COMPLEXION, PART III: Treatments for Mature Skin


Dermal or soft-tissue fillers, can be injected into the skin to fill areas that look hollowed or wrinkled, such as nasolabial folds, marionette lines, and under-eye dark circles. Commonly used fillers include hyaluronic acid (Juvéderm, Restylane, Perlane, Voluma XC), calcium hydroxyapatite (Radiesse), silicon, poly-L-lactic acid (Sculptra).  

The duration of the filler effects is variable and depends on multiple factors, such as the structure of the skin, lifestyle, and age as well as on the degree of correction desired and expected by the patient. Longevity ranges from 6 to 9 months for Juvéderm to up to 2 years for Voluma XC, Sculptra, and Radiesse.  

Dr. Reszko’s Tip: First-time filler users may consider hyaluronic acid fillers, since the filler may be completely reversed with the enzyme hyaluronidase.

Botox®/Dysport®/Xeomin, derivatives of purified form of botulinum toxin, are injected into targeted facial muscles to prevent and correct DYNAMIC wrinkles related to certain repeated facial expressions (such as squinting or frowning). Commonly treated areas include glabella (“frown lines”), forehead, around the eyes, nose and chin.

Botox/Dysport/Xeomin work synergistically with fillers for wrinkle treatment and overall facial rejuvenation. Soft tissue filler and BOTOX®/Dysport/Xeomin injections can be performed during a single session.



Cosmeceuticals” These are products containing biologically active agents designed to reduce the signs of aging. Examples include alpha-hydroxy acids, anti-inflammatory agents, and/or antioxidants.

Topical retinoids (see Part II)  have been shown to reduce fine wrinkles, uneven pigmentation (splotchy darkened areas, age spots) and other signs of chronic sun damage.

Moisturizers (see Part I)



Liposuction is a way to reduce the visible effects of aging by removing unwanted fat deposits that don’t respond to diet or exercise. Common target areas include the face, chin, neck, hips, and buttocks.  Newer, non-invasive Cryolipolysis (CoolSculpting) offers reduction of localized pockets of the body fat.

Dermabrasion is a common treatment in which the top layer of skin is abraded so that a new, smoother layer grows in its place. It is used for many skin conditions, including acne and acne scarring, skin cancer, and photoaging.   Microdermabrasion is a minimally invasive, superficial resurfacing procedure that gently sands and scrapes away the most superficial damaged and aged layers of the skin to trigger the growth of a new healthy epidermis. Microdermabrasion may increase epidermal thickness, decrease epidermal pigment production and potentially affect upper dermal collagen matrix remodeling.

Laser Hair Removal

Unwanted facial and body hair may be removed through laser hair removal.

 Next Page: facial volume loss treatment options

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