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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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I was visiting the institute in Cape Quarter. First of all thank you for the warm welcome. All of you are more than professional and friendly. But best of all are the results!! I can't say how happy I am as the results are beyond my expectations. Really, in case you still have doubts about botox treatment, you shouldn't wait any longer to get the treatment. It's fantastic. And Dr. Toni as an expert knows exactly the right dose to use. Thank you so much. Thanks to all of you. I will be coming back. Kind regards, Birgit

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I had my first treatment at the Fourways branch last year in October. Whenever the Skin Renewal training team and I decide to introduce any new treatments at Skin Renewal, I am always the first to try the new treatment out to ensure we can deliver results for our patients. I was interested to see if this Vampire Facial could make a difference to the overall texture of my skin. A few weeks after the initial treatment I started receiving numerous compliments about my skin and thus the decision to introduce the DrPRP treatment in the new year was a no-brainer.I jumped at the chance to be the model for the doctor's training of PRP and thus was fortunate enough to receive a second treatment. Three weeks post my second treatment, our training team at Skin Renewal insisted that we take before and after photos to compare the results of the 2 Vampire Facial treatments. We took follow up photos today and we were all amazed at the difference in the texture and clarity of my skin. What really impressed me was the improvement of my necklines and the texture of my chin...really thrilled with the results. What sets the Dr PRP system aside from the other PRP treatments out there is the double centrifuge process which delivers "liquid gold", a super concentrated PRP. At Skin Renewal the PRP treatment includes the face, neck, decollete and hands, so all neglected areas will be covered ... Can't wait to have my third treatment!Dr Maureen Allem, Founder and Medical Director Skin, Body, Health and Sleep Renewal

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After a few attempts by leading medical aesthetics doctors, including a plastic surgeon - they were unable to successfully remove the forehead lines with Botox. I was advised I need fillers there as my skin is too thin for effective Botox (I am over 60).Well, Dr Maureen sorted it out in one 10minute session. Not a line to be seen!! Two months later it still looks amazing!

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Thank you ladies, the results of my Silhouette Soft Threads procedure are everything and more than I expected! Sleeping is a tad uncomfortable for about 5 days after but the immediate effects are just so absolutely worth it! There was no down time. I am a Fan for Life thrilled with my face’s refreshed, lifted and fuller volume appearance.

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I was excited to get my "lifting threads" done at Parkhurst. I am on the wrong side of fifty and am against surgery. I was a bit nervous to start off with, but I can honestly say that the doctor was amazing. I had 6 threads inserted on each side of my face. The only slight pain I felt was where she injected me with a local anaesthetic before inserting the threads. I felt no pain during the procedure and no bruising at all! It has been 4 weeks since my threadlift and I am receiving numerous compliments each day. The staff at Parkhurst were so professional. Thank you.

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I have suffered with a dreaded double chin for most of my adult life. A few extra pounds later, this had worsened since loose skin had also set in. Dr Marilyn suggested that I do a few skin tightening and fat reduction treatments with Exilis before placing a few threads into the area. 2 months after my Exilis procedure, I had 10 threads inserted into my double chin area. The procedure took all of 5 minutes and I have left with mild bruising on my neck afterwards. Thank you Dr Marilyn for a great procedure and great advice.

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I would like to let you know how happy I am with your branch in Constantia. The team is amazing. Starting with the new receptionists: Stephanie is very professional, helpful and very welcoming, friendly every time someone enters or has a request. I always get an immediate answer to my emails and they try to help me out with my appointments (I had quite a few...) to the fullest. Dr. Fred is great doctor, very much aware of health and body problems and the way of treating them. I really enjoyed my IV treatments with him. I am the patient of Dr. Graham for a few years now and I do not want to go to any doctor anymore for my fillers, botox or threads. I visited before the best doctors in Milan and Zürich so have some experience. He is a fantastic person, outstanding doctor who listens to you and does according to your needs, preferences. Some of my international friends feel the same way about him. Last, but not least I have to mention my therapist. She is a lovely girl and an amazing therapist. She really loves her job and cares for her clients. She is very understanding and knows well how to treat different skin problems. She is not pushy and listens to the needs of her clients. A big thank you for all of you guys, you work really hard and do a great job. Thank you for your kindness and professionalism.

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My therapist made me feel so comfortable and relaxed from the very first moment. She was very thorough and firm and did a really great treatment.

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The staff at Hillcrest are all so helpful and friendly and considerate. I enjoy all my treatments done at the Skin Renewal branch.

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I have had Fillers before with excellent long lasting results. The treatment was at Skin Renewal Hillcrest.

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