The best treatment for deep wrinkles on your face depends on what is causing them. In most cases, the most effective results come from combining a few targeted treatments rather than relying on just one. Deep wrinkles form for different reasons: repeated muscle movement, loss of volume and collagen, and years of sun exposure. Because no single treatment addresses all three, the right plan usually layers a muscle relaxer like Botox, a volume-restoring filler or biostimulator, and a collagen-building treatment. This guide breaks down each option, explains which deep wrinkles respond to what, and helps you understand how a clinician builds the right combination for your face.
TL;DR: Key Takeaways
There is no single "best" treatment for deep wrinkles. The most effective results come from combining treatments matched to the cause.
Botox softens movement-related lines; filler and Sculptra restore lost volume; skin tightening and microneedling rebuild collagen.
Deep static wrinkles (visible at rest) usually need volume restoration or resurfacing, not just Botox.
A 2025 peer-reviewed study found Sculptra improved midfacial volume by 84.91% at 12 months, with results lasting up to 24 to 36 months.
Starting earlier means deep wrinkles are easier to soften. Prevention always outperforms correction.
A professional assessment is the only reliable way to identify the right combination for your face.
Book a complimentary consultation at Beyond Medical Aesthetics, Markham.
Table of Contents
• What Causes Deep Wrinkles on the Face?
• Are Deep Wrinkles Dynamic or Static, and Why Does It Matter?
• Which Treatments Work Best for Deep Wrinkles?
• Is Botox or Filler Better for Deep Wrinkles?
• Can Deep Wrinkles Be Treated Without Injections?
• How Do You Choose the Right Treatment Plan for Your Face?
• Conclusion: Find Your Best Wrinkle Treatment at Beyond Medical Aesthetics
• Frequently Asked Questions
What Causes Deep Wrinkles on the Face?
Before choosing a treatment, it helps to understand why deep wrinkles form, because the cause directly determines the fix.
Deep wrinkles develop from three main forces working together over time. The first is repeated muscle movement: every frown, squint, and raised eyebrow creases the skin, and over years those creases etch in permanently. The second is collagen and volume loss. According to Varani et al.'s widely cited research in the American Journal of Pathology, collagen production declines roughly 1% per year from your mid-20s, so skin loses the structural support that once kept it smooth and plump. The third is sun damage: a clinical study of 298 women found that UV exposure is responsible for roughly 80% of visible facial aging signs, published in Clinical, Cosmetic and Investigational Dermatology.
This matters because a wrinkle caused by muscle movement responds to a completely different treatment than one caused by volume loss. That is why the "best" treatment is rarely a single product. It is the right combination for your specific mix of causes.
Are Deep Wrinkles Dynamic or Static, and Why Does It Matter?
This is the single most important distinction in treating deep wrinkles, and understanding it will make everything else clearer.
Dynamic wrinkles appear when you make an expression: crow's feet when you smile, forehead lines when you raise your brows. These are caused by muscle movement and respond best to Botox, which relaxes the muscle so it stops creasing the skin.
Static wrinkles are visible even when your face is completely at rest. These have usually progressed from years of dynamic movement combined with volume and collagen loss, and they typically need more than Botox alone: often volume restoration, collagen stimulation, or resurfacing.
Most deep wrinkles are static by the time people seek treatment, which is exactly why a single injection rarely erases them completely. Recognising which type you have is the first step toward the right plan.
Which Treatments Work Best for Deep Wrinkles?
Here is how the most effective treatments map to different types of deep wrinkles.
• Botox for movement-driven lines: For deep forehead lines, frown lines (the "11s"), and crow's feet, Botoxrelaxes the underlying muscle. Results appear within 3 to 5 days, peak at around two weeks, and last 3 to 4 months. For deeply etched dynamic lines, consistent Botox over time allows the skin to gradually smooth as the muscle stays relaxed.
• Dermal fillers for volume-related folds: Deep static wrinkles like nasolabial folds (nose-to-mouth lines) and marionette lines are largely caused by volume loss. Dermal fillersphysically restore that lost volume, smoothing the fold and supporting the surrounding tissue. Results are immediate and typically last 6 to 24 months depending on the area.
• Sculptra for gradual collagen rebuilding: Sculptrais a poly-L-lactic acid biostimulator that triggers your own collagen production over time, restoring firmness and volume across broader areas of the face. A 2025 peer-reviewed randomized controlled trial found an 84.91% improvement in midfacial volume at 12 months, with results lasting up to 24 to 36 months, making it especially effective for the generalised volume loss that deepens wrinkles.
• Skin tightening and resurfacing for texture and collagen: Treatments like Ultherapyand microneedlingstimulate new collagen to firm the skin and soften fine-to-moderate lines. Microneedling in particular has been shown to significantly increase collagen and elastin density over a treatment course, improving overall skin quality alongside targeted wrinkle treatments.
Is Botox or Filler Better for Deep Wrinkles?
This is one of the most common questions, and the honest answer is that they do different jobs. For deep wrinkles, it is often not either/or.
Botox is better for wrinkles caused by movement, particularly in the upper face: forehead lines, frown lines, and crow's feet. It cannot fill a deep static crease that exists at rest.
Filler is better for deep wrinkles caused by volume loss, particularly in the mid and lower face: nasolabial folds, marionette lines, and hollow areas. It physically restores the structure that has been lost.
For many people with deep wrinkles, the most natural, complete result comes from combining both. Botox relaxes the muscles that keep deepening upper-face lines, while filler or Sculptra restores the volume that has smoothed out. A clinician assesses your face and sequences these appropriately rather than applying a one-size-fits-all protocol.
Not sure whether Botox, filler, or a combination is right for your face? Book a complimentary consultation at Beyond Medical Aesthetics and our team will build a plan matched to what's actually causing your wrinkles.
Can Deep Wrinkles Be Treated Without Injections?
Yes. For people who prefer to avoid injectables or want to complement them, several non-injectable options can meaningfully improve deep wrinkles.
Collagen-stimulating treatments such as microneedlingand non-surgical skin tightening work by prompting your skin to rebuild its own structural support, which softens wrinkles gradually and improves overall firmness and texture. A PRP facial rejuvenation treatment, which uses growth factors from your own blood, can further enhance collagen production and skin quality.
At home, consistent use of a retinoid, daily broad-spectrum SPF, and antioxidant serums genuinely slows the progression of wrinkles and protects the results of any professional treatment. According to the American Academy of Dermatology, sunscreen and retinoids remain among the most evidence-backed anti-aging tools available. That said, deeply etched static wrinkles usually respond best to a combination of professional and at-home care rather than skincare alone.
How Do You Choose the Right Treatment Plan for Your Face?
Because deep wrinkles almost always have more than one cause, the most effective approach starts with a professional assessment rather than choosing a treatment yourself.
During a consultation, a clinician evaluates whether your wrinkles are dynamic or static, identifies the underlying causes (muscle movement, volume loss, collagen decline, sun damage), and builds a plan matched to your face, skin type, and goals. For some people that means Botox alone. For others, a combination of Botox, filler, and a collagen-stimulating treatment delivers the most natural, lasting result.
The key insight is that treating deep wrinkles well is about matching the treatment to the cause, not chasing a single "miracle" product. An experienced injector will always start conservatively and build gradually, which produces more natural results than aggressive one-time treatment.
Conclusion: Find Your Best Wrinkle Treatment at Beyond Medical Aesthetics
The best treatment for deep wrinkles on your face is rarely one thing. It is the right combination, matched to what is actually causing your wrinkles. Botox relaxes the muscles behind movement lines, filler and Sculptra restore lost volume, and collagen-stimulating treatments rebuild firmness from within. Together, matched to your face by an experienced clinician, they produce results that no single treatment can achieve alone.
At Beyond Medical Aesthetics in Markham, our registered-nurse-led team creates personalised wrinkle treatment plans for clients across Toronto and the GTA, with honest guidance and a natural-looking approach, never overdone.
Book your complimentary consultation
Frequently Asked Questions
What is the best treatment for deep forehead wrinkles?
Deep forehead wrinkles are usually caused by repeated muscle movement, so Botox is typically the most effective first-line treatment. It relaxes the muscle that creates the lines. If the wrinkles remain visible even at rest, a small amount of filler or a collagen-stimulating treatment may be added to smooth the etched line. A consultation confirms the right combination.
Can deep wrinkles be completely removed?
Deep static wrinkles can be significantly softened but are rarely erased completely without addressing every underlying cause. The best results come from combining treatments (relaxing the muscle, restoring volume, and rebuilding collagen) and from starting before the wrinkle becomes deeply entrenched. Realistic improvement, not perfection, is the goal.
How long do results from deep wrinkle treatments last?
It depends on the treatment. Botox lasts 3 to 4 months, dermal fillers last 6 to 24 months, and Sculptra can last up to 24 to 36 months. Collagen-building treatments like microneedling produce gradual, longer-term improvements. Your clinician will recommend a maintenance schedule based on your plan.
What is the best treatment for deep wrinkles if I want to avoid injections?
Non-injectable options include microneedling, non-surgical skin tightening, and PRP facial rejuvenation, all of which stimulate your own collagen to soften wrinkles gradually. Combined with a consistent at-home routine of retinoids and daily SPF, these can meaningfully improve deep wrinkles, though results build more gradually than with injectables.
At what age should I start treating deep wrinkles?
The most effective approach is to start before wrinkles become deeply etched, often in the late 20s to 30s with preventive Botox and good skincare. However, deep wrinkles can be improved at any age. The treatment plan simply shifts toward volume restoration and collagen rebuilding as wrinkles become more established.