As long as the facial muscles work, the soft tissues of the face move and the movement compresses the tissues, there will be wrinkles forming at the folding points. No method that does not paralyze the face can remove these wrinkles.
Period.
As long as you laugh, the nasolabial fold will form between your mouth and cheek.
As long as you can close your eyes, there will be radial crow's feet wrinkles around your eyes.
As long as you can lift your eyebrows, you will have forehead wrinkles.
As long as you can contract your neck muscles, horizontal wrinkles or vertical bands will form in the lower part of your neck.
Honestly, mimic wrinkles have a unique place in beauty in all ages.
I've never thought of removing or eradicating them.
Faces over 30 years old with no facial wrinkles look unnatural, expressionless and lighthearted to me.
When you examine the faces of the most beautiful 40-50 women in the world, you will see mimic wrinkles in all of them. Some are even prettier with such characteristic wrinkles.
See Jennifer Anniston and Rachel McAdams, among others.
However, "body image" does not always overlap with objective facts and aesthetic norms.
Some individuals get obsessed with these wrinkles. They focus too much on getting them fixed.
The desire to remove wrinkles is associated with the desire to “rejuvenate”.
However, none of our facial rejuvenation procedures actually make the person younger. These are essentially "beautification" surgeries. Rejuvenation is not possible. Therefore, realistic minds should focus on being beautiful for their age rather than getting younger.
Facial rejuvenation procedures slightly alleviate mimic wrinkles. For instance, lower eyelid surgery relieves wrinkles around the eyes, forehead lift surgery relieves forehead/temple wrinkles, facelift alleviates nasolabial fold and marionette lines, and neck lift reduces neck wrinkles and platysmal bands.
However, they never completely eliminate them.
Particularly in individuals with mimic hyperactivity, mimic wrinkles will reassume their former depth within 6-12 months after surgery. Surgery alone does not resolve mimic hyperactivity.
If a patient who is a candidate for facial rejuvenation has mimic hyperactivity, this activity may need to be reduced with a very conservative Botox application before and after the surgery.
In my practice, I aim for patients to still be able to use their mimic muscles a little after Botox application. When using Botox, I never completely paralyze the facial expressions. I aim to reduce mimic activity, for example, from 140% to 70%, that is, to its normal range.
After giving them Botox injections, some of my patients say, "I can still frown, my eyebrows still rise, I can still close my eyes, so Botox is not enough". I explain them that this is the expected result of injections.
A flat forehead, straight and flattened eyebrows, squinted eyes.
That shouldn't be your goal.
In my previous posts, I have explained how Botox reduces the volume of the muscles when applied continuously at high doses and accelerates soft tissue sagging with an effect similar to facial paralysis.
In facial aesthetics, it is important to undergo the right procedure with the right expectations.
This is to respectfully inform the candidate patients who plan to undergo facial rejuvenation surgeries with unrealistic expectations such as eliminating facial wrinkles or getting rid of the signs of aging associated with mimic muscles.
Take good care...
... of yourself and your beauty.
OB