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Wrinkle removal

Wrinkles and expression lines can be prevented and treated with cutting-edge procedures that provide natural-looking results.
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What are wrinkles

Wrinkles are lines or marks on the skin that develop over time due to repeated movements and muscle contractions. Additionally, as we age, cellular changes occur and the production of substances such as proteins decreases. For example, after the age of 40, the body produces only half the collagen it did during adolescence. This leads to a loss of skin elasticity and flexibility.

Why do we get wrinkles?

The passage of time, excessive sun exposure, poor lifestyle habits such as a diet high in processed foods, lack of regular skincare like facial cleansing, smoking, and environmental pollution, among other factors, accelerate or exacerbate the formation of wrinkles.

Treatments

Each patient should be treated from an individual perspective, following a detailed assessment of their skin condition and personal expectations.

In this regard, there are minimally invasive products and technologies that improve the skin’s appearance and reduce signs of aging. One of the most commonly used techniques is mesotherapy, which involves injecting a controlled amount of a substance into targeted areas. Within a few sessions, this can visibly regenerate the skin, increase elasticity and natural radiance, and reduce wrinkles, among other benefits. Through this technique, products such as recombinant enzymes, NCTF 135, hyaluronic acid, botulinum toxin, biostimulators like Sunekos, exosomes, Radiesse, as well as Restylane Vital and other recombinant enzymes, can be applied.

Some of the facial rejuvenation treatments are:

Botulinum Toxin

is a medication that reduces the appearance of wrinkles by weakening muscle activity, thereby decreasing the skin’s response to expression-related movements. It does not deform the face or add volume. It is one of the most widely used treatments worldwide to counteract the effects of aging. It is indicated for the upper and lower thirds of the face, the masseter muscles (in cases of bruxism), and the neck. Even when used in a diluted form, it can be applied to treat rosacea and improve the overall appearance of the skin. This approach is known as Skin Quality.

Find out more about botulinum toxin >

Hyaluronic acid

It restores facial volume lost over time due to the reduction of fat, bone, and muscle. Hyaluronic acid is a hydrophilic molecule, meaning it can hold large amounts of water, contributing to skin hydration. In its simplest form, it is used to improve skin appearance and elasticity (non-crosslinked), while in its more complex, crosslinked form, it serves as a dermal filler to treat expression lines and restore volume to areas such as the lips, cheeks, jawline, or under-eye region. It is gradually reabsorbed over time, and its application should be guided by moderation and balance to achieve a natural result.

Find our more about hyaluronic acid >

Biostimulators

These products are applied through mesotherapy (small doses with fine needles in targeted areas) to improve skin quality, reduce sagging, and generally help patients achieve a fresher, more rejuvenated appearance. The most commonly used products at Dr. Lloreda’s clinic include Radiesse, Sunekos, HarmonyCA, Sculptra, and Exosomes, among others.

NCTF 135 + HA (Hyaluronic Acid)

It is a combination of nutrients and minerals that, together with hyaluronic acid, revitalizes and nourishes the skin.

Find out more about NCTF 135 >

Recombinant Enzymes

They are proteins derived from genetic engineering that help improve the appearance of sagging by firming the skin, specifically in the lower third of the face, such as the cheeks and neck, in areas with loose skin commonly referred to as a double chin.

Find out more about recombinant enzymes >

Laser or pulsed light

There are different types of lasers used today in aesthetic medicine. Depending on the treatment, the most suitable laser is selected based on medical indications and the patient’s expectations established during the assessment. The most commonly used lasers are:

  • Laser CO2 > It involves ablating the superficial layers of the skin to remove wrinkles and scars.
  • Laser Colormax Q-Switeched > Its light breaks down the pigment in skin spots or tattoo ink to remove them.
  • Laser vascular > It supports the treatment of spider veins, also known as telangiectasias, and even varicose veins.
  • IPL > Intense pulsed light is used for facial photorejuvenation by stimulating collagen production.

Other technologies

Other technologies available at Dr. Juan Carlos Lloreda’s medical center to support facial rejuvenation include:

Chemical Peel

It is a procedure that rapidly renews the skin’s superficial layers to promote regeneration and improve its appearance, helping to reduce signs of aging and enhance freshness and youthfulness. At Dr. Juan Carlos Lloreda’s clinic, peelings such as Cosmelan, Mesopeeling, Peeling Lightening, and Dermamelan Intimate are used.

Find out more about the chemical peel >

These procedures are carried out based on the medical assessment, as well as the patient’s needs and expectations. Products and treatments are constantly evolving to provide natural and effective results, which depend on each individual’s characteristics and the physician’s expertise.

Expectations

Today, aesthetic medicine has developed various techniques to prevent and reduce wrinkles without the need for surgery. When treatment begins around the age of 20 as a preventive measure, the appearance of wrinkles or expression lines can be delayed. In general, these treatments provide a natural, nearly painless effect with minimal discomfort while effectively reducing wrinkles.

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Frequently Asked Questions

For what ages are these anti-aging treatments recommended?

Dr. Juan Carlos Lloreda, a specialist in aesthetic medicine, recommends beginning preventive treatments from the age of 20 to reach later stages of life with better skin condition. He also explains that in advanced ages, such as 70 or 80, the physician must assess the patient’s skin type to determine whether biostimulators will achieve the desired results.

How often should I reapply these products?

It depends on the patient, but generally, after the first Botox treatment, a second session is recommended six months later. Biostimulators and hyaluronic acid should be reapplied annually.

These products are absorbed by the body; none of them provide a permanent effect.

¿Cómo evitar resultados negativos en los rellenos?

Products such as Botox do not provide volume; they only reduce muscle strength to diminish and prevent wrinkles. Dermal fillers should be administered by experienced physicians, so patients must verify the specialist’s credentials and review their results with previous patients. It is important to understand that moderation is key to achieving natural effects, as sometimes patients overdo the number of procedures or the recommended doses in an effort to regain a youthful appearance, often achieving the opposite result. “A good physician emphasizes balance,” notes Dr. Lloreda.

Find out in detail the type of product the physician will use for the treatment. Before application, it is important that the product be unsealed in front of the patient, after they have signed the informed consent form outlining the treatment conditions and possible risks.

Do these injectables have long-term side effects?

After the treatment, redness or small bruises may appear, but these effects are usually minor and not disabling. The patient can continue with daily activities, while observing certain precautions such as limiting sun exposure.

In general, properly administered aesthetic treatments tend to be safe and effective. However, it is important to note that side effects can occur in cases of improper management or excessive use by the patient. This may happen due to the combination of multiple treatments at the same time or the use or reapplication of certain substances in unadvised amounts. Such situations can lead to resistance, muscle atrophy, hyperpigmentation, or other skin damage.

However, under the supervision and monitoring of an experienced physician, the risk of experiencing these side effects is considerably reduced. It is essential that patients undergo these treatments under the guidance of trained professionals, who can ensure a safe and personalized approach for each individual, thereby minimizing any potential risks.

Recommendations

Although aging is a natural process, proper care is essential to maintain healthy skin. The earlier signs of aging are addressed, the better the results. Dr. Juan Carlos Lloreda therefore recommends:

  • Establish a skincare routine starting at age 20, including daily sun protection; for children and adolescents, sun protection should be applied during periods of sun exposure.
  • Maintain a healthy diet with minimal intake of gluten, cow’s milk, and processed foods. It is recommended to include colorful fruits, as they contain antioxidants. Healthy fats also support skin care due to their anti-inflammatory properties, such as olive oil, avocado, and salmon.
  • Regular exercise provides the body with vitality and energy and also helps promote the renewal of collagen and elastin.
  • Avoid alcohol and cigarette consumption, as their toxins directly contribute to skin damage and aging.
  • Sleep between 6 and 8 hours per day to allow the skin to regenerate and maintain a healthier appearance.
  • Perform daily facial cleansing to remove toxins. Studies have shown that living in highly polluted cities accelerates premature skin aging, sometimes as much as or more than excessive sun exposure.
  • Practicing stress and anxiety management techniques, as well as addressing depression, also benefits skin health. Chronic emotional conditions can lead to widespread inflammation, which in turn promotes the development of acne, melasma, dull or tired-looking skin, and many other skin issues.

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