Not all wrinkles are created equally. Some lines form as a result of your facial movements, while others develop as a result of collagen loss. Some are more likely to form as a result of sun exposure or habits such as smoking. Other wrinkles develop over time because of the effects of gravity.
For the most part, injections can help reduce the appearance of wrinkles on your face. The type of wrinkle determines which injectable will be the most effective. While most wrinkles respond to some sort of filler, those caused by the impact of gravity typically require surgery to reduce their appearance.
The vertical lines that develop between your eyebrows, also called frown lines or the “11’s,” are an example of dynamic expression lines. These lines, formally known as the glabellar lines, develop over time due to movements of your facial muscles.
Whenever you frown or squint, the muscles above the eyebrows push together, forming two small, vertical creases just above the nose. As you get older, those lines and creases are more likely to stick around, even if you aren’t actively squinting or frowning.
Botox Cosmetic is the most effective way to reduce the appearance of frown lines between your eyebrows. Made of a dilute form of the botulinum toxin, the injection blocks the nerve signals to the muscles. The result is a reduction in the appearance of current lines.
Like frown lines, crow’s feet are an example of dynamic expression lines. They form in the corners of your eyes as a result of years of squinting, laughing, and other facial movements. Botox was approved by the FDA in 2013 for the treatment of crow’s feet.
The lines that form between the nose and lips, often called the nasolabial folds or smile lines, are an example of elastic creases. These wrinkles develop over time as a result of creasing and volume loss. Unlike frown lines, they tend form in the dermal layer and require a deeper injection. Certain habits, such as smoking or spending a lot of time in the sun, make you more likely to develop these lines.
Hyaluronic acid fillers, such as Juvederm and Restylane, can help reduce the appearance of nasolabial folds. Hyaluronic acid is a substance naturally produced by the human body. Aging diminishes the production of the substance, leading to drier skin and more creasing.
Deeper folds might need a heavier filler, such as Radiesse. Radiesse is made from calcium hydroxyapatite, which is found naturally in bone. When injected deeply into the skin, the substance helps stimulate the production of collagen, which in turn helps decrease the appearance of lines. The injection provides instant results.
Marionette lines, which are so-called because they resemble the vertical lines on the side of a puppet’s mouth, are another example of elastic creases. They form as your face loses volume. Like nasolabial folds, the marionette lines can be treated with a hyaluronic acid filler, such as Restylane or with calcium hydroxyapatite.
Some injectables are designed to also restore lost volume in the facial area. As you age, the combination of a loss of fat in the face and the reduction in collagen and hyaluronic acid production join forces to make your face look more gaunt and older.
One filler that’s specifically designed for volume loss is JuvedermXC. Like standard Juvederm, XC contains hyaluronic acid. The substance is designed to add volume instantly to the area of the injection.
Sculptra is another filler that’s designed to restore lost volume to the face. Unlike Juvederm XC, Sculptra doesn’t work instantly. Instead, the results from the injection become evident over a period of several months. Most people need a series of injections for best results. Usually, the results from Sculptra last about two years.
Choosing a Filler
There are a number of things to consider when deciding which dermal filler is best suited to your needs. While certain lines only respond to certain injectables, some respond to a variety of substances. Factors that can help you decide which one is right for you include the severity of your lines, any allergies you might have and how long you want the results to last.
Double board certified facial plastic surgeon and ENT specialist, Dr. Michael Schwartz can help you decide which filler is best for you. For a consultation at his practice in West Palm Beach, Florida, call 561-228-5888 today.