There are two main types of wrinkles - dynamic wrinkles caused by facial movements and static wrinkles caused by aging. Sun damage, smoking, poor diet, and stress can all contribute to premature wrinkling. Wrinkles can be treated non-surgically with dermal fillers, neurotoxins like Botox and Dysport, or surgically with procedures like a facelift. The document provides information on various wrinkle treatment options from a board certified physician assistant at the La Jolla Cosmetic Surgery Centre.

1. Five Things to Know about
Wrinkles
Causes of Wrinkles and the Different
Treatments for Them

2. Lauren Amico, PA-C, MMS
• Although everyone
associates wrinkles with
aging, that’s not
necessarily their
primary cause. Knowing
more about why
wrinkles form can help
you reduce the
incidence and lessen
the appearance of
wrinkles. Board Certified Aesthetic
Physician Assistant

3. 1. Two Types of Wrinkles
Furrowed Brow
• There are two types of wrinkles
caused by different factors.
Dynamic or active wrinkles are
those that are created from
muscular movements, such as
frowning or furrowing the brow.
Static wrinkles are seen when the
face is at rest and are caused by
aging, environmental
exposure, or lifestyle factors;
dynamic wrinkles become static
wrinkles over time. These
wrinkles form when collagen is
lost and the skin’s elastin
structure is compromised.

4. 2. Sun damage
• Sun damage is the main
catalyst for premature
aging of the skin and is an
easily preventable cause
of wrinkles. Sun damage
can be avoided simply by
using an effective
sunscreen with an SPF of
15 or higher. Sun damage
also causes changes in
the pigmentation of the
skin and can lead to skin
cancer.

5. 3. Smoking
• Smoking is another cause of
wrinkles and skin damage.
Nicotine deprives the dermis of
oxygen, causing it to deteriorate.
Cigarettes contain thousands of
chemicals that also damage
elastin and collagen, the proteins
that make the skin elastic and
strong. The act of smoking also
creates dynamic wrinkles.
Quitting smoking will prevent
further damage, and topical skin
products containing
antioxidants, retinol, or vitamin C
and E can help repair the skin.

6. 4. Poor Diet
• Poor diet is another factor
that contributes to
the appearance of wrinkles.
Excessive sugar contributes
to glycation, a process that
causes protein fibers
(including collagen and
elastin) to become stiff. This
contributes to wrinkle
formation. Avoiding sugary
foods and adding foods high
in vitamin C, vitamin E, and
antioxidants will improve
skin texture.

7. 5. Stress
• Stress is another
contributing factor in the
formation of wrinkles.
Prolonged stress can lead to
dynamic wrinkles formed by
repeated facial expressions
such as
scowling, frowning, or
grimacing. These wrinkles
can transform into static
wrinkles through repetition.
Stress reduction techniques
can help prevent this
transformation.

8. Reducing the Appearance of Wrinkles
Nonsurgically
Static Wrinkles Dynamic Wrinkles
• Dermal Fillers reduce • Neurotoxins
appearance of static immobilize/weaken muscles
wrinkles that create dynamic
• JUVEDERM wrinkles
• Perlane • BOTOX
• Restylane • Dysport

9. Botox Dysport
• BOTOX® (Botulinum toxin) is a • Dysport™ relaxes facial
neurotoxin drug that acts by muscles. It is made with the
temporarily blocking nerve same ingredient as
pulses in facial muscles. It BOTOX®—botulinum toxin
tends to be most effective in
type A—but in a different
muscles related to expression
formulation. Like BOTOX®, it
lines around the
eyes, forehead, and mouth. It tends to be most effective
is often effective in areas in treating wrinkles caused
where fillers may not be. by muscles related to
BOTOX® is a very safe and expression lines around the
effective injectable and eyes, forehead, and mouth.
therefore very popular among
patients.

10. Dermal Fillers
JUVEDERM Perlane
• This product is a dermal filler • This dermal filler is the
that is based on hyaluronic
acid and works together with newest member of the
the body’s own hyaluronic acid Restylane® family. The
to create volume. Allergan difference in Perlane® is the
officially released the product
in January 2007, and LJCSC gel particle size. Perlane®
was a testing site. Studies gel particles are larger and
show that results last up to 6– designed for deeper
12 months. Juvéderm® is
effective for the nasolabial injection than Restylane®. It
folds, under the eyes, between works well for severe facial
the eyebrows, and for lip
plumping. wrinkles and folds.

11. Extensive, Deep Wrinkles
• Surgical procedure might be necessary to
meet goals
• Facelift
• Neck Lift
• Brow Lift
• Visit with a board certified plastic surgeon
when considering surgical options

12. La Jolla Cosmetic Surgery Centre
La Jolla Cosmetic Surgery Centre (LJCSC) is one of
the premier cosmetic surgery practices in the
country, with over two decades of experience in a
variety of cosmetic procedures, including Breast
Augmentation, Liposuction, Injectables, and more.
With multiple doctors, we have qualified specialists
in many areas of cosmetic surgery, allowing each
patient to receive excellent care to suit his or her
individual needs. Our state-of-the art surgical suite
is certified with the highest level of accreditation
by the American Association for Accreditation of
La Jolla Cosmetic Surgery Centre
Ambulatory Surgery Facilities, Inc. (AAAASF), and is
9850 Genesee Avenue
conveniently located on the Scripps Memorial
Suite 130
Hospital campus in La Jolla, central to the San
La Jolla, California 92037
Diego area.
(858) 452-1981
(858) 452-9910 – fax
Conveniently located in the XIMED building on the
Scripps Memorial Hospital campus in La Jolla. Our
office is centrally located in the San Diego
area, just minutes from the I-5 and I-805 freeways.