Facial Aesthetics · 3 min read

Types of Facial lines You Should be Concerned About

By Natasha Mikhail · November 27, 2020

Facial lines or wrinkles tend to appear on our skin as we age. Some people seem to get more wrinkles than others based on their habits and genetics. Genetics play an important role too but habits are crucial for our facial skin's appearance. Some people are proud of their wrinkles since they are a reflection of our life and experiences, while others would rather avoid and prevent them.

According to researchers in the Hospital of Liege, Belgium, facial lines can be classified into 4 categories.

Identifying Facial Lines

Atrophic Lines

Lines that are shallow and disappear when manually stretched. They are mostly found like parallel lines on the forehead. The presence of these wrinkles are always associated with impaired mechanical properties of the skin with increased extensibility and decreased elasticity. This means that skin in that area is constantly stretched and eventually it loses its ability to snap back into its original position. These lines can be treated with hyaluronic acid fillers.

Elastotic wrinkles

Deep lines that are located where skin creases naturally. They are typically found on the cheeks, upper lip and neck. They try to compensate for loss of volume and therefore create a crease that will not disappear when tightened manually. Face or neck lift may be effective for these types of wrinkles but they might not disappear completely. It is best to prevent them by using sunscreen and avoiding smoking.

Dynamic expressional lines

These lines are formed by constant face expressions and are sometimes only visible when making that specific face expression. The frown lines, the glabellar lines and the crow-feet wrinkles are typical examples. These types of wrinkles are the perfect candidates for botulinum toxin (Botox) treatment.

Gravitational folds

Can be seen as sagginess caused by the skin's inability to counteract gravity because of loss of firmness. These wrinkles are the result of gravity. When skin loses its turgidity, it can start to sag towards gravity. What goes up must come down! Face and neck lifts are the most effective procedure for these types of wrinkles.

As you can see, not all wrinkles are the same and for that reason, they can't be treated the same. If you wish to avoid them, it is always a good idea to use sunscreen, get enough sleep, use a silk pillowcase, sleep on your back, drink enough water, practice an adequate facial care routine, avoid tobacco, and exercise. If it's too late for prevention, you can always consult a professional and find out what are the best treatment options for your specific case.

For the top 10 causes of wrinkles click below!

Wrinkles and the Anti Aging Movement?

Natasha Mikhail MD/MS Aesthetics and Longevity


The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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