Wrinkles are not all the same and treating them all with the same solution is one of the most common reasons patients end up disappointed with their results. Understanding which type of wrinkle you are dealing with determines which treatment will actually work. This guide cuts through the confusion.
Dynamic Wrinkles — Caused by Muscle Movement
Dynamic wrinkles are the lines that appear when you move your face: forehead lines when you raise your brows, frown lines when you concentrate, crow’s feet when you smile. In younger patients, these lines disappear completely when the face is relaxed. In older patients, they may become partially fixed at rest.
The correct treatment for dynamic wrinkles is Botox. By temporarily reducing the contraction of the specific muscle creating each line, Botox allows the overlying skin to smooth, making the line less visible or invisible. Nothing else does this as effectively.
Static Wrinkles — Present at Rest
Static wrinkles are visible even when the face is completely relaxed. They develop when dynamic wrinkles become permanently etched into the skin through years of repeated muscle movement, combined with the skin’s declining ability to repair and regenerate collagen.
Early static wrinkles respond to a combination of Botox (to stop the ongoing muscle action deepening the line further) and skin quality improvement through skin boosters and collagen-stimulating treatments. Deeper static wrinkles may require filler placed directly into the line to provide structural support.
Wrinkles Caused by Volume Loss
Some lines particularly the nasolabial folds (smile lines running from the nose to the corners of the mouth) and marionette lines (from the corners of the mouth downward) are primarily caused not by muscle movement but by volume loss in the mid-face. As the cheeks lose volume and descend, the skin above folds and creases.
Placing Dermal filler directly into these lines gives limited results. The more effective approach is to restore the mid-face volume that has been lost, lifting the tissue above and allowing the fold to soften naturally. This is why the assessment of what is causing each wrinkle matters so much before any treatment is chosen.
Wrinkles Caused by Skin Quality Decline
Fine surface lines the network of small lines visible across the cheeks, around the eyes, and on the neck are primarily caused by the skin’s declining collagen content and hydration rather than by muscle movement or volume loss.
Skin boosters such as Juvelook address this directly stimulating new collagen production and improving deep hydration, which progressively reduces the appearance of fine surface lines. Pico laser improves surface skin quality and collagen density. Energy-based treatments like Oligio and Ultraformer address the deeper collagen structure.
The Most Important First Step
Before any wrinkle treatment is selected, the cause of each wrinkle needs to be identified. At Aura Bangkok Clinic, every consultation begins with this assessment examining the face at rest and in movement, identifying whether each wrinkle is dynamic, static, volume-related, or skin quality related, and designing a treatment plan that addresses the actual cause.
Free consultations at all 16 Bangkok branches. Book via aurabangkokclinic.com or contact the team via WhatsApp +66 9827 45311
