Facial Aesthetic Medicine: Understanding the Aging Process Part II Skin Texture: By Doctor James Chan

James Chan, MD

Article by
Portland Facial Plastic Surgeon

Skin texture

Fine wrinkles are found under the eyes, and over the cheeks. These wrinkles develop as a result of textural changes in the skin from loss of collagen (a natural building block in the skin). As the skin ages and takes on sun damage, collagen depletion occurs. Lasers are most effective to treat these fine wrinkles and rejuvenate the skin. Laser resurfacing works by taking away damaged skin on the surface and renewing collagen.

Dynamic wrinkles are wrinkles that develop with muscle movement.  These wrinkles include the “crow’s feet” lines next to the eyes, forehead wrinkles, and furrows between the eyebrows. The best treatment for these wrinkles is Botox or Dysport. Botox and Dysport work by inactivating the muscles and thus preventing the dynamic wrinkles from occurring. With consistent use, there is evidence that wrinkles may never develop in the treated areas.

In addition to wrinkles, aging leads to skin discolorations (dyschromias).  These “age spots” are usually brown or red discolorations that occur in the skin.  They are generally thought to be the result of sun damage and subsequent accumulation and uneven distribution of melanin.  Lasers or broad-band light are usually effective for dealing with dyschromias.  Generally a series of treatments are required to achieve the desired results.