Fine Lines & Wrinkles

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Some facial lines are particularly influenced by repeated muscle movement.

Common concerns include:

• Frown lines between the eyebrows 
• Horizontal forehead lines 
• Crow’s feet around the eyes 
• Lines around the nose 
• Fine lines around the mouth 
• Chin dimpling 
• Changes in brow position 
• Downward pull around the mouth 

Over time, lines that initially appear only during facial expression can become visible when the face is at rest. Skin quality, sun exposure, genetics, facial structure and natural ageing also contribute, which is why not every wrinkle should be approached in the same way.

Dr Jackie will assess your face both at rest and during expression.

This allows consideration of:

• Which muscles are contributing to the lines that concern you 
• Your natural facial proportions and asymmetry 
• Brow and eyelid position 
• Skin quality and elasticity 
• Previous aesthetic treatments 
• Your medical history 
• The degree of change you would actually like 

Following assessment, the available options — including whether treatment is appropriate at all — will be discussed with you. Where a prescription medicine is being considered, this will only be prescribed following an appropriate medical assessment.

For many patients, the concern isn't simply whether a line can be reduced — it is how much natural movement and expression they want to retain.

Dr Jackie’s approach is conservative and individualised, taking into account your facial anatomy, muscle movement and treatment goals. The objective is not necessarily to remove every line. For many people, a successful result means looking rested and refreshed while still looking completely like themselves.

Assessment
Your facial anatomy, muscle movement, medical history and treatment goals are reviewed before any treatment is recommended.

Treatment
If treatment is appropriate and you choose to proceed, the proposed treatment, expected effects, limitations and relevant risks will be explained beforehand.

Results
The timing and duration of results depend upon the treatment selected, the area treated and your individual response.

Review
Where appropriate, a follow-up review allows the result to be assessed once treatment has taken effect.

Facial assessment may also identify smaller areas where treatment could be considered, including:

• Brow position 
• Bunny lines 
• Lip position when smiling 
• Gummy smile 
• Chin dimpling 
• Downward pull at the corners of the mouth 

These treatments are not automatically appropriate for everyone. Facial anatomy, muscle balance and the potential effect on normal expression and function need to be considered before treatment.

Prominent masseter muscles can contribute to a wider or more square lower face in some people. Where this is a cosmetic concern, Dr Jackie can assess the lower-face anatomy and discuss whether treatment to alter the appearance of the masseter region is appropriate.

For jaw clenching, bruxism or TMJ-related symptoms, please see our dedicated Bruxism & TMJ section.

Some treatments using similar medical principles are undertaken for medical rather than purely cosmetic concerns.

At ReNu, these have their own assessment and treatment pathways:

• Excessive Sweating / Hyperhidrosis 
• Bruxism & TMJ-Related Jaw Clenching 
• Migraine Treatment 

 • Doctor-led assessment

 • Conservative treatment

 • Facial balance 

 • Natural expression

At ReNu, treatment begins with understanding your face rather than selecting a number of areas from a menu. Dr Jackie will discuss what can realistically be achieved, what treatment may be appropriate and, equally importantly, when leaving an area untreated may produce the better result.