Wrinkle Treatment in NYC

At her Upper East Side practice in New York City, board-certified dermatologist Dr. Marie Hayag provides comprehensive evaluation and treatment for wrinkles, fine lines, and age-related facial changes. Wrinkles are not caused by a single factor, but by a combination of muscle movement, collagen loss, skin laxity, and volume depletion.

Through a physician-guided approach, treatment is carefully customized using neuromodulators, dermal fillers, advanced laser and energy-based devices, and regenerative therapies to restore smoother, more youthful-looking skin while preserving natural expression and facial harmony.

Wrinkles are visible lines, folds, and creases that develop as the skin ages and loses structural support. Early signs often appear as fine lines, which may deepen over time into more established wrinkles due to repeated facial movement, environmental exposure, and progressive collagen decline.

Clinically, wrinkles are typically categorized into three main types:

• Dynamic wrinkles: Caused by repeated muscle movement (e.g., frown lines, crow’s feet)
• Static wrinkles: Visible even at rest due to collagen breakdown
• Volume-related wrinkles: Caused by fat loss and structural changes in the face

Because most patients experience a combination of these, effective wrinkle management requires accurate diagnosis and a multi-modality treatment strategy.

Wrinkles develop through a combination of intrinsic aging and external factors that affect the skin’s structure and function.

Common contributing causes include:

• Common contributing causes include:
• Natural aging and collagen loss (approximately 1% decline per year after age 20)
• Repeated facial expressions and muscle contraction
• Sun exposure (photoaging), which contributes to up to 80–90% of visible skin aging
• Premature aging due to UV damage and environmental exposure
• Decreased skin elasticity and thinning
• Facial volume loss over time
• Environmental stressors such as pollution and oxidative damage

As collagen and elastin break down, the skin becomes less firm and more prone to folding and creasing. Identifying the dominant cause is essential in selecting the most effective treatment approach.

Neuromodulators are injectable treatments that temporarily relax targeted facial and neck muscles to reduce expression-related wrinkles.

• Forehead lines
• Frown lines (glabellar lines)
• Crow’s feet
• Neck bands (platysmal bands)
• Prevention of deeper dynamic wrinkles

Patients with dynamic wrinkles or those seeking preventative treatment with natural-looking results.

Hyaluronic acid fillers (e.g., Juvederm, Restylane) and biostimulatory treatments restore volume and stimulate collagen production to improve deeper wrinkles and facial structure.

• Nasolabial folds
• Marionette lines
• Volume-related wrinkles
• Facial contour loss

Patients with static wrinkles or volume loss contributing to facial aging.

Advanced laser and light technologies improve skin texture, tone, and fine lines by stimulating collagen and resurfacing damaged skin.

Technologies may include:

• Fraxel
• Clear and Brilliant
• AVAVA

• Fine lines and early wrinkles
• Sun damage and uneven texture
• Pigmentation and skin quality

Patients with early to moderate wrinkles and photodamage seeking non-invasive rejuvenation.

A combination of microneedling and radiofrequency energy that targets deeper skin layers to stimulate collagen remodeling and tightening.

• Skin laxity
• Textural wrinkles
• Crepe-y skin

Patients with mild to moderate laxity and deeper skin changes.

Non-invasive energy-based treatments use ultrasound and radiofrequency technologies to stimulate collagen production and tighten deeper layers of the skin without surgery.

Technologies may include:

• Sofwave
• Ultherapy
• Evoke

• Skin laxity
• Jawline and lower face aging
• Loss of structural support
• Mild to moderate sagging

Patients experiencing early to moderate skin laxity who want non-surgical lifting and tightening.

Physician-directed chemical exfoliation that improves surface texture and promotes skin renewal.

• Fine lines
• Dull skin
• Superficial wrinkles

Patients with early signs of aging or uneven skin texture.

Platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) use your body’s own growth factors to stimulate collagen and improve skin quality.

• Skin thinning
• Fine lines
• Overall skin rejuvenation

Patients seeking natural, regenerative approaches to wrinkle improvement.

PicoWay is an FDA-cleared picosecond laser that uses ultra-short pulses of energy to treat pigmentation, acne scars, fine lines, and unwanted tattoos in a physician-led setting.

PicoWay breaks pigment and tattoo ink into tiny fragments the body clears naturally and stimulates new collagen production, improving tone, texture, and clarity with minimal downtime.

Ideal for patients dealing with sun spots, melasma, acne scarring, fine lines, or an unwanted tattoo, especially those with skin tones that made other lasers feel too risky.

You may be a good candidate if you:

• Notice fine lines or deeper wrinkles
• Have lines that appear with movement or remain at rest
• Experience skin laxity or loss of elasticity
• Want non-surgical facial rejuvenation
• Prefer natural-looking, physician-guided results

A consultation with a board-certified dermatologist is essential to determine the safest and most effective treatment combination for your skin and facial anatomy.

Wrinkle treatments are performed in-office and vary depending on the selected modality.

• Injectables: Minimal downtime; mild swelling or bruising may occur
• Laser & energy-based treatments: Temporary redness or sensitivity for several days
• Collagen-stimulating procedures: Gradual improvement over weeks to months

Because wrinkles develop from multiple causes, many patients benefit from a staged or combination approach for optimal, natural-looking results.

The cost of wrinkle treatment varies based on the type of wrinkles, treatment areas, and technologies used. Combination treatments are often recommended for comprehensive results.

A personalized plan and detailed pricing are provided during your consultation at Marie Hayag, MD.

Wrinkle treatment requires more than a single procedure. It requires an in-depth understanding of facial anatomy, aging patterns, and aesthetic balance.

At Marie Hayag, MD in New York City, patients benefit from:

• At Marie Hayag, MD in New York City, patients benefit from:
• Care from a board-certified dermatologist
• Precise classification of wrinkle type (dynamic, static, volume-related)
• Expertise in injectables, lasers, and energy-based technologies
• Advanced collagen-stimulating and regenerative treatments
• Customized, multi-modality treatment planning
• A focus on natural-looking, balanced results
• Experience treating a wide range of skin types and tones
• Use of FDA-approved, clinically proven technologies

This physician-led approach ensures safe, strategic rejuvenation tailored to each patient.

Wrinkles vary in cause, depth, and behavior, making accurate diagnosis essential before treatment begins. At Marie Hayag MD in New York City, every patient undergoes a comprehensive evaluation to determine the underlying contributors to facial aging.

Schedule your consultation to receive a personalized, physician-guided treatment plan designed to smooth wrinkles, restore facial balance, and maintain natural expression.