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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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Landa is a really wonderful therapist, always professional, pleasant and chatt. I would only recommend her for any treatments.

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The Irene branch is very convenient for me and i believe for a lot of their clients. With friendly and capable staff members, they've become very sought after. Once such therapist- Yolanda Alberts, comes highly recommended and I can truly say she's very competent, informative and friendly, always prepared to go the extra mile!

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The staff are very professional, Cheray is amazing! Lovely experience every time!

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What a pleasure to visit! Very friendly people, Ilona is my favourite lady. The Botox and Fillers work and Dr Cecile is just wonderful.

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When I moved from Stellenbosch to Pretoria 3 years ago, I was delighted to find a Skin Renewal branch within walking distance of my new home. I went there to make an appointment, and immediately felt at home. Sue-Anne was the therapist who took care of me, and I was treated with the greatest professionalism and friendliness. The premises are light and airy, and all the staff so friendly, that it is a pleasure to go there even if the treatment is not a pleasant one (like waxing!) When Sue-Anne became the manager, she gave me over into the care of Andrea, making sure she knew what my needs and preferences were. Both therapists are extremely helpful in suggesting products to use, and advising on further treatments like Botox, for which I have to thank Dr Xen as well.

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Riekardt is a skin wizard! My partner and I both had an appointment with him - he changed our skin routine forever. At the end of my appointment he said that it was the end of my suffering - I thought it sounded a bit dramatically optimistic but he was right! He’s so knowledgeable, attentive and caring, his hands are magic, and he genuinely is just so invested in everyone’s skincare journey and told us to update him and send him pictures. He gets the struggle and is a true, passionate skincare expert. We’d recommend him to anyone!

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