Anti Wrinkle Treatment in Delhi NCR

What are wrinkles?

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:

1. 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.

2. 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.

How are the wrinkles formed?

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.

How to prevent the wrinkle formation?

There are two methods to prevent formation of wrinkles

1. 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.

2. 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.

What is the principle behind use of anti wrinkle treatment?

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.

What is a neurotoxin?

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.

How do neurotoxin Injections work?

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.

What are fillers?

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.

What is the most common filler being used?

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.

How Juvederm is different from Neurotoxin cosmetically?

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.

What happens in an anti-wrinkle injection treatment session?

1. It is important to meet Dr. Ashish Khare, who is one of the best aesthetic surgeon in Delhi/ NCR.
2. He will assess your face and let you know the exact sites where treatment is needed.
3. Once you consent to the procedure, some pre-operative photographs will be taken to establish a baseline and compare results in the future.
4. You will be then shifted to the procedure room and skin with anaesthetized with a topical one.
5. The surgeon then marks all the areas to be treated.
6. A syringe with a thin needle is then used to inject small amounts of Botox® or Filler in the treatment areas.
7. Before you leave the clinic, you will be explained all about the aftercare.