Description

Wrinkles are a natural part of aging. These lines and wrinkles on the skin are more likely to form on the skin that are often exposed to the sun such as the face, neck, hands and forearms. Pollutants and the consumption of tobacco also speed up the aging process. The use of sunscreen every day, and quitting smoking help to prevent some wrinkles.

If your wrinkles bother you, many options are available to help smooth them or make them less visible. These include medications, skin-resurfacing techniques, fillers and surgery.

Symptoms

Wrinkles are lines and wrinkles that form on the skin. Some wrinkles become deep, and can be particularly sensitive around the eyes, mouth, and neck.

When to see a doctor

If you are concerned about how your skin looks, see a doctor who specializes in the skin. This type of expert is called a dermatologist. Your doctor can evaluate your skin, it helps to create a plan of care of the skin, and discuss the treatment of wrinkles.

Causes

Wrinkles are caused by several factors — some you can control, others not:

  • Age. With aging, the skin naturally becomes less elastic and drier, with less fat and collagen in the deeper layers. The results of this process in the lines and wrinkles typical of the appearance of wrinkles. Also cause sagging skin.
  • Ultraviolet (UV) radiation. The ultraviolet radiation from sunlight and other sources accelerates the aging of the skin, especially in people who tend to sunburn easily. It breaks down the elastin and collagen fibers in the skin. Without these support the connective tissues, the skin loses strength and flexibility.
  • Smoking and pollution. Smoke and pollutants from the air the speed of the aging process.
  • Repeated facial expressions. The facial movements and expressions lead to wrinkles and fine lines. For example, every time you squint your eyes, smile and frown, small grooves are formed below the surface of the skin. As the skin ages, it loses its flexibility and does not spring. These grooves, then, become features of the face.
  • The history of the family. The genes we inherit play a major role in the look and feel of your skin.

Prevention

Here are some tips to curb the effects of sun exposure and other causes of wrinkles:

  • Protect your skin fromUVradiation. Avoid artificial tanning and limit the time you spend in the sun, especially at midday. When you're in the sun, wear sun protective clothing, such as wide-brimmed hats, long-sleeved shirts and sunglasses. Also, the use of sunscreen every day throughout the year. Choose a broad-spectrum sunscreen with an SPF of at least 30, even on cloudy days. Apply sunscreen generously. Re-apply every two hours, or more often if you're swimming or perspiring.
  • Wash your face and moisturize.Dry skin is reduced plump the skin cells, which can lead to wrinkles and fine lines. Make a habit of gently wash your face & moisturize every day. Moisturizer traps water in the skin. Moisturizers often have active ingredients that are designed to reduce fine lines and wrinkles. Look for ingredients like retinol, niacinamide, and vitamin C. Many of these products also come with a broad-spectrum sunscreen in them. Read product labels for when and how to apply. Products with retinol or retinoids are not for use during pregnancy. Another option that you can buy without a prescription, which is the drug (Differin). This is a vitamin A derivative product that can help prevent fine lines and wrinkles. It may take some weeks or even months of regular use of the product before you notice any improvement in your skin. Or you may see no change at all. Moisturizers and anti-wrinkle creams you can buy without a prescription, it is not classified as a medicine, and therefore are not required to undergo scientific research to prove that the work. If you're not happy with the results, talk with your health care team about of moisturizers with prescription-strength anti-wrinkle ingredients, such as retinoids.
  • Do not smoke. Even if you have smoked for years, or smoke in excess, but you can still improve your skin and prevent wrinkles by stopping smoking.
  • Eat a healthy diet. There is some evidence that certain vitamins in your diet helps to protect the skin. More studies are needed about the role of nutrition in the prevention of wrinkles, but it is good to eat a lot of fruits and vegetables.

Wash your face and moisturize. Dry skin is reduced plump the skin cells, which can lead to wrinkles and fine lines. Make a habit of gently wash your face & moisturize every day. Moisturizer traps water in the skin.

Moisturizers often have active ingredients that are designed to reduce fine lines and wrinkles. Look for ingredients like retinol, niacinamide, and vitamin C. Many of these products also come with a broad-spectrum sunscreen in them. Read product labels for when and how to apply. Products with retinol or retinoids are not for use during pregnancy.

Another option that you can buy without a prescription, which is the drug (Differin). This is a vitamin A derivative product that can help prevent fine lines and wrinkles.

It may take some weeks or even months of regular use of the product before you notice any improvement in your skin. Or you may see no change at all. Moisturizers and anti-wrinkle creams you can buy without a prescription, it is not classified as a medicine, and therefore are not required to undergo scientific research to prove that the work. If you're not happy with the results, talk with your health care team about of moisturizers with prescription-strength anti-wrinkle ingredients, such as retinoids.

Diagnosis

A diagnosis of wrinkles is to observe the skin for assessing the lines and wrinkles and what may have caused. Your doctor will also talk with you about your medical history and what is important to you. This discussion helps inform the decision about the treatment that can best meet their needs and objectives related results, side effects and recovery time.

Treatment

Several wrinkles treatment options are available to help smooth out the wrinkles. Your doctor may suggest two or more treatments for the best result.

  • Prescription creams and sueros.Su doctor may prescribe an anti-wrinkle products with prescription-strength retinoids. This ingredient is a derivative of vitamin A. These creams and serums are intended to reduce fine wrinkles and stains. You may need to use the product for a couple of weeks or months before you notice improvement. Examples are tretinoin (Renova, Retin-A), tazarotene (Avage, Tazorac), and adapalene (Differin). Differin is now available without a prescription. Retinoids can cause a skin rash, burning sensation, or dryness. Products with retinoids are not for use during pregnancy. Retinoids can make the skin sensitive to the sun, so that it may be advisable to use the product at bedtime. If you use it during the day, also apply a broad-spectrum sunscreen with anSPFof at least 30. And wear protective clothing, such as a wide-brimmed hat.
  • Injections of Botox.When injected in small doses into specific muscles, Botox prevents the muscles from moving. This helps the skin look more smooth. Botox works well on fine lines between the eyebrows and on the forehead and crow's feet. It may take up to seven days to see the results. The effect lasts for a couple of months. Repeat injections are necessary to maintain results. Possible side effects are headache, heaviness in the eyelids, and the pain, swelling, or bruising at the injection site.
  • Chemical Peeling.A chemical peel can be performed as an outpatient procedure. Often numb is not necessary. You may be given medicine to put you in a sleep-like state for a wide rejuvenation. Then a member of your healthcare team, a chemical solution is applied to the skin to remove the top layers. The skin that grows back is more soft. Depending on the depth of the peel, you may need several treatments before you see a difference in your skin. Possible side effects include scarring, infection, and changes in the color of the skin of the treated area. People with brown or Black skin have a higher risk of long-term changes in the color of skin.
  • Facial fillers.Facial fillers are products that are injected into the skin. Fillers plump and smooth lines and wrinkles. Examples are calcium hydroxyapatite (Radiesse), poly-L-lactic acid (Sculptra) and hyaluronic acid (Restylane, Juvederm, other). It can take from 1 to 3 sessions to get the result you're looking for. After about six months, repeat injections are necessary to maintain results. Possible side effects are inflammation of the skin, bruising and changes in the color of the skin. These tend to disappear in weeks.
  • The laser resurfacing.Laser resurfacing is a general term for the facial rejuvenation procedures that use energy to improve the appearance of the skin. These procedures can soften the skin, but can't fix the sagging of the skin. A method called ablative laser resurfacing uses an energy beam to destroy the outer layer of the skin and the heat of the overlying skin. This stimulates the growth of collagen. As the wound heals, new collagen leads to smoother, firmer skin. On average, it takes 7 to 10 days to recover. A method called laser skin resurfacing non-ablative laser also stimulates the growth of collagen, but it is less aggressive with the most subtle of the results. It has a shorter recovery time than the ablative method. Resurfacing non-ablative can be a good option for people with moderate wrinkles. Any of these methods you can make with a fractional laser, which leaves a microscopic columns of water tissues throughout the treatment area. A procedure that is performed with a fractional laser may have a shorter recovery time and reduce the risk of side effects. It is likely that you will need more than one treatment session. Laser resurfacing risks include scarring, infection, and skin color changes in the treated area. People with brown or Black skin have a higher risk of long-term changes in the color of skin. If this is a concern, look for an expert with experience in the selection of lasers and the configuration of a range of skin colors. Before treatment, talk with your doctor about any history of hyperpigmentation or keloid formation.
  • Injections of deoxycholic acid.Deoxycholic acid (Kybella) injections are used to treat the excess fat under the chin. This condition is often called a double chin. Deoxycholic acid is injected under the skin. It works to dissolve the excess fat from the cells. The result is a reduction in fullness under the chin. Repeat injections are usually needed. Possible side effects are swelling, pain, numbness, bruising, and the hardness under the skin in the treated area.
  • Facelift and neck lift.Facelift surgery involves lifting the skin and the tightening of the underlying muscles and tissues. The goal is to improve the appearance of the jaw line, neck and the lower part of the face. A neck lift is often done at the same time. A facelift does not correct fine wrinkles, sun damage, skin color, uneven, or wrinkles around the nose and the upper lip. These operations can be performed in a hospital or in an ambulatory surgical center. Before the procedure, they give you an injection to numb the area of treatment, a medication to help you relax or medication to put you in a sleep-like state. The risks include bleeding, infection and an accumulation of blood beneath the skin, called a hematoma. The healing time can be very long. The bruising and the swelling doesn't clear until several weeks after the surgery. Facelift and neck lift results are not permanent. You can choose to undergo another surgery, several years later.

Prescription creams and serums. Your doctor may prescribe an anti-wrinkle products with prescription-strength retinoids. This ingredient is a derivative of vitamin A. These creams and serums are intended to reduce fine wrinkles and stains. You may need to use the product for a couple of weeks or months before you notice improvement. Examples are tretinoin (Renova, Retin-A), tazarotene (Avage, Tazorac), and adapalene (Differin). Differin is now available without a prescription. Retinoids can cause a skin rash, burning sensation, or dryness. Products with retinoids are not for use during pregnancy.

Retinoids can make the skin sensitive to the sun, so that it may be advisable to use the product at bedtime. If you use it during the day, also apply a broad-spectrum sunscreen with an SPF of at least 30. And wear protective clothing, such as a wide-brimmed hat.

Injections of Botox. When injected in small doses into specific muscles, Botox prevents the muscles from moving. This helps the skin look more smooth.

Botox works well on fine lines between the eyebrows and on the forehead and crow's feet. It may take up to seven days to see the results. The effect lasts for a couple of months. Repeat injections are necessary to maintain results.

Possible side effects are headache, heaviness in the eyelids, and the pain, swelling, or bruising at the injection site.

Chemical Peeling. A chemical peel can be performed as an outpatient procedure. Often numb is not necessary. You may be given medicine to put you in a sleep-like state for a wide rejuvenation. Then a member of your healthcare team, a chemical solution is applied to the skin to remove the top layers. The skin that grows back is more soft. Depending on the depth of the peel, you may need several treatments before you see a difference in your skin.

Possible side effects include scarring, infection, and changes in the color of the skin of the treated area. People with brown or Black skin have a higher risk of long-term changes in the color of skin.

Facial fillers. Facial fillers are products that are injected into the skin. Fillers plump and smooth lines and wrinkles. Examples are calcium hydroxyapatite (Radiesse), poly-L-lactic acid (Sculptra) and hyaluronic acid (Restylane, Juvederm, other). It can take from 1 to 3 sessions to get the result you're looking for. After about six months, repeat injections are necessary to maintain results.

Possible side effects are inflammation of the skin, bruising and changes in the color of the skin. These tend to disappear in weeks.

The laser resurfacing. Laser resurfacing is a general term for the facial rejuvenation procedures that use energy to improve the appearance of the skin. These procedures can soften the skin, but can't fix the sagging of the skin.

A method called ablative laser resurfacing uses an energy beam to destroy the outer layer of the skin and the heat of the overlying skin. This stimulates the growth of collagen. As the wound heals, new collagen leads to smoother, firmer skin. On average, it takes 7 to 10 days to recover.

A method called laser skin resurfacing non-ablative laser also stimulates the growth of collagen, but it is less aggressive with the most subtle of the results. It has a shorter recovery time than the ablative method. Resurfacing non-ablative can be a good option for people with moderate wrinkles.

Any of these methods you can make with a fractional laser, which leaves a microscopic columns of water tissues throughout the treatment area. A procedure that is performed with a fractional laser may have a shorter recovery time and reduce the risk of side effects. It is likely that you will need more than one treatment session.

Laser resurfacing risks include scarring, infection, and skin color changes in the treated area. People with brown or Black skin have a higher risk of long-term changes in the color of skin. If this is a concern, look for an expert with experience in the selection of lasers and the configuration of a range of skin colors. Before treatment, talk with your doctor about any history of hyperpigmentation or keloid formation.

Injections of deoxycholic acid. Deoxycholic acid (Kybella) injections are used to treat the excess fat under the chin. This condition is often called a double chin. Deoxycholic acid is injected under the skin. It works to dissolve the excess fat from the cells. The result is a reduction in fullness under the chin. Repeat injections are usually needed.

Possible side effects are swelling, pain, numbness, bruising, and the hardness under the skin in the treated area.

Facelift and neck lift. Facelift surgery involves lifting the skin and the tightening of the underlying muscles and tissues. The goal is to improve the appearance of the jaw line, neck and the lower part of the face. A neck lift is often done at the same time. A facelift does not correct fine wrinkles, sun damage, skin color, uneven, or wrinkles around the nose and the upper lip.

These operations can be performed in a hospital or in an ambulatory surgical center. Before the procedure, they give you an injection to numb the area of treatment, a medication to help you relax or medication to put you in a sleep-like state.

The risks include bleeding, infection and an accumulation of blood beneath the skin, called a hematoma. The healing time can be very long. The bruising and the swelling doesn't clear until several weeks after the surgery.

Facelift and neck lift results are not permanent. You can choose to undergo another surgery, several years later.

Products, procedures and surgeries to improve their appearance are not generally covered by insurance. In addition, many of these treatments can have side effects, so be sure to discuss with your doctor. Ask how many times you've done the treatment that you are considering, and if you have experience in the treatment of people with the color of their skin.

Preparing for your appointment

When you make an appointment with a dermatologist, it is a good idea to prepare for your appointment by making a list of questions to which you answered. For wrinkles, some basic questions to ask include:

  • What is the best course of action?
  • What are my treatment options and the pros and cons of each one?
  • What do the treatments cost? Does insurance usually cover these treatments?
  • What results can I expect?
  • How often should I repeat the treatment?
  • What type of follow-up, if any, will I have?

Don't hesitate to ask any questions you may have.

What to expect from your doctor

You can ask a number of questions, including:

  • What products, such as cleansers and moisturizers you use on your skin?
  • Do you use sunscreen?
  • Do not expose your skin to the sun when you were younger?
  • Have used tanning beds in the past? Do you use them now?
  • Do you smoke or have you ever smoked?
The symptoms and the treatment of Wrinkles