Fine Lines & Wrinkles

Fine Lines & Wrinkles

Fine Lines and Wrinkles

Fine lines and wrinkles are naturally a part of the aging process for everyone and there are many causal factors that come into play as we get older, including regular muscle movements and sun damage. People looking for a surgical arts center Missoula who are looking to reduce these symptoms have a whole range of treatment options when working with Dr. Pacheco, and we’re going to go over the details of some of these options right here.

What are the main causes of fine lines and wrinkles?

Fine lines and wrinkles tend to develop when an individual’s dermis undergoes an irregular thickening based upon the overall amount of water that’s held in an individual’s epidermis. There are quite a lot of ways in which this kind of thickening can occur, including the following factors:

  • Natural aging
  • Normal muscle movements
  • Sun damage
  • Injury
  • Gravity
  • Dehydration
  • Surgery
  • Smoking
  • Acne
  • Scars

There are many other causes of fine lines and wrinkles, which can depend on where and how deep they are, and it’s important to understand that we can treat these types of issues no matter how they occurred.

Treatment Options for Fine Lines and Wrinkles

There are several different types of treatment options to choose from, but the following are some of the main forms of treatment Dr. Pacheco performs:


Botox is a prescription medication that is comprised of natural proteins that ultimately will interfere with muscle contraction. It’s injected into muscles to help improve frown lines that occur in between an individual’s eyebrows, as well as other areas that have fine lines and wrinkles. It will temporarily block the nerve stimulations where it’s injected, which will then allow the muscles to contract less.

Botox does a wonderful job for the following:

  • Preventing wrinkles
  • Smoothing out areas where wrinkles and fine lines currently reside
  • Lifting the corners of a person’s mouth
  • Helping with migraines

When you decide to use Botox you should expect painless injections, and you can always use a numbing anesthetic cream if you feel it’s necessary. After about 2-3 days after the procedure you’ll start to see real results, but it’s important to know that Botox’s effects typically are temporary and last around 6 months.


Xeomin is a botulinum toxin that is similar to Botox in that it will halter muscle movements in certain areas that contribute to fine lines and wrinkles. It typically is used in the forehead area in between the eyebrows to soften up frown lines that build up over time. There are some similar ingredients in both Botox and Xeomin, but Xeomin is considered to be a somewhat purer toxin.

Xeomin is very much like Botox, but it just has a few less proteins in it, but Xeomin will undergo an extra purification step. Another difference between Xeomin and Botox is that Xeomin doesn’t have to be refrigerated before use, so it’s much easier to distribute amongst clinics and it must be flipped, as opposed to swirled, for the doctor to ensure the ingredients have fully dissolved.

Xeomin will also last about the same length as both Botox and Dysport, around 4 to 6 months.


Dysport is another botulinum toxin injection like Botox and Xeomin that blocks nerve signals to muscles in order to ultimately relax them and smooth out areas where wrinkles occur.

The main difference between Dysport and Botox is the overall potency of the trace proteins, which can sometimes make one more effective than the other. Although Dysport tends to be less expensive than Botox it is subjective in terms of which treatment is best per patient.


Juvederm is a whole array of hyaluronic acid dermal fillers that can be injected into a patient’s skin in order to provide longer lasting results for facial lines and wrinkles. The results of Juvederm use typically will last from 9 months up to a year post-treatment.

Hyaluronic acid is a natural sugar and does a great job at retaining water at an injection site, which essentially means it will work as a type of cushioning agent. This will externally create added volume and smoother appearances to a patient’s skin.


Restylane is another dermal filler that is comprised of a hyaluronic acid gel, but what sets Restylane apart is that it’s primarily used for medium-depth wrinkles. These can include nasolabial folds (lines on your nose and corners of your mouth) and marionette lines (the lines on your mouth’s corners down to your jawline).

Restylane-L is the same type of dermal filler formula, except there is lidocain added to it to ultimately minimize any kind of discomfort that occurs during and after treatment.

Ultherapy Skin Tightening

Ultherapy utilizes ultrasound energy to lift and naturally tighten a patient’s skin, and it’s a great non-invasive way to treat wrinkles and fine lines without any type of surgery or downtime.

The ultrasound helps to deliver the Ultherapy’s collagen-boosting treatment, which does wonders for tightening up skin and providing a healthy, youthful appearance for patients. Another great aspect of Ultherapy is that the ultrasound imaging allows practitioners like Dr. Pacheco to actually see the layers of tissue that are being treated, which helps ensure that the Ultherapy treatment is being precisely delivered to where it’s most beneficial.

If you have any questions or want more information about the treatments for fine lines and wrinkles feel free to contact us by phone or email and we can set up a free consultation!

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