Facial wrinkles are treated with different modalities depending on the location of the wrinkles and the cause. Wrinkles are usually related to three things:
- changes in the skin which are often age and sun related
- loose skin
- overactivity of the muscles beneath the lines (such as the forehead, around the eyes and around the mouth).
1) Age and sun-related skin change or photoaging is treated by removing dead and damaged skin cells and stimulating collagen for production of new skin cells. This results in a smoother skin with a fresher and more youthful appearance. Skin care products containing vitamin A (such as Retin-A and Redermic R cream) or vitamin C (such as Active C10 cream and 10% or 20% vitamin C serum) help to maximize dermal collagen formation. Skin refreshening can be achieved with a light chemical peel such as the Mandelic Acid Peel or a slightly deeper peel such as the Face Peel with TCA. A deeper treatment can be achieved with Microneedling also known as collagen induction therapy. For an even deeper and more effective treatment, DOT or CO2 laser resurfacing can be done.
2) Loose skin usually requires surgical treatment, but often improvement in the skin elasticity is seen with the Face Peel with TCA, Microneedling or the DOT or CO2 laser to give a tighter appearance.
3) Muscle activity in the forehead, around the eyes and around the mouth results in fine and often deep wrinkles over time. Overactivity of these muscles can be softened by treatment with Botox® or Dysport®.
Active acne can be successfully treated with a combination of home care products formulated for acne prone skin and a series of Salicylic acid Micropeels. Acne scars can be softened with a series of Microneedling treatments with the Skin Pen®, the first microneedling device cleared by the FDA specifically for treatment of acne scars. Treatment can also be done with DOT or CO2 laser resurfacing. Enlarged pores can be lessened with Microneedling treatments or a series of the Mandelic Acid Peel or Salicylic acid Micropeels. Additionally a good home skin care program with acne skin care products and Retin-A can help to prevent or lessen the appearance of enlarged pores.
Dark spots or areas of pigmentation are usually related to sun exposure and can be lightened with home care skin products containing a bleaching cream and a series of chemical peels such as the Glycolic Acid Micropeel or the slightly deeper Face Peel with TCA. Deeper treatments include Microneedling and DOT or CO2 laser resurfacing. Uneven skin tone can also be treated with any of these modalities for a smoother and more even appearance.