Deep Facial Wrinkles
- Skin and structural wrinkle treatments tailored to the depth, location and underlying cause of facial wrinkles.
- Personalised treatment planning with access to COâ‚‚ laser resurfacing and specialist facial surgery.
- All consultations free with no obligation
- Internationally trained specialist surgeons
- Complete aftercare included
A Personalised Approach to Deep Facial Wrinkles
Deep facial wrinkles remain visible when the face is relaxed rather than appearing only during expression. They can develop across the forehead, beneath the eyes, around the lips and within the folds of the cheeks and lower face, but the same treatment will not be suitable for every area.
Some wrinkles form primarily within the skin, while others deepen because facial tissues have lost volume or descended from their previous position. At Ullas Facial Plastic Surgery, we assess the cause and depth of each concern before recommending a treatment that addresses the relevant skin or structural changes.
About
What Are Deep Facial Wrinkles?
Deep facial wrinkles are established lines, creases or folds that extend beyond the most superficial layers of the skin and remain visible when the face is resting. They develop as collagen and elastin decline, repeated movement marks the skin and the underlying facial tissues change, whereas fine lines are shallower and usually confined more closely to the skin’s surface.
This content has been medically reviewed by Mr Gautham Ullas BMBS, BMedSci, FRCS (ORL-HNS).
What Causes Deep Facial Wrinkles?
Deep facial wrinkles usually develop through a combination of changes rather than one isolated cause. Their depth and location are influenced by skin quality, repeated facial movement, ultraviolet damage and changes in the fat, muscle and supporting structures beneath the skin.
Contributing factors include:
- Reduced collagen and elastin
- Repeated facial expressions
- Ultraviolet exposure
- Smoking
- Genetics
- Reduced facial volume
- Descent of facial fat and soft tissue
- Natural ageing
- Dryness and reduced skin resilience
Assessment
How We Assess Deep Facial Wrinkles at Ullas Facial Plastic Surgery
We examine where the wrinkles appear, whether they remain visible at rest and how they change during facial movement. Skin thickness, elasticity, pigmentation, sun damage, eyelid anatomy, brow position and soft-tissue descent are considered to establish whether treatment should address the skin, the deeper facial structures or both.
Treatment Options
Treatment Options for Deep Facial Wrinkles at Ullas Facial Plastic Surgery
The best treatment for deep facial wrinkles depends on their location and underlying cause. CO2 laser treats established changes in the skin, while blepharoplasty, brow lifting, and facelift procedures address loose or descended tissue that contributes to deeper creases.
CO2 Laser for Etched Lines and Wrinkled Skin
CO2 laser resurfacing removes controlled areas of damaged surface tissue and heats the deeper dermis, stimulating collagen production during healing. It improves selected forehead wrinkles, under-eye lines and lip wrinkles, as well as associated sun damage, roughness and uneven texture. Treatment depth is adjusted carefully for each facial area.
Blepharoplasty for Under-Eye Wrinkles Caused by Loose Skin
Lower blepharoplasty removes or repositions excess skin, fat and sometimes muscle beneath the eyes. It improves deeper creasing associated with loose lower-eyelid skin and restores a smoother contour, but it does not remove every fine line or treat crow’s feet at the outer corners of the eyes.
Midface and Brow Lift for Forehead Wrinkles and Brow Descent
A midface and brow lift repositions deeper tissues across the forehead, brows and cheeks. It is relevant when forehead creases occur alongside a lowered brow, excess forehead skin, or flattening through the midface, addressing the structural changes that contribute to a heavy or tired upper-face appearance.
Facelift Procedures for Deep Folds Caused by Tissue Descent
A facelift addresses deeper creases and folds that have developed as the cheeks and lower-face tissues descend. A MACS facelift provides a more limited lift for earlier changes, while a preservation deep plane facelift repositions deeper tissues where more established descent has altered the midface, jawline and lower facial contours.
Your journey
What to Expect From Your Deep Facial Wrinkle Treatment
Your treatment experience depends on the cause of the wrinkles and the procedure selected. We explain what the proposed treatment addresses, what recovery involves and which changes it cannot achieve before you decide whether to proceed.
During your free consultation, a facial plastic surgeon examines the wrinkles at rest and during expression, assesses the surrounding skin and considers the position of the eyelids, brows and deeper facial tissues. A second complimentary consultation allows time to review the recommendation and ask further questions.
Treatment can involve CO2 laser resurfacing, blepharoplasty, midface and brow lifting, a MACS facelift or a preservation deep plane facelift. The procedure, anaesthetic and treatment setting vary considerably, so your surgeon will provide information specific to the approach recommended for you.
CO2 laser treatment involves redness, sensitivity and surface healing, with the recovery period determined by the treatment depth. Surgical procedures produce swelling and bruising that settle over several weeks, followed by continued refinement as the tissues heal.
Laser resurfacing produces gradual improvement as new collagen develops and the skin renews. Surgical treatment creates structural change by removing excess eyelid tissue or repositioning descended facial tissues, with the final result becoming clearer as swelling resolves.
cost
How Much Does Deep Facial Wrinkle Treatment Cost?
The cost of feep facial wrinkle treatment depends on the type of treatment recommended. Following consultation, you will receive a clear quotation tailored to your specific treatment plan.
Flexible Options
Spread the cost with manageable monthly payments
Terms Available
Various payment terms to suit your circumstances
Regulated Provider
Finance provided through Pall Mall Medical
Our dedicated patient coordinator will discuss all available finance options during your consultation, helping you find a plan that works for your budget.
Explore Your Deep Facial Wrinkle
Treatment
Options
Reclaim your self-assurance
Choose Us
Why Choose Ullas Facial Plastic Surgery for Your Deep Facial Wrinkle Treatment?
Deep wrinkles require more than a surface assessment. Our facial plastic surgeons examine the skin, facial movement and underlying anatomy before deciding whether resurfacing, regional surgery or broader facial rejuvenation is appropriate.
Patients receive:
Assessment directly with a facial plastic surgeon
Access to surgical and laser-based treatments
Procedures selected according to wrinkle location and cause
Clear explanations of treatment limitations
Free first and second consultations
Treatment planning focused on natural facial balance
A named point of contact
Complimentary follow-up and aftercare
Our Doctors
Meet Your Facial Plastic Surgeons
Two specialist facial plastic surgeons lead your care at Ullas Facial Plastic Surgery with extensive training in both aesthetic and reconstructive facial surgery.
Professor Ullas Raghavan is an internationally recognised facial plastic and reconstructive surgeon with decades of experience in complex facial surgery, including preservation deep plane facelift and neck lift techniques.
Mr Gautham Ullas is a UK-trained facial plastic surgeon with specialist expertise in facial rejuvenation, revision rhinoplasty and facial nerve reconstruction, offering a thoughtful and modern approach to facial surgery.
Book a Deep Facial Wrinkle Consultation
Book a free consultation at Ullas Facial Plastic Surgery to discuss deep facial wrinkles and the treatments appropriate for your skin and facial anatomy. We welcome patients from Manchester, throughout the UK and overseas.
If you would like to arrange a consultation, you can reach the team by:
FAQ
Deep Facial Wrinkle FAQs
How can I get rid of deep facial wrinkles?
Laser resurfacing or a surgical procedure can reduce deep facial wrinkles, depending on their location and cause. A consultation determines whether the concern lies within the skin, the deeper tissues or both.
What is the best treatment for deep wrinkles on the face?
No single treatment works best for every deep facial wrinkle. CO2 laser treats etched skin lines, while eyelid, brow, and facelift procedures address structural changes that contribute to deeper creases.
Can CO2 laser treat deep facial wrinkles?
CO2 laser improves selected established wrinkles by resurfacing damaged skin and stimulating collagen production. Results depend on wrinkle depth, treatment intensity, skin type, and facial area.
Can blepharoplasty treat under-eye wrinkles?
Lower blepharoplasty improves deeper creases caused by loose lower-eyelid skin and excess tissue. It does not remove every fine line beneath the eyes or treat crow’s feet.
Can a brow lift treat forehead wrinkles?
A brow lift smooths excess forehead skin and improves creases associated with brow descent. Wrinkles caused primarily by repeated muscle movement or surface skin damage may require an additional treatment.
What is the best treatment for lip wrinkles?
CO2 laser resurfacing treats selected vertical lip wrinkles and changes in skin texture around the mouth. A surgical lip lift changes upper-lip position and proportion rather than directly treating wrinkled skin.
Can a facelift remove deep facial wrinkles?
A facelift softens deeper folds caused by descended cheeks and lower-face tissues. It does not remove every etched wrinkle from the forehead, under-eye area or skin around the lips.
Can different deep facial wrinkle treatments be combined?
Yes, procedures can be combined or staged when wrinkles and tissue descent affect different levels of the face. The sequence is planned around treatment safety, healing and the areas requiring correction.
How much downtime is needed after deep facial wrinkle treatment?
Downtime depends on whether treatment involves CO2 laser resurfacing or a surgical procedure. Your surgeon will provide a specific recovery estimate once you’ve agreed on the treatment depth and procedure.
How long do deep facial wrinkle treatment results last?
Results from laser resurfacing and facial surgery are long-lasting, although the skin and deeper tissues continue to age. Sun exposure, smoking, skin quality and the treatment performed all influence how the result changes over time.