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What Causes Sleep Wrinkles?

What Causes Sleep Wrinkles & How to Prevent Them

 OR Chances Are You Did This Last Night in Bed....

Sleep wrinkles causes by side sleeping

Fine lines and wrinkles may age you, but not all wrinkles form the same way. 

When seeking a solution to prevent wrinkles,  it's important to understand the 2 types of wrinkles.


'Expression Wrinkles' and 'Sleep Wrinkles' -- and how are they different.



Sleep Wrinkles cannot be treated with neuromodulators like Botox™. These wrinkles are caused by pressing our faces against our pillow every night. They are generally “vertical” or “diagonal” in nature and cannot be reproduced with expression. We have the solution to this. 


expression wrinkles vs sleep wrinkles



Expression Wrinkles are caused by our natural expression and muscle movement. They are more “horizontal” in nature and can be treated with muscle relaxing treatments such as Botox™


``If I were to use a standard pillow I would get these sleep wrinkles... and I see these in my patients ALL THE TIME!``

~Expert injector Melissa Berg RN (@TheBeautyNurse) has been sleeping on the enVy™ Pillow for years and recommends it to her patients to prevent sleep lines and collagen breakdown.

How to Spot the difference!
Expression Wrinkles vs Sleep Wrinkles

or Breaking Bad Sleep Habits

Sleep wrinkles vs Expression wrinkles on break bad star


1. Expression Wrinkles - a job for BOTOX

Expression or dynamic wrinkles occur as a result of repeated muscle contraction with facial expressions such as frowning, squinting, scowling.  Over time the muscle contraction creases the skin resulting in frown lines  between your eyebrows (the infamous "11"), horizontal forehead lines and crow’s feet or vertical lines around the mouth  (the infamous 'barcode" or 'smoker's wrinkles') All causes by your facial expressions or movements with facial muscles.  Photos below…

Expression wrinkles causes by our facial muscle movements in forehead, between the eyes and crows feet

2. Sleep Wrinkles - a job for enVy, the Anti Sleep Wrinkle Pillow

Sleep lines or sleep wrinkles have nothing to do with muscle contraction or expression and are caused by the repeated pressing of our face into a solid surface (often our pillow) while we sleep. These lines are usually more vertical in nature while  expression lines tend to be more horizontal or diagonal. Sleep lines and can be found on forehead, cheeks, chins, and even cleavage lines. 

The Sleep Wrinkle Test:  How can we tell the difference? Sleep wrinkles and lines cannot be recreated by facial expressions but they can be recreated by the hand test (see below) which mimics the pressure of our face and head against our pillow. See photo below:

Using hand test to show sleep wrinkle formation

What Causes Sleep Lines?

Dermatologist, Dr. Samuel Stegman, was one of the first to observe that most people tend to exhibit these creases and imbalances on the side they prefer to sleep on and made a habit of telling them which side they slept on. Sleeping on their sides (and therefore their faces) was causing “sleep wrinkles”. As our skin ages these sleep lines become permanently etched into our faces.

THE SOLUTION: Dr. Stegman said the only way to get rid of permanent sleep lines was to SLEEP ON YOUR BACK and minimize facial contact with your pillow. We have a better idea!

“If sleeping with your face in a pillow is a nightly routine, then you can develop permanent sleep lines. And you don’t have to plunge headfirst to get these lines; even years spent sleeping on your side can cause wrinkles.“

– American Academy of Dermatology

When Sleep Wrinkles mix with Expression Wrinkles

Photos below shows the tell tale vertical sleep lines through the eye brow and criss-crossing the expression wrinkles - crows feet.
sleep wrinkles around the eyes
Photos below show the deep vertical creases around chin area and lip lines caused by pressing face into a pillow at night and expression lines around the mouth.
sleep wrinkles around the mouth

The Sleep Wrinkle Solution

Dr. James Fulton published a follow-up article in 1999. He confirmed Dr. Stegman’s findings and warned patients against filling these lines with facial fillers (juvederm, restylane etc) which do not offer long term relief. More importantly  Botox (which only works on dynamic or expression lines) is futile on these wrinkles (Non-Botoxable). Facial creases will reappear within hours of treatment because the underlying behavior that created the lines continues to be unchanged…. sleeping on our faces!

Yes, you can adjust the way you sleep to prevent them but breaking our bad sleep habits is not so easy.  The enVy, Anti-Aging pillow was developed to deal with these sleep wrinkles by ALLOWING ergonomically supportive side sleeping while MINIMIZING face-to-pillow contact… brilliant.

Sleep wrinkles caused by your pillow