Facial wrinkles and expression lines – primary care physician consultation and personalized treatment plan

Facial wrinkles and expression lines represent some of the most frequent aesthetic concerns and appear, primarily, as a result of the natural aging process. These are influenced by the progressive decrease in collagen and elastin production, by exposure to ultraviolet radiation, as well as by repetitive muscle contractions.

Wrinkles can be classified into dynamic wrinkles (expression lines) and static wrinkles (visible at rest) and are frequently localized at the forehead level, glabellar region, periocular area ("crow's feet") and perioral region.

In modern aesthetic medicine, the approach to treating wrinkles is complex and personalized. Detailed clinical evaluation of the patient allows for establishing a tailored therapeutic plan, which takes into account skin type, degree of skin aging, wrinkle typology, and facial anatomical particularities.

Within the clinic, available treatments aim at:

• relaxation of the musculature involved in the formation of expression wrinkles
• restoration of facial volume and contour
• stimulation of collagen and elastin synthesis
• improvement of skin texture, tone, and luminosity

Available treatments at the clinic:

• Botulinum toxin (Botox)
  used to reduce dynamic wrinkles by relaxing facial musculature
• Hyaluronic acid
  indicated for correction of static wrinkles, restoration of facial volumes, and deep hydration
• Facial PRP (Platelet-rich plasma)
  regenerative procedure that uses the patient's own growth factors to stimulate cellular renewal
• Facial mesotherapy
  injectable treatment for intense hydration, revitalization, and improvement of skin quality
• Emface
  non-invasive technology that combines muscle stimulation with radiofrequency for lifting and facial toning effect
• Exilis Ultra 360
  procedure based on radiofrequency and ultrasound, used for collagen stimulation and increase of skin firmness
• EXION
  advanced technology for skin rejuvenation, with regeneration effect and improvement of skin elasticity
• Microneedling (Nanopore)
  minimally invasive procedure that stimulates dermal regeneration and collagen synthesis
• Fractional CO₂ laser
  used for deep rejuvenation, wrinkle reduction, and improvement of skin texture
• Harmony XL Pro dermatologic laser
  versatile laser platform for aesthetic and dermatological treatments, including rejuvenation and correction of skin imperfections

Optimal treatment is established following medical consultation, depending on the type of wrinkles, skin characteristics, and aesthetic objectives of the patient.