Dynamic expression lines
Caused by repeated muscle movement: forehead lines, frown lines between the brows, crow's feet. Visible when you make an expression and faint or absent at rest. The most responsive type.
Smooth lines. Still you.
Fine lines and wrinkles are treated at Wise Aesthetics in Carmel, Indiana with a plan matched to the type of line. Lines caused by repeated expression are typically addressed with FDA-approved wrinkle relaxers such as Botox®, Dysport®, Xeomin® and Daxxify®. Lines that remain when the face is at rest, and deeper folds, are typically addressed with dermal fillers, collagen biostimulators such as Sculptra®, or resurfacing treatments such as Halo™, CoolPeel® and microneedling. Most clients combine two or more over time. A consultation determines which applies to you. Individual results vary.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
Not all wrinkles are the same, and the difference decides the treatment. A line that appears only when you frown is held by a muscle. A line that is there when your face is still has been etched into the skin itself. A fold that deepens with age usually reflects lost volume underneath the skin. Each responds to a different approach, and treating the wrong cause produces disappointing results.
Four things drive most lines:
Lifestyle contributes: smoking, dehydration, poor sleep and repeated weight change all show in the skin over time.
Different lines need different treatments. Your provider will identify which types you have and build a plan around the cause.
Caused by repeated muscle movement: forehead lines, frown lines between the brows, crow's feet. Visible when you make an expression and faint or absent at rest. The most responsive type.
Present when your face is still. Many begin as expression lines and set in over time; others come from sun damage and thinning skin. Fine static lines around the eyes and mouth are common.
Deeper creases that follow the structure of the face: nasolabial folds beside the nose, marionette lines at the corners of the mouth. Usually tied to volume loss rather than muscle movement.
The fine, crepey texture that appears on sun-exposed, dehydrated or thinning skin: cheeks, under the eyes, the neck and chest. A surface problem more than a structural one.
The treatments below are the ones we use most for lines and wrinkles, grouped by the kind of line they address. Most plans combine one option from the first group with one from another.
FDA-approved neuromodulators temporarily soften the muscle activity that creases the skin, so expression lines ease and new creasing is reduced while the treatment is active. Results typically appear within days and last around three to four months; Daxxify® results can last up to six months. Individual results vary.
When a line remains at rest or a fold has formed, adding support beneath the skin does what a relaxer cannot.
These treat the skin itself, improving texture and stimulating collagen so fine lines soften over a series.
Lines around the mouth are often treated with a combination of lip filler and a wrinkle relaxer; your provider will advise.
Your provider will:
Most clients start with one treatment and add a second once they see how their skin responds.
Timelines depend on the approach. Movement-related treatments generally show their effect over several days up to about two weeks; collagen-supporting and texture approaches develop more gradually over weeks to months and are often planned as a series. Your provider will set expectations for your specific plan. Individual results vary.
Most healthy adults with lines that bother them are candidates for at least one option above. Some treatments are not suitable during pregnancy or breastfeeding, with certain neuromuscular or autoimmune conditions, with active skin infection in the area, or soon after some other procedures. Each treatment page lists its own considerations, and your provider will review your medical history before recommending anything. This page is general information and is not medical advice.
Fine lines are shallow and usually appear first, often around the eyes and mouth. Wrinkles are deeper creases that have set into the skin. Fine lines typically respond to lighter treatments; established wrinkles usually need a wrinkle relaxer, filler or resurfacing, and sometimes more than one.
It depends on the line. If the line appears when you make an expression and softens at rest, a wrinkle relaxer such as Botox® addresses the cause. If the line is present when your face is still, or it is a fold beside the nose or mouth, filler or a collagen treatment is usually the better fit. Many clients benefit from both, treating different lines.
There is no right age. Some clients begin wrinkle relaxers in their late twenties or thirties, when expression lines first start to linger, which may reduce how deeply they set over time. Others begin later. The better question is whether the lines bother you and whether a treatment can address their cause.
No non-surgical treatment removes wrinkles permanently. Wrinkle relaxers last a few months, fillers from several months to a year or more depending on the product, and collagen treatments build results that are maintained with periodic sessions. A plan is designed to keep results consistent over time rather than to deliver a single permanent change. Individual results vary.
Cost depends on which treatment fits your lines, how many areas are treated, and whether you choose a single treatment or a plan. Each treatment page describes what a typical client pays, and your provider will give you a written cost at consultation before any treatment. Journey membership includes CoolPeel® and microneedling, gives members special pricing on wrinkle relaxers, and takes 10% off all other treatments, packages and skin care.
Our approach is to treat the cause of a line while keeping natural movement and expression. Dosing is conservative and adjusted to you, and your provider will tell you when to return so results can be reviewed and refined. Individual results vary.
Yes. Resurfacing lasers, radiofrequency microneedling, chemical peels and DiamondGlow® all improve fine lines and texture without injections, usually over a series of treatments. They are often the better choice for fine, crepey lines on the cheeks, under the eyes and on the neck. Some lines are better supported by skin care and sun protection first; the plan starts with an assessment, not a product.
It depends on the approach: movement-related treatments over days to ~2 weeks, collagen/texture approaches more gradually over weeks to months. Individual results vary.
More questions? Read our full FAQs, or call or text 317-569-6448.
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Carmel, Fishers, Westfield, Zionsville and the greater Indianapolis area.
Individual results vary. This page is general information and is not medical advice. Treatment suitability is determined at consultation. Treatments are provided under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.