Medical aesthetics · Wrinkles

Non-Surgical Wrinkle Treatment in Jerusalem

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.

  • Oral Medicine specialist with in-depth facial anatomy expertise
  • Personal assessment before every treatment
  • Realistic expectations, no promises
  • Follow-up and touch-up visit

What type of wrinkle do you have?

The key distinction is between two types of wrinkles, because each responds to a different treatment:

  • Dynamic wrinkles (expression lines): caused by repeated contraction of facial muscles, such as forehead lines, frown lines between the brows and crow's feet. At first they appear only when you make an expression.
  • Static wrinkles: lines that remain when the face is at rest. They result from years of movement, declining collagen and elasticity, sun exposure and smoking.

The earlier a dynamic line is treated, the less likely it is to become a deep static wrinkle.

What can be done without surgery?

Botox for expression lines

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

Threads for skin texture

Absorbable threads stimulate new collagen and improve skin texture and elasticity in areas that have lost vitality. More about thread treatment

Improving skin quality

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.

What treatment will not do

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.

What the treatment involves

  1. Examination and consultation: mapping the lines at rest and in motion, and reviewing your medical history, medications and previous treatments.
  2. Treatment plan: choosing the treatment, areas and dose, with an explanation of the expected result and possible effects.
  3. Treatment: injection with an extra-fine needle. The procedure takes a few minutes and you can return to your routine the same day.
  4. Follow-up: Botox starts working within 3 to 7 days and peaks at about two weeks. At the review visit we check the result and touch up if needed.

After treatment: a few simple rules

  • Do not lie down or massage the injected area for about 4 hours.
  • Avoid strenuous exercise, sauna and extreme heat on the day of treatment.
  • Mild redness or a small pinpoint bruise usually fades within hours to days.
  • The effect of Botox usually lasts 3 to 4 months, and sometimes longer with regular treatment.

Why an Oral Medicine specialist

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.

Frequently asked questions

Can wrinkles be removed without surgery?

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.

When will I see results from Botox?

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.

How long does Botox last?

Usually 3 to 4 months. In regular patients the effect tends to last a little longer.

Does it hurt?

The injection is done with a very fine needle and takes a few minutes. Most patients describe only mild discomfort.

What are the possible side effects?

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.

Who is it not suitable for?

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.

Related topics:

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.

Your details are used only to schedule your appointment, per our privacy policy.
Skip to content