Wrinkle treatment: Botulinum or hyaluronic acid?

Basel, September 5, 2023

The development of wrinkles has various causes and varies depending on the region of the face.

In addition to genetic predisposition, lifestyle, diet, nicotine consumption and UV radiation play a decisive role in skin aging and the development of wrinkles. In particular, high UV radiation (sunbathing, solarium) damages the skin to a high degree and leads not only to faster skin aging and more wrinkles in fair skin types, but also to an increased risk of skin cancer.

A rough distinction can be made between mimic, static and active wrinkles. Mimic wrinkles, such as frown lines or laugh lines, are caused by the movement of our facial muscles. Static wrinkles, such as nasolabial folds, on the other hand, can be seen independently of our facial expressions and are caused by the slackening of the tissue and the loss of moisture in the skin as part of the normal aging process. Actinic wrinkles ("creases"), on the other hand, are caused by the drying and aging of our skin.

As different as the causes of wrinkles are, the treatment methods used also differ: Botulinum (Botox), Filler or Skinbooster?

journal wrinkle treatment hyaluronic acid

Botulinum

For mimic wrinkles such as frown lines, forehead wrinkles and laugh lines around the eyes (so-called crow's feet), treatment with botulinum toxin, also known under the brand name Botox, is suitable. The drug is available in powder form and is mixed with a sterile liquid for treatment. In addition to wrinkle treatment, it is used in the treatment of increased sweating (hyperhidrosis), teeth grinding (bruxism) or chronic migraine. For wrinkle treatment, botulinum toxin is injected with a fine needle into the corresponding facial muscles so that they relax to prevent active wrinkle formation. In the correct dosage, botulinum toxin alleviates mimic wrinkles without appearing unnatural or rigid. It is important that botulinum toxin is only applied by trained and experienced plastic & cosmetic surgeons in the correct dilution and in the correct location. Otherwise, there is a risk that the drug will paralyze other, undesirable muscles.  As a precautionary measure, I recommend that my clients always follow the following "2-day rule" after botulinum treatment: Abstain from sports, head overwork, massage of the treated facial region and sauna for 2 days.

 

Filler

Another option for wrinkle treatment is filling wrinkles with so-called fillers. The generic term "filler" includes filling materials such as hyaluronic acid, calcium hydroxyapatite (e.g. Radiesse) or even autologous fat. Nowadays, hyaluronic acid fillers are used most frequently. Hyaluronic acid is a natural component of our body's own tissues and, due to its water-binding ability, provides moisture, elasticity and firmness to the skin and tissues. Hyaluronic acid fillers have a gel-like consistency. There is a wide range of different hyaluronic acid products with different firmnesses or viscosities, so that experienced plastic & aesthetic surgery specialists select the right product for the corresponding treatment indication in each case. For example, for a deep wrinkle, a filler with a good "lifting capacity" is needed, and for fine, superficial wrinkles, a more "liquid" product that can be easily distributed.

Hyaluronic acid also has another major advantage over other fillers: if necessary, it can be dissolved again with an antidote (so-called hyaluronidase).

Hyaluronic acid is also naturally broken down slowly by the body, so that the effect lasts between 6 months and 2 years. In addition to direct wrinkle injections, hyaluronic acid can also be used for gentle facial sculpting, such as accentuating cheekbones or correcting volume loss in the midface due to aging. In the right hands, natural treatment results can be achieved and you can be given a new freshness. Often less is more here!

 

Skinbooster

Unlike fillers, skin boosters are not used to treat deep wrinkles or to add volume, but to moisturize the skin from the inside out and to alleviate so-called actinic wrinkles ("creases"). Skinboosters belong to the hyaluronic acid products and are used for deep hydration and skin rejuvenation. They are injected over a large area into the deeper layers of the skin, where they bind large amounts of moisture, thus achieving long-lasting hydration of the skin. Due to the increased elasticity of the skin, so-called "wrinkles" can be improved by means of Skinbooster treatments and the skin shines with a new freshness.

Especially popular is the PROFHILO® treatmentwhich acts like a "cream from the inside out": PROFHILO® is a particularly pure hyaluronic acid which, in addition to the immediate moisturizing effect, revives the body's own hyaluronic acid production and supports natural elastin and collagen formation. The result is a fresh, radiant complexion with a naturally beautiful glow.

As an experienced specialist in plastic & aesthetic surgery, I will be happy to advise you regarding Wrinkle treatment. Natural treatment results are especially close to my heart, which distinguishes me and is highly appreciated by many of my clients.

Book your consultation appointment online now, we look forward to seeing you!

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