Cleveland residents have many choices for their wrinkle treatment

Wrinkles are a condition of aging, as skin becomes less elastic, more fragile, and natural oil production decreases, causing dryness. These factors make lines more pronounced, as does the loss of subcutaneous fat.

While we can’t control aging, we can control the extent and severity of our wrinkling by avoiding unprotected exposure to damaging UV light and habits like smoking – both leading causes of premature aging.

We also have at our disposal wrinkle treatment beyond our mothers’ and grandmothers’ wildest imaginations.

Today’s options

Laser resurfacing has “traditionally” (at least since FDA approval in the early 1990s) involved the ablative technique. Light energy from the laser beam removes the outermost layer of skin or epidermis while heating the dermis underneath, which contains the collagen responsible for skin firmness. As the treated area warms up, these firming fibers shrink. New collagen is made as the area heals, promoting smoother and younger-looking skin.

Nonablative techniques also damage the collagen underneath to stimulate new fibers, but the energy from the laser beam is not used to remove the skin on top. Instead, the outer tissue is cooled for comfort and the light focuses on the collagen-producing dermis below.

Wrinkles are reduced when the tissues you can’t see grow back tighter, providing improved support for the upper layers you can see.

Other nonablative wrinkle treatment options use radiofrequency energy instead of light energy, including a solution we at Seriously Skin use – Exilis. Controlled heating and cooling allows comfort and treatment from the deep tissue out. Like nonablative laser therapies, RF disrupts and unravels collagen fibers, revealing youthful, wrinkle-free skin as new collagen develops.

Still other procedures like fractional lasers combine the benefits of both ablative approaches (dramatic, fast results) and nonablative approaches (minimal healing, fewer side effects) by treating a fraction of the tissue at a time.

While ablative procedures require longer healing time and can result in redness for several months, they may be a preferred option for those with deeper furrows who want to see dramatic, immediate, and lasting results.

Nonablative procedures are getting better all the time, but still generally require more patience as results are gradual over multiple sessions, and may be a better choice for other signs of aging, such as liver spots – not deep wrinkling. Fewer side effects result from processes that don’t destroy tissue, as ablative resurfacing can cause persistent pigment changes and scarring.

Depending on the severity of your creases, you may be a candidate and find success with the treatments listed below, either alone or in conjunction with other procedures:
  • Chemical peels remove outermost layers of skin; the deeper the peel, the more dramatic the results – and longer the healing time
  • Dermabrasion and microdermabrasion - Skin surface is sloughed off to make way for fresh, new tissue, with the latter technique removing a fine layer of skin to produce modest results
  • Injections - Botulinum toxin type A (Botox) is a well-known answer for creases between the eyebrows and at the eye corners, while a number of soft tissue fillers involve the injection of substances including fat, collagen and hyaluronic acid (i.e. Restylane) to plump and smooth wrinkled areas
Previous generations may have felt compelled to go under the knife. Today’s options achieve desired results without a lengthy, painful, pricey process that may need to be repeated in five years as no treatment halts the aging underneath the surface. Seriously Skin will match you to the best wrinkle treatment in the Cleveland area that today’s science has to offer.

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