Diminishing Lines and Wrinkles

There are two types of wrinkles that emerge on the face as it ages. Dynamic lines, such as crow's feet and frown lines between the eyes and forehead lines, appear with movement. These, with time, can become permanent due to constant creasing of the skin.

Then there are static lines, such as lines around the mouth and the nasolabial folds from the nose to the corners of the mouth that appear regardless of muscle movement.  Both these types of wrinkles can be treated with minor procedures such as botulinum toxin (BTX) and Restylane and when used in combination the results can have quite an impact.

BTX stops the dynamic lines from forming and also softens those that already exist. Injected in very small doses it stops the nerves from telling specific muscles to contract so the wrinkle fades at the injection site. It requires no downtime and there are no telltale signs, so people with unnecessary "worry lines" or "frown lines" are flocking to have the treatment.

Before

After treatment by Dr. Kenny & Dr. White

Up until quite recently BTX has been thought as mainly beneficial for the upper part of the face where it is quite obvious the lines are dynamic. Sydney cosmetic physician Dr Graham Kenny, however, explained how he has been using it successfully around the mouth. "People think the so called 'smokers' lines ''are static but if you watch carefully as women speak, sometimes they’re pursing their lips and creating the lines. You can actually put a little bit of BTX along there and it reduces the lines.”

The reason the lines appear to be static when in fact they are dynamic is explained by Dr Kenny: “The skin fibroses after a while and this is seen especially around the lips. It’s like a piece of paper – if you fold it back and forth after a while a permanent crease will appear there.”

This is where the two treatments can be used in combination for greater effect. BTX, for example, can stop the lips from pursing and creating the line, then Restylane can be used to fill the remaining line caused from the skin fibrosis. Other areas where a combination approach is being used successfully are the marionette lines (from the corners of the mouth down), the frown lines between the brows and the forehead lines.

Before

After treatment with Dr. Kenny & Dr. White

The treatments together not only enhance the result but also make it last longer. The body slowly resorbs both BTX and Restylane, making top up treatments necessary after several months.  As BTX is restricting muscle movement it actually helps the Restylane in the same area last a lot longer.

“Ideally you should come back as soon as the BTX has worn off and it will enable the Restylane to last longer,” said Dr White.

Between BTX and Restylane, almost any line on the face can be treated. While neither of these products treat sagging or redundant skin, just attacking the wrinkles gives quite a profound result. “The comments that people get when they have this treatment is not ‘what have you done to your face?’ but rather ‘gee, you look well!’” concluded Dr Kenny.

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