It is important to differentiate the two because the causes and treatment options are different.
Dynamic wrinkles may not be present unless you make a facial expression. For example your forehead may be free of wrinkles, but when you look up – you see a lot of wrinkles right? So these are dynamic wrinkles, along with frown lines, crows’ feet and others.
Static wrinkles, on the other hand, are what most people think of when they talk about wrinkles – a line here, a crease there – that lives on even when your face is passive.
For women, the most common area to have wrinkles is actually around the eye area. As early as their early 20s, some ladies will start to see fine lines there – static lines.
But dynamic wrinkles also themselves eventually turn into static wrinkles. To illustrate, think about origami. Over time, skin movement is like a piece of paper – at first you don’t see anything, but after a while the paper gets a faint line from having been folded too many times.
That, in summary, is how permanent “static” wrinkles get formed.
Connect the dots …
But there are also many contributing factors. It is important to emphasise that 80% of damage to skin in terms of aging is actually attributed to sun exposure – and it is largely preventable.
Some people have inadequate protection because their skin does not produce enough of a pigment called melanin which gives us protection against the effects of the sun.
But for women, this presents a unique dilemma. Those of you who are desirous of fairer skin don’t want too much pigment as it’ll make you darker, but not enough pigment will also make you age faster.
Look at Caucasians, especially those who are very fair and who get red very easily. They age much earlier than the Chinese. When you put an Asian and an European side by side, for the same age, the difference is obvious – the wrinkles.
Apart from sun damage, there’s also the decreased levels of elastin, collagen, and hyaluronic acid that occurs naturally due to our body’s inability to produce them as we age.
Gravity, the descent of fat pads, volume loss (either of muscles or fats), repetitive muscle action and smoking, which generates free-radical damage, also play a role.
Filling between the lines
Most dynamic wrinkles are related to the upper half of the face – basically the crows’ feet, which occur when we smile, the frown lines which happen when we look inwards and downwards, and forehead frown lines.
The solution: relax the muscles which cause skin to fold. This then reduces the formation of static wrinkles.
BOTOX® treatments are usually recommended for these, because they are a safe and effective treatment. The results usually appear within the first week, and last between 3 to 6 months on average.
And with regards to static wrinkles, normally fillers are recommended. If the lines are a bit more problematic, fillers are recommended together with some form of non-invasive procedure, Some people have what is called tear-trough depression – dark circles under the eyes, which is treatable with filler also.
But not all fillers are the same. The most common filler today is the hyaluronic acid filler, although there are also collagen, and calcium hydroxyl apatite fillers.
When it comes to wrinkles, the hyaluronic acid content is actually much more important. Because that’s what binds water. So when it binds water, it gives the skin a nice tight feel. Most of the cosmetic fillers on the market – the oils that are widely used on the face are in fact derived from or made of hyaluronic acid.
The main risk from all these fillers? Allergies.
Don’t worry, be happy!
Thankfully, allergies are now a risk now largely negated, thanks to new generation fillers:
Collagen dermal fillers last an average of three months, and cause allergies in about 5% of patients.
Hyaluronic acid dermal fillers last between 6 to 12 months. The newer variety produce results that last longer up to 1 year, and have minimal risk of allergy.
Calcium hydroxylapatite dermal fillers are made up of microspheres of calcium hydroxylapatite, last up to one and a half years, but are more technically challenging to use and may require multiple treatments to achieve full treatment results. Reversing the effects of injected calcium hydroxylapatite is also difficult.
So ladies, if you’re trying to smooth out your wrinkles, hyaluronic acid fillers are currently your best ticket. In case of doubt, ask your doctor to check if the treatment you are getting meets America’s FDA approval, to make sure that you’re getting safe and effective fillers.
The non-animal based fillers last longer and have a better safety profile in terms of allergic reactions. So go on and fill up with confidence, on the advice of your doctor, of course.