Based on this assessment, a personalised treatment plan will be developed, which may include a cosmetic medicine approach if clinically indicated.
Cosmetic Consultation
Pricing and Gallery
To commence the consultation process, please call us on (03) 98597859, or email us. Once you have your consultation, we can discuss the treatment options, pricing and expected outcomes.
In accordance with guidelines set out by TGA, we can not display our pricing about cosmetic medical treatment, or any before and after photos. When you attend for your consultation, we will provide a good guide of the results you may achieve, along with details of treatment, costs and timelines.
What treatment is possible for a gummy smile?
If you’re concerned about the appearance of your smile, including prominent gum display, it may be helpful to start with an assessment of your bite. As our clinic is led by a qualified dentist, we will also examine your dental alignment and jaw position during your consultation.
A "gummy smile" refers to excessive gum visibility when smiling and can be caused by several factors, including a hypermobile upper lip, a short upper lip, or specific bite patterns. In some cases, the amount of gum showing can draw attention away from the teeth or contribute to an unbalanced smile.
At Dermal Distinction, we take the time to understand the underlying cause of your concerns. Depending on your needs, we may recommend referral to an orthodontist, gum contouring procedures, or non-surgical cosmetic options. For some patients, temporary non-surgical treatments may offer an effective and minimally invasive solution. All treatment options—including expected outcomes and suitability—will be discussed with you during your personalised consultation.
Book a consult
Let's get you started on your treatment. We will start with a thorough consultation to see what type of skin treatments are right for you.