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Frown Lines

Facial lines, creases and wrinkles often develop in our 30s and become more prominent in our 40s. Common concerns are the development of forehead lines, frown lines, crow’s feet, bunny lines, nasolabial folds as well as other fine lines and wrinkles. They are caused by the gradual loss of collagen, elastin and skin hydrators; repetitive facial expressions; gravity and mechanical compression. Frown lines are caused by repeated furrowing of the brows during facial expression.

Frown Lines

Treatment Options

Frown lines are caused by repeated furrowing of the brows during facial expression. The most effective way of treating these lines is with injections of Botulinum toxin type A, commonly referred to as ‘Botox’. These work by temporarily relaxing the muscles between the brows (Glabella muscles), which allows the overlying skin to become smoother.

Carbon dioxide (CO2) laser is the gold standard therapy for skin smoothing and tightening. CO2 laser creates tiny burns in the skin that stimulate the skin to repair and re-model into healthier skin. The treatment can be mild (for gentle resurfacing and stimulation), moderate (for skin tightening, treating pigmentation and fine lines) or intense (for acne scars and deep wrinkles) with long-lasting results. Best for: skin tightening and long-term anti-ageing.

Botulinum toxin has been used in medical treatments for over 4 decades and was first approved by the Food and Drug Administration (FDA) for the treatment of wrinkles in 1989. It is now one of the most popular cosmetic treatments in the world. It works by temporarily blocking the connection between nerves and muscles, thereby enabling muscles to stay relaxed. Injections of Botulinum toxin type A, commonly referred to as ‘Botox’, to reduce the strength of Glabella muscles and therefore reduce their ability to furrow the brows.

Best for: wrinkles caused by facial expression

Dermal fillers can be used to plump the creases. Hyaluronic acid fillers work by creating volume and hydration within the skin to lift out deep creases. The treatment is done with numbing cream and the results are effective and long-lasting.

Best for: deep wrinkles

Biorevitalisation describes a treatment where light hyaluronic acid, vitamins, minerals and antioxidants are injected under the skin surface to rehydrate, brighten and smooth the skin. This is a refreshing treatment for wrinkles and lasts for approximately 6 months. The benefit of this treatment is that you reduce the depth of wrinkles but also retain the natural movement of the muscles around the eyes.

Best for: refreshing and hydrating the skin

Drs Tatiana + Rishi Advanced Aesthetics pioneered this approach, whereby RF microneedling is immediately followed by CO2 laser. to provide a highly effective treatment for acne scarring, with minimal downtime. This combination approach has a synergistic effect, where the RF microneedling results in mechanical breakdown of scar tissue and fibroblast stimulation; whilst the CO2 laser causes epidermal neocollagenesis and resurfacing. Due to the re-modelling stimulated by the RF microneedling, less aggressive CO2 resurfacing is required to achieve comparable results, minimising downtime. 

Immediately following this treatment, we often recommend application of exosomes. Exosomes are micro-vesicles that contain thousands of growth factors, cytokines and nutrients that help to boost collagen, elastin and natural hydration. Exosomes work to regenerate skin cells, reduce inflammation and pigmentation, improve immune function and accelerate skin healing. 

This dynamic, non-ablative treatment, pairs RF microneedling with an erbium glass laser. The RF microneedles deliver heat to the deeper layers of the skin via precise needles, whilst the laser gently delivers powerful beams to the skin in microcolumns, creating bulk heating. This works to effectively target common signs of ageing and skin concerns in any skin type, with almost no downtime and an instant glass-like glow to the skin.

Morpheus 8 is a device that combines microneedling with radiofrequency heat energy to smooth and firm the skin. As the small needles enter the skin, the tips of the needles heat up with radiofrequency energy. This sends controlled heat energy into the upper layers of the skin and stimulates collagen production, thus tightening, firming and smoothing the skin over several months after the treatment. Morpheus 8 is safe for any skin type and can be used alongside other treatments such as dermal fillers.


SecretRF is an evolution of microneedling with radiofrequency. This device works by precisely inserting small needles into different depths of the skin, creating microchannels, with the subsequent delivery of radiofrequency heat energy to stimulate the production of collagen and hyaluronic acid, thereby increasing skin fullness and reducing the appearance of static wrinkles. The motor mechanism of the SecretRF is extremely smooth and it’s needles particularly precise and well-insulated, resulting in minimal downtime and being suitable for all skin types. 

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