fig1

Figure 1. Horizontal forehead lines, zygomatic wrinkles or mid-cheek furrows, nasolabial folds, perioral expression wrinkles, and marionette line were scored. The first case had deeper wrinkles with a medium score of 4 and despite her weight loss an improvement can been seen in all but perioral lines. In the second case an improvement from a score of 3 to a score of 2 has been marked only for forehead lines (patients have provided consent for publication of their photos).