One of the most common procedures I perform is anti-wrinkle injections to help slow down the formation of static wrinkles and help to soften those lines and folds that are already present.
Using botulinum toxin; which works as a ‘wrinkle relaxer’ by causing temporary paralysis of the muscles of facial expression, we can help to slow down the ageing process and prevent the formation of wrinkles and lines.
I love to use wrinkle relaxers, it is a quick and relatively pain free procedure with very little downtime and long lasting results. What's not to love. Have a read of my information page on wrinkle relaxers for more in depth information.
I thought it would be a good idea to introduce the treatment to those that may be considering anti-wrinkle treatments and aren’t too sure about the results and what areas can be treated. The areas detailed below are the basic treatment areas, I will detail some more advanced areas in a later post.
Where do wrinkles commonly form?
Lines around the eyes are commonly referred to as crows feet. They often form as small creases when you smile however can extend laterally and eventually spread down to the cheek area. Once these lines have formed and spread they can be quite difficult to treat. Softening the crows feet involves injecting wrinkle relaxer into the ‘orbicularis oculi’ muscle which is the muscle involved in opening and closing the eye. Injecting to the top part of this muscle can also result in a ‘chemical brow lift’
The amount of units used for this area does vary but generally ranges from 8-12 units per side.
Frown lines or the dreaded number ‘11’ between the eyebrows can often make you look mad or stressed if they are present at rest. These lines form from contraction of the eyebrows – squinting, frowning, starting at computer screens etc. The problem with these lines is that they can form quite deep static wrinkles as the muscles involved are very thick and bulky (especially in men). Softening the frown lines involves injecting botulinim toxin into two main muscles – the procerus and the corrugators which work to depress the eyebrow. People often report that once these lines have been softened they notice an improvement in headaches also (less frowning = less tension).
The amount of units used for this area does vary but generally ranges from 15-20 units.
Forehead lines result from overactivity of the ‘frontalis’ muscle which works to elevate the eyebrow and is one of the most commonly used muscles of facial expression. The frontalis muscle often gets lots of small horizontal lines which many people start to notice once makeup gets caught in them at the end of the day. Everyone has very different forehead muscles also – some people get one or two deep lines, some get multiple smaller ones and some get many more due to a higher hairline and more prominent forehead. It is important not to over treat this area with wrinkle relaxers as this is the only muscle used to elevate the brow.
The amount of units used for this area does vary but generally ranges from 8-15 units. A brow lift can also be performed for 1-2 units each side
Bunny lines are those creases that form when you scrunch up your nose. They are not a problem for everyone however can become more evident when the glabellar (frown lines) have been treated as there is smooth skin above this area during facial expression. People who suffer allergies often have worse bunny lines due to rubbing their nose and constantly scrunching and sneezing. Small volumes of wrinkle relaxer can be injected into the nasalis muscle on each side to soften the appearance of these lines.
The amount of units used for this area does vary but generally ranges from 2-4 units per side.
Perioral lines/smokers lines
Lines around the upper lip are quite common, especially once a woman reaches menopause. They are often due to smoking (constant pursing of the lips) however can occur in people who have never smoked. The lines form due to the action of the orbicularis oris muscle and appear more evident once the skin loses its elasticity and collagen as we age. However using wrinkle relaxers in the orbicularis oris at very small volumes can soften this muscle (whist still allowing the lips to move – and kiss) and slow down the formation of smokers lines. The additional use of dermal fillers to fill the pre-existing lines works wonders in addition to anti-wrinkle injections. This adds in much needed support in addition to filling the lines and further slows down the ageing process.
The amount of units used for this area does vary but generally ranges from 0.5-1 unit at 4-6 different injection sites.
These are only a few treatment areas that can be treated with anti-wrinkle injections. More advanced injection techniques that I use are injections to the marionette lines, masseter muscles (see post on jawline slimming), the platysma muscle for a neck lift, the elevator muscles of the lip for a gummy smile (see post on gummy smile) and mentalis muscle for treatment of a dimply chin. The options are endless! I will do another post very shortly further explaining these procedures.
Lots of anti-wrinkle love
Dr Kate x