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Wrinkles: Treatment, Procedure, Cost and Side Effects

How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

How is the treatment done?

Wrinkles are a part of the natural process of ageing. With age, the skin becomes dry and thin, and its elasticity reduces, making it unable to naturally restore itself from damage quickly. This leads to small folds and creases on it, which deepen and increase with age. Skin folds when muscles are used. In the young, collagen and elastin fibers under the skin bring the fold back to normal immediately. These fibers break down with age, and skin folds cannot spring back as fast, leading to wrinkle formation.

The process of wrinkling is hastened by a number of factors. Exposure to UV rays of the sun leads to degradation of the elastin and collagen fibers, speeding up the wrinkling process. Smoking and drinking regularly also significantly increases the process of wrinkling. Smoking reduces blood supply to the skin and makes it loose its natural flexibility. Alcohol causes dehydration of the body which makes the skin dry and more susceptible to wrinkle formation.

Treatment options available to treat wrinkling of skin are available in the form of topical ointments and invasive methods including surgery. Treatment follows one or more of four pathways: skin stretching, changing the ageing collagen, filling in skin depressions, or paralyzing skin stretching muscles. All topical as well as invasive procedures follow one or more of these methods.

Who is eligible for the treatment? (When is the treatment done?)

Treatment for wrinkles of skin follows one or more of four methods. Among topical medical treatments, a sunscreen forms a line of defense against the UV rays of the sun. Topical ointments containing Vitamin A are prescribed medically to treat skin wrinkling. Ointments with alpha hydroxy acids, also called fruit acids contain glycolic and lactic acids and are extensively used. Antioxidant containing ointments are also used to reduce the skin ageing process. Ordinary moisturizers rehydrate the skin and reduce the appearance of wrinkles.

Invasive and non invasive procedural methods are also used to treat wrinkles. Most prominent among these are peels. They use mild chemicals to remove dead and dry skin cells from the surface so that the underlying younger skin is exposed which is relatively free from wrinkles. Another procedure followed is Abrasion, where the surface layer is removed by mechanical abrasion. Microabration uses aluminium or silica crystals to rub off the surface layers, while dermabration is a surgical procedure performed under anesthesia using instruments to rub on the skin surface. Laser resurfacing is another procedure where laser beams are used to stimulate new skin formation with new and healthy collagen. Injections of Botulinum Toxin A, also called Botox is a very popular invasive procedure to treat skin wrinkles. Botox paralyzes the muscles causing creasing around the site of injection providing effective treatment for wrinkles of the skin. Fillers like collagen, hyaluronic acid, etc. are also used to fill up the folds of the skin by adding volume. Plastic surgery is also used in certain cases to treat wrinkles.

Who is not eligible for the treatment?

Wrinkles usually appear on the skin with age and anybody developing wrinkles can go for its treatment. Those who smoke or drink regularly may want to be treated for wrinkles as a preventive measure. A large number of people worldwide undergo one or the other form of treatment for wrinkles.

Are there any side effects?

Wrinkling increases with age, but it may appear in young people too with repeated frowning or smiling gestures. These are usually not permanent and do not need treatment. People with sensitive skin and people allergic or reactive to injective treatments cannot go for these treatment procedures. Overuse of treatment procedures is not advised.

What are the post-treatment guidelines?

Treatments for wrinkling may have a large number of side effects, ranging from an allergic reaction to ointments or injectives, to poisoning from Botox. Abrasion therapies have an associated risk of scarring and discolouration of skin. Fillers under the skin may leak into the bloodstream and cause great damage to the body.

How long does it take to recover?

General post treatment guidelines include protecting the skin from exposure to sunlight by covered clothes and sunscreen, quitting smoking, and abstaining from alcohol. Invasive and non invasive procedures need stricter care and longer time to allow healing and recovery.

What is the price of the treatment in India?

Topical medications do not need a recovery period. Invasive and non invasive procedures need time to recover, and this time can range from a few days to one or two months.

Are the results of the treatment permanent?

Topical ointments to manage wrinkling are available for as low as Rs. 100 in the market. Other procedures cost significantly more. Botox treatment costs about Rs. 300- Rs. 400 for each unit and total cost depends on the number of units used.

What are the alternatives to the treatment?

Skin wrinkling is a part of ageing and is inevitable. No treatment for skin wrinkling is permanent. The effects of treatment lasts for varying lengths of time, rarely going over six months, and continuous use of a procedure is needed to keep away wrinkles for longer periods of time.

Popular Questions & Answers

Hi doc, I wanted to know if I can take niacinamide orally (like neurobion forte or becozinc tablet?) I have been dealing with a lot of acne for a quite long time and i'm feeling so depressed i'm trying my best to keep my skin ok I cleanse moisturize but still my skin is extremely oily which clogs pores and causing acne I have been told niacinamide orally taken can help with acne? Is it safe and is there any side effects involved?

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Dear lybrate-user this can be a simple allergic contact dermatitis. Avoid using soap and you can use olive oil or coconut oil every 4 hour. If it is not resolving, you can consult a dermatologist.

I am using clindamycin and nicotinamide gel in combination with terbinafine for red spots left on my face after recovery from acne. For how much time it is safe to use?

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It depends on the grade. Acne or pimples. Due to hormonal changes. Oily skin causes it. Common in adolescent age. May occur in adults also. Food like oily foods, ice cream, chocolate and sweets increase it. Treatment depends on the grade of pimple...

I have back acne. Its on & off. One dermatologist suggested zady 500. After taking those acne reduced, but after a month again it started. It gave me black spots as well. I have tried home remedies like tea tree oil & aloevera, but they aren't permanent solution. Please suggest me how to reduce acne & spots completely.

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Hi I have dark acne pigmentation and a few active acne. I did an online consultation with a dermatologist who prescribed me azee 500 for 3 days, clear gel and aha glow face wash for 7 days. I see there are two variants - ‘clear gel’ and ‘clear gel ap’. Which one should I use? Also how many times a day? When?

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It depends on the grade. Acne or pimples. Due to hormonal changes. Oily skin causes it. Common in adolescent age. May occur in adults also. Food like oily foods, ice cream, chocolate and sweets increase it. Treatment depends on the grade of pimple...
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