Expert advice

Facial wrinkles can be effectively improved or eliminated through various aesthetic medicine treatments (such as peelings, fillers, dermabrasion, laser, lipofilling and botulinum toxin) or, in the case of particularly deep wrinkles, through cosmetic surgery (lifting).

The skin is made up of layers of cells that are nourished by blood vessels and supported by proteins, including collagen and water. With age, the levels of hydration and collagen decrease, the skin sags and folds and wrinkles appear. Even prolonged exposure to sunlight damages the skin and can seriously affect the state of skin cells.

Peeling is a chemical solution that improves and smoothes the skin of the face by removing the most superficial layers damaged by the effects of aging (wrinkles, loss of elasticity and tone of the skin, etc.). Peels regenerate the epidermis and allow you to accelerate the natural cell turnover. In fact, these are treatments that stimulate skin renewal, promoting the elimination of devitalized cells, impurities and imperfections.

Dermabrasion is a treatment that improves scars and shallower wrinkles on the face by eliminating the most superficial layer of the skin and giving it a smoother and more regular appearance.

The lasers that are used for the treatment of wrinkles are the so-called “resurfacing” lasers. Among these, the most effective are the CO2 laser, particularly suitable for periolar wrinkles (around the mouth) and the Herbium laser, more suitable for periocular wrinkles (around the eye or crow’s feet).

The lipofilling technique consists in taking small amounts of fat from one part of the body which are then injected into the wrinkles using a syringe equipped with a thin needle. This treatment is particularly suitable for wrinkles in the zygomatic-ocular region.

La tossina botulinica è un farmaco che permette di inibire temporaneamente l’azione dei muscoli mimici del volto riducendo la formazione delle rughe da espressione.

The facelift is a cosmetic surgery that eliminates the deepest wrinkles and excess fat, repositioning the facial muscles and relaxing the skin on the face and neck. The best treatment of facial wrinkles is usually given by a correct combination of the remedies illustrated above.

Fillers are filling materials that are injected into wrinkles to fill gaps in subcutaneous tissue. Fillers can be resorbable, semi-permanent or permanent.

Resorbable fillers have the advantage of being easily tolerated by the body but give a temporary increase in volume (from 4 to 12 months). The absorbable materials are essentially two: collagen and hyaluronic acid. Hyaluronic acid is a very popular product and gives very beautiful aesthetic results.

Semi-permanent fillers have the advantage of giving a more lasting aesthetic result (from 12 to 36 months) but, albeit rarely, they can cause reactions from a foreign body.

Permanent fillers have the advantage of giving a definitive aesthetic result but sometimes they can give an unpredictable rejection reaction that is difficult to control and correct. Silicone in the form of an injectable gel is a permanent filler whose use was prohibited by Italian law in the early 90s due to the numerous side effects it can cause. Currently the most common products admitted on the market are: “Bioalcamid” and “Aquamid”.