'Aging is a fact of life. Looking your age is not.’
We all know aging is a gradual process and is inevitable. It is affected by many factors - nutrition, sleep, stress levels, your mental health apart from the biological aging process. No matter whatever we try, but ill effects of aging do show on our face. Wrinkles are often the initial signs of gradual aging process on our face and with age, their density and number increases. If we could control these wrinkles, we can easily defy our true age.
Neurotoxins and fillers are the most common injectable procedures sought these days to remove the wrinkles. It is a popular procedure among both the males and females after the age of 30 in our clinic. It is an OPD procedure with a minimum down time and often called lunch break procedure.
Let us learn what actually these wrinkles are and the latest treatments available for their removal.
A wrinkle, also known as a rhytide, is a fold in the skin which forms when skin loses elasticity because of ageing, becomes thin and thus, the underlying muscle actions are visible.
There are two types of wrinkles:
Dynamic wrinkles - these appear when the muscles underlying thin skin move to create a particular facial expressions e.g. eye wrinkles forming when we smile.
Static wrinkles - these appear even when the face is at rest. This usually happens due to loss of naturally occurring collagen, elastin and hyaluronic acid e.g. formation of prominent nasolabial folds.
Below the skin are the underlying facial muscles. When the individual is young, the skin is healthy with good tone and density, so the underlying muscle actions are not evident. But as one ages, the skin becomes thin and loses its texture and tone and hence the muscle activity is visible as a wrinkle on the skin.
There are two methods to prevent formation of wrinkles
Prevent the unwanted muscle movement- Anti wrinkle injection relaxes the facial muscle and gets rid of the dynamic wrinkles and the static wrinkles as well.
The various modalities of the skin rejuvenation such as peels, dermaabrasion, radiofrequency and injectable as they increase collagen in the skin and the wrinkles becomes less evident.
Anti-wrinkle injections are given to reverse the effects of ageing. They contain a naturally occurring toxin that relaxes the facial muscles and hence overlying skin also gets relaxed.This prevents wrinkle formation. The resting tone of these muscles gets abolished which minimises static lines as well. These are used to treat frown lines, crows feet, surprise lines etc.
Neurotoxin is a chemical derived from the bacterium Clostridium botulinum. It actually paralyses muscles by blocking the nerves and was earlier studied in a serious form of food poisoning (Botulism), but the amount used in cosmetic procedure is so minute that no systemic or general reaction is likely to be seen.
Anti-wrinkle injections contain purified and titrated form of a naturally occurring toxin, known as Neurotoxin, which is the trade name of Botulinum toxin type A. It acts at the muscle and nerve junction and blocks neurotransmission resulting in loss of muscle activity that are related to expression lines. This relaxes the muscle and hence the overlying skin, hence, eliminates the wrinkles.The receptors get irreversibly blocked but over time new receptors are formed, and the muscle activity reappears in about four to six months. This is precisely how long your effect will last. It usually takes 5 to 7 days for the toxin to act adequately.
Fillers are mainly composed of non animal based hyaluronic acid, which is a naturally occurring substance present in body that provides volume and fullness to the skin. Dermal fillers are being used to reduce wrinkles, raise scar depressions, enhance lips, and replace soft-tissue volume loss.
Juvederm is the trade name of the filler being used most popularly throughout the world. It was FDA approved in 2003. It is completely safe and bio compatible.
Juvederm is a natural, non-animal cosmetic filler, whereas Neurotoxin is a drug that blocks nerve transmission and relaxes the underlying muscle. Patients can be offered combination therapy of Neurotoxin for the upper facial wrinkles (crow’s feet, forehead lines, and frown/mad lines) and Juvederm to fill in the wrinkles/folds of the lower face.