What’s the Best Treatment for Deep Wrinkles on the Face?

Before and after case #1182 with text that reads 'Say Goodbye To Deep Wrinkles With BOTOX & Filler'

Think your wrinkles are too deep for fillers and neuromodulators? Take a look at how we use them to tackle deep wrinkles in different areas of the face, complete with real patient success stories.

Treating Deep Wrinkles on the Forehead  

Neuromodulators like BOTOX and Dysport are considered the gold standard for treating deep wrinkles and frown lines on the forehead. Regular injections scheduled about every 3 months significantly soften lines and prevent further deepening. 

Before and After BOTOX/Dysport for Forehead 

Before and After BOTOX for Forehead/Glabella Wrinkles case #751
Before and After BOTOX for Forehead/Glabella Wrinkles

Before and After BOTOX & Filler for Deep Forehead Wrinkles

When there are persistent deep-set wrinkles unresponsive to just neuromodulators, filler may be combined to smooth the skin. For example, in this case, Botox helped this patient relax his frown muscles, and filler helped smooth the deep, persistent wrinkles. 

before and after botox and fillers for deep forehead wrinkles case #655
Before and After BOTOX & Filler for Deep Forehead Wrinkles

Treating Deep Wrinkles on the Lips & Mouth 

Our Injectors specialize in getting rid of lip wrinkles and lines around the mouth with lip filler treatments that take into account structure, volume, and the area around the lip border.

Before and After Lip Filler 

Volume loss can cause wrinkles in the body of the lip. The solution is filler to replace volume, add support and hydration, and create a smooth texture.

Before and After BOTOX & Filler for Deep Forehead Wrinkles case #826
Before and After Lip Filler for Wrinkled Lips

Before and After BOTOX & Lip Filler 

The combination of BOTOX with specially formulated lip fillers like JUVÉDERM VOLBELLA XC and Restylane® smooths smoker’s lines, AKA barcode lines, and rejuvenates aging lips.   

before and after botox and lip filler for smokers lines case #1182
Before and After BOTOX & Lip Filler for Lip Wrinkles

Treating Deep Wrinkles on the Cheeks 

We minimize nasolabial folds (NLF) and sagging jowls around your cheeks with a holistic dermal filler approach that targets and reduces deep nasolabial folds.  

Before and After Filler To Address Nasolabial Folds and Jowls 

Injecting JUVÉDERM and Restylane helped flatten and smooth this gentleman’s jowls while maintaining chin definition. Pairing fillers with BOTOX softened his facial wrinkles.  

Before and After BOTOX & Fillers To Address Jowls case #433
Before and After Filler To Address Nasolabial Folds and Jowls 

Before and After BOTOX for Nasolabial Folds 

Sometimes a strong levator labii superioris alaeque nasi (LLSAN) muscle can cause a permanent “snarl” and prominent nasolabial folds. Injecting BOTOX into the LLSAN muscle on both sides of the nose softens deep nasolabial folds and enhances your resting facial expression.  

Before and After BOTOX for Nasolabial Folds case #485
Before and After BOTOX for Nasolabial Folds 

Before and After BOTOX & Filler for Nasolabial Folds

We add volume and structure to the midface with filler, which lifts and smooths the nasolabial fold. BOTOX to an overactive LLSAN muscle is the icing on the cake.

Before and After BOTOX & Filler for Nasolabial Folds case #1154
Before and After BOTOX & Filler for Nasolabial Folds

Treating Deep Wrinkles on the Chin 

When aging or genetics diminish chin appearance, BOTOX and chin filler treatments can help you keep your chin and self-confidence up! 

Before and After BOTOX for Chin Dimpling 

Our injectors use BOTOX or Dysport to disable the mentalis muscle and smooth out dimpled “orange peel” skin. Neuromodulators also help improve a recessed chin. 

Before and After BOTOX for Chin Dimpling case #431
Before and After BOTOX for Chin Dimpling

Before and After Fillers for Chin Augmentation 

Fillers such as JUVÉDERM VOLUMA® and RADIESSE® address volume loss, creases, and shadows. We also use fillers to subtly define your chin and jawline and enhance your profile.  

Before and After Filler for Chin Augmentation case #624
Before and After Filler for Chin Augmentation 

Before and After BOTOX and Filler for Chin Dimpling

Oftentimes a combination of both neuromodulators and chin filler will be used to diminish the appearance of chin dimpling and add subtle definition to your chin and jawline to create a more balanced look.

Before and after BOTOX and filler for chin augmentation case #425
BOTOX and Filler for Chin Dimpling

What Causes Deep Wrinkles? 

Volume Loss 

As we age, we lose bone and fat in areas like the cheeks, around the eyes, the chin, and the jawline. This volume loss, plus a decreased capacity for retaining moisture, contributes to wrinkle formation. 

Skin Thinning/Laxity 

As a natural part of the aging process, your skin loses collagen and elastin, two essential proteins responsible for maintaining skin structure, firmness, and elasticity. Skin then begins to sag, droop, and crease.

Repeated Facial Expressions 

Over time, dynamic muscle movements caused by everyday reactions—squinting, frowning, and smiling—cause your skin to crease, eventually turning into deep wrinkles and folds. 

Lifestyle habits such as smoking, dehydration, and too much sun also contribute to wrinkle formation. As aging progresses and the skin loses its ability to “bounce back,” wrinkles become even more pronounced if left untreated.  

How Neuromodulators & Filler Treat Deep Wrinkles 

Not all injectables are created equally, and not every injectable is right for every type of wrinkle. Let’s take a closer look at how neuromodulators like BOTOX® and Dysport® address deep wrinkles differently than dermal fillers. 

Dermal Fillers

Products like JUVÉDERM® address volume loss to smooth deep lines and lift sagging skin. They also boost collagen production and hydration to plump thinning, lax skin.  

Neuromodulators

Neuromodulators, products like BOTOX, Dysport, XEOMIN, Daxxify, and Jeuveau, relax the muscles that create deep wrinkles due to repeated facial expressions. 

Sometimes, we perform a “liquid facelift” by combining neuromodulators with fillers to address multiple concerns and dramatically refresh your appearance, as you can see in the above examples.

Ready To Erase Your Deep Wrinkles? We Can Help!  

Whether you want to erase deep forehead lines, nix nasolabial folds, or perfect your pout, we have an array of injectables and customizable solutions to help you look more youthful and refreshed—no surgery required! Simply request a consultation with an MFI Injector online or call us at (415) 445-9513 to get started. We can’t wait to help you put your best face forward! 

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