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The signs of ageing on a person’s face start to show as early as the end of the second or the beginning of the third decade of a persons life. At first, fine lines start to form between the nose and the mouth, around the eyes and on the forehead. As a result of facial movements that are often repeated, the first expressive wrinkles come into being: laughter creases, brow furrows and crows feet.
Over the years, the skin loses its elasticity, because it produces fewer and fewer collagen and elastin fibres. This results in the weakening of connective tissue causing the skin to lose its tone. The skin becomes flabby, and wrinkles are formed. Due to gravity, wrinkles develop downwards, a phenomenon seen in sagging cheeks and drooping eyelids.
The development of small crows feet around the eyes can be the first signs that our skin is not as youthful and elastic as it once was. There are many different treatment approaches that may be suggested and used by practitioners. These depend on the depth and extent of wrinkles. For additional treatment options for the eye area, see our Which Treatment section on eyes (bags & crow`s feet).
Most younger people who are seeking treatments for the forehead are looking to reduce the appearance of lines and wrinkles that deepen as we age. These lines tend to be associated with expression, and the way that we animate or use the muscles in our face.
Horizontal forehead lines are formed when we raise our eyebrows, and vertical frown or scowl lines between the eyebrows occur when we are concentrating or if we are upset or angry. There are a number of very effective non-surgical options available for plumping up or minimising wrinkles in this area. For additional treatment options for the forehead and brow area, see our Which Treatment section on heavy brow.
Lines around the mouth often concern people more than lines in other parts of the face. Some women can become especially concerned with bleeding of lipstick into vertical lines around the lips, and the development of deeper lines between the nose and corners of the mouth (nasolabial lines).
There are some relatively simple non-surgical procedures that can significantly reduce the appearance of these early signs of ageing.
For additional, related treatment options please see our Which Treatment section on facial skin tightening.
Botulinum toxin type A: Botox (Vistabel), Dysport (Azzalure) and Xeomin (Bocouture) is a naturally occurring protein produced by the bacterium Clostridium botulinum. It can be used to treat all wrinkles and for hyperhidrosis (excessive sweating).
The muscles under the skin of the forehead that cause lines can be released to help create a smoother brow. This can be performed using an endoscopic forehead or brow lift.
Focused Cold Therapy, generically known as cryoneuromodulation is designed to improve the appearance of fine lines and facial wrinkles using highly pressurised nitrous oxide, as a toxin free alternative to botulinum toxins.
Dermal fillers are made of various kinds of natural, man-made or synthetic materials that have been developed for injection into the skin and lips; including hyaluronic acid.
A face lift or rhytidectomy can reduce the appearance of loose skin and wrinkles around the cheeks and neck, by tightening the muscles and removing excess skin and fat, restoring a more youthful look.
Unlike ablative and non-ablative lasers Fractional Laser Skin Resurfacing (Fractional Photothermolysis) only damages small zones within a target area, causing fractional trauma and quicker recovery.
Unlike dermal fillers which are aimed at mechanically filling wrinkles, folds and skin depressions, tissue stimulators are injectable products which cause a biological reaction in the tissue.
Laser, Intense Pulsed Light (IPL), Light Heat Energy (LHE) and Light Emitting Diode (LED)technologies have been developed to treat a variety of skin problems including sun damage effects and wrinkles.
Medical Skin Needling, also referred to as Collagen Induction Therapy and Micro-Needling is aimed at stimulating the body’s own collagen production to reduce the appearance of fine lines and wrinkles.
Plasma Sublimation or Soft Surgery allows the treatments of the signs of ageing and skin complaints, without actually cutting the skin. It can be used for non-surgical eyelid reconstruction (blepharoplasty), removing lines around the mouth, improvement in the appearance scars and treating a number of skin imperfections.
Platelet Rich Plasma (PRP) therapy, also known as the vampire facelift works on the basis that the bodys own natural healing powers may slow and even reverse the ageing process .
RF energy is able to penetrate deep into the skin and affect the deeper dermis and subcutaneous layers, causing tightening and improvements to the underlying tissue structure for facial rejuvenation.
There are many hundreds of different types of cosmeceutical skin care products on the market today that contain active ingredients and claim they can improve wrinkles and the appearance of ageing.
Thread lift uses free floating cogged (barbed) or smooth sutures for lifting sagging tissue in the face and neck. It is marketed as APTOS Thread Lift, Contour Lift, Silhouette Soft, Scarless Suture Lift & Feather Lift.