Fine Lines & Wrinkles

 What are neurotoxin injectables and how do they treat fine lines?

Neurotoxin injectables, like Botox, Dysport, Xeomin and Daxxify smooth out fine lines and wrinkles caused by things like age and repetitive facial movements such as smiling, frowning, or squinting.

Botox is the premiere FDA approved treatment for fine lines and wrinkles, like forehead lines, crow’s feet, brows, chin, tip of the nose, the corners of the mouth, bunny lines, and above the eyebrows to life a saggy brow line and to give a fresher look. and undereye circles as are other botulinum toxin injectables, Xeomin, Daxxify, and Dysport. These type of injectables (unlike hyaluronic acid fillers like Juvéderm that add volume to plump wrinkles) work by relaxing the muscles to reduce dynamic wrinkles and lines. Botox is used in treating fine lines and wrinkles by temporarily relaxing the muscles, after the injection, the muscles are relaxed which reduces the movement, which allows the skin to smooth out and reducing the visibility of fine lines and wrinkles.

What are hyaluronic acid fillers and how do they work?

There are over 20 different injectables offered classified as Hyaluronic acid fillers, like Juvéderm, RHA, Belotero, and Restylane, are an effective option for fine lines and wrinkles. Our natural levels of hyaluronic acid decline with age due to exposure to free radicals and the aging process in general. With the ability to hold up to 1,000 times its own weight in water, HA (a sugar found naturally in human skin) is responsible for retaining moisture in the skin. Because of this, it hydrates skin in the treated area and fills the space between collagen and elastin fibers, enhancing skin’s plumpness. Hyaluronic acid fillers are used to fill in and plump up wrinkles and folds on the face and can also add to features that look flat or sunken in, especially on the cheeks, lips, tear troughs/hollows, temples, and jawline. They are often injected into the nasolabial folds, upper forehead, brow creases, and chin. Each hyaluronic acid filler has a different molecular size, or density, which allows the injector to choose the right product for various applications like the lips, cheeks, temples, and fine lines.  Every face and filler is different, and it is important for your medical expert to match the right filler to each unique face and goals, as opposed to choosing a brand name you believe will work best. Your expert provider will know exactly the right filler to use for you, and it is important to come in for a consultation to decide the best route.

How do collagen biostimulators like Sculptra and Radiesse improve wrinkles?

Collagen Biostimulator fillers like Sculptra and Radiesse are another popular solution to fine lines and wrinkles. When it comes to restoring lost volume, enhancing facial contours, and achieving a more youthful appearance, Radiesse and Sculptra are two of the most popular dermal fillers available today. What makes a collagen biostimulator unique to other injectable treatments, is it stimulates the body’s natural collagen production to improve skin structure, elasticity, and volume over time. Patients who desire immediate volume and a firmer, more structured result may prefer Radiesse. Radiesse on average treats more areas of the body than Sculptra typically does, like forearms, neck and chest, knees, butt and hands). Sculptra is ideal for patients who want to look natural through their skin rejuvenation treatment journey.

PRF gel (Platelet-Rich Fibrin) is a collagen biostimulator injectable treatment also used to fine lines and wrinkles. PRF (Platelet-Rich Fibrin) gel is a natural treatment that helps improve fine lines and wrinkles by utilizing your body’s own growth factors. PRF stimulates collagen and elastin, allowing fine lines to reduce by improving the skin’s texture. PRF gel also acts as a natural filler and plumps hollow areas which ultimately smooths crow’s feet over time. The all-natural growth factors in PRF promote tissue repair and improve the quality of skin for a youthful and refreshed/awake look.

PRP (Platelet-Rich Plasma) is a collagen biostimulator that treats fine lines and wrinkles by using your body’s natural healing properties to stimulate collagen production, improve skin texture, and reduce the appearance of wrinkles. PRP is a great option for natural rejuvenation, but results take time to develop. If you’re looking for immediate wrinkle reduction, combining PRP with fillers or Botox might be ideal.

Laser treatments, such as Clear + Brilliant are designed for those with early signs of aging who want to improve their skin’s appearance without the downtime associated with more aggressive lasers. Clear + Brilliant is an excellent laser for pre-juvenation, for all ages and skin types and enhances skin tone and texture, reducing the appearance of fine lines and wrinkles.

Fraxel is a laser treatment offered that can also treat fine lines and wrinkles. A fractional laser technology resurfaces the skin by causing superficial tissue injury to treat wrinkles, including crow’s feet. This works by stimulating collagen production and skin renewal, leading to smoother and more youthful-looking skin and reduced skin texture which improves fine lines and wrinkles as well as improving skin discoloration.

CO2 laser resurfacing is effective for tightening and smoothing the skin. It removes damaged skin layers while promoting collagen growth, improving both skin texture and firmness. This treatment is ideal for reducing fine lines and wrinkles, however, this ablative laser removes old skin and causes risks for discoloration especially in darker skin types.

UltraClear laser treatment similar to CO2 laser resurfacing with shorter recovery and less downtime. UltraClear can reduce fine lines and wrinkles and is safe for all skin types. Ultraclear works by rejuvenating the skin with collagen stimulation and resurfacing. The UltraClear laser is an innovative cold fiber laser that stimulates collagen production while minimizing heat induced damage. UltraClear helps reduce fine lines and wrinkles and skin laxity with less downtime compared to CO2 lasers, making it an excellent option for those seeking effective rejuvenation with a shorter and safer recovery period.

Genius RF microneedling is a laser treatment that delivers radiofrequency (RF) energy through microneedles into the skin, causing micro injuries that stimulate collagen and elastin. Genius RF has minimal downtime and is able to tighten and lift the skin,

Ultherapy helps with fine lines and wrinkles by using focused ultrasound energy to stimulate collagen and elastin production deep within the skin. It’s a non-invasive, FDA-approved treatment for lifting and tightening skin, particularly on the face, neck, and décolletage. Ultherapy is ideal for preventing and treating early signs of aging, but, in cases of severe skin laxity many people combine it with fillers or Botox for enhanced results.

Ellacor is a cutting-edge treatment that uses micro-coring technology to remove tiny cores of skin tissue, which triggers the body’s natural healing response and tightens the skin. This non-surgical option is excellent for addressing moderate to severe wrinkles and skin laxity in the mid and lower face. Ellacor is the most popular non-invasive treatment that removes excess skin, thus ideal for reducing severe fine lines and wrinkles.

What is the recovery time for Ultherapy laser resurfacing, and what can I expect during the healing process?

Typically, just one treatment, which takes 60-90 minutes, is needed. Ultherapy is said to be somewhat uncomfortable and requires pain medication or anesthesia.

Can I combine injectables with collagen biostimulators like Radiesse and Sculptra? 

Injectables like Botox are frequently paired with collagen biostimulators like Radiesse. Radiesse and Sculptra provide volume and sculpt the face, filling the hollowness that can come with age, while Botox can smooth out the fine lines and wrinkles, particularly in areas you cannot put fillers, like the forehead.

Can I combine injectables and fillers with laser treatments? 

Yes. Botox and neurotoxins can be administered either before or after laser treatments. Depending on the laser,  you may have to wait a few days to about 2 weeks between Botox or after you inject.

How many treatments of Ellacor® are typically needed to see significant improvements in skin laxity and wrinkles?

The number of treatments required varies depending on your individual skin concerns and goals. Patients typically need 1-3 treatments to achieve optimal results. During your consultation, your provider will assess your skin and recommend a personalized treatment plan.

How do neurotoxins like Botox work versus fillers? What can I expect from my treatment?

Neurotoxins like Botox work by blocking the nerve receptors on muscles to smooth out wrinkles. While they do not provide the same type of plumping effect as fillers, neurotoxins can also be used for facial contouring. The product is strategically injected into the appropriate areas, and within 1-7 days, you will start to notice reduced movement in the treated areas.

Can Botox and fillers be injected during the same treatment?

Absolutely. A skilled injector can strategically combine neurotoxins and fillers in a single session to enhance facial contours, smooth lines, and restore youthful volume—a technique commonly known as “Liquid Lift.”

Achieving smoother, more youthful skin requires a customized approach. At Supriya Aesthetic Dermatology, our team of experts will assess your unique concerns and recommend the best treatment plan tailored to your needs. Book a consultation today at 561-805-9399 to rejuvenate your skin and reduce fine lines and wrinkles.