Is there such a thing as temporary wrinkles

Different methods have become established nowadays for the treatment of facial wrinkles. First of all, however, we have to distinguish between facial wrinkles and wrinkles caused by aging.

The expression lines on the face include, for example, the smile lines - also called crows' feet - the frown lines as well as the horizontal forehead lines or the wrinkles on the lips. They can already be observed in children when the corresponding facial muscles are activated. Over the years, the repeated and constant tensioning of these muscles leads to permanent wrinkling, which is certainly also accelerated by the aging of the skin. Age-related wrinkles are caused by a loss of skin elasticity, known as elastosis. These include, for example, the nasolabial folds, the corner folds and the transverse neck folds.
What all wrinkles have in common, however, is a thinning of the dermis, which cannot be influenced by all types of cosmetics. Just as the facial wrinkles differ in their formation, the treatment is also somewhat different in some cases.

All wrinkles can be smoothed through, but this is only of short-term success with facial wrinkles due to the constant tensing of the muscles. Combined treatment methods show the better success here. It should also be emphasized that surgical measures such as lower eyelid tightening, facial skin tightening or neck tightening cannot always remove the wrinkles buried in the skin, quite apart from the fact that many women (and also men) do not want or do not want such a major procedure is not yet required. The trend and the desire nowadays is to be rejuvenated, so to speak, during the lunch break.
At the beginning of the last century, different fabrics and materials were developed for wrinkle injection.

Many showed extreme side effects, which is why they quickly disappeared from the market. It was only with the introduction of collagen that a wrinkle filler was available which in many respects corresponded to the idea of ​​a useful, effective substance with few side effects. However, there are also problems here, as 3% of all people have an allergic reaction to this protein-containing substance, which is obtained from cattle hides, so that a test must always be carried out before it is used. And even if the test is negative, there are always allergic reactions at the injection site in the form of persistent reddening and swelling. For some years now, a product similar to the natural intercellular substance of the skin has been on the market, hyaluronic acid.
The hyaluronic acid binds the moisture in the skin.

As the skin ages, its content decreases, which makes the skin drier and therefore more wrinkled. Injection of this effect is mimicked, i. H. the wrinkle is lined and additionally smoothed by the increased moisture retention. The hyaluronic acid is produced synthetically and is supplied as a water-clear, gel-like liquid in the form of pre-filled syringes. It is on the market under the names HYLAFORM, Hydra Fill, RESTYLANE Reviderm, etc.

It is available in 3 different strengths, depending on whether you want to fill in fine lines, deep wrinkles or the lips. It is injected into the dermis with very fine cannulas, whereby the point technique has proven itself here. Local anesthesia in the form of an anesthetic ointment applied shortly beforehand is sufficient.

Local anesthesia, as at the dentist, should only be used when the lips are filled.

The wrinkles are completely filled in in one session; overcorrection as with collagen is not necessary. Since the hyaluronic acid in the syringe is prepared with physiological saline solution and water for injection purposes and these substances are absorbed by the body after a short time, it is possible that the wrinkle will be more clearly visible again the next day.

For this reason, 1-2 more injections are often required at weekly intervals to achieve the desired result. The treatment itself is simple - and actually carried out during the lunch break. After the treatment, the skin is only reddened for a few hours and the area may be a little swollen. However, these "side effects" can be reduced by the appropriate use of masking creams and short-term cooling, and the patient is immediately "socially acceptable" again.

Since the hyaluronic acid is broken down again by the body, the treatment must be repeated after 5-12 months.

The rate of degradation differs from person to person, i. H. with one person the effect lasts for a year, with another, however, sometimes only a month. This is certainly the major disadvantage of the so-called absorbable wrinkle fillers. Nevertheless, the resorbability is the great advantage or the security compared to the permanent substances. Long-term reactions or long-term consequences, such as those experienced with the use of silicone oil or similar substances, are not to be expected.

Even if a treatment is unsuccessful, e.g. If, for example, a lip has been filled in too much or a fold has been overcorrected, this “distortion” can be spontaneously reversed without surgical intervention.

Hyaluronic acid is particularly suitable for the treatment of nasolabial folds, the corner of the mouth and chin folds, lip wrinkles and for plumping up the lips. For the treatment of mimic wrinkles, such as crow's feet, frown lines and forehead lines, the combined treatment or even the sole application of botulinum toxin is certainly more successful.
Botulinum toxin A is an exotoxin, a neurotoxin, obtained from the bacterium Clostridium botulinum.

It blocks the release of acetylcholine at the nerve endings and thus paralyzes the muscles. While it was previously mainly used in neurology, it is now increasingly used in the treatment of facial wrinkles. These develop when the muscles under the thin skin of the face are repeatedly exercised over a long period of time.

Local injection of botulinum toxin inactivates the relevant muscle groups, which smooths the wrinkles of the skin and makes the face look more relaxed.

It is no longer possible to tense the treated areas. The botulinum toxin is injected directly into the muscle group to be treated. The first effect sets in after 48-72 hours, with the final effect achieved after 1-2 weeks. The effect lasts about 4-6 months.

The botulinum toxin is supplied as a freeze-dried powder and must be dissolved with physiological saline solution. In the dissolved state, it lasts for 4-8 hours. It is on the market under the name BOTOX from MERK and as DYSPORT from IPSEN-Pharma. Treatment with the BoT is a well-tolerated and effective method for correcting expression lines.

To correct the "frown lines", it is injected into the muscles at 5-7 points above the inner end of the eyebrow. To treat crow's feet, it is injected in the shape of a crescent moon at 3-4 points approx. 1 cm from the outer bony edge of the eye socket in or next to the wrinkles.
The required amount is given in units, which should be strictly adhered to, as too large an amount makes the face appear mask-like.

It is also important not to inject too close to the eye, as this can lead to the upper eyelid hanging down or the lower eyelid slackening. Otherwise there are hardly any side effects, apart from occasional bruising or temporary swelling at the injection site.

Through the combined use of botulinum toxin and hyaluronic acid, even deep frown lines or crow's feet can be treated very easily and without much effort.