328 East 75th St, Suite A New York, NY 10021

Ph. (212) 285-1110

Garden City

901 Stewart Ave, Suite 240 Garden City, NY 11530

Ph. (516) 512-7616

Wrinkle Removal

Written by Dr. Rokhsar

A Smoother, Younger Looking Face

One popular myth is that only a facelift will remove wrinkles – this is completely false! 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).

Fillers and Lasers

Fraxel lasers are powerful devices that target damaged skin and stimulate it to produce collagen and new skin cells. Fraxel is considered the gold standard in laser treatment for wrinkles. 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, 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’s 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.

– Kinetin. As a plant growth factor, kinetin may improve the appearance of wrinkles and uneven pigmentation with minimal irritation. It’s 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. Retinol is a vitamin A compound. This compound is known to effectively retain moisture, making it the first antioxidant to be widely used in nonprescription 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’s 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.

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.


Upper East Side Manhattan
328 East 75th St, Suite A, New York, NY 10021
(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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