Wrinkle & Volume Filler

Lines come from two different places. Some are folded into the skin by muscles that pull the same way tens of thousands of times a year; others appear because the fat and bone underneath have quietly retreated and the skin now has more surface than support. Treating one when the cause is the other is why so many faces end up looking treated but not better.

We separate the two at the consultation by watching your face move. Dynamic lines that vanish at rest belong to muscle; static folds that stay put when your face is still belong to volume. Most people have a mixture, and the order of treatment matters — relaxing the muscle first often reduces how much filler is needed at all.

Muscle relaxant is placed in small, mapped doses. The aim is to soften the pull, not to erase it; a forehead that cannot move reads as a treated forehead from across a room. Effect begins around day three and settles by day fourteen, and we review at two weeks to adjust rather than guessing at the first appointment.

Filler is placed deeper than most people expect — usually on the bone or in the deep fat compartments, supporting the structure rather than plumping the line itself. Superficial filler chasing a fold is what produces the puffy, heavy look patients are afraid of. Small bruises at entry points are common and settle in a few days.

We review at four months and again at eight. Relaxant typically needs repeating every three to four months, filler every twelve to eighteen. At each review we will tell you what does not need repeating — this treatment is easiest to overdo and hardest to undo.