Fighting wrinkles used to be a limited proposition. Few products and procedures were proven clinically effective. But today, thankfully, the arsenal of wrinkle treatment options has exploded.

“As more technology is developed, we’ve been able to offer better, more targeted treatments, especially in the last couple of years,” says Dr. Richard Moore, medical director of The Lifestyle Center. And the newer treatments tend to be gentler while still providing relatively long-lasting effects.

For those who don’t want to consider ‘abrasive’ procedures such as chemical peels, laser resurfacing or dermabrasion, Moore recommends three basic approaches to banishing wrinkles: neurotoxins, dermal fillers and fractional resurfacing, which requires less downtime than other laser treatments.

In addition, he notes that prescription retinols, such as Retin-A or Tazorac, encourage collagen production and can slow wrinkle formation when used consistently. “To get the product even deeper into the skin, we use the Isolaz Pro, which is a device that uses suction to help open the pores and then gently pushes the product deep into the skin,” he says.

Botox Cosmetic and Dysport are both made from botulinum toxin type A, a neurotoxic substance that temporarily blocks muscular contractions. “These injectable products are good for dynamic wrinkles that form due to movement,” Moore says. In particular, neurotoxins are useful for forehead and frown lines, although they also are used occasionally in other areas where dynamic wrinkles may form.

“We often get very good results from using Botox or Dysport along with dermal fillers,” Moore says. For instance, Moore may use a filler to erase frown lines and Botox to prevent them from returning. “There are a number of fillers available, and we use various ones for various areas and purposes,” he says.

One of the newest fillers on the market is Evolence, a collagen filler “for the correction of moderate to deep facial wrinkles and folds, such as nasolabial folds,” according to Monica Neufang, a senior director at Ortho Dermatologics, which manufactures Evolence. “The results are immediate, with minimal to no downtime post-treatment, and clinically proven to last through 12 months,” she says.

“By replacing depleted facial collagen with naturally sourced (porcine) collagen, Evolence mimics the natural support structure of the facial skin, allowing it to integrate very quickly with existing tissue without migrating from the area in which it was injected,” Neufang says.

Another effective combination of treatments is Botox paired with ultrasonic therapy, says Michelle Somers of Synergi MedSpa in Chesterfield. “The ability for skin to repair becomes more difficult with age, and we lose about 1 percent of collagen per year,” she notes.

After injecting deep dynamic wrinkles with Botox, “ultrasound waves drive hydrating and nourishing ingredients into the skin while heat is created in the deeper skin tissue to stimulate collagen production, resulting in a reduction of fine lines and wrinkles,” Somers explains. So no matter your tolerance for downtime, it appears there is a wrinkle-reducing strategy for everyone.