Wrinkel Reduction

A variety of procedures are used to smooth out wrinkles. Some studies indicate that a combination of treatments may yield the most satisfying results of which laser procedure gives a satisfying results.
Laser resurfacing. In ablative (wounding) laser resurfacing, a laser beam destroys the outer layer of skin (epidermis) and heats the underlying skin (dermis). This stimulates the growth of new collagen fibres. As the wound heals, smoother, tighter skin forms. Laser resurfacing can not eliminate excessive or sagging skin.
Laser resurfacing may be done as an outpatient procedure, usually with a local anaesthetic. You may be fully sedated for extensive resurfacing. It can take several months to fully heal from ablative laser resurfacing. A newer method using fractional lasers has a shorter recovery time. Risks include scarring and lightening or darkening of skin colour.
A technique called non-ablative laser fractional resurfacing has a shorter healing time and fewer risks than does the ablative technique. Non-ablative lasers are better suited to people with moderate wrinkles because the results are subtle. This treatment needs to be repeated more often than ablative treatment. This method also can be done with a fractional laser.
Photodynamic rejuvenation. Photodynamic therapy (PDT) can treat fine wrinkles caused by sun exposure. You may need repeat treatments, but recovery for PDT is shorter than it is with laser resurfacing.
Dermabrasion. Dermabrasion sands down the surface layer of skin with a rapidly rotating brush. New skin grows in its place. You may need to undergo the procedure more than once.
Microdermabrasion. Similar to dermabrasion, this technique removes only a fine layer of skin. You will need a series of treatments over months to produce modest, temporary results. If you have rosacea or tiny red veins on your face, this technique could make the condition worse.
Botulinum toxin type A (Botox). When injected in small doses into specific muscles, Botox keeps the muscles from contracting. When the muscles can not tighten, the skin appears smoother and less wrinkled.
Botox works well on frown lines between the eyebrows and across the forehead and on crow''''''''''''''''s feet at the eye corners. It takes one to three days to see results. The effect typically lasts a few months. Repeat injections are needed to maintain results.
Soft tissue fillers. Soft tissue fillers, which include fat, collagen, and hyaluronic acid (Restylane, Juvederm, others), can be injected into wrinkles on your face. They plump and smooth wrinkles and furrows. You may experience temporary swelling, redness, and bruising in the treated area. The effect of most products is temporary.
Face-lift. The face-lift procedure involves tightening the underlying muscle and tissues. It may be done in a hospital or an outpatient surgical facility, with a local anaesthetic, sedation. Healing may be time taking in some specific cases.