“Temples are one of the most neglected places in the facial aesthetic. If you look at older people they have hollow temples,” he said. “If you inject Sculptra into that area and get some added volume, you can very subtly improve their youthful look in a way that no one can really tell — it just makes them look younger and fresher.”
For fine lines, Belotero is a relatively new injectable.
“Belotero has revolutionized the treatment of fine lines such as crow’s feet and smokers lines,” Baumann said. “My male patients love it because it gets rid of their forehead lines without the tell-tale frozenness of Botox, Dysport, Xeomin.”
Light and laser treatments can also be used to give patients a more youthful appearance, and are very effective at eliminating sun damage and stimulating new collagen, said Dr. Leyda Bowes, a board-certified dermatologist whose practice — Bowes Dermatology — is in Coconut Grove, Fla.
“It’s a non-invasive way to reduce the damage from the past and also proactively stimulate new collagen to make the skin look plumper, smoother and tighter,” said Bowes, who completed a two-year laser fellowship at Harvard Medical School’s Department of Dermatology.
Patients in their 30s and 40s can benefit from a Photofacial, which uses intense pulsed light (IPL), and is a popular, non-invasive treatment that requires no downtime, she said.
“This being Miami, with the sun exposure, we do have a lot of patients who come in because they don’t see their complexion as being bright — they have not only sun spots but blood vessels, diffused redness on their face, also fine wrinkles and enlarged pores,” Bowes said.
Often patients receive three or four IPL treatments, one month apart for the first year, then once a year after that for maintenance, as needed.
“The total effect of the IPL treatment is smoother skin with minimized pores and a complexion that is very even, very bright,” she said. “It’s very powerful, but very safe and this is why they call the procedure the Photofacial. Patients will come back saying the texture is smoother and pore size smaller.”
Katherine Amiguet, a pharmaceutical sales representative who lives in Coral Gables, Fla., has had three Photofacials since December, which she said have reduced the redness and eliminated dark spots on her skin, as well as reducing pore size and fine lines. “I’m a professional, I’m a mom, and I have to look good for my job because I am in and out of doctors’ offices,” said Amiguet, 44.
“I’ve been getting compliments,” she added. “They say, ‘What have you done to your face, you look really good!?’”
Another popular treatment that can benefit patients in their late 40s and up is Fraxel, a laser treatment co-developed by Bowes’ husband, Dr. Dieter Manstein, and Dr. Rox Anderson.
“While it doesn’t involve cutting or needles, it does have a recovery time, a day or two with redness and swelling,” Bowes said. “But the results, in terms of minimizing lines, improving and reducing deeper wrinkles and tightening, are very significant.”
Fraxel gets its name from fractional photothermolysis, which means that with every treatment, the area treated is 15 to 25 percent of the surface area of the skin, depending on whether the patient has milder or deeper wrinkles and lines.
“What it does is that it creates small microscopic columns of selective or controlled damage to aging skin,” Bowes said. “These areas are in turn replaced with new, younger collagen and elastic fibers, with time. In a period of weeks to months, patients start to see smoothening of the texture and reduction of deeper wrinkles.”
Because a fraction of the skin’s surface is treated at a time, Bowes recommends multiple treatments — two to five — allowing the patient to be the judge.
Yolanda Florin, 62, got her first Fraxel treatment a few weeks ago to improve the fine wrinkles around her mouth and in the corner of her eyes, as well as the deep wrinkles on her forehead.
“It helped my fine lines and the texture of my skin,” said Florin, who lives in Miami Beach. She plans to have a second treatment after the summer. “To me, it’s fantastic, and there was no pain.”
THE PRICE OF APPEARING YOUNGER
In 2012, Americans spent $2 billion on injectable procedures and $1.8 billion on skin rejuvenation procedures.
The most popular nonsurgical procedures were injections of Botulinum Toxin Type A (including Botox and Dysport), 3.3 million procedures; followed by Hyaluronic Acid fillers (including Restylane and Juvederm), 1.4 million procedures.
Source: American Society for Aesthetic Plastic Surgery