BALIKIAN AESTHETICS
Fine lines and wrinkles are a natural part of aging, but the right treatment depends on what is causing them. At Balikian Plastic Surgery, we evaluate facial movement, skin quality, volume changes and your individual goals before recommending treatment.
Physician-Led Facial Aesthetics | Advanced Technology
Model
Lines and wrinkles develop for different reasons, and understanding what is contributing to them helps guide treatment.
Repeated facial expressions can create lines around the eyes, forehead and between the brows. Over time, changes in collagen, elastin and skin quality can allow some of these lines to remain visible even when the face is relaxed.
Changes in facial volume and support can also contribute to deeper folds and creases, while cumulative sun exposure can affect the texture, elasticity and overall quality of the skin.
Repeated expressions such as smiling, squinting and raising the brows can gradually create visible expression lines.
Changes in collagen, elastin and skin resilience can make fine lines more noticeable over time.
Age-related changes in facial volume and structural support can contribute to folds, creases and changes in facial contours.
Cumulative sun exposure can contribute to changes in skin texture, elasticity and other visible signs of aging.
What looks like a similar concern in the mirror may have a very different underlying cause.
These lines appear or become more noticeable with facial movement, such as forehead lines, frown lines and crow's feet.
Some lines remain visible when the face is at rest and may reflect a combination of repeated movement and changes in the skin over time.
Fine lines may be influenced more by skin quality, collagen changes, texture and cumulative sun exposure.
Deeper folds can become more noticeable as facial volume, support and contours change with age.
The appearance of a line doesn't always tell us what is causing it.
Some wrinkles are primarily related to facial movement. Others may be influenced by skin quality, sun damage, volume loss or a combination of factors.
That's why our aesthetic providers begin with an evaluation rather than assuming a particular treatment is right for everyone.
Depending on what is contributing to your concerns, your treatment plan may focus on facial movement, volume and support, skin quality, or a combination of these factors.
When repeated muscle movement is contributing to expression lines, neuromodulator treatments may be used to soften their appearance while maintaining a natural look.
These treatments are commonly considered for areas such as forehead lines, frown lines between the brows and crow's feet around the eyes. The treatment approach can be adjusted based on facial movement, anatomy and the degree of change you want to see.
Explore Injectables →
Not every line is caused by muscle movement. Changes in facial volume and structural support can make certain folds, creases and contours more noticeable over time.
When appropriate, dermal fillers may be used to restore support or volume in selected areas. The goal is not simply to fill every visible line, but to consider how changes in facial structure are contributing to the concern.
Explore Injectables →
When fine lines are associated with changes in skin texture, sun exposure and overall skin quality, treatment may need to address the skin itself.
Laser resurfacing treatments can be considered for patients looking to improve texture, uneven tone and visible signs of aging while supporting overall skin renewal.
Explore Lasers →
Fine lines are often only one part of what patients notice as their skin changes. Texture, clarity and overall skin quality can influence how refreshed the skin appears.
Professional skin rejuvenation and regenerative treatments may be incorporated into a broader plan when the goal is to support healthier-looking skin and improve overall skin quality.
Explore Regenerative Treatments →The location of a wrinkle is only one part of deciding how it should be treated.
Our aesthetic providers consider how the line behaves with facial expression, the quality of the surrounding skin, changes in facial volume and support, and what you would actually like to improve.
In some cases, one treatment may be appropriate. In others, addressing more than one contributing factor may provide a more balanced approach.
We look at whether a line appears or deepens when you smile, squint, frown or raise your brows.
Texture, sun-related changes and changes in collagen can all influence the appearance of fine lines.
Changes in facial volume and support can make folds and creases more noticeable even when muscle movement is not the primary cause.
Treatment planning also depends on what bothers you, the degree of change you're looking for and the result you want to maintain.
You don't need to know which treatment you need before your appointment.
Our aesthetic providers evaluate your facial movement, skin quality, volume and goals to help determine which options make sense for you.
Common questions about fine lines, wrinkles and the treatments that may help improve their appearance.
Fine lines and wrinkles develop from a combination of facial movement, changes in collagen and skin structure, sun exposure and changes in facial volume over time. Research on photoaging describes how chronic UV exposure contributes to collagen degradation, wrinkles and other visible changes in the skin.
Dynamic wrinkles become more noticeable with facial movement, while static wrinkles remain visible when the face is relaxed. This distinction matters because movement-related lines may respond differently to treatment. A systematic review of cosmetic botulinum toxin evaluated treatment of dynamic wrinkles in the upper face.
Neuromodulators temporarily reduce targeted muscle activity, helping soften expression lines such as frown lines, forehead lines and crow's feet. A Cochrane review of botulinum toxin type A found evidence that these treatments reduce facial wrinkles.
Dermal filler may be considered when loss of facial volume or structural support contributes to folds, creases or changes in contour. A PubMed review of hyaluronic acid fillers discusses their use for facial soft-tissue augmentation and rejuvenation.
Longevity varies by filler, treatment area, facial anatomy and tissue movement. A systematic review of hyaluronic acid filler durability found that persistence differs among products and facial treatment areas.
Yes. Laser resurfacing may improve fine lines along with concerns such as texture and sun-related skin changes. In a randomized split-face laser study , both fractional CO2 and fractional Er:YAG treatments significantly improved facial wrinkles.
Yes. Cumulative UV exposure contributes to photoaging, including wrinkles, changes in texture and loss of skin resilience. A study of UV-induced skin aging demonstrated changes in the collagenous extracellular matrix associated with photoaging.
Sometimes. A combination approach may make sense when muscle movement, volume changes and skin quality are all contributing to facial aging. A clinical study of botulinum toxin and hyaluronic acid filler evaluated these treatments alone and in combination.
The right treatment depends on what is causing the lines you want to improve. Facial movement, skin quality, sun damage and changes in volume or support are evaluated before recommending injectables, laser treatments, regenerative treatments or a combination approach.
