Wrinkle treatments are widely used in aesthetic medicine. They ensure smooth and youthful-looking skin.

Botox and hyaluronic acid are two of the best-known methods for reducing wrinkles. In this article, you will learn everything you need to know about these two treatment options.

Wrinkle formation and causes

Wrinkles are a natural part of the aging process. They develop for various reasons.

On the one hand, daily facial expressions influence the formation of wrinkles. The facial muscles are constantly in motion. On the other hand, natural skin slackening and loss of skin volume over time contribute to the formation of wrinkles.

These factors lead to two types of wrinkles. Expression lines are caused by overactive facial muscles. Age wrinkles are caused by the loss of elasticity and moisture in the skin.

Hyaluronic acid: effects and application

Hyaluronic acid is a substance produced naturally by the body. It occurs naturally in cells and connective tissue. It binds water, promotes collagen formation, and ensures the skin's elasticity and resilience. With age, the production of hyaluronic acid decreases. The skin loses moisture and elasticity. Injecting hyaluronic acid into the skin can reverse this process. Wrinkles are effectively smoothed out. Injecting hyaluronic acid into the skin can reverse this process. Wrinkles are effectively smoothed out. Areas of application include age wrinkles such as nasolabial folds, cheek wrinkles, and lip wrinkles. Hyaluronic acid can also be used to tighten the skin and improve its structure. The treatment has immediately visible effects. These last for about 6 to 12 months. The treatment has immediately visible effects. These last for about 6 to 12 months.

Treatment with Botox

Botox, also known as botulinum toxin A, is a neurotoxin. It inhibits the transmission of signals from nerves to muscles.

This leads to relaxation of the facial muscles. Expression lines are reduced.

Botox is mainly used to treat expression lines such as frown lines, forehead wrinkles, and crow's feet. The Botox injection takes only a few minutes. The effect sets in after a few days.

The results of Botox treatment last for about 3 to 6 months. After that, the treatment must be repeated.

Differences in how they work

Hyaluronic acid and Botox differ fundamentally in how they work.

• Hyaluronic acid acts as a filler and replenishes skin volume.
• Botox relaxes the facial muscles. It reduces expression lines.
• Hyaluronic acid injections are ideal for treating wrinkles caused by volume loss and sagging skin.
• Botox is excellent for reducing wrinkles caused by muscle movements.

When is which treatment appropriate?

The choice between hyaluronic acid and Botox depends on the type of wrinkles. Wrinkles in the upper third of the face caused by facial expressions are better treated with Botox. 
Hyaluronic acid is more effective in the rest of the face, where wrinkles are caused by volume loss and sagging skin. In many cases, combination therapy may be necessary. This combines both methods to treat deeper wrinkles and achieve a harmonious result. Treatment results and durability The results of hyaluronic acid treatment are visible immediately. They last for around 6 to 12 months. In some cases, they can even last for up to 18 months. The effects of Botox take a few days to appear. They last for around 3 to 6 months. Both types of treatment require regular top-ups. This ensures long-term results.

Safety and side effects

Hyaluronic acid is well tolerated. It has a low risk of side effects. Possible side effects include redness, swelling, and small bruises at the injection site. Botox is also safe.

Side effects may include temporary muscle weakness, headaches, or, in rare cases, allergic reactions. Both treatments should only be performed by qualified professionals.

Combined use of hyaluronic acid and Botox

The combined use of hyaluronic acid and Botox can be particularly effective. This method is suitable for treating deeper wrinkles and achieving a natural result.

For deep forehead wrinkles, for example, the muscles are relaxed with Botox. The skin is additionally filled with hyaluronic acid.

This combination is also suitable for marionette lines and certain nasolabial folds. Treatment with hyaluronic acid alone is less effective in these cases.

Individual consultation and optimal treatment

An individual consultation with a specialist is essential before any treatment. The doctor analyzes the face and the type of wrinkles.

This allows them to recommend the optimal treatment method. A thorough skin examination and a detailed consultation are crucial.

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