Lines and Wrinkles treatment in Karachi
Frown lines, forehead lines, crow's feet and folds, treated by cause: muscle, volume or skin. Botox, fillers, boosters, lasers and peels, combined with restraint.
What is causing it?
- Dynamic lines come from expression muscles and respond to Botox.
- Static lines and folds come from volume loss and respond to fillers and collagen stimulators.
- Fine lines and crepiness come from skin quality and respond to boosters, lasers, peels and microneedling.
Understand the cause first.
Lines have two causes. Dynamic lines appear when you frown, raise your brows or smile, and they are made by muscle; over years they etch into static lines that are there at rest. Static lines and folds also come from lost volume and thinning, sun-damaged skin. Most faces over forty have both, and the right plan treats each cause with its own tool.
Botox relaxes the muscle behind dynamic lines. Fillers and collagen stimulators restore the volume behind folds. Skin boosters, Profhilo, lasers, peels and microneedling rebuild the skin so fine lines soften. Dr. Fehmida decides the combination at the consultation, with restraint, so the result is a rested face that still moves.

The treatments that work for it.
Botox
Frown lines, forehead lines and crow's feet softened while the face keeps moving.
Botox → Cause · volumeDermal fillers
Folds, hollows and lips restored in proportion.
Dermal fillers → Cause · volumeEllansé
Collagen-stimulating volume that lasts up to two years.
Ellansé → Cause · skinProfhilo and skin boosters
Hydration and elasticity across the whole face.
Profhilo and skin boosters → Cause · skinFotona 4D and fractional lasers
Texture, tightening and etched lines.
Fotona 4D and fractional lasers → Cause · skinPeels and microneedling
Fine lines and surface renewal.
Peels and microneedling →Good candidates
- Lines that show in photographs or at rest.
- Anyone who wants a natural, not frozen, result.
- Prevention in the thirties.
- Etched lines that creams have not touched.
Not suitable for
- Pregnancy limits injectables and lasers; skin care remains.
- Expectations of a line-free face at sixty; the aim is softer and rested.
- Active infection or skin disease on the face.
- Recent isotretinoin for laser and peels.
How the clinic approaches it.
Assessment
Dr. Fehmida watches you move and examines the skin to separate muscle, volume and skin causes.
A combined plan
Usually a little of two tools rather than a lot of one.
Maintenance
Botox every three to four months; fillers yearly; skin treatments seasonally.
From consultation to results.
Causes identified; plan and priorities agreed.
Botox and any filler; skin plan started.
Balance adjusted.
By tool.

"The mistake is treating every line with the same thing. Read the cause, and the treatment chooses itself."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
Lines and Wrinkles, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppBotox for lines caused by movement; fillers for folds and hollows present at rest. Most faces need a little of both.
When lines bother you. Early Botox prevents dynamic lines from etching in.
Not when dosed with restraint. The aim is softer lines with natural movement.
Skin quality treatments: Profhilo, boosters, lasers, peels and microneedling.
Botox three to four months; fillers nine to eighteen months; skin treatments six to twelve with maintenance.
It depends on the combination. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
D200, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 5:00, Saturday 9:00 to 4:00.
Call or WhatsApp 0301 827 9630