As a person ages, wrinkles in the skin can develop as a result of gravity and sun damage. Gravity and the shifting of tissue with aging can also create deeper creases around the nose and cheeks (nasolabial folds) and at the corners of the mouth. These wrinkles and deep creases, referred to as “static lines,” often cause much distress and concern to many who want to maintain their youthful appearance.
For these “static lines,” especially around the nose and mouth, the deep creases are there even without muscle action. To correct these lines, dermal fillers can be used to build up what is lost in order to plump up the tissue underneath and around the lines to eliminate the creases. The dermal fillers are mostly made up of Hyaluronic Acids (HA), a natural building material in our body. These HA based dermal fillers, such as Restylane, Prevelle, and Perlane, have the tissue filling effect lasting from three to twelve months. There are other dermal fillers that are calcium based. All of them function as tissue build material to help eliminate the deep creases that cause aesthetic concerns.
There are “dynamic lines” on the face caused by the movement of the facial muscles, such as frown lines at the brow area and crow’s feet lines around the eyes which are more obvious with smiling. Using Botox, an injectible form of Botulinum toxin in a very small quantity, the local muscles that cause these lines can be temporarily paralyzed for three to four months, and thus eliminate these lines at the brow, forehead areas, and the crow’s feet around the eyes.
Using a selective injection pattern with Botox, a “chemical brow lift” can be achieved to bring up the eyebrows that might be drooping with age. There is a new brand of Botox equivalent of the Botulinum toxin named Dysport on the market, which has been used successfully in Europe for twenty years. It works as well as Botox, but may act faster and last a little longer.