HomeInjectablesEye / Mouth / Hand / Neck wrinkle
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Eye / Mouth / Hand / Neck wrinkle

Four areas, four different causes — planned one at a time

Eye, mouth, hand and neck lines get grouped together because they all look like wrinkles. Clinically they are not the same problem: the skin around the eye is thin and dries easily, the muscles around the mouth move all day, the back of the hand loses volume, and the neck folds in two directions at once. Each area is planned from its own cause.

Treatment time20–30 min per area
AnaesthesiaTopical cream
DowntimeSame-day return
IntervalPlanned at consultation

※ The final plan and cost are confirmed by your physician after an in-person examination at the clinic. Results and recovery vary by individual.

Eye / Mouth / Hand / Neck wrinkle

Why we start from the area, not the device

A wrinkle is a symptom, and its cause differs by area. The same fine line on the eyelid and on the back of the hand comes from different tissue behaving differently, so the same injection or the same device does not answer both.

At consultation the area is read first — how thin the skin is, how much the muscle underneath moves, how much soft tissue has thinned, and whether the line is visible at rest or only on movement. A skin-analysis system that reads the face, the neck and the wrinkle pattern in one pass is used alongside the physician's assessment, and the plan is built from what both show.

Four areas, four causes

This is the part that decides everything else. The four areas below are not variations of one problem.

Around the eyes
The skin here is far thinner than elsewhere, and the muscle blinks and moves constantly, so this area is more sensitive to lines and slackening than any other. It also has few sebaceous glands, so it dries easily — and as it dries, firmness falls with it and the skin begins to loosen.
Around the mouth
The tissue is as delicate as the eye area, and the muscles around the mouth are among the ones in constant use through the day, so lines form here readily. Left alone they tend to deepen and widen, which is why we suggest planning while the lines are still shallow rather than waiting.
Back of the hands
Four changes usually run together: pigment such as age spots and lentigines, fine lines as collagen decreases, rough texture from dryness, and a flattened look as the soft tissue underneath thins. Hands are exposed and in contact with things all day, yet they are the area people care for least.
Neck
The neck is the most visible area after the face and cannot be covered with makeup. Lines run in three patterns — horizontal, vertical, and a mixed pattern of fine and deeper lines with no single direction — and each pattern comes from a different cause.

Horizontal and vertical neck lines

The two patterns on the neck are often treated as one thing. They are not. A third, mixed pattern — fine and deeper lines running across the whole neck without direction as firmness falls — usually needs elements of both columns.

Horizontal linesVertical lines
Main causeLess about ageing than about posture and habit — the skin is folded in the same place, again and againAgeing — firmness falls and the skin descends with it
What we look atWhere the fold sits, how deep it is at rest, and how the neck is held through the dayHow much laxity there is, and whether the jawline and the neck have blurred into one line
Usually on the tableWrinkle botulinum toxin, wrinkle filler, Mirajet with the selected boostersUlthera or Thermage over the neck, combined with Mirajet, Rejuran and boosters
What continues afterPosture matters. If the same fold is repeated daily, the line tends to returnFirmness is maintained over time, so the interval is reviewed at follow-up

What goes on the table for each area

These are the candidates we discuss, not a fixed course. Which of them is used, and in what proportion, is decided by the physician at consultation.

Eye Total / All-in Eye
Mirajet with the booster package, wrinkle botulinum toxin (Xeomin), Rejuran Eye and medical skincare. Where laxity is the larger part of the picture, the All-in programme adds Eye Thermage and Eye Ulthera.
Mouth lifting
Mirajet and the Mirajet package, wrinkle filler, and skincare before and after. For lines that have already set in, a regenerative composite filler is placed under local anaesthetic to restore volume along the lip line.
Hand lifting
Mirajet and the Mirajet package, wrinkle filler, and LED regenerative light care. Hand filler responds sensitively to which product is chosen and the depth it is placed at, so both are decided by the physician rather than by a set protocol.
Neck Total / All-in Neck
Mirajet and the package, wrinkle botulinum toxin, wrinkle filler and medical skincare. The All-in programme adds Ulthera or Thermage over the neck together with Rejuran.

Tips sized for the area

Where a device is used near the eye or on the neck, the tip is not the standard face tip.

Ulthera 1.5 mm and 3.0 mm tips
Two depths are available for the eye area, so the energy can be placed where that particular line sits rather than at a single fixed depth.
Thermage eye tip, 0.25 cm²
The dedicated small tip for the eye area, used instead of the face tip so the energy stays where the skin is thinnest.
Private single room
Each session is carried out in a private room, with topical anaesthetic cream applied beforehand as standard.
Care before and after
Cleansing and preparation before the session, and circulation and recovery care afterwards, are part of the programme rather than an add-on.

Mirajet — what the micro-jet is doing

Mirajet delivers a micro-jet into the skin, and the jet itself is part of the treatment: it stimulates fibroblasts in the dermis, prompts collagen production, and works as skin rejuvenation across the treated area.

The second half is what the jet carries in. Hyaluronic acid addresses lines and firmness, botulinum toxin at dermal level addresses firmness, and vitamins support skin activity. Because it is the same jet in every area, what changes between the eye, the mouth, the hand and the neck is the composition and the pressure, not the machine.

What the Mirajet package contains

PDRNSkin cell regeneration
Hyaluronic acidDeep hydration
Skin botulinum toxinFine lines and firmness
Pigment injectionBrightening
Vitamin CAntioxidant support

Boosters we select from

The eye and the neck are thin and reactive, so the booster is chosen from the wrinkle pattern and the skin type rather than by popularity.

Collagen supplied or prompted
Retigen — type 1 collagen at 99.9% purity placed directly into the dermis. Collaum — PLLA microspheres that prompt the skin's own collagen. Ultracol — PDO microparticles. Rituo — allogeneic dermis containing collagen and elastin.
Regeneration-directed
Rejuran Healer for skin damaged by ageing and repeated irritation. Juvelook, a booster combining high-molecular PLA with hyaluronic components. Exosome, from stem cell culture medium, used to support the skin barrier.
Hydration and tone
Jalupro — concentrated pure amino acids with hyaluronic acid. Fillmed NCTF — 53 components blended with hyaluronic acid. Radiance filler — hyaluronic acid acting as a water magnet for tone and fine lines.
Texture and pores
Skin botulinum toxin, placed in the dermis rather than the muscle layer, for sebum, pore tightening and fine lines. Radiesse — a mineral component addressing the extracellular matrix.

Questions we are asked most

Can more than one area be treated in the same visit?

Often, yes. Because the base treatments overlap between areas, eye, mouth, hand and neck are frequently planned together in one visit. The order and how much is used on each area are decided at consultation.

Filler or botulinum toxin — which is right for me?

They answer different questions. Filler restores volume where a line has already set in; botulinum toxin addresses lines produced by muscle movement. Many plans use both, in different places on the same area. Which applies to you is determined by the physician.

Can I go out afterwards, or fly home?

These are non-surgical treatments and normally allow a same-day return to your schedule. Injection-based treatments can leave small marks or brief redness at the entry points, so we tell you what to expect for your specific plan before you agree to it.

Does the back of the hand really need its own plan?

Yes, because four things usually change at once there — pigment, fine lines, texture and volume. Hand filler in particular behaves differently depending on the product and the depth it is placed at, so it is not simply the face plan applied lower down.

My neck lines come from looking at my phone. Is that treatable?

Horizontal neck lines are more often the result of posture and habit than of ageing, so treatment addresses the fold that has formed while the habit is discussed alongside it. If the same fold is repeated every day, the line is more likely to return.

What we look at before anything is switched on

01
Skin analysis first
Skin type, thickness and condition are assessed before settings are chosen, so energy levels and tips match the skin in front of us rather than a default protocol.
02
Planned and performed by a physician
The doctor who consults you draws up the plan and carries it out. Nothing is delegated after the consultation.
03
Layered, not single-device
Treatments are combined by depth and symptom, with intervals planned around your recovery.
04
Care that continues
Conditioning before, calming immediately after, and home-care guidance through recovery — then the next session is adjusted to how your skin responded.

You have read this far. Start with one photo.

Free, one-on-one, and nothing is decided until you see the plan in person.

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