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Types of Wrinkles

Wrinkles can appear earlier than expected, becoming a growing concern for many. At BSL Clinic, treatments are tailored by our doctors using technology with minimal discomfort. We begin by identifying your wrinkle type—each one requiring a precise approach.

Types of Wrinkles

Static Lines

Static Lines – the visible appearance of permanent wrinkles on the face.

Dynamic Lines

Dynamic Lines – the visible appearance of wrinkles triggered by muscle movements e.g. smiling.

The most effective method is to treat the dynamic line, to prevent it from evolving into a static line, which becomes more difficult to eliminate.

When to Start Treating Wrinkles

When to Start Treating Wrinkles

Wrinkles begin forming long before they’re visible, as collagen, elastin, and hyaluronic acid naturally decline with age. Early intervention helps maintain smooth, youthful-looking skin. As these elements diminish, the skin becomes drier, less elastic, and prone to sagging.

Fractional Laser Treatment, using fractional photothermolysis, stimulates collagen production to restore skin. It visibly improves wrinkles, sagging, enlarged pores, dark spots, melasma, and acne scars—revealing firmer, more radiant skin.

Facial Wrinkles Are Grouped into Two Zones

Upper Face

These include frown lines, crow’s feet, forehead lines, and under-eye wrinkles. Most are caused by repetitive muscle movements and expressions—often treated to create a more relaxed, refreshed look.

Lower Face

Smile lines, nasolabial folds, chin dimples, and lines around the mouth tend to appear due to volume loss and skin laxity. Treatments often focus on restoring structure and natural contours.

Personalized Wrinkle Treatment

Personalized Wrinkle Treatment

  • 1. Wrinkle Assessment with Precision

    Our doctors carefully assess your facial structure and wrinkle type to select the most suitable treatment for visible results.

  • 2. Treatment Tailored to Your Goals

    Each wrinkle treatment is personalized to match your concerns—enhancing your look with natural, balanced results.

  • 3. Minimal Downtime, Gentle Care

    Most wrinkle treatments require little to no downtime. Patients can return to daily routines with simple skincare to support healing.

Dynamic Lines

Anti-Wrinkle Injection

Wrinkle treatments do more than smooth fine lines. At BSL Clinic, our approach begins with understanding how your face moves—because your expressions are unique, and your treatment should be, too.

Wrinkle Treatment

1. Muscle-Based Treatment

Dynamic lines—like frown lines, forehead creases, and crow’s feet—come from repeated facial movement. We begin with facial mapping to identify the muscles behind your wrinkles.

Your wrinkle-reducing injection plan is fully personalized to your expressions, whether you want a natural feel or a more polished, refined look.

2. Eyebrow Lift and Design Without Surgery¹

Your brows shape how others see your emotions. With precise muscle modulation, we can lift, soften, or contour the brow to match your aesthetic goals—without surgery.

Wrinkles

Mood: Youthful, open, naturally lifted

What we do: We relax the outer brow muscle (lateral orbicularis oculi) to gently lift the tail—opening the eyes and enhancing a fresh, radiant look.

Wrinkle Treatment

Best for: Clients seeking a youthful, alert expression without looking overdone.

Wrinkles

Mood: Elegant, confident, sculpted

What we do: We soften the central frown muscles while preserving activity in the outer brow. This technique creates a graceful arch that frames the eyes and adds a touch of glamor.

Wrinkle Treatment

Best for: Those who love definition and want a more lifted, confident appearance.

Wrinkles

Mood: Balanced, neutral, gender-inclusive

What we do: By harmonizing muscle activity across the brow, we achieve a smooth, flat line. This shape is often requested for a softer, natural aesthetic—suitable for men or clients wanting a non-arched look.

Wrinkle Treatment

Best for: A gender-neutral style or those who prefer a clean, understated brow.

Wrinkle Treatment Masseter Slimming

3. Masseter Slimming: V-Shape That Respects Your Natural Features

A well-contoured face starts with harmony—not hollowing. At our clinic, we use targeted injections to soften the masseter muscles (those used for chewing) which can cause a squared, heavy jawline—especially common in Asian facial anatomy.

What sets our approach apart:

  • We assess your facial bone structure, muscle strength, and fat volume before any treatment.
  • The goal is a natural tapering toward the chin, not a sunken or “skeletal” look.
  • Dosage and injection points are tailored to maintain a soft, youthful V-line

Whether you’re after a subtle contour or a sharper jawline, we balance results to preserve what makes your face uniquely yours—just more defined.

Wrinkles Lower Face Lifting

4. Lower Face Lifting: Subtle Elevation Without Surgery

Wrinkles are only part of the story. For many, the true concern lies in sagging around the mouth, chin, and jawline—often caused by overactive muscles that pull the face downward.

Our technique gently relaxes these specific muscles (such as those near the jawline and neck) to create:

  • Naturally lifted mouth corners and a more refreshed expression
  • A sharper, smoother jawline
  • Soft upward tension in the neck, for a more youthful contour

Often referred to as a “Nefertiti Lift,” this method pairs beautifully with facial contouring or skin-tightening treatments—offering a full-face refresh while staying true to your natural look.

Static Lines

Multi-Level Treatment for Deep Lines

Some lines remain even when the face is at rest—etched by time, not movement. These are static lines, and they require more than muscle relaxation.

At our clinic, we combine skin resurfacing, volume restoration, and lifting techniques to soften these deeper marks—reviving smoothness, structure, and definition.

fraxel laser treatment for younger skin and smoother facial design

1.Regeneration:
Laser Skin Renewal

Using fractional technology like the Fraxel program, this treatment resurfaces the skin by creating controlled micro-injuries—stimulating collagen, fading fine lines, and improving overall texture.

It refines pores, evens out tone, and restores a smoother, more radiant surface—ideal for skin that’s lost its youthful glow.

Wrinkle Treatment Restoration filler

2.Restoration:
Facial Volumization & Contour

Facial aging involves fat loss and downward shifting, leading to deep grooves and sagging. Our filler program helps restore volume and redefine facial structure in key areas like hollow temples, jawline contour, and under-eye grooves.

For skin quality in static lines, such as forehead and glabellar creases, Rejuran program is selectively applied.

Non-Surgical Lift & Tightening

3.Reposition:
Non-Surgical Lift & Tightening

As collagen declines and facial support structures weaken, skin may begin to sag and contours soften. Our non-surgical ultrasound and radiofrequency treatments work across skin layers—to lift, tighten, and help reduce unwanted fat beneath the surface.

Face Lifting—Ultherapy Program

Face Lifting Ultherapy Program

Ultherapy program uses focused ultrasound to stimulate deep collagen renewal—reaching the same SMAS layer surgical facelifts target.

It helps lift and firm skin on the brow, jawline, and neck.

No surgery. No downtime. Just gradual, natural-looking lift.

Sculpts. Tightens. Refines.—Morpheus8 Program

Morpheus8 Program

Morpheus8 uses microneedling with radiofrequency to contour fat, tighten skin, and refine texture at 1–4 mm depth.

It effectively treats the full face, jawline, submental area, and neck—without surgery or extended downtime.

Skin Tightening—Thermage FLX Program

Thermage FLX Program

Thermage FLX program uses deep radiofrequency to treat the face, neck, and body—reducing fat, tightening skin, and softening fine lines.

Its exclusive eye tip offers the only non-surgical solution for lifting hooded eyelids and smoothing wrinkles around the eyes—no downtime.

Fun Fact —

Can You Develop Resistance to Anti-Wrinkle Injections?

Yes, but it’s preventable. Resistance can occur when the body produces antibodies that reduce the effectiveness of treatment.

Here are some common factors that may increase the risk:

1. Spacing matters more than you think

If you’re concerned about multiple areas—like forehead wrinkles, jawline slimming, or facial lifting—it’s often better to plan them together.

Receiving anti-wrinkle injections too frequently in short intervals can increase resistance risk. A well-planned, single-session approach is usually more effective and skin-friendly.

2. Shallow injection techniques

Superficial placement—like in some lifting-style approaches—may increase antibody formation, especially when repeated often.

3. Low-purity formulations

Products with residual proteins or impurities are more likely to trigger an immune response than highly purified options.

4. Changing brands ≠ resistance

Switching brands after a 4–6 month gap is generally safe. What matters most is timing, not the product name.

Twin Gets Anti-Wrinkle Injections

What Happens When One Twin Gets Anti-Wrinkle Injections for 13 Years?

A well-known study followed identical twins over 13 years to observe how consistent anti-wrinkle injections affect facial aging.

One twin received injections 2–3 times per year, while the other had only two sessions during the entire period.

Photos showed that the regularly treated twin had noticeably fewer wrinkles, smoother skin, and no deep-set lines—especially on the forehead and around the eyes.²

The study confirmed that long-term, consistent treatment:

  • Long-term anti-wrinkle injection can help prevent the formation of static lines—those that remain visible even when the face is at rest.
  • It is also effective in reducing crow’s feet around the eyes.
  • When performed consistently and correctly, the treatment is well tolerated, with no adverse events reported over 13 years in the study.

What Happens When One Twin Gets Anti-Wrinkle Injections for 13 Years?

A well-known study followed identical twins over 13 years to observe how consistent anti-wrinkle injections affect facial aging.

One twin received injections 2–3 times per year, while the other had only two sessions during the entire period.

Photos showed that the regularly treated twin had noticeably fewer wrinkles, smoother skin, and no deep-set lines—especially on the forehead and around the eyes.²

Twin Gets Anti-Wrinkle Injections

The study confirmed that long-term, consistent treatment:

  • Long-term anti-wrinkle injection can help prevent the formation of static lines—those that remain visible even when the face is at rest.
  • It is also effective in reducing crow’s feet around the eyes.
  • When performed consistently and correctly, the treatment is well tolerated, with no adverse events reported over 13 years in the study.

Facial Wrinkles

Real Results: Before & After

Related Content

  • Looking for a Younger Face? Read How Mr. Edward Made It Happen at BSL
  • Discover how our European Wrinkle-Reducing Injection approach helps maintain a naturally smooth and refreshed appearance.
  • Learn more about our Wrinkle-Relaxing Injection techniques designed to ease expression lines and rejuvenate facial balance naturally.
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  1. Allergan Inc. Anti-Wrinkle Injection: Advanced Techniques – Course Presentation. Irvine, CA: Allergan; 2000. Internal training material.
  2. Binder WJ. Long-term effects of Anti-Wrinkle Injection on facial lines: a comparison in identical twins. Arch Facial Plast Surg. 2006;8(6):426–431.

Update knowledge trends

CICM 20205 BSL Clinic
Wipanee Akarapusit, M.D. Medical License No. 39676 *Individual results may vary depending on individual patient

Skin Care from CICM 2025

Dr. Wipanee, representing BSL, provided an update on knowledge trends with in-depth insights into skin care from CICM 2025, bringing them back to further develop treatment methods for our clients.

CICM 2025 Aesthetic Dermatology: Evidence-Based Medicine is an annual event that BSL doctors never miss, in order to stay updated with knowledge and research on dermatological treatments — including acne, melasma, freckles, hair loss, and scalp issues — as well as aesthetic procedures such as facial, neck, and body skin tightening, weight loss, and body contouring, all aimed at achieving healthy and youthful-looking skin.

Wipanee Akarapusit, M.D. Medical License No. 39676 | Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

SOMA Bangkok 2025 | Solta Medical Academy

BSL Clinic Participates in Academic Conference Presentation

A stage that brings together dermatology and aesthetic medicine practitioners from various countries to exchange knowledge and experiences in skin care.
Dr. Wipanee Akkaraphusit (Medical License No. 39676) joined as a speaker, presenting on topics that reflect real experiences in patient care, while sharing holistic treatment approaches that emphasize “personalized understanding,” one of the key principles of modern aesthetic medicine.

Aesthetic Medicine Surgery BSL Clinic
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

International Conference

BSL doctors joined to update treatment methods for acne scars, melasma, freckles, skin tightening, filler programs and laser technology at the 3rd International Conference of Laser, Aesthetic Medicine and Surgery (ICLAS) in order to develop new knowledge and various treatment techniques to achieve results that are suitable for each patient.

Wipanee Akarapusit, M.D. Medical License No. 39676 | Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

American Academy of Dermatology Annual Meeting 2025

To develop approaches in skin care tailored to individual causes, laser technology that has been studied and applied in many countries is now available at BSL Clinic.

Candela BSL Clinic
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

Exclusive PicoWay® Symposium: Mastering Complex Pigmentation

BSL Clinic had the honor to attend the Exclusive PicoWay® Symposium: Mastering Complex Pigmentation, with Dr. Wutthinan Sithipolvanichgul (Medical Council No. 39678) updating knowledge on the PicoWay® Program and approaches to managing skin pigmentation issues such as melasma, freckles, and uneven skin tone, while exchanging perspectives with doctors from various countries to find approaches suitable for each individual.

Mini LM bsl clinic
Wipanee Akarapusit, M.D. Medical License No. 39676 | Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

BSL Clinic doctor participated in the Mini Management in Lifestyle Medicine (Mini LM) Executive Program, Class 11

This learning covers knowledge in health promotion, disease prevention, and chronic condition management, with a focus on holistic health care from the level of genes, environment, and lifestyle behaviors. BSL doctors will apply the knowledge gained to consider and plan appropriate health and skin care for each individual client.

THAI SOCIETY OF COSMETIC DERMATOLOGY AND SURGERY
Wipanee Akarapusit, M.D. Medical License No. 39676 *Individual results may vary depending on individual patient

At BSL Clinic, we place importance on caring for our clients at every step

Doctors participated in a national academic conference to exchange knowledge in the treatment of dermatological and aesthetic issues. This conference emphasized methods of care, prevention, and the management of possible complications from treatments, enabling doctors to apply the information in planning care appropriate for each individual.

Candela BSL Clinic

Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

Exclusive PicoWay® Symposium: Mastering Complex Pigmentation

BSL Clinic had the honor to attend the Exclusive PicoWay® Symposium: Mastering Complex Pigmentation, with Dr. Wutthinan Sithipolvanichgul (Medical Council No. 39678) updating knowledge on the PicoWay® Program and approaches to managing skin pigmentation issues such as melasma, freckles, and uneven skin tone, while exchanging perspectives with doctors from various countries to find approaches suitable for each individual.

Mini LM bsl clinic

Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient

BSL Clinic doctor participated in the Mini Management in Lifestyle Medicine (Mini LM) Executive Program, Class 11

This learning covers knowledge in health promotion, disease prevention, and chronic condition management, with a focus on holistic health care from the level of genes, environment, and lifestyle behaviors. BSL doctors will apply the knowledge gained to consider and plan appropriate health and skin care for each individual client.