15/01/2026
When I see a patient for the first time, often or not, they will choose anti-wrinkle injections as their first go-to treatment. It makes sense from a psychological perspective as it produces a predictable softening of dynamic lines and it wears off. It feels like a safer option.
However, anti-wrinkle injections doesn’t treat structural ageing.
From our mid 30s onwards, we lose collagen, fat and fascial support. This is what changes the shape of the face, the jawline, the neck and the way the skin sits. Treating that requires a different approach, one that works within the tissue rather than just on muscle movement.
Many women feel more cautious about this part of treatment, often because they have seen faces that look overfilled, puffy or unlike themselves. That concern is entirely valid.
When done properly, structural and regenerative treatments are not about adding volume for the sake of it. They are about restoring support, skin quality and facial balance so the face looks rested, lighter and more like itself.
In my clinic, anti-wrinkle injections are never used in isolation. It is part of a layered plan that also considers fascia, skin quality and volume loss, because that is how natural, long-term results are achieved.
If you’ve been having anti-wrinkle injections but still feel your face looks tired, heavy or unsupported, this is often why.
