IN THIS ARTICLE
Surgery for Wrinkles and Side Effects
The removal of excess, loose skin by surgical means was the original technique used to remove wrinkles. This procedure is generally performed in an operating room under general anesthesia. The result when performed by a master can be quite impressive.
Cellulite treatment is a special problem which is as yet unsolved. Liposuction, which removes subcutaneous fat, does not seem to be the perfect modality to approach fat deposition of fat in the lower dermis, the presumed cause of cellulite. Certain chemicals which lyse fat cells could be deposited in the appropriate anatomical site to diminish cellulite. As yet, this technology is not perfected.
How to Prevent Wrinkles
There is very little that can be done to affect intrinsic wrinkling other than attempting to limit normal muscular movement, a suggestion that is obviously ludicrous. One has to accept one's genetic inheritance.
On the other hand, extrinsic aging can be controlled to a great extent by limiting exposure to ultraviolet light and by not smoking. When the skin darkens in response to exposure to light, this is a sign that damage has occurred to the collagen in the deeper layers of the skin. This damage is cumulative so it is never too late to change one's behavior. The major wavelengths of light responsible for this damage are in the ultraviolet range and have been labeled "A" and "B." Sunlight is the major source of this type of radiation, but tanning parlors have light bulbs that produce wavelengths in this range. Ultimately, there is no such thing as a safe tan! Sunlight avoidance by wearing appropriate clothing, staying in the shade, and wearing a durable, effective sunscreen over exposed areas is a good strategy. Any health benefit produced by the synthesis of vitamin D by skin is overshadowed by the negative aspects of ultraviolet light exposure. Vitamin D requirements can be satisfied by taking almost any commercially available multivitamin (1,000 IU/day). Since the longer wavelengths of ultraviolet light can penetrate window glass, it might be reasonable for especially compulsive individuals to coat suitable windows with a transparent plastic film that absorbs those wavelengths.
Whichever combination of techniques is used reduce the appearance of wrinkles, the health care professional and their team are the most important variable in obtaining the most desirable result.
Medically reviewed by Norman Levine, MD; American Board of Dermatology
Medically Reviewed by a Doctor on 7/27/2016
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