Just as there are many causes for deep facial wrinkles including excessive sun exposure, use of tobacco products, and skin disorders; there are many treatment options. When considering treatment options, consider the results, recovery time and process; and the costs involved, particularly since insurance may not cover the cost of a procedure if it is considered cosmetic. Be sure to discuss deep facial wrinkle treatment options with your physician. Some of the more popular treatments are outlined below.
Topical Retinoids and Wrinkle Creams
Topical retinoid creams are derived from vitamin A and are applied to your skin. They are effective in helping to reduce some wrinkles. Nonprescription wrinkle creams might be somewhat effective in reducing wrinkles, depending on the active ingredients in the creams. However, according to Mayo Clinic, nonprescription creams contain lower concentrations of active ingredients than prescription creams and, therefore, their results are limited.
Dermabrasion and Microdermabrasion
Dermabrasion involves the use of a rapidly rotating instrument to “sand” the outer layer of skin. This process removes the skin’s surface, leaving a new layer that is smoother. Side effects include redness, scabbing, and swelling. Deep dermabrasion removes the most wrinkles, but the risk of complications can increase. Microdermabrasion is similar to dermabrasion but “lighter,” with only a fine layer of skin removed. This procedure may require several treatments to achieve results.
Chemical Peels
In this procedure, a chemical solution is applied to the face, “burning off” the outer layers of the skin. New skin is then generated, and the healing process promotes new growth. This new skin is smoother. Deeper burns from the chemicals remove the most wrinkles; however, this increases the risk of infection. The recovery time can vary, depending on how deep of a chemical peel you receive.
Injections
According to the American Academy of Facial Plastic and Reconstructive Surgery, botulinum toxin or Botox is a sterile, purified protein, produced from the bacteria, clostridium botulinum. Small amounts of this drug are injected into specific facial muscles, weakening the muscle around the injected area. This weakening effect on the muscle temporarily reduces creases or wrinkles in the skin, and prohibits new wrinkles from forming. Botox treatments typically last from three to six months, so repeat injections are needed to maintain the effect.
Another option is soft tissue fillers, which are injected into your face to plump and smooth out wrinkles. These fillers can include fat, collagen and hyaluronic acid. Side effects may include temporary swelling, redness and bruising. This procedure may need to be repeated every few months to maintain the desired results.
Facelift
A facelift involves cutting the skin in the scalp and around the ear. The skin is pulled tight and stitched; then excess skin and fat are removed. The results are smoother skin and fewer wrinkles, and these results can last five to ten years. Bruising and swelling are normal side effects and may be visible for several weeks. Full recovery can take several months.



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