Berkshire Aesthetics
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Lines & Wrinkle Treatments

Clinical management of rhytides and age-related skin laxity

Rhytides (lines and wrinkles) develop through progressive dermal atrophy, collagen degradation and elastin fragmentation, influenced by intrinsic ageing, cumulative UV exposure, genetic predisposition and lifestyle factors. At Berkshire Aesthetics, our doctor-led assessment identifies the specific mechanisms contributing to each patient's presentation before formulating an individualised treatment protocol.

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

Aetiology & Contributing Factors

  • Natural decline in collagen, elastin and hyaluronic acid production with age
  • Repeated facial muscle movements creating dynamic lines (e.g. frown lines, crow's feet)
  • Cumulative sun exposure and UV damage breaking down skin structure
  • Loss of facial volume and fat pad redistribution with ageing
  • Smoking, poor diet and other lifestyle factors accelerating skin ageing
  • Genetic predisposition influencing the rate and pattern of ageing
  • Environmental factors including pollution and dehydration

Clinical Presentation

  • Fine lines around the eyes (crow's feet), forehead and between the brows
  • Deeper creases such as nasolabial folds (nose-to-mouth lines) and marionette lines
  • Forehead lines and frown lines that are visible at rest
  • Loss of skin smoothness and firmness
  • Crepey or thinning skin, particularly around the eyes, neck and décolletage

Evidence-Based Treatment Modalities

Treatment selection is individualised following clinical assessment, taking into account disease severity, Fitzpatrick skin type, medical history and patient goals.

Anti-Wrinkle Injections

Anti-wrinkle injections use a prescription medicine to temporarily relax targeted facial muscles, softening dynamic lines such as frown lines, crow's feet and forehead creases. Results typically last 3–4 months.

Dermal Fillers

Dermal fillers restore lost volume and smooth static lines such as nasolabial folds and marionette lines. They can also improve facial contour and support areas where volume loss contributes to an aged appearance.

Profhilo

Profhilo improves overall skin quality by boosting hydration, elasticity and firmness. It addresses fine lines and crepey texture without adding volume, making it ideal for patients seeking a skin-quality improvement.

SkinVive

SkinVive is a micro-droplet injectable that improves skin smoothness and hydration from within. It is particularly effective for fine lines and overall skin quality enhancement in the cheeks and lower face.

Morpheus8

Morpheus8 RF microneedling stimulates collagen and elastin remodelling to tighten skin and improve texture. It is effective for fine lines, skin laxity and overall rejuvenation of the face, neck and jawline.

Ultherapy

Ultherapy uses focused ultrasound energy to stimulate collagen production at deeper tissue levels, providing a non-invasive lifting and tightening effect for the face, neck and décolletage.

Chemical Peels

Medical-grade chemical peels remove damaged surface skin to reveal smoother, more even skin beneath. They can improve fine lines, sun damage and overall skin texture as part of a rejuvenation plan.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

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All bookings are subject to our Booking Conditions.

Clinical FAQs: Lines & Wrinkles

Dynamic wrinkles appear during facial movement (e.g. frowning or smiling) and respond well to anti-wrinkle injections. Static wrinkles are visible at rest and are often addressed with fillers, skin boosters or resurfacing.
Our approach prioritises natural-looking results. We use conservative dosing and tailor treatment to your facial anatomy and preferences. The goal is to soften lines while preserving natural expression.
This is determined during your doctor-led consultation. We assess your skin, facial anatomy, concerns and goals to recommend the most effective combination of treatments for your needs.
Yes. Combining treatments is often the most effective approach — for example, anti-wrinkle injections for dynamic lines alongside fillers for volume loss. Your doctor will plan the safest and most effective sequence.
This varies by treatment. Anti-wrinkle injections typically last 3–4 months, fillers 6–18 months, and energy-based treatments can produce improvements lasting a year or more with maintenance.
There is no fixed age. Some patients start preventatively in their late 20s or 30s; others begin later. Suitability depends on your skin, concerns and goals rather than age alone.
This depends on the treatment. Anti-wrinkle injections and skin boosters have minimal downtime. Morpheus8 and chemical peels may require several days of recovery. Your doctor will explain what to expect.
Costs vary depending on the treatments recommended for your plan. We provide transparent pricing at consultation so you can make an informed decision before proceeding.
Clinically reviewed by

Dr Selena Langdon — Medical Director, MBBS

GMC 6159259

Last reviewed:

Clinical Summary

Expected Recovery PeriodVaries by treatment — minimal for injectables and skin boosters; moderate for RF microneedling, peels and ultrasound treatments
Therapeutic ResponseAnti-wrinkle injections take effect within 3–14 days; fillers are immediate; skin boosters, RF and ultrasound treatments develop progressively over weeks to months

Clinical Governance

  • Our doctors assess your specific ageing concerns and recommend targeted treatments rather than a generic approach
  • We offer the full spectrum of anti-ageing treatments — from injectables to energy-based devices — so your plan is based on what will work best for you
  • Natural-looking results are our priority; we aim to refresh and soften rather than create an overdone or frozen appearance

Book a Consultation

Request a medical assessment for your lines & wrinkles with our clinical team.

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Related Conditions

Further Reading & Clinical References

The following external resources provide independent clinical and regulatory information.

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: February 2026

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: February 2026

Request a Clinical Assessment

Book a medical consultation to discuss diagnosis and an individualised treatment protocol.

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