Facial wrinkles develop through the combined effects of skin ageing, facial expression, tissue structure and external influences. UV radiation in particular can accelerate skin ageing. Expression lines become more pronounced with muscle movement; other wrinkles remain visible at rest or develop as volume is lost and tissues descend.
The cause determines which treatment may be appropriate. Botulinum toxin affects the activity of selected muscles, fillers change volume and contours, and surgical lifts address certain shifts in tissue position. These procedures are not freely interchangeable.
Skin care and sun protection support general skin health. An aesthetic treatment may address individual changes, but it cannot stop the natural ageing process. Options, limitations and risks are discussed in light of the person's own findings.