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Ask our Doctors

Skin Renewal Doctors all have a broad knowledge, background and passion for aesthetic medicine. Please feel free to ask them your questions and concerns.

Conditions
Conditions

Wrinkles

Ageing skin is associated with a range of cosmetic concerns - from a loss of collagen and facial volume, which results in the thinning of the skin to a loss of structural integrity or weakening of the skin leading to different types of lines and wrinkles and facial sagging.
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Cutaneous ageing signs become visible from as early as the twenties, especially with excessive sun or environmental exposure. The two earliest signs of ageing are the development of crow's feet around the eyes, and wrinkling between the brows and forehead due to constant facial expressions.

Between the ages of 30 to 49 years there is a sharp increase in prevalence of skin changes such as wrinkles and sagging.

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles: static wrinkles and dynamic wrinkles:

Sleeping Positions are one of the main causes of static wrinkles. Resting your face on the pillow in the same way every night for years on end also leads to static wrinkles (also known as sleep lines). These wrinkles eventually become etched on the surface of the skin and no longer disappear when the head is not resting on the pillow. Patients, who tend to sleep on their sides, are most likely to see these lines appear on their chin and cheeks.  If one is prone to sleep with the face pressed face down on the pillow, then you tend to notice these lines on the forehead. People who sleep predominantly on their backs do not develop these wrinkles since their skin does not lie crumpled against the pillow.

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated.

Dynamic wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, with constant motion these grooves become permanently etched on the face as fine lines and wrinkles.

How do we treat the different types of wrinkles?

Injectable fillers such as ProfhiloSculptra, HArmonyCa and Botox / Dypsort, laser rejuvenation treatments, Pearl Fusion, PDT, Skin Needling and Carboxytherapy are mainly used for static wrinkling.

Fillers soften lines and larger wrinkles by plumping them out so they look less evident at rest. At Skin Renewal, all our medical doctors are well trained in the MD Codes technique for injecting dermal filler.

In some cases, the combination of anti-wrinkle injections and fillers are used when the line or wrinkle is very deep and weakening the muscle action will help preserve the longevity of the filler. This is most common in the furrows between the eyebrows or bleed lines on the lip.

Wrinkle treatment should start as soon as one sees a wrinkle developing when the wrinkles are still "soft".

If these wrinkles are neglected they become "ingrained" and "scar like" and they are then almost impossible to treat successfully. If we intervene early with dermal fillers, then we can prevent these breaks in the skin.

frequently asked
questions

How can I repair wrinkles on neck and below eyes? I am a black South African but am light in complexion.

There are so many amazing options available to you. What it really comes down to is how quickly you want to see results, and how much down time you’re able to handle, because, if you want a very quick result, it would mean having more “aggressive treatments”. But if you want to have less aggressive treatments that will give you a result over time, then we approach your concern a bit differently. You could for example have a combination of Botulinum, Fillers, Silhouettes and PDO threads, which will give you a result more quickly, OR, you could do a course of treatment combinations including Peels, Lasers and Carboxytherapy which will take a bit longer and your results will show slowly and progressively over time. The other thing that of course comes into play, is how severe your lines and wrinkles are to begin with. One of our Doctors would need to do a thorough analysis of your concern and give you a better idea of a customised package specifically for you so that we can ensure that your needs and expectations are met, taking into account your skin condition. 

Frequently asked questions

How can I repair wrinkles on neck and below eyes? I am a black South African but am light in complexion.

There are so many amazing options available to you. What it really comes down to is how quickly you want to see results, and how much down time you’re able to handle, because, if you want a very quick result, it would mean having more “aggressive treatments”. But if you want to have less aggressive treatments that will give you a result over time, then we approach your concern a bit differently. You could for example have a combination of Botulinum, Fillers, Silhouettes and PDO threads, which will give you a result more quickly, OR, you could do a course of treatment combinations including Peels, Lasers and Carboxytherapy which will take a bit longer and your results will show slowly and progressively over time. The other thing that of course comes into play, is how severe your lines and wrinkles are to begin with. One of our Doctors would need to do a thorough analysis of your concern and give you a better idea of a customised package specifically for you so that we can ensure that your needs and expectations are met, taking into account your skin condition. 

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A very professional, understanding, precise, informative & friendly establishment. From the moment I met Dr Ross, I felt in safe & professional hands. Direct, concise & excellent guidance & service. My Botox has produced outstanding results. Highly recommend.

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I recently had the pleasure of visiting Skin Renewal, and I am thoroughly impressed with the level of service provided. From the moment I arrived, the staff are always warm and welcoming. I would like to particularly commend Sharon, who consistently serves as my initial point of contact when I make my appointments. Her professionalism and welcoming attitude are greatly appreciated. The atmosphere of the clinic is soothing and pristine, which instantly puts me at ease. My consultation was thorough. During the treatment, the professionalism and expertise of Dr Maureen, Janine Pfister (Somatology) and Dr Trent and were evident. They explained each step of the process, ensuring I felt informed and relaxed throughout. I truly appreciated their attention to detail and commitment to providing an exceptional experience. After my visit, I noticed an immediate improvement in my skin, and I can't wait to see the long-term results of my treatment! I wholeheartedly recommend Skin Renewal to anyone looking for top-notch skin care services. I’ll definitely be returning for my future treatments! Thank you, all the staff at Skin Renewal for your outstanding service!

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Upon walking through the doors, you will already know that you’re in good hands. It is such a beautiful, luxurious salon. Everyone I interacted with made me feel very welcome and, most importantly, heard and seen. I love their evidence-based approach. Dr Ross recommended some products to address my most important skin concerns, and despite trying numerous products before, the cleanser and moisturiser has almost entirely cleared up my skin within only a few weeks. I have always been very hesitant about facials, but I am very excited about my first treatment with Skin Renewal.

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I have had such a wonderful experience at Skin Renewal in Century City. From the moment I walked in, everyone welcomed me with a warm smile and genuine friendliness. Dr. Ross was an absolute gem, thoroughly explaining my treatment and what to expect for future appointments. Overall, I am extremely happy with my experience and can't wait for my next visit!

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Super happy with my results from Dr Michele. Always a pleasant, thorough and professional experience at Skin Renewal.

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