Skin ageing is complex and dynamic and it is important that you choose a physician who understands the dynamics of ageing and who is trained to assess the face and provide complete solution to his/her client. There are two types of ageing extrinsic ageing and intrinsic ageing.

Intrinsic ageing is natural ageing resulting for m hormonal changes, tissue loss, decreased fat cells and genetics. Extrinsic ageing relates to external factors such as sun damage, smoking, poor lifestyle habits and free radical damage. It is external ageing that make one look older than their age due mainly to sun damage and poor lifestyle.

Wrinkles
Wrinkles usually appear around the eyes and upper lip area mainly due to external factors such as smoking and sun exposure.

Dynamic wrinkles
Dynamic wrinkles are the wrinkles that are caused by movements of facial muscles, the lines caused by expressions such as smiling and frowning—crow's feet, forehead lines, and lip wrinkles. Dynamic wrinkles in the upper face can be treated with Botox® as a preventative measure to prevent static wrinkles.

Static wrinkles
Static wrinkles are due to lack of elasticity of the skin caused by sun damage, smoking, and
genetics. Static facial wrinkles are visible regardless of muscle contraction. These types of wrinkle are very difficult to treat with products such as Botox® because this treatment only paralyze the muscle therefore preventing muscle movements and do not volumize the area. It is important that you understand this when you speak to your clinician since many clinicians depending on
their training will respond to your request for Botox®  even though the treatment might not be appropriate for you.

Folds
A third type of skin ageing, called skin folds, is often due to sagging of the underlying facial
structures, causing the deep grooves between the nose and mouth known as nasolabial folds, often called smile lines. Folds are created due to volume loss in the cheek and lower face resulting in nasolabial folds and jowling around the mouth area. The best solution for treating this problem is to volumize the cheeks and lower faces creating a non-surgical lift of the face. A skilled clinician should know who to achieve this result with the proper training.

Fat
As we get older we tend to put on body weight, however the face tend to become thinner since we  lose collagen and elastin in the dermis and the fat producing cells in the subcutaneous thed to reduce productivity resulting in a more thin and fragile skin quality.

The loss of compactness in the dermis and subcutaneous tend to make the epidermis of the skin appear flaccid and aged. The underlying structure of the skin is what makes the epidermis appear youthful and toned.

Moisture loss
It is not just tissue loss that makes the skin look older. Loss of moisture due to decrease hyaluronic acid will make the skin look dry and dehydrated. Hyaluronic Acid is an intercellular fluid in the skin and its main function in the dermis is to hydrate the skin resulting in the velvet smooth look of youth.

However, ageing is not all bad news. Hopefully, we have gained experience, charm and knowledge in replacement of youth and the advancement in the world of anti-ageing science and non-surgical medicine has advanced so much that one does not have to look aged at any stage of their life.