Wrinkles

Wrinkles form from a combination of repeated muscle activity, loss of collagen and elastin, sun damage, and environmental stressors. Over time, these factors lead to both dynamic wrinkles (from expression) and static wrinkles (visible at rest).

Comprehensive Treatment Options

At our Park Avenue office, wrinkle treatments are highly customized and may include:

• Neuromodulators (Botox®, Dysport®, Jeuveau®):
  Relax overactive muscles that cause frown lines, forehead creases, and crow’s feet.
• Dermal Fillers (Juvéderm®, Restylane®, RHA Collection):
  Restore lost volume and smooth deeper lines such as nasolabial folds or marionette lines.
• Microdroplet Hyaluronic Acid (Skinvive): Improves skin hydration and roughness, softening fine lines and smoothening out skin.
• Laser Resurfacing (Fraxel®, CO₂):
  Improves fine lines, skin texture, and stimulates collagen remodeling.
• Radiofrequency and Ultrasound Treatments:
  Encourage tightening and natural collagen production.
• Medical-Grade Skincare:
  Retinoids, antioxidants, peptides, and SPF to prevent further aging.

Often times, a combination approach is taken to simultaneously address signs of aging at different anatomic layers. For example, neuromodulators address wrinkles from muscle contraction, dermal fillers provide structure and contouring while softening lines and shadows by restoring lost volume, lasers and energy-based devices build collagen and tighten loose skin.

When performed by an experienced cosmetic fellowship trained dermatologist like Dr. Hibler, these modalities may be safely used during the same treatment visit or spaced out based on patient preference and tolerance for downtime.

Benefits of Wrinkle Treatments

• Softens and smooths existing lines
• Prevents progression of early wrinkles (“prejuvenation”)
• Provides a refreshed, youthful appearance without surgery
• Treatments can be combined for optimal results

FAQs

How quickly will I see results?

Neuromodulators work within 3–7 days, fillers are immediate, and laser-based treatments improve gradually.

Will I look “frozen”?

No — in skilled hands, results are subtle and natural.

How long do results last?

Neuromodulators last 3–4 months, fillers 6–18 months, lasers and tissue tightening devices provide long-term collagen improvement and are typically performed annually.

Trust your face to a board-certified dermatologist with Harvard fellowship training in aesthetics. Schedule your wrinkle treatment consultation with Dr. Brian Hibler in NYC to discuss how lasers, injectables, and energy-based devices may be combined to develop a positive aging plan. Together, you will develop an individualized treatment roadmap addressing your aesthetic concerns and skincare goals while improving the health of your skin!