Wrinkle Reduction

Wrinkle Reduction	Botox	CO2 Laser	Restylane/ Juvederm	Radiesse	ActiveFX	TCA Peel	Fractional Laser
Results	+++	+++	+++	+++	++	++	+
downtime(*)	None	7-14 days	3-4 days	1-2 days	3-6	5-7	1-6
# Treatments	1	1	1	1	1	1	4-8
Lasting results	4-6 months	10 years	6-9 months	12-18 months	10 Years	2 Years	Unknown
Avg. total cost	$15/unit	$3000	$600/syringe	$850/syringe	$3000	$500	$7000

(*)Downtime per treatment

Treatments (Wrinkles): Dynamic: Botox; Static: Fillers, TCA peel, CO2 laser, fractionated lasers and devices.

Facial lines can be categorized as those that we use for expressions (angry, surprised or happy) and those that occur because of a volume shift on the face due to intrinsic aging, because of repeated use of muscles and because of exogenous factors such as sun exposure or cigarette smoking. Injectable botulinum toxin A (Botox) is best for dynamic lines on the upper face but can also decrease a pebbly chin as well as unsightly vertical bands that form on some aging necks. It lasts between 3-6 months and the number of units needed is determined by the strength of the muscle to be weakened.

Static lines can be corrected with a variety of injectable fillers and volumizers. The area to be treated determines which filler is suitable. TCA peels and fractionated lasers and devices treat fine and medium depth wrinkles, whereas a complete CO2 laser resurfacing may even eradicate deep lines.

Patient comments (source: Patient Satisfaction Report)
2008-09-25 09:13:12	I thought it was great, especially when compared to other dermatologists I have been to! Very professional and knowledgable.
2008-05-22 16:28:08	I thought the waiting room was very nice and all the employees were very kind and took their time during the appointment. Our last dernatologist that we visited for the first time made us wait an hour and a halve for a five minute appoitment.....so we were pretty happy this time!
2008-05-12 11:46:06	Office atmosphere was wonderful, which made the experience that much better. It was nice to see Dr. Ringfeil in a not so hectic setting (like Jefferson Dermatology!)