Wrinkles

Wrinkles develop as collagen production decreases, fat volume diminishes, and skin loses elasticity over time. Repetitive facial movements create expression lines that eventually become permanent. Sun exposure is one of the most significant accelerators of wrinkle formation, breaking down collagen and elastin fibers. Environmental factors, smoking, genetics, and lifestyle choices also influence how quickly wrinkles develop. Our board-certified dermatologists identify the underlying causes of your specific wrinkles to craft the most effective treatment plan, addressing both the visible lines and the factors that created them.

Neuromodulators like Botox, Dysport, and Daxxify temporarily relax the muscle activity that creates expression lines. When muscles stop contracting as intensely, existing lines have time to smooth and new deep creases are prevented from forming. Our board-certified dermatologists perform all neuromodulator injections personally, using precise techniques refined through thousands of treatments. The goal is to soften lines while maintaining natural expression, never creating a frozen or artificial appearance. Results typically last three to six months.

The best filler depends on the specific location and depth of the line. Hyaluronic acid fillers immediately restore structure to deeper folds like smile lines and marionette lines, smoothing wrinkles by supporting the skin from beneath. Different formulations have different consistencies—some are ideal for deep folds, others for superficial lines. Biostimulatory fillers like Sculptra work differently, gradually stimulating long-term collagen production for lasting improvement. During your consultation, your dermatologist will select the formula that fits your anatomy and desired results.

Yes, lasers are highly effective for treating wrinkles by stimulating new collagen production and resurfacing damaged skin. Fraxel DUAL creates fractional injury that triggers collagen remodeling, smoothing fine lines and improving texture. CO2 resurfacing delivers more dramatic results by removing damaged surface layers and stimulating robust deep collagen production. Clear + Brilliant offers preventative treatment for early lines. These treatments refine texture, reduce crepiness, improve overall tone, and deliver results that continue improving over several months as new collagen develops.

Duration varies by product and treatment area. Neuromodulators (Botox, Dysport, Daxxify) typically last three to six months, with Daxxify often lasting slightly longer. Dermal fillers can last six to eighteen months, depending on the formula and location, or the areas with more movement metabolize filler faster. Collagen stimulators like Sculptra may last two years or more as they encourage natural tissue growth. Your dermatologist will discuss expected longevity during your consultation and recommend an appropriate maintenance schedule.

Downtime varies based on treatment intensity. CO2 resurfacing requires more recovery, typically one to two weeks of redness, peeling, and healing, but delivers dramatic, long-lasting results. Fraxel DUAL involves several days of redness and mild flaking. Clear + Brilliant and IPL offer minimal downtime with slight pinkness that resolves quickly. Our physicians will help you select the treatment that balances your desired results with your lifestyle and schedule.

Yes. PRP (Platelet-Rich Plasma) uses your body’s own growth factors to support collagen regeneration, improve skin texture, and enhance overall skin quality. PRP can be used alone or combined with microneedling (often called “vampire facial”) or alongside fillers to boost collagen production and enhance firmness. While results are more subtle and gradual than lasers or fillers, PRP offers natural improvement that develops over several months and can be an excellent complement to other wrinkle treatments.

Most patients experience mild and temporary discomfort that is easily managed. Neuromodulator injections involve brief pinpricks. Fillers may cause slight pressure or stinging, though many modern fillers contain lidocaine for built-in numbing. Laser treatments create warmth or snapping sensations. Our board-certified dermatologists use gentle techniques, topical numbing options, and advanced devices to ensure a comfortable experience throughout your treatment while maintaining optimal results.

Absolutely. Our physicians specialize in subtle, elegant rejuvenation that enhances your natural beauty without creating an artificial appearance. Whether using neuromodulators, fillers, or lasers, your features remain expressive and mobile while looking smoother and more refreshed. The goal is for people to notice you look great—rested, refreshed, vibrant—without being able to identify that you had treatment. Natural-looking results require both technical expertise and an artistic eye, which our board-certified dermatologists bring to every procedure.

During your DermDesigned™ Consultation, your board-certified dermatologist will assess your skin concerns, depth and type of wrinkles, skin quality, lifestyle, and aesthetic goals. Recommendations may include a strategic combination of neuromodulators for expression lines, fillers for deeper folds, laser treatments for skin quality and collagen stimulation, and supportive treatments like chemical peels or Hydrafacial for overall refinement. This comprehensive approach delivers balanced, long-lasting improvement that addresses all aspects of aging skin for naturally beautiful results.