Would I benefit from Botox? I’m not sure which avenue to go down.

Dr. Dean Kane Q & A shutterstock_79134481 Q. I’m a 50 year old Native American and I’m Irish. I have spent my life outside in the sun. People believe that I’m at least 65-70 years old. It has gotten so bad that I’m embarrassed to leave my home. I now cover my face with my hair. In January of this year I had a few not really noticeable wrinkles on my face but by mid year it’s absolutely horrible. I haven’t had a relationship for many years and haven’t felt I was ready until I kept getting asked if I want my senior discount without seeing an I.D. A. ​So sorry for your troubles! Thin, Irish skin does seem to age prematurely. ​ ​Consider: ​Facial wrinkles are created from 4 different layers of the skin, fat and muscle. The top layer or stratum corneum of the epidermis is the rough, pigmented layer of the skin; creating most of the depth of the wrinkle. Exfoliation is best for this using
  • microdermabrasion,
  • Retin-A (ZO Obagi Skin Health System), which also renews and regulates improved function of the deeper epidermis,
  • some lasers and chemical peels.
The second layer is the dermis which thins with aging. The natural collagen, elastin and hyaluronic acid (which hydrate and toughen the
  • skin) are thickened by the use of:
  • fillers (Restylane and Juvederm), or
  • Retinoids (ZO Obagi Skin Health System), which also renews and regulates improved function of the deeper dermal skin cells.
  • Sculptra properly managed is the latest sensation in stimulating firming and thickening of the dermis
The next layer or fat also thins or droops with age and maybe:
  • filled (Restylane and Juvederm), fat grafting or
  • redraped (threadlift, short-scar, traditional, endoscopic face / neck / brow lifts)
Finally, the muscle which creases the skin into wrinkles and folds is weakened and rebalanced with
  • ​Botox or similar injectable muscle relaxers like Dysport or Xeomin.
Everyone needs one or more layered improvement and in personalized combinations to achieve their optimal result. ​ ​Please consult with a Board Certified and well versed Plastic Surgeon or Dermatologist to evaluate your desires and make recommendations. I wish you the best!

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