Which is better for treating wrinkles: Botox or hyaluronic acid? Differences between dynamic and static wrinkles and methods of improvement.

Introduction | There are two types of wrinkles

Director Tomoko

When it comes to wrinkles, is it better to treat them with Botox or hyaluronic acid? Which is the right approach?

Chairman Aihara

Which is the correct approach depends on the type of wrinkle. Broadly speaking, there are two types: "wrinkles that form when you make facial expressions (dynamic wrinkles)" and "wrinkles that are etched regardless of facial expressions (static wrinkles)," and the appropriate treatment method differs for each.

Many people who are troubled by facial wrinkles wonder, "Which is right for me, Botox or hyaluronic acid?" In fact, there are different types of wrinkles; Botox, which suppresses muscle movement, is suitable for dynamic wrinkles, while hyaluronic acid, which adds volume, is suitable for static wrinkles.

In this article, Chairman Aihara clearly explains the differences between two types of wrinkles and the rationale behind using Botox and hyaluronic acid for each, along with case examples.

*This article is a revised and expanded version of the content from the YouTube video.

Dynamic wrinkles and static wrinkles: Differences and causes of the two types

Chairman Aihara

Dynamic wrinkles are caused by muscle movement, so Botox, which weakens muscle movement, is suitable. Static wrinkles are caused by loss of volume and elasticity, so they are improved with hyaluronic acid, which replenishes volume from below.

Wrinkles that can be improved with hyaluronic acid

Hyaluronic acid is a suitable treatment for static wrinkles caused by loss of volume and elasticity due to aging and UV exposure. By injecting hyaluronic acid from beneath the wrinkles, volume is restored, and the skin is lifted from within, making the wrinkles less noticeable.

• Holy wireHyaluronic acid is injected into deep nasolabial folds to improve their appearance.
• Temple hollowsHyaluronic acid is injected into the hollows that form as bone and muscle volume decreases with age, creating a youthful appearance.
• Marionette lines and sunken cheeksThe injection site and amount are adjusted according to the skeletal structure and condition.

Director Tomoko

Does the injection site and amount vary from person to person?

Chairman Aihara

It makes a big difference. We determine the injection site and amount based on the individual's bone structure and condition, and what will make them look best, so it's not the same for everyone. For example, we might inject in someone who lacks volume in a certain area, but if someone who already has a lot of volume there, injecting might make them look even bigger, so we make our decision based on the overall balance.

Wrinkles that can be improved with Botox

Botox is a treatment that improves dynamic wrinkles by injecting it directly into the muscles to weaken muscle movement. It is effective against wrinkles that appear every time you make a facial expression, and continuous treatment can also help prevent wrinkles from forming.

Chairman Aihara

For example, forehead wrinkles can be improved by weakening the muscles that lift the skin, resulting in a smoother appearance. It takes 2-3 days to a week for the effects to become apparent, but the effects last for about 3-4 months. Continued treatment can also help prevent wrinkles.

Other uses of Botox | Potential applications beyond wrinkles

Botox is used not only for wrinkle improvement but also for a variety of other cosmetic purposes.

• Smaller face (masseter muscle): Injecting into the chewing muscles (masseter muscles) reduces the size of the jawline and refines the facial contour.
• Adjusting the shape of the noseInjecting into the nasal alar muscles to tighten the nostrils.
• Eye lift: It acts on the orbicularis oculi muscle, making it easier to open the eyes.

Director Tomoko

I didn't know Botox could be used not only for wrinkles, but also for the jawline and nose.

Chairman Aihara

That's right. Taking advantage of its property of acting on muscles, we can administer it in various ways according to the patient's needs. The strength of Botox is that it can be used for a wide range of cosmetic purposes other than wrinkles.

Case studies showing the effectiveness of wrinkle treatment

We will show you the changes in wrinkles caused by Botox and hyaluronic acid, along with actual case studies.

Botox | Case study of 1 week of bunny line Botox

This is a case study of a patient who was concerned about the wrinkles that appear above the nose when frowning (bunny lines).One week after receiving bunny line Botox, the wrinkles are less noticeable.

*The effects may vary from person to person.

Hyaluronic Acid ① | Case study of 4 vials of Juvederm Vista

This is a case study of a patient who was concerned about wrinkles caused by sagging and lack of volume.After using four bottles of Juvederm Vista, the overall volume balance of my face improved, giving me a more youthful appearance.

*The effects may vary from person to person.

Hyaluronic Acid ② | Case Study of One Hyaluronic Acid Injection

This is a case study of a patient who was concerned about nasolabial folds and loss of volume in the cheeks.With just one injection of hyaluronic acid, my entire face looks brighter and more youthful.

*The effects may vary from person to person.

Summary | Treatment tailored to your concerns through counseling

To improve wrinkles, it's essential to first determine whether they are "dynamic" or "static." At Elm Clinic, we offer the optimal treatment plan tailored to each patient's individual bone structure, condition, and requests. Please feel free to come in for a consultation.

*This article is a revised and expanded version based on a YouTube video. Individual results may vary. Please confirm the treatment details, fees, and risks during your consultation.