Wrinkle Solutions

Are all wrinkles a result of aging?

Not at all. Some wrinkles develop in areas where there is a lot of expression in the face, such as the crows feet around the eyes or the lines around the lips. Others are the long term expression of sun damage, which causes a disarray of the elastic tissue and collagen in the skin that keeps it looking smooth and youthful. Still others are created by gravity, such as the nasolabial lines between the nose and the lips.

What is the best way to treat the different types of wrinkles?

1. Lotions and potions, peels and more

Very fine lines can be first treated with good skincare products. I recommend my Plumping Eye Serum (click here to see our products) for the area under the eyes, and even for the smokers lines on the upper lip. Glycolic peels and microdermabrasions can also be helpful with these early lines.

2. BOTOX® or Dysport®

Expression lines on the forehead, between the brows and the crows feet are easily and successfully treated with BOTOX® or Dysport®. These no downtime, quick fixes make a big impact visually, even though they are subtle. For more about BOTOX® or Dysport®, click here.

3. Fillers

Deep lines on the face are treated by fillers. Fillers do as they say, fill the crevices created by sagging skin. Restylane, Perlane, Radiesse are 3 of my favorite fillers. I use them in the nasolabial folds, corners of the mouth to “turn the frown upside down”, restoring the “happy look”. They also can be used to recreate cheekbones, plump up the earlobes and even out the jowls on the lower face. They all induce the body to make new collagen around the site into which they are injected, thus creating a long lasting softening of the deep lines.

4. Laser Peels and Skin Tightening

There are many types of facial aesthetic devices – the best ones for wrinkles are aimed at smoothing out the surface of the skin, while stimulating the skin to churn out new collagen. Over time, the thicker collagen softens the wrinkles, minimizes pores and helps smooth out acne scars. The newest treatment, Fractora, is an RF device that feels like a warm massage, removes wrinkles and tightens skin, and is effective in patients of both light and dark skin tones.

The Affirm Multiplex is also helpful in tightening sagging skin. A 24-48 hour period of sunburn like redness is all that shows after the treatment. The Affirm treatment is often combined with yet another favorite technology, the Refirme ST skin tightening treatment, which gently lifts sagging skin on the face and the neck. This painless, no downtime treatment is a great way to counteract the effect of gravity on the skin.

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Board Certified Dermatologist,
Dr. Hellman performs all treatments herself

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Last but not least, the Erbium Yag (Er Yag) laser peels laser are a wonderful way to get rid of lines, smooth the pores, and even out the complexion as freckles disappear. This well tolerated treatment can be carried out both in a conventional as well as in the new “fractional” manner. The latter utilizes a sieve like laser beam, creating microspots of resurfacing, resulting in a much faster healing of 3-5 days.

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