Wrinkles are signs of age. This is probably the most common cause of cosmetic concern among Dr. Rokhsar’s NYC and LI patients. In the last few years, new lasers, other devices, and injectables have been introduced at ever-increasing pace to compete for patient attention. Dr. Rokhsar is very experienced witj non-surgical rejuvenation and can help you choose a combination of treatments that best suits your needs.

Fraxel Laser technology is one of the most effective no-downtime techniques to reduce fine lines and other skin imperfections. Skin texture can improve only after one treatment. Uneven pigmentation is also effectively treated.

The laser peel or CO2 laser resurfacing removes the upper layers of sun-damaged skin and wrinkles, revealing healthy, smoother, younger-looking skin below. As CO2 laser peel remodulates collagen in your skin, it provides a tightening and lifting effect. In some cases, this may replace or complement other cosmetic procedures. There is downtime following these procedures, which makes some patients prefer non-ablative alternatives.

As a person ages the epidermal cells become thinner and less sticky. The thinner cells make the skin look noticeably thinner. The decreased stickiness of the cells decreases the effectiveness of the barrier function allowing moisture to be released instead of being kept in the skin. This causes dryness.

The number of epidermal cells decreases each 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.

The rete-ridges of the dermal-epidermal junction flatten out, making the skin more fragile and making it easier for the skin to shear. This process also decreases the amount of nutrients available to the epidermis by decreasing the surface area in contact with the dermis, also interfering with the skin’s normal repair process.

In the subcutaneous layer the fat cells get smaller with age. This leads to more noticeable wrinkles and sagging, as the fat cells cannot “fill in” the damage from the other layers.

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