The goal is to improve or reduce the appearance of the wrinkle or crease. This may be accomplished by reducing movement of the underlying facial muscle action, such as with botulinum toxin therapy. Alternatively, the skin beneath the wrinkle can be augmented using injected or inserted filler material. The choice of a type of therapy depends on the location and extent of the wrinkles, the desired duration of the effects, and the tolerance for potential side effects. The best way to determine which skin wrinkle treatments are most appropriate for you is to have a consultation with an experienced board-certified doctor such as Dr. Moynihan.