Facial wrinkles
Facial wrinkles are a natural part of the ageing process; the most suitable treatment – Botox, hyaluronic acid, laser or thread lift – depends on the type of wrinkle.
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Important note
This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.
Facial wrinkles are a natural part of life and tell the story of our emotions and experiences. However, when they become deeper or make us look tired and worn out, we often find ourselves wanting to seek treatment. The range of options is vast and confusing: Botox, hyaluronic acid, laser treatments, thread lifts – which method is the right one? The key answer is: it depends on the type of wrinkle.
This guide sheds light on the complex topic of wrinkle treatment. We explain the fundamental difference between dynamic and static wrinkles and show you which treatment method is the safest and most effective for each type of wrinkle.
The two types of facial wrinkles: dynamic vs. static
To find the right treatment, the most important first step is to distinguish between the two types of wrinkles.
Dynamic wrinkles (expression lines):
These wrinkles are caused by the repeated movement of our facial muscles. They are only visible when we make facial expressions, such as when laughing, frowning or blinking. Over time, however, they can also become etched into the skin even when the face is relaxed.
Static wrinkles (orthostatic wrinkles):
These wrinkles are visible even when the face is completely relaxed. They are caused by the skin’s natural loss of volume and elasticity as we age, as well as by gravity and sun damage.
Dynamic (expression) lines: What they are and how to treat them
As these wrinkles are caused by muscle activity, the treatment is designed to specifically reduce this activity.
Typical examples: Frown lines (between the eyebrows), horizontal forehead lines, crow’s feet (laugh lines around the eyes).
The most effective treatment: botulinum toxin
The treatment of choice for dynamic wrinkles is an injection of Botulinum toxin. The active ingredient specifically relaxes the muscle responsible for the formation of wrinkles. The overlying skin smooths out, and the wrinkle is prevented from becoming any deeper. The effect is temporary (approx. 3–6 months) and must be repeated to achieve a lasting result.
Static (orthostatic) wrinkles: causes and treatment options
Static wrinkles (also known as gravitational or age-related wrinkles) are the result of volume loss and sagging tissue. Treatment must therefore aim to restore this lost volume and support the skin’s structure.
Typical examples: Nasolabial folds (from the nose to the corners of the mouth), marionette lines (from the corners of the mouth to the chin), sunken cheeks, deep, etched frown lines or forehead wrinkles.
The most effective treatment: hyaluronic acid fillers
One of the most important treatments for static wrinkles is the injection of hyaluronic acid fillers; this is often combined with other procedures. Hyaluronic acid is a substance produced naturally by the body that binds water and provides volume. When injected as a gel, it can plump out deep wrinkles from within, restore volume to the cheeks and define facial contours. The results are immediately visible and last for 6–18 months, depending on the product and the area treated.
An overview of treatments: Which method for which type of wrinkle?
In addition to these two main methods, there are other treatments which improve the overall quality of the skin and thus help to reduce wrinkles.
| Type of fold | Typical examples | Primary treatment | Complementary treatments (skin quality) |
|---|---|---|---|
| Dynamic wrinkles | Frown lines, forehead wrinkles, crow’s feet | Botulinum toxin | Microneedling, chemical peels |
| Static wrinkles | Nasolabial folds, marionette lines | Hyaluronic acid fillers | Laser therapy, thread lift |
| Fine lines & creases | Nasolabial folds (upper lip), fine lines on the cheeks | – | Laser therapy, microneedling, chemical peels |
- Laser therapy & microneedling: Both procedures create controlled micro-injuries in the skin and stimulate the production of new collagen and, to a lesser extent, elastin. They are ideal for improving the overall skin texture and smoothing out fine lines.
- Thread lift: When the skin begins to sag, a thread lift can be a good option for lifting sagging areas and, by stimulating collagen production, providing additional firming.
Prevention: The best protection against new facial wrinkles
The most effective way to combat wrinkles is prevention.
Sun protection: Consistent, daily use of sun cream (SPF 30–50) is the single most important factor in preventing the breakdown of collagen caused by UV radiation.
Lifestyle: A healthy diet, sufficient sleep, avoiding nicotine and effective stress management play a key role in maintaining healthy skin.
Skin care: Moisturising creams and serums containing active ingredients such as retinol or vitamin C can slow down the ageing process.
Risks and the importance of follow-on costs insurance
All effective anti-wrinkle treatments are medical procedures that must be carried out by qualified doctors. They carry risks such as infections, allergic reactions, asymmetry, nodule formation or, if performed incorrectly, even more serious complications.
Safety in cosmetic procedures
Should a complication arise following a wrinkle treatment that requires further medical treatment, the costs involved are generally not covered by health insurance, or only to a limited extent. To protect yourself against these unforeseeable financial burdens, you may wish to take out a Insurance to cover follow-up costs prior to the procedure provide a sensible and important safeguard.
Frequently Asked Questions (FAQ) on wrinkle treatment
Botox is a muscle relaxant that tackles the cause of expression lines. Hyaluronic acid is a filler that restores lost volume and smooths out static wrinkles.
There is no set age. Treatment depends on the individual’s condition and the level of distress they experience. Early treatment of expression lines with botulinum toxin can prevent them from becoming deeply etched.
When administered correctly by an experienced doctor, the aim is always a natural-looking result. Facial expressions are not ‘frozen’, but simply relaxed in a targeted manner.
Fine creases under the eyes often respond well to treatments designed to improve skin quality, such as microneedling or specialised lasers. A deep tear trough, on the other hand, is treated with hyaluronic acid fillers.
Injection treatments are carried out using very fine needles and are often preceded by the application of an anaesthetic cream, making them well tolerated.
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