Surgeon-Led Specialist Clinic

Led by plastic surgeon Dr. Ayad Harb, we pride ourselves on the standard of care, quality and safety of our treatments.

Central Clinic Locations

SRGN has three state of the art clinic locations in Central London, Bicester & Ascot.

Care Quality Commission

We're regulated by the independent regulator of health and social care in England.

GMC Registered Surgeons

All of our surgeons are registered with the General Medical Council.



Fine Lines & Wrinkles

Medically Reviewed April 2023, by Dr. Ayad Harb, one of the world's leading plastic surgeons

About Fine Lines & Wrinkles

Fine lines and wrinkles are common dermatological concerns that signal the natural aging process. This process often begins subtly with fine lines, which appear as minor creases in the skin, predominantly noticeable around the eyes and mouth. Unlike wrinkles, fine lines are more superficial, lying close to the surface of the skin. These delicate creases are often the initial indicators of aging skin, and their development is associated with factors such as sun exposure, lifestyle choices, and genetics.

Wrinkles, on the other hand, are more pronounced and form deeper folds in the skin. Over time, repetitive facial expressions, combined with environmental factors like sun exposure and smoking, can lead to these more visible lines. Intrinsic aging, a process independent of external influences, also plays a significant role in the formation of wrinkles. Wrinkles, along with fine lines, are often associated with a loss of collagen, elastin, and hydration within the skin. This breakdown of essential skin components leads to reduced suppleness and resilience.

There are different categories of wrinkles and fine lines that dermatologists often identify. Static wrinkles, for example, are visible at all times and usually result from a gradual loss of skin elasticity and volume. Dynamic wrinkles appear with movement and are often associated with repeated facial expressions like smiling or frowning. These lines may become more permanent over time, embedding themselves into the skin's surface. Gravitational folds are another type, which occurs due to the natural sagging of the skin as a result of gravity's effects.

The growing field of dermatology has made significant advancements in understanding and treating these signs of aging. One popular approach is the use of anti-wrinkle injections, such as Botox. These injections work by temporarily paralyzing the underlying muscles responsible for wrinkles, thereby reducing their appearance. This treatment provides a smooth appearance and is typically used for dynamic wrinkles.

Dermal fillers offer another option, using injectable gels to fill in areas where volume has been lost. By adding fullness and contour, dermal fillers can create a more youthful appearance. Microneedling, which involves puncturing the skin with small needles, stimulates collagen production, leading to the rejuvenation of the skin and reduction of fine lines.

A more technologically advanced approach combines microneedling with radiofrequency, known as Morpheus8. This treatment simultaneously tightens the skin, providing both immediate and long-lasting effects. For those seeking a more comprehensive skin treatment, Hydrafacial offers a multi-step procedure that cleanses, extracts, and hydrates the skin, reducing the appearance of fine lines in the process.

FACEtite is a minimally invasive contouring solution that tightens and lifts facial skin, providing significant benefits without the need for surgical intervention. Radiofrequency treatments utilize radio waves to heat the tissues, stimulating collagen production, and Plasma (PRP) therapy utilizes the patient's plasma to promote healing and rejuvenate the skin.

Chemical peels provide a different approach by exfoliating and renewing the skin's surface. 

These treatments use varying strengths of acids to remove the top layer of skin, revealing fresher and younger-looking skin beneath. The Non-Surgical Endolift represents a laser-based technology that offers a lifting effect without surgery, appealing to those looking for non-invasive options.

Each of these treatments represents a different approach to combating the natural signs of aging, such as fine lines and wrinkles. The choice of treatment often depends on the individual's skin type, the severity of their wrinkles, their lifestyle, and their overall goals.

The appearance of fine lines and wrinkles is a complex and multifactorial process. Modern dermatology offers a wide array of treatments to address these concerns, and a customized plan is often required to meet each person's unique needs. Whether through injections, lasers, or other innovative technologies, a certified dermatological specialist can guide patients through the options and develop a comprehensive plan for rejuvenation. In doing so, they help to restore confidence and enhance well-being, ensuring that the skin's appearance reflects the vitality and youthful spirit within.


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Types of Fine Lines & Wrinkles

Static Wrinkles

Static wrinkles are those that are visible regardless of facial movement. Over time, as the skin's elasticity diminishes and vital components such as collagen degrade, these wrinkles become more pronounced. The loss of fat under the skin can also contribute to the development of static wrinkles, causing the skin to appear less plump and youthful. These wrinkles can be found on various areas of the face, such as the forehead, cheeks, and around the mouth, and they reflect the long-term effects of gravity, sun exposure, and lifestyle habits such as smoking. Unlike dynamic wrinkles, which might disappear when the face is at rest, static wrinkles are permanent and require intervention for improvement. Treatments for static wrinkles can include fillers, laser resurfacing, and other skin-tightening procedures. The approach to treating these wrinkles often involves a combination of strategies aimed at replenishing lost volume, encouraging new collagen growth, and removing damaged skin cells.

Dynamic Wrinkles

Dynamic wrinkles are those that appear during facial movement and are often associated with repeated expressions like smiling, frowning, or squinting. Initially, they may only appear during these expressions, but with age, they can become etched into the skin's surface and remain visible even when the face is relaxed. These wrinkles are essentially formed by the repeated contraction of facial muscles, wearing down the collagen and elastin that keep the skin firm. Common areas for dynamic wrinkles include around the eyes (crow's feet), between the eyebrows, and on the forehead. Preventing and treating dynamic wrinkles often involves interventions that target the underlying muscles, such as anti-wrinkle injections like Botox. By temporarily relaxing these muscles, the skin can smooth out, and the appearance of these wrinkles can be reduced.

Gravitational Folds

Gravitational folds result from the natural effects of gravity pulling down on the skin. As the skin ages, it loses its elasticity, and supportive tissues may begin to break down. This can lead to a sagging appearance, particularly around the jawline, neck, and other areas where the skin may be more susceptible to the downward pull of gravity. Gravitational folds can be exacerbated by genetic factors, significant weight changes, and the overall condition of the skin's supportive networks. Addressing these folds often requires a more comprehensive approach that may include surgical interventions such as facelifts, as well as non-surgical treatments like radiofrequency therapy to tighten the skin. Understanding the unique characteristics of gravitational folds and their underlying causes allows for a more personalized and effective treatment plan.

Fine Lines & Wrinkles Treatments

Static Wrinkles

Static wrinkles are those that remain visible regardless of facial expression, caused by the natural aging process, sun damage, and other factors that diminish skin elasticity. Treatment for static wrinkles is multifaceted and requires a comprehensive approach.


Dermal fillers, such as hyaluronic acid, are commonly used to plump the skin and fill in wrinkles. These fillers are injected into the target areas, filling in the space where collagen and fat have been lost, providing immediate improvements.

Laser Resurfacing

Laser treatments can stimulate collagen production and remove the outer layers of damaged skin. Over time, this can improve the texture and tone of the skin, reducing the appearance of static wrinkles.

Chemical Peels

Similar to laser resurfacing, chemical peels use various acids to remove the top layers of skin, encouraging new cell growth. This process can be customized to target specific depths, depending on the severity of the wrinkles.

Skin Care Products

Regular use of retinoids, moisturizers, and other products containing active anti-aging ingredients can gradually improve static wrinkles. These products often work best in conjunction with other treatments.

Lifestyle Changes

Protecting the skin from sun damage, quitting smoking, and maintaining proper hydration can prevent further development of static wrinkles.

Professional Guidance

 A dermatologist can develop a tailored treatment plan, combining these and other strategies to target static wrinkles specifically.

The treatment of static wrinkles is complex, reflecting the multiple factors that contribute to their formation. Success often requires a combination of approaches, guided by professional medical advice, and patience as the results develop over time.

Dynamic Wrinkles

Dynamic wrinkles form as a result of repeated facial movements, such as smiling, frowning, or squinting. They become more pronounced with age and require targeted treatments to address the underlying causes.

Anti-Wrinkle Injections

Botox and similar products are injected into the muscles responsible for these wrinkles. By temporarily paralyzing the muscles, the skin smooths out, reducing the appearance of dynamic wrinkles.

Preventive Care

Sun protection, hydration, and a healthy lifestyle can slow the development of dynamic wrinkles.

Targeted Skin Care 

Products containing peptides and other ingredients that support collagen production can improve the skin's resilience, helping to minimize the formation of dynamic wrinkles.

Regular Maintenance

Dynamic wrinkles often require ongoing treatment, as the effects of Botox and other interventions wear off over time.

Professional Consultation

A dermatologist or other skin care professional can guide the choice of treatments, ensuring that they are suitable for the individual's skin type and the specific dynamic wrinkles being addressed.

Gravitational Folds

Gravitational folds result from the downward pull of gravity as the skin loses elasticity. They require a more comprehensive approach to treatment.


Surgical interventions, such as facelifts, can provide significant improvements, tightening the skin, and repositioning underlying tissues.

Radiofrequency Therapy

Non-surgical options like radiofrequency can tighten the skin, stimulating collagen production to reduce the appearance of gravitational folds.

Weight Management

Significant weight changes can exacerbate gravitational folds. Maintaining a stable weight can help manage their appearance.

Skin Care Products

Regular use of products that support collagen and elastin can enhance skin elasticity, working in conjunction with other treatments.

Lifestyle Choices

Sun protection and proper nutrition support overall skin health, helping to prevent or slow the development of gravitational folds.

Professional Assessment

A dermatologist can assess the individual's specific needs and develop a tailored treatment plan. This may include a combination of surgical and non-surgical interventions, skincare products, and lifestyle changes.

Gravitational folds are a complex manifestation of aging and other factors, and their treatment requires careful consideration of the underlying causes and the individual's overall skin health.

About Our Clinic

Located in the heart of Ascot, Bicester, and London, the SRGN Clinic exemplifies afusion of cutting-edge science, unparalleled skill, and an unwavering commitment to patient care. The clinic stands as a beacon of excellence in thefield of aesthetic and plastic surgery.

Leading the team at SRGN is Dr. Ayad Harb, a renowned plastic surgeon and aesthetic trainer. His expertise, honed by years of experience and a genuine passion for improving lives, defines the very core of the clinic's ethos. Dr. Harb's innovative techniques, combined with an artistic eye for detail, enable him to deliver consistently exceptional results that are tailored to each patient's individual needs and desires.

At SRGN, we believe in the transformative power of aesthetic and plastic surgery. Our treatments, ranging from non-invasive procedures to complex surgical interventions, are designed to enhance and accentuate your natural beauty. We strive to provide a safe, comfortable, and confidential environment where you can discuss your aesthetic goals openly, and together we create a treatment plan that brings these goals to life.

Every member of the SRGN team shares a deep commitment to patient care. We prioritise your comfort, safety, and satisfaction from the moment you step into our clinic. Each of our facilities mirrors the luxury and tranquility of their surroundings, offering a serene space where you can embark on your journey to self-improvement.

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