DFW Skin Surgery Center
1115 W. Randol Mill Rd
Suite 200
 Arlington, TX 76012
(817) 303-6647 (MOHS)
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DFW Skin Surgery Center, PLLC
1115 W. Randol Mill Road, Suite 200, Arlington, TX 76012
(817) 303-6647 (MOHS)
Fax: (817) 303-6651


©2012-2017 DFW Skin Surgery Center, PLLC. All Rights Reserved.

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Wrinkle Treatments
Wrinkles can arise as a result of natural aging and in response to prolonged exposure to ultraviolet radiation from the sun, in a process called photoaging. Though similar in appearance, wrinkles related to photoaging emerge prematurely and may be associated with other signs of photodamage, such as irregular skin tone, brown spots, broken capillaries, altered skin texture, enlarged pores, and skin laxity.

Wrinkles are subdivided into two categories: dynamic and static. Dynamic lines are mainly due to excessive muscle movement and tone and are best exemplified by the frown lines. Static lines are present at all times and are mainly due to the loss of underlying volume, such as facial fat atrophy. A typical example of static lines is the so-called smile lines. This distinction is important, as the two types of wrinkles are treated differently. After all, wrinkle correction requires a reversal of the process that originated a given line.

Botulinum Toxin
Botulinum toxins, such as Botox, Dysport, and Xeomin, temporarily reduce, or soften, muscle movement and tone, thus helping to improve dynamic lines. Though sometimes thought to produce a plastic, expressionless face, if used properly, these products may decrease excessive, often habitual muscle movements, such as involuntary or subconscious frowning. Continual application over time results in the softening of the offending muscle and subsequent wrinkle reduction. Treatments are usually repeated every 3 to 4 months, though frequency may be increased in more dynamic sites.
Fillers
Fillers are agents that are used to temporarily correct volume loss and thereby reduce the appearance of static lines. Many fillers are available on the market today, including hyaluronic acid products (such as Belotero Balance, Restylane, Perlane, Juvederm), calcium hydroxylapatite products (Radiesse), and poly-L-lactic acid (Sculptra). These agents vary in their applicability to different locations, depth of injection, and duration. Sculptra, a newer filler agent, also stimulates the production of collagen, the underlying tissue of the skin. As a result, Sculptra actually replaces medium and large volume deficiencies with one’s own new natural collagen.
Laser Resurfacing
Though often not enough to fully correct deeper wrinkles by itself, laser resurfacing may be used to smoothen out fine lines, as well as to correct other signs of photoaging. It works especially well when combined with botulinum toxin or fillers for maximal wrinkle improvement. Options include ablative resurfacing (that is, one that completely removes the outer layer of the skin), non-ablative resurfacing, and fractional resurfacing. All types of laser resurfacing are based on the ability of the laser beam to penetrate deep into the skin and cause new collagen formation, resulting in sub-surface resurfacing. Though generally not as effective, non-ablative resurfacing produces no external skin wound, allowing patients to return to their activities with no downtime. Fractional resurfacing produces pinpoint skin surface rejuvenation, resulting in faster and more prominent improvement in wrinkles, though at a cost of slightly longer downtime.

If you would like to find out more about these or any other procedures or would like to schedule a personal consultation with Dr. Berlin, please contact our office today or use the form on the right to request more information.