A Answers (4)
Dermatologist Dr. Heidi Waldorf describes some non-invasive options for facial rejuvenation. Watch Dr. Waldorf's video for tips and information on cosmetic dermatology and skin health.
Stuart Linder, MD, Plastic/reconstructive Surgery, answered
Non-invasive procedures are becoming more popular than ever. Treatments include: Restylane, Hylaform, Juvaderm, Perlane, collagen, and fat injections. Restylane is a cosmetic filler made from hyaluronic acid and is useful for severe facial wrinkles and prominent folds (nasolabial). Collagen has been used for years and last about 3-7 months. It is useful for filling out wrinkles and fine lines and is made from bovine dermis. Autologous fat injections are becoming more popular as well, and can be used after centrifugation of the free lipids for enhancement of volume of the mid-facial regions and nasolabial folds. Botox is used throughout the world to smooth out wrinkles around the peri-orbital areas and the forehead frown lines. Finally, peels (TCA, phenol, glycolic acid) are used to reduce fine lines and smooth out the skin, while also reduces sun damage.
Erik Hoy, MD, Plastic/reconstructive Surgery, answeredPatients seeking nonsurgical or less-invasive, temporary treatments for elements of facial aging have an increasing array of options. These are still considered minimally-invasive (not non-invasive) approaches, typically meaning that needles are involved, but no surgical incisions are made. These modalities include chemodenervating or temporary paralysis of the muscles of facial animation, materials to fill wrinkles or contour irregularities, chemical peels or dermabrasion to resurface and rejuvenate the skin surface, and laser treatments to smooth, depigment, or tighten the skin of the face.
Botulinum toxin A, or Botox, is a temporary treatment of moderate to severe frown lines between the brows. Botox must be injected around the muscles of facial expression with a small needle, and may only be administered under the supervision of a physician. The treatments typically last four months. Facial fillers refers to a variety of substances that can be injected into the soft-tissues of the face to fill wrinkles or contour irregularities. These vary from those that last only several months, to those that are permanent. They can provoke a reaction from your body's immune system, and some require pretreatment to rule out allergy to the material. Talk to your plastic surgeon to find out what filler might be best for you. Chemical peel is a catch-all term for a family of substances that help to resurface the skin of your face. "Peels" are liquids that are applied to the surface of your skin and produce a mild chemical burn. The resulting healing process results in smoother, softer, more uniformly-pigmented skin. Dermabrasion operates on similar principles. The superficial layers of aging skin are removed by means of a small, abrasive rotating drum. The skin is then allowed to heal, and is typically smoother and with fewer fine lines.
Finally, laser therapy directs laser light to the skin from a probe. When used correctly, lasers can help tighten the skin, and may smooth and resurface the skin of the face as well. None of these methods is as dramatic as the facelift procedure, and they may not be appropriate if you have deeper, well developed wrinkles and loose skin. However, they are less invasive and involve a shorter and easier recovery.
William Kestin, MD, Ophthalmology, answeredAny number of relatively non-invasive options are available these days. Of course, a series of small injections is involved, but facial lines and wrinkles caused by the action of a muscle or group of muscles are best dealt with by relaxing those overactive muscles with BOTOX or Dysport. The best examples of these types of lines are the so-called "crow's feet" around the eyes, and those "angry 11's" between the brows. Lines and creases due to loss of skin elasticity and volume are best when apporoached with an eye toward restoring lost volume with dermal fillers, and then addressing specific concerns for each individual patient to sculpt a refreshed look without looking "done." Hyaluronic fillers, such as Restylane, Perlane, and Juvederm provide rapid, reversible correction that can last up to a year with full-correction techniques, and are a great way to introduce yourself to volume replacement. Another excellent filler I like to use is Radiesse, which is based on microsphere technology and can provide excellent results. Areas where fillers excel might surprise you. We can camouflage jowls, restore jawline contour, enhance lips and chins, and of course, hide those dark circles under the eyes with tear-trough therapy. Believe it or not, fillers can often be used to recontour a nose and successfully minimize the appearance of bumps and scars. Nasolabial folds (frown lines), "marionette" lines under the corners of the mouth, and fine lines around the lips can all be addressed with combinations of fillers and muscle relaxation. You should be able to achieve a rested, refreshed look that will have your friends remarking on how rested you appear. To me, the idea is to rejuvenate, not totally change, the way a patient appears using non-surgical techniques.