Skin Concerns Guide:
Fine Lines, Sagging Skin, Pigmentation & More | Dr. Saba Aesthetics
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Fine lines
As we age, fine lines naturally begin to appear around the eyes, forehead, lips, and cheeks. Lifestyle factors such as dehydration, smoking, and sun damage can accelerate their formation and make them more pronounced over time.
What causes fine lines to form?
Fine lines typically fall into two categories: dynamic lines, which appear only when the face moves (such as raising the eyebrows or smiling), and static lines, which remain visible even when the face is at rest. Identifying which type you have is the first step in choosing the right treatment.
Anti-wrinkle injections for dynamic fine lines
Anti-wrinkle treatment (Botox) works by relaxing the specific facial muscles responsible for repeated expressions, softening lines such as forehead wrinkles that appear when the eyebrows are raised, or "smoker's lines" and barcode lines around the mouth. This makes it an effective option for lines caused primarily by muscle movement.
Skin boosters and dermal filler for static, deeper lines
If forehead lines or other fine lines are visible even when your face is resting, anti-wrinkle injections alone may not be enough to fully address them. In these cases, skin boosters can help improve overall skin quality and hydration from within, while dermal filler can be used to physically fill and smooth deeper, more established lines for a softer, more refreshed appearance.
Deep Folds & Lines
Deep folds and lines — including nasolabial folds (smile lines), marionette lines, and the mental crease (chin crease/fold) — are common signs of facial ageing and can be treated with a range of effective options.
What causes deep folds and lines?
These deeper folds often develop as a result of volume loss in the areas above or adjacent to the crease, rather than muscle movement alone. As the face loses natural volume and structural support over time, the skin can settle into these more pronounced lines.
Dermal filler for nasolabial folds, marionette lines and chin creases
Dermal filler is the most popular and effective treatment for very deep lines like these. By restoring lost volume in the surrounding area, filler helps to soften the appearance of the fold itself, rather than treating the line in isolation. Nasolabial folds are a particularly good example of this — as volume is replaced in the mid-face and cheek area, the depth of the smile line is naturally softened for a more balanced, refreshed result.
Sagging Skin
If you're noticing your skin starting to sag, with deep smile lines or jowls forming along the jawline, this is typically caused by volume loss rather than the skin itself weakening.
What causes sagging skin?
As we age, the face gradually loses fat, collagen, and structural support in key areas such as the cheeks and mid-face. This volume loss allows the skin to settle downward, contributing to the appearance of jowls and deepening smile lines.
Dermal filler for volume loss and jowls
Dermal filler, injected in small, carefully placed amounts, can help restore lost volume in the mid-face, softening the appearance of sagging and deep smile lines. Filler can also be used to enhance and redefine the chin and jawline, helping to create a more contoured profile and visually disguise jowls without the need for surgery.
Thin, Crepey Skin
Ageing affects the skin on multiple levels. The outer layers gradually flatten and thin, while the deeper layers lose elasticity, resulting in skin that feels less plump and firm, and can take on a loose, crepey texture.
What causes thin, crepey skin?
This change happens as the skin's natural collagen, elastin, and hydration levels decline over time, reducing its structural support and ability to bounce back. Rather than adding volume, the goal with crepey skin is to improve the skin's underlying quality and resilience.
Regenerative treatments to improve skin quality
Emerging treatments in regenerative medicine offer an effective way to address this concern by encouraging the skin to produce its own natural repairing compounds. Options include polynucleotides, skin booster treatments such as Profhilo and Sunekos, and PRF/PRP (platelet-rich fibrin/plasma). These treatments work with the skin's own biology to improve firmness, hydration, and overall skin health from within.
Treatment areas
These regenerative treatments can be applied to the face, neck, and décolletage, making them a versatile option for improving skin quality anywhere thinning or crepiness is a concern.
Undereye Concerns
The under-eye area is one of the most common areas clients seek treatment for, and there are four main concerns we typically address.
1. Hollowness
Hollowness under the eyes is often caused by volume loss in the surrounding tissue. Dermal filler, injected into the mid-cheek or directly under the eyes, can help restore lost volume and create a smoother, more rested appearance.
2. Pigmentation
Dark circles and pigmentation under the eyes can be improved with a combination of topical skincare, such as vitamin C and retinoids, alongside in-clinic treatments like skin boosters (Sunekos) and polynucleotide treatments, which work to brighten and improve the overall quality of the skin in this delicate area.
3. Eye Bags
Eye bags are a more complex concern to treat, as they can be caused by a combination of factors including fat pad prominence, skin laxity, and fluid retention. A tailored combination of treatments (e.g. well placed dermal filler to disguise the appearance of an “eye bag”, skin boosters to increase collagen and improve skin quality) is usually the most effective approach, although more severe cases may require surgical intervention for lasting results.
4. Fine Lines
Fine lines around the eyes can be improved with polynucleotide treatments, which help to thicken and strengthen the skin in this area, reducing the appearance of fine lines and improving overall skin resilience.
Pigmentation
Pigmentation and uneven skin tone can be effectively improved with the right combination of treatments.
Treating pigmentation and brightening the complexion
A tailored approach combining good topical skincare with in-clinic treatments such as skin boosters or polynucleotides can help target pigmentation at its source, while also improving overall skin texture and radiance for a brighter, more even complexion.
Acne
Acne isn't just a concern of the teenage years — it's increasingly common in adults in their 20s and 30s too. Our approach to treating acne is rooted in simplicity: using key active ingredients that work in harmony with your individual skin type, rather than overwhelming the skin with unnecessary products.
Treating acne and supporting the skin barrier
Medical-grade skincare, combined with certain skin booster treatments, can help reduce inflammation, calm active breakouts, and support and maintain a healthy skin barrier. This balanced approach addresses acne at its root while helping to prevent future flare-ups, leaving skin calmer, clearer, and more resilient over time.
Rosacea
Rosacea is a chronic skin condition that causes persistent facial redness, visible blood vessels, and in some cases, small red bumps or sensitivity. While it can't be cured, rosacea can be effectively managed with the right combination of topical skincare, in-clinic treatments, and lifestyle adjustments.
What causes rosacea and how to identify it
Rosacea typically appears as redness across the cheeks, nose, forehead, and chin, and can be accompanied by flushing, visible thread veins, and heightened skin sensitivity. While the exact cause isn't fully understood, it's thought to involve a combination of genetics, an overactive immune response, and vascular sensitivity, often made worse by specific environmental and lifestyle triggers.
Topical skincare for rosacea
A gentle, targeted skincare routine is an essential first step in managing rosacea. Look for products containing calming, anti-inflammatory ingredients such as azelaic acid, niacinamide, and centella asiatica, which help reduce redness and support the skin barrier without causing further irritation. Fragrance-free, non-abrasive formulations are key, as harsh actives or physical exfoliants can aggravate symptoms and trigger flare-ups. Daily SPF is also essential, as UV exposure is one of the most common rosacea triggers.
Skin boosters and in-clinic treatments for rosacea
For clients looking to go beyond topical skincare, certain skin booster treatments can help improve overall skin quality, strengthen the skin barrier, and reduce visible redness over time. Skin boosters work by hydrating the skin from within and calming inflammation, making them a supportive option alongside a rosacea-friendly skincare routine. A qualified doctor can assess your skin and recommend the most appropriate treatment plan based on your rosacea's severity and triggers.
Polynucleotides have shown favourable evidence in barrier repair for rosacea suffers. he general mechanism (support barrier repair, hydration, reduced reactivity) is backed by an independent peer-reviewed review - "Expert Perspectives: Evidence-Based Applications of Polynucleotides (PNs) in Aesthetic Medicine and Dermatology"(Clinical, Cosmetic and Investigational Dermatology, Dovepress, Jan 2026).
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