Facial wrinkles and its treatment

Munir Alam


Objective Ageing process and gravity are the mainstay of etiological factor resulting in facial wrinkles. There are two types of wrinkles on the face; dynamic and static. Most of the wrinkles are distributed on the frontal view of the face and neck and treatment options depends on location and types of wrinkles. The face is divided into three parts; upper, middle and lower third. Invariably, the client desire is to treat these wrinkles non surgically, moreover the surgical procedures do not address these frontal, periorbital and particularly glabellar facial wrinkles. This study aim for various types facial wrinkles distributed on the upper face are dynamic i.e.  forehead area, glabellar or frown winkles and  periorbital wrinkles including crow's feet, nose (bunny lines) etc. The static wrinkles are distributed over the lower part of face includes nasolabial folds, marionette lines, perioral wrinkles etc.1 The present study therefore aims to evaluate the efficacy and safety and to present results with new innovative office based non surgical cosmetic surgery procedures.


Material and Methods We have treated 155 clients in Faisal Hospital, Faisalabad with facial wrinkles during three years period from Jan 2015 to Dec 2017. This is a prospective cross sectional randomized observational study. The treatment modalities applied on these clients includes botulinum toxin, hyaluronic acid dermal fillers. It is quite common in our practice using techniques of platelet rich plasma (PRP), RF microdermabrasion, chemical peelings and photoepilation (LASER/ IPL) etc. for the facial rejuvenation.


Results The results achieved with these innovative office based techniques are highly satisfactory in the range of 80-100%, assessed by visual analogue scoring system by client and doctor.


Conclusion We recommend these techniques for all age group clients either alone or in combination for the treatment of facial wrinkles.



wrinkles, face, treatment, botulinum toxin, filler

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