Wrinkle Removal- Laser treatments Followed by Botox are the Most Effective Wrinkle Cure


None of us like to see wrinkles on our faces. Those lines are a sign that we are aging, and in today’s fast paced world, aging is not something that most of us want to deal with. There are many things we can do to prevent facial aging and lines forming on our face. However if we already have some skin aging changes, there are more effective facial rejuvenation techniques available today than ever before (see facial rejuvenation photo).

How to Prevent Facial Wrinkles

The most important factor for young looking skin is heredity. People with darker skin whose parents do not have wrinkles likely will have young looking skin for many years. However, for the rest of us there are several steps we can take to forestall facial aging. I have see women in their fifties who have the facial skin of a thirty year old and invariably they have taken one or all of the steps below:

  • Use Sun Block
  • Eat a low fat, low carbohydrate diet
  • Exercise regularly
  • Manage stress well - yoga, meditation
  • Frequent facials-microdermabrasion
  • Topical Retin A or Vitamin C Serum
  • Do not smoke
  • Do not drink alcohol to excess

Non-surgical Methods for Prevention and Treatment of Wrinkles

There are excellent non-surgical steps that can be taken to prevent facial aging. Good skin care includes daily cleansing and non-comedogenic moisturization. Frequent deep exfoliation is important. Microdermabrasion and Micro peel with dermaplaning are excellent methods.

All of my patients are on some form of topical therapy. Retin A and Vitamin C Serum can help prevent wrinkles and other signs of sun damage and facial aging.

Photo facials with IPL or Intense Pulsed Light can remove fine blood vessels and brown spots which are signs of skin inflammation and skin aging.

Botox relaxes the facial muscles that cause frown lines, crows feet, worry lines, lip lines and other lines that occur when our face is dynamically moving. Botox is very effective and safe for most people. I believe it is especially important for people to have Botox to prevent lines from returning after the laser has been used to remove them.

Soft tissue fillers like Hyaluronic Acid can help deep facial lines like the nasal labial fold and Marionette lines, but fillers do not work well on the dynamic lines such as frown lines, crows feet and worry lines. Fillers can be used effectively to rejuvenate the lips.

In summary the best non-surgical treatments are:

  • Daily skin care
  • Frequent deep exfoliation
  • Topical Retin A or Vitamin C Serum
  • IPL-Photo facial
  • Botox
  • Soft Tissue Fillers-Hyaluronic Acid

I do recommend that you seek these treatments by a qualified professional office, such as a dermatologist or plastic surgery office.

Laser Wrinkle Treatment

The most effective wrinkle removal treatment for facial skin rejuvenation is laser resurfacing. In the past, stronger CO2 lasers were used and while facial lines were removed and skin tightened, often the skin lost color. The recovery form CO2 laser resurfacing was very difficult, with wounds and redness lasting several weeks.

In the past two years exciting new laser resurfacing technology called ablative fractional laser resurfacing has been developed which is both effective and safe.

Fractional ablative laser is very different from non-ablative fractional lasers, which have been around for 4-5 years. Ablation is required for effective wrinkle removal.

I use the fractional 2940 Erbium laser because the 2940 Erbium is effective and has a much quicker recovery than CO2 fractional laser in my experience. Results like those in the photo below can be achieved with only 4-5 days of redness or pinkness, compared to a three week recovery with traditional CO 2 resurfacing.

Even lip lines and crows feet can be improved dramatically with the new fractional ablative 2940 Erbium laser (see fractional laser resurfacing photo).

Remember, prevention is always the best cure. However if you see signs of aging starting in your face, start prevention and treatment now, the earlier you take action the better. The exciting new fractional ablative erbium lasers are the wave of the future for facial laser treatments that actually work, with minimal down time

Article by
Boston Plastic Surgeon