Blog with Dr. Irwin
Tag >> Wrinkles
Hello dr, I am 32 year old and had a very deep line between my eyebrows just want to know is it right age if I start to use skinceuticals ce freulic serum and is it safe using skinceuticals cef serum in the morning and tns essential serum at night time. Please reply need your help. Thank you
Okay......so first of all.....no product, no cream or lotion (at this point in time) will improve the line or lines between the eyebrows. This is because that line is being caused by an... more
Dr. Irwin, The vertical lines on my upper lip, are really bothering me. I'd rather not have shots, and I understand lasers can help.. Which type of laser should I be looking at? Judi
Generally the CO2 fractionated or traditional (only in expert hands) is best for these. More on CO2 here. You may need to do your whole face though to avoid a cut off line and blending... more
Dear Dr Irwin, I am a 30 year old female, have fair hair, green eyes and sensitive skin. Two years ago I started noticing fine lines under my eyes as well as crows feet, and have been using Active C from La Roche Posay night and day, and Renova during the winter nights. Would this regime be fine, or could you suggest any better options? Many thanks and regards
Please see the answer to the previous question and those links. They will be helpful. On the prevention issues for eyelid skin also consider, especially if you are an outdoor person,... more
I recently had botox for the first time (22units) on the ll lines between my brows. (I am a female who is 55 years old) After 1 week, no improvement. I was told to come back and they injected another 20 units in the same area. After another week, not much improvement, very slight. I was told I have a very strong muscle between my brows. I was told to come back in another week if I didn't see any more improvement. Should I return for more injections or wait the 3 months and see if another treatment would help my stubborn muscle?? I am very disappointed with all this. Does it take several treatments to relax a stubborn muscle or should I try something else??? Thank you
I'm glad you asked this because you've had more than enough Botox injected there. The average female will use between 20 and 30 units to relax the corrugator muscle. Remember... more
I have a very wrinkled neck from hrs in the sun when I was young. What is the best method of improving my neck. I look 90 yrs old because of it and I'm 58. It's very Thanks so much!
I am 78 tears old and have deep upper lip lines. Would botox work for me?
To make a long story short - no!! Botox in the upper lip lines softens them a little. But at 78, my guess is that you probably have moderately deep ones (normal!). In your case, a... more
Hello Dr. Irwin, I'm 44 and have wrinkled skin on the top eyelids which makes me look tired. I also have other wrinkles all over the face. So I have dicided to get CO2 done for the full face including eyelids. Is it safe to have CO2 perform on the eyelids? Thank you for your help.
Okay - so 3 thoughts on this question. The answer is yes with these restrictions:
1) The fractional CO2 is safer than the traditional CO2 on the eyelids so make sure they are using the... more
I recently ordered Retin A and was given desonite cream. Are they similar drugs? I use it for wrinkles.
You bring up a good point and no, they are not the same, at least in the U.S. Did you order this off the web? In most countries, if you buy a product like Retin A (generic name is... more
I recently went for a consult for the area around my mouth and lips. I have pretty severe wrinkle damage in that area due to years of sun damage and smoking. The MD recommended doing a small amount of botox in five point areas around my mouth BEFORE doing Juvederm. I am confused by this and slightly nervous. Have you heard of this before?
Hi Dr. Irwin.. I'm now 40 years old. I had written a long time ago about DOT Therapy. Also I know there are different machines out there-which ones the best? Do you suggest having it done on the thighs and lower legs for crepiness/skin lines? I have tried everything other then lasers. I'm extremely embarassed of the way my legs look. I had a test spot done but not sure if one time testing will actually show me any difference. What's your thought and do you know of a good doctor in the Thousand Oaks/Los Angeles area that is reasonable. Thank you - thank you....i am so thankful for your input-
This is a tough one because the answer to this really isn't known. I think there are a LOT of women (include me on this one) who would love to get rid of the sun damage, and some of that... more
I've been happy with Botox injections on the "11's" for several years. But recently I noticed that to the outside of one injected line, I get a raised puffy area when I smile. It creates a visible vertical line that to me looks much worse than the original wrinkle. I have an appointment with my doctor but while I am waiting for that am wondering if this is from another muscle compensating for the original and what might be done about it. The other side of the forehead is nice and flat but this raised area is very upsetting.
The muscles that causes the "11s" frown lines are the corrugator muscles - one on each side. Their anatomy actually varies more than you would think from person to person. Some people have... more
I have recently brought a kathy dallas kd-12 cream. I am having doubts about using it because I can't find any reviews online about it. Can you please tell me your opinion about it.
I’m sorry but I’m not familiar with that brand cream, so cannot advise about it.
There's no data that niacin in these concentrations in skin care products performs better than tretinoin (Retin A, Renova, etc) and a Vitamin C serum in the 10-20% range. You'll very... more
Have explored different wrinkle reducing methods and do not like the idea of fillers, injections, laser or facelifts. Is Ultherapy a sound and effective way to help this issue? I have read about Thermage but read mixed reviews.
Hi, Your website is a great read and full of infromation. I am a 38 year old male and have developed deep lines running parallel to my nose of both sides of my face. I am trying to sleep on my back to stop these but wanted to know what type of product I should use for sensitive skin to tighten up my skin again around my nose area? In Ireland and the infromation is not great for men!! Thanks J
Thank you! The kind of lines that you describe are often from sleeping with our faces scrunched on the pillow a certain way each night. Changing position frequently and trying to sleep on... more
Hi Dr Irwin, Below is my post to you and your answer, but I didn't mean nasolabial folds or marionette lines. I meant horizontal and vertical lines that are fine lines. The fillers won't work for these lines and I cant use Retin-a or AHA's due to the shiny waxy look I get from using them. My skin is not sagging or lax and I don't have wrinkles. So is there anything that would work for these lines? Thanks in advance! I am confused about which procedure would work for moderate facial lines. I am a 46 year old caucasian female. I don't have loose, sagging skin or wrinkles. The lines are mostly around my mouth but to the sides not above my lips. I do not smoke. AHA's and retin a cause an unnatural shinny waxy look on my skin so I prefer not to use them. What procedure would work for this issue? Thanks so much. Since you don't have sagging (laxity) or wrinkles, these lines to the sides of the mouth are usually from the nose to the mouth (nasolabial fold) or the mouth to the chin (mesolabial or marionette), are best treated with a filller like Juvederm or Restylane. Both would work well. On average maintenance for this in your age range would be about twice a year. Dr. I
How long do fillers like Restylane/Juvederm last especially in the marionette lines?
I think there's a lot of confusion about this. The very general answer is 4-9 months. Also, fillers will often begin to last longer as time goes on if you get treated 2-3 times a year in... more
Dear Doctor, I believe I have the condition that you refer to as "cobble chin", but when I look at pictures that show people who have this condition they sometimes say it looks like dimpling. My condition under my chin actually looks like small bumps under my skin. They do not hurt and they give me no problems. If I pull in my lips (tightening the skin on my chin) they actually disappear. What is the best way to treat this condition? Sincerely, Donna
A common complaint is a bumpy texture on the chin area. Here are the 3 most common causes.
1) The first is old acne scarring. Some people have their most severe acne on their chins and... more
Hi Dr. Irwin, I'm thinking of buying a pillow that claims to help position your face while sleeping to help prevent creases caused by sleeping on your side with a traditional pillow. Would I be wasting my money? I do see a deep crease on the side of my cheek sometimes in the morning. thanks, Kathy
I think this is a fun questions! First, there's no data on this. But............ most people have more wrinkles and less volume on the side they sleep on most. You can probably see... more
Hello Dr. Irwin, I use skin medica ( luv it)...What do you think of the Hydrating Complex.. I don't use fillers but would this work as well on top of the skin. Thank you
For dryness or very fine lines, use a great moisturizer - the SkinMedica one is good. For true wrinkles, no cream will be able to compare to a filler at this point in time. The... more
A hand held device that emits red and blue light which is supposed to tighten the skin and produce collagen can be purchased by anyone($250.00). What is your opinion ? Joanne
I don't think you'll see much result. It also requires a lot of patience. Dr.... more
What is difference in improvement between a chemical peel and a laser treatment? Do they both work to treat wrinkles and fine lines?
This is a good question because I think many are puzzled by this also. I'd like to give you the broad differences and then links to two places in the site for more information. Since you... more
Hi Dr Irwin I have hispanic skin Im 32 years old and I have smile lines that I want to get rid of I've heard of fillers but I really want to do a treatment that has longer results like laser I heard that fraxel is the best for any tipe of skin would the laser would get rid of smile lines? I also went to a place and I bought a package of 5 skin tightenings they said that It will improve my smile lines I really don't know what to do. I also wanted to know if the fraxel laser would also be good to improve the apperance of old white stretch marks in my tipe of skin Thanks
Okay - so I think you bring up some good issues. It's critically important to understand first why you have the smile lines. Do these same smile lines tend to run in your family in the... more
I'm a african American with uneven skin tone and small laugh wrinkels around my eyes. What do you suggest?
Dear Dr Irwin I amm 44 with fair skin which freckles in the sun, oily t zone and wrinkles around eyes. In august i started to use obagi nu derm with great reluctance because of the hydroquinone. However i thought i would do the 18 wks then stop and go onto something else i am now being told i need to stay on it for life as my skin will return to its previous state and i could suffer hyperpigmentation. pigmentation was not a problem for me anyway i went on nuderm for wrinkling and sundamage and to refine the skin. i enjoy using the tretinoin but have been told it doesnt work if i dont use the blender with it. I just want to follow one of your regimes and have purchased tns already> please help. regards Jo
The ingredients in Obagi are the same ones available both by prescription and over the counter. In the Obagi system, they are just packaged and applied in a certain order which can be very... more
I have marionette lines around my mouth. It is due to volume loss in my chin. I had a bad experience with Restylane, (massive swelling after the procedure that scared me into a visit to the ER). Would Artefill be a more permanent option? I also had fat put into this area but it only lasted about 3 months. Could a laser tighten the skin in this area to get rid of it. It is not to bad I am 50.
I wish I could say your situation is unusual but I've heard many similar stories! Let's start at the beginning and think through this. I want you to go back to the mirror because most of... more
Does the use of botox or dermal fillers have any potential to slow down the deepening of existing wrinkles?
Yes!!! If the wrinkle is being caused by an over active corrugator muscle (the "frown" muscle), then relaxing the muscle with Botox will not only make the lines improve but also prevents... more
Dr. Irwin The TNS essentcail serum from skin medica is that product like using the tns recovery and c serum but they mix it together?..Was wondering cause i been using the recovery and c for while and love to try the serum when the recovery and c run out. Thanks
The two products you've been using the SkinMedica TNS Recovery Complex and the Vitamin C&E Complex (antioxidants) are both excellent. The TNS Essential Serum is their new "double pump"... more
Is there a product or exercise to get rid of the small little lines around my mouth? These make my lipstick look funny.
There are 5 issues to think about for this area. But first, what causes these is the constant movement of the lips (so exercises don't work), sun damage and loss of collagen, fat and bone... more
How effective are the home-use photo-rejuvenation devices (like Omnilux New-U, DPL System, and LightStim) for wrinkles and hyperpigmentation? Worth the money?
I wish I had a definative answer for you. The science behind all these products is sketchy. And, it's hard to know if their before and afters are real - not retouched. None of them did... more
I am 45 and for the last 5 years have been very aware of the lines that have appeared on my neck and chest area. They are very visable. My skin is quite fair and in the past i have always enjoyed sitting out in the sun. i am now at an age where i feel i don't want it looking any worse. Is there any good creams / lotions that i could buy to improve the appearance. I am going on a family holiday to Spain in July and will be putting on factor 20+ on my face and neck. Shirley
Are the lines on your neck circular "necklace" line or more the criss-crossy crepey lines? As a general rule, these need different solutions. The necklace lines are related... more
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