Non-Surgical Facial Rejuvenation
Parker Center in Paramus, New Jersey – Wrinkle Treatment Overview
Today, many patients want facial rejuvenation without surgery. If your skin has developed wrinkles, is blotchy or discolored, or is beginning to sag a little and looks aged, noninvasive treatments may be for you. These treatments can be performed relatively quickly, often associated with little downtime afterwards.
- Overview
- Anatomy & Physiology of the Skin
- Skin Evaluation at the Parker Center
- Types of Wrinkles
- Treating Wrinkles & Skin Folds
- Learn more about your Non-Surgical Options
Overview
According to the American Society for Aesthetic Plastic Surgery, there were 8,416,470 non-surgical cosmetic procedures performed on men and women across the country in 2012, up more than 10% since 2011. Over 90% of these (7,608,459) were performed on women. The top five procedures were:
- Botulinum Toxin Type A (3,257,913 procedures)
- Hyaluronic acid (1,423,705 procedures)
- Laser Hair Removal (883,8932 procedures)
- Microdermabrasion (498,821 procedures)
- Chemical Peel (443,824 procedures)
Anatomy and Physiology of the Skin
Our skin acts as a protective barrier for our body. It is composed of two layers:
- The epidermis is the outer layer of the skin. It sheds every two weeks in patients when the skin is healthy.
- The dermis is the second layer of the skin. It is composed of collagen fibers that provide structure and support to the skin in addition to elastic fibers.

Immediately beneath the skin is the subcutaneous layer; it is our insulation layer. This layer is made up of fat and connective tissue with larger blood vessels. Located just below the subcutaneous layer are our muscles and bones.
Most people know that sun damage and environmental toxins, such as smoking, damage the skin and accelerate normal skin aging. Here are the reasons why:
- The epidermis becomes thickened with irregular cells.
- Collagen degenerates in the dermal layer and the elastic fibers accumulate in abnormal arrangements. This collagen loss causes the dermal layer to lose its ability to support, stretch and recoil.
- Pigment producing cells in the skin, called melanocytes, become unevenly distributed, leading to areas of increased pigmentation and blotchiness.
All of the above changes result in wrinkles, skin laxity, irregular pigmentation and skin cancers.
Skin Evaluation at the Parker Center in Paramus, New Jersey
The first step on the road to healthy skin is a thorough skin evaluation to identify special problems. In evaluating patients who are concerned about facial wrinkling, a thorough skin evaluation is performed by Dr. Parker. Your evaluation can also include the skin of the hands, décolletage, and any other areas of concern.
We specifically look for loss of skin vitality, discolorations, skin roughness, large pores, and different types of wrinkles. Dull, scaling, blotchy skin with wrinkles can make patients look older than they feel or really are.
Dr. Parker and our experienced aestheticians at our Beaura Spa aim to do the following to improve your skin’s appearance and health:
- brighten the patient’s complexion
- smooth the skin
- revitalize the face
- equalize the color
- improve fine wrinkles
Maintaining healthy skin requires ongoing attention. Our aestheticians will also help develop a customized at-home skin maintenance plan for you.
Types of Wrinkles
Crepe-paper wrinkles are fine wrinkles from sun exposure that are usually found on the cheeks. Skin resurfacing procedures and topical products are used to treat crepe-paper wrinkles.
Dynamic wrinkles (also known as “smile lines”, “frown lines”, or “crow’s feet”) result from repeated facial expressions forming creases and eventually wrinkles. These are narrow depressions in the skin most commonly seen in the forehead, between the eyebrows, crow’s feet, and vertical wrinkles around the lips.
Skin fold wrinkles occur as the cheeks sag with aging. These are most commonly seen from the corner of the nose to the corner of the mouth (called “nasolabial folds”) and from the corner of the mouth downward (called “marionette lines”).
Treating Wrinkles & Skin Folds
Your skin evaluation will allow us to recommend appropriate treatments for you. Non-surgical treatment options include:
These treatments can be done alone, or in combination. The combination of non-surgical facial rejuvenation treatments has been referred to by some as “liquid facelift”. The “liquid facelift” restores facial volume, reduces wrinkles, and provides a degree of facial rejuvenation. The liquid is typically an injectable filler (Restylane, Perlane, Juvederm, Radiesse and others) in conjunction with Botox® or Dysport® which relax facial lines.
Surgical Options Include:
Learn more about your Non-Surgical Options
Facial Rejuvenation Blog Posts
New Jersey Plastic Surgeon » Facial Rejuvenation
Paul M. Parker, M.D. · Parker Center for Plastic Surgery · Paramus NJ
















