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About Us |
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Patient Education |
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Photo Gallery |
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The ASPS
Patient Photo Gallery currently includes
before and
after surgery pictures. |
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Wrinkles Treatment |
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Not All Wrinkles
Were Created Equal |
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Wrinkles are the most common sign of
aging. We all get them...and we all want to get rid of them.
Unfortunately, there is no simple solution when it comes to wrinkle
removal. That's because there are actually three different types of
wrinkles, and each has specific treatments designed to treat them.
The three types of wrinkles are dynamic wrinkles, fine wrinkles, and
skin fold wrinkles. |
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Dynamic Wrinkles |
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The wrinkles commonly known as the smile lines
and frown lines, including crow's feet, scowl lines, forehead creases and
lip wrinkles are actually called Dynamic Wrinkles by doctors. No matter what
you call them, they are the most troublesome of all wrinkles and often are
the most difficult to treat. They develop because each time we smile, laugh,
or frown, our skin creases or folds in the same way. After making the same
expressions time after time, our skin "remembers" these creases even when
they are not there. These wrinkles can be improved through laser
resurfacing, dermabrasion, deep peels, Botox, Thermage, and fillers such as
Collagen . However, even if these treatments could eliminate your dynamic
wrinkles, your dynamic wrinkles will return, because you will continue to
make the same facial expressions that caused them in the first place.
Interestingly, if you have ever seen anyone who has had one half of their
face paralyzed, you may have noticed that the paralyzed side appears
younger. This is because they do not move that side of the face, so there
are no dynamic wrinkles. |
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Fine Wrinkles |
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Fine wrinkles are seen on dry crepe paper skin
(usually on the cheeks). These wrinkles are superficial and their removal is
relatively easy through skin care, micro peels, and other simple treatments. (See
table). |
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Skin Fold Wrinkles |
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Skin fold wrinkles are the wrinkles that go from
the corner of our noses, around our mouths, and down to our chins. They look
like big parentheses around our mouths. They develop within the skin fold
(called nasolabial fold by doctors), which is due to sagging cheeks. Because
these wrinkles are due to sagging skin, the only way to treat them is by
tightening the skin...through a facelift. Just look in the mirror while you are
pulling your cheek skin back toward your ears. You will see a dramatic
improvement in your nasolabial folds, as well as the skin fold wrinkles. (No
more will be said of skin fold wrinkles on this page, because the treatments on
this page do not help skin fold wrinkles).
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How Wrinkle
Treatments Work |
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Chemical peels, laser, dermabrasion,
and skin care are all guided by the same principles. To understand
them, you first must know a little something about your skin.
Your skin is made up of damaged
superficial cells and healthier deep cells. Every day, your old
superficial cells die, shed, and are replaced by younger cells. When
you are born, the process of shedding a new skin cell takes about 30
days. By the time you are 60, the process takes about 60 days. Thus,
as you get older, your complexion becomes dull and lifeless because
the cells on your skin's surface are, in fact, older.
Each treatment mentioned above
causes uniform destruction and shedding of your old damaged
superficial skin cells. This allows healthier deep cells to surface
while they are still young and fresh. Each of these treatments
organizes and expedites the process of skin turnover and helps you
reclaim the skin of your youth. As a result, you will see
improvement in some or all of the following skin problems: large
pore size, loss of skin vitality, roughness, discoloration, fine
wrinkles, acne scars, dynamic wrinkles, and loss of skin tone.
(Fillers and Botox are guided by other principles).
Despite their similarities, each
treatment works slightly differently and therefore yields a
different degree of improvement. No one treatment solves all
problems. In general, deeper treatments yield greater improvement
but impose longer recovery. To optimize their results, many people
employ two treatment options that complement one another, such as
laser resurfacing and Botox injections.
The table below lists all
treatments that address skin color, texture, tone, complexion, and
wrinkles. Each treatment is evaluated for its effectiveness in each
area. As you can see, no one treatment does everything. Also, the
more effective the treatment, often the longer the recovery tends to
be. Your plastic surgeon should tailor a treatment plan that
addresses your concerns, while also allowing you recover within a
time frame that is suitable for your lifestyle. Visit the links
below to find out more about each procedure.
0 - Treatment does not affect the
given skin quality
+ - Treatment affects the given
skin quality a little
++ - Treatment affects the given
skin quality more
+++ - Treatment affects the given
skin quality even more
++++ - Treatment affects the given
skin quality dramatically
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Fillers
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Botox
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Skin Care
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Micro Peel
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Medium
Peel
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Shrinks Pores |
0
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0
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++
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+++
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+++
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Increases Vitality |
0
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0
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++
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+++
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+++
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Smoothes Skin
Texture |
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++
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+++
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+++
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Reduces Fine
Wrinkles |
0
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0
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+
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+
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++
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Reduces
Discoloration |
0
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0
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+
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+
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++
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Tightens Skin |
0
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0
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0
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0
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0
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Improves Acne
Scars |
0
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0
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0
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0
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+
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Reduces Dynamic
Wrinkles |
++
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++++
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0
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0
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0
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Recovery (Days) |
0
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0
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0
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0
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5-7
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Erbium
Laser
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N Lite
Laser
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Derm-
abrasion
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CO2 Laser
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Deep Peel
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Shrinks Pores |
+
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+
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+
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+
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+
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Increases Vitality |
+
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+
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+
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+
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0
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Smoothes Skin |
+++
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+
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+++
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+++
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+++
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Reduces Fine
Wrinkles |
+++
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+
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+++
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++++
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++++
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Reduces
Discoloration
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++
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+/-
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++
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++
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+++
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Tightens Skin |
0
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0
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+
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++
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++
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Improves Acne
Scars |
+
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++
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+
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+
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+
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Reduces Dynamic
Wrinkles |
++
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+
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++
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+++
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++++
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Recovery (Days) |
4-7
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0
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7-10
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10-14
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10-14
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New Page 1
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About Surgery |
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Areas of
surgery |
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Planning your surgery |
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