Canadian Living

DEEP- SET LINES

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“AS WE AGE, volume loss makes us look older, and most of that volume loss happens as a result of fat atrophy,” says Dr. Cory Torgerson, a facial plastic surgeon based in Toronto. The loss of fat, in addition to increased skin laxity and repetitive muscle movements, can cause defined lines in certain areas of the face—especially above the lips (known as smoker’s lines), along the sides of the nose to the corners of the mouth (nasolabial folds) and from the corners of the mouth down the sides of the chin (marionette lines).

For plumping up, all deep lines will need dermal filler injections, though each type of wrinkle requires a slightly different treatment process. There are several brands (for example, Juvéderm, Restylane, Emervel and Teosyal) that use the go-to ingredient, hyaluronic acid. Doctors will have their preferred brands, depending on their personal experience, but each line has a full range of density options, such as a thicker, more structured filler for cheekbones and a thinner, fluid one for under the eyes. And if you don’t like the results of your injections, don’t worry; the hyaluronic­acid fillers can be broken down with an injection of the enzyme hyaluronid­ase.

PAIN AND DOWNTIME: Dermal fillers are one of the more painful nonsurgica­l treatments available. However, most offices order syringes that also contain lidocaine, which numbs the tissue and minimizes pain.

$$$: $600 to $800 per syringe. As a ballpark, one to four syringes can usually treat the nasolabial folds in a single appointmen­t, with each syringe containing only one cubic centimetre, or one-fifth of a teaspoon, of product. LASTING EFFECTS: Six to 18 months

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