Facial wrinkles

causes, remedies and effective non-surgical treatments

Facial wrinkles are among the first and most visible signs of skin ageing.

They gradually appear around the eyes, on the forehead, between the eyebrows and around the mouth. Over time, they tend to deepen, affecting the harmony and youthful appearance of the face. Today, thanks to advanced aesthetic medicine, there are treatments for facial wrinkles that are effective, safe and completely non-invasive, capable of reducing, smoothing out and preventing the signs of ageing without the need for surgery.

What are facial wrinkles and why do they form?

Facial wrinkles are not all the same. To choose the right treatment, it is essential to understand their nature, depth and origin. At our aesthetic medicine centre in Milan, this distinction forms the starting point for developing a personalised and effective treatment plan.

Dynamic wrinkles

These are expression lines. They develop over time through the repeated movements of the facial muscles, such as when we smile, frown and make other facial expressions. At first, they only appear when the face is moving; over the years, however, they tend to become permanent even at rest. Crow’s feet, forehead wrinkles and glabellar lines (i.e., the wrinkles between the eyebrows) are the most common examples.

Static wrinkles

These are visible even when the face is completely relaxed. They result from the gradual loss of collagen, elastin and hyaluronic acid in the dermis: a natural process that begins as early as around the age of 25 and is accelerated by sun exposure, smoking, stress and fluctuations in weight. Nasolabial folds, neck wrinkles and wrinkles around the lips often fall into this category.

Sagging wrinkles

These are linked to a loss of volume and the slackening of deep tissues. They are not so much due to movement as to a reduction in the structural support of the face: subcutaneous fat, ligaments and the bony framework gradually break down over the years, altering the volume and projection of the facial features.

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Facial wrinkles: remedies that really work

Creams, serums and topical treatments can slow down the ageing process and improve the quality of the skin, but they cannot eliminate facial wrinkles that have already formed, nor can they address the structural causes of ageing. To achieve visible, measurable and long-lasting results, it is essential to opt for professional aesthetic medicine treatments carried out by a specialist doctor.
The good news is that today, smoothing facial wrinkles without surgery is not only possible, but also the safest, most natural and most accessible option for most patients. The non-invasive treatments available at our aesthetic medicine clinic in Milan enable us to target every type of wrinkle with precision, whilst respecting the natural contours of the face and ensuring a harmonious result.

Facial wrinkle treatment: the solutions offered by our centre

There’s no such thing as the best treatment for facial wrinkles in absolute terms: there is the right treatment for you, as assessed by your doctor based on the type of wrinkle, its depth, your age and the desired result. Often, the most effective solution is a combined treatment, in which several techniques are integrated to act on different levels of the tissue.

At our clinic, we offer our patients the very best solutions in the field of aesthetic medicine.

Botulinum toxin

Botulinum toxin is the treatment of choice for dynamic facial wrinkles. It works by temporarily reducing the contraction of the muscles responsible for expression lines, thereby naturally smoothing out the overlying skin. The results are visible within a few days and last for 4 to 6 months. Repeated treatments over time also help to prevent wrinkles from deepening. It is one of the safest and most effective non-invasive facial wrinkle treatments available today in aesthetic medicine.

Facial fillers

Hyaluronic acid-based fillers are the ideal solution for reducing static facial wrinkles, restoring lost volume and reshaping the facial contours in a natural and reversible way. Hyaluronic acid is a substance that is already present in the body: when injected into the dermis via micro-injections, it fills in wrinkles from within, deeply hydrates the tissues and restores the face’s fullness and radiance typical of youthful skin. A personalised facial wrinkle treatment using dermal fillers can produce immediate and very natural-looking results.

Biorevitalisation

Biorevitalisation with hyaluronic acid and vitamins targets the skin’s intrinsic quality rather than deep wrinkles. It stimulates collagen production, improves skin hydration, evens out skin texture and reduces superficial wrinkles and signs of dehydration. It is the ideal facial anti-wrinkle treatment for those showing the first signs of skin ageing, for those who wish to maintain the results of other treatments, or simply for those looking for a more radiant, firmer and refreshed complexion.

PDO threads

PDO threads (polydioxanone) are a new-generation, non-invasive facial wrinkle treatment, recommended for wrinkles caused by sagging and mild to moderate skin laxity. The threads are inserted under the skin using micro-needles, where they exert an immediate mechanical tightening effect and stimulate neocollagenesis over the following months. The result is a natural, gradual and long-lasting lifting effect, with no scarring, no general anaesthesia and no significant recovery time.

Lasers and advanced technologies

The laser technologies available at our aesthetic medicine centre, including the Clear&Brilliant laser and the fractional laser, act on the skin’s surface by stimulating cell renewal, improving skin texture and reducing the fine lines and discolouration associated with ageing. These are complementary treatments, often included as part of a combined treatment plan alongside botulinum toxin or dermal fillers, to achieve a more comprehensive and even result across the whole face.

PRGF

PRGF (Plasma Rich in Growth Factors) is an advanced aesthetic medicine treatment that harnesses the regenerative properties of the patient’s own plasma. A venous blood sample is taken, and the plasma fraction richest in growth factors is isolated; this is then re-injected into the areas affected by wrinkles and skin ageing. The result is a deep and gradual rejuvenation: the skin’s texture, tone and elasticity improve, superficial wrinkles are reduced and the ageing process is slowed down, from within.

Combined facial wrinkle treatment: a winning choice

Facial wrinkles are rarely caused by a single factor. That is why the best facial wrinkle treatment is almost always a combined approach: botulinum toxin for dynamic wrinkles, dermal fillers for volume and static wrinkles, and biorevitalisation to improve skin quality. This type of integrated protocol, which we can tailor to each patient’s individual characteristics, enables us to achieve more comprehensive, more natural and longer-lasting results than any single treatment.

The key lies in the preliminary medical assessment: only a doctor specialising in aesthetic medicine is able to analyse the face in all its complexity and devise a truly effective treatment plan.

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Facial wrinkle treatment without surgery: what to expect

Aesthetic medicine treatments for facial wrinkles are not surgical procedures and should not be confused with them. They do not require general anaesthesia, leave no scars and do not involve a long recovery period. Most patients resume their normal daily activities within 24–48 hours.

The results are gradual and natural: your face doesn’t change, it simply looks younger. The aim is never to alter one’s features, but to restore freshness, harmony and radiance with the discretion and precision that characterise professional aesthetic medicine.

Why choose Studio Garavaglia for the treatment of facial wrinkles?

Studio Garavaglia stands out for one specific reason: every facial wrinkle treatment is prescribed and carried out by Dr Garavaglia himself. What guarantees do we offer? Over twenty years’ experience in advanced aesthetic medicine and an approach that always prioritises safety and natural-looking results.

At our aesthetic medicine centre, there are no standard packages. Each patient receives an individual assessment and a treatment plan tailored to their specific needs, because the definitive solution for facial wrinkles is not the same for everyone, but always stems from a genuine consultation between doctor and patient.

Book a consultation for facial wrinkles

The first step towards getting rid of facial wrinkles is a personalised consultation.
In a private, no-obligation setting, you can receive a thorough medical assessment, find out which facial wrinkle treatment is best suited to you, and begin a personalised programme.
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FAQ: frequently asked questions about facial wrinkles

Yes. Today, advanced aesthetic medicine offers non-invasive treatments capable of significantly reducing facial wrinkles without the need for surgery. Botulinum toxin, dermal fillers, biorevitalisation, PDO threads, PRGF and laser treatments target different causes and depths, often in combination, to achieve natural and long-lasting results.
There’s no one-size-fits-all answer. The best treatment for facial wrinkles depends on the type of wrinkle – whether it is dynamic, static or due to sagging – as well as its depth, the patient’s skin age and their treatment goals. Dr Garavaglia assesses each case individually and devises a personalised treatment plan, often combining several techniques to achieve the best possible outcome.
Dynamic wrinkles appear when the face moves and are mainly treated with botulinum toxin. Static wrinkles are visible even at rest and are caused by a loss of collagen and volume in the dermis: they can be treated with dermal fillers, biorevitalisation, PRGF or laser therapy, depending on their depth and cause.
There is no specific age. Many patients start preventive treatments, such as biorevitalisation or small doses of botulinum toxin, in their early 30s to slow down the appearance of wrinkles. From the age of 40 onwards, a more structured approach is taken to treat existing wrinkles, using combined and personalised treatment plans.
It depends on the treatment. Botulinum toxin lasts for 4–6 months, dermal fillers for 9–18 months, and PDO threads for 12–18 months. Regenerative treatments such as PRGF and biorevitalisation gradually improve the quality of the skin over time. With scheduled maintenance sessions, the results can be sustained for a significantly longer period.
The treatments are generally well tolerated. For injection procedures, a topical anaesthetic is applied to minimise any discomfort. The session lasts just a few minutes and, in most cases, the patient resumes their normal activities within a few hours.
The cost varies depending on the type of treatment, the quantity of product and the complexity of the procedure. During the initial consultation, Dr Garavaglia and his team explain the available options and the associated costs in a transparent manner.