In our gilded 20s, hardly anything can be seen. They didn’t really start to be famous until we were in our 30s. By the age of 40, we have become accustomed to seeing at least one or two lines on our forehead become too comfortable, a little wrinkles around the eyes, and a few lines around the mouth, indicating that we do, “lived, laughed, loved pass” . “Here, we explore various strategies for treating and preventing fine lines and wrinkles when intervention is needed.
According to New York dermatologist Marina Peredo, MD, the three basic ingredients to slow down time are good SPF, antioxidants and DNA repair enzymes. “Besides, I recommend using retinoids, peptides, alpha-hydroxy acids (AHA) and growth factors to really optimize the skin.” “The single product I recommend every night is Retin-A. Added Kenneth R. Beer, MD, a dermatologist in West Palm Beach, Florida. “I also recommend using it with topical vitamin C, some niacinamide, and 500 mg oral vitamin C every morning.” When it comes to eye creams, doctors say that if you want to look younger, don’t skip them. “You can use ingredients such as hyaluronic acid, growth factors, antioxidants, peptides, retinol or kojic acid to help repair skin damage and avoid fine lines,” Dr. Bill said.
This includes the horizontal line and the vertical frown line called “11s” that appears between the eyebrows. “The best non-surgical option is to inject neurotoxins,” said Boca Raton, MD, Steven Fagien, an ophthalmic plastic surgeon in Florida. “They work best on’dynamic lines’ or lines seen in animation. However, once the lines are etched in, the effect of neurotoxins is limited.”
Dr. Beer said that for static lines, fillers such as Belotero Balance can be used outside the label and used cautiously, especially on the lower forehead: “Using radio frequency and laser microneedles can also help reconstruct the eyebrow area.”
Delray Beach, FL facial plastic surgeon Miguel Mascaró, MD says neurotoxins are the best way to soften crow’s feet. “If you just have a slight cavity, the immediate filler off the label is a good solution because the metabolism there is very low,” he explained. “Because there is almost no movement in the area, fillers or micro-fat injections can last longer.” However, Dr. Fajen warned that the current fillers are not a panacea repair method: “Although it may be for some people It is beneficial, but for others, upper or lower eyelid lift may be recommended.” Around the eyebrows, Dr. Peredo likes Ultherapy’s “non-surgical brow lift” and laser treatment for wrinkles.
When we think of cheeks, restoring volume is the common goal, but radial cheek lines and sagging skin may require more than a pinch of filler. “In these cases, I will fill the fillings deeply along the arch of the cheeks to elevate the cheekbones,” Dr. Peredo explained.
For sagging and radial cheek lines, James Marotta, MD, a plastic surgeon in Smithtown, New York, prefers deep laser resurfacing to restore elasticity. “We can also use hyaluronic acid fillers, fat injections or PDO threads to smooth those lines, but for those with severe sagging, cosmetic surgery may be needed.”
For puppet lines that extend vertically from the mouth to the chin, as well as the barcode lines formed on the lips, fillers are usually used to plump the skin and flatten the lines. “We often use medium-thickness fillers, such as Juvéderm Ultra or Restylane,” explains Dr. Beer. “I found that directly injecting these deeper lines can reduce their depth and make laser skin resurfacing more effective.”
“Ultherapy and PDO lines can also help treat nasolabial folds,” Dr. Peredo added. “We often use a combination method that includes Ultherapy, fillers, and neurotoxins in one course of treatment. Vertical lip lines may be more difficult to treat, but patients are expected to see a cumulative improvement of about 50%.”
Fillers like Restylane Kysse can fill superficial lip lines, but micro-dose neurotoxin injections and microneedles can also reproduce these wrinkles. “I also recommend non-exfoliative laser therapy, but we also see that radiofrequency microneedles have made tremendous progress in this field,” Dr. Bill added.
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Post time: Oct-08-2021