Specialty Physician Consultation – 1 hour assessment and treatment recommendation. Wrinkles develop naturally on the skin over time. Wrinkles form as the skin ages and its underlying structure begins to break down. Environmental factors such as sun exposure and personal habits such as smoking can hasten this process and contribute to the formation of wrinkles. Habitual facial expressions can also cause wrinkles, as well as deeper lines such as smile and frown lines.There are several treatment options available. The total cost includes a one hour consultation with a specialist. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.