Age and exposure to daily ultraviolet (UV) radiation from the sun triggers our first wrinkles and lines to start appearing in our late 30's and 40's, and they continue occurring for the rest of our lives.


90% of skin aging is attributed to UV radiation exposure. Most people think that if they just stay out of the sun and avoid sunburns then that is enough...but that isn't true. 80% of the UV radiation that hits the earth is UVA. UVA is the everyday radiation that comes through our car windows and our kitchen windows. It's the invisible, non-intense radiation that hits our skin the same every day of the year, whether it's a cloudy, snowy day or a bright summer day. We're not even aware that it's there. UVA penetrates through clouds, and penetrates deeper into our skin to cause skin aging and skin cancers than UVB.

UVB on the other hand is the more intense radiation that burns our skin in the summer and makes up the other 20% of UV radiation that hits our skin. UVB is strong on bright, summer days from the hours of 10 AM to 2 PM, and it is weakest in the wintertime. UVB cannot penetrate through clouds, and it also doesn't penetrate as deeply into the skin as UVA.

To prevent skin aging, wear a broad-spectrum sunscreen, preferably one with zinc oxide and is SPF 30+, and wear it every single day of the year. Although this won't help existing wrinkles, it will help to prevent new ones from forming.

Topical Anti-oxidants

Before applying your sunscreen every morning, apply an antioxidant. Why? Antioxidants mop up the free radicals that contribute to skin aging. UV radiation and pollution on our skin cause free radical damage and skin aging. Studies show that people who live in cities have more free radical damage and skin aging from dirt and pollution than people who live in the country. So, wash your face twice per day to get it as clean as possible, and then apply your morning anti-oxidant and sunscreen. Good topical anti-oxidants to choose from include green tea, vitamin C, caffeine, resveratrol, coenzyme-q10, and coffeeberry.


In young women, high estrogen levels contribute to supple, smooth skin and a plump epidermis that is packed full of collagen. But as we reach our 40's and 50's and go through pre-menopause and menopause, our ovaries produce less estrogen. With less estrogen in our bodies, our skin produces less collagen, and this leads to a thinner epidermis and wrinkling of the skin. Our skin also becomes dryer as our oil glands produce less oil.

The gold standard for treating thin, aged, and wrinkled skin is prescription tretinoin (Retin-A). Tretinoin is a potent retinoid (a compound that is chemically related to Vitamin A) that re-grows collagen. A pea-sized amount applied to the face at bedtime is all that is needed. After two months of use the skin becomes softer and smoother. After six months of use, fine lines and wrinkles will begin to improve.

Glycolic Acid

Glycolic acid-containing products have been proven through studies to increase the growth of collagen and exfoliate dead skin cells to create a healthy glow. One can find glycolic acid in moisturizing creams and cleansers that can be used daily.


NeoCutis is an anti-aging skin care line of products that contains a mixture of proteins that nourishes the skin to grow Collagen Type 3. NeoCutis products also thicken the epidermis and soften the skin. The result is that the depth of lines and wrinkles are noticeably improved after just two months of use.


Neuromodulators such as Botox, Dysport, and Xeomin, help erase wrinkles by blocking the surrounding muscles' ability to contract. The effect of neuromodulators lasts 3-4 months, so they are typically re-injected at an every-4-month interval. Neuromodulators can relax deep creases between the eyebrows, forehead lines, "crows feet" near the eyes, and "lipstick lines" around the mouth. Neuromodulators can also fix a dimpled, aged chin or a downturn of the mouth. They can also arch the eyebrows and open up the eyes.

Dermal Fillers

Dermal fillers such as Restylane, Perlane, Juvederm, and Radiesse can be injected under the skin to lift shallow lines and add volume back to the face. As we age, our skeletal bones and chins recede and the support structure under our skin diminishes. We essentially lose the "apples" of our cheeks. Pull out a picture of yourself from twenty years ago. See the difference? Without the underlying structural support below our skin, our skin starts to sag and sink in. Radiesse is typically injected deep into the apples of your cheeks and into the depressed areas below your mouth to revolumize and bring a youthful appearance back. Restylane, Perlane, and Juvederm are used to volumize lips, fill shallow lines and wrinkles, and replace volume loss in the face.