For many people, wrinkles are a serious skin concern. In order to effectively treat wrinkles, it is important for patients to know the causes of wrinkles. There are four main facilitators of wrinkles. Regular long-term muscle action that occurs in the same area can eventually create wrinkles like vertical frown lines. Environmental damage to the epidermis is another contributor to wrinkles. Also, the loss of age-related elastin and collagen can result in wrinkles. Finally, decreased fat, muscle and bone volumes can lead to a sagging jawline.
Cosmetic Treatments for Wrinkles
Board-certified dermatologist and dermatologic surgeon Dr. Tony Nakhla, at OC Skin Institute will suggest a treatment plan based on the depth of the patient’s wrinkles. Resurfacing lasers or light peels are effective at addressing superficial lines. Some patients who have fine lines around the eyes may be candidates for cosmetic injectables that relax the muscles and minimize wrinkles, such as Dysport or Botox.
Since one cause of deep folds and wrinkles is the loss of bone, muscle and fat, treatment for severe wrinkles must add volume and provide support to the area. Therefore, grooves and deep lines tend to respond better to two-part treatments that include injectables and facial fillers, which are designed to support and plump wrinkles. Facial fillers commonly used by dermatologists include Perlane, Radiesse and Sculptra.
If sun damage also contributed to the patient’s deep wrinkles, the dermatologist may use Juvederm or Restylane to provide additional support. CO2 lasers or Fraxel lasers can be utilized as part of the patient’s treatment plan in order to enhance the epidermis’ color and texture and improve the patient’s general complexion.
Although cosmetic injections and fillers are effective at addressing lines, wrinkles and folds, they are not able to regenerate bone, fat or muscle. These products are also unable to restore the dermis’ collagen levels. However, cosmetic injections can improve the appearance of fine lines and deep wrinkles overall without the need for surgical intervention.