Ageing is of two major types namely intrinsic ageing and extrinsic ageing. Intrinsic ageing is genetically programmed whereas extrinsic ageing is due to environmental factors like sunlight, stress, pollution, smoking, disturbed sleep patterns, etc. As you age, the creases, folds and ridges form in your skin and are called as wrinkles. Due to the natural ageing process, the skin loses its strength to protect itself from damage as it becomes thin and loses its elasticity and volume. This is mainly due to rapid degradation of supporting proteins, namely collagen and hyaluronic acid.
Wrinkles can be classified primarily into Surface Lines and Deep Furrows. The basic treatments like botulinum toxin are sufficient for surface lines but for deep furrows, a different approach is required. Wrinkles may be dynamic (in expression) or static (at rest).
A few common areas where wrinkles are found largely are :
- Crow’s feet (at the corners of the eyes)
- Forehead horizontal lines, glabellar lines (mid-brow region)
- Bunny lines (upper part of the nose), laughter lines around the mouth.
- Neck region may contain vertical wrinkles or horizontal grooves.
With aging, you also tend to lose the volume due to degradation of fat, collagen and hyaluronic acid. This in turn causes skin laxity, deeper wrinkles and furrows. Dermal fillers or soft tissue fillers are done to enhance or replace the volume loss in the face. These can be used in combination with Botulinum toxin or laser rejuvenation or alone, for an overall improvement.
- Soft tissue fillers or dermal fillers comprising of collagen and hyaluronic acid are injected into the affected area which soothes the wrinkles and brings out the skin volume. The hyaluronic acid is a naturally forming sugar in the human body and its job is to deliver nutrients and act as a cushioning agent. It also helps in hydrating the skin by holding the water.