Practice

Non-surgical treatments by appointment.

Considered, anatomy-led assessment of the face, skin and soft tissue. All treatments require an in-person or video consultation with Dr Nara before any decision is made.

MelbourneTasmaniaAdelaide

By appointment only No image-based assessment Patients 18 and over

Non-surgical, in this practice, refers to in-rooms treatments performed without incision or general anaesthetic. The aim of consultation is not to schedule a treatment — it is to understand a patient's anatomy, history and goals, and to discuss whether any intervention is clinically appropriate.

Dr Nara's approach across all of these areas is conservative. Treatment is one possible outcome of consultation; declining to treat, recommending against a requested procedure, or referring elsewhere are equally valid outcomes. Patients are given written information and time to consider before proceeding.

Information on this page is general. It does not substitute for individual medical advice. Suitability for any treatment is a clinical decision made in person, after history, examination, and discussion of risks.

The face

Anatomical assessment,
area by area.

The forehead and brow

Repeated movement of the frontal muscles, combined with sun exposure and natural changes in collagen and elastin, can produce horizontal forehead lines and vertical lines between the brows over time. Brow position can also descend with age, altering the framing of the upper face.

At consultation Dr Nara examines the underlying muscle activity, skin quality and bone structure of the upper third of the face. Where treatment is appropriate, the options discussed may include treatment for the reduction of wrinkle appearance, increasing volume of facial compartments, or reshaping facial zones — each according to tailored consultation, while understanding potential side effects and risks. Whether any of these is suitable, and at what dose or volume, is a clinical decision made in person.

The eyes and tear trough

The skin around the eyes is the thinnest on the face. Fine lines at the outer corners (often described as crow's feet) develop with normal expression and time. Hollowing under the lower eyelid — the tear trough — can develop with volume change, fat-pad shift, or genetic anatomy.

Tear-trough assessment requires careful evaluation of the orbital rim, vascular anatomy and skin thickness. This area carries higher clinical risk than most other facial regions, including a small but serious risk of vascular complication. Treatment is only considered after detailed discussion of risks and alternatives.

The cheek and midface

Volume change across the midface — the cheek, lateral face and the area beneath the eye — is one of the most common patient concerns and one of the more anatomically complex areas to treat. The midface contains major facial blood vessels and the structural support points for the lower face.

Where treatment for increasing volume of facial compartments or reshaping facial zones may be considered, Dr Nara assesses bone projection, soft-tissue thickness and the patient's broader facial proportions according to tailored consultation, while understanding the potential side effects and risks. The intent of any treatment in this area is conservative restoration of structure consistent with the patient's own anatomy — not the addition of features that were not previously present.

The mouth, lips and lower face

Lip shape, vermilion border definition and perioral lines all change over time. Patient goals in this area vary widely, from subtle hydration of the lip body through to definition of the cupid's bow or correction of asymmetry.

Dr Nara approaches lip treatment conservatively. The clinical priority is anatomy that suits the patient's own face — proportion to the lower face, dental show, and the relationship between upper and lower lip. Where treatment is appropriate, options for reshaping the lip zone or increasing volume of the lip compartments may be discussed according to tailored consultation, while understanding the potential side effects and risks. Pricing, product type and volume are decided in person and documented in writing.

The skin & body

Beyond the face —
skin, jaw, neck, hands.

The jaw and neck

The lower face changes shape with skin laxity, loss of bony support, and changes in the platysma muscle of the neck. Patients often describe concerns about jawline definition, jowl appearance, or visible neck bands.

Some of these concerns can be addressed in a non-surgical setting using muscle-relaxing injectables or treatment for reshaping the jaw zone at the mandibular border, according to tailored consultation while understanding the potential side effects and risks. Others — particularly significant skin laxity — sit outside what non-surgical treatment can clinically achieve. Dr Nara is direct about the limits of non-surgical options where they exist, and will recommend against treatment if expected outcomes do not align with what is achievable.

The skin — texture, tone, quality

Skin quality is influenced by sun exposure, hormones, genetics, smoking history and skincare. Concerns commonly discussed at consultation include uneven pigmentation, enlarged pores, post-inflammatory marks, fine surface lines, and reduced elasticity.

A range of in-rooms options exist for skin treatment, including skin-booster injectables placed at specific anatomical depths, chemical peels, and various laser-based treatments. The choice between them depends on the patient's skin type, medical history, current skincare and tolerance for downtime — not on which technology is most heavily marketed.

The hands and other areas

Volume loss on the dorsum of the hand, surface pigmentation and prominent veins are common concerns. Treatment options include increasing volume of the soft-tissue compartments placed in specific tissue planes and skin-quality treatments — discussed according to tailored consultation, while understanding the potential side effects and risks. As with the face, treatment in these areas is approached conservatively and only where clinically indicated.

Treatment categories

What may be discussed
at consultation.

Australian advertising rules prevent us from naming specific brand-name medicines on a public website. Product type, dose and volume are decided clinically and are itemised in writing before any treatment.

Muscle-relaxing injectables

Prescription-only injectable medication used in small clinical doses to temporarily reduce the activity of specific facial muscles. Effects are temporary, typically lasting around three months. Brand names cannot be advertised to the public under TGA rules and are discussed in person.

Volume and shape treatments

A category of treatment used to provide structural support, hydration or volume in specific anatomical planes — for the reduction of wrinkle appearance, increasing volume of facial compartments, or reshaping facial zones according to tailored consultation. The product type and volume used vary by area and by patient. All carry risks including bruising, asymmetry, vascular complication, and rare serious adverse events.

Skin treatments

Includes skin-booster injectables, chemical peels, and laser-based treatments. Selection depends on skin type, medical history, and the area being treated. Some require multiple sessions; some involve recovery time.

Fat grafting

A procedural treatment performed under sterile conditions in an accredited facility — not a routine in-rooms injectable. Carries the same anaesthetic and surgical risks as a minor operation, including rare but serious adverse events. Discussed separately at consultation.

PRP (platelet-rich plasma)

Prepared from the patient's own blood and used in selected indications. Limited evidence base for many cosmetic uses; suitability and likely benefit are discussed honestly at consultation.

Risks & contraindications

Every treatment carries risk —
here are the ones we discuss.

The list below is not exhaustive. Specific risks for any proposed treatment are documented at consultation. Patients are encouraged to seek a second medical opinion before proceeding.

Common and rare risks

Bruising and swelling at the treatment site, lasting from days to weeks depending on the area and individual healing
Asymmetry, which can occur even with careful technique because human anatomy is naturally asymmetric
Allergic or inflammatory reaction to a product
Infection at the injection site
For volume / shape treatments involving injectable products: vascular occlusion, with rare but serious consequences including tissue necrosis, vision changes, and stroke. This risk is higher in the periorbital and nasal regions.
For fat grafting: the surgical and anaesthetic risks of any procedural intervention, including rare events such as fat embolism, vision loss and stroke
Outcomes that do not meet expectation, including the possibility of revision
All injectable cosmetic results are temporary. Maintenance treatment is required if effects are to be sustained.

Treatment is not advised in

Pregnancy and breastfeeding (most injectable cosmetic treatments are not recommended)
Active infection or skin condition at the proposed treatment site
Known allergy to product components
Certain medical conditions and medications (full medical history is taken at consultation)

Patients under 18. We do not provide cosmetic injectable treatments to patients under 18, regardless of parental consent or referral. Skin treatments for clinical (non-cosmetic) indications are considered case by case with GP referral.

No online image-based assessment. Australian guidelines for non-surgical cosmetic procedures (in force from September 2025) require an in-person or live video consultation with the treating practitioner. Photographs sent in advance are not a substitute.

Consultation

What to expect
at the appointment.

01

Booking

Consultations are booked through our admin team. New patients are asked to complete a medical history form before the appointment.
02

In-person or video

Initial consultations are available at our Melbourne, Tasmania and Adelaide rooms, or by live video where appropriate. Treatment itself is performed in person.
03

Assessment and discussion

Dr Nara takes a medical history, examines the area of concern, and discusses goals. Where treatment is appropriate, options, risks, alternatives and likely costs are explained. Where treatment is not appropriate, that is also explained.
04

Time to consider

Written information is provided. Patients are not asked to decide on the day. A cooling-off period before any treatment is encouraged.

Next step

Request a
consultation.

Our admin team will respond within one business day. We do not pre-prescribe treatment by email, and we will not accept image uploads in lieu of consultation.

Contact our rooms Read more on risks

Last clinically reviewed: May 2026