Expression lines are common and form along the forehead, the central frown area of the forehead (“frown lines” or “number 11 lines”), outer corners of the eyes (“crow’s feet”), sides of the nose (“bunny lines”), chin, and neck. These are caused by muscle activity that pulls on and creases the overlying skin over time. With continued wear and tear from muscles tugging on the skin creases will deepen, causing etched lines at rest.
Botox® Cosmetic is the gold standard treatment to soften expression lines. It works by relaxing muscles to inhibit their strong pulling on the skin that causes lines to form.
A hallmark of Dr. Sherber’s technique is that she is able to create a very natural appearance for her patients, as many of them appear on high definition film and need to look youthful but not obviously “done.” Whereas some people worry that Botox® will make them look frozen or permanently surprised, Dr. Sherber utilizes state-of-the-art techniques to create very nuanced lifting of the brows, smoothing of the forehead, and elevation of the corners of the mouth.
For those looking to prevent lines rather than treat significant existing lines, Dr. Sherber often recommends very subtle “baby Botox” treatments twice a year to soften the muscle activity and prevent deepening of lines over time without freezing the muscles entirely.
Dysport and Xeomin are alternatives, however Dr. Sherber prefers Botox® as it delivers predictably effective results that can be fine tuned from subtle to significant.
For those not looking for an injectable approach to treating expression lines, fractionated non-ablative lasers such as Clear+Brilliant and Perméa stimulate collagen production and will smooth skin texture over time.
Permanent weakening of the muscles that create frown lines is possible with Brow Lift and Upper Blepharoplasty techniques employed by Dr. Rad.
Glycolic acid and retinoids work to stimulate collagen and to improve skin density, while deeply absorbing moisturizers help skin to be more resistant to creasing.