Treating Wrinkles - A Systematic Approach
Maintenance
Sun Exposure / Tanning Booth - damage from UV radiation combined with the dry winds of California will lead to early aging and wrinkles
Start Young
Sun block - I use a high SPF, with a high amount of Zinc Oxide. Apply it every few hours when in the sun. Wear a hat and try to stay in the shade
Skin Care Regiment - Begin our treatment plan and keep your skin looking young and glowing
Faint Wrinkles (Age 20's, 30's, 40's)- Our Treatment
Good skin care maintenance, along with a good skin care regimen, consisting of the application of mild peeling agents and home skin care products
Microdermabrasion - I have found this to be of little value, because we have lower cost skin care treatments that provide better results
Lasers and Deep Peels - I avoid these treatments for faint wrinkles because they are too aggressive for younger skin
Fine Wrinkles (Age 30's, 40's)- Our Treatment
Good skin care maintenance, along with a good skin care regimen, consisting of the application of mild peeling agents and home skin care products is still important
Botox or Dysport - a good addition to keep deep wrinkles from forming in the forehead, frown area and around the eyes
Lasers and Deep Peels - are still not necessary at this stage
IPL / Intense Pulse Light - I do not use this treatment, because we have lower cost treatments available that are as effective
Moderate Wrinkles (age 30's to 50's)- Our Treatment
Good skin care maintenance, along with a good skin care regimen, consisting of the application of mild peeling agents and home skin care products is still important
Botox or Dysport - to lessen your wrinkles and keep deep wrinkles from forming in the forehead, frown area and around the eyes
Restylane - Perlane - Radiesse - Fat injections - these soft tissue fillers are very effective for Moderate Wrinkles and are a good choice to maintaining a youthful appearance
Moderate Depth Peels - such as a 35% TCA is a great freshening peel that removes moderate and fine wrinkles and corrects blotchy pigmented skin
Blue Peel by Obagi - this is a TCA peel with a color agent designed to help those new at doing chemical peels decide when to stop applying the chemical. Experienced Plastic Surgeons will not need to use this added agent
Blue Peel without anesthesia - this is done in layers or levels and designed so nurses and others can perform the procedure
I do not use any Peels without anesthesia for Moderate Wrinkles, because the depth the chemical needs to penetrate to have an effect will cause too much pain
70% Glycolic Acid Peel - I do not use this because the TCA Peel gives more consistently good results
Lasers Ultra-pulsed CO2 and Erbium:YAG - I like to use the Laser for Moderate Wrinkles, but more often a 35% TCA Peel will be a better choice. The CO2 laser will give more tightening of the skin and would be my choice over the Erbium:YAG
Thermage / Radiofrequency / RF- once touted as the non-surgical replacement for a Face Lift most people who have had the treatment will tell you they experienced no results
I do not use or recommend Thermage, because of its ineffectiveness
Deep Wrinkles (age 40's to 80's)- Our Treatment
Laser - I would use the Ultra-pulsed CO2 laser which gives maximum skin tightening and correction of the wrinkles
Phenol / Croton Oil Deep Peel - This would be an option on extremely deep wrinkles, however the facial pigment loss can lead to very light skin color
Thermage - as mentioned above, I would avoid this skin treatment
Face Lift - to get the maximum results, I might suggest you think about Facial tightening prior to treatment of your skin
Botox or Dysport - to soften and lessen the appearance of wrinkles
Restylane - Perlane - Radiesse - Fat injections - these soft tissue fillers are less effective for deep wrinkles, but still are used
Call for a Analysis and Systematic Treatment of your Wrinkles
with
Dr. Costanzo and Michelle Costanzo L. E. of Thousand Oaks
CALL
Board Certified Plastic Surgeon
805 / 373-9919 or 818 / 706-2070
Chemical Peel, such as TCA, Trichloroacidic Acid, Jessner, Salicylic Acid, Lactic Acid and Glycolic Acid in Thousand Oaks by Christopher Costanzo MD, a Plastic and Reconstructive Surgeon trained at the world famous Mayo Clinic. Board Certified in 1987 Dr. Costanzo performs Chemical Peels, Botox Injections and Fillers for Wrinkles for women in California, Beverly Hills, Los Angeles, Encino, Sherman Oaks, Chatsworth, Woodland Hills, Tarzana, Granada Hills, West Hills, Malibu, Calabasas,Agoura, Oxnard, Simi Valley, Moorpark, Camarillo, Santa Barbara, Los Angeles County, Ventura County and Santa Barbara County. Dr. Costanzo offers free cosmetic consultations.