TREATMENT OF WRINKLES AND GROOVES

Yes, wrinkles can be divided into 4 different types:

1. Fine wrinkles between the ages of 20-30: the first lines of expression that appear as collagen production begins to decrease.
2. Expression wrinkles between the ages of 30-40: these are lines that become fainter or more pronounced depending on the repeated facial movements, such as smiling.
3. Deep wrinkles starting from the age of 50: these are wrinkles that do not disappear even when there is no facial movement and usually begin on the forehead, around the eyes, and lips.
4. Gravitational wrinkles starting from the age of 60: these are deep and pronounced wrinkles caused by sagging and loss of firmness that causes the skin to droop.

Skin folds are marks on the skin that form due to constant movement of the facial muscles when we talk, smile, chew, cry, or make any facial expression.

These lines become more or less pronounced with the natural aging of the skin but can also be genetically predisposed or a consequence of significant weight loss. The most common lines appear on the forehead and at the corners of the eyes when we frown, the line from the nose to the corner of the mouth (nasolabial fold or 'smile lines'), and the lines from the corner of the mouth to the chin (marionette lines)

Wrinkles are an inevitable consequence of the natural aging process of the human body. One of the main causes is the decrease in collagen production, which begins around the age of 25. Collagen, along with hyaluronic acid and elastin, supports the skin's structure and ensures its firmness. In its absence, the skin becomes loose and develops expression lines that become more evident over the years. Other factors that can lead to wrinkles include excessive sun exposure, smoking, stress, and an imbalanced diet.

Wrinkles will appear whether we like it or not, although some people are genetically predisposed to their early or late onset. However, there are preventive measures that can be taken to delay their appearance and reduce their visibility, such as:

• Using daily sunscreen on the face;
• Avoiding excessive sun exposure;
• Always removing makeup before bedtime;
• Drinking at least 2 liters of water daily;
• Maintaining a healthy diet;
• Undergoing collagen replacement aesthetic treatments;
• Applying moisturizing and firming creams suitable for your skin type.

Botulinum Toxin (Botox) acts as a muscle relaxant and is applied to specific areas such as the forehead, the area between the eyebrows, the sides of the eyes, or 'crow's feet,' and the upper nose. The effects of Botox appear from the 3rd day after application, and the desired result is typically achieved between the 10th and 14th day. This aesthetic treatment lasts for about 6 months.

Hyaluronic acid is a biocompatible substance because it is naturally present in the body and is quite versatile and effective. It is typically used for skin volume restoration and enhancement, reducing wrinkles, attenuating lip lines, and treating folds like the well-known 'smile lines.' The results are immediate and last on average from 9 to 12 months.

The treatment of wrinkles with Platelet-Rich Plasma (PRP) is performed in a medical office and lasts for about 45 minutes.
The procedure begins with the patient's blood being drawn, similar to a routine blood test. This blood is placed in a closed and sterile system and centrifuged to separate the plasma from other elements.
The collected platelet-rich plasma is then injected directly into the patient's face, in areas predetermined by the specialist doctor. To make the process comfortable, a topical anesthetic is applied.
Although this procedure is simple and non-invasive, it's important to follow the doctor's recommendations for a quick and trouble-free recovery. Therefore, in the first 24 hours after treatment, avoid sun exposure, saunas, exercise, and do not wash your face.

The wrinkle treatment with Chemical Peels involves the application of chemical substances to cause controlled minor skin injuries to stimulate skin regeneration.
Before starting the procedure, a skin cleansing is performed to remove all impurities.
After the intervention, the substances used are removed and neutralized. Chemical peels require some care after treatment, with an estimated recovery period ranging from 4 days to 4 weeks, depending on the depth applied according to the patient's needs (very superficial, superficial, or deep). Results appear from the 2nd week and are progressive.

Botulinum Toxin or Botox, as it is more commonly known, is still quite popular and sought after, especially for its effectiveness in reducing expression wrinkles (on the forehead or around the eyes - 'crow's feet'). However, currently, everyone's favorite is hyaluronic acid due to its versatility of applications, absence of side effects, immediate effects, and, most importantly, the incredible and natural results it provides.

Would you like to know which wrinkle and fold treatment is most suitable for you? Schedule your evaluation consultation with Dr. Augusto Guerreiro, with no obligations.

Fine wrinkles are superficial lines that appear around the age of 20-30, mainly due to the decrease in collagen and unprotected sun exposure.

Deep wrinkles begin to develop from the age of 40 and are due to the natural aging of the skin. These wrinkles are visible even when the face is at rest, without smiling or contracting any facial muscles.

Yes, Botulinum Toxin, Hyaluronic Acid, UltraFormer, PRP Facial, ResurFX, and Chemical Peels are non-invasive treatments without anesthesia that can replace surgical treatments and provide incredible results.

Would you like to know which non-surgical treatment is most suitable for eliminating your facial wrinkles and folds? Schedule your evaluation consultation with Dr. Augusto Guerreiro, with no obligations.

No, but this is not a disadvantage compared to surgical treatments. In fact, dermatological medicine considers the best wrinkle and fold treatments to be those that are less invasive and temporary, mainly because they are safer and provide the most natural results.

As a general rule, it's advisable to start around the age of 30 when the first wrinkles and folds appear. In addition to preventing their worsening, it's possible to delay premature aging. However, it can also be beneficial to begin collagen replacement treatments after the age of 20 to delay the onset of the first wrinkles.

The areas treated with wrinkle filling include:

• the area around the eyes (known as 'crow's feet');
• nose and nasolabial folds (more commonly known as 'marionette lines' or 'smile lines');
• lips and marionette lines (below the mouth);
• cheekbones.

No. Wrinkle fillers like hyaluronic acid or botox are not painful, although they may cause some discomfort in individuals with greater sensitivity. For such cases, at LHR Clinic, we apply a topical anesthetic to help the patient relax and feel comfortable during the procedure.