Type 1: 'Early Wrinkles'

Patient age: 20s to 30s

Early photo-aging

• Mild pigment changes
• Minimal wrinkles
• No 'age spots'

• Topical Retinoid Creams1
• AHA and BHA Creams 2
• Peptide Products 3
• Superficial Chemical Peels 4
• Botox™ · Photo Rejuvenation Treatments
  • IPL
  • Non-ablative lasers 6

Type 2: 'Wrinkles in Motion'

Patient age: 30s to 40s

Early to moderate photo-aging

• Appearance of smile lines
• Early brown 'age spots'
• Skin pores more prominent
• Early changes in skin texture

• Treatment for Type 1 wrinkles plus
• Intermediate Peels 7
• Microdermabrasion
• Photodynamic skin rejuvenation with IPL and Levulan™
• Laser Removal of Spider Veins
• Wrinkle correction with 'Fillers'
  • Hyaluronic Acid products
  • Surgiderm
  • Juverderm
  • Aquamid
• Consider Non-Surgical Procedures
  • Titan-Tighten flaccid skin
  • Medilift-Builds & contour muscle
  • Lipotron-Remove excess fat and tighten loose skin

Type 3: 'Wrinkles at Rest'

Patient age: 50s & older

Advanced photoaging

• Prominent brown pigmentation
• Visible brown 'age spots'
• Prominent, small blood vessels
• Wrinkles, even at rest

• · Treatment for Type 2 wrinkles plus
• · Non-Surgical Procedures
  • Titan
  • Medilift
  • Lipotron
• · Med chemical peels
• · Pearl laser resurfacing
• · Thread Lifts
• Facial cosmetic surgery may be advisable and combined with above skin treatments
  

Type 4: 'Only Wrinkles'

Patient age: 60s or 70s

• Severe photoaging
• Yellow-gray skin color
• Prior skin cancers
• Pre-cancerous skin changes (actinic keratosis)

• A combination of surgical & Type 3 wrinkle treatments necessary
• Possible Full face laser resurfacing with CO2 laser
• Full face dermabrasion
• Deep chemical peel