Facial Rejuvenation

In general younger patients with no wrinkles at rest or on animation require only maintenance skin care and prevention. Skin systems such as ZO medical utilize retinol based regimens aimed at improving skin’s barrier function, and creating smooth, firm, even colored, well hydrated skin. Prevention measures include sun protection, smoking cessation, diet and exercise. For patients with superficial wrinkles, which only appear on animation, toxin injections (Botox), into the forehead, crow’s feet and brow, as well as dermal fillers like Juvederm and Restylane into the nasolabial folds provides patients with improvements with minimal downtime. Light glycolic or retinol peels are also recommended. For patients with deep wrinkles on animation, toxins will soften forehead wrinkles, neck bands, frown lines, and crow’s feet. Additionally, these patient’s often benefit from deep peels (Controlled depth peels), ablative laser therapy, and dermal fillers including Perlane, Restylane, Sculptra and Juvederm. For patients with superficial wrinkles at rest and deep on animation, all of the prior treatments mentioned are recommended, however, deeper peels or ablative laser therapy will be required for improvement, as well as larger volumes of fillers, placed in a deeper tissue plane such as Sculptra and Voluma. Finally, for patients with deep wrinkles at rest, although the aforementioned procedures are often useful adjuncts to surgery, they are rarely sufficient to rejuvenate the face. This is because the skin has lost too much elasticity, and the underlying subcutaneous tissues have also shifted too far to be corrected with cosmetic treatments alone. These patients often benefit greatly from surgical procedures including facelift, forehead lift, blepharoplasty, and necklift in conjunction with cosmetic treatments aimed at optimizing and maintaining results.