Best Way to Get Rid of Wrinkles - Professional Strength Solution

Looking for a wrinkle treatment that really works. Aware of botox and restylane, but not many other wrinkle solutions (professional strength!!).

Doctor Answers 10

The first line of defense against wrinkles is prevention...

The first line of defense against wrinkles is prevention by staying out of the sun. It’s that 80 year-old who comes into the office and you just say “Oh my god, she’s a beautiful woman”. You can be 80, 70, or 20 to be beautiful, but you can tell that they’re the ones who have avoided the sun.

But once wrinkles are here, the simplest thing is to use a moisturizer because that is going to sort of plump and hydrate the skin, so to speak, and in so doing, will give the appearance of an improved line. So we all look better with a nice moisturizer and that speaks to, now I’m not an Anthelios salesperson, but that is a nice product because it does have a plumping affect. Again, moisturizer is a temporary effect, but it is still something you can do to soften wrinkles while preventing new lines from forming.

Now some lines are from the sun and some lines are from muscle movement, so when we frown or smile, that is where Restylane and Botox come into play. You can use all of the sunscreen you want but if you smile enough or frown enough, you’ll still get some lines.

New Jersey Dermatologist
3.0 out of 5 stars 2 reviews

Options to treat wrinkles on the face

The best solution to wrinkles depends greatly on where they are located, the severity of the wrinkles, and if there is skin laxity or sagging that accompanies the wrinkles.

It is possible to temporarily treat fine lines with topical skin care creams. These add moisture to the skin and create a ‘plumping’ effect which reduces the appearance of fine lines.

Botox and Dysport are very effective when treating wrinkles on the forehead, between the brows, and around the eyes. Fillers such as Juvederm can work well to eliminate wrinkles that appear under the eyes and for the small lines around the mouth (whisper lines). Your surgeon may even use a variety of fillers or techniques, depending upon your particular situation.

For the deeper lines that can appear from the nose to the mouth, or the mouth to the chin, long lasting or permanent fillers such as Radiesse or Artefill can be great options.

There are also surgical options like Brow lift, Eyelid Surgery, and Face lifts that are very effective in ridding someone of the appearance of wrinkles. These options will typically be the most permanent solutions you can choose.

As you can see there are a multitude of options available depending on what you are experiencing. The best course of action is to schedule a consult with a Board Certified Plastic Surgeon, and discuss your options based on your unique situation.

And don’t forget that an ounce of prevention goes a long way. Avoid known wrinkle triggers such as smoking and too much sun and that will keep your skin looking smooth and youthful for a much longer time.

Scott W. Mosser, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 9 reviews

For superficial wrinkles: Polaris Fraxel ...

For superficial wrinkles:

  • Polaris
  • Fraxel
  • Restylane
  • Juvederm plus

For facial creases and folds:

  • Perlane
  • Juvederm ultra plus
  • Thermage
  • Radiesse
  • Sculptra
  • ArteFill

For dynamic wrinkles:

  • Botox

For deep wrinkles:

  • Sciton Lasers
  • Portrait Plasma
  • Deep & medium chemical peels

Neil Sadick, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 3 reviews

Superficial wrinkles and fine lines

Superficial wrinkles and fine lines –
In addition to topical skin care with growth factor and antioxidant creams, a variety of non-invasive lasers have been found to be very helpful. These include the Affirm, CoolTouch, Fraxel, Active FX, Titan, and the like. Topical skin care takes at least 2 months to show an improvement. Depending on the type of laser, 1-6 treatments may be necessary to achieve the best effect. Topical skin care in addition to lasers works best.

Deep wrinkles, facial folds and creases –
Surgery, such as face-lifts and the many names doctors call it like the “life-style lift” or mini-facelifts, are all very similar. The more invasive the procedure, the better and longer-lasting the results. Only your dermatologic or cosmetic surgeon can advise you if surgery is necessary or if the use of filling substances, such as Sculptra, Fat, Radiesse, Juvederm, or Restylane, will be best for you. At times a variety of fillers are used in one session.

Dynamic wrinkles –
Botox or, when it is approved by the FDA in 2008, Reloxan are the only non-surgical methods for improving dynamic wrinkles. Endoscopic surgery may also work but is much more invasive.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.5 out of 5 stars 11 reviews

One of the basic treatments to reduce the visible signs...

One of the basic treatments to reduce the visible signs of aging begins with professional skin care by a licensed esthetician. It is never too early to begin.

Also, there are many excellent treatments to reduce wrinkles, lines and creases.

  • Dynamic line increases can be dramatically reduced by Botox when administered by a well-trained professional.
  • There are also excellent filler materials to treat deeper lines and wrinkles that are more permanent. Most of these treatments are temporary and need to be utilized a couple of times a year.

The important thing is that none of these treatments will interfere with future procedures if someone decides to do something more permanent. There are many different options and these should be discussed with a board-certified professional.

Rodger Wade Pielet, MD (in memoriam)
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Wrinkle treatment

Wrinkles are  best treated based on the state of the wrinkle.  If they are "dynamic" that is, they are visible only when you move your face, then Botox is the best solution.  If they are present at rest, then a resurfacing treatment is best.  There are three basic types of resurfacing:  mechainical ( dermabrasion), light ( laser treatments) and chemical ( chemical peels).  All remove the superficial aspects of the skin and allow new skin to grow and erase the wrinkles.

Philip J. Miller, MD, FACS
New York Facial Plastic Surgeon
4.5 out of 5 stars 56 reviews

Wrinkle treatment

Where do you want to start. This is a very broad subject. There are so many injectables, botox, surgical procedures, skin care lines. etc.. that can treat wrinkles it all depends upon where they exist, the quality of the tissues, what is causing the wrinkles, the amount of subcutaneous fat you have below the skin, etc.. I would suggest going to a plastic surgeon for consultation to go over specific areas of interest.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

Wrinkle treatment

In my experience, preventative creams are a great way to nurture your skin and delay the onset of wrinkles in the first place. However, once wrinkles start to appear, over-the-counter (or even prescription) creams and lotions aren’t going to do much to erase them. Very fine lines may be minimized with a medical-grade product, and skin texture might improve as well. But deeper wrinkles and furrows are usually caused by underlying issues, like repeated muscle movement or loss of physical collagen volume, and surface treatments alone won’t improve those. Injectables like BOTOX® Cosmetic (to prevent continued muscle movement that creates and deepens dynamic wrinkles) or fillers (to add volume) are needed at that point. These cosmetic procedures, combined with the routine you’re already following, can take years off of your appearance.

Wrinkle Treatments that Really Work??

Most patients looking for a solution to their issues with wrinkles go through a similar process as you have.  There's nothing wrong with starting with the cheapest and easiest solution (creams).  But if your wrinkles are deep and your expectations are high, then those products are not goign to take you very far. 

You mentioned a couple great options, Botox and Restylane.  There are certainly many other injection procedures out there as well as a multitude of laser resurfacing options and surgery.  There are always several options to achieve your goals and that's why it's important to find several qualified practitioners and go to a few consultations.  It's never a bad idea to get multiple opinions.  After you do that, come back to realself to validate the suggestions you get!  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

State of art way to soften appearance of wrinkles

The state-of-the-art way to soften the appearance of wrinkles is with fractional laser resurfacing (performed with a laser called Fraxel).

Fraxel produces thousands of tiny but deep columns of treatment in your skin, known as microthermal treatment zones. This treatment eliminates old epidermal pigmented cells. It also penetrates deep into the dermis.

Just as important, though, are the areas of skin the Fraxel laser leaves untouched. For every microthermal zone the laser targets and treats intensively, it leaves the surrounding tissue unaffected and intact. This "fractional" treatment allows the skin to heal much faster than if the entire area were treated at once, using the body's natural healing process to create new, healthy tighter tissue to replace skin wrinkles and imperfections.

Andrew Jacono, MD
Great Neck Facial Plastic Surgeon
4.5 out of 5 stars 140 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.