Deep Facial Wrinkles
Smooth lines and restore a more youthful appearance with targeted treatments.
I can highly recommend both him and his clinic team. My experience from start to finish was professional friendly and not at any point did a worry or feel nervous.
Thank you
Mr Ahmad has a real artistic eye, and that made all the difference. He didn’t just focus on changing my nose, but on how it would harmonise with the rest of my features. The result is a subtle, cute nose that genuinely suits my face.
I also really appreciated how straightforward and manageable the aftercare was—it made the whole process feel much less overwhelming. Overall, I feel more confident, more comfortable in myself, and I can finally breathe properly. I couldn’t have asked for a better outcome.
I have lost two close relatives to malignant melanoma. I was referred on by my GP for ‘ urgent skin cancer assessment’ of a suspicious mark on my face. NHS. It was a two week wait for a photo then a predicted 3 week wait for a result sent to me by text. With fair Scots skin and family history, l struggled with what would be a 5 week wait just for a diagnosis.
I made an appointment at the clinic. I got an appointment and a result within days. Thankfully negative. The result was told to me by a person, not the text message the NHS promised. I also got skin care advice and a prescription for previously undetected sun damage which l greatly appreciate. I was treated with utmost kindness and courtesy. I am so grateful that l heard your radio advert offering this service.
Preparation for the surgery could have been more thorough. I was unaware of extent of recovery timeline and importantly, what this could look like. I had swelling for well over two years and even now the tip is still refining. I understand now how complex a surgery this is.
In hindsight I wish Mr Ahmad, like the majority of other surgeons as I understand, had provided an image or drawing of what he had in mind prior to the surgery.
The early recovery was hard, I had a lot of swelling, bruising, and looked completely unrecognisable. This was somewhat expected though did seem at the more severe end of the scale. The surgery took 4.5 hours.
Following the surgery I was left with an asymmetrical residual hump, depression through centre of nose, retracted nostrils and a large scar on one nostril through error of Mr Ahmad as I understand, though he was never forthcoming in explaining reasoning. I felt it had a ‘done’ look and could have been more natural. After the surgery, as I was not entirely happy with the result given the above, and ironically at this stage and not before, Mr Ahmad suggested therapy or that I may have body dysmorphia, to correct the relationship with my nose. Therapy was not offered prior to the surgery of course. I felt very much gaslit and on meeting with other practitioners concerns were understood and addressed.
Another insensitive moment came when I mentioned perhaps spending too much time on Instagram, where content served to me is focused on appearance. Mr Ahmad replied they liked Instagram, alluding to it’s how they make their money.
Mr Ahmad offered to correct the scar on my nostril, which improved it somewhat though not entirely it is still visible. Ironically during the procedure Mr Ahmad nearly nipped my lip with the scissors, much to the nurse’s surprise. Not the comforting attention to detail of a surgeon.
He has done an amazing job on two vivid scars I had on my face.
Nikki the Practice Manager is great, a thoroughly professional and welcoming Clinic. I would recommend them to anyone.
I've had three deep face peels, scar revision on some deep acne scars and skin consultations with him and his staff and my skin now looks the best it has for years after suffering from sun damaged, acne prone skin for a long time I never imagined my skin could look so good.
I've been told the best products to use for my skin type etc.
Highly recommend Mr Ahmad and Cambridge Clear Beauty for all your skin issues and him and all of his staff are highly professional, friendly people who always make you feel welcome.
From the very beginning, Mr Ahmad took the time to listen carefully and make detailed notes, even producing incredibly precise drawings to capture what we discussed. His insights into what would suit my face best were invaluable, and it’s clear that his experience and knowledge guided the outcome.
The results have been outstanding. My nose has healed beautifully, with a natural appearance that feels completely in harmony with my features. Most importantly, I can now breathe freely through both nostrils, which has made a huge difference to my day-to-day life—improving sleep, exercise, and overall wellbeing.
What impressed me further was that Mr Ahmad was able to achieve this through a closed approach, which I understand is particularly challenging, but a testament to his years of expertise and recognition in the field.
Equally, the team around him were fantastic throughout the process. I always felt reassured, supported, and in safe hands at every stage of my treatment.
I am absolutely delighted with the outcome and would wholeheartedly recommend Mr Ahmad. His skill, professionalism, and care have been exceptional.
I did have extensive bruising that was explained by Mr Ahmad would happen. My top eyelids healed fairly quickly but the bottom eyebags are more difficult. Mr Ahmad and Nikki have always answered my questions and have always seen me regularly or when iv had a worry and eased my concerns.
Overall, my eyes are healing now, and after 3 months are doing well and looking much better. Mr Ahmad told me it could take up to a year for my healing process to end.
As it is an invasive surgery I can understand why, but thankfully its getting there and I'm pleased with how my results are starting to look.
I trust Mr Ahmad 100% as he has always been very professional and kind.
Led by Mr Ahmad
Meet Mr Tariq Ahmad Plastic and Reconstructive Surgeon
FRCS & FRCS(Plast)
This content has been medically reviewed by Mr Tariq Ahmad
As we age, repeated facial expressions combined with natural collagen loss create deep lines that remain visible even at rest. Nasolabial folds running from the nose to the mouth, marionette lines extending downward from the corners of the lips, forehead creases, and crow’s feet around the eyes are among the most common signs of facial ageing.
At Cambridge Clear Beauty, we’ll take the time to assess your skin and figure out the right treatment approach. What’s suitable can depend on factors such as the depth and location of the lines and your skin quality. We’ll explain which options are appropriate for your particular concerns and what you can realistically expect from each approach.
What are Deep Facial Wrinkles?
Deep facial wrinkles are lines and folds that have become etched into the skin over time, remaining visible even when your face is completely relaxed. Unlike fine lines that may only appear with certain expressions, deep wrinkles represent a more advanced form of skin ageing where the underlying structure has been permanently altered.
Common types of deep facial wrinkles include:
- Forehead wrinkles: Horizontal lines across the forehead
- Frown lines: Vertical lines between the eyebrows
- Crow’s feet: Lines radiating from the outer corners of the eyes
- Under-eye wrinkles: Fine to deep lines beneath the lower eyelid
- Nasolabial folds: Lines running from the nose to the corners of the mouth
- Marionette lines: Lines extending downward from the corner of the mouth towards the chin
- Lip wrinkles: Vertical lines around the mouth, sometimes called smoker's lines
The severity of deep wrinkles varies considerably. Some people develop moderate lines in their forties, whilst others may not see significant wrinkling until much later. Genetics, sun exposure and smoking all influence how quickly and severely these wrinkles develop.
What Causes Deep Facial Wrinkles?
Deep facial wrinkles develop through a combination of repetitive muscle movement, natural ageing processes and cumulative environmental damage that breaks down the skin’s structural integrity over time.
Repeated Facial Expressions and Muscle Activity
Every time you smile, frown, squint or raise your eyebrows, the underlying facial muscles contract and the skin folds in the same pattern. In younger skin with healthy collagen reserves, these lines disappear once the expression relaxes.
After years of repeated folding in the same places, however, the skin loses its ability to spring back, and the creases become permanently etched in. This is why wrinkles tend to form in predictable patterns that mirror our most frequent expressions.
Natural Ageing and Collagen Breakdown
As we age, the body’s production of collagen and elastin begins to decline. This process typically starts in the late twenties and accelerates significantly after 40.
At the same time, the skin becomes thinner and drier, losing the cushioning and moisture that once helped it resist creasing. The combination of reduced structural support and repeated mechanical stress from facial movement results in deep wrinkles that form and deepen over the years.
Sun Damage and Environmental Factors
Ultraviolet radiation from sun exposure is one of the most significant accelerators of deep wrinkling. UV damage breaks down collagen fibres at the cellular level, a process known as photoageing, weakening the skin’s ability to resist fold formation.
Smoking has a similarly destructive effect, reducing blood flow to the skin and introducing toxins that impair collagen synthesis and repair. Dehydration, poor nutrition and exposure to pollution further compromise skin quality and resilience, making wrinkles appear earlier.
Genetics and Skin Type
Individual susceptibility to deep wrinkles varies widely due to genetic factors. Some people are born with naturally thicker, more collagen-rich skin that resists wrinkling longer, whilst others have thinner or more delicate skin that shows signs of ageing earlier.
Skin tone also plays a role; fair skin tends to wrinkle more readily than darker skin types due to lower melanin protection against UV damage. Even with identical sun exposure and lifestyle habits, however, two people may develop wrinkles at very different rates.
Should I Consider Treatment for Deep Facial Wrinkles?
The decision to treat deep facial wrinkles is entirely personal. What matters is whether the lines are bothering you, affecting how you feel about your appearance or making you look older or more tired than you actually feel.
When Wrinkles Become Bothersome
Many people seek treatment when deep wrinkles start to feel permanent or when they notice lines appearing even without any facial expression. This might be when forehead creases no longer smooth out, when nasolabial folds deepen noticeably or when crow’s feet become more prominent.
When Multiple Concerns are Present
Deep wrinkles rarely exist in isolation. Often, they’re accompanied by other changes, such as volume loss, skin texture issues, or pigmentation damage. In these cases, treating the wrinkles alone may not yield the results you’re hoping for.
Understanding how different concerns interact and which combination of treatments might work together can make the difference between subtle improvement and meaningful change.
Realistic Expectations
Deep wrinkles that have been present for years won’t vanish completely with any treatment. What’s achievable depends on factors like skin thickness, wrinkle depth and how much structural damage has occurred.
Treatment Options for Deep Facial Wrinkles at Cambridge Clear Beauty
Non-Surgical Treatments
The appropriate non-surgical approach depends on whether your wrinkles are primarily caused by muscle movement, loss of underlying volume, or cumulative skin damage.
Dermal Fillers
Hyaluronic acid-based dermal fillers are designed to restore volume and soften deeper static wrinkles, including nasolabial folds, marionette lines and lip lines. Fillers work by gently lifting the crease from beneath the skin, reducing its depth and restoring more youthful contours.
With an experienced clinician, someone who knows the detailed anatomy of the face, fillers can also be judiciously placed not only to fill surface contours but also more deeply, to restore loss of bony support of the soft tissues. With more expert knowledge of the facial fat pads and other structures it may be possible to achieve a modest lifting effect and sometimes to restore some youthful features that have been lost. However a natural ‘untreated’ outcome will always be our aim.
LaserMe Skin Resurfacing
This non ablative fractional resurfacing laser treatment targets damaged surface layers of skin while stimulating collagen remodelling at deeper levels. It is effective for softening a range of wrinkles simultaneously, refining texture, evening tone and improving fine to moderate lines across the face.
Chemical Peels
Medical-grade chemical peels exfoliate the outer layers of damaged skin, promoting the growth of fresh, smoother skin. They can be categorised as ‘nutritive’ to the skin such as fruit acid (glycolic acid) and retinol peels as well as resurfacing peels such as TCA (trichloroacetic acid). Light to medium peels can soften fine lines and improve surface texture, while deeper peels may help reduce more established wrinkles and pigmentation irregularities.
Morpheus8
Morpheus8 uses radiofrequency-assisted microneedling to heat the tissue beneath the skin and stimulate collagen production. This treatment can improve moderate wrinkles, enhance firmness and refine texture, particularly in areas where skin quality has declined due to age or sun exposure.
Anti-Wrinkle Injections
Considered the gold standard for dynamic wrinkles, anti-wrinkle injections temporarily relax targeted facial muscles responsible for expression lines such as forehead lines, frown lines and crow’s feet. By reducing muscle activity, the overlying skin appears smoother and more refreshed.
Surgical Treatments
For deeper wrinkles that have not responded to non-surgical approaches, surgical correction may be necessary.
Full Face Lift, Neck Lift, Face & Neck Lift
A full facelift addresses deeper wrinkles in the mid and lower face by tightening the underlying SMAS layer, repositioning descended facial tissues and removing excess skin to restore structural support. Every face lift involves a bit of a neck lift and every neck lift involves a bit of a face lift – this is needed to maintain harmony in the appearance and so to look natural, ‘unoperated’; in a face and neck lift all areas can be addressed. This comprehensive approach smooths pronounced folds, improves sagging along the jawline and enhances overall face and neck definition.
Eyelid Surgery (Blepharoplasty)
Specifically treats deep wrinkles, crepiness and excess skin around the eyes, as well as unsightly ‘bags’ due to protrusion of the fat pads behind the eyelids. Can be performed on the upper lids, lower lids or both, depending on where wrinkling is most pronounced. Often combined with other facial or medical aesthetic procedures for comprehensive rejuvenation.
Meet Mr Ahmad
Mr Ahmad is a leading consultant plastic surgeon with more than 25 years of experience in medical aesthetics. He works as a consultant in the NHS and is both the leading surgeon and director for Cambridge Clear Beauty.
Renowned for his artistic eye, technical precision and compassionate approach, he has also received numerous awards throughout his professional career. His commitment to patient care is reflected in his attention to detail, his dedication to safety, and the longstanding trust he has built with patients seeking plastic reconstructive and medical aesthetic surgery.
MA (Oxon) MBBChir (Cantab) FRCS FRCSEd FRCS (Plast)
Consultant Plastic & Reconstructive Surgeon
25+ Years Experience
Specialising in facial rejuvenation
100+ Procedures
Successfully performed plastic and non-surgical procedures
Professional Memberships & Accreditations
Risks and potential complications of facelift surgery
While facelift surgery is generally safe when performed by an experienced plastic surgeon, the specific risks vary depending on the type of facelift, the extent of the procedure, and your individual health. Potential risks and complications may include:
- Bruising and swelling
- Infection
- Scarring
- Bleeding or haematoma
- Numbness or changes in skin sensation
- Asymmetry or irregularities in contour as tissues heal
- Nerve injury, which is rare but can affect movement or sensation
Mr Ahmad will discuss these risks with you in detail during your consultation so you can make a fully informed decision about your treatment.
Why Choose Cambridge Clear Beauty for Your Wrinkle Reduction Treatments
Experience
Mr Ahmad brings over 25 years of experience in facial surgery and medical aesthetic procedures. His expertise ensures procedures are performed using modern techniques with a focus on delivering natural-looking, long-lasting results.
Trust
Every patient receives a fully personalised treatment plan, created after careful assessment and honest discussion about their goals, concerns and expectations. Mr Ahmad’s approach is transparent and informative, ensuring you understand your options and feel empowered in your decision-making.
Patient feedback consistently highlights the positive experience at Cambridge Clear Beauty, and the Clinic’s testimonials demonstrate the trust and reassurance patients find in Mr Ahmad’s expertise and his team’s care.
Our Promise
At Cambridge Clear Beauty, you will be listened to without judgement or pressure, and supported through every stage of your journey. From the moment you book your initial consultation through to your final follow-up appointment, our commitment is to ensure you feel confident, well-cared for and fully informed about the decisions you’re making.
Frequently Asked Questions
How to get rid of wrinkles?
The most effective approach depends on what’s causing your wrinkles. Dynamic lines from muscle movement (forehead, frown lines, crow’s feet) respond well to anti-wrinkle injections. Deep static folds, such as nasolabial lines, typically require dermal fillers or laser resurfacing. Very deep, established wrinkles often need surgical correction, particularly when accompanied by loose skin.
Can deep wrinkles be removed completely?
Deep wrinkles can be significantly improved but rarely disappear entirely. The goal is noticeable softening and smoothing, not complete erasure. The amount of improvement possible depends on wrinkle depth, skin thickness, duration and cause.
What is the most effective treatment for deep wrinkles?
There’s no single answer because different wrinkles require different approaches. For many people, combining treatments delivers the best results. Treatment recommendations should be based on careful assessment of your individual wrinkle pattern and skin quality, not a one-size-fits-all approach.
How long do wrinkle treatments last?
Duration varies by treatment type. Anti-wrinkle injections last 3-6 months, dermal fillers last 12-18 months and laser resurfacing results can last several years with proper sun protection. Surgical treatments like facelifts provide the longest correction, lasting 10+ years.
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