Wrinkle Reduction

Treatments (Wrinkles): Dynamic: Botox; Static: Fillers, TCA peel, CO2 laser, fractionated lasers and devices. 

Facial lines can be categorized as those that we use for expressions (angry, surprised or happy) and those that occur because of a volume shift on the face due to intrinsic aging, because of repeated use of muscles and because of exogenous factors such as sun exposure or cigarette smoking. Injectable botulinum toxin A (Botox) is best for dynamic lines on the upper face but can also decrease a pebbly chin as well as unsightly vertical bands that form on some aging necks. It lasts between 3-6 months and the number of units needed is determined by the strength of the muscle to be weakened.

Static lines can be corrected with a variety of injectable fillers and volumizers. The area to be treated determines which filler is suitable. TCA peels and fractionated lasers and devices treat fine and medium depth wrinkles, whereas a complete CO2 laser resurfacing may even eradicate deep lines.