Fine Lines and Wrinkles


What Causes Wrinkles?

Your skin has a complex structure formed of many layers that work together to give your skin a youthful appearance and elasticity. The collagen that your body produces is similar to a scaffold within the skin, providing strength and structure for these layers.

However, starting in your early twenties, the amount of collagen in your skin reduces by approximately 1-2% each year. As we age, collagen and elastin continue to decrease, and the scaffolding becomes fragile. This leads to sagging, wrinkles, and loss of elasticity.

Additional factors like smoking, chronic dehydration, poor diet, some medications, and excessive exposure to ultraviolet light can speed up the degradation of your skins structure, causing wrinkles to form early.

Types of Wrinkles

Dynamic Wrinkles

Dynamic wrinkles are formed by repetitive facial movements like frowning and squinting, and are only visible during facial expression. However, they will begin to turn into static lines in time if left untreated.

These lines are typically treated with neuromodulators, but combination therapy is often necessary to stimulate collagen and refresh aging skin. At Papillon Medical, we have a wide array of laser, light, and collagen induction therapies available. Our expert medical injectors, aestheticians, and laser technicians will team up to determine what combination of treatments is right for your skin type and desired outcome.

Static Wrinkles

Static wrinkles are caused by the result of sagging skin and loss of volume brought on by lower collagen production. Unlike dynamic wrinkles, they are visible regardless of facial expression.

They are usually treated with dermal fillers, but a combination therapy approach is typically recommended to achieve optimal results. At Papillon Medical, we carry a variety of dermal filler brands that are Health Canada approved. We are also a leading provider of the Silhouette Instalift procedure, which can be combined with additional treatment options to improve overall short-term and long-term aesthetic outcomes.

Common Wrinkle Locations

  • Marionette lines: These are often the result of aging and collagen loss; skin becomes heavier, and lines begin to frame the chin vertically.
  • Smile lines/Nasolabial folds: These are the creases that appear at the side of the nose and extend to the corner of the mouth; these typically become more pronounced as we age.
  • Crow’s feet: Small horizontal lines at the corner of the eyes.
  • Frown lines/11s/Worry lines: Vertical creases that appear between the eyebrows when you scowl or frown.
  • Forehead wrinkles: Horizontal lines across the forehead due to lifting the brow during expressions.
  • Lip lines/Smoker’s lines: Vertical lines and wrinkles that develop around the lips and border of the mouth. These tend to be most noticeable when you pout.
  • Bunny lines: Horizontal creases that appear on the sides of the nose when you scrunch your nose up.
  • Platiysmal/Tech neck: Horizontal wrinkles across the throat caused by consistently looking down at cellphones or screens.


Skin in these areas will begin to lose elasticity and its lack of ability to bounce back will result in permanent lines or wrinkles. Sun-exposed areas and our most expressive features (i.e., eyes, mouth) are where wrinkles will first become prominent.

Wrinkle Treatment Options

Neuromodulators and Dermal Fillers

Neuromodulators are the most popular injectable wrinkle treatment. They work by blocking chemical signals from nerves that tell our muscles to contract. Neuromodulators are most commonly used to temporarily relax facial muscles. As a result, you are able to diminish the look of deep and soft lines, folds, and wrinkles.

The injectable treatment we choose for wrinkles depends on whether we are addressing static or dynamic wrinkles. Sometimes static lines are treated using dermal fillers, but a combination therapy approach is recommended to achieve optimal results. Dynamic wrinkles may be treated using a neuromodulator injection only.

Anti-wrinkle injections typically take two weeks to take full effect and usually last 3 to 4 months. There is little to no downtime associated with neuromodulator treatments. Dermal filler typically lasts 6 to 18 months, depending on the location of injection and which type of filler is used. (Some filler products can last up to 5 years!) Patients will typically experience minor swelling and some bruising for 3-5 days after treatment.


Microneedling, also known as collagen induction therapy, uses fine needles to create hundreds of tiny, invisible “microinjuries” in the top layer of the skin. These microinjuries created during treatment stimulate the natural wound healing process in the body. This floods our system with an abundance of circulating stem cells, proteins, and growth factors, healing the treated area and boosting collagen production, leaving plump youthful skin.

We can use microneedling to treat the face, neck, jawline, chest, hands, and more! The healing window associated with these treatments may range from 1-5 days, and you can expect to see some redness, peeling, swelling, and skin flaking throughout this time. Most patients agree that the healing process with both microneedling and Morpheus8 is quite tolerable.


Morpheus8 uses a similar prototype to microneedling but takes this technology to the next level. Morpheus8 combines deep microneedling and radiofrequency energy to contour and tighten the face. By increasing the depth of these precise micro injuries and simultaneously utilizing radio frequency, we can break down poorly formed collagen and encourage the growth of healthy collagen fibers for a tighter, more even complexion.

Morpheus8 has a similar recovery window as microneedling. You can expect to see the same peeling, swelling, and flaking during the 1-5 day healing period.

Laser Therapy

Laser therapy is a powerful, non-invasive cosmetic treatment that uses focused beams of light to stimulate collagen production in the skin by causing small, controlled thermal injuries. This increases cell turnover and triggers the body’s healing response, boosting the production of collagen.
Our selection of lasers, hand-picked by experts, allows us to treat almost every area of the body. We offer laser treatments for the delicate eye area, including the SmoothEye Fotona treatment, which specifically targets crepiness and fine lines. Deep resurfacing treatments, like the Fraxel or Erbium Peel, are excellent options for fine lines and wrinkles on the chest, hands, neck, and face. These lasers work by precisely removing the top layer of skin, resulting in an overall smoother and tighter complexion.

Downtime associated with laser therapy will vary from treatment to treatment. Deeper resurfacing treatments can have 3-10 days of downtime, where patients may experience redness, tenderness, swelling, and flaking. We also offer treatments with zero or minimal downtime, like laser rejuvenation, which uses bulk heating to stimulate new collagen production and contract elastin fibers to tighten sagging skin.

Have a question about treatment options?

Our expert medical injectors, aestheticians, and laser technicians will team up to determine what combination of treatments is right for your skin type and desired outcome.

Free Consultation