As we age, we wear the effects of sun, stress and life experiences on our faces. Fortunately, with advances in dermatology, there are minimally invasive outpatient procedures that can help reverse that trend to improve appearance and confidence.

The most common procedure requested by mature patients is botulinum toxin (Botox, Xeomin, Dysport) to reduce the visible signs of aging. Tiny injections of this medication can help smooth lines on the forehead and between the brows (Figure 1, real patient treated by Dr. Hooman Khorasani). They can also help address “crow’s feet” around the eyes. Because the procedure uses very small needles, most patients experience little or no pain. There is no downtime after receiving the injections.

Another commonly requested procedure is the injection of fillers (such as Restylane, Juvederm and Radiesse) to eliminate lines and wrinkles to give patients back a more rounded, youthful face. This is also referred to as a “liquid face lift” (Figure 2, real patient treated by Dr. Khorasani). These injectable fillers attract and hold water to restore volume and balance to the face. Small needles are used to minimize pain and there is no downtime.

Skin resurfacing is another very popular procedure amongst aging patients. Laser resurfacing can help reduce the appearance of wrinkles and skin irregularities like blemishes or scars. Laser removes flawed skin, layer by layer. When the new skin cells form, the skin becomes tighter, clearer, smoother and more uniform (Figure 3, real patient treated by Dr. Khorasani). There are a variety of popular laser devices for resurfacing, including: Fraxel, TotalFx, Clear and Brilliant. The downtime depends on the device and the settings used, but is usually minimal.

Sagging skin is a common complaint as people age. Facelifts and necklifts are excellent procedures to address drooping skin, but these surgical procedures are generally performed under anesthesia (Figure 4, real patient treated by Dr. Khorasani). Threadlifts are an innovative alternative to these invasive procedures. Threadlifting using Instalift, Eurothreads or Novathreads involves the placement of very small threads under the skin to reposition and lift sagging areas. Over time, the sutures stimulate growth of collagen, which gives the face the firmness and elasticity of youth. This procedure is performed in the office while patients are numb, but awake. The results can be long lasting.

Drooping and sagging eyelids are early signs of the aging process. Eyelid surgery (blepharoplasty) can remove excess skin and fat from the upper or lower eyelids (Figure 5, real patient treated by Dr. Khorasani). This procedure results in a rested and youthful look. The results are long-lasting and the scar is discreetly hidden in the eyelid creases. This procedure can be performed in the office while the patient is awake. The procedure has minimal downtime and most people are able to return to work a few days later. There may be some swelling and bruising for up to 10 days, but many people find they can hide the bruising with special makeup.

In summary, there are many procedures to reverse the visible signs of aging that can be tailored to a person’s specific concerns and timeline. A consultation with Dr. Khorasani, chief of the Division of Dermatologic and Cosmetic Surgery at the Icahn School of Medicine at Mount Sinai, can help determine the best one to address each aging problem.

More information can be found at or by calling the Mount Sinai Skin and Laser Center located at 234 East 85 St., 5th floor, New York, NY 10028 at (212) 731-3311.

Information provided courtesy Dr. Hooman Khorasani, Dr. Matthew J. Lin and Danielle P. Dubin BA.

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