To understand the various treatment of wrinkles, one must understand that there are different kinds of wrinkles: static wrinkles and dynamic wrinkles.
Static wrinkles are those facial lines that are evident even when our face is at rest. Dynamic wrinkles are those wrinkles and lines that appear when your face is animated.
Sleeping positions are one of the main causes of static wrinkles. Resting your face on the pillow in the same way every night for years on end leads to wrinkles. Called sleep lines, these wrinkles eventually become etched on the surface of the skin and no longer disappear when the head is not resting on the pillow. Women, who tend to sleep on their sides, are most likely to see these lines appear on their chin and cheeks. Men tend to notice these lines on the forehead since they usually sleep with the face pressed face down on the pillow. People who sleep on their backs do not develop these wrinkles since their skin does not lie crumpled against the pillow.
When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Dynamic wrinkles are caused by facial expressions and repetitive facial movements. As skin ages and loses its elasticity, the skin stops springing back to its line-free state and these grooves become permanently etched on the face as fine lines and wrinkles.
How do we treat the different types of wrinkles?
Once the signs of ageing such as wrinkles appear on the facial skin, it is time to initiate the most powerful corrective treatments and topical therapies available (such as growth factors) to improve collagen content and wrinkling.
Injectable fillers, laser rejuvenation treatments, PDT, Skin Needling, Mesotherapy and Carboxytherapy are mainly used for static wrinkling. Fillers soften lines and larger wrinkles by plumping them out so they look less evident at rest. In some cases, the combination of Botox and fillers are used when the line or wrinkle is very deep and weakening the muscle action will help preserve the longevity of the filler. This is most common in the furrows between the eyebrows or bleed lines on the lip.
Botox is for dynamic wrinkling. It is a muscle relaxing agent so it will soften the wrinkles and lines that occur from a dynamic facial movement, such as between the brows with frowning or the crow’s feet from smiling. Wrinkle treatment should start as soon as one sees a wrinkle developing when the wrinkles are still “soft”. If these wrinkles are neglected they become “ingrained” and “scar like” they are impossible to treat successfully. If we intervene early and fill in wrinkles with dermal fillers, then we can prevent the breaks in the skin, commonly known as wrinkles.