Wrinkles At A Glance
- Best Results1 - 3 treatments
- Treatment RecoveryVariable
- Procedure Time1 to 50 minutes
- Skin SpecialistNurse, Therapist, Me
- Duration of ResultsVariable
- Back to Work0 to 9 days
Wrinkles are a natural process of ageing, caused by skin laxity, volume loss or strong muscles. Treatments are directed at the causes of wrinkles. These include muscle relaxants, fillers, chemical peels, lasers & surgical modalities, depending on the severity of wrinkles. I believe in both treating wrinkles, but also developing a wrinkle prevention program.
FactsFacts on wrinkle treatments
- Wrinkles and lines develop with age, & are made worse with UV exposure
- Wrinkles can be classed as static- present at rest, or dynamic, present when muscles contract
- Dynamic wrinkle are treated with muscle relaxants
- Static wrinkles are treated with fillers, peels, laser resurfacing or lifting
- Mild wrinkles can be improved with AHA chemical peels & simple low downtime procedures
- For facial harmony with natural results, the balance between skin texture, tone & volume is essential
What anti-wrinkle treatments do I perform?
Always identify the type of wrinkle, then employ methods to address it. Wrinkles at rest are static, wrinkles with movement are dynamic. In many cases dynamic wrinkles gives rise to static wrinkles.
Injectables: Include muscle relaxants as well as dermal fillers. Fillers I perform include hyaluronic acid as well as collagen stimulating fillers (longer lasting). Muscle relaxing injections are best for dynamic wrinkles, eg. Frown lines, crow’s feet, forehead wrinkles.
Lasers: I use over a dozen lasers depending on skin type (colour) as well as the depth of wrinkles. Shallow to medium depth wrinkles can improve markedly with fractional lasers including Fraxel, LaseMD, fractional CO2, as well as low downtime Tixel. Really deep wrinkles are treated with ablative lasers including erbium & CO2. The deeper the wrinkles, the stronger the lasers.
Peels: Fine to medium depth wrinkles can be treated with chemical peels. The best results are with medium depth combination peels such as Jessner -TCA peels. Deeper wrinkles, eg; smokers lines are best treated with deep peels including phenol croton oil peels.
Tempsure, HIFU, Thermage: are best for improving skin tone, not wrinkles.
Tixel: is a non-laser treatment aimed at improving fine lines & wrinkles. Best for the under eye area.
Skin care: is important after anti-wrinkle treatments. There is no such thing as an anti-wrinkle cream. Even strong prescription retinoids will not shift meaningful wrinkles. Creams are best at prevention.
What treatments are available for frown lines and forehead wrinkles?
Frown lines & forehead lines can be relaxed using anti-wrinkle injections. These work by relaxing the muscles that cause wrinkles. A good injector knows how to make the results look & feel natural.
Treatments take 1-2 minutes to perform & typically last 4-6 months.
What treatments are there for eye wrinkles?
Eye wrinkles are one of the most requested wrinkles to soften or remove.
If you have smile lines or crow’s feet the use of anti-wrinkle muscle relaxants can treat and prevent the progression of wrinkling.
Under eye wrinkles or wrinkling of your upper eyelid can be treated with either surgical or laser procedure, know as blepharoplasty. This is suited for patients with poor skin tone around the eye area.
I employ many different lasers & energy devices based upon the type & depth of wrinkles. Mild to medium wrinkles respond well to fractional lasers such as Fraxel, LaseMD, & hybrid lasers. Deep wrinkles are best treated with ablative CO2 or Erbium lasers.
How can I treat lip wrinkles?
Fine lip wrinkles & lines can respond to skin laser toning & dermal fillers. Fillers can restore loss volume in and around the lip area, & provide a more youthful appearance.
Severe lip lines & wrinkles can be erased by laser resurfacing, most often using a combination of erbium and fractional lasers. Occasionally I perform deep chemical peels including Croton -Oil & Phenol, or Jessner TCA with or without fractional CO2 lasers.
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What can I do for the jowl lines and marionette lines?
Jowl lines & marionette lines occur due to poor skin tone around the cheek and jawbone areas. This can be treated with –
- RadioFrequency to key areas. This treatment stimulates collagen over time improving skin tone.
- CO2 Fractional laser can be useful, especially if skin tone and texture needs to be addressed. This can be done as part of a laser face lift.
- Threads can give good, but short term results to some patients.
- Mini-S- face lifts are indicated if jowl lines are pronounced- this can give instant, long lasting lifts, that look natural. Deep plane face lifts gives the longest ‘lifting’ procedure.
- Fillers can temporarily hide jowl lines, but are especially useful for marionette lines.
What solutions are there for cheek lines, wrinkles and folds?
Non-surgical face lifting of the mid and lower face can be achieved using RF- Radiofrequency. This is a non-invasive treatment that can tighten collagen over time, reducing cheek wrinkles and lines.
CO2 Fractional laser is a step up from RF, and directs more heat into the skin, this results in better improvements of cheek lines, wrinkles and skin texture.
Fillers can be an excellent method to add volume, reduce lines, and provide a more balanced and youthful appearance.
For severe wrinkles, sun damage and marked loss of skin tone, laser face lifts & mini-s-face lifts give outstanding and natural results.
What is the best way to approach wrinkles?
Treating and preventing wrinkles in younger patients is not a problem, however as one ages, getting the balance correct is very important- this is known as facial harmony. Facial harmony balances skin texture, tone & volume.
Lasers & ways to improve wrinkles are largely predictable in my hands, what I really struggle to convey, is the balance of facial aesthetics, namely patients over look volume. Volume can not be addressed with lasers, or surgery. Fat transfer or dermal fillers gives good, predictable results for addressing volume.
Having a Specialist understand all aspects of ageing, including lifting skin, volume replacement, and of course wrinkle treatment is important for the very best, but natural results.
Can microneedling & PRP treat wrinkles?
Yes, to a limited degree. I do think there are more effective options available. My clinical team do provide this option as it is ‘mainstream’ treatment. My opinion? By the time you have 4-5 microneedling PRP treatments you would have spent enough coin to have had a straight forward fractional laser with my clinical nurses. Lasers give predictable decreases in wrinkles & improves skin quality.
For more information on the pros & cons of PRP & microneedling vs lasers, book a consult with my nurses. I am a firm believer of providing treatments that work.
Can Plasma Pen treat wrinkles?
In theory, yes. So can battery acid. There are safer & more predictable ways to treat wrinkles. I do think that a simple Jessner – TCA peel performed by an expert aesthetician is far, far safer & more effective than plasma pen. I see way too many side effects such as permanent scarring from this device.
Do I do thread lifts?
Yes. I do perform ‘dissolvable barbed’ or conical threads such as Silhouette Soft & Mint Threads, however it is important to know that even though results can be good, thread lifting does not last beyond 6-8 months at best.
My nurses perform monofilament threads. As with conical & barbed threads, their longevity is limited.
How much are wrinkle treatments?
This will depend on what treatments are employed. Clinical findings & your end goals are important to understand.
For simple rejuvenation procedures such as muscle relaxants, dermal fillers, & fractional lasers, my clinical team of nurse can assist.
For complex rejuvenation including fully ablative lasers, complex fillers, fat transfer & surgical modalities, please book a consultation with myself. Hope to help you out someday!
Davin’s viewpoint on wrinkle treatments
Wrinkles are a natural process of ageing. Solutions are always possible, no matter how deep the wrinkles. Not all cases require long downtime laser resurfacing as newer technology can reduce wrinkles whilst keeping healing times to a minimum.
As with all our procedures, we pick the correct method for your wrinkling, & not employ a cook-book approach. Depending on the severity of wrinkles & sun damage, the clinical team @cliniccutis have an array of treatments such as RF radio frequency treatments, skin needling, all the way to lasers such as Fraxel, Pico, CO2 & Tixel. Fillers are often underestimated in how we can achieve wrinkle removal thru volume replacement.
Wrinkle prevention is just as important as wrinkle removal, simple muscle relaxants combined with good skin care is important.
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