What it is
Over the years the skin deteriorates: it loses collagen, elastin and hyaluronic acid, and becomes less elastic. There are different types of wrinkles, and each forms in its own way.
Types of wrinkles
- Expression lines: these appear through the repeated contraction of the facial muscles. When you make the same expression again and again, temporary lines form on the face, and over time they can become permanent. Most start as fine lines and eventually turn into a deep wrinkle (a break in the skin). They are:
- Horizontal forehead lines (frontalis muscle).
- Frown lines between the eyebrows (procerus and corrugator muscles).
- Crow’s feet, at the outer corners of the eyes (orbicularis muscle).
- Static wrinkles: natural folds in the skin that are present from birth but become more marked as we age, due to the loss of collagen and elasticity. The clearest example is the nasolabial fold.
- Gravitational wrinkles: these are linked to age. They form because of the loss of firmness in the ligaments that support the face, the thinning of the fat compartments and age-related muscle atrophy, and they become more pronounced with the changes in bone structure that come with ageing. Examples include marionette lines and the tear trough.
- Mixed wrinkles: these form from a combination of the causes above: expression, age and gravity.
Who it is for
Anyone who wants to soften or prevent wrinkles. Each area of the face is treated differently, but the key to a natural result is balance between the upper, middle and lower thirds of the face.
Upper third
Forehead, frown lines and crow’s feet. Neuromodulators are the recommended treatment to remove or temporarily soften these expression lines. Low-density hyaluronic acid can also be useful for anything from fine lines to very pronounced wrinkles.
Middle third
Dark circles, the tear trough, the nasolabial fold, the cheekbone and the zygomatic arch. For deep wrinkles and folds in this area we use 100% resorbable products such as hyaluronic acid, or collagen stimulators such as calcium hydroxylapatite, poly-L-lactic acid or polycaprolactone. In some cases we may also use a thread lift, and in others facial radiofrequency.
Lower third
The aim is to restore or redefine the facial oval and the jawline, correct marionette lines and the corners of the mouth, restore the lips (definition, hydration, volume and projection) and correct a gummy smile.
Neck and décolletage
The aim is to restore collagen, elasticity and firmness using collagen stimulators, skin redensification protocols and devices.
The session
Our medical team assesses your needs and aesthetic goals and draws up a treatment plan for you. Depending on the type of wrinkle, we combine different techniques:
- Neuromodulators for expression lines on the forehead and around the eyes.
- High-quality hyaluronic acid fillers for static wrinkles such as the nasolabial fold, restoring volume and elasticity to the skin.
- Collagen stimulators such as calcium hydroxylapatite.
- Facial carboxytherapy, radiofrequency microneedling and lasers such as the FRAX 1550 or the Alma Hybrid.
With expression lines, prevention is the best approach: repeated use of neuromodulators helps prevent and reduce them.
Results
Each time neuromodulators are used again, expression lines tend to become finer and less visible than before, and they stop deepening. The aim of every plan is a natural, balanced result across the whole face.
