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Porter Ranch, CA 91326

Creases, Folds and Volume Loss Los Angeles

Over the years, our faces lose their fullness, the skin loses elasticity, and a lifetime of laughs and frowns become etched on our faces leaving creases, lines, and wrinkles.

Facial and hand wrinkles and folds begin to show mainly when the collagen beneath the skin’s surface starts to break down as a result of aging and lifestyle. In the past, plastic surgeons only had surgical options in their armamentarium to correct wrinkles, folds, and creases. Procedures like excision or implantation of fat, collagen, or silicone often provided minimal improvement and exposed patients to the risks associated with surgery. Fortunately, thanks to science and technology, things have changed and nowadays softening of folds and restoring volume and contouring the face can often be achieved non-surgically with lasers and injectable products.


Different type of creases, folds, and wrinkles require different types of treatments. Creases and wrinkles in the upper face (like the crow’s feet, frown lines and forehead lines), known as dynamic wrinkles (related to movement and facial expressions) are best treated with a muscle relaxer, such as BOTOX® or Dysport, which when injected in a muscle, limit its movement that gives rise to these lines and folds. Please go to conditions treated with Botox® for details and the number of Botox® units required for correcting the condition.

On the other hand, sunken cheeks, creases and folds that are present at rest, though sometimes more pronounced with expression, are treated best with dermal fillers or fat transfer. Dermal fillers are a range of products that when injected into the skin fill and plump its depleted features.


Although classified as dynamic, in advanced cases upper facial wrinkles often become etched in even at rest. In these cases, additional filler injections or laser resurfacing may be needed for optimal results.


Dr. Raffi Dishakjian, the cosmetic surgeon of the medical spa, is an expert at using needles for cosmetic surgery purposes, including facial volume restoration with dermal filler and fat grafting. Patients at Nu Vela appreciate him for his artistic eye and his techniques to deliver natural looking results that make you appear refreshed, more beautiful, and years younger. Please contact our office for a comprehensive consultation with Dr. Dishakjian to discuss your complaints and expectations. Dr. dishakjian will always carefully listen to his patients, explain the feasibility of a procedure, time for recovery, the likely outcome, and then recommend treatment options that can satisfy their desires.