How Do I Erase My Wrinkles?

man_with_wrinklesI saw multiple new patients yesterday, and the headline of this blog post is the most common question asked to me by many of them over the course of the day.  All of the individuals new to the aesthetic office were tired of their faces’ appearances.

All described how they were taking good care of their bodies and health by exercising, trying to eat right and protecting their skin now.  However, lack of sun protection in earlier years (including one gentleman who spent most of his life down south and admitted to NEVER using sunscreen) usually has taken its toll.

Fine lines and wrinkles can occur almost anywhere on the face, but most commonly in the areas of greatest sun exposure.  Other reasons for wrinkles can include squinting, smiling, lip pursing, and smoking.

All of the various influences on the face can cause breakdown of skin collagen and elastin over time, resulting in a wrinkled appearance.  Thankfully, with the current state of aesthetic medicine and technology, wrinkles can be smoothed out and definitely made less noticeable with a summary of techniques that I will list below:

1.)  Soften Lines Caused By Muscle Movement

facial_lines_diagramLines in the upper part of the face are generally caused by muscle movement, especially between the eyes, around the eyes, and in the forehead.  These lines can be easily corrected with the appropriate use of Botox injections, which will limit the movement of muscles that cause these lines.

I find that the key to Botox injection is to maintain a natural look that addresses the muscles causing the problem of wrinkles, but not overinjecting.  Most people do not want to look frozen or plastic.

Achieving this look can be accomplished by precise injection and an eye for the natural texture and appearance of a person’s face.  That goal is precisely why I always have each person go through the various motions of their face to see which muscles are the problem and which muscles are needed to maintain a natural feel.

2.)  Smooth Heavy Lines

voluma-before-and-after-goodAs volume is lost, especially in the lower face, heavy lines form that increase shadowing in various angles of lighting and lead to an aging look to the face.  To eliminate these folds, volume needs to be restored.

Restoring volume is an individual concern.  Some people need their midface restored with Voluma, which will restore cheek volume.  Others still have their cheek volume, but have lines forming around the mouth and require more spot correction of individual lines.

Similar to Botox, use of fillers needs to be meticulous and individualized.  No one combination of fillers will work with everyone.  My goal is always to achieve a natural looking correction, and avoid the unnatural look seen in the tabloids and on certain reality TV shows.

3.)  Smooth Fine Lines

smokers_linesMost aggravating for many non-smokers is the appearance of what is commonly referred to as “smoker’s lines”.  The skin around the mouth is thinner and more delicate than that skin in other parts of the face.  Years of lip pursing, including use of straws, can cause tiny but definite lines that look similar to those caused by smoking.

Small and judicious amounts of Botox and fillers can be helpful in some individuals.  Other smoothing technologies such as Pellevé (a radio-frequency device) and micro needling can also be helpful when Botox and fillers are not indicated or too extreme for the person’s face.

As always, a picture is worth 1,000 words in terms of planning an approach to your individual face.  At the time of your free consult, we can analyze your needs and wants and what current aesthetic technology can do for you.

Give us a call at (207) 873-2158 for your free analysis and consultation, and you can find out how I can erase your wrinkles.

About Dr. John Burke

John Burke M.D. has practiced medicine for over 25 years, and is the founding partner of MidMaine Internal Medicine. He established Maine Laser Skin Care in 2004 after devoting years to learning the latest in laser and dermatologic technology. Dr. Burke has treated patients from all over the United States. He is one of Maine's busiest practitioners in laser treatments, and in the use of Botox for upper facial lines and excessive sweating.
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