Wrinkle Treatments and Fillers

Juvederm®, Restylane® or Botox®? Which non-surgical treatment is best? Whether you're looking to remove fine lines and wrinkles or plump up your skin and add volume, La Belle Forme is able to offer you a range of top treatments to satisfy your needs.

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For information about lip fillers please consult our Lip Enhancement page.
For facial rejuvenation without surgery (non-surgical treatment) we like to see you for a consultation to assess you. We often use a combination of anti-wrinkle treatments such as anti-wrinkle injections and facial and dermal fillers such as Restylane® and Juvederm®.

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The anti-wrinkle treatment that we use for you depends on what we talk about at the consultation. You can have wrinkle reduction treatment on the day of your consultation but you can also simply come for a discussion on wrinkle removal and have your cosmetic injection some other time.

For facial rejuvenation and treatment of facial wrinkles, there are two types of fine lines that we have in our face: dynamic lines and static lines. Dynamic lines are those that appear when we make facial expressions and static lines are those that are present all the time.

Different Anti-Wrinkle Treatments for Dynamic or Static Lines


Generally, we treat dynamic lines with muscle relaxing treatments, the medicines used include medicines that reduce the strength of muscle contractions, and we treat static lines with anti wrinkle treatments, such as Juvederm® and Restylane®. Please note, though, that we are offering you, our customer, a medical consultation and that this may or may not lead to the provision of a prescription for wrinkle reduction medicines. Wrinkle reduction with wrinkle removal injections often takes a week or two to start working completely and lasts for around four to six months. The two wrinkle removers that we therefore use are substances such as Botox® and Juvederm®.


Dynamic lines are often seen around the middle of the eyebrows (so called glabellar lines), around the outer areas of the eyes (crow’s feet lines), on the upper side wall of the nose (bunny lines) and on the forehead when we frown (forehead lines).

Treating Wrinkle Lines Around the Mouth and Nose


Static lines, on the other hand, are present all the time and are often seen in the area between the nose and the mouth (the nasolabial crease), between the mouth and chin (marionette lines), between the lower eyelid and the cheek (nasojugal lines and tear trough areas). Fillers often work well in these areas to add volume to the depressions in the skin around these areas.

Using Injections for Dynamic Lines


Muscle relaxing wrinkle reducing injections are used in treatments for dynamic lines, and the anti wrinkle treatments used for these include prescription drugs. Prescription drugs are injected into the muscles acting on the skin of the face, and the dose used depends on the area we are treating, whether you have had an effect from a previous dose before and what effect you are hoping to achieve. By giving prescription drugs into these muscles, we can relax them and reduce the amount they move the skin. This way we can reduce dynamic lines and this is how prescription drugs work as a wrinkle remover.

Prescription drugs can be used in many different places around the face and the common places for it to be used are around the forehead, the frown lines, the crow's feet, nasal (bunny) lines, and the neck. By giving prescription drugs to the neck we can also lift some of the face muscles. When we use Botox® to reduce wrinkles, it is being used outside of its licence as a wrinkle remover and we will inform you about this and ask you to complete a consent form acknowledging this.

What Are Cosmetic Filler Injections?


Fillers are injections that contain a substance called hyaluronic acid (or HA for short). HA is a naturally occurring substance that all animals have, and it is the same in every animal. HA forms an important structural component of your skin and supporting tissues, but as we get older the amount of HA and fat around our skin reduces. Fillers containing HA can be used to plump up the skin and provide lost volume to restore a youthful fullness.


There are different types of facial fillers available but we will only use HA injections. Other fillers remain in the body for too long a time period, and are more likely to cause infections, sometimes several years later. Skin doctors that give filler injections do not see complications many years later, but plastic surgeons do, and the complications we see are not worth the slight advantage of a longer lasting filler. The only permanent long lasting filler we will use is your own fat, in a fat transfer procedure, and please do discuss this at a consultation if you would like more information about this.

Using Both Muscle Relaxants and Fillers in Non-Surgical Procedures


Using muscle relaxants and fillers can help reduce some of the fine lines and wrinkles we see in the skin whilst at the same time increasing the lost fat and bony prominence associated with younger faces. A combination of both techniques is often used to provide the greatest degree of non surgical facial rejuvenation.

If you have dynamic lines, then we may well recommend relaxants to some areas, and if you have a need for volume restoration in some areas around your face, then cosmetic fillers will help. Fillers can also be used to lift the cheekbones, and make the chin and jaw bone area more prominent. We can also use Juvederm® and Restylane® for lip enhancement and for lip plumping injections. HAs can be used to remove wrinkles and as a wrinkle filler and the anti wrinkle treatment we use for you depends on what you have and what you want.

As we have stated before, the cosmetic filler injections used will depend on the consultation so please let us know what you want and we will advise you on the wrinkle treatment most suited for your facial wrinkles.


Because HA is a natural substance, your body will gradually dissolve it over the course of between 6-12 months. As you notice some of the fullness reducing, you may want a top up of treatment, but often the amount of wrinkle filler you need second time around is less than the amount you needed initially, because some of the HA will still be present.

How Do Prescription Drugs Work?


Prescription drugs act by stopping your muscles from receiving nerve impulses at muscle receptors. Your body will, over the course of around three to six months, produce more receptors so that your muscles will start working again. Some people who have regular relaxants will notice a longer time period between treatments because muscles become weaker when they are not used. Other people will develop antibodies to the relaxant injection and may need more to get the same effect.


Risks of Filler Injections/Anti-Wrinkle Filler Treatments


Most treatments go very well but with all medical treatments there are some risks. These include:

• pinpoint bleeding or bruising of the skin at the injection points
• unwanted relaxation of muscles leading to drooping eyelids or eyebrows
• pigment changes
• infection of the filler material leading to deep seated infections
• the lack of predictability of length of treatment effects – Prescription drugs, for example, may last three months or 12 months or anything in between. Facial fillers such as Juvederm® last longer
• incomplete resolution of your symptoms (either necessitating a repeat injection or meaning that all the skin problem cannot be corrected with non-surgical treatments)
• recurrence of the initial problem (for example static and fine lines may reappear)
• a non-surgical facial rejuvenation procedure is not a substitute for a facelift and some people will benefit more from this


For all these reasons it is important to contact us if you have any problems after any cosmetic filler injections or other non-surgical treatment. We want to look after you so that you can get the best result. We usually like to see you a couple of weeks later so that any top ups can be given at that stage. Top ups are sometimes required to offset some of the natural swelling that gradually subsides during this period.

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