Non-surgical anti-aging treatments can be very useful for people in their 70s or older, but they may not always be sufficient to achieve your goals. In that case, surgical procedures may be necessary, such as a facelift or eyelid surgery.
What are some of the most common surgical and non-surgical procedures for age 70 and up?
Age Spot Treatments
Age spot removal, also called liver spot removal or brown spot removal, is an effective treatment to help you look younger fast. Using the latest lasers such as Lumenis One IPL or Alex Trivantage, intense pulsed light skin therapy painlessly eliminates the excessive pigment without harming the surrounding skin.
The wrinkle relaxers, Botox and Dysport, are injections that temporarily immobilize the muscles that cause wrinkles. They are used to treat crow’s feet, as well as the lines between the eyebrows, around the mouth, or on the front of the neck. These injections are perhaps the most popular cosmetic treatment.
Botox and Dysport only treat certain lines and wrinkles, so facial fillers, such as Restylane, Juvederm, Artefill, Sculptra, Radiesse, and Perlane, can help with folds and wrinkles in other areas. Rather than immobilizing the muscles, facial fillers restore volume and promote the production of collagen. During the aging process, wrinkles are formed as a result of reduced collagen, which then causes the loss of volume.
A variety of skin resurfacing procedures, such as Active FX, Deep FX, or the Fraxel laser, can smooth the texture of the skin, as well as fine lines and wrinkles. Active FX and Deep FX can tighten the skin, even out skin tone, and promote collagen production while leaving the surrounding skin intact. Active FX is often used on the neck, chest, and hands, as well as the face. The Fraxel laser is a skin rejuvenation treatment that can pick up where fillers or even surgical procedures leave off, smoothing fine lines and wrinkles, tightening skin, and fading brown spots.
A facelift is a surgical procedure that removes excess skin and fat and tightens the muscles of the face. It is appropriate for people with significant sagging skin in the face and neck. A neck lift may also be recommended if there is substantial loose skin in the neck. The result is smoother skin and an overall more youthful look.
While a face lift works primarily to tighten the face from the cheeks to the neck, eyelid surgery can address eye puffiness, bags, or drooping lids. Also called blepharoplasty, this surgical procedure can be done on the upper lids or the lower lids. A brow lift (also called a forehead lift) may be recommended as well to improve sagging in the forehead, eyebrows, and the area above the eyelids.
Often, combining a surgical procedure with non-invasive treatments can provide fantastic results. Your doctor can recommend what will work best for the results you want.
While people in their 50s and 60s may sometimes need surgical procedures to achieve the anti-aging results they want, there is much that can be accomplished through non-surgical, non-invasive procedures. Here is a rundown of some of the most effective treatments for this age group.
Brown Spots Treatment
Age spots and sun damage may cause new brown spots to appear, especially during this time of life. These brown spots can be removed using state-of-the-art lasers such as Lumenis One IPL or Alex Trivantage. Without harming the surrounding skin, these lasers use intense pulsed light therapy to eliminate the unwanted excess pigment.
Botox and Dysport are injections that are often called “wrinkle relaxers.” They temporarily immobilize the muscles that cause wrinkles between the eyebrows, around the mouth, or on the front of the neck. They are also effective for treating crow’s feet.
For the lines and wrinkles that Botox and Dysport do not treat, there are facial fillers that will usually do the trick. These include Restylane, Radiesse, Juvederm, Sculptra, Perlane, and Artefill. These fillers are injections that restore the volume that has been lost, causing the wrinkles, lines, or folds to develop. As a result, the area where the wrinkle has appeared is “plumped,” creating a more youthful look.
This advanced technique uses radiofrequency to tighten the skin of the face, neck, tummy, hands, and other parts of the body where the skin has become lax or sagging. It can also improve the appearance of cellulite.
Skin Resurfacing – Active FX/Deep FX
These skin rejuvenating or resurfacing laser procedures are excellent options for this age group. They can tighten the skin, reduce the appearance of scars, treat fine lines and deep wrinkles, even out skin tone, and promote collagen production, which plumps the skin. Deep FX can be used on the face, while Active FX can be used on the neck, chest, and hands, as well as the face. The precision of these treatments leaves the surrounding skin intact.
Sunscreen and Skin Cancer Evaluations
It is very important to get regular skin cancer checks at any age, but especially during this time of life. To prevent skin cancer and sun damage, which will age your skin faster than anything, the proper sunscreen must be prescribed and used. The right sunscreen for you is important to make sure you maintain optimal skin health.
Non-surgical anti-aging treatments can be tremendously effective when you reach your 50s and 60s. They can make a big difference in both how you look and how you feel about yourself.
The signs of aging begin to show up for most people sometime in their 30s. This is a good time to consider non-surgical treatments that can nip some of these early issues in the bud.
People in this age group may benefit from deeper chemical peels that can smooth out the texture of the skin, as well as help to smooth fine wrinkles and scars (including acne scars). This technique can also improve uneven pigmentation, large pores, facial blemishes, and pimples.
A skin rejuvenation treatment that can reduce fine lines and wrinkles, the Fraxel laser is one of the latest non-surgical advances in anti-aging treatments. It can also improve acne scars, fade brown spots, diminish stretch marks, and tighten skin.
Botox, often called a “wrinkle relaxer,” is perhaps the most popular non-invasive cosmetic procedure. Dysport is similar to Botox and may be recommended instead. Both are injections that work by temporarily immobilizing the muscles that cause wrinkles. They can be used to improve moderate to severe frown lines between the eyebrows, crow’s feet, small lines around the mouth, and/or the vertical muscle bands on the front of the neck.
Unlike Botox or Dysport, facial fillers actually add volume to the face where that volume has been lost during the aging process, resulting in lines and wrinkles. These fillers are injections, and most of them promote the production of collagen – a substance that the body makes naturally but which diminishes as we get older. There are several different types of facial fillers, such as Restylane, Juvederm, Artefill, Sculptra, Radiesse, and Perlane. Your doctor can recommend the best one(s) for you.
A radiofrequency treatment that tightens the skin, Thermage can be used on the face to tighten the jowls and eyelid area, or it can be used to tighten the skin on the tummy or wherever cellulite develops.
Sunscreen and Skin Cancer Evaluations
Sun protection is important at any age, but in your 30s and 40s, damage will show more quickly and severely. Drug store sunscreens are rarely sufficient, and they may cause other skin problems since a “one size fits all” approach is ill advised. A doctor can (1) evaluate for possible skin cancers and treat them early and (2) suggest a sunscreen that is appropriate for your skin type and specific issues.
The 30s and 40s are a critical time to both correct the early signs of aging and slow down the aging process as much as possible.
If you’re in your 20s or early 30s, do you really need anti-aging treatments? The truth is that this is the time to practice preventative maintenance, taking the best possible care of your skin in order to slow down the aging process.
If you do, you’ll look younger in your 40s, 50s, 60s, and beyond. So, what non-invasive treatments make sense for this age group?
An exfoliating, skin resurfacing treatment that brightens dull skin and improves a variety of conditions, microdermabrasion improves the appearance of scars (including acne scars), large pores, blackheads, uneven skin tone, sun spots and sun damage, melisma, and hyperpigmentation. It also thickens collagen and gives the skin a radiant look.
Gentle Chemical Peels
People in this age group generally need only superficial chemical peels to improve the health and appearance of their skin. A chemical peel refreshes dull-looking skin and improves skin texture, uneven pigmentation, acne, actinic keratosis, large pores, and facial blemishes.
The causes of acne are many, and a multi-faceted approach is often the best way to treat it. If you have acne, have it treated early in order to prevent further skin problems and scarring.
Tailored Skin Care Systems
State-of-the-art prescription grade skin products can tackle a host of problems and help your skin to stay healthy and youthful. These medical advances allow doctors to customize skin care systems for your particular issues. Some of the best brands include Obagi, Skinceuticals, Epicuren, Glymed, and Neocutis.
The Perfect Sunscreen
Not all sunscreens are created equal. If you have acne, for example, you need a sunscreen that will protect your skin without causing more acne problems. A doctor can diagnose your skin issues and recommend sun protection that will maintain the health of your skin.
An eyelash treatment that’s completely cosmetic but can help you feel more confident about your appearance, Latisse promotes eyelash growth over time, making them longer, fuller, and darker within a matter of weeks.
Taking care of your skin is a lifelong process, whatever your age. What you do in your youth can have an impact on the appearance of your skin later in life. So, be sure to do what you need to keep your skin healthy and look your best for years to come.
By Bayardo Aviles
During recent laser convention that Dr. Stover and I attended in Austria, one of the speakers, who happened to be the inventor of the modern cosmetic laser theory, made a statement that reassured our belief in the use of Retin-A. In summary, he said that the best way of generating collagen and elastin in the long term, the two most important structural components of the skin that keeps the skin tight and full, is Retin A.
Retin A is one of the products that falls in the broader category called Retinoids. Included in this group are retinol, retinaldehyde, retinyl esters, and retinoic acid also known as Retin-A. Retinoids are some of the most widely used cosmeceutical ingredients today. The most well known is Retin A.
Retinoids have been extensively studied over the years and multiple studies have reconfirmed their efficacy in the treatment of acne, photodamage, and psoriasis. Studies indicate that retinoids when applied topically, start a chemical chain reaction (it is very complicated to understand it but it has been replicated over and over and it is widely accepted in the scientific community) that stimulates collagen and elastin formation and produce an overall normalization of multiple skin conditions.
Synthetic forms of retinoids
However, these benefits are not without some negative side effects, mainly skin irritation. Also, it cannot be used during pregnancy. Because of this negative side effects and the large amount of evidence of their efficacy, scientists are always trying to replicate the positive effects of retinoids and at the same time minimize the negative side effects. As a result, some synthetic forms of retinoids with less side effects have been developed, but their anti-aging efficacy is not well documented.
Some of these synthetic retinoids are: adapalene and Tazarotene. Both are available with a prescription. Retinoids are also found in many over the counter (OTC) skincare products, but at low concentrations that may not be effective to repair photodamaged skin.
The retinoids found in OTC products include retinoic acid precursors such as: retinol, retinaldehyde, and retinyl esters. Retinoids can also be labled in OTC as vitamin A. Although these retinoic acid precursors cause lower level of irritation, their efficacy is not as good as retin more severe cases of photodamage. We have been recommending Retin A, also known as tretinoin, to our patients since we started our practice in Hawaii in 2001. Typically, we recommend it as a component of the Obagi Nu-Derm system because this skincare system has other ingredients such as alphahydroxy acids and lightening agents that when combined with Retin A, improve overall skin health faster and more effectively.
To decrease the level of irritation caused by Retin A, we start our patients on a lower dose and gradually increase it over time. For patients that want to start even more gradually, we recommend they start with a slow release retinol. Either 0.5% or 1.0% every other day and then move to the lower dose of Retin A 0.025%, then to 0.05% and ultimately to 0.1% if desired. We determine the type of retinoid based on the condition of the skin, the goals of the patients and the timeline that we have to work with.
First step - how much photodamage does your skin have now?
We recommend a complementary cosmetic skin evaluation with the VISIA complexion analysis to document a baseline level of skin photodamage and from that evaluation we customize a plan for each patient.
- If you are not using a retinoid and you are concerned about aging skin, you need to get on one as soon as possible.
- To determine which one of them is the most appropriate for you please schedule a complementary VISIA cosmetic skin consultation and we will make a recommendation.
- If the health of your skin requires more than a cosmetic evaluation, that is if you have scaly, itchy, raised spots, then schedule a general medical skin check and the visit may be covered by your insurance.
By Marné CarMicha Walsh, M.S., P-AC
Welcome to part two of my blog article where I answer the question "which anti-aging creams really works." In the first article I talked about the importance of sunscreen to protect the skin from extrinsic factors such as sun exposure. Other factors included tobacco, chemicals, diet etc. Now I will continue with specific wrinkle cream ingredients and formulations such as Tretinoin (Retin-A), Renova, Retissa, Peptides, and Human Growth Factors.
If you are already protecting yourself from the extrinsic factors of aging with an antioxidant and an approved sunscreen, then it is time to incorporate vitamin A into your daily routine. The most effective form of vitamin A is the synthetic type called tretinoin, otherwise known as Retin-A. Tretinoin is found in a variety of formulations such as Renova and Retissa as well as many acne formulations. They all require a prescription and are not covered by medical insurance.
The closest over the counter, non-prescription product would be retinol. Retinol, a derivative of vitamin A, works in a similar fashion but is not as potent and therefore, less irritating. Retinol can be found at retail stores but the most potent forms are sold through medical offices and spas. Both retinol and tretinoin work by exfoliating, suppressing pigment and stimulating collagen production. Although it thins the dead top layer of cells, the new collagen thickens the deeper, live layer of cells, making the skin brighter and smoother. The down side to this product is that it can make your skin sun sensitive. In other words, if you enjoy outdoor activities on a regular basis, you would be more prone to severe sun burns while using it. Not applying it a few nights before extended sun exposure would help decrease the chance of this complication.
Okay, I use an antioxidant and sunscreen every morning as well as retinol in the evening. Now what?
Adding in products that hydrate effectively, prevent breakdown of existing collagen, thicken the epidermis, and gently exfoliate can optimize and preserve the benefits of the retinoid compounds.
- Advanced Glycation End Product Inhibitors: Glycation is a normal, intrinsic process of aging skin and contributes to the loss of function of collagen and elastin fibers. By interrupting this process, one can preserve the functional collagen and elastin fibers.
- Peptide therapy: Peptides are small pieces of collagen that have the potential to penetrate into deep layers of the skin. Their presence tells the skin that it might be damaged and therefore, signal the skin to make longer strands of collagen. Some neuropeptides appear to block muscle contraction, acting as a topical “Botox”. Other peptides are attached to antioxidants, like copper, transporting the copper into the deeper layers of the skin. Peptides come in many forms and names such as palmitoyl penta peptide, acetyl hexapeptide(Argireline), palmitoyl oligopeptide, and copper gluconate, just to name a few.
- Hyaluronic acid: Hyaluronic acid is one of the best skin hydrators because it has the ability to penetrate into the deep layers of the skin. It retains water and prevents water evaporation from the skin therefore giving the skin a “plumping effect”. Like peptides, hyaluronic acid is also used as a vehicle to transport other ingredients, such as antioxidants, into the deep skin layers.
- Human Growth Factors (HGF) and cytokines: HGFs and cytokines come in a variety of forms as well. They stimulate cell growth and collagen production. They were originally used as a wound healing agent for burn patients but over the last few years, many cosmetic products were derived from HGFs. HGFs are often combined with cytokines to work synergistically for the same purpose—repair damaged skin and thicken the epidermis with collagen.
So remember, when choosing an “anti-aging” cream, first start with protection, then make more collagen with a retinoid. Finally, keep the face hydrated and choose a product that will help prevent breakdown of the collagen.
By Marné CarMicha Walsh, M.S., P-AC
I’ve heard this request many times from patients wanting to look younger instantly with the use of a “magic cream” that they can apply at home. I think it is important to first look at the cause of skin aging. We know that aging skin is multi-factorial, involving both intrinsic and extrinsic factors. Intrinsic factors are the genetic program of our cells and the way that they naturally age. As we age, it is natural for collagen and elastin to break down. Unfortunately, our body does not automatically regenerate the lost collagen unless there is skin trauma. Extrinsic factors are environmental effects like tobacco, photo-aging (sun radiation), chemicals (air pollution or exposure), diet, etc.
You have control over extrinsic factors
We cannot change our genetics, therefore, most topical treatments focus on protecting us from the extrinsic factors. We know that tobacco smoking and sun exposure are the 2 most powerful skin aging accelerators. As a result, the cosmeceutical industry has expanded their product lines to include all variations of sunscreen, anti-aging creams and antioxidants—some effective, some not. Physician offices are in a unique position to choose effective products as we have the knowledge base to evaluate products, review the medical studies and access national conferences to discuss the products and ingredients with one another.
Is sunscreen an anti-aging cream?
I often half-joke with my patients that the best anti-aging cream is zinc sunscreen applied liberally and daily as well as sun avoidance. Here in Hawaii, it is difficult to avoid the sun. We need to cover up and reapply sunscreen more often as well as avoid the sun when possible. That means standing in the shade when available, limiting outdoor activities during the hours of 10am-2pm (when the sun’s UV radiation is at its strongest), wearing sun protective clothing such as UPF 50 long sleeve shirts and hats, as well as generous reapplication of sunscreen every 2 hours (more often if sweating or in the water).
How much sunscreen we apply is just as important as how often. A shot glass size amount is recommended to cover the body of an average size person for one application. Wearing a long sleeve UPF 50 shirt would reduce the amount of sunscreen needed to cover the body by 40-50%! As for the face, don’t depend on that SPF 15 found in your moisturizer. Choose one that has at least 5% zinc oxide. If you use a moisturizer, apply it first, followed by your sunscreen. If you have oily skin, use an oil-free zinc and titanium formulation. Some sunscreens are tinted to balance the red and give light coverage. No matter which one you choose, make sure to allow time for the sunscreen to dry on your skin before applying make-up.
Protect your skin from free-radicals…
Although sunscreens such as zinc and titanium can reflect a good portion of the damaging UVradiation that ages our skin, some radiation still trickles through. This amount increases with time as the sunscreen weakens or rubs off. Topical antioxidants can protect the live skin cells from free radical accumulation in the skin as well as protect the skin from sunburn. Free radicals from both the sun and environment accumulate in our skin cells and alter the DNA. This results in accelerated breakdown of collagen and elastin fibers, the backbone of firm skin. Vitamin C and E, coffee berry, ferulic acid, plant phloretins, and green tea are some of the most widely used and studied antioxidants on the market today.
I recommend applying a combination of at least two or three antioxidants every morning directly on clean skin. Don’t worry, that doesn’t mean you will have 3 different bottles. Antioxidants are usually formulated with several different components in the same bottle. Some antioxidants, such as Vitamin C, can offer long lasting protection even in the water.
Look for part 2 of this blog post where I will discuss specific wrinkle cream ingredients and formulations such as Tretinoin (Retin-A), Renova, Retissa, Peptides, and Human Growth Factors.
Yes, Thermage is designed exactly for tightening loose facial skin. A non-surgical procedure that we offer at Cosmetic Centers of Hawaii, it works on a variety of facial areas as a “face lift” without the need for incisions. Of course, the results are more subtle than a surgical face lift, but for the mild signs of aging, it can be a great way to help you look younger in an understated way.
How does it work?
Thermage is a radiofrequency heat treatment that actually tightens the natural collagen in your skin. Then, it stimulates the production of collagen so that the effects of the treatment are gradual over a period of months after your procedure.
Thermage is the only non-invasive procedure that can tighten loosened skin in one treatment without a laser, injections, or incisions. It’s revolutionary and gives you a rejuvenated look without the need to take even one day off from work.
What parts of the face does Thermage tighten?
- The jaw line – If jowls have begun to form, Thermage can subtly tighten the area, improve the jaw line, and help you to look younger.
- Chin – Thermage can improve that slight double chin that begins to form during the early aging process.
- Neck – The procedure can also tighten the skin of the neck for a more youthful appearance.
- Eyelids – Thermage can provide a subtle non-surgical eyelid lift, improving slight drooping or “hooding” of the upper lids.
- Wrinkles and fine lines – Thermage can help to smooth mild lines around the mouth, forehead, and eyes, including crow’s feet.
Combined treatments are an option
The procedure only takes an hour or two, depending on how many areas you want to treat. If you have excess fat in the neck area or under the chin, liposuction along with Thermage can give you more dramatic results.
We’ll tell you what to expect and make recommendations for you based on what you want to accomplish. Then, we’ll give you a skin care plan that will help your skin to feel and look great after Thermage.
The facial areas that Thermage can improve include:
- Eye area, including upper eyelids
Thermage has often been called a “non-surgical face lift.” It’s a great option that we offer at Cosmetic Centers of Hawaii if you aren’t ready for surgery and only need a subtle anti-aging procedure to tighten slightly sagging skin. Thermage is one of the safest and least invasive cosmetic procedures available today.
While we primarily use Thermage to tighten loose skin around the cheeks and jowls of the face, we also use it to contour other parts of the body, such as the thighs, arms, and hands. It’s a great treatment for cellulite as well.
How Does Thermage Work?
Sometimes called ThermaCool, Thermage is a unique treatment that does not use a laser and is not an injectable. Instead, it utilizes radiofrequency energy that heats your skin. This heating process tightens the collagen in your skin, and that creates a tighter, more youthful appearance.
The Thermage device heats the deeper layers of your skin while cooling the top layers. This allows the top layers of your skin to remain intact so that you won’t need any down time afterward. Besides tightening the collagen, the heat of Thermage stimulates your body to produce more collagen for as much as six months after your treatment. This means that while you will see some results right away, most of the tightening will take place gradually during the 3 to 6 months after your procedure.
Does Thermage Hurt?
You won’t need an anesthetic during your procedure, but we often recommend an injection to prevent discomfort. The degree of discomfort depends on the setting used on the device. The higher the setting, the more uncomfortable Thermage will be, but we base that setting on your comfort and communicate with you throughout your procedure. The anti-aging effects of Thermage are greater at higher settings, however.
Your treatment will take an hour or two. You might get even better results by combining Thermage with other procedures, such as liposuction to remove excess fat in the neck or BOTOX, dermal fillers, or laser resurfacing (such as Fraxel and Active Fx) to smooth certain lines and folds. To top it off, we’ll give you a skincare plan to help your skin heal and look great after you have Thermage.
Important Facts About Thermage
- Thermage is a non-invasive, non-surgical treatment for mild signs of aging.
- You can expect subtle results from Thermage. People will notice that you look great, but they won’t know why!
- You can resume all normal activities immediately after your treatment.
So which kind of wrinkle treatment do you need to bring back your youthful look? Most likely, your problem will be a combination. Either way, Dr. Stover offers a variety of simple, virtually pain free treatment options. In some cases, you’ll be looking 5 years younger in as little as half-an-hour!
First, let’s take a moment to understand a little bit about different wrinkle types.
These are wrinkles that form when we make certain facial expressions. They are often referred to as “expression lines.”
Remember how your mother always told you not to keep frowning? She was probably right but unfortunately it is not just frowning that causes dynamic wrinkles to appear. Laughing, smiling and even squinting against the sun can cause these wrinkles to appear on our face. When we were younger, the skin was very elastic and could just spring back into place. But as we age, this natural resiliency begins to decline, and the ‘springing’ takes longer and longer.
Thankfully, there are many treatment options available today to give your skin a helping hand. We’ll share a few ideas a little bit later on. For now, let’s look at another type of wrinkle.
These are the types of wrinkles we see even when our face doesn’t move. Static wrinkles develop gradually over many years. They form as your skin loses its natural collagen, elastin and hyaluronic acid—the elements of your skin that make it appear soft, smooth and supple.
A Quick Test
Curious to know which type of wrinkle is adding the years to your face?
Here is a quick and easy test you can do in your bathroom mirror:
Try this with two common expressions--frowning and smiling.
Look in the mirror and take careful note of where the lines on your face appear and how pronounced they are. Then give your broadest, deepest smile or deepest, darkest frown and quickly relax your face again.
Did the lines on your face multiply or stay more prominent for seconds after your face relaxed? If so, you may be suffering from “expression lines” or “dynamic wrinkles”. These are very easy to treat.
Or, did the lines from your ‘expression’ vanish instantly when you relaxed your face but the same old deep crevices and wrinkles remained? Those persistent creases and folds are what are called “static” wrinkles and there are many ways to reduce or even eliminate those wrinkles.
Even if you discover both types of wrinkles, there is no need to worry. Dr. Stover specializes in combination treatments for combination skin. If you would like to speak with an aesthetic consultant about your situation, let us know how we can help you by completing the form on the right, or feel free to call (808) 885-4503.
There is an effective treatment to help solve your unique condition. Let us help you choose the treatment that’s right for you.
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