

There are a number of options for the treatment of fine lines and wrinkles, each with varied expense, recovery time and results. The following are the most common conventional treatments used today:
Nonprescription and Prescription Topicals: The simplest method of skin treatment is the topical application of wrinkle creams. Widely available everywhere from pharmacies to health food stores, these creams are beneficial for the skin, helping to moisturize and nourish it. However, their ability to reduce wrinkles below the skin's surface is, unfortunately, very limited. In addition, any visible improvement may disappear when use of the topical agent is discontinued. Topical application of prescription drugs, most notably synthetic derivatives of Vitamin A (retinoids), can provide better results in improving sun-damaged and aging skin. Clinical studies of topical retinoid formulations find them to be safe and effective in diminishing fine wrinkles. However, most retinoids are skin irritants and often produce skin reactions.
Dermabrasion and Microdermabrasion: Dermabrasion is a traditional skin-clearing procedure that has been widely used in practice since the early 1980s. Sometimes called surgical skin planing, it commonly involves removal or sanding of the skin with a rotary abrasive instrument. The abrasive or planing action evens out the skin, and a new layer of fresh skin replaces the abraded skin. This procedure is usually reserved for extensive acne scarring and deep wrinkles. Due to its mechanical nature, healing and recovery are lengthy, with the treated area remaining red and flushed for an extended period of time.
Microdermabrasion, in contrast, is a more recently introduced treatment. It is particularly popular among individuals with mild skin damage seeking to preserve and maintain a youthful complexion. Essentially, microdermabrasion involves brushing the face with sterile micro-particles to abrade or rub off the very top skin layer, then vacuuming the particles and dermabraded skin away. Experts believe the procedure works best to polish and soften fine lines and dull skin texture. In most cases, a minimum of four to five initial treatments, seven to ten days apart, are necessary to achieve good results.
Chemical Peels: Another major advance in warding off the ravages of age was the advent of the chemical peel. In this treatment, a chemical solution is applied to the skin, causing it to separate and peel off. The new, regenerated skin is usually smoother, tighter and displays a more even color than the old skin. Peels are beneficial for fine lines and minor skin imperfections, and are performed as a single procedure or in a series.

Laser Skin Resurfacing
The goal of laser skin resurfacing is simple: replace damaged skin with new, fresh skin. Techniques for skin resurfacing have made enormous advances, allowing nearly everyone to achieve close to flawless complexions. Many systems allow for light, moderate or deep laser resurfacing. The primary targets of laser skin resurfacing include:
- Fine lines and wrinkles of the face, especially around the upper lip, cheeks and forehead
- Loose eyelid skin
- Crow's feet around the eyes
- Pucker marks (smoker's lines) and frown lines
- Brown spots and splotchy, uneven skin tone
- Scars, especially acne scars
- Loose skin around the neck and jowls
How it Works
The gold standard of laser resurfacing systems, the UltraPulse® CO2 laser delivers thousands of tiny laser pulses in a pattern over the skin. Each pulse heats a column of tissue eliminating pigment discolorations at the surface and creating a zone of heating deep in the tissue. Unique to the UltraPulse Encore, these zones of heating shrink collagen immediately*. The CO2 laser also offers the benefits of heating deeper layers of skin tissue, thereby stimulating collagen remodeling the skin further. Patients can select from a range of treatments depending on the needs of your skin and lifestyle.
View a video of the ActiveFX™ Procedure
What is ActiveFX “fractional” laser resurfacing?
ActiveFX is a fractional laser procedure performed in a single treatment with minimal patient downtime. During the procedure, a high-energy beam of laser light is used to smooth out lines, wrinkles and scars, remove brown spots and other irregularities. It also stimulates formation of new underlying collagen to continue improvement over time. With fractional laser treatment, only a fraction of the skin’s surface is treated by the laser, leaving small “bridges” of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.Download the informational ActiveFX brochure [pdf].
Is ActiveFX right for you?
ActiveFX is ideal for you if you:
- Have a busy lifestyle or cannot be away from
work for a long time
- Want noticeable results with minimal downtime
- Want to treat dyschromia, fine lines, wrinkles and
skin laxity*
What you can expect from ActiveFX
Most physicians perform the procedure in the office
with a topical anesthetic cream that is applied 30-40
minutes before the ActiveFX procedure begins. There is
little to no pain associated with the procedure – most
patients say they feel warmth similar to sunburn. You
can drive yourself home after the procedure. With a
gentle washing and moisturizing regimen, your photodamaged
skin will begin to flake off within 2 days. After
about 3-5 days, your doctor will probably let you wear
make-up. Pinkness should be gone in about a week.
ActiveFX benefits
ActiveFX treatment produces a dramatic effect
on the skin:
- Reduces wrinkles and fine lines, and softens deeper
frown lines
- Noticeably improves skin tone and texture
- Stimulates new collagen formation and plumps
the skin
The results of ActiveFX laser treatment are long-term
and, with proper sun protection, can persist for many
years. Most effects of treatment become visible right
away, whereas others – such as new collagen formation – build
up gradually and become more evident over time.
Therefore, most people look even better 3-5 months
after the procedure.
View a video of the procedure:
* D. Railan, Skilmer Ablative treatment of photoaging 2005 Dermatol Therapy 18:227241
Continue to: Before & After Photos 
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