Aesthetic conditions describe a range of cosmetic and aesthetic concerns from skin laxity, wrinkles, and expression lines, to unwanted shapes, excessive sweating, hair loss, and vaginal atrophy and dryness.

Expression Lines (Dynamic Wrinkles)

What are expression lines?

Expression lines are dynamic wrinkles that form on the skin due to repeated movements of the facial muscles. 

Commonly appearing as forehead lines, crow’s feet, and smile lines, these creases develop over time from habitual expressions like smiling, frowning, and squinting. Factors like ageing, genetics, and lifestyle also influence their severity. 

At Dr. Nerina Wilkinson + Associates, we specialise in advanced non-surgical treatments to soften expression lines, enhancing your natural beauty.

Learn about the conditions associated with expression lines and the types of treatments we provide to help patients manage facial wrinkles, soften expression lines, and enhance overall facial appearance. You can also contact us to book your consultation today.

Learn about

Conditions Associated with Expression Lines

 At Dr. Nerina Wilkinson + Associates, we specialise in identifying and softening expression lines, customising treatments to each patient’s individual needs.

Drawing on our expertise in aesthetic medicine, we address specific conditions like forehead lines, frown lines, crow’s feet, bunny lines, smile lines, marionette lines, lip lines, and chin creases. Our treatments aim to minimise these expression lines, enhancing overall facial aesthetics.

With our comprehensive understanding of the causes of expression lines, combined with our commitment to advanced therapeutic approaches, we are dedicated to reducing the appearance of facial wrinkles. Our goal is to increase our patients’ confidence and restore the natural, youthful appearance of their skin.

Learn more about the types of conditions we treat below and contact us to book your consultation.

Forehead lines

Forehead lines, often a result of ageing and repetitive eyebrow raising, appear as horizontal wrinkles across the forehead. These expression lines can deepen over time, but with advanced aesthetic treatments, their appearance can be significantly reduced, restoring a smoother, more youthful forehead.

Frown lines (Glabellar lines)

Frown lines, also known as glabellar lines, are vertical wrinkles that develop between the eyebrows. Commonly caused by frowning and concentrating, these lines can be effectively softened through targeted aesthetic treatments, enhancing the natural smoothness of the forehead area.

Crow’s feet

Crow’s feet are the fine lines that radiate from the corners of the eyes, typically more noticeable when smiling or squinting. These expression lines reflect years of joyful expressions and can be gracefully softened with precise aesthetic treatments, to maintain the eyes’ natural liveliness.

Bunny lines

Bunny lines are the fine, dynamic wrinkles that appear on the sides of the nose, often accentuated by facial expressions like laughing or scrunching the nose. These subtle lines can be reduced with versatile aesthetic treatments, enhancing facial harmony and smoothness.

Smile lines (Nasolabial folds)

Smile lines, or nasolabial folds, are the creases that run from the sides of the nose to the corners of the mouth. They deepen with age and repeated facial expressions, but they can be elegantly minimised through advanced aesthetic procedures, enhancing the natural contours of the face.

Marionette lines

Marionette lines are vertical wrinkles that extend downward to the chin from the corners of the mouth, often resulting in a saddened expression. These lines can be effectively diminished with tailored aesthetic treatments, restoring a more youthful and uplifted facial appearance.

Lip lines (Perioral lines)

Lip lines, or perioral lines, are fine wrinkles that form around the mouth, often accentuated by actions like speaking and smoking. A common sign of ageing, these lines can be subtly reduced with specialised aesthetic treatments, enhancing the mouth’s natural definition and youthfulness.

Chin creases

Chin creases are horizontal lines or dimpled skin that appear on the chin, often due to repetitive frowning or pouting. These expression lines can be minimised through targeted aesthetic treatments, enhancing the smoothness and definition of the chin area.

We provide the following

Types of Treatments for Expression Lines

At Dr. Nerina Wilkinson + Associates, we offer a suite of advanced treatments for expression lines and tailor each therapy to our patients’ specific needs.

Our proficiency in aesthetic medicine is reflected in our diverse treatment options, including Muscle Relaxing Injections, 3D MD PRP, Skin Boosters, Dermal Fillers, and Laser Treatments. These procedures are carefully selected to effectively reduce the appearance of expression lines, enhancing facial smoothness and youthfulness.

Our team’s deep understanding of facial aesthetics, combined with our commitment to the latest therapeutic techniques, ensures a bespoke approach to managing expression lines. We are dedicated to boosting our patients’ confidence and revitalising their facial appearance, achieving natural-looking and lasting results.

Learn more about the types of treatments we offer for expression lines and contact us to begin your journey towards a reinvigorated facial appearance.

Muscle Relaxing Injections

Botulinum toxin treatments (Neuromodulators) help you attain a more youthful and relaxed appearance, and want to prevent the formation of fine lines and wrinkles.
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3D MD PRP (Dr. Vampire Facial)

Vampire facial treatments are minimally-invasive cosmetic procedures that utilise the powerful regenerative effects of our own platelet-rich plasma (PRP).
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Mesotherapy & Skin Boosters

Non-surgical, skin rejuvenating treatments that deliver tiny droplets of active ingredients, including hydrating Hyaluronic Acid and skin rejuvenating vitamins, into the middle layer of the skin.
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Dermal Fillers

Dermal fillers allow patients to attain beautiful and harmonious results, fight and effectively delay signs of ageing, and treat other skin and aesthetic concerns.
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Mesobooster treatments are a blend of skin boosters designed to simultaneously bio-stimulate and rejuvenate all layers of the skin (epidermis, dermis, and hypodermis).
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Harmony® XL Pro ClearLift

ClearLift is one of Harmony XL Pro’s is ideal for treating a variety of age-related skin imperfections including wrinkles, fine lines, photodamage, pigmentation, and more.
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Erbium IPIXEL Pro

A fractional ablative laser treatment that resurfaces the skin and targets concerns such as skin texture and pigmentation/sun damage, highly effective for treating wrinkles, age spots, acne scars, large pores, and rough skin texture.
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CO2RE® Fractional Laser Resurfacing

CO2 Fractional Laser Treatment is a surgical-grade Carbon Dioxide laser that essentially speeds up your skin’s healing process by removing old and tired cells by means of a laser.
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Frequently asked questions about conditions & treatments associated with expression lines

What causes expression lines?

Expression lines form as your skin ages and loses elasticity, primarily due to repeated facial muscle movements like smiling and frowning. Factors such as genetics, lifestyle, and environmental exposure also contribute to their development.

At what age do you get dynamic wrinkles?

Dynamic wrinkles typically start appearing in one’s late 20s to early 30s, as the skin’s elasticity decreases and the effects of repeated facial expressions become more pronounced. How soon you can expect to see expression lines varies depending on your genetic factors, lifestyle choices, and environmental exposures, such as sun damage and smoking, which can accelerate their formation.

What are the expression lines around your mouth?

The expression lines around the mouth include smile lines, or nasolabial folds, which run from the sides of the nose to the corners of the mouth, and marionette lines, which extend downward from the mouth corners. Lip lines, or perioral lines, also form around the mouth due to actions like speaking and smoking. 

What’s the difference between dynamic and static wrinkles?

Dynamic wrinkles are caused by repetitive facial expressions, appearing when muscles contract, such as when smiling or frowning. They typically form in areas like the forehead, around the eyes, and between the eyebrows. Static wrinkles, on the other hand, are visible even when the face is at rest, resulting from the loss of skin elasticity, collagen depletion, and environmental factors. Static wrinkles deepen over time and show up as lines on the cheeks, neck, and jowls.

What are the treatments for smile lines?

For addressing smile lines, non-surgical options include Dermal Fillers, 3D MD PRP Facial, Medical Skin Needling, and CO2 Fractional Laser Treatments

At Dr. Nerina Wilkinson + Associates, we specialise in creating personalised treatment plans that target your unique skin concerns. Our treatments are designed to minimise the appearance of smile lines, enhancing the natural contours of your face for a rejuvenated look. Schedule a consultation with our experts to develop a tailored approach for your skin.

How do you get rid of expression lines?

Expression lines on your face can be reduced with a combination of treatments. Botulinum, or Muscle Relaxing Injections, relax facial muscles, preventing further deepening of lines. 

For lines that persist despite the use of muscle relaxing injections, Skin Boosters, Dermal Fillers, Harmony XL Pro, and Erbium IPIXEL Pro laser treatments can enhance skin texture and diminish visible wrinkles. Our signature 3D MD PRP treatment, also known as the Dr. Vampire Treatment, offers comprehensive improvement in skin quality, hydration, and texture.

At Dr. Nerina Wilkinson + Associates, we start with the VISIA Skin Analysis to tailor treatments to your specific needs. This advanced diagnostic tool helps us identify your main concerns and craft a personalised skincare plan. Whether it’s managing pigmentation, improving skin texture, or targeting lines and wrinkles, our expert team is dedicated to achieving your aesthetic goals. Schedule a consultation today to start your customised treatment plan.

How do you get rid of smile lines naturally?

Reducing smile lines naturally involves lifestyle changes and good skincare practices, such as maintaining hydration, following a balanced diet rich in antioxidants, practising regular facial exercises to tone muscles, using sunscreen to protect against UV damage, and applying moisturisers with natural ingredients like hyaluronic acid and vitamin C. 

Additionally, getting adequate sleep and managing stress effectively can also contribute to minimising the appearance of smile lines by promoting overall skin health and resilience. It is important to remember that if the formation of smile lines occurred due to repeated facial movements and/or ageing, following the above suggestions alone might not be enough to keep your smile lines at bay.

How do you prevent crow’s feet?

Preventing crow’s feet involves a combination of skincare and lifestyle adjustments.

  • Regularly apply sunscreen to protect against UV damage.
  • Use moisturisers and eye creams rich in antioxidants and peptides.
  • Wearing sunglasses to reduce squinting.
  • Maintain a healthy diet with plenty of hydration.
  • Avoiding smoking.

Incorporating retinol into your skincare routine can also help by promoting collagen production and skin renewal, effectively minimising the early formation of expression lines around the eyes, but it is important to remember that the formation of crow’s feet is a natural part of repeated facial movements and/or ageing and even sticking to any/all of the above suggestions, might not be enough to keep crow’s feet at bay.

Can you massage away frown lines?

Massaging the relevant area can help to a certain extent by increasing blood circulation, promoting collagen production, and relaxing the muscles, potentially reducing the appearance of these lines over time. Techniques such as gentle upward strokes and circular motions can be beneficial. 

However, massage alone may not reduce deep frown lines to a satisfactory extent. For more significant and lasting results, professional treatments such as muscle relaxing injections, dermal fillers, or targeted skincare treatments are recommended.

How do I choose the right treatment for expression lines?

Choosing the right treatment for expression lines begins with a professional consultation with experienced aesthetic specialists. This crucial step allows for an in-depth analysis of your facial dynamics, helping both you and your specialist to understand the specific nature of your concerns and objectives.

At our clinic, we pride ourselves on offering a detailed aesthetic couture consultation. This process gives you the opportunity to explore and articulate your concerns and desires thoroughly. Our team of experts will then offer tailored advice, focusing on the unique characteristics of your expression lines. This meticulous evaluation is essential in crafting a customised treatment plan that aligns with your specific goals.

Book your consultation with us today to find the most effective treatment for your expression lines.

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Expression line treatment consultation

At Dr. Nerina Wilkinson + Associates, we lead in aesthetic rejuvenation, crafting personalised solutions for expression lines. Utilising cutting-edge technology, our Skincare Specialists deliver precise, tailored treatments for your skin concerns.

Contact us to book your consultation at our esteemed clinic at the V&A Waterfront in Cape Town.