Wrinkles
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Wrinkles are the result of loss of elasticity and damaged collagen fibers in the skin which occurs with aging. In hot dry areas premature aging of the skin is exceedingly common because of the effect of sun damage. Trying to achieve that so-called ‘healthy’ tan not only increases the risk of skin cancers, but also rapidly ages your skin, causing more age spots and wrinkles. It’s just not worth it. The other factor which contributes to aging of the skin is the action of “free radicals”. These are destructive particles in our bodies generated from exposure to cigarette smoking, alcohol, rancid dietary fats, processed chemical foods, viruses and pollution.
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Tretinoin cream, which is used to treat acne, was incidentally noted to reduce wrinkles when used in older acne sufferers. It is derived from vitamin A and is available on prescription from your doctor, although it has not actually been licensed for use for this purpose. It is applied to completely dry clean skin once daily at bedtime. It tends to induce a red scaly dermatitis in the first weeks of use. Test for skin irritation by applying to a small area of skin first and with gradual exposure – that is, leave on for 5 minutes initially and then wash off, then 15 minutes and so on until it can be left on overnight. Tretinoin will leave your skin more sensitive to sun damage, so it is vital to minimize sun exposure and always use sunscreens.
The invention of the laser is proving to be the greatest advance in the area of treating aging skin. There is a new generation of lasers called pulse lasers which are able to very safely remove facial wrinkling and perform various types of eyelid lifting. Lasers are instruments which operate on a very powerful but narrow light beam, and they are able to remove successive layers of skin without any significant heat damage. Lasers have to a large extent replaced other methods of wrinkle removal such as chemical peeling and dermabrasion. Chemical peeling in strengths necessary to remove wrinkles is unpredictable and is much more likely to cause scarring and loss of pigment. Chemical peels however, using lighter concentrations by your doctor, are excellent for removing fine wrinkling and blemishes.
Dermabrasion can be quite good in some cases, but laser has the advantage that there is no blood present and there is less risk of transmitting viral infections. The pulsed lasers are suitable for removing wrinkles around the upper lip and lower eyelid areas, and a 70 to 90 percent improvement can be expected. With the deep so called dynamic wrinkles which are due to muscle pull beneath the skin, any method including laser is less effective, and these areas include deeper frown lines, the lines beside the mouth and so on.
Collagen injections can be performed to plump up the skin and reduce wrinkling. The treatment is fairly costly and the effect is not permanent, but will last some months. It is advisable to see a doctor experienced in the procedure.
Botulism toxin, one of the most potent poisons around, is being used to remove wrinkles. “Botox” is injected near the offending wrinkles, temporarily paralysing the muscle underneath and subsequently flattening the skin above. It takes three to five days for the “Botox” to take effect and the results last for between three to six months. Its use is limited to the upper area of the face in patients 30 to 60 years of age.
Finally, cosmetic surgery, such as a face lift, is also an option to treat wrinkling of the skin. This is expensive, however, and requires careful consideration.
The above statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease.
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