The arrow of time means that people age, and as they age they develop wrinkles! Wrinkles are the price paid for the human face’s extraordinary range of expressions. The skin on the body lies in sheets over the muscles, but the skin on the face, the facial muscles and collagen are knitted together. As people age, facial muscle tone increases, but collagen diminishes. Collagen is a protein that allows the skin to snap back into smoothness after a smile, a frown or a laugh. Eventually, the skin loses its elasticity and wrinkles form. Because the sun’s ultraviolet rays, pollution and toxins accelerate the deterioration of collagen, people who are sun-worshippers, people who smoke and people who live in polluted areas develop wrinkles earlier.
Some people do not mind wrinkles, but others seek to soften or remove them. Two ways to do this are with Botox or dermal fillers.
Botox, a diluted and purified form of the botulinin toxin, paralyzes the muscle beneath the wrinkle, which causes it to smooth out. It works best on dynamic wrinkles. These are wrinkles that appear when a person makes a facial expression. When used in tandem with dermal fillers, Botox also works on static wrinkles. These wrinkles remain on the face even when it is relaxed.
Dermal fillers are substances injected into the face to plump out the wrinkle or add volume to an area of the face or neck. They are made of materials such as hyaluronic acid, collagen, poly-l-lactic acid and even our patient’s own fat. Following are eight different wrinkles that can be softened with Botox and/or dermal fillers.
1. Glabellar Lines
These are the two lines that form right above the nose and between the eyebrows.
2. Wrinkles in the Forehead
The large muscle found beneath the skin of the forehead is the frontalis muscle. When this muscle contracts, as happens when a person raises their eyebrows, these wrinkles appear. For some people, forehead wrinkles are static.
3. Bunny Lines
These wrinkles are found on the bridge of a person’s nose. Interestingly, they often become more noticeable after Botox injections for crow’s feet or glabellar lines.
4. Crow’s Feet
These lines are also called lateral canthal lines, or periorbital lines. They appear at the outer corner of the eyes, are very noticeable when a person is smiling but can be seen when the face is relaxed.
5. Lipstick Lines
These wrinkles are vertical and appear above a person’s upper lip. They get their name because sometimes lipstick can actually run into them. They are caused by sun exposure, smoking and genetics.
6. Marionette Lines
Marionette lines start at the corners of the person’s mouth and run down toward the chin like the movable jaw of a marionette.
7. Chin Dimpling
These types of wrinkles give the skin of a person’s chin the look of an orange peel. We use both dermal fillers and Botox to treat chin dimpling.
8. Neck Lines
There are two types of neck lines. The horizontal lines have the same cause as the wrinkles and lines in the face, and the vertical lines happen when a person keeps their head in the same position for long periods of time. Neck lines can show up well before wrinkles appear in the face. Dermal fillers are good for softening neck lines.
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Related Article: How to Remove Fine Lines and Wrinkles on Your Face“”