Long live wrinkles: the dermatologist's good advice to treat and love them (and honor them) properly

Wrinkles. Inevitable like life, even beautiful if we know how to carry them, and if we know how to take care of them.

It is useless, therefore, to worry about it. More than anything else, it is useful to understand what they are and to understand that prevention is always the best remedy. Word of a dermatologist.


Dr. Menicanti, why do wrinkles come?
Because the skin loses elasticity. They are nothing but morphological alterations of the normal linearity of our skin.

 Are they inevitable, then?
"Yup. To the so-called chronoaging, we must add what we call photoaging: that is the oxidative damage that the grape rays (i.e. those that reach deeper than UVB, so to speak) can cause in particular. Then, all the damage that derives from our lifestyle must be added, which certainly has a big impact.

What to avoid in everyday life, then?
Let's say that cigarette smoking, the wrong diet, the absence of protective micronutrients such as vitamins and trace elements, smog as well as alcohol, do not help the skin in any way to remain healthy and elastic.

What are the areas most prone to wrinkle formation?
There are some more sensitive facial areas. Remember that wrinkles are also aggravated by facial expressions (just think of the bar code on the lips, as well as forehead wrinkles).

Are there different types of wrinkles?
Assuming that at the base of all wrinkles there is the same mechanism, that is a dermal damage of the elastic fibers and the loss of hydration due to less capacity to retain water inside the dermis, yes: wrinkles can be of different types .

Can you explain them to us?
There are mimic wrinkles, precisely. Those by gravity such as nose genes, or at the corners of the mouth: gravity causes a fall of the skin which in turn determines the formation of wrinkles. There are postural wrinkles, like those of the décolleté for example. Think of those who sleep on one side: the area is more fragile because its elastic fibers are damaged by posture repeated over time.

Which are the most difficult to cure?
Those glyphic. These are the wrinkles that develop in the cheekbones and cheeks in people who have a strong chrono and photo aging, people who are very thin or who have taken a lot of sun. There is not much solution for this type of wrinkle.

While for the others there is any solution?
I would say yes. The first, as always, is there prevention: the most important anti-wrinkle cream is protection. Without a doubt. To be used always and from a very young age. In summer but also in winter. Having said that, since we are destined to age, we must act above all on photoaging and hydration.

Trying to better maintain the structures that guarantee the presence of a functioning and capable dermis, so obviously
- protection from the sun
- not smoking
- eat well
- also resort to technology and aesthetic medicine responsible for regeneration and maintenance, which allows to restore those substances that are precisely the molecules that recall water and ensure that the skin remains well hydrated and plumped up.

Is there a genetic predisposition to wrinkles?
Yes, as in all things. There are skins destined for photos to be damaged more or to have a more pronounced aging, but everything can be well prevented.
Let me give this example: if we take the child of a patient with many wrinkles and do not let him sunbathe, he does not smoke and feeds well, he will be less marked than a patient who has much more fortunate genetics, but has lived all his life in the sun, smoked and fed badly

Clear. And what to use for the protections?
To restore the epidermis, good moisturizers based on hyaluronic and ceramides are needed.

And what to prefer once wrinkles have formed?
Certainly there are substances like C vitamin And retinol which act in different ways to improve the texture and to reduce oxidative damage and try to defend and repair all the structures of the dermis.

Is today's aesthetic medicine a good ally, he said?
Technology, as scientific research shows, can help restore the substances that hydrate and stimulate fibroblasts, such as hyaluronic acid, to remain active producers of collagen and elastin. It would be foolish not to exploit it, then.

Even if we see abuses that risk making ugly rather than helping ...
True. In fact, I point out that aesthetic medicine today should not be understood as something that alters one's physiognomy and tries to make the patient go back but is a regenerative and maintenance medicine.

Does sleeping on silk pillowcases have a scientific impact?
It certainly has it: the pillowcase is a micro environment on which we spend many hours and, where silk allows all products to be absorbed better, since silk does not absorb and the texture is not aggressive for our skin, it is certainly a good synergistic mechanism to keep the skin well.