Palomar Medical Laser > Wrinkles & Skin Tightening

Eye Wrinkles / Crow's Feet

Lines around the eyes give a variety of emotional expressions, most of which convey a negative impression. These Crow's Feet are the result of normal but excessive muscle action of the underlying sphincter muscle of the eye and produce wrinkles that radiate outward in a 'sunray' effect. Elimination or softening of these lines is a frequently requested procedure. Anti-wrinkle injections alone is a great treatment for young patients given its prophylactic effects. While this request is simple, in the older population, adequately treating crow's feet often requires combining Anti-wrinkle injections with a rejuvenating treatment such as Laser to obtain optimal results. With most rejuvenating treatments, a good long-term result is only possible if the underlying muscle action is controlled with Anti-wrinkle injections.

Since the eyelids and the surrounding skin is quite thin, it is an area that is particularly responsive to Laser resurfacing which uses a light to moderate depth laser with no downtime. The crow's feet area is pre-treated with Anti-wrinkle injections followed by Laser Rejuvenation two weeks later.

Home Therapies:
We offer traditional topical home therapies such as AHA s, PHA s, Retinol and home Dermarollers to improve eye wrinkles. We are excited to introduce recent advances in collagen stimulation home therapies such as the Dermaheal range of growth factors and from Lamelle Research laboratories. Once the signs of ageing appear around the eyes and this occurs in the late twenties, it is time to initiate the most powerful corrective treatments and topical therapies available such as growth factors to improve collagen content and thereby improve the wrinkles.

The Dermaheal Intensive Eye Regeneration serum is intended to be used in conjunction with a robust in-office programme such as Laser for peri orbital rejuvenation. Used in conjunction this is the most effective non surgical home weapon available.  

The features and benefits:

  • 50% Greater concentration of Growth Factors and Peptides than Dermaheal Eye regeneration cream.
  • Epidermal growth factor (EGF) renews the epidermal cells.
  • Fibroblast growth factor (bFGF) renews the dermis and epidermis.
  • Insulin Growth Factor (IGF-1) acts synergistically with the EGF and bFGF.
  • Perfect combination of additional anti-aging peptides; IDP-5 is a very powerful GF mimicking peptide.
  • Copper tri-peptide keeps the skin optimally protected and stimulated.

In Office Therapies:
We provide the quickest and most effective route to brightening up a dull complexion. We offer cutting edge technologies such as transdermal mesotherapy treatments, Laser rejuvenation, and Dermaroller, to quickly freshen up the eye area. . As each patient's case is different we will tailor a treatment program specifically for you and your circumstances especially budget. A highly professional team led by a medical doctor assesses every patient and an appropriate combination treatment together with long term maintenance program is recommended.

Sinclair Aesthetics Tip:

Unfortunately a stunning "Hollywood" face and skin has not been handed out by nature - it has to be bought and this usually comes at an expensive price. We have recognized this problem and have come up with a solution to make it more affordable for the average person. As best results are seen with between 2 to 5 treatments every client is provided with a fully customised year long solution dependant on budget and expectations. The treatments have prolonged effects and can be administered monthly one over a period of time until the desired result is achieved. The effect of each treatment is accumulative with best results down the line.  


Smoker's Lines:
Over a lifetime one creases one's lips with certain expression more than a million times and eventually with time the lines just stay there. The vermilion border of the lip becomes distorted and "bleed" lines develop. In fact, any activity that makes your lips pucker, which activates the orbicularis oris, a purse string- like muscle which encircles the mouth, can cause wrinkles to appear on the upper lip. The development of such wrinkles is a function of both the activity and how often it is done. Smoking, talking, whistling, drinking water from a bottle and chewing gum amongst others, all cause the mouth's main muscle , which is like a purse string, to contract . With time vertical wrinkles develop and the severity of lip wrinkles depends on the thickness of your skin and the size of your lips. The thicker your skin, the less likely you will ever develop them. This is evident in men who rarely develop lip wrinkles as compared to women who may develop them despite being a non smoker.  

Home Therapies:
In addition to in house procedures we also offer topical therapies such as the Dermaheal Lip and Peri oral serum with growth factors for smoker's lines rejuvenation. Once the signs of ageing appear around the mouth and the lips in particular, it is time to initiate the most powerful corrective treatments and topical therapies available such as growth factors to improve collagen content and thereby improve the wrinkles. The Dermaheal Lip and Peri-oral serum is intended to be used in conjunction with a robust in-office programme such as Laser for peri-oral ageing. Used in conjunction this is the most effective non surgical home weapon available.

The features and benefits:

  • Loaded with a Nobel Prize winning collagen rebuilding growth factor; Epidermal growth factor (EGF) renews the epidermal cells.
  • DP-5 is a very powerful GF mimicking peptide.
  • Acetyl Hexapeptide has neuromuscular blocking properties that will further enhance overall result with this product in a movement intensive area.
  • Copper tri-peptide keeps the skin optimally protected and stimulated.
  • No redness or sensitivity is experienced with Dermaheal as with traditional collagen stimulating products such as Retin A.

In Office Treatments:

Lip enhancement has gained much popularity since the '90s. Patients young and old, desire fuller, more sensuous lips. The lips have been associated with female sexuality throughout time, and women who possess large full lips are thought to be more physically desirable. Filler procedures are not invasive and they don't require much recovery time. The sooner one starts with soft tissue rejuvenation with fillers, the better as early developing lip wrinkles are much easier to treat with dermal fillers.

Aesthetic lip rejuvenation with hyaluronic fillers such as Juvederm and Restylane, includes filling out some of the fine wrinkles and lines that are mainly located at the junction of the skin and the lip, restoring the Cupid's bow and raising up the mouth corners. The vermilion border should also be treated as this prevents the lip from excessive pursing that occurs with normal mouth functioning such as drinking and talking.

For a natural appearing lip, the body of the lip should be plumped as well for a fuller yet more natural shape. Lips should not be over-filled and with proper techniques they can be made fuller yet still look natural. Natural lip rejuvenation requires the expertise and experience of the doctor as the result depends very much on the doctor's technique.

Treatment of advanced lip wrinkles is a challenging problem as there is no complete cure in most cases, just an improvement. If these lip lines are left neglected, they become permanently ingrained and scar like and very resistant to treatments.

For advanced lip wrinkles we offer in house treatments with Laser and Dermaroller™ Skin Needling treatments, for optimal results. In the more severe cases of smoker's lines, a small amount of Anti-wrinkle injections is injected into the top lip to help reduce the amount of muscle movement and improve the lip rejuvenation process.  

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 wrinkles.

Cutaneous ageing signs become visible from as early as the twenties, especially with excessive sun or environmental exposure. The two earliest signs of aging are the development of crow's feet 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 treatment 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. 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.

In Office treatments:
Injectable fillers, laser rejuvenation treatments, Skin Needling and Mesotherapy 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 is 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" they are impossible to treat successfully. If we intervene early and fill in wrinkles with dermal fillers, then we can prevent the breaks in the skin, commonly known as wrinkles.

Sinclair Aesthetics Tip:
Injectable wrinkle treatments such as Anti-wrinkle injections 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 one of the most widely used and most effective methods of achieving a significant wrinkle improvement within 1-2 weeks time.


Sinclair Aesthetics Enquiry
Specialists in restoring youthfulness & rejuvenating skin treatments
Tel No.: 011 453 3450/2
Cell No.: 079 177 4432
Email Address:
Physical Address: 30 First Avenue, Dunvegan,
Edenvale, Johannesburg, Gauteng

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