Ageing skin and wrinkles unsettle women more than men because society believes a woman loses her attractiveness once visible signs of facial ageing sets in.

Ageing skin is associated with a range of cosmetic concerns - from a loss of collagen, which results in the thinning of the skin to a loss of structural integrity or weakening of the skin leading to different types wrinkles.

Cutaneous ageing signs become visible from as early as the twenties, especially with excessive sun or environmental exposure. The two earliest signs of ageing are the development of crow's feet around the eyes, and wrinkling between the brows and forehead due to constant facial expressions. Between the ages of 30 to 49 years there is a sharp increase in prevalence of skin changes such as wrinkles. In contrast, signs most clearly ascribable to photo-aging such as pigmented spots, affect most people two to three decades later.

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles: static wrinkles and dynamic wrinkles:

  • Static wrinkles are those facial lines that are evident even when our face is at rest, thus constantly visible.
  • Dynamic wrinkles are those wrinkles and lines that appear when your face is animated.

Sleeping Positions are one of the main causes of static wrinkles. Resting your face on the pillow in the same way every night for years on end also leads to wrinkles. Called sleep lines, these wrinkles eventually become etched on the surface of the skin and no longer disappear when the head is not resting on the pillow. Women, who tend to sleep on their sides, are most likely to see these lines appear on their chin and cheeks. Men tend to notice these lines on the forehead since they usually sleep with the face pressed face down on the pillow. People who sleep on their backs do not develop these wrinkles since their skin does not lie crumpled against the pillow.

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated. Dynamic wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, with constant motion these grooves become permanently etched on the face as fine lines and wrinkles.

How do we treat the different types of wrinkles?

Home therapies:

Once the signs of ageing such as wrinkles appear on the facial skin, it is time to initiate the most powerful corrective treatments and topical therapies available such as growth factors to improve collagen content and wrinkling. At Skin Renewal, we offer two very powerful growth factor based products, namely:

In Office treatments:

Injectable fillers, laser rejuvenation treatments, Pearl Fusion, PDT, Skin Needling, Mesotherapy and Carboxytherapy are mainly used for static wrinkling. Fillers soften lines and larger wrinkles by plumping them out so they look less evident at rest. In some cases, the combination of anti-wrinkle injections and fillers are used when the line or wrinkle is very deep and weakening the muscle action will help preserve the longevity of the filler. This is most common in the furrows between the eyebrows or bleed lines on the lip.

Dynamic wrinkles are what separate anti-wrinkle injections and any of the injectable fillers. Anti-wrinkle injections are for dynamic wrinkling. It is a muscle relaxing agent so it will soften the wrinkles and lines that occur from a dynamic facial movement, such as between the brows with frowning, or the crow's feet from smiling. Wrinkle treatment should start as soon as one sees a wrinkle developing when the wrinkles are still "soft". If these wrinkles are neglected they become "ingrained" and "scar like" and they are then almost impossible to treat successfully. If we intervene early and fill in wrinkles with dermal fillers, then we can prevent these breaks in the skin.

Skin Renewal Tip

At Skin Renewal injectable wrinkle treatments and fillers are commonly performed at the same visit. Anti-wrinkle injections helps with the upper one-third of the face whereas injectable fillers generally help with the lower two-thirds. This combination is called a Liquid Facelift which is one of the most widely used and most effective methods of achieving a significant wrinkle improvement within 1-2 weeks’ time. The Liquid Facelift can be combined with just about any other aesthetic treatment that exists and at Skin Renewal. We have safely combined these with our signature treatment 3-D Skin Rejuvenation™.


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Review -​Everything and More than I expected – I am a Fan for Life!
Reviewed on 28 May 2015 by Johann Grobler

Thank you Dr Bianca, the results of my Silhouette Soft Threads procedure are everything and more than I expected! Sleeping is a tad uncomfortable for about 5 days after but the immediate effects are just so absolutely worth it! There was no down time. I am a Fan for Life thrilled with my face’s refreshed, lifted and fuller volume appearance.

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Review -Receiving numerous compliments daily
Reviewed on 21 May 2015 by M.A from Parkhurst

I was excited to get my "lifting threads" done at Parkhurst. I am on the wrong side of fifty and am against surgery. I was a bit nervous to start off with, but I can honestly say that the doctor was amazing. I had 6 threads inserted on each side of my face. The only slight pain I felt was where she injected me with a local anaesthetic before inserting the threads. I felt no pain during the procedure and no bruising at all! It has been 4 weeks since my threadlift and I am receiving numerous compliments each day. The staff at Parkhurst were so professional. Thank you.

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Review -The Constantia team is amazing!
Reviewed on 6 March 2015 by Zsuzsanna Valko Constantia

I would like to let you know how happy I am with your branch in Constantia.

The team is amazing. Starting with the new receptionists: Stephanie and Storm are very professional, helpful and very welcoming, friendly every time someone enters or has a request.

I always get an immediate answer to my emails and they try to help me out with my appointments (I had quite a few...) to the fullest.

Dr. Fred is great doctor, very much aware of health and body problems and the way of treating them. I really enjoyed my IV treatments with him.

I am the patient of Dr. Graham for a few years now and I do not want to go to any doctor anymore for my fillers, botox or threads. I visited before the best doctors in Milan and Zürich so have some experience. He is a fantastic person, outstanding doctor who listens to you and does according to your needs, preferences. Some of my international friends feel the same way about him.

Last, but not least I have to mention my therapist Bianca. She is a lovely girl and an amazing therapist. She really loves her job and cares for her clients. She is very understanding and knows well how to treat different skin problems. She is not pushy and listens to the needs of her clients.

A big thank you for all of you guys, you work really hard and do a great job.

Thank you for your kindness and professionalism.

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Review -Aiming for the best results!
Reviewed on 9 February 2015 by M.N from Hillcrest

I always have a wonderful session with Dr Gwen and excellent results!

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Review -Excellent long lasting results
Reviewed on 9 February 2015 by Sharon Drummond

I have had Fillers before with excellent long lasting results. The treatment was at Skin Renewal Hillcrest.

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Review -Parkhurst is Knowledgeable & Confident
Reviewed on 16 September 2014 by Mary Kolmel

Everyone is well knowledgeable on products. Have confidence in going through the Botox procedures.

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Review -First time Dermapen treatment
Reviewed on 15 September 2014 by Ruth Lipschitz

Overall pleasant. Strange, almost painful on removal of anaesthetic, skin looks plump - will see the effect later and comment again.

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Review -I am thrilled with my results!
Reviewed on 9 September 2014 by Mrs Maine

I was a little unsure a first having had bad experience with a well know wrinkle reduction Doctor and looked like an Alien!

However, the team at Somerset West Skin Renewal is brilliant, Lizanne is very understanding, we discuss concerns together, she is very aware that I have a budget and does not push treatments I cannot afford. I have had the magic gas (Carboxytherapy) and E-Max Laser for fine lines.

I am totally thrilled with the result and now have regular beauty treatments done by Lizanne too. She is Fabulous!

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Review -Great service
Reviewed on 3 September 2014 by Anonymous

Dr Xen is always charming, very knowledgeable and never suggests anything that is not necessary. His application of Fillers and Botox is always very natural looking and I can always go straight back to work after treatment. I am very comfortable with his recommendations and treatments. Great doctor, great service always.

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Review -A wonderful experience…
Reviewed on 2 September 2014 by Glenda Theunis

A wonderful experience in totally beautifully decorated surroundings. Dr Xen and the team were professional and I received excellent service, I am most grateful and appreciative! Thank you! A great experience and very friendly staff members.

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Review -Lovely experience every time!
Reviewed on 26 August 2014 by Anonymous

The staff are very professional, Cheray is amazing! Lovely experience every time!

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Review -Thanks Dr Burt, You’re a genius!
Reviewed on 13 June 2014 by J.H.

The 21st Century high maintenance programme that keeps me looking the same whatever my age has become an adventure to be enjoyed with Burt Jooste at the Skin Renewal Clinic in Sandton. With (almost) painless botox, my expression is still responsive but the little lines are eliminated. Clever sculpting using fillers has given me back my wicked grin without the wrinkles, and Burt’s a genius at plumping up tired tissue around my mouth and cheeks. With modern advances in chemical technology, you can look the same as you did in your youth. It takes a little longer, and costs a little more, but its worth every cent. Thanks Burt, you’re a genius!

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