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Everyone knows that aging, sun exposure and smoking all contribute to the creation of wrinkles on one’s face. But the real culprit is something that can not be avoided, the movement of the overlying skin from the underlying muscles of facial expression. If the face didn’t move there would be far fewer wrinkles. (hence why Botox is so popular) But facial wrinkles do not form in a random manner. Wrinkles on the skin develop in an orientation perpendicular to the movement of the underlying muscles. This is why vertical wrinkles form on the upper lip, crow’s feet develop on the sides of the eyes, horizontal wrinkles appear on the forehead and the dreaded 11’s are created between the eyebrows.

Dr. Barry Eppley

Indianapolis, Indiana

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