Plastic Surgery & Med Spa in Austin, TX

Phone 512-298-1055

Tag: retin a

Eye Wrinkles

What are the types of Eye Wrinkles? Our eyes are constantly opening and closing every time we blink.  Plus, when we smile and make other facial expressions, our eyes have a role too.  All this movement eventually causes wrinkles in the skin around the eyes.  The eye is surrounded by a circular muscle that acts to open and close the eyelid.  The wrinkles that result from its movement, tend to form in lines radiating from the center of the eye.  These eye wrinkles can run up to the eyebrow and down to the cheek.  These under eye wrinkles are better known as Crows Feet. What causes Eye Wrinkles? Did you ever wonder why children don’t have eye wrinkles as they are constantly opening and closing their eyes too?  The answer is contained in the overall condition of the elasticity of the skin.  Children have a lot of elasticity and their skin easily and readily bounces back after movement.  However, as we age, we lose that elasticity and after a movement, the skin remains folded and an under eye wrinkle eventually forms. What causes the loss of skin elasticity? The easy answer is the sun.  Damaging UV rays from the sun, damage the two main components of the skin, collagen and elastin.  These proteins are the building blocks of skin and are critical for healthy, youthful appearing skin.   Sun damage not only damages collagen and elastin in the skin, but also decreases their production.  The result of the loss of collagen and elastin is skin that loses its elasticity and allows eye wrinkles to form. What can we do to treat eye wrinkles? There are several approaches to treat eye wrinkles.  The first involves relaxing the circular eye muscle around the eye that causes them.  Our goal is to relax the muscle’s movement, not paralyze it.  Botox and Xeomin, are well known neuromodulators that can serve this purpose.  A few relatively painless injections of Botox or Xeomin placed around the eye can help to reduce eye wrinkles and more importantly, prevent new eye wrinkles.  Botox and Xeomin last around 3-4 months, and continued maintenance is required.  If the wrinkles are real deep, then a dermal filler like Juvederm may be required.  Fillers like Juvederm can fill in the wrinkles and also replace lost under eye volume.  Botox and Juvederm work the best together to completely erase eye wrinkles. The other treatment for eye wrinkles is to improve the elasticity of the skin around the eye.  The easiest first step is to use an eye cream.  The most effective eye cream is a retinol or retinoid based product.  Retinol and retinoids actually activate the skin cells to produce new collagen and elastin, actually rejuvenating the skin.  There are many other products that are complementary to retinols and retinoids like Vitamin C, peptides, etc.  Of course none of these products are useful if you do not prevent more sun damage with a sunscreen. More advanced cases of sun damage and eye wrinkles, require procedures that can stimulate even more collagen production.  These procedures include chemical peels, microneedling and laser resurfacing.  Chemical peels can remove several layers of skin and sun damage, replacing it with new skin.  Microneedling involves the use of tiny needles that penetrate the lower layer of skin, the dermis.  The dermis is where collagen and elastin are produced, and the trauma from the microneedles induces the skin cells to produce more.  When the wrinkles and sun damage are severe, laser resurfacing may be needed.  Fractional CO2 laser resurfacing uses tiny laser beams to not only stimulate collagen and elastic production in the dermis, but to also remove the upper layers of the skin.  Each of these procedures have varying levels of discomfort and downtime, and a free consultation can help you decide on the best procedure for your needs.…

Continue Reading..

What Botox will do to your expression?

What is Botox? Botox has been around for cosmetic purposes more than 10 years.  It has safely been injected in millions of patients.  Botox is a purified protein that used to relax the muscles of facial expression that cause wrinkles.  Repeated activity of facial muscles will eventually causes lines and wrinkles in the skin.  Botox injected into these muscles causes these wrinkles to not only smooth out, but also to prevent them.  But what will Botox do to your facial expression? What Botox will do to your facial expression. The goal of Botox injections is not to completely freeze the muscles, but to relax them enough to smooth and prevent wrinkles.  So what Botox does to your facial expression is usually good. Relaxing frown lines can make you look less angry and tired.  Botox forehead is used to perform a brow lift.  Botox crow’s-feet can make your eyes look wider.  Botox lips can make your lips poutier.  All of these effects from Botox will make you look younger and more refreshed but still have normal facial expressions. How to get rid of facial wrinkles. The first thing to remember is those wrinkles didn’t form overnight and will not go away overnight either.  Getting rid of wrinkles takes a multi-faceted approach coupled with continued maintenance.  There is no miracle cure that will take care of every wrinkle.  A general understanding of why wrinkles form is needed to properly treat them. What is Collagen? The building block of skin is collagen.  When we are younger we make plenty of collagen and its all in good shape.  As we age, mostly due to sun exposure, our collagen production slows down even to the point of losing collagen.  This loss of collagen causes wrinkles, sagging and generally older looking skin.  The key to treating wrinkles is to identify the factors contributing to loss of collagen and restarting collagen production. A great way to look at getting rid of wrinkles is to imagine the face as a canvas.  The canvas itself is your facial skin.  Things like Botox and Juvederm are the paint.   With a fresh, new canvas, an artist can paint a beautiful picture.  However, starting with a damaged canvas, even the best artist will have difficulty painting on it.  So trying to use Botox and Juvederm to fix wrinkles on sun damaged skin will also not be very effective.  The best first step is to rebuild the canvas, the facial skin, so that Botox and Juvederm can do what they are designed to do. Collagen Stimulation. So how do we restart collagen production?  The cells that produce collagen are in the deep layer of the skin, the dermis.  We must reach them and stimulate them to produce new collagen. There are several ways to do this.  Laser resurfacing is the gold standard and involves a Fractional CO2 laser.  The laser beam penetrates the dermis and directly stimulates the collagen cells.  The heat generated by the laser also causes the upper sun-damaged layer of skin to peel while causing the collagen already present to tighten.  Laser resurfacing produces great results but does have 7 days of recovery. An easier, less aggressive method to stimulate collagen production is microneedling.  Microneedling uses multiple small needles to penetrate into the dermis and directly stimulate the collagen cells.  Performed in-office under local anesthesia and has much less recovery than laser resurfacing.  It is repeated every 6 weeks to get maximum collagen stimulation. Skin Care. Skin care products are also key to stimulate collagen production and keeping it going.  No reason to spend money on expensive procedures and not protect you investment with the right skin care products.  Retin A and other retinols directly stimulates collagen cells to make collagen.  If one product is used, it is Retin a for its anti-aging properties.  There are many other growth factors, peptides and antioxidants that are able to promote and prolong collagen production. Botox and Juvederm. So we have now rebuilt the canvas with collagen stimulation procedures and we are maintaining it with skin care products.  This is a great time to add Botox and Juvederm to our regimen. Botox injections, as we previously discussed, relax the muscles of facial expression causing facial wrinkles.  Juvederm allows us to fix the other major sign of facial aging, volume loss.  Cheeks are refilled, lines smoothed and lips plumped.  The combination of collagen stimulation with Botox and Juvederm, gives you long-lasting results.…

Continue Reading..