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    How Can We Improve the Signs of Aging?
    Wrinkles are a natural part of the aging process of the skin and they occur most frequently in areas that
    are exposed to the sun such as the face, neck, décolletage, arms and hands. How we age is a
    multifactorial process and depends on sun exposure history (were you a sun worshiper?), genetic factors
    (how did your parents age?), your smoking history, as well as other factors that we are continuing to
    discover and investigate. Over time the skin gets thinner, drier and less elastic leading to wrinkles.
    There are things that we can do to help our skin age better and to minimize the appearance of fine lines
    and wrinkles.
    Treatment for wrinkles runs the gamut from topical creams, and moisturizers, to cosmetic procedures
    and cosmetic surgery.

    Some of the most common medical treatments include:
    • Alpha-hydroxy acids- these over-the-counter preparations that are derived from fruit acids and have a light peeling effect on the skin, lighten brown spots and have a subtle improvement infine lines.
    • Antioxidants- come in topical preparations, are also available over-the-counter and contain, vitamins A, C and E as well as beta-carotene. They have a subtle effect on wrinkling but provide a bonus of helping protect the skin from the sun and pollution/free radicals.
    • Moisturizers- help temporarily reduce the appearance of fine lines and give the skin the moisture that it loses over time.
    • Retinol and Vitamin A acids-Over-the-counter topical therapy to help minimize dark spots, improve skin texture, and have subtle improvements is fine wrinkling.
    • Retinoids- These products are generally only available by prescription (adapalene just went over-the-counter about a year ago). They were designed to treat acne, but when studies using these products in the treatment of adult female acne showed improvements in wrinkles and photoaging, they showed a new niche in antiaging. These topical preparations used long term reduce fine lines, freckles, black heads, reduce the size of the pores, improve skin texture and reduce the number of actinic keratoses (pre-cancerous lesions).
    Cosmetic procedures that improve wrinkles include:


    • Chemical peels- help reverse some of the signs of photoaging and especially help with the pigmentation caused by sun exposure like freckles and melasma. Depending on the depth of the peel there may be an improvement in wrinkles.
    • Botulinum toxins-administration of botulinum toxins via injection is the most common cosmetic procedure performed throughout the world for the temporary reduction in the appearance of dynamic wrinkles (lines of facial expression). These wrinkles include the 11’s (from scowling), crow’s feet, forehead wrinkles and bunny lines. It is so commonly used because it is very effective and extremely safe.
    • Dermal Fillers- administration of dermal fillers is also gaining popularity in helping reverse the signs of aging by replacing volume in the mid and lower face (parentheses lines, loss of cheek volume, marionette lines, and lip lines to name a few) as well as helping with lip enhancement. Collagen used to be commonly employed as a filler, but allergic reactions were common, and it did not last very long. The safest fillers used today are hyaluronic acid fillers and they also have good longevity. There are numerous brands avaible and the different types have niches for certain areas of the face. There are longer lasting fillers available such as calcium hydroxyapatite and silicone as well.
    • Laser and light devices for facial rejuvenation- There are numerous devices available now to provide non-surgical enhancement of the skin, from resurfacing lasers to intense pulsed light (IPL). Some devices reduce wrinkles by helping produce collagen and improve the texture of the skin, whereas other improve the tone of the skin by reducing redness (targeting blood vessels in the skin) and dyspigmentation (sun spots and melasma). This field in dermatology has expanded greatly in the past 20 years and now there are many devices available that are much more comfortable, are safer and have fewer side effects as well as down time to achieve desired results.
    • Radiofrequency- radiofrequency devices use electricity to generate heat using the natural water in the skin to cause the production of collagen, thus decreasing wrinkles in the skin. This may sound like the procedure is uncomfortable, but it is very relaxing and does not hurt and feels like a warm massage. There are various radiofrequency devices on the market and we offer Pelleve in our office. This non-surgical device produces skin tightening with no downtime.
    • There is no substitute for sun protection in the prevention of wrinkles and we recommend daily sunscreen use not only to keep your skin looking younger, but it is also important in the prevention of skin cancer.
    Board certified dermatologists are doctors that are true skin experts and possess the training to not only
    evaluate your skin medically but are also experts in the cosmetic enhancement of the skin.


    Want to learn more about dermal fillers and wrinkle treament from Niagara Dermatology Associates? Call us at (716) 205-8324 to book an appointment today

    Questions or Comments?
    We encourage you to contact us whenever you have an interest about our services.

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    (716) 205-8324

    5320 Military Road Suite 104
    Lewiston, NY 14092 (Main office)