There is no single answer here, and I am always wary of anyone who offers one. The right approach depends on whether the lines are dynamic, meaning they only appear on movement, or whether they have become etched in at rest.
Anti-wrinkle injections are, in my view, still the gold standard for dynamic lines across the forehead, frown and crow’s feet area. By gently relaxing the overactive muscles, they soften the lines caused by repeated movement, giving a fresher, more rested look. Results typically last three to four months.
Dermal fillers have a role too, particularly where volume loss has caused static lines to set in, or where the brow or temple area needs support. They are not usually my first choice for upper facial lines on their own, but combined thoughtfully with anti-wrinkle injections, they can make a real difference.
Polynucleotides and exosome treatments work differently again, stimulating the skin at a cellular level to improve quality, hydration and elasticity over time. I find these particularly useful for patients who want to improve overall skin health alongside line reduction, rather than relying on muscle relaxation alone.
Medical-grade skincare, such as ZO Skin Health, supports and prolongs the results of any in-clinic treatment. I always tell patients that good skincare is not optional extra, it is part of the treatment plan.
Getting the Balance Right
The biggest mistake I see, both in my own consultations and when patients come to me having been treated elsewhere, is over-treatment. Frozen foreheads and heavy brows are never the goal. My approach has always been to preserve natural movement and expression while softening the lines that bother you. A face that can still frown, smile and raise an eyebrow is a face that looks like you, only rested.
Every patient is assessed individually during a thorough consultation, where we discuss your concerns, your medical history and what a realistic, natural result looks like for you.
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