Face injections for wrinkles: what to know

Botulinum toxin temporarily reduces signals to selected muscles, so it is commonly considered for expression lines such as crow’s feet and forehead lines. Dermal fillers add volume or support beneath the skin and may soften folds or restore contours. Neither option treats every type of wrinkle, and sun-damaged skin, skin quality, facial movement, and expectations influence the plan. A consultation should include an examination of the area and a discussion of alternatives.

Use a licensed, appropriately trained medical injector who can name the product, explain where it will be placed, and describe alternatives. Share allergies, medicines, previous injections, pregnancy or breastfeeding, neuromuscular conditions, and any active skin infection. Do not inject through inflamed or infected skin. Follow instructions about makeup, exercise, pressure, and medicines after treatment, and keep your follow-up plan so any asymmetry or unwanted effect can be assessed.

Contact the injector promptly for increasing pain, marked redness, warmth, drainage, or skin colour change. Seek urgent help for trouble breathing, swallowing or speaking, severe headache, weakness, vision changes, or sudden facial swelling. After filler, sudden severe pain or changes in skin colour or vision need immediate assessment because blood-flow problems require rapid care.

Which wrinkle pattern is being treated, and is botulinum toxin or filler more suitable? What product and amount will you use? What are the expected temporary effects and warning signs? How will you manage an unwanted result? When should I return for review?