What treatment would be best for wrinkles for me at 65 and my mom at 84?

Just found your website and I absolutely LOVE it! Am turning all my girlfriends on to you! Have a couple of questions! I'm 65 and my mom is 84. We both want to have laser treatment. I don't have a lot of fine lines, mainly deeper ones I've managed with Radiesse and some botox. But I'm developing that orange peel look on my chin. What do you suggest for me? My mom has never had any cosmetic dermatology and has Lots of fine lines and deeper wrinkles. What would be best for her? I hope you can answer these for us!!

I love that you’re helping your mom with this!   I do have patients in their 80s and while they don’t do a lot, they really enjoy looking at little better.   And who knows, if we’re lucky, we might live to be 100!

Wrinkles over 50, in my opinion, do best when they are supported underneath with some deep volume support, as with Voluma and then laser on the surface for smoothing.   With fillers, realistically and to have them look good, it’s better to go slowly and build a base over about 6 months.   Think needing about 1 syringe per decade to see a visible difference.    Again, good to go slowly about 2 syringes at a treatment.   Talk to your dermatologist.

But if only one thing is possible, my vote is for CO2 laser – fractionated like the DEKA Dot or the Lumenis Active/Deep Fx done by very experienced dermatologists.   In about a week of downtime, a significant difference in wrinkles with some tightening, can usually be made.   Ask for a consult and do your homework carefully.  These are general guidelines and we are all individuals.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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