Wrinkle removal
with neuromodulators
First consultation free
Wrinkle removal
with neuromodulators
Wrinkle removal with neuromodulators
Facial treatment to smooth expression wrinkles while maintaining naturalness
MADRID | ZURICH
Expression wrinkles are not only a consequence of the passage of time, but the cumulative result of repetitive muscular activity of the face.
Every gesture, frowning, smiling, raising the eyebrows, generates creases in the skin. At an early age these disappear at rest, but with time they gradually become fixed, giving rise to visible wrinkles even without movement.
Treatment with neuromodulators can act directly on this mechanism, reducing in a controlled way the muscle contraction responsible for these lines.
In Dr. Richard Fakin's practice, the goal is not to eliminate facial expression, but to balance it. A well-planned treatment should smooth wrinkles without altering the naturalness or stiffness of the face.
-
DURATION 15 minutes
-
DISCHARGE FROM THE CLINIC Same day
-
BACK TO WORK Same day
-
DURATION 15 minutes
-
DISCHARGE FROM THE CLINIC Same day
-
BACK TO WORK Same day
-
SUITABLE FOR SOCIETY Same day
-
ANESTHESIA None or numbing cream
-
FULL RECOVERY Do not rub the area or exercise for 24 hours.
-
SUITABLE FOR SOCIETY Same day
-
ANESTHESIA None or numbing cream
-
FULL RECOVERY Do not rub the area or exercise for 24 hours.
Instructions
When to consider wrinkle removal treatment
Neuromodulator treatment is indicated when wrinkles have a dynamic component, i.e. when they are caused or accentuated by the repeated contraction of certain facial muscles.
Not all wrinkles are the same. Some depend mainly on movement, while others are related to the loss of volume or the quality of the skin. It is therefore essential to correctly differentiate their origin before considering any treatment. Neuromodulators are particularly effective in:
- Horizontal forehead wrinkles, caused by the constant raising of the eyebrows
- Frown lines (glabella), associated with the gesture of concentration or tension
- Crow's feet, generated by the contraction of the orbicularis oculi muscle during smiling
- Neck bands (platysma), in selected cases
In the early stages, treatment can have a preventive effect, preventing dynamic wrinkles from developing into more pronounced permanent wrinkles.
The indication should always be made after a medical assessment that analyses not only visible wrinkles, but also muscle dynamics and overall facial balance.
Techniques used
How neuromodulators work
Neuromodulators act at the neuromuscular level, temporarily blocking the release of acetylcholine, the neurotransmitter responsible for muscle contraction. As a result:
- the muscle reduces its activity
- the skin stops folding repeatedly
- wrinkles are progressively smoothed out
This effect is not immediate, but progressive, allowing for a natural transition in facial expression. It is important to understand that the objective is not to completely paralyse the muscle, but to modulate its intensity, maintaining the capacity for expression.
Personalised approach to treatment
Each patient has a different movement pattern. Some people have a more active musculature, others compensate with different muscle groups or have asymmetries in expression. For this reason, the treatment must be adapted to:
- the individual anatomy
- muscle strength
- the way of gesturing
- the relationship between different areas of the face
Proper planning avoids artificial results such as loss of mobility in the forehead or drooping eyebrows.
The aim is to achieve a more relaxed and rested expression, without the treatment being obvious.
Combined treatments
In many cases, wrinkles do not depend exclusively on muscle movement.
When there is a combination of factors, loss of volume, sagging or deterioration of skin quality, neuromodulator treatment can be complemented with other procedures. Among the most common combinations:
- Hyaluronic acid, to restore volume in areas where the wrinkle has a structural component
- Biostimulation treatments, that improve skin quality and firmness
- Technologies such as lasers, IPL or peelings, which act on the texture and luminosity of the skin.
This combined approach allows for a more comprehensive and coherent approach to facial ageing.
Recovery and results
Evolution after treatment
After application, the patient can return to normal activity immediately. The effect starts to become noticeable 3 to 5 days after the treatment and reaches its maximum result after about two weeks. During this time:
- the musculature progressively reduces its activity
- wrinkles are smoothed out
- expression becomes more relaxed
The result is not abrupt, but progressive, which helps to maintain naturalness. The duration of the effect is usually between 4 and 6 months, after which muscle activity gradually recovers.
To maintain the results, maintenance sessions can be tailored to each patient.
Wrinkle removal with neuromodulators:
Frequently Asked Questions
What are neuromodulators?
These are substances that act on the nerve signal that activates the muscle, reducing its contraction and smoothing wrinkles.
How long do the results of neuromodulator treatment last?
The effect is usually maintained for 4 to 6 months, although it may vary depending on the area treated and the characteristics of the patient.
When do you start to see results?
The results begin to show within a few days, reaching their full effect in about two weeks.
Is facial expression lost with the use of neuromodulators?
No, when the treatment is properly planned. The aim is to soften the expression, not to eliminate it.
Can it be combined with hyaluronic acid?
Yes, it is common to combine both treatments to address both the dynamic and structural components of facial ageing.
Dr. Richard Fakin
international elite surgeon
At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.
Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.
Our facilities
Madrid
-
C. de Velázquez, 109, 28006 Madrid, Spain
-
madrid@drrichardfakin.com
-
+34 679 85 86 39
-
C. de Velázquez, 109, 28006 Madrid, Spain
-
madrid@drrichardfakin.com
-
+34 679 85 86 39
Zurich
-
Giesshübelstrasse 45, 8045 Zurich
-
zurich@drrichardfakin.com
-
+41 78 206 44 88
-
Giesshübelstrasse 45, 8045 Zurich
-
zurich@drrichardfakin.com
-
+41 78 206 44 88