Medical aesthetics · Wrinkles
Not every wrinkle needs surgery. Expression lines on the forehead, between the brows and around the eyes respond well to injection treatment, and skin that has lost elasticity improves with treatments that stimulate collagen. Dr. Andra Rettman, a specialist in Oral Medicine, assesses the type and depth of each line and your facial anatomy, and tailors a treatment that achieves a fresh, natural look.
The key distinction is between two types of wrinkles, because each responds to a different treatment:
The earlier a dynamic line is treated, the less likely it is to become a deep static wrinkle.
A precise injection into the muscle that creates the line reduces its activity, and the skin above it smooths out. Suitable for forehead lines, frown lines and crow's feet. More about Botox in Jerusalem
Absorbable threads stimulate new collagen and improve skin texture and elasticity in areas that have lost vitality. More about thread treatment
Treatments that improve hydration, texture and radiance and soften fine lines. Suitability is determined at the examination.
Combining a muscle treatment with a skin quality treatment often gives the most natural result.
It is important to know in advance: deep, etched wrinkles in someone who has never been treated, or very lax skin, usually will not disappear completely without surgery. In such cases the appearance can be improved significantly, but the line cannot be erased. If the examination shows that the result you expect requires surgery, we will say so openly and refer you to a plastic surgeon.
The goal is a refreshed face, not a frozen one. The right dose preserves expression and softens only what weighs the face down.
Dr. Andra Rettman is a specialist in Oral Medicine, Chair of the Israeli Society of Oral Medicine, a lecturer at the Hebrew University Faculty of Dental Medicine and a senior physician in the Oral Medicine Department at Hadassah Ein Kerem. Daily work with the muscles of the face and jaw, their nerves and blood vessels allows precise, safe injection and a full medical assessment before every treatment. Treatment is available in English and Hebrew.
Young expression lines can usually be softened a great deal and even eliminated. Deep, long-standing wrinkles usually will not disappear completely without surgery, but their appearance can be improved significantly.
The effect begins within 3 to 7 days and peaks at about two weeks, which is why the review visit is scheduled about two weeks after treatment.
Usually 3 to 4 months. In regular patients the effect tends to last a little longer.
The injection is done with a very fine needle and takes a few minutes. Most patients describe only mild discomfort.
Redness, mild swelling or a small bruise at the injection site, and sometimes a passing headache. Rarely, a temporary drooping of the eyelid or brow occurs, which resolves as the product wears off.
Pregnancy and breastfeeding, neuromuscular diseases such as myasthenia gravis, active infection at the injection site, and known sensitivity to the product. We review your medical history at the examination.
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Updated: September 2026. Written and medically reviewed by Dr. Andra Rettman, specialist in Oral Medicine. This page provides general information and does not replace an examination, diagnosis or personal medical advice.