Facial wrinkles are caused by a number of factors;
Expression lines - these are wrinkles that are caused by contraction of the muscles of facial expression. This leads to the compression of skin that results in wrinkle formation. Initially, these wrinkles can only be seen when the muscles contract e.g when you smile/frown, however, as the skin becomes progressively creased, the lines may often appear at rest. Anti-wrinkle injections can help reduce expression lines.
Loss of facial volume - When we are younger, our face is more plump and full like a beach ball, and as time passes, this volume is lost making it more like a sultana, and fat around the eyes, cheeks, and forehead are depleted. This loss of volume leads to some laxity of skin and the formation of wrinkles. Loss of facial volume also results in an older, more gaunt appearance. Non-surgical facial reshaping with dermal fillers can help to replace this lost volume - improving both wrinkles and the overall youthfulness of the face.
Gravity - the inescapable pull of gravity draws the skin downwards on the face. This leads to drooping of the cheeks and formation of nasolabial lines (the lines from the corners of the mouth to the nose) and jowls, drooping of the eye skin and formation of upper and lower lid laxity and wrinkles.
Sleep lines - this is caused by the compression of the skin from contact of the pillow to the face when sleeping. Their location is determined by the underlying anatomical attachments of the superficial musculoaponeurotic system (SMAS). Pillow contact puts pressure on these attachments and causes sleep lines. Sleep lines include those on the forehead, around the eyes, cheeks and upper lip.
Expression lines are generally treated with anti-wrinkle injections that relax the muscles causing the compression of the skin . This is most commonly performed in the muscles between the brows and around the eyes. Anti-wrinkle injections generally last for 3 to 4 months. By stopping the movement/expressions that cause wrinkles, anti-wrinkle injections can also prevent static lines from becoming deeper by stopping the compression of skin. If static lines or lines at rest are already present, then anti-wrinkle injections generally do not reverse these. However, the application of anti-wrinkle injections at regular intervals gives the skin a rest from compression, and often static wrinkles may improve slightly over time.
The other cause of wrinkles is facial volume loss. An analogy to this is when we are young, our faces are full , like a grape. As we get older, our faces lose volume and form wrinkles, more like a sultana. Replacing this volume is an effective means of reducing wrinkles and revolumising the face. Dermal fillers add volume to the area that has lost volume due to expression formation, gravity, sleep or just aging. Mostly, dermal fillers are temporary in their effect and last from 4 to 24 months. Also, by strategically adding volume to certain areas of the face such as the cheeks, under eye hollows (tear troughs), lips, and brows, it is possible to rejuvenate or shape the face non-surgically.
A more permanent solution to wrinkles is skin resurfacing. This can be done with laser, deep chemical peels, or plasma skin regeneration. Traditional laser resurfacing techniques, although effective, often require a large amount of downtime or recovery. At The Victorian Cosmetic Institute, we recommend plasma skin regeneration for the treatment of wrinkles as it offers results whilst minimising downtime.
The doctors at The Victorian Cosmetic Institute are specialised in the area of non-surgical rejuvenation of the skin. We will listen to your concerns and help you to decide what treatments best suit you by considering your goals and the amount of downtime or recovery that can be tolerated. We will discuss with you what is a realistic and achievable outcome, and what to expect from your treatment.
Making that first phone call about any cosmetic procedure can be a confronting task - many of our patients have preferred filling out our online enquiry form. We can then contact you with an understanding of the results you are hopeful of achieving and ensure the treatment is appropriate.
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