Condition
How to treat wrinkles and expression lines
Static or dynamic wrinkles caused by repeated muscle movement and collagen loss.

About wrinkles and expression lines
Expression lines appear naturally from the repetition of facial movements over the years — frowning, smiling, squinting. At first, they only appear during movement (dynamic); over time, and with collagen loss, they can become visible even with the face at rest (static).
Recommended treatments
3 SKIMS Method protocols treat wrinkles and expression lines
The exact indication depends on age, severity and history — an in-person evaluation defines which protocol (or combination) is right for your case.
Real results
Before and after — wrinkles and expression lines
- Skims Rejuvenation
Performed by Dr. José Henrique Effgen
- CO₂ Laser
Performed by Dr. José Henrique Effgen
Results vary depending on the case, individual response and adherence to follow-up care. Images are of real patients, published with authorization.
Frequently asked questions
Does every wrinkle need botulinum toxin?
Dynamic wrinkles (that disappear at rest) respond well to toxin; already-static, deep wrinkles usually benefit from a combination with filler or biostimulators, assessed case by case.
Can expression lines be prevented before they appear?
Yes — preventive use of botulinum toxin in younger patients, combined with daily sunscreen, is a common approach to delay the appearance of static lines.
Ask your questions about wrinkles and expression lines
The recommended protocol depends on an in-person evaluation at SKIMS House clinic, in São Paulo.
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