121 East 60th Street, Suite 8AB New York, NY 10022

Ph. (212) 285-1110

Garden City

901 Stewart Ave, Suite 240 Garden City, NY 11530

Ph. (516) 512-7616

Wrinkle Removal

A Smoother, Younger Looking Face

One popular myth is that only a facelift will remove wrinkles – this is completely false! As a matter of fact, a facelift only fixes saggy skin. There are better, more natural-looking options available today when it comes to treating wrinkles.

Botox, Dysport, and Xeomin are injectable substances that block signals causing muscle contraction. They typically result in dramatic fading and even disappearance of wrinkles for a few months (or for longer, if re-injected). If you want to learn more about Dr. Rokhsar and the wrinkle treatments available at Cosmetic, Skin, and Laser Surgery Center, book a consultation today.

Fillers and Lasers

Fraxel lasers are powerful devices that target damaged skin and stimulate the production of collagen and new skin cells. Fraxel is considered the gold standard in laser treatment for wrinkles. Furthermore, Fraxel causes actual regeneration of the skin from the inside out. There are many options to wrinkle removal. Other devices that Dr. Rokhsar often uses to reduce wrinkles are CO2 lasers for resurfacing, Ultherapy and Thermage.

Fillers are also used as an effective wrinkle removal treatment. Botulinum injections such as Botox work to reduce the use of unnecessary micro muscular facial movements, in order to smooth out and reduce wrinkles. Fillers such as Juvederm, Restylane, Radiesse and Sculptra are also effective in restoring fullness and youthful appearance to the face. They work by smoothing out wrinkles and filling in certain hollowness the face may have taken on over the years.

Surgical options for wrinkle reduction are facelifts, mini facelifts, jowl lifts, and eyelifts.

Wrinkle Creams

There are a number of ways to treat wrinkles and board-certified dermatologist Dr. Rokhsar offers various wrinkle treatments to his NYC patients. As a person ages, the epidermal cells become thinner and less elastic. The thinner cells create a more translucent appearance, and with less elasticity, the skin cannot move back into place and remains fragile in appearance. Collagen is the foundational component that gives skin a youthful and tighter appearance.

The number of epidermal cells and collagen production decreases by 10% every decade and they divide more slowly as we age making the skin less able to repair itself quickly.

The effects of aging on the dermal layer are significant. Not only does the dermal layer thin, but also less collagen is produced, and the elastin fibers that provide elasticity wear out. These changes in the scaffolding of the skin cause the skin to wrinkle and sag. Also, sebaceous glands get bigger but produce less sebum, and the number of sweat glands decreases. Both of these changes lead to skin dryness.

Certain face creams can improve facial wrinkles, but these are not the most effective way to reduce wrinkles. Nonprescription face creams will never get rid of wrinkles- they only serve to hydrate the skin temporarily.

Topical retinoids such as tretinoin and tazarotene are prescription medications used to treat some aspects of aging skin damage. In order to see results from topical treatments, these creams must be used every day. Results will become noticeable over the course of several months. These medications need to be used every day in order to keep up with the results.

Coenzyme Q10
Coenzyme Q10 is a nutrient that helps regulate energy production in cells. Some studies have shown a reduction in fine wrinkles around the eyes with no side effects.

Copper Peptides
Copper is a trace element found in every cell. In products applied to the skin, it is combined with small protein fragments called peptides. Copper peptides enhance wound healing. They also stimulate the production of collagen and may enhance the action of antioxidants.

Hydroxy Acids
Alpha hydroxy acids, beta hydroxy acids, and polyhydroxy acids are synthetic versions of acids derived from sugar-containing fruits. These acids are exfoliating substances that remove the upper layer of old, dead skin and stimulate the growth of smooth, evenly toned new skin.

As a plant growth factor, kinetin may improve the appearance of wrinkles and uneven pigmentation with minimal irritation. It is unclear how it works, but it may help reduce wrinkles by helping skin retain moisture and by stimulating the production of collagen. It may also be a potent antioxidant.

Retinol is a vitamin A compound. This compound is known to effectively retain moisture, making it the first antioxidant to be widely used in non prescription wrinkle creams. Antioxidants are substances that neutralize free radicals unstable oxygen molecules that break down skin cells and cause wrinkles.

Tea extracts
Green, black and oolong tea contain compounds with antioxidant and anti-inflammatory properties. Green tea extracts are the ones most natural and commonly found substances in wrinkle creams.

Wrinkle Fillers

Through the natural aging process, the skin becomes worn and stretched. From smiles to frowns, to sun exposure- the sun undergoes many battles trying to stay tight and youthful appearing. Collagen is responsible for keeping the skin tight and elastic. It is the protein found in the skin that breaks down after years of use and abuse. Fortunately, there are many natural and safe choices that can be used to create a tighter and more youthful appearance.

Facial fillers, such as Juvederm, Radiesse, Restylane, and Sculptra, are used to fill in and remove wrinkles. Some of these fillers have an additional effect of stimulating the skin to produce more collagen, resulting in firmer, more youthful skin.

Juvederm is a smooth gel made of hyaluronic acid. Hyaluronic acid is a natural substance that the body makes in order to maintain skin water content. Our natural production of hyaluronic acid decreases as we age; leading to fine lines and wrinkles. Juvederm restores this natural substance to the skin. Juvederm is a great choice for erasing laugh lines, filling in acne scars, banishing under-eye bags, and lip enhancement.

Radiesse is a filler made of calcium hydroxyapatite spheres floating in a gel. Radiesse has an additional advantage of stimulating your own skin to produce collagen. Collagen is the framework that keeps skin firm and youthful-looking. Radiesse is great for moderate-severe facial wrinkles, especially nasolabial folds, also known as “smile lines”.

Smile lines extend from the corners of the nose to the corners of the mouth and are a telltale sign of aged skin. Radiesse is also a fantastic choice for enhancing the shape of the face.

Restylane is an injectable gel filler that immediately restores youthful volume to the face. Restylane is made of hyaluronic acid – a natural, non-animal derived substance. Hyaluronic is normally made in the skin to maintain hydration. Restylane returns this natural substance back into the skin. The effects of Restylane last for months – they are not permanent, giving you more control over results.

Sculptra is a type of filler used to restore volume and youth to the face. Sculptra is made of natural, plant-derived acids. This substance is absolutely safe and is even broken down by the body. Sculptra is different from other fillers for a few reasons.

Since Sculptra works by restoring collagen in the deeper layers of the skin, the results take time to become noticeable. Immediately after treatment, the injected volume will fade. Over the period of a few months, Sculptra will stimulate your skin to produce more collagen. This process will allow a gradual and natural enhancement of your skin.

Getting the 11 Lines or Glabellar Wrinkles Removed

Look in the mirror. See those two lines that may or may not have (but, most likely have) formed between your eyebrows, just above your nose? The ones that clearly define themselves when you squint at the sun or frown at the book you are reading? They are well-known as the “eleven lines” for the simple fact that they look like the number “11.” However, they are medically termed as glabellar wrinkles.

These deep vertical lines that develop between the eyebrows at the junction of the nose and forehead, form when the procerus and corrugator muscles contract. They are most noticeable when frowning or expressing doubt or anxiety.

Frown lines can make you look sad no matter how happy you are and can even make you look perpetually tired regardless if you feel well-rested. If you are sick of people telling you to cheer up, a number of medical options exist to help reverse the effects of aging.

Different Treatments for Different Wrinkles

Wrinkles are a normal part of aging. But that does not mean that they have to be inevitable. The skin starts to lose the ability to hold moisture as efficiently as it once could. Oil production decreases which leads to slower healing. The skin is the first protector against the elements as well as the first to give away your age.

Fortunately, there are ways to prevent certain wrinkle developments from occurring, slowing the daunting aging process. Depending on the type of wrinkles you have, different treatment options will be advised.

There are four distinctly different types of wrinkles:

Atrophic Crinkling Rhytids
They appear as fine lines on the face that are typically parallel to each other but tend to disappear when the skin is stretched. These wrinkles occur as a loss of elasticity. Elasticity decreases as collagen production decreases. Using skin protection such as broad-spectrum sunscreen is one way to prevent the occurrence of these tiny, but noticeable lines. Moisturizers can be used to temporarily replenish and plump the skin and decreasing further wrinkling.

Permanent Elastic Creases
These lines most commonly appear on the cheeks, the upper line, and along the neck. They become increasingly permanent over time and speed up their appearance with sun exposure and smoking. Sunscreen is always an important and viable opponent to skin aging. Hyaluronic fillers can restore a certain amount of skin hollowness and any loss of tautness in the face and neck.

Dynamic Expression Lines
These notorious wrinkles are caused by facial muscle movement. Micro-muscle contractions do not slow down as you age though! You continue to smile, frown, laugh and furrow your brows as you concentrate. Crow’s feet and other age indicators appear on your face. Botox, Xeomin or Dysport injections are the most effective treatment routes to smoothing out the skin and resurrecting a tighter skin surface.

Gravitational Folds
Gravity’s daily weight plays a significant part in the aging process. The lines and folds are due to the effects of gravity and become more prevalent as the skin begins to fold and sag down the face. This creates a jowl-like appearance along the jawline. The location of the wrinkles is based on the thickness of the skin. Facelifts are an advantageous approach to treating these types of wrinkles and depending on whether the patient is surgically adverse or not, there are non-invasive options also available.

Dr. Rokhsar is the first doctor in the United States to use Fraxel lasers to treat wrinkles as well as acne and scarring. He has been a lead researcher and pioneer in the science of resurfacing with Fraxel laser. This is the first brand to develop fractional skin treatment which involved treating in microscopic treatments at a time, allowing the skin to heal and create newer and healthier skin with minimal downtime.

How to Prevent & Treat Crow’s Feet

Ever hear of laugh lines? They are the wrinkles around your mouth that form according to your facial creases when you laugh.

It is a beautiful and perfectly healthy development, however, because they are wrinkles they could make you look old, tired and worn. Smiling follows the same pattern, except instead of laugh lines you develop crow’s feet in the corners of your eyes.

This repetitive movement causes creases, so each and every time you smile you reinforce the indents. Everyone smiles a bit differently, but those people who use the muscles next to their eyes when they smile will develop crow’s feet earlier and more pronounced than people who primarily use lower muscles to smile.

Squinting is another culprit cause of crow’s feet. There are a couple of easy tips to practice if you want to avoid developing crow’s feet prematurely. By wearing sunglasses every day year-round, you avoid squeezing your eyes and the skin around your eyes to try to block the sun. Squinting from the sun is a repetitive movement and can cause the collagen and elastin fibers to break down and wrinkles to form.

Sun Damage
Furthermore, the sun’s rays do their own type of damage to the skin, which can cause age spots along with the creases. Wear UV-protection lenses in addition to SPF 30 broad-spectrum sunscreen year-round.

The Way We Sleep
We spend almost two-thirds of our life sleeping. Smothering our faces into the pillow every single night is not the best way to avoid wrinkles, let alone crow’s feet. The most ideal way to sleep to avoid wrinkles is to lay on your back and use the support of a U-shaped pillow. Although, if you have sleep apnea or are considered a notorious snorer, it is important to consult with your dermatologist or a sleep medicine specialist to determine if it is safe to lay flat on your back.

Another effective way to get good, quality sleep without creasing your face is to sleep on silk pillowcases. They are not as expensive as you would think, especially considering the comfort and wrinkle-resistant benefits it may provide!

By decreasing the use of wrinkle-causing muscles, crow’s feet will become less noticeable and less indented. Injections such as Botox, Dysport, and Xeomin are useful treatment options that block the communication the brain sends to the muscles that cause micromovements. Learn more about these safe and effective anti-wrinkle injections!

Wrinkle Treatment Risks and Side-Effects

Non-invasive wrinkle treatments come in a wide variety of forms, but these remedies are regarded as being generally safe. There are minor side-effects you may experience, including itchiness, mild discomfort, and redness at the treatment site. Dr. Rokhsar takes the necessary precautions during the procedure and creates an aftercare plan for all of his patients in order to keep side-effects to a minimum.

Preventing Wrinkles Before They Even Occur

Wrinkles: the inevitable signs of aging we can not avoid from happening. But that does not mean you have to live with them. The effects of aging on the dermal layer are significant. Not only does the dermal layer thin, but also less collagen is produced.

Unfortunately, when skin ages it loses its collagen, the main skin tightening protein that creates a smooth taut surface. This makes everyone susceptible to the fine lines, sagging and hollowness that appear on the face.

The Different Types of Skin Aging
There are two different types of aging, intrinsic and extrinsic aging. Intrinsic aging is also known as the natural aging process, the one we are all familiar with every time a birthday rolls around. How you naturally age is dependent on your inherited genes, repetitive facial expressions, nutrition, stress, and smoking.

The skin’s collagen production then begins to slow, results in a weaker skin structure and wrinkles. Extrinsic aging is premature aging which is directly caused by unprotected sun exposure. Both genetics and unprotected sun exposure increase the toll your skin takes, increasing the effects of aging significantly.

So, with those odds against you, how do you prevent wrinkles? While genes do play a role in the aging process, the actions you take control of most of the processes speed and level of damage.

Cosmetic anti-wrinkle injections, such as Botox and Xeomin, have recently been attracting younger users as a preventative solution. The trend is gaining momentum as more and more cosmetic dermatologists are seeing younger patients requesting injections of botulinum (Botox and Xeomin’s main ingredient) before wrinkles even develop.

New York Dermatologist and Cosmetic Laser Surgeon Dr. Rokhsar was given early access to Xeomin two years prior to its release, providing him with major expertise on the product’s uses. As the leading authority in laser surgery and non-invasive techniques, Dr. Rokhsar has extensive training and expertise in the field of skin tightening and wrinkle reduction.

Why is Collagen Key to Skin Renewal?

Collagen is a naturally occurring protein responsible for keeping the skin tight and smooth. Located in the dermis, the layer just beneath the epidermis, collagen has the ability to partially reverse the aging process. It can be injected as a filler in order to rejuvenate the skin and its elasticity. The natural loss of elasticity and volume results in wrinkles and facial lines.

Collagen is a protein that can be found not only in the skin, but bones, cartilage, tendons and other connective tissues as well. Collagen found in the skin is produced by cells called fibroblasts. Scattered throughout the dermis, it creates the structure, strength, firmness and overall appearance of the skin. Collagen that has been freshly produced by young and healthy fibroblasts and using it in the right places is key to skin tightening and wrinkle reduction.

Wrinkles and other blemishes of the skin can be caused by extrinsic aging, which is premature aging typically caused by unprotected sun exposure. Both genetics and the amount of time spent in the sun work together to increase the effects of aging. Intrinsic aging is another name for the natural again process which can be caused by inherited genes, repetitive facial expressions, diet, stress, and smoking.

Topical vitamin C has been proven to stimulate the regeneration of collagen. The most effective treatment used to stimulate collagen production is fractional laser treatments. Dr. Rokhsar is a fellowship-trained dermatologist who has trained more physicians on the use of the Fraxel laser for fractional resurfacing in the United States than any other physician in the world.

Why Choose Dr. Rokhsar for Wrinkle Treatment in NYC?

There is no one best treatment for wrinkles. The “best” treatment depends on many factors, such as the location of the wrinkles, amount, depth of the wrinkles, your medical history, and your desired results. There are many options available today, such as injections, fillers, fractional resurfacing, lasers, microdermabrasion, and more.

When the brain is directed to laugh or frown, it sends a signal that travels through a nerve to reach the muscle tissue. A physical corresponding response is then triggered. Botox, Dysport, and Xeomin were designed to cut that line of communication, ultimately preventing the signal from reaching the muscle.

The muscle stays in a relaxed state, which not only addresses wrinkles that have already formed but also prevents creases from forming in the first place. This does not prevent you from making facial expressions but instead stops your face from making unnecessary muscle contractions deep within the skin that ultimately causes those hard-to-treat wrinkles.

Serving patients in NYC, Dr. Cameron Rokhsar is a fellowship-trained cosmetic surgeon and expert in treating patients with Botox, Dysport, two popular and successful anti-wrinkle injections, as well as Xeomin. He was selected along with a specialized group of physicians to have early access to Dysport and Xeomin in order to test their efficacy, providing Dr. Rokhsar with exclusive expertise and knowledgeable precision.

Dr. Rokhsar will assess your skin and concerns and can a treatment plan individualized for you, so book a consultation today.


Upper East Side Manhattan
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110
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Garden City Long Island
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616
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About author - Dr. Cameron Rokhsar

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar is the founder and owner of Cosmetic Laser Skin & Surgery Center. With degrees from Harvard University and NYU, along with multiple publications and media features, the board-certified dermatologist and laser surgeon proudly shares his expertise with patients in Garden City, Manhattan, and those who fly in to receive treatment at his offices. Dr. Rokhsar has worked extensively with Vbeam laser, Thermitight, Coolsculpting, and Fraxel laser technology, as well as Allergan and other injectable brands. He pioneered the Non-Surgical Nose Job and continues to be a leader in his field.

Learn more about Dr. Rokhsar | Dr. Rokhsar's Google Scholar

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