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Noticing lines that didn't used to be there? You're not alone. We'll help you understand what's causing them and build a plan that smooths them naturally, without looking overdone.
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Medically reviewed by Stephany Reese, APRN, FNP-C, medical director · Updated October 2026
Marti Bove, RN
Lead injector
The short answer
It depends on the type of line. Lines that show up when you move, like frown lines, forehead lines and crow's feet, respond best to Botox or Dysport. Lines that stay when your face is relaxed usually need volume or collagen support, such as dermal fillers, Sculptra, MOXI laser or microneedling. Most people get the best, most natural results from a combination, plus daily sunscreen and a retinoid at home.
Understanding your skin
Wrinkles usually come from several things at once. Knowing which ones apply to you helps us choose treatments that actually work.
With age, skin becomes less elastic and drier, with less fat and collagen in its deeper layers (Mayo Clinic).
UV light breaks down collagen and elastin and is the biggest outside cause of facial aging, especially in sunny, high-altitude places like Utah.
Every squint, smile and frown creates a small groove. Over years, those lines can become permanent (American Academy of Dermatology).
As estrogen declines in perimenopause and menopause, skin tends to become thinner, drier and less elastic, with more wrinkling (Dermato-Endocrinology).
Smoking greatly speeds up skin aging and causes wrinkles and a dull, sallow complexion (AAD).
The genes you inherit play a big part in how your skin looks and ages (Mayo Clinic).
Know your lines
Dynamic wrinkles are caused by muscle movement and show up when you make an expression. Static wrinkles are visible even when your face is relaxed (Cleveland Clinic). Many people have both, which is why a personalized plan matters.
Dynamic (expression) lines
Static (resting) lines
When you see them
When you frown, squint, smile or raise your brows
Even when your face is completely relaxed
Common areas
Frown lines (11s), forehead lines, crow's feet, bunny lines
Smile lines, lines around the mouth, etched-in forehead or 11s, crepey skin
Main cause
Repeated muscle movement
Collagen, elastin and volume loss, sun damage
Expression lines that go untreated for years can become static lines, which is one reason many patients start Botox before lines are etched in.
Your options
We match the treatment to the cause. Here's what each option does best, with typical results from leading medical sources.
Best for: frown lines, forehead lines, crow's feet
Relaxes the muscles behind expression lines. Botox Cosmetic is FDA-approved for these areas, and results usually last about 3–4 months (Cleveland Clinic).
Best for: static lines, smile lines, folds
Hyaluronic acid fillers are FDA-approved for moderate to severe facial wrinkles and folds (FDA). Results usually last about 6–12 months, and some newer products up to two years (ASPS).
Best for: overall thinning and collagen loss
Stimulates your own collagen, so results appear gradually over a few months and can last more than two years (ASPS).
Best for: early fine lines, texture, dullness
A gentle fractional laser. Laser resurfacing stimulates new collagen for smoother, firmer skin (Cleveland Clinic).
Best for: fine lines, sun damage and dull, uneven skin
Every BBL treatment here includes a SkinSmooth step that targets fine lines and texture. BBL also clears the spots and redness that make skin look older, and healthier, glowier skin naturally shows fewer fine lines.
Best for: fine lines, texture, acne scars
Triggers your skin's healing to make more collagen and elastin, usually in a series 3–8 weeks apart (Cleveland Clinic).
Best for: mild laxity and crepey skin
Gentle heat helps tighten and firm skin on the face and neck, with no downtime.
Best for: skin thinning in perimenopause and menopause
Supports collagen, hydration and skin thickness from the inside out when low estrogen is part of the picture.
Best for: daily prevention and maintenance
Retinoids help smooth fine wrinkles and even discoloration (Mayo Clinic). We'll build a simple routine with Alastin and SPF.
Real results
Real Epiphany Clinic patients, shared with their permission. Individual results vary.
Botox · before (top) and after (bottom) · About Botox
Botox · before (top) and after (bottom) · About Botox
BBL + Dysport · About BBL
Full face balancing with filler · About fillers
The inside-out approach
They can play a big role. Estrogen helps skin hold on to collagen, moisture and thickness. Research suggests skin collagen may drop by as much as 30% in the first five years after menopause, then about 2% per year, and studies have found estrogen therapy can improve skin hydration, elasticity and thickness (Clinical Interventions in Aging).
Hormone therapy isn't FDA-approved as a wrinkle treatment, and it isn't right for everyone. But if your skin changed along with your sleep, mood or cycles, it's worth looking at the whole picture. That's why at Epiphany Clinic, we start with how you feel.
Perimenopause hormone therapy → · Hormone therapy for women → · Crepey skin →
Protect your results
Use a broad-spectrum, SPF 30 or higher, water-resistant sunscreen (AAD). Daily use measurably slows skin aging (Annals of Internal Medicine).
Vitamin A–based retinoids help smooth fine wrinkles and reduce discoloration (Mayo Clinic). Ask us which strength fits your skin.
Smoking is one of the fastest ways to age skin. Quitting helps your skin and your overall health.
Regular Botox every 3–4 months keeps expression lines from etching in, and a laser or microneedling series keeps collagen building.
Your care team
Lead injector
A registered nurse trained in full facial balancing and regenerative aesthetics. Marti does our Botox, Dysport, fillers and Sculptra.
Lead aesthetician
Our laser and skin specialist for MOXI, BBL, SkinTyte, microneedling and skincare plans.
Medical director
Oversees every treatment and leads hormone therapy. Master's in Nursing, University of Cincinnati; Chair, Aesthetic Safety Network (Utah).
Real reviews
★★★★★
“I saw Stephany for forehead tox, a brow lift, and my ‘elevens,’ and I couldn’t be happier. She is incredibly knowledgeable and my results look amazing.”
Sophy L. · Google review
★★★★★
“I’ve been injected by multiple providers, and this was by far the most gentle… She thoroughly explained everything, went over future treatment options with zero pressure to do more or spend more…”
Janae B. · Google review
★★★★★
“Rashelle did my MOXI laser treatments, which I loved!… helping me prep for the treatment, explaining the process and following up for my recovery.”
Kierea M. · Google review
Your questions, answered
Should I get Botox or filler for my wrinkles?
Botox or Dysport is best for lines that appear when you move, like frown lines, forehead lines and crow's feet. Filler is best for lines and folds that are visible at rest. Many people benefit from both. At your complimentary consultation we'll look at your lines moving and at rest and recommend the right mix.
How long do wrinkle treatments last?
Botox usually lasts about 3–4 months. Hyaluronic acid fillers typically last 6–12 months, and Sculptra can last more than two years. Laser and microneedling results build over weeks as new collagen forms, and stay best with maintenance and daily sunscreen.
Can I treat wrinkles without injections?
Yes. BBL with our SkinSmooth step, MOXI laser, microneedling, SkinTyte and a medical-grade skincare routine with a retinoid and daily SPF can all soften fine lines and improve texture. Deeper expression lines usually respond best to Botox.
At what age should I start treating fine lines?
There's no single right age. Many people start in their late 20s or 30s when expression lines begin to linger. Daily sunscreen, a retinoid and precisely dosed Botox keep lines from etching in.
Does hormone therapy help with wrinkles?
Hormone therapy isn't FDA-approved to treat wrinkles, but research shows estrogen therapy can improve skin hydration, elasticity and thickness after menopause. If you have other symptoms like hot flashes, poor sleep or mood changes, hormone therapy may help how you feel and support your skin.
How much does wrinkle treatment cost in American Fork?
Consultations are complimentary. Botox is $14 per unit, or $12.50 for Beauty Bank members and on your first visit, and Dysport is $12, or $10.50, per Botox-equivalent unit. See our price guide for fillers, lasers and more.
Where can I get wrinkle treatment near American Fork?
Epiphany Clinic is at 119 S Pacific Dr, Suite 102, American Fork, UT 84003, a short drive from Lehi, Pleasant Grove, Highland, Alpine, Cedar Hills, Saratoga Springs and Orem.
This page was medically reviewed by Stephany Reese, APRN, FNP-C, medical director of Epiphany Clinic, in October 2026. It's for education and isn't a substitute for a personal consultation.
Ready when you are
We'll look at your lines, talk through your goals and build a plan that fits your face and budget. No pressure, ever.
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