Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
154 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction
Article Home Skin Disorders Wrinkles

Wrinkles

Publisher
3285 Views
Although wrinkles can signify wisdom, most people nowadays would rather not have them. Skin ages all over the body, but much more so where there has been sun exposure. Changes brought on by sun damage (photoaging) include

Most wrinkles appear on the parts of the body where sun exposure is greatest. These especially include the face, neck, the backs of the hands, and the tops of the forearms.

 

  • Wrinkles come in two categories: fine surface lines and deep furrows
  • Wrinkle treatments are in general much more effective for fine lines
  • Deeper creases may require more aggressive techniques, such injection of fillers or plastic surgery

What factors promote wrinkles?

  • Smoking
  • Light skin type (people with blue eyes and easily burned skin are more prone to sun damage)
  • Heredity (some families wrinkle more)
  • Hairstyle (some styles provide cover and protection against sun damage)
  • Dress (hats, long sleeves, etc.)
  • Occupational and recreational habits (farming, sailing, golfing, using tanning booths, and so forth)

Preventive measures

  • The main preventive measures we can take are to minimize sun exposure and not smoke
  • SPF numbers on sunscreen labels refer to protection against UVB radiation (shortwave ultraviolet light, the "sunburn rays")
  • More and more sunscreens offer protection against UVA radiation (longer-wave ultraviolet light) as well
  • UVA rays are the ones you get in tanning salons; they may not cause immediate sunburn but do promote sun damage and skin cancer risk over time

Treatment

There are several medical (topical medicines and creams) and cosmetic techniques available for reducing wrinkles.

 

They include both medical and surgical methods.

Medical treatment

Vitamin A acid- may produce redness and peeling at first, but discomfort can usually be minimized by lowering the cream's concentration or applying it less often until the skin gets used to it


Alpha-hydroxy acid may produce redness and peeling at first, but discomfort can usually be minimized by lowering the cream's concentration or applying it less often until the skin gets used to it


Antioxidants- include vitamins A, C, and E, as well as beta-carotene. Such creams may provide a certain amount of sun protection as well as mild improvement of fine wrinkles


Moisturizers- reduce the appearance of fine lines.

Cosmetic procedures

Glycolic acid peels-superficial peels can make a very slight difference in the intensity of fine wrinkles.

Deep peeling

  • Deeper peels-these peels use ingredients like salicylic acid and trichloroacetic acid and penetrate somewhat deeper into the skin.
  • Deeper peels do a better job of smoothing fine lines
  • The deeper the peel, however, the greater the risk of side effects, such as long-lasting pigment changes (changes in the color of the skin) and scarring
  • Such peels do not require anesthesia. Mild sedation helps ease short-term but fairly intense discomfort

Microdermabrasion

This refers to "sanding the skin" with a machine containing silica or aluminum crystals.

Microdermabrasion does not change skin anatomy, though it may make the face feel smoother.

 Laser resurfacing

  • Using instruments such as the carbon dioxide and erbium lasers, results similar to those of dermabrasion with greater reliability and precision
  • The laser is passed several times over the area to be treated until the peel reaches the middle of the dermis, the skin's second layer
  • This helps stimulate the body's natural collagen synthesis (production), which plumps up sagging skin and wrinkles
  • Procedures may need to be repeated to maximize improvement. Skin takes a long time to heal (weeks to months) after resurfacing.
  • In addition, this procedure, like dermabrasion can cause permanent pigment changes and scarring

 

Non-ablative laser resurfacing-newer lasers attempt to stimulate collagen synthesis under the skin without peeling or damaging the epidermis.

 

Heat and radiofrequency-Another variation of noninvasive facial rejuvenation is to heat tissue using radiofrequency devises and infrared light sources.

 Botox

Injection of botulinum toxin, the muscle poison, can paralyze muscles that produce the "frown lines" on the forehead, fine lines around the eyes, and other wrinkles. Botox is quite safe


The muscle poison does not spread through the body to do damage elsewhere

Fillers

Fillers are injected into the skin to increase volume and flatten wrinkles and folds. Hyalouronic acid and calcium hydroxy apatite, have become popular, because their effect can last six to nine months, or even longer.

Related questions you may be interested in

doctor1 MD

Hi, over the past few months, i have witnessed my palms get severy wrinkled after i take a bath for 10-15 mins. Off late, ive noticed wrinkling has...

doctor1 MD

My lips all of a sudden just started to wrinkle bad. What is the cause, and treatment

doctor1 MD

my are my fingers normal the skin at the end always looks like I've been in water when I haven't. I also suffer with very cold hands. I have...

doctor1 MD

Please watch this video https://www.yyyyy.com/yyyyyy/0000/0000/f385yyyyy/m See how young her face look, how old mine looks. Any procedures that can...

doctor1 MD

Hi im 31 yr f, I want to improve my facial skin, make it clear, texture to make soft smooth and supple, complexion and reduce or prevent appearing...