Most people don’t know this, but it’s not the case where you’ve seen one wrinkle and you’ve seen them all. There are actually two types of wrinkles: static wrinkles and dynamic wrinkles.
Static wrinkles hang around all the time. That’s because they are caused by damage to the skin and to declining collagen production levels as we age. Static wrinkles are to be found on the mid to lower face: beneath the eyes and all around the mouth. You know them as smile lines, marionette lines, parentheses lines, and barcode lines.
Dynamic wrinkles are completely different. They occur as the result of muscle contractions under the skin when we make various expressions, such as frowning, showing surprise, squinting, and others. Go ahead and squint. You can feel all of the muscles engage around your eyes, on your brows, and on your forehead. That’s the expressive area of your face, the upper third.
Over time and making these expressions hundreds of thousands of times, the skin above the muscle develops a wrinkle. These are dynamic wrinkles, and you’ll find them on the outside of your eyes (crow’s feet), between your eyebrows (glabellar/frown lines/the 11s), and on your forehead.
Relax the muscle, erase the wrinkle
Since the holidays are fast approaching, maybe you’d like to tell those crow’s feet and forehead lines to take a vacation for a few months. You can do that with the three neuromodulators we inject at Austin Cosmetic Surgery: Botox, Dysport, and Xeomin.
Neuromodulators work by relaxing the muscle contractions that are causing dynamic wrinkles. They do this by blocking the nerve messages sent from the muscle to the brain. The brain never gets the message to contract the muscle, so the muscle stays at rest and the wrinkle above it doesn’t form. All three of these neuromodulators work the same way, but they have subtle differences.
Botox is the original neuromodulator, first approved by the FDA for cosmetic use in 2002. Botox is one of the world’s most famous brand names. It has been injected millions of times around the world and has a loyal following. Botox is great for treating small areas with precision.
The FDA approved Dysport in 2009. Dysport is made with smaller molecules when compared with Botox. Smaller molecules enable Dysport to work faster than Botox (sometimes as soon as within 24 hours after injection, where Botox can take up to 72 hours). It also spreads when injected, so it can be used for larger areas. But Dysport is less precise for the same reason, so it isn’t great for smaller areas.
Approved by the FDA in 2011, Xeomin is sometimes called “the naked injectable” because it consists basically of only the butulinum toxin type A, which is the mechanism behind all of these neuromodulators. Botox and Dysport have some additional proteins in their formulas, and some people can develop reactions to these extra proteins. For these people, Xeomin works without reactions. It does take longer to take effect, however, needing up to 7 days for onset.
Now you’re a neuromodulator expert. Call us Austin Cosmetic Surgery in our Lakewood office, (512) 688-8000, or in Scottsdale, (480) 947-7700, and let’s erase those crow’s feet and your 11s before your holiday parties.