Wrinkles Smooting


The improved understanding of the anatomy and physiology of the aging face has laid the foundation for adopting an earlier and more comprehensive approach to facial rejuvenation, shifting the focus from individual wrinkle treatment and lift procedures to a holistic paradigm that considers the entire face and its structural framework.

Although preventive strategies are common place in many medical arenas, facial aging prophylaxis, particularly the early treatment of aging signs before they progress, is a relatively new concept in aesthetic medicine that attempts to delay or prevent surgical intervention.


Age-related changes occur in all tissues and structures of the face and those changes in one area may cause a cascading effect in adjacent areas. Additionally, there is growing recognition of the complex interplay between facial structural remodeling, volume loss, and age-related skin changes. Consequently, non-surgical methods that consider the entire face and its structural framework by using multiple minimally invasive technologies and treatments can provide a more holistic approach and may forestall further deterioration.
Facial aging is characterized by a multitude of features including upper eyelid dermatochalasis, periorbital wrinkles, protruding eyelid fat, brow ptosis, such face wrinkles as nasolabial folds, perioral and smile lines, and volume changes. These features result from a complex interplay of anatomic, histologic, and physiologic changes that affect the bone, ligaments, fat, and skin in the upper, middle, and lower parts of the face.




In addition to facial remodeling, growing evidence shows that remodeling of facial fat occurs with time and contributes to the appearance of the aging face. In the youthful face, deep and superficial fat are balanced, creating an even distribution of facial fullness. As the face ages, redistribution and descent of facial fat pads contribute to the older appearance.

For example, volume loss in the deep medial cheek fat pads diminishes anterior projection of tissue, leading to “pseudoptosis” and the appearance of nasolabial folds. Atrophy occurs in the periorbital, forehead, buccal, temporal, and perioral areas, leading to sagging due to the relative excess of remaining skin.
Redistribution or loss of volume in the temporal, suborbital, and buccal fat pads leads to age-related changes in multiple facial areas including the cheeks, temples, and nasolabial folds. Superficial and deep volume loss can lead to the manifestation of wrinkles, folds, and lines on the surface of the aging face.

Aquafilling® aimed at restoring the lost volume in both the superficial and deep structural supportive features may provide benefit in impeding the facial aging process. And it can do good facial defects correction, that you can enjoy your beautiful appearance. Aquafilling® can be applied for smoothing of face wrinkles such as nasolabial folds, smile and perioral lines, jaw and malar wrinkles.


The balance between collagen synthesis and production of collagen-degrading enzymes shifts toward degradation, and the aging process continues to advance in a sustained cycle of collagen loss and fibroblast collapse. The described process results clinically in dynamic and static wrinkles, dermal atrophy, and elastosis.

Further signs of aging are dyschromic manifestations such as senile lentigines, patchy hyperpigmentation, telangiectasia, rough skin and enlarged pores.


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