Q: I’m 43 years old, Lebanese, and am finding that the skin on my face is getting deeply wrinkled, with deep lines between nose and upper lip, and skin folds in the mouth area. Will Botox or fillers help?

Keeping your age in mind, my diagnostic impression will slightly tilt towards premature photo-ageing of your skin, which could be a result of cumulative sun damage over the years. This can be easily fixed by Botulinum Toxin injections on the affected areas given in a smartly calculated dose.

[I have wrinkles but don’t want to use Botox]

The other concern of appearance of deep lines between your upper lip and the bridge of the nose/nostrils (nasolabial folds) can be a part of your facial features under the genetic make-over. Certain individuals can develop the same after going through crash diets that result in major weight loss over a short period of time, creating sagging skin. This problem can be fixed through artistically injected dermal fillers within and around the affected areas in different proportions.

Now, let’s address your third problem, of the appearance of the skin folds under your chin (marionette lines). The area around your mouth can be fixed with a combination of dermal filler injections and Botulinum Toxin injections given by an experienced aesthetic dermatologist. There are certain other treatment techniques such as thread lifts that are showing better results in resolving such a problem.

Consult an experienced dermatologist for a detailed diagnosis.

Dr Ikramullah Al Nasir is a specialist dermatologist and medical director at Dermacare Dubai. Got a problem? Our fantastic panel of renowned experts is available to answer all your questions related to fashion, well-being, nutrition, finance and hypnotherapy. Email your queries to friday@gulfnews.com.