Deep wrinkles have a lot of treatment options

Philip Young, MD answers: What's the best treatment for deep wrinkles?

Is the plastic surgery the only option for deep wrinkles or can I use fillers and Botox? What are my options?


Philip Young, MD
6 months ago

It really depends on where the wrinkles are located. Wrinkles occur because of skin damage, loss of volume and progressive changes to the skin through continual muscle movement. What happens when you age is you progressively lose volume from losing thickness within your skin, loss of fat, bone atrophy, etc.

It is analogous to a grape shrinking into a raisin. Raisins obviously have a lot of wrinkles compared to a grape. We have traditionally improved the appearance of the raisin by cutting the raisins skin and removing it. The raisin may look better but it won't necessarily look much younger like a grape again. This is the same as it is in people.

Volumizing a persons face can make a huge difference in making someone look younger in a natural way. Volumizing also has the ability to increase the thickiness of the skin and its distance from the muscular envelope. This increase in distance makes it harder for the muscles to create wrinkles. Once the face is volumized, you can then improve the etched in wrinkles with resurfacing means such as lasers and chemical peels or dermabrasion. Botox prevents the appearance of wrinkles by preventing the muscle from moving.

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