Types of wrinkles on the face

Dynamic wrinkles

These type of wrinkles only appears when you make expressions such as wrinkles caused by laughing (crows feet), frowning (glabellar lines), or raising the eyebrows (forehead lines). It is treated by paralyzing the muscles to minimize muscle movements by injection of botulinum toxins (Xeomin/Dysport/Botox), it also acts as a prevention for passive wrinkles to form. The cases by Dr. Co are natural looking and depending on the wish of the patient, he can adjust the strength of the botox by different injection techniques.

Treatment suggested:

  1. Botulinum toxin (neuromodulators) injections
  2. Skin rejuvenation laser treatments for collagen stimulation

Passive wrinkles

These types of wrinkles already are formed, even with no facial expressions, the wrinkles will still be visible, and there is an underlying loss of tissue under the wrinkle. In this case, the wrinkle cannot be corrected just with botox treatments, filler treatments are suggested.

Treatment suggested:

  1. Botulinum toxin (neuromodulators) injection
  2. Dermal fillers injections
  3. Skin rejuvenation laser treatments for collagen stimulation

Deep lines/dents

Deep lines and dents on the face, such as nasolabial folds, marionette lines, tear troughs, are caused by the sagging of skin and an underlying loss of tissue(fat, collagen) and bone tissue. In order correct them, both lifting and refilling tissues is needed.

Treatments suggested:

  1. Dermal fillers injections
  2. Lifting with absorbable surgical threads
  3. Skin rejuvenation laser treatments to stimulate collagen restore

Treatments comparison

  • Treatments Chart

  • PropertiesProperties
  • Duration of effectsDuration of effects
  • Recovery timeRecovery time
  • # of treatments needed# of treatments needed
  • EffectivenessEffectiveness
  • Injection

  • Botulinum toxin

  • Propertiesparalyzing the muscles to minimize facial expressions
  • Duration of effects3~4 month
  • Recovery timeIf no bruising occurs, recovery time is as short as one day
  • # of treatments needed1
  • Effectivenessalmost 100%, very few individuals are non-responsive to botulinum toxin
  • Injection

  • Dermal fillers

  • PropertiesRefilling indents and creating collagen
  • Duration of effects6~18 month
  • Recovery time3~7 days, might present some swelling
  • # of treatments needed1
  • Effectiveness100%
  • Laser

  • Laser rejuvenation

  • Propertiesstimulating own self collagen restoration
  • Duration of effectsN/A
  • Recovery time1 hour~1 day, can present with some redness
  • # of treatments neededmultiple treatments might be needed
  • Effectivenessdepending on age/nutrition/skin quality for the amount of collagen stimulation
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