Dr. Joseph M. Perlman Advanced Plastic Surgery Centre

Did mom ever tell you to “stop making faces” otherwise your face would “freeze up”?

Naturally, if you were like most kids, you took one brief look in the mirror and concluded that your face would NOT freeze in any position! On the contrary, your skin popped right back into place when pulled, pressed, poked at, and even after you gave your cheek a painful yank.

Mom simply didn’t know what she was talking about!

Fast-forward to your late twenties or early thirties. You look in the mirror one evening after a long day’s work and exclaim, “What’s that?”

Out of nowhere, fine lines have appeared on your face. Right there in plain sight. It just can’t be! You are too young to have wrinkles.

Only then do you start researching the causes of wrinkles? You discover that sun exposure, smoking, and everyday facial expressions are the main culprits.

And so you realize… that’s why EVERYBODY gets wrinkles. Maybe Mom was right after all?!

Your First Signs of Wrinkles

The fact is, we all get wrinkles. The more expressive we are, the more likely we are to get them at an early age.

Whether you smile a lot, get angry too often, or worry too much, you are bound to make facial expressions that contort your face.

Maybe you are an eternal fretter or doubter and you tend to lift a brow when you disapprove of something. Lifting your brow causes tiny lines above the eyebrow. Maybe you frown when you concentrate. Over time, it will lead to vertical frown lines between your eyebrows.

Are you a squinter? The type of person that always left your sunglasses behind or refused to wear prescription glasses when you truly needed them? Or perhaps you smile with your eyes? If so, you are likely to experience fine or even deep wrinkles on the side of your eyes. Also known as “crow’s feet”.

Whatever your facial movement habits, the long-term consequences are always the same… wrinkles.

So let’s just call it what it is — aging! It’s just what happens as we get older. The inevitable result of spending time on this planet. The “beginning” of the end of the eternal fountain of youth.

So what’s a person to do?

First, let me explain how wrinkles develop. The repetitive movements we engaged in on a daily basis are major contributors:

As we age, our bodies produce less and less collagen. Collagen is the building block for smooth, supple skin.

Repeatedly making an expression causes the collagen in your skin to break down in that area. Over time, the skin loses its elasticity and begins to form fine lines and wrinkles. It’s similar to folding a piece of paper — the more times you fold it, the more prominent the crease becomes.

So if you are now thinking that eliminating your expressions is the answer… you are on the right track.

Some women attempt to consciously stop raising their eyebrows, squinting, or frowning. But that is very difficult, if not impossible.

Then you might try creams and lotions, and all the “stuff” of beauty and anti-aging. There are hundreds, if not thousands of options out there.

However, facial expressions are NOT the only contributor to wrinkles. Environmental factors like sun exposure and smoking are also major factors. Excess of either one also breaks down collagen and makes your skin dull and dry.

So What Is the Answer?

Truth be told, there are some medical-grade serums and treatments – such as PCA and ZO Skin Care line of products – that minimize the appearance of wrinkles. Additionally, you will find options to help hydrate and restore a healthy glow to your skin.

Quickest Way to Reduce Wrinkles

If you simply don’t want to test various skin care products or you are a busy woman who doesn’t have time for nightly routines, then you would be inclined to choose a quicker option like BOTOX and Juvederm. Daily skincare routines are very important to help you look your best and youngest.

Some of your friends may have already decided on these treatments to reduce their wrinkles. And they probably look great.

If all you want is to look refreshed or rejuvenated, you can definitely count on BOTOX as an option to reduce those pesky wrinkles.

Botox cosmetics have been used in the U.S. for medical purposes since 1987 and for aesthetic use since 2002, making it one of the most popular physician-administered aesthetic procedures available.

The non-surgical procedure is designed mainly to eliminate forehead “frown” lines, and creases between the eyebrows and crow’s feet. Other areas on the face can be treated with Botox but these areas are considered, “off-label”. Off-label uses for Botox are common.

Knowing all of your BOTOX options is the reason you would want to visit with an experienced doctor who can discuss all your options.

The small amount of BOTOX that is injected in your targeted areas will be predetermined between you and your doctor. As the muscles relax, the skin overlying the muscle smooths out and facial lines disappear. Within a few days to one week, you will see noticeable changes as wrinkles begin to lessen. And there is very little redness or swelling or bruising.

Botox is appropriate for both men and women who are in good physical health. Should you have any concerns about the treatment, it’s best to discuss them with your doctor.

If you are a busy person, you will like the idea that BOTOX is administered in just minutes during a routine office visit. And the cost will fit just about any budget.

You will want to make sure that you have chosen a physician who is experienced in administering BOTOX. Your results are associated with your physician’s ability to target the right areas with just enough Botox to get the desired results.

If you have never used Botox, it would be wise to inform your doctor you want to take a “conservative approach.” That you want to start with just one area, an area that will make the most difference, while still allowing you to look like yourself. See how you react to the treatment and notice if you have any side effects.

Even Better Results with Fillers

In addition to Botox, your doctor may recommend Juvederm™, another FDA-approved procedure that smoothens fine lines and wrinkles. Juvederm is an injectable gel that is designed to add volume to areas around the nose and neck. It contains hyaluronic acid, a natural ingredient that bolsters skin elasticity. The results have been shown to be long-lasting.

Do your research to find an experienced physician who is highly recommended by other patients. In most cases, a complimentary consultation will be offered. This is the best time to discuss any concerns about Botox and Juvederm and communicate your personal goals.

During this appointment, your physician will determine how many units of Botox you will need and the cost of the treatment. You are not obligated to purchase a treatment during your consultation. You might even discover other treatments that are more appealing to you. In any event, you are free to take the information home and make a decision at a later time.

For many women, deciding to try BOTOX and Juvederm is one of the best beauty decisions they’ve ever made.