#1) Wrinkles form as the skin ages due to solar exposure, environmental changes, stress and your personal biology.
#2) Real changes occur in the skin including thickening of the epidermis (bad) and thinning of the dermis (bad). What we want is a thin epidermis and a thick, viable, plumb collagen and elastin filled dermis that is well hydarated.
#3) There is only ONE cream based medicine proven to treat wrinkles Retin-A (isotretinoin). Isotretinoin was developed decades ago as an acne medicine. It’s medical effects on the skin include thinning the epidermis and thickening the dermis. It can stimulate collagen growth. It will help to reduce wrinkles, and despite the $billions of dollars spent on age defying creams, lotions and potions, non have proven to be as effective as simple and inexpensive Retin-A. If you can tolerate retin-a then use it!. Some patients are very sensitive to the cream and it can cause itching, rashes, acne, peeling and redness. Our aestheticians and Dr. Goldberg can help you learn how to use retin-a to treat and prevent wrinkles.
#4) It’s not fair! You are right. Maybe you never smoked but have lip lines. Maybe you were not a sun worshipper but have lots of brown spots and wrinkles. Truth is there is some randomness to the process of forming wrinkles but generally if your mom has great skin at an older age, you will also.
#5)There are three proven modalities to TREAT wrinkles; dermabrasion, lasers and peeling. You should learn what treatment at what strength is right for you. It is all about identifying the problem, and creating a sound treatment protocol that is safe, effective and affordable.
Chronological Aging and Wrinkles
As a person ages the epidermal cells become thinner and less sticky. The thinner cells make the skin look noticeably thinner. The decreased stickiness of the cells decreases the effectiveness of the barrier function allowing moisture to be released instead of being kept in the skin. This causes dryness. The number of epidermal cells decreases by 10% per decade and they divide more slowly as we age making the skin less able to repair itself quickly.The effects of aging on the dermal layer are significant. Not only does the dermal layer thin, but also less collagen is produced, and the elastin fibers that provide elasticity wear out. These changes in the scaffolding of the skin cause the skin to wrinkle and sag. Also, sebaceous glands get bigger but produce less sebum, and the number of sweat glands decreases. Both of these changes lead to skin dryness.
The rete-ridges of the dermal-epidermal junction flatten out, making the skin more fragile and making it easier for the skin to shear. This process also decreases the amount of nutrients available to the epidermis by decreasing the surface area in contact with the dermis, also interfering with the skin’s normal repair process.
In the subcutaneous layer the fat cells get smaller with age. This leads to more noticeable wrinkles and sagging, as the fat cells cannot “fill in” the damage from the other layers.
So, the skin thins, the skin color changes from a nice even color when we are younger to blotchy and pigmented and red at times. We can help you formulate a personalized skin care program that fits your lifestyle and skin type. A personalized approach is the only way as your skin is different then your friends and even family members.