Wrinkles are lines, creases or folds seen in the skin. They will normally start to appear in our 30’s as fine lines but can develop into deep crevices as we age. Some people will start noticing these earlier than in their 30’s, especially those that have had significant sun exposure at earlier ages like lifeguards or those who work outside.
Types of Wrinkles
The first wrinkles we start to see are generally wrinkles caused by the movement of muscles underlying the skin such as crow’s feet or glabellar wrinkles. Dynamic wrinkles are wrinkles that are associated with muscle movement and facial expressions.
Static wrinkles are the wrinkles that start to appear on sun-exposed skin. Skin thins as we age and sun exposure increases the speed of the skin thinning. UVA and UVB rays of the sun destroy the collagen and elastin in our skin. The loss of collagen and elastin makes it so the skin does not spring back like it did when we were younger. Flexibility in the skin is lost.
Wrinkles are not inevitable. Today’s technologies and skincare can have a significant impact on the aging process of your skin. You can look as young as you feel.
- Sun Avoidance – Exposure of our skin to ultraviolet rays from the sun and even tanning beds accounts for 80 to 90% of the skin’s aging process. Try to wear protective clothing, wide-brimmed hats, sunglasses and try to avoid being outside from 10:00 am to 3:00 pm when the sun’s rays are the strongest. Never use tanning beds, these are no different than spending time outside with no protection when the sun’s rays are the strongest.
- Sun Block – Wearing sunblock daily (even on cloudy days) will help prevent wrinkles. Sunblock should be at least an SPF 30 or higher. We prefer sunblocks that contain zinc oxide or titanium dioxide. EltaMD sunblocks are excellent choices for daily wear.
- Do Not Smoke – smoking ages the skin. It decreases the body’s ability to make collagen but also destroys collagen in the skin and speeds up the thinning of the skin.
- Eat a well-balanced diet – this should include fruits, vegetables and protein.
- Sunblock- We know that we mentioned this above under prevention but it also belongs under treatment. If you are not going to protect the investment in treating your wrinkles, it is more difficult to achieve the results we are looking for. EltaMD has many choices for sunblocks to accommodate almost all skin types.
- Retinoids – this includes tretinoin and retinols. These will reduce fine lines and even improve the sun damage already present on your skin. Newer retinols such as the ones made by Alastin can now achieve similar results to the prescription tretinoin.
- Vitamin C – this is only the topical version. Vitamin C as is found in the Obagi CRx system has been shown to increase collagen production, correct pigmentation and also protect the skin from damage caused by UVA and UVB rays. The best topical vitamin C is L-ascorbic acid.
- Idebenone – a very powerful antioxidant and is seen in many anti-wrinkle creams. You will see a difference after about 6 weeks of using this product.
- Growth factors – these can be found in many products and are from many different sources. Our favorite is to use your own growth factor through PRP. PRP is platelet-rich plasma used from your own blood.
- Chemical Peels – there are many different chemical peels on the market. The more aggressive the peel the better results you will achieve. Usually, chemical peels require a series of peels followed by maintenance.
- Microdermabrasion – Fine crystals are used to remove the top layer of skin cells allowing newer cells to come to the surface. Fine lines and wrinkles will improve. Usually, a series of treatments is needed along with ongoing maintenance procedures.
- Botox / Dysport – Are products that are injected into the skin to decrease dynamic wrinkles by relaxing the muscles under the skin associated with the wrinkles. This will allow the skin to repair itself.
- Dermal Fillers – At Lazaderm, we offer the largest option of fillers in the region. Dermal fillers have the ability to plump wrinkles as well as improve the loss of volume in the face which leads to some of the wrinkles. Dermal Fillers include the Juvederm family of fillers, the Restylane family of fillers, Sculptra and Bellafill. Y-Lift is an excellent choice for those that have facial wrinkles caused by significant volume loss.
- Fat Grafting – fat transfer is another option to add volume where it is needed. Harvested fat from areas of the body such as the abdomen and thighs and transplanted into the face. ALMI is an excellent option for adding volume to the face and has the advantage of concentrating your stem cells.
- Microneedling – the Collagen PIN can be beneficial to treat facial wrinkles, especially in the early stages. Using platelet-rich plasma (PRP) can enhance the benefits of microneedling by using your own growth factors to aid in the healing of the skin and collagen production.
- Microneedling with Radiofrequency – Vivace is like microneedling but with the extra power of adding radiofrequency to the treatments. We also encourage you to add platelet-rich plasma to your treatment series with the Vivace.
- Forever Young BBL – BBL or broadband light is a non-invasive procedure with no downtime that can improve your skin tone, texture and encourages your skin to produce collagen and elastin. This will thicken your skin and improve fine lines and wrinkles.
- Fractional Lasers – Have been around for well over a decade now. Fractional lasers include non-ablative lasers like the Fraxel or the Halo but also ablative lasers to include DeepFX, ActiveFX, TotalFX and the ProFractional lasers. The lasers only treat a portion of the skin at a time. Most will treat 15 to 35% of the skin with each treatment. For best results, the fractional laser will often require a series of treatments.
- Ablative Lasers – these are the lasers that will completely remove the top layers of skin and are the most aggressive of the lasers. Two options are the Sciton Erbium and The Lumenis Ultrapulse CO2 lasers. These lasers will give the best results for diminishing facial wrinkles but also have the most downtime.