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Removing Wrinkles | Zapping Spider Veins | Removing Unwanted Hair

imageYears ago, people who wanted to kiss their facial wrinkles goodbye did so surgically, with a facelift, spending thousands of dollars and possibly several weeks recovering. Today, however, people wishing to change their appearance have additional options, which can be done in a doctor's office rather than an operating room, with little or no anesthesia. Here is a rundown of some of the nonsurgical cosmetic procedures and what they entail.

Note: In some cases, more than one treatment session is required to achieve the desired result. Side effects are generally temporary and the risks and recovery times may vary. Your doctor can give you an estimated recovery time that is specific for you. Cosmetic procedures that are not due to a medical condition are generally not covered by insurance.

Removing Wrinkles

Chemical Peel
  • Description —A chemical solution is applied to the skin to remove the wrinkled top layer, so that a healthier layer can take its place. You are awake during the procedure. It is used to treat skin that is damaged by the sun, uneven color, and fine wrinkles. Depending on the extent of the damage being treated, different chemical solutions may be used.
  • Side effects—temporary tingling, burning, swelling, redness, flaking, minor pain, and increased sensitivity, especially to the sun
  • Potential risks—infection, scarring, fever blisters, cold sores, sun sensitivity, pigmentation irregularity
  • Recovery time—immediate to up to two weeks, depending on the strength of the chemical solution used (You may require several treatments.)

Having a chemical peel can make your skin more sensitive to the sun. Always wear sunblock and avoid direct sunlight during the hottest times of day.

  • Description—Microdermabrasion is a form of gentle abrasion or scraping in which the outer layer of the skin is exfoliated with an instrument that blasts tiny aluminum oxide particles against the skin to smooth out lines, wrinkles, and acne scars. You are generally awake during the procedure. The doctor may apply a local anesthetic to the area being treated. Treatments take between 30 minutes and an hour, and you may need 5-12 treatments.
  • Side effects—redness, swelling, discomfort in the treated area, itchiness as new skin grows back
  • Potential risks—temporary swelling, increased skin sensitivity, sun sensitivity
  • Recovery time—immediate
Botox Injection
  • Description—The Botulinum toxin is injected into facial muscles to temporarily paralyze them, thereby reducing the appearance of lines and wrinkles. You are awake during the procedure, which is generally painless. Although, you may feel a slight burning sensation on injection. Effects are temporary and typically last about 3-4 months.
  • Side effects—redness
  • Potential risks—allergic reaction, bruising, numbness, swelling, headache, temporary nerve damage, chance of infection
  • Recovery time—immediate

Zapping Spider Veins

Spider Vein Removal (Sclerotherapy)
  • Description—The skin is cleaned with an antiseptic solution and then the spider veins are injected with a solution called a "sclerosing agent." Approximately one injection is administered for every inch of spider vein, resulting in anywhere from 5-40 injections per treatment session. A cotton ball and compression tape are applied to each area of the leg as it is finished. You may be asked to wear compression stockings after the procedure. You are awake during the procedure and may feel a slight burning sensation. But, the needle used is so thin and the sclerosing solution is so mild that pain is usually minimal. Results are usually permanent after a few sessions. Sometimes, spider veins will not actually disappear, but their appearance will lessen.
  • Side effects—temporary bruising and redness at injection site, leg cramping, stinging during the injection
  • Potential risks—severe inflammation, scarring, allergic reaction, pigmentation irregularity
  • Recovery time—immediate, avoid vigorous activity for the first 24 hours

You should avoid direct sunlight or wear sunscreen when outdoors during the first few weeks after the treatment.

Removing Unwanted Hair

Laser Hair Removal
  • Description—A laser beam is directed at the area of unwanted hair. Areas treated include the face, arms, legs, back, and bikini area. You are awake during the procedure and must wear special glasses to shield your eyes from the laser beam. The procedure is virtually painless, although you may feel a very slight stinging or tingling sensation in the area being treated. Hair generally grows back in a few months, but becomes finer with multiple treatments, eventually resulting in permanent hair removal. The treatment process can take anywhere from several minutes to several hours, depending on the area being treated.
  • Side effects—temporary redness, blistering, mild swelling around hairs
  • Potential risks—skin discoloration, scarring
  • Recovery time—immediate

Use sunscreen on treated areas that will be exposed to the sun. Hair that is blond or gray may be less responsive to treatement. Patients with darker skin may also see less results.


American Academy of Cosmetic Surgery


American Academy of Dermatology


American Board of Plastic Surgery



The Canadian Society for Aesthetic Plastic Surgery



Aaron S. Botulinum toxin injections—medical. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/. Updated March 2010. Accessed April 26, 2010.

Botulinum toxin type A. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated April 18, 2012. Accessed August 16, 2012.

Chemical skin peel: deep (Phenol) peel. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/chemical-peel-deep. Accessed August 15, 2012.

Chemical skin peel: light to medium. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/chemical-peel-light. Accessed August 15, 2012.

Injectable anti-aging treatments. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/injectables. Accessed August 16, 2012.

Laser hair removal. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/laser-hair-removal. Accessed August 16, 2012.

Microdermabrasion. The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/mircrodermabrasion. Accessed August 16, 2012.

Spider vein treatement (sclerotherapy). The American Society for Aesthetic Plastic Surgery website. Available at: http://www.surgery.org/consumers/procedures/skin/spider-vein-treatment. Accessed August 16, 2012.

Last reviewed August 2012 by Brian Randall, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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