Wrinkles are a natural result of the ageing process as the skin begins to loose its elasticity and folds and creases form. There are no natural methods of reversing wrinkles once they appear, although sun damage, smoking, an unhealthy diet or stress can all contribute to an early appearance of wrinkles - which is why the skin should be protected from these factors as much as possible.

There are several medical treatments available in order to reduce the appearance of wrinkles and restore a more youthful appearance. Dermal filler injections plump up the skin making it appear fuller and smoother. Botulinum toxin injections are injected into the muscle to temporarily relax the area and reduce the appearance of lines.

What does the treatment involve?

Dermal filler injections work by filling the wrinkle with an injected substance called hyaluronic acid. This substance already occurs naturally in the body and is an important component in retaining volume and water balance in the tissue. The dermal filler is injected with a tiny needle into the affected area, which is often around the lips, and local anaesthetic is used if needed.

Botulinum toxin injections are often used where lines have formed due to facial expression; this is often the upper part of the face for example the corner of the eyes or frown lines on the forehead.

Botulinum is a protein produced by the bacterium Clostridium botulinum. The protein is injected into the facial muscle under the affected area to relax the muscle and reduce wrinkles. The treatment takes 10 to 20 minutes and very small needles are used so that pain is minimal.

What to expect post surgery?

Specialist post–op care:
> You will have Aciclovir (anti cold sore tablets) and painkillers to take home.
> You will have Polyfax ointment to use for 7 to 10 days 3 times a day.
> Your skin will be swollen with some redness and oozing.
> Wash face with tepid water, a mild cleanser may be used after the first week.
> No touching treated area or picking at crusted skin.
> Avoid excessive facial expressions.
> Men - no shaving the treated area for two weeks. It is advisable to start shaving with an electric razor.
> No make-up for the first 7 to 10 days. Use mineral base make-up thereafter.
> Avoid going out in the sun for prolonged periods for the first 2 weeks and use a high factor sunscreen thereafter

Please click here for more general post-operation care.

What are the risks?

Common side effects:
> Mild burning sensation with injection.
> Minimal bruising

Uncommon but potential complications:
> Allergic reaction to the serum injected is extremely rare.

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