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Wrinkle Treatment

The treatment of wrinkles is as varied as the causes.  At Auckland Cosmetic Medicine Clinic Ltd - Sapphire Appearance Medicine Clinic, Dr Garsing Wong, former executive member of the New Zealand College of Appearance Medicine and international speaker at Cosmetic Conferences, will offer you a tailored treatment plan to address your concerns.

Before and After a Single treatment with Botox® and Restylane® for Static Lines on the Forehead. Please note all photos are photographs of genuine patients of Dr Wong, the photographs are not altered or manipulated in any way. It is important to understand that the photos represent one persons experience and there is no guarantee that any other patient will experience similar results.


This is a good illustration of dynamic wrinkles that has been treated using Botox® and Restylane®, a dermal filler.

Prevention of new wrinkles is the most important step.  At the consultation, we will discuss with you how you can prevent and slow the onset of further wrinkles.


Treatment of wrinkles depends if they are dynamic lines (wrinkles that are made worst when you animate or express yourself such as frowning or laughing) or static lines (wrinkles that remain regardless of your expression)

What are Dynamic Lines?


Dynamic lines or wrinkles occur when we use our muscles to form facial expressions. During facial expressions such as smiling and frowning our muscles contract and cause our skin to wrinkle. For example, when we smile our eye wrinkles become prominent and when we frown the vertical lines between our eyebrows become noticeable. When we are young our skin springs back to its original position when we finish making the facial expression (at rest) but as we get older the dynamic wrinkles remain on the skin to form static wrinkles.


Dynamic Lines are best treated using Botox®, a safe purified protein that relaxes muscles that can cause wrinkles.  Treatment with Botox® is painless and safe, and the effect will last for three to four months.


What are Static Lines?

Static lines or wrinkles are the wrinkles and folds that are present at rest or when we are not forming facial expressions. They develop as we get older because natural substances such as collagen, elastin and hyaluronic acid that provide the skin with structure and volume decrease with age. The loss of skin structure and volume means that the skin is less able to spring back to its initial position after facial expression, and as a result static wrinkle or fold will form.


Static Lines can be treated using a combination of Botox® and Dermal Fillers such as Teosyal Global Action, Teosyal Ultimate, Restylane Lyft®. I prefer the hyaluronic acid family of fillers as they can be used just about anywhere to restore youthful appearance of your face. The biggest advantage is that with a lunch-time procedure you can walk out with an instant result with only a small risk of bruising.

For more natural and permanent methods to treat your wrinkles, nothing beats prevention and making your own collagen. Sapphire will be able to advise you on good, reliable and safe skin care product, such as Monalinda, formulated by Dr Wen-Pei (Margaret) Chen, that will rejuvenate your skin, restoring your natural beauty.

More active approaches to make your own collagen depends on the amount of down time you are willing to accept. The basic concept of building your own collagen depends on controlled stimulation of your skin to make your own collagen. The treatments range from using intense pulse light which only rejuvenates the top layer of skin, Venus Viva Fractional Radiofrequency Device to fractional erbium:glass laser which stimulates skin rejuvenation up to 1mm in depth.

Click this link to book to see Margaret (Wen-Pei Chen) for a consultation to see what procedure is best for you.

BOTOX®is a Prescription Medicine containing 100 units of botulinum toxin type A for injection.(Please note, in America, the generic name for Botox is onabotulinumtoxinA which is exactly the same refer to the FDA Press Release dated August 3, 2009).

It is used for the treatment of frown lines. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine.
Cautions: People with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation.
Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have any side effects or concerns speak to your doctor.
You will need to pay for this medicine. Normal doctors visits apply. Note: The treatment lasts about four months and after this time further courses of treatment may be necessary. Speak to your doctor about your own situation.

BOTOX®, BELKYRA® are registered trademarks of Allergan Inc., USA.

Teosyal Global Action, Teosyal Ultimate, Teosyal Redensity I and II® are registered trademarks of Teoxane, Geneva, Switzerland.

Restylane Lyft® is a registered trademark of Q-Med, Sweden, now owned by Galderma.


Updated 21 July 2022

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