Lines & Wrinkles

As we get older, lines and wrinkles begin to appear on our skin. Lines typically appear on the face, in areas that are commonly involved in facial expressions such as around the eyes, mouth and on the forehead. There are some external factors that can make lines and wrinkles appear earlier, or appear more pronounced, such as chronic sun exposure, smoking, dehydration and lack of regular skin moisturisation.

A number of skin care habits and products can help to reduce the appearance of lines and wrinkles, such as wearing regular SPF protection, avoiding direct sun exposure, smoking cessation, eating a balanced diet, ensuring good levels of hydration and regular moisturisation of the skin. In some instances, individuals may feel particularly self-conscious about any lines or wrinkles and may wish to seek further medical treatments to reduce their appearance. There are a number of treatment options available, which aim to reduce the prominence of wrinkles and make the skin appear smoother and plumper.

Mr Ioannis Goutos is an expert plastic surgeon with a wide experience of assessing individuals with aesthetic treatment goals. He takes particular pride in assessing all aspects of each patient journey, including physical, social and psychological factors. He is a technically skilled surgeon, with the ability to perform a number of surgical and non-surgical cosmetic procedures. Mr Goutos is well placed to make a thorough assessment of each patient and recommend the best treatment plan for them.

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About this condition

Wrinkles can appear anywhere on the body. They are most noticeable on the face, but can also appear on the neck, hands, arms and legs. As the skin ages, the production of new skin cells slows down and there is a reduction in the amount of elastin and collagen produced (connective tissues, which helps to give skin its structure and natural ‘stretchiness’). Additionally, as we age, the skin also loses some of its ability to retain moisture, and can become dry more easily. Over time, this causes the skin to appear looser and causes lines and wrinkles in the skin. This is all a normal part of the ageing process.

Exposure to UV radiation from sunlight and smoking can both accelerate this process. Chronic sun and air pollution exposure can lead to an excess breakdown in the collagen in the skin and smoking reduces the production of new collagen. Furthermore, smoking can result in lines and wrinkles that are more prominent and appear at an earlier age.

In addition to good hydration and nutrition, moisturisation and avoidance of smoking, there are a number of medical and surgical treatment options to reduce the appearance of lines and wrinkles. These include:

Muscle relaxing injections-these target the muscles responsible for repeated creasing of the skin
Needling techniques – the use of devices with small needles to make multiple tiny perforations in the skin helps to promote collagen production and regeneration of the skin to make it appear rejuvenated and smoother.
Laser therapies – use high beam energy to cause controlled damage in the deeper layers of the skin, which triggers collagen and new skin cell production, helping to restore a smoother and firmer texture to the skin.
Filler injections – can be targeted in areas of lines and wrinkles to help lift the tissues underneath, aiming to make the overlying skin appear lifted and smoother.
Endolift – a special type of internal laser procedure that gives effects similar to a face lift by triggering remodeling in the superficial layers of the skin.
Body contouring surgery – contouring or liposuction procedures can be used in areas of the body such as the neck or upper arm. Excess fat and skin are removed and then the remaining tissues are redraped to give a smoother contour and shape.

If you are seeking further treatment or advice about lines and wrinkles, it is crucial to speak to an experienced clinician who will be able to assess your target areas and discuss the most suitable treatment options for you and your aims.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.