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Wrinkled skin

Wrinkled skin reflects natural changes in skin structure over time. Led by Medical Director Dr Joney De Souza, our medical team focuses on understanding why wrinkles form before considering treatment.

What is wrinkled skin?

Wrinkled skin refers to deeper, more established lines and creases that form as skin structure changes. Wrinkles may appear in areas of repeated movement or in regions where skin has thinned and lost elasticity. Wrinkled skin differs from fine lines in depth and permanence, and often reflects longer-term changes in collagen and support.

Botox is commonly used to reduce wrinkles by relaxing the facial muscles that cause repeated skin creasing. Wrinkles form over time as expressions such as frowning or squinting fold the skin in the same areas. Therefore, by limiting this muscle movement, Botox allows the skin to smooth out and prevents lines from deepening. As a result, the face looks softer, more rested, and refreshed while natural expression is maintained.

Remove wrinkles with Botox

Why does skin become wrinkled?

Wrinkled skin develops due to multiple factors acting together.

These may include:

  • Gradual loss of collagen and elastin

  • Repeated facial movement over time

  • Sun exposure and environmental damage

  • Thinning and dehydration of the skin

  • Genetic influences

The pattern and severity of wrinkles vary between individuals.

Endolift can help improve wrinkles by tightening skin and stimulating collagen from within. Wrinkles develop as skin loses firmness and structural support over time. Therefore, by delivering targeted laser energy beneath the skin, Endolift encourages skin contraction and collagen renewal. As a result, the skin appears smoother, firmer, and more refreshed without the need for surgery.

Discover Endolift
wrinkled-skin

How do we assess wrinkled skin?

Assessment focuses on whether wrinkles are primarily related to movement, skin quality, structural support or a combination of factors. Our medical team evaluates skin thickness, elasticity and facial dynamics.

This allows us to explain which approaches may help soften wrinkles and which changes are less responsive to non-surgical treatment.

Ask us about wrinkled skin
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Wrinkled Skin Treatments at Dr Joney De Souza

Wrinkled skin develops as collagen and hydration decline with age and sun exposure, leaving creases, crepiness and a loss of surface smoothness. At our Marylebone clinic we soften wrinkles with muscle-relaxing injections, hydration boosters and resurfacing lasers, and a consultation matches you to the right option for your skin.

Anti-Wrinkle Injections
From £190
Relaxes the muscles behind expression lines, smoothing forehead, frown and crow’s feet wrinkles while softening how new creases form.
Profhilo
From £400
Delivers intense hyaluronic acid hydration that plumps crepey, wrinkled skin from within and stimulates fresh collagen for lasting smoothness.
CO2 Laser Resurfacing
From £850
Resurfaces the skin and triggers deep collagen renewal, visibly reducing etched wrinkles and restoring firmer, more even texture over time.

Book a consultation at Dr Joney De Souza in Marylebone to find the wrinkle treatment best suited to your skin.

Frequently Asked Questions

What is one of the most commonly discussed treatments for wrinkled skin?

Anti-wrinkle injections are often discussed where wrinkles are primarily related to repeated muscle movement.

 

How can wrinkled skin be improved?

Improvement depends on the type and cause of wrinkles. Options discussed at our clinic may include anti-wrinkle injections, dermal fillers, polynucleotide treatments, skin boosters and UltraClear laser resurfacing. The aim is gradual softening and improved skin quality.

Are wrinkles the same as fine lines?

No. Wrinkles are deeper and more established, while fine lines are typically shallower and may fluctuate.

Can wrinkled skin be completely reversed?

No. Treatments aim to soften wrinkles and support skin health rather than fully reverse ageing.

Do wrinkles worsen with age?

They often become more noticeable over time as collagen and elasticity decline.

Can skincare alone improve wrinkled skin?

Skincare can support skin health, but deeper wrinkles usually require in-clinic treatments for visible improvement.

Does everyone with wrinkled skin need treatment?

No. Many people choose not to treat wrinkles once they understand why they develop and how they may change.

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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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