Wrinkles are caused by a combination of factors:
Age As you get older, your skin naturally becomes less elastic and more fragile. Decreased production of natural oils dries your skin and makes it appear more wrinkled.
Fat in the deeper layers of your skin diminishes. This causes loose, saggy skin and more-pronounced lines and crevices.
Exposure to ultraviolet (UV) light Ultraviolet radiation, which speeds the natural aging process, is the primary cause of early wrinkling. Exposure to UV light breaks down your skin’s connective tissue — collagen and elastin fibers, which lie in the deeper layer of skin (dermis).Without the supportive connective tissue, your skin loses strength and flexibility. Skin then begins to sag and wrinkle prematurely.
Repeated facial expressions Facial movements and expressions, such as squinting or smiling, lead to fine lines and wrinkles. Each time you use a facial muscle, a groove forms beneath the surface of the skin. And as skin ages, it loses its flexibility and is no longer able to spring back in place. These grooves then become permanent features on your face.
Derived from vitamin A, retinoids — such as tretinoin and tazarotene that you apply to your skin may reduce fine wrinkles, splotches and skin roughness.Because retinoids can make your skin burn more easily, you’ll need to use a broad-spectrum sunscreen and wear protective clothing daily. Retinoids may cause redness, dryness, itching, and a burning or tingling sensation.
Nonprescription wrinkle creams. The effectiveness of anti-wrinkle creams depends in part on the active ingredients. Retinol, antioxidants and some peptides may result in slight to modest improvements in wrinkles.
With nonprescription wrinkle creams, your results, if any, are limited and usually short-lived because these creams contain less of the active ingredients than do prescription creams.
Surgical procedures and other techniques
A plethora of skin-resurfacing techniques,including injectables, fillers radiofrequency and surgical procedures are available to smooth out wrinkles. Each of these modalities has its own set of potential results and side effects. Some studies indicate that a combination of treatments may yield the most satisfying results.
In ablative (wounding) laser resurfacing, a laser beam destroys the outer layer of skin (epidermis) and heats the underlying skin (dermis), stimulating the growth of new collagen fibers. As the wound heals, smoother, tighter skin forms.It can take up to several months to fully heal from ablative laser resurfacing. Risks include scarring and pigmentary changes(hyper or hypo pigmentation) of skin color.Its use as a skin rejuvenation source is limited to a certain category of patients and skin types.
Other laser techniques, such as nonablative laser fractional resurfacing, have decreased healing time withassociated reduced risks. Nonablative lasers are better suited to people with moderate wrinkles because results are subtle. Nonablative laser treatment typically needs to be repeated more often than does ablative treatment.
Thermageuses radiofrequency instead of light for nonablative treatment that achieves mildly to moderately tighter skin.
Ultherapy® is the ONLY FDA-cleared, non-invasive procedure that lifts and tightens the neck, chin and brow, and improves lines and wrinkles on the chest.Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest to deliver its collagen boosting treatment. It also incorporates traditional ultrasound imaging, which allows practitioners to see the layers of tissue they are treating, ensuring the treatment energy is delivered to where it will be most beneficial. Ultrasound, has been used safely throughout the medical field for more than 50 years.
A mild acid is applied to the affected areas, which causes a mild burn of the outer layer of your skin to remove age spots and freckles, as well as wrinkles. Depending on the depth of the peel, you may need several several sessions before you see a difference. Redness lasts up to several weeks.
Also called dermaplaning, this procedure involves sanding (planing) the surface layer of skin with a rotating brush. The planing removes the skin surface, and a new layer of skin grows in its place.Redness, scabbing and swelling generally last a couple of weeks. It may take several months for pinkness to fade and for you to see results.
Similar to dermabrasion, this technique removes only a fine layer of skin. This technique usually requires a series of treatments to produce results.You may notice a slight redness or stinging sensation on the treated areas. Microdermabrasion produces modest, temporary results.
Botulinum toxin type A (Botox)
When injected in small doses into specific muscles, Botox keeps the muscles from contracting. When the muscles can’t tighten, the skin appears smoother and less wrinkled.
Botox works well on frown lines between the eyebrows and across the forehead and on crow’s-feet at the eye corners. Results typically last about four to six months. Repeat injections are needed to maintain results.
Soft tissue fillers
Soft tissue fillers, which include fat, collagen and hyaluronic acid (Restylane, Juvederm, others), can be injected into deeper wrinkles on your face. They plump and smooth wrinkles and furrows. You may experience temporary swelling, redness and bruising in the treated area. The procedure may need to be repeated every few months.
The face-lift procedure involves removing excess skin and fat in your lower face and neck and tightening the underlying muscle and connective tissue. This is the ultimate and most long lasting treatment for your facial ageing. The results typically last from 5 to 10 years. Healing times can be lengthy after a face-lift. Bruising and swelling are usually evident for a few weeks after surgery. But long term results have been seen to be very gratifying.
Many over-the-counter wrinkle creams and lotions promise to reduce wrinkles and prevent or reverse damage caused by the sun. But these products are not likely to make a noticeable difference in your skin.The Food and Drug Administration (FDA) classifies these creams and lotions as cosmetics, which are defined as having no medical value. This means that products don’t need to undergo rigorous testing for safety and effectiveness before approval to go on the market.
Because the FDA doesn’t evaluate cosmetic products for effectiveness, there’s no guarantee that any over-the-counter product will reduce your wrinkles.
Schedule a Consultation
If you would like to schedule a consultation regarding your skin wrinkles, please contact online or by phone today. Dr. Biraj will be happy to answer your questions and talk with you about all aspects of the procedure