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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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Helen was so nice throughout the treatment process. She explains each step and the benefits thereof. My skin is fed and i will no doubt be back. Finally, a place that knows what to do. Thanks Helen.

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I am from Witbank and prefer to have my treatments done at Parkhurst Renewal Institute. The staff treat you with so much respect, they are friendly and always willing to help. Dr Marilyn knows exactly what I need and always takes her time to give me the best treatments, so I can look my best. Thank you for your great service.

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I have been a client of Skin Renewal for over 10 years. The quality of staff is dynamic and professional, as well as supportive and personal. The information I receive from the doctors and staff is exceptional on an ongoing basis ie. latest treatments. I feel like it is my safe place, always feeling better after every treatment.

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