Wrinkles measuring less than 1 mm in width and depth are defined as fine wrinkles and those greater than 1 mm as coarse wrinkles
Wrinkles are visible creases or folds in the skin. Wrinkles measuring less than 1 mm in width and depth are defined as fine wrinkles and those greater than 1 mm as coarse wrinkles.
Wrinkles can be caused mainly by intrinsic factors (e.g., ageing, hormonal status, and intercurrent diseases) and by extrinsic factors (e.g., exposure to ultraviolet radiation, and cigarette smoke). Any of the above factors can lead to structural manifestations including loss of elasticity, skin fragility, with creases and lines in the skin. The severity of photo damage varies with skin type, which includes skin colour, and the capacity to tan.
Most common types of Wrinkles
These are those dynamic lines forming on the face where skin has to adapt to the facial muscles movements.
- FOREHEAD LINES
- FROWN LINES
- BUNNY LINES
- CROW’s FEET WRINKLES
- PURSE-STRING WRINKLES
- PLATYSMAL BANDS
They are more static and depending on their position, they are:
- EYEBROW PTOSIS
- TEAR TROUGHS
- NASO-LABIAL FOLDS
- MARIONETTE LINES
- MENTAL CREASE
- TRANSVERSE NECK FOLDS
- VERTICAL NECK FOLDS
Management of wrinkles
Treatment options for wrinkles are;
Non invasive treatments
a. Dermal fillers
Soft tissue fillers like fat, collagen and Hyaluronic acid ( Restlylane) can be injected to the skin over the face. They plumb and smoothen the wrinkles.
b. Chemical peels
Using prescribed chemical solutions the top layers of the skin can be removed by the dermatologist. Depending on the depth of the peels , we may need multiple sessions.
c. Botulinum toxin-A
Toxins like Botox or Dysport when injected into specific muscles, it prevents the muscles from contracting leading to a smoother and less wrinkles skin.
d. Skin tightening techniques such as Ultherapy
Focused ultrasound energy with controlled temperature is targeted to areas beneath the skin leads to collagen regeneration. The heat energy targets muscle, skin and superficial wrinkles stimulating collagen and elastic tissues resulting in firmer skin, less sagging and fewer wrinkles
e. Photodynamic Rejuvenation
Photodynamic Therapy (PDT) treats fine wrinkles but may needs multiple sessions
a.LASER Skin Resurfacing
LASER beam removes the outer layer of the skin (epidermis) and heats the underlying skin (dermis). This stimulates the growth of new collagen fibres leading to smoother and tighter skin forms.
b. Dermaabrasion and Microdermaabrasion
Dermabrasion sands down the top layer of the skin with a rotating brush leading to the formation of new skin.
Microdermabrasion technique removes only a fine layer of skin
c. PDO thread lifts
This minimally invasive procedure tightens your skin by inserting medical-grade thread material (Polydioxanone) into your face and then ‘pulling’ your skin up by tightening the thread.
This involves tightening the underlying muscles and other tissues. This is usually done in a hospital set up under Local / General Anaesthesia.
Topical Vitamin A Retinoids
Applied topically these retinoids may reduce fine wrinkles, splotches and roughness of the skin.
Retinols, Antioxidants and some peptides may bring in slight to modest reduction in wrinkles