Facial Creasing
Wrinkles, Lines & Folds
Overview
Facial creasing evaluates the presence and severity of wrinkles, lines, and folds across your face. These form naturally from repeated facial expressions, sun damage, and the loss of collagen and elasticity that comes with age.
Why It Matters
Facial lines and wrinkles are the most visible markers of aging. Smooth, line-free skin is strongly associated with youth and vitality. While some expression lines add character, deep creases — especially nasolabial folds and forehead lines — can significantly impact perceived age and attractiveness.
In this category
Jump to an assessment: Nasolabial Folds · Forehead Lines · Frown Lines · Crow's Feet · Mentolabial Creasing · Platysmal Bands · Under-Eye Wrinkles
Facial Creasing
Nasolabial Folds
Lines from nose to mouth corners ("smile lines")
Overview
Nasolabial folds are the lines extending from the sides of the nose to the corners of the mouth. Also called "smile lines" or "laugh lines," these creases deepen with age and are among the most impactful facial aging signs.
What to Evaluate
Key features to assess when evaluating nasolabial folds:
- Depth — shallow surface lines vs. deep creases.
- Length — short lines near nostrils vs. extending to chin area.
- Visibility at Rest — lines present without smiling or expressions.
- Shadowing — how much shadow the folds cast under normal lighting.
- Symmetry — whether both sides are equally prominent.
Compare Levels
Compare nasolabial fold severity by viewing the different levels. Higher scores indicate smoother skin.
Light nasolabial folds visible at rest that become more pronounced with expressions.
Tips & Warnings
Important considerations when assessing nasolabial folds:
- Assess lines at rest — not while smiling or talking
- Look for depth and shadow created by the folds
- Check visibility from conversational distance
- 01Dermal fillers can temporarily reduce fold visibility
- 02Dehydration makes folds appear more pronounced
- 03Facial expressions during photos create temporary deepening
- 04Lighting angle dramatically affects shadow depth
Facial Creasing
Forehead Lines
Horizontal wrinkles across the forehead
Overview
Forehead lines are the horizontal wrinkles that run across the forehead. These form from repeated eyebrow raising and are among the earliest and most visible signs of facial aging.
What to Evaluate
Key features to assess when evaluating forehead lines:
- Number of Lines — single line vs. multiple parallel creases.
- Depth — fine surface lines vs. deep furrows.
- Length — partial lines vs. full forehead width.
- Visibility at Rest — lines present without raising eyebrows.
- Pattern — evenly spaced vs. irregular creasing.
Compare Levels
Compare forehead line severity by viewing the different levels. Higher scores indicate smoother skin.
Light horizontal lines visible at rest that become more pronounced with expressions.
Tips & Warnings
Important considerations when assessing forehead lines:
- Assess with relaxed brow — no raised eyebrows
- Look at forehead from straight on and at conversational distance
- Check for lines without any expression
- 01Botox commonly used to freeze forehead muscles
- 02Raising eyebrows during photos deepens lines temporarily
- 03Bangs and hairstyles often hide forehead lines
- 04Harsh lighting emphasizes depth of creases
Facial Creasing
Frown Lines
Vertical lines between the eyebrows ("11 lines")
Overview
Frown lines are the vertical creases between the eyebrows, also called "glabellar lines" or "11 lines." They form from repeated frowning, squinting, and concentration, and can create an unintentionally stern or tired appearance.
What to Evaluate
Key features to assess when evaluating frown lines:
- Number of Lines — single line vs. double "11" pattern.
- Depth — surface creases vs. deep furrows.
- Length — short lines vs. extending up forehead.
- Visibility at Rest — present without frowning or concentrating.
- Width — narrow lines vs. broader creases.
Compare Levels
Compare frown line severity by viewing the different levels. Higher scores indicate smoother skin.
Light frown lines visible at rest that become more pronounced with expressions.
Tips & Warnings
Important considerations when assessing frown lines:
- Assess with relaxed expression — no frowning or squinting
- Look at the area between the eyebrows closely
- Check for the characteristic "11" pattern
- 01Botox is commonly used to treat glabellar lines
- 02Squinting and concentrating during photos deepens lines
- 03Some people naturally furrow brows even at rest
- 04Bright lighting can cause squinting and temporary deepening
Facial Creasing
Crow's Feet
Wrinkles at the outer corners of the eyes
Overview
Crow's feet are the fine lines and wrinkles radiating from the outer corners of the eyes. Also called "laugh lines" or "character lines," they form from repeated smiling, squinting, and sun exposure. The delicate skin around the eyes ages earliest.
What to Evaluate
Key features to assess when evaluating crow's feet:
- Number of Lines — single fine line vs. multiple radiating creases.
- Depth — surface wrinkles vs. deep etched lines.
- Length — short lines near eye vs. extending toward temples.
- Visibility at Rest — present without smiling or squinting.
- Pattern — fan-shaped radiation from eye corner.
Compare Levels
Compare crow's feet severity by viewing the different levels. Higher scores indicate smoother skin.
Fine lines with moderate visibility at rest, though not prominent.
Tips & Warnings
Important considerations when assessing crow's feet:
- Assess with relaxed expression — no smiling or squinting
- Look at the outer corners of eyes from the front
- Check for lines that radiate outward in a fan pattern
- 01Smiling dramatically deepens eye wrinkles temporarily
- 02Botox commonly used around eye area
- 03Eye makeup and concealer can fill fine lines
- 04Squinting from bright light creates temporary deepening
Facial Creasing
Mentolabial Creasing
Lines between lower lip and chin
Overview
Mentolabial creasing evaluates the horizontal line or fold between the lower lip and chin. This crease can deepen with age, muscle movement, and changes in facial structure, affecting lower face aesthetics.
What to Evaluate
Key features to assess when evaluating mentolabial creasing:
- Crease Depth — shallow line vs. deep fold.
- Length — partial crease vs. full chin width.
- Visibility at Rest — present without expressions.
- Shadowing — amount of shadow cast by the fold.
- Associated Chin Dimpling — "orange peel" texture on chin.
Compare Levels
Compare mentolabial crease severity by viewing the different levels. Higher scores indicate smoother skin.
Light mentolabial creasing visible at rest that becomes more pronounced with expressions.
Tips & Warnings
Important considerations when assessing mentolabial creasing:
- Assess with relaxed lower face — lips closed, no tension
- Look at the fold between lower lip and chin
- Check for associated chin dimpling or texture changes
- 01Chin tension from certain expressions deepens the crease
- 02Fillers can reduce fold visibility
- 03Lip position affects fold appearance
- 04Some facial structures naturally have more prominent folds
Facial Creasing
Platysmal Bands
Vertical neck lines and bands
Overview
Platysmal bands are the vertical cords or bands that appear on the neck. They become more visible with age as the platysma muscle separates and the skin loses elasticity. Smooth neck contours contribute to a youthful appearance.
What to Evaluate
Key features to assess when evaluating platysmal bands:
- Band Prominence — subtle cords vs. prominent rope-like bands.
- Number of Bands — single band vs. multiple cords.
- Length — short bands vs. extending from chin to collarbone.
- Visibility at Rest — present without neck tension.
- Associated Neck Laxity — loose skin accompanying bands.
Compare Levels
Compare platysmal band severity by viewing the different levels. Higher scores indicate smoother neck contours.
Light platysmal bands visible at rest that become more pronounced with movement.
Tips & Warnings
Important considerations when assessing platysmal bands:
- Assess with relaxed neck — no tension or grimacing
- Look at neck from front view for best assessment
- Check for bands that run vertically from chin to chest
- 01Neck tension makes bands more prominent
- 02Botox can relax platysma muscle and reduce bands
- 03Weight loss can make bands more visible
- 04Neck position affects band prominence
Facial Creasing
Under-Eye Wrinkles
Fine lines beneath the eyes
Overview
Under-eye wrinkles are the fine lines and creases in the skin directly beneath the eyes. The delicate periorbital skin is thin and prone to early aging, making this area one of the first to show fine lines and crepiness.
What to Evaluate
Key features to assess when evaluating under-eye wrinkles:
- Line Density — isolated fine lines vs. dense crepey texture.
- Depth — surface lines vs. deeper creases.
- Coverage Area — just under eye vs. extending to cheekbones.
- Visibility at Rest — present without squinting or smiling.
- Skin Texture — smooth with lines vs. thin, crepey appearance.
Compare Levels
Compare under-eye wrinkle severity by viewing the different levels. Higher scores indicate smoother skin.
Light undereye wrinkles visible at rest that become more pronounced with expressions.
Tips & Warnings
Important considerations when assessing under-eye wrinkles:
- Assess with relaxed expression — no squinting
- Look at the area directly beneath the lower eyelid
- Check for both fine lines and crepey texture
- 01Eye cream and makeup can temporarily smooth appearance
- 02Smiling and squinting deepen under-eye lines
- 03Dehydration makes lines more prominent
- 04Harsh lighting emphasizes fine lines
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