woman examining wrinkles on her forehead

Wrinkles. You didn’t used to think about them at all. Now they’re all you see when you look in the mirror.

How did they get there? And how do you get rid of them? The answer to both of those questions depends on what kind of wrinkles you have.

1. Dynamic Wrinkles

woman examining wrinkles under her eyes

Sometimes called “expression wrinkles” these are the wrinkles caused by dynamic muscles that let you make expressions such as:

  • Squinting
  • Raising your eyebrows
  • Frowning
  • Crinkling your nose

When your skin is young, thick, firm, and elastic, it “bounces back” after making expressions, so wrinkles don’t form. However, as you age and your skin is damaged by the sun, the key building blocks that make it strong — collagen and elastin — begin to disintegrate. And your body doesn’t produce much (if any) new collagen and elastin as you get older.

Your weaker, thinner skin can’t bounce back the way it used to. Over time, the dynamic, expressive muscles press your skin into wrinkles such as:

  • Forehead furrows
  • Frown lines
  • Bunny lines
  • Crow’s feet

Dr. Julio Garcia, a top plastic surgeon in Las Vegas, treats dynamic wrinkles by relaxing the muscles that cause them. By judiciously injecting your dynamic expression muscles with a neuromodulator — such as Botox(R), Dysport(R), or Xeomin(R) — he calms down your expressions so your skin can smooth out.

Because Dr. Garcia is an expert in facial aesthetics and anatomy, he uses just enough Botox to stop wrinkles but not enough to stop your normal expressions. You’ll look natural and lovely as you express yourself, but you won’t form or reinforce your wrinkles.

Botox is also a great way to prevent dynamic wrinkles from taking hold in the first place. Millennials frequently use Botox as a prejuvenation treatment that eliminates the faint trace of wrinkles that have begun to form on their foreheads and around their eyes. Even if your skin is completely unlined, if your family has a genetic tendency toward frown lines and crow’s feet, speak to Dr. Garcia about preventive Botox.

2. Elastotic Wrinkles

Elastin is a type of protein in your skin that gives it resilience, so you can pull it out and it snaps right back — like an elastic band. However, exposure to the sun’s damaging UVA and UVB rays degrades and depletes your stores of elastin and another important protein, collagen.

As your skin loses elastin, it loses elasticity, too. The elastotic wrinkles that form as creases on your cheeks and upper lip or at the base of your neck are signs that your skin doesn’t have enough elastin or collegen to maintain its support and health. These are the kinds of wrinkles that can affect your entire face, as the collagen degrades and long furrows appear all over your skin with time.

The best way to counteract early signs of elastotic wrinkles is to rebuild your skin with strengthening laser treatments. Laser therapy heats up the collagen layer in your skin, forcing it to contract and tighten. The energy also stimulates a healing response that makes your skin produce new collagen and elastin.

As the collagen remodeling in your skin progresses over the next few months, you’ll notice that your skin is thicker, more elastic, firmer, and smoother. You may need a series of laser treatments to get the improvement you want. If your wrinkles and creases are deep, Dr. Garcia may also recommend dermal fillers, such as Juvederm, to fill them in.

If your wrinkles are extremely deep and numerous, Dr. Garcia may recommend a facelift with fat grafts. A face lift not only lifts your face, it smooths out wrinkles for a silkier, more youthful look.

3. Gravitational Wrinkles

woman examining wrinkles

Those deep creases that look saggy and sad are caused by a combination of skin degradation, loss of fat and muscle as a skin support, and just plain gravity. Some common gravitational wrinkles include deep nasolabial folds, marionette lines, and an overall sunken or gaunt look to your face.

Improving the quality of your skin with lasers can help prevent gravitational wrinkles or reverse early ones. Fillers such as fat grafts and Voluma(R) or Sculptra(R) restore volume to your face to reverse the gauntness and create a slight lift to resolve early jowling.

Restylane(R) and Juvederm can be used to fill in deep troughs around your nose and mouth. Dr. Garcia selects a formulation that moves with your expressions for the most natural look.

However, if you have significant jowling, sagging, and volume loss, nonsurgical approaches may not be enough to give you the improvement you want. In that case, Dr. Garcia recommends an SMAS face lift and neck lift with platysmaplasty.

A face lift and neck lift gives you a dramatic and natural looking rejuvenation that makes you look and feel ten years younger. In most instances, Dr. Garcia also recommends lasers to improve your skin quality and fat grafts to replace lost facial volume and create a more natural-looking lift.

4. Atrophic Wrinkles

Atrophic wrinkles are caused by loss of volume and elasticity. They’re generally parallel to each other and very fine. If you pull your skin taut, they smooth out.

Improving your overall skin quality with lasers can help resolve atrophic wrinkles. If your wrinkles are profuse, Dr. Garcia may recommend a face or neck lift. He also recommends a custom-designed, medical-grade skin care regimen and regular treatments such as chemical peels, to keep your skin healthy and smooth.

5. Compression Wrinkles

Blame your pillow: If you sleep on your side or stomach, you may awaken in the morning with deep lines on your face. These usually disappear at the day progresses, but if your skin’s become inelastic due to sun damage and aging, the wrinkles may stick around.

Improving your skin quality with lasers, chemical peels, and a medical-grade skin-care regimen is the best way to avoid compression wrinkles on your face. If some of the wrinkles have become ingrained, Dr. Garcia smooths them out with dermal fillers.

You may also develop compression wrinkles above your knees, which are caused by the weight of sagging skin, muscle, and fat. Dr. Garcia then recommends liposuction to remove the excess fat that’s causing the wrinkles.

Depending on your skin quality, liposuction alone might be enough to tighten your skin after the fat’s been removed. If your skin is inelastic, Dr. Garcia may recommend other skin-tightening treatments, such as laser therapy, to make you knees smooth and beautiful.

If you’re looking for a top plastic surgeon in Vegas‌ so you can get rid of your wrinkles, contact Dr. Garcia for a consultation.


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