Wrinkles begin to appear as the underlying collagen and elastin fibers of the skin start to break down and wear out. While this breakdown is part of the natural aging process, it can also result from sun exposure, frowning, smoking and smiling. As these changes are taking place, gravity is also at work, pulling at the skin and causing it to sag. Numerous treatment options are available to treat fine lines and wrinkles, including Botox, liquid injectable silicone, other injectable tissue fillers, chemical peels, laser resurfacing and skin tightening.

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