Dr. José Henrique Effgen

Condition

How to treat wrinkles and expression lines

Static or dynamic wrinkles caused by repeated muscle movement and collagen loss.

Wrinkles and expression lines

About wrinkles and expression lines

Expression lines appear naturally from the repetition of facial movements over the years — frowning, smiling, squinting. At first, they only appear during movement (dynamic); over time, and with collagen loss, they can become visible even with the face at rest (static).

Recommended treatments

3 SKIMS Method protocols treat wrinkles and expression lines

The exact indication depends on age, severity and history — an in-person evaluation defines which protocol (or combination) is right for your case.

Real results

Before and after — wrinkles and expression lines

Results vary depending on the case, individual response and adherence to follow-up care. Images are of real patients, published with authorization.

Frequently asked questions

Does every wrinkle need botulinum toxin?

Dynamic wrinkles (that disappear at rest) respond well to toxin; already-static, deep wrinkles usually benefit from a combination with filler or biostimulators, assessed case by case.

Can expression lines be prevented before they appear?

Yes — preventive use of botulinum toxin in younger patients, combined with daily sunscreen, is a common approach to delay the appearance of static lines.

Ask your questions about wrinkles and expression lines

The recommended protocol depends on an in-person evaluation at SKIMS House clinic, in São Paulo.

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