Wrinkle Treatment

Wrinkles are skin folds forming due to the action of the muscles located immediately under this skin. Wrinkles appear on the face as well as in other areas such as arms, neck, cleavage, inter and infra mammary, etc., the most inconvenient being those located on the face. The methods of preventing wrinkle appearance (too early) are all based on a common factor, to maintain the quality of the skin. Genetic heritage has an important role but not definitive. Environment factors and lifestyle are those determining wrinkle occurrences. The skin is the most voluminous organ of the human body. It is obvious that any pathological condition affecting the entire body will also indent the skin. The essential role of this organ is to protect against external aggressive factors (cold, heat, radiations, humidity, toxic agents, etc). The tegument is the mirror of the entire body. Healthy skin reflects a general health condition. Extended and uncontrolled exposure to any of the above indicated environmental factors damages skin quality. The following factors are directly involved in the acceleration of wrinkle formation:

• extended exposure to sun radiations damages the collagen in the skin and determines prominent wrinkling which is frequently encountered by persons having a light color face skin.
• coldness determines reduction of circulation at the level of the face tegument with temporary closure of the peripheral vessels, low production of sebum, and toxin removal is slowed down while the skin deteriorates.
• high temperatures combined with low humidity determine body and, implicitly, skin dewatering, a lower production at the level of the sweat glands and early wrinkling.
• air currents affect the skin due to they practically make it “dry”. If these are associated to low temperatures the negative impact is bigger.

Prevention of wrinkle occurrence means removal or diminution of exposure to the above mentioned factors, application of creams with a protection factor as high as possible, using fat creams in cold periods and super-hydrating creams in hot periods, being known that in our country the climate is dry, and it is recommended to avoid exposure to powerful current, during summer or winter. A practice that our grandparents know very well is to apply a wet and hot towel on the face, which has a guaranteed impact against wrinkles. The wet sauna is very good to maintain skin hydration level. The lifestyle and the nutrition regime are very important. Sufficient and quality sleep, lack of stress of any kind whatsoever, nutrition rich in liquids and fibers, and missing animal origin fats, lack of smoking, taking antioxidant vitamins (C, E vitamins) in treatments of 2 weeks each, 2 times per year, all these will delay wrinkle occurrence. There are two types of treatment practices: non-surgical and surgical.

The non-surgical techniques are as it follows:

1. Cosmetically face treatment- monthly or every 2 month-: consists of a series of actions and applications of various cosmetics, appropriate for your face skin, to generate profound cleaning, hydration and nutrition. The establishment of the face skin type must be correct and the products to use must be selected learnedly, due to empirical application of products which are not proper for your face skin could have adverse impact.
   
   Further you could find few secrets which are accessible at home, in case you do not want to use products available in the market or if you're allergic to these: the best masks for dry and sebum-missing face skin are those based on yolk of egg to which a spoon of cow cheese, few drops of olive oils or oily A+E mix vitamin could be added. During winter it is also recommended undiluted worm milk mask; soak more than one piece of cotton wool in milk and apply on the face as a mask. During hot season the best masks for the same type of face skin are those based on fruits (apricots, peaches, watermelon, etc) or vegetables (cucumber, tomato, carrots). In case of acne fat face skin use the egg-white and add some lime juice. The mask composed of yeast and honey is indicated to all types of skin, specially during cold season. The application of concentrated worm infusion, made of medical herbs (camomile, sage, rosemary, lavender, calendula, teil flours, mint) on the face will have a maximum hydration impact during summer and winter.
   
   All these masks must be preceded by a profound cleaning made with the help of sticking products (corn flour or bran), by a firm massage to stimulate circulation at this level and to accelerate toxin removal, as well as by a previous hydration of the face skin through wet sauna.
2. Chemical peeling consists of application of some acid property products on the skin which will determine removal of superficial layers and will stimulate the production of “young” skin. Depending on the product, of its concentration, and on its action time on the skin, a superficial, medium or profound peeling could be practiced. Following this type of treatment the skin requires special care for periods that could extend up to 2 months.
3. Microdermabrasion is a mechanical practice for removal of superficial skin layers. Dermabrasion mechanisms are varies, the impact being mainly the same: profound cleaning.
4. BioSkinJetting or the subscission is a practice aimed to determine stimulation of collagen production at the level of each wrinkle. Immediately after the treatment, at the level of treated wrinkles, some fine red lines will remain which could be easily covered by make-up and disappear within 2 to 4 days, being replaced by young collagen. As in the case of chemical peeling, the young tissue needs special care. Sometimes is it required more than one treatment for the same wrinkle to obtain favorable results.
5. Rejuvenation of the skin through Intensive Pulse Light. The application on the skin of some radiations with a certain wave length, not only that generates skin hyper pigmentation injuries but it fades away the existing ones. As collateral impact it was found that the skin collagen appearance improves per total and fine wrinkles reduce.
6. Laser therapy peeling. Laser therapy is a practice used to remove a substantial layer of skin thickness, generating intense “cleaning”of both pigmentation elements and wrinkles. The recovery period extends on few weeks.
7. Injectable gels could be used to fade out the appearance of profound wrinkles and, in particular, of the nasolabial grooves (between the nose and the mouth). Volume occupying agents are produced in many densities, the least dense being ideal for “filling-up” the wrinkles. The gels could have temporary impact, for few months, or long term impact, for few years, the latter representing a risk of local adverse effect (irritation, irregularities, inflammation).
8. Botulinum toxin is a product injected at the level of face muscles to relax them for a period from 4 to 6 months. The impact is temporary, due to the muscles resume the activity gradually coming back to the initial condition. It is important to choose the right time to start this type of treatment. The moment when the first wrinkles occur, that do not disappear following application of non-medical treatment practices, it is well-timed to start this therapy.
   
   The method is practically missing any risk, the quantity of botulinum toxin contained by this serum being extremely low. The allergy to this type of treatment is very rare. The results show gradually, during more than one day, the total impact of the treatment could be seen after a week. A session of treatment takes few minutes. In the injection location few signs remain that look like a mosquito bite and that disappear after few minutes until half of hour. Sometimes small bruises could appear which could be easily covered by make-up and that disappear naturally after 3 to 4 days.
   
   In your environment nobody will notice any difference; your physiognomy will remain the same. The general appearance of your face will change meaning it will look more relaxed and fresh.

The surgical practices are the following:

1. Autologous transfer is a small surgery practice consisting of fat sampling most frequently from the level of the umbilicus, fat processing and injection at the level of nose, lip, cheek wrinkles, etc. This is also called microlipofilling. The procedure could be done with local anesthesia, in both surgical areas, and the effects maintain only after few such “fillings” performed every 6 months, especially when it is about lips.  30-70% of the fat quantity disappears in few months, and this is the reason for which every procedure requires an “overfilling” in such manner that the initial volume of each procedure is higher than the preferred one.
2. Face lifting, in total or in part, forehead and brow lifting, are surgical procedures used to remove the excess of skin, the face recovering its invigorant and fresh appearance. This procedure is usually associated with one of the above described non-surgical practices. It represents the most radical treatment procedure, having a long term impact, of years or dozens of years. However, even after this procedure skin deterioration prevention and care practices must continue.

The most recent method to approach wrinkle therapy is treatment combination. Simultaneous application of two types of therapy will lead to superior net results against application of a single one. The combination of three methods could bring spectacular results. Few association examples are the following:

• BioSkinJetting with botulinum toxin, the botulinum serum relaxes face muscles for a period of few months, which is enough time to allow the young collagen obtained through BioSkinJetting to get mature. Following this combination many times it is no longer needed to use botulinum serum or BioSkinJetting for a profitably long period.
• Chemical peeling and botulinum toxin, a combination applicable to deeper wrinkles for great ages. Through muscle relaxation a significant percentage of wrinkles are faded out, the rest responding to the chemical peeling therapy.
• The combination between botulinum toxin and injectable gels is used very frequently. The therapy with botulinum toxin could only be applied to the wrinkles located on the superior half of the face and the therapy with injectable gels could be applied to the entire face but more often to the inferior half of the face. The triad comprised of botulinum toxin - injectable gels - peeling (or IPL or laser therapy) governs the actual aesthetics medicine, its efficiency being maxim considering the invasiveness level of the method, and thus, it is preferred to surgical procedures.
• The association of any surgical procedure with one or more non-surgical aesthetic medicine practices is currently a rule. Aesthetic surgery has its well established role for wrinkle and face tegument ptosis treatment. The results are clearly superior to aesthetic medicine when surgical procedure recommendations are strictly complied with.

Although the treatment is very efficient, 1% of the patients do not obtain the results they want!