Treatments for Wrinkles

Wrinkles and Fines Lines

Depending on the features and nature of the wirnkles, different treatments may be recommended.

For dynamic wrinkles (wrinkles seen with muscle activity such as crows feet and others), the modality of choice is Botox or Dysport. For static wrinkles, depending on size, depth and complexity, the treatments of choice are laser resurfacing or facial fillers (please go to the corresponding pages on each of these modalities for details).


Wrinkle Relaxing Injections have been actively used for over 20 years in tens of thousands of patients worldwide. It has an excellent safety profile and is used in many therapeutic areas. The product most commonly used for this treatment is Botox®. It has US FDA (Food and Drug Administration) and European approval (including France and Switzerland). Wrinkles such as frown lines between the eyes, forehead lines and crows feet are caused by overactive muscle movement which eventually wears away collagen, causing the skin to crease and wrinkles will appear. The injection relaxes the muscles, preventing the movement which forms the wrinkles. This results in a smoothing out of the lines.

Before & After: Wrinkle, Crows Feet, Frown Line Treatments

Before & After: Wrinkle, Crows Feet, Frown Line Treatments

Laser Technology

At Da Vinci, we employ the Syneron elōs™ technology. Only the Matrix IR™ elōs™ fractional applicator combines Fractional Optical Energy with Radio Frequency (RF) to produce deep dermal heating to effectively treat wrinkles. The Matrix IR applicator uses a proprietary synergy of light and conducted Bi-Polar RF to create the deep thermal heating needed to both shrink and generate new collagen while protecting the epidermis.

The Matrix IR combines a diode (915 nm) laser matrix, bi-polar conducted radio frequency energy and intense epidermal cooling. Use of this combination of modalities results in overlapping light beams penetrating deep into the dermis to a depth of up to 2.5 mm to pre-heat the target tissue, and the RF energy being drawn to the target. This puts the thermal zone where it is effective for wrinkle treatment, while being gentle on the epidermis. During treatment with elōs fractional, the combination of laser energy and conducted RF energy induces skin injury that is maximized in micro-thermal zones (regions of greatest energy intensity) with an accelerated healing process supported by the tissue surrounding the micro-thermal zones. As a result, there is virtually no downtime with elōs fractional treatments.

Before & After: Laser Skin Tightening

Before & After: Laser Skin Tightening

Dermal Facial Fillers

Before & After: Nasolabial Wrinkle Treatments

Before & After: Nasolabial Wrinkle Treatments

Dermal fillers such as Restylane, Radiesse, Artefill and several others have a dramatic and immediate rejuvenating effect by filling deep wrinkles or adding volume to certain areas of the face (typically soft tissue in the cheeks, temples and corners of the eyes is loss with aging), restoring youthful features (facial contouring). Replacing facial soft tissue lost with aging in certain areas is critical, because its loss is a give away of the patient's age. Results can be dramatic, reducing the appearing age of a person by several years with just a few treatments.

Dermal fillers can also to improve facial appearance of younger people by adding volume to the cheeks and lips or smoothing deep nasolabial folds which also worsen with aging. There are several fillers in the Market in the USA. Some contain collagen like Evolence, others are made of hyaluronic acid (Restylane and Juvederm), polylactic (Sculptra) or calcium hydroxylapatite (Radiesse). New dermal fillers are continuously being developed and new and improved substances are being researched constantly. Depending on the substances present in each product the duration of the results varies from two to six months (i.e., Prevelle) to more than five years (i.e., Artefill). In general, the longer the duration of the effect is, the higher the price of the product. When in doubt about a particular effect, we advise patients to begin with a short term substance (thus, if the patient does not like a particular appearance, the filler is naturally reabsorbed in just a few months) prior to deciding to use a dermal filler with long lasting effects.

In addition, while some dermal fillers are recommended for some areas of the face, some are not. Frequently, different dermal fillers are employed in different regions producing not only a rejuvenating effect but also, an impressive improvement in symmetry and balance of facial features.

Dermal fillers are easy to administer and are very safe if used according to practice standards. Treatment with fillers takes only a few minutes, and discomfort during application can be managed with local anesthetics and are short lived. The procedure is conducted using a very thin needle to place the product and smooth out wrinkles, scars or to add volume to areas such as the cheeks. A little and short lived discomfort may occur but most patients can return normal activities immediately. In summary, because of their effect on restoring facial contouring altered by age and in erasing wrinkles, dermal fillers can produced a more natural appearance than surgery and patient satisfaction is extremely high with these products.

Is This Cosmetic Treatment Right For Me?

This treatment is particularly good for patients who have frequently used expressions that cause facial lines. These lines may be caused by difficulty with bad sight, a tendency to laugh a lot or frown frequently.

The procedure will remove frown lines; forehead wrinkles and crows feet which appear when you smile. After this procedure your appearance becomes less tired looking, smoother and fresher.

What Results Can I Expect?

Results are quite dramatic and you may start to see results from the second day after the treatment, although some patients take up to 14 days to see the full effect.

The results can last from 3 to 4 months although it can vary from person to person following the initial treatment.

What is Involved in This Procedure?

The treatment only takes 10–15 minutes. Your attending nurse or doctor will assess your muscle movement by asking you to smile and frown. They will then prepare the injection and determine the injection site to achieve the best results.

A very small dose of a wrinkle relaxing injection using an extremely fine needle is injected into the required area. Sometimes this causes a brief stinging sensation but discomfort is so mild that an anaesthetic is not necessary.

What Are The Benefits?

Wrinkle Relaxing Injections are a simple and extremely effective treatment which stops the skin creasing by reducing muscle movement, giving the skin time to recover.

This treatment causes facial lines to soften and fade away. This non–surgical procedure can also dramatically reduce the appearance of lines and improve your appearance.

What Are The Risks?

As with all prescription medicines, Wrinkle Relaxing Injections can cause side effects and our doctor will advise you about these in more detail.

The side effects most commonly experienced by patients are short term and are linked to the injection e.g pain on injection, redness, bruising, swelling or a slight temporary headache.

Another side effect can be temporary ptosis, a drooping of the upper eyelid, which can be caused by a spread of the injection to nearby muscles.

An experienced injector can minimise (but not eliminate) the risk of such side effects, and by following the aftercare you can also reduce the possibility of this side effect.

What Should I Expect Aftercare?

After the procedure there may be a mild swelling and redness which will subside within a few days. Bruising at the injection site may occur and this can be covered with make-up if needed. You can return to work or day to day activities immediately although strenuous exercise should be avoided for a day or two.

How Long Will The Results Last?

The results usually last from 3–4 months. As the injection wears off the wrinkles will start to reappear but they tend not to be as noticeable.

To maintain the smooth and youthful appearance all year round, it requires three to four injections. Once treatments are repeated, the effects tend to last longer therefore less visits and fewer injections are required.

What About Excessive Sweating (Hyperhidrosis)?

The same Wrinkle Relaxing Injections can be used to reduce excessive sweating. Both men and women can suffer from excessive sweating which is caused from over active sweat glands.

One of the most effective treatments involves injecting tiny amounts of muscle relaxant in a grid pattern over the required area. There is a minimal amount of discomfort, and normally no anaesthetic is needed.

The treatment is effective within several days leading to a reduction in the amount of sweating. The results can last 3–6 months.

Special Offer

$39 For a Personalized Facial Consultation and Collagen Treatment

Collagen facial application is a top of the range treatment during which the collagen molecules penetrate into your skin to retard aging, recover loss of firmness/elasticity, even color tone, enhance moisture level, oxygenate, oxidize and protect natural skin collagen. In just one treatment we can prove that your skin can look younger and suppler.

Visit us today for a free consultation! Please feel free to submit an online appointment or call our clinic today at (713) 661-0700.