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FINE LINES / WRINKLES
 

Description

As skin ages, collagen and elastin, fibers that keep the skin firm, weaken. The skin looks loose and lax, becomes thinner, and loses fat, so that it looks less plump and smooth. While all these changes are taking place, gravity is also at work, pulling at the skin and causing it to sag.

Cause

The sun is the major cause of unwanted changes in the skin with aging. How wrinkled your skin becomes depends largely on how much sun you have been exposed to in your lifetime. Cigarette smoking can also contribute to wrinkles. Wrinkles also depend on your parents - the tendency to wrinkle is inherited.

 

Treatment

What Can Be Done?

Creases caused by facial expressions such as squinting, frowning or smiling can be treated by a dermatologist, using what are called injectable soft tissue "dermal fillers" such as Collagen, Restylane or fat. These dermal fillers are injected into the skin under wrinkles and scars to puff out creases or scars. A naturally produced toxin, botulinum (Botox® Cosmetic) , can also be injected to "relax" the small muscles and thus eliminate fixed expression lines (frown lines). Broken blood vessels accompany these wrinkles and can be treated with an Intense Pulse Light (IPL™). Dr. Sexton may also perform Glycolic Acid or TCA Chemical Peels in order to assist with the elimination of fine lines and wrinkles.

There are some promising treatments for aging skin. Retinoic acid, available as a cream and also used successfully in treating acne, improves the surface texture of the skin, reduces irregular pigmentation, and increases dermal collagen if applied daily for several months. It is currently the only medication approved by the FDA as safe and effective for reversing some of the effects of sun damage. Alpha hydroxy acids also show promise in reversing some of the effects of the sun.

 

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