Various minimally invasive techniques are available for facial rejuvenation. Many of these techniques are used in combination for best results. In addition, in some cases there is a role for these treatments with surgery.
Facial animation occurs from contraction of facial musculature. With repeated animation permanent wrinkles in the skin develop. Areas commonly affected are the glabella (or the area between the eyebrows), the forehead and the crows feet (outside of the eyes). These lines make one look older, sad, angry or tired. The neuromodulators can help prevent deepening of these lines and can reduce or erase these lines all together. These products last around four to six months.
Juvederm®, Restylane® (Dermal Fillers)
The dermal fillers (Juvederm, Restylane) consist of hyaluronic acid and are used to restore volume to the skin. The injection of these substances provide lifting and smoothing of facial wrinkles and folds. Volume can also be added to areas to provide augmentation, such as in the lips. These products last around four to six months but and in some cases can last even longer.
Radiesse® is an injectable filler that has been approved by the FDA to reduce moderate to severe wrinkles, folds and creases around the nose and mouth by stimulating the natural production of collagen in the skin. This product is composed of calcium hydroxylapatite microspheres. The results tend to last for approximately 1 year.
Sculptra® is an injectable filler that restores facial fat lost. The Sculptra® injection consists poly-L-lactic acid (PLLA) and is injected deep to the skin in the areas of fat atrophy. The product often requires a series of injections and provides a gradual volume replacement. The results tend to last for approximately two years.
Chemical peels remove damaged outer layers of skin to smooth texture, reduce scarring, and remove blemishes or discolorations to produce healthy, glowing skin. There are three types of chemical peels and formula strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look.
Alphahydroxy acids (AHA) are the most mild chemical peels. They are best used to treat fine wrinkles, dryness, uneven pigmentation and acne. AHAs are typically applied once a week. They are ideal for patients that do not want the lengthy recovery time of a a deeper peel.
Trichloroacetic acid (TCA) is the medium-depth peeling. The depth can be controlled to some degree by the application. It is used to treat fine surface wrinkles, superficial blemishes and pigment problems. TCAs are the preferred chemical solution for darker-skinned patients and may be used on the neck and other areas of the body. Multiple treatments may be required, but treatments only last 10-15 minutes and recovery time is approximately one week.
Phenol is the strongest chemical peel. It is used to treat deeper skin problems such as coarse facial wrinkles, pre-cancerous growths, and areas of blotchy or damaged skin caused by sun exposure, aging or birth-control pills. Phenol is used only on the face. Full-facial treatment can last an hour or two and recovery can take a few months, with possible permanent skin lightening and removal of freckles.