Sydney CosMedic

Doctors in Specialist Medical Services Group are committed to providing high quality, appropriate cosmetic care in a friendly, and compassionate environment.

Our doctors provide cosmetic procedures that are safe and the least invasive with the best clinical outcomes.

Our principle therapies are aimed at making our patients look naturally beautiful by personally tailoring our care to suit your lifestyle and budget.

This is a privately billed service provided by Dr Sandra Rahme in our Earlwood location. Contact our friendly reception staff and enquire for further information. 

Hover below to find out more about the basics of cosmetic treatments!

Anti-Wrinkle Injection

Cosmetic Fillers

Many facial wrinkles occur when we use our muscles to form facial expressions. The wrinkles formed during these expressions are called dynamic wrinkles. For example, when we smile our eye wrinkles become prominent and when we frown the vertical lines between our eyebrows become noticeable. When we are young our skin springs back to its initial position after facial expressions, but as we get older dynamic wrinkles remain on the skin to form static wrinkles; these are the wrinkles and folds that are present at rest. This process occurs because natural substances such as collagen (the major structural protein in the skin), elastin (the protein that causes tissue to stretch) and hyaluronic acid (which gives skin volume) decreases with age. This, together with environmental factors such as exposure to sunlight, smoking and stress, all contribute to the appearance of wrinkles and folds.

 

Wrinkle relaxing injections have been used for over 20 years cosmetically. It was first approved for use in Australia for movement disorders (eye & face) in 1993 and for eye spasms and crossed eyes in New Zealand in 1991. It is a very safe and proven treatment. The actual treatment can take as little as 10-15 minutes following a consultation and takes 5-7 days to be effective (up to 2 weeks for full effect) and will generally last 4 months on average. There may be mild stinging/burning during treatment with temporary localised redness/swelling and occasional headache. Temporary weakening of surrounding muscles can occur and will resolve in a matter of days or a few weeks.

 

No long term ill effects have been reported but treatment should not be performed during pregnancy or breast feeding or with certain medical conditions.

They can treat the following areas:

  • Frown lines and forehead lines

  • Crows feet

  • Eyebrow lift

Many facial wrinkles occur when we use our muscles to form facial expressions. The wrinkles formed during these expressions are called dynamic wrinkles. For example, when we smile our eye wrinkles become prominent and when we frown the vertical lines between our eyebrows become noticeable. When we are young our skin springs back to its initial position after facial expressions, but as we get older dynamic wrinkles remain on the skin to form static wrinkles; these are the wrinkles and folds that are present at rest. This process occurs because natural substances such as collagen (the major structural protein in the skin), elastin (the protein that causes tissue to stretch) and hyaluronic acid (which gives skin volume) decreases with age. This, together with environmental factors such as exposure to sunlight, smoking and stress, all contribute to the appearance of wrinkles and folds.

Wrinkle relaxing injections have been used for over 20 years cosmetically. It was first approved for use in Australia for movement disorders (eye & face) in 1993 and for eye spasms and crossed eyes in New Zealand in 1991. It is a very safe and proven treatment. The actual treatment can take as little as 10-15 minutes following a consultation and takes 5-7 days to be effective (up to 2 weeks for full effect) and will generally last 4 months on average. There may be mild stinging/burning during treatment with temporary localised redness/swelling and occasional headache. Temporary weakening of surrounding muscles can occur and will resolve in a matter of days or a few weeks.

No long term ill effects have been reported but treatment should not be performed during pregnancy or breast feeding or with certain medical conditions.

Dermal fillers are aesthetic gel based treatments injected into the skin. They are specifically designed to reduce the appearance of wrinkles, contour the face and create volume. Some dermal fillers are also used to hydrate and revitalise your skin.

Dermal fillers are based on a substance that occurs naturally in your body – a sugar molecule that exists naturally in almost all living organisms. Its normal function is to bind water so it acts as a lubricant and shock absorber in movable parts of the body, such as joints. It is also important for the transport of nutrients and in regulating water balance in skin. By boosting your skin with this naturally occurring substance, dermal fillers revitalise and add volume to the area instantly. This diminishes the appearance of lines and wrinkles, and giving a natural softer look. The gel we use is very tissue-friendly and closely resembles that which exists in the body.

The results of your dermal fillers can last 6 months to 2 years, depending on the type of fillers used and area of the face treated.

Dermal fillers are aesthetic gel based treatments injected into the skin. They are specifically designed to reduce the appearance of wrinkles, contour the face and create volume. Some dermal fillers are also used to hydrate and revitalise your skin.

Dermal fillers are based on a substance that occurs naturally in your body – a sugar molecule that exists naturally in almost all living organisms. Its normal function is to bind water so it acts as a lubricant and shock absorber in movable parts of the body, such as joints. It is also important for the transport of nutrients and in regulating water balance in skin. By boosting your skin with this naturally occurring substance, dermal fillers revitalise and add volume to the area instantly. This diminishes the appearance of lines and wrinkles, and giving a natural softer look. The gel we use is very tissue-friendly and closely resembles that which exists in the body.

The results of your dermal fillers can last 6 months to 2 years, depending on the type of fillers used and area of the face treated.

Dermal fillers are aesthetic gel based treatments injected into the skin. They are specifically designed to reduce the appearance of wrinkles, contour the face and create volume. Some dermal fillers are also used to hydrate and revitalise your skin.

Dermal fillers are based on a substance that occurs naturally in your body – a sugar molecule that exists naturally in almost all living organisms. Its normal function is to bind water so it acts as a lubricant and shock absorber in movable parts of the body, such as joints. It is also important for the transport of nutrients and in regulating water balance in skin. By boosting your skin with this naturally occurring substance, dermal fillers revitalise and add volume to the area instantly. This diminishes the appearance of lines and wrinkles, and giving a natural softer look. The gel we use is very tissue-friendly and closely resembles that which exists in the body.

The results of your dermal fillers can last 6 months to 2 years, depending on the type of fillers used and area of the face treated.

Cosmetic Proceduralist

Dr Sandra Rahme 

MBBS (Adelaide) Diploma in Child Health (USyd) FRACGP

Dr Sandra Rahme graduated from Medicine at the University of Adelaide. She then moved back to her hometown of Sydney and gained a range of experiences at the St George Hospital and Sutherland Hospital. She has spent an extra year working in Women's Health and Paediatrics in the hospital before moving on to General Practice. She enjoys the diversity of General Practice, but has particular interests in Paediatrics, Women's Health and Preventative Health Care. She completed her Diploma in Child Health in 2014.

Dr Rahme can speak fluent Arabic in addition to English.

Consultant Trainer for Cosmetic Medicine

Dr Danae Lim


BMedSc MBBS (USyd)

MBBS(USyd), BMedSc, MAMSC

Member, Australian Society of Cosmetic Chemists (ASCC)
Bioscor Trusted Partner for hair regrowth treatments
Consultant speaker for Galderma Australia, Candela Medical,
Crown Aesthetics & Advanced Skin Technology
​Accredited MINT Thread Lift National Trainer

Dr Danae Lim is a Qualified Cosmetic Doctor with full experience in Non-Surgical Rejuvenation and she is also the Co-founder of the Australasian College of Asian Aesthetics.

Dr Lim graduated from the medical school at the University of Sydney. She did her first medical training with the Hunter New England Area Health Network in various specialties before moving on to the Greater Southern Area Health Network as an Emergency Medical Officer for over 8 years.

After several years in Emergency Medicine, Dr Lim then went on to pursue a career in Cosmetic Medicine, with full experience in non-surgical rejuvenation including anti-wrinkle, dermal filler injections and threadlifts, as well as developing her own skin care line. She also co-founded the Australasian College of Asian Aesthetics in order to raise practice and safety standards in the cosmetic industry. Dr Lim has been collaborating with plastic surgeons, dermatologists and other cosmetic doctors to implement dedicated small-group hands-on training for doctors only. Furthermore, she has developed the training for adverse event reporting, streamline serious adverse event management arising from cosmetic practice, and patient education regarding risks of cosmetic procedures.

Dr Lim speaks fluent Mandarin and Cantonese in addition to English.