What are the best wrinkle filling techniques
What are the different types of wrinkles?
To know how to treat a wrinkle, you must first define its nature.
There are two main types of wrinkles, which will require a suitable approach and treatment: expression lineswhich are linked to the contraction of the facial muscles and only appear when it is moving, and static wrinkleswhich persist when our face is at rest and which are linked to skin aging.
“The wrinkles to combat first are static wrinkles. Expression lines give intention and character to the face, be careful not to want a smooth face at all costs, which would then risk being too rigid” recalls Dr. Cohen Hayoun, who regrets the increase in consultations of very young peoplewishing to hide expression lines.
Hyaluronic acid injections, fat injection, laser treatment: How to fill deep wrinkles?
With age, several phenomena contribute to the appearance of wrinkles at rest: the melting of fatty tissue subcutaneously, the decrease in collagen and elastin molecules (structural proteins of the skin), and theincreased muscle tone. “The older we get, the more mobile and expressive our face becomes, which contributes to more pronounced expression lines,” explains Dr. Cohen-Hayoun.
The choice of the best treatment will therefore depend on the type of wrinkle concerned and their area.
If the wrinkle is linked to too much contraction of the face, it should not necessarily be filled with a filler product. Relaxing the muscle that contracts the area using botox (botulinum toxin), often allows the wrinkle to fill in on its own, if it is not too deep. Dr. Eléonore Cohen-Hayoun, plastic surgeon in Paris.
These are, for example, these injections of Botox which are recommended for smoothing crow's feet wrinkles around the eyes or horizontal forehead wrinkles.
THE fine lines as well as wrinkled and wrinkled skin, are the consequence of dehydration of the skin. “We must not fill, but moisturize deeply, because our skin is normally made up of 70% water, but becomes dehydrated over time. And moisturizing creams only hydrate the surface layer of the skin, but do not pass the skin barrier to nourish the dermis” recalls Dr. Cohen Hayoun.
Skinbooster injections then allow us todeeply moisturize the dermis.
“Skinboosters are a very free (non-crosslinked) form of hyaluronic acid, mixed with an aqueous medium. They will act by smoothing the skin and restoring its shine and texture” specifies our expert.
Finally, when it comes to deep and well-established static wrinkles, only fillers can be effective.
“Injections of hyaluronic acid gel (filler) are the most practiced, because the procedure is simple (can be performed by a doctor), and the results resolves after a few monthswhich reassures patients” explains the surgeon.
Another technique is however possible, more natural and sustainablebut which can only be performed by a surgeon: lipofilling. This technique consists of injecting the patient's own fat into the wrinkle, previously taken under local anesthesia from an area of excess fat on the body.
How to fill in wrinkles around the lips?
The skin around the lips is very thin, and subject to the contraction of the many muscles located around the mouth.
Wrinkles around the mouth are most often fine lines, which can be smoothed by injecting moisturizing products such as skinbooster. Be careful with hyaluronic acid gels, even weakly crosslinked, which risk migrating and causing skin irregularities. Dr. Cohen-Hayoun
Fill forehead wrinkles?
Wrinkles on the forehead are often the first to appear, because this part of the face is the site of many expressions (surprise, astonishment, annoyance).
“The frown line, which gives a worried lookeven severe, on the face, can be treated initially with botox injectionswhich may be sufficient if the wrinkle is slight” advises Dr. Cohen Hayoun. If the wrinkle is deep, filler injections with hyaluronic acid gel or fat (lipofilling) may be necessary in addition to botox.
THE horizontal forehead wrinkles are, for their part, only smoothed by the action of botoxtaking care to use small dosages so as not to freeze the expressions.
How to fill wrinkles under the eyes?
“Crow's feet wrinkleswhich start from the outer corner of the eye in the shape of a fan, are expression lines on which botox gives excellent results. By reducing muscle tension, it relaxes the area and limits the appearance of wrinkles,” explains the surgeon.
For the dark circles under the eyesa filler is necessary to restore volume to this area and rejuvenate the look. If you wish to use injections, hyaluronic acid is the best option.
For a more lasting result, Fat injection gives very good results on deep and bluish dark circles.
Are wrinkle fillers effective?
Fillers injected under the skin aim to correct loss of facial volume and fill in deep wrinkles in order to smooth them.
Injections of hyaluronic acid, more or less cross-linked (thick), are among the most commonly practiced aesthetic medicine procedures in France. They offer good results, are painless and effects are immediate. On the other hand, the results are transient because the injections must be repeated between once and twice a year on average.
For longer lasting results, the lipofilling technique is recommended.
Lipofilling is a technique that is both restorative and regenerative, since the fatty tissue injected into the dermis will activate our regenerative cells as well as our own fibroblasts, in order to naturally produce adipocytes, collagen, elastin and hyaluronic acid. , which are lacking in mature skin. Dr. Cohen-Hayoun
Lipofilling is therefore a restorative treatment, unlike hyaluronic acid which only “masks” the wrinkle, until it degrades.
How much does a hyaluronic acid injection cost?
The price of a hyaluronic acid injection varies depending on several factors, such as the area treated, the quantity of product used, and the reputation of the practitioner. A 1 ml ampoule of hyaluronic acid costs on average between €300 and €500 in France. An ampoule allows you to treat an area of the face: nasolabial folds, temples, dark circles or lips for example.