title: Aging well--the role of minimally invasive aesthetic dermatological procedures in women over 65.
abstract: BACKGROUND
  The western world is getting older. Aging well has become the new target of preventative medicine. Aesthetic dermatology can contribute to this quest. Females over 65 represent an important and growing group of consumers of cosmetic procedures. In this group, there is a paucity of scientific evaluation of aesthetic procedures.
  
  
  OBJECTIVE
  To review the use of minimally invasive procedures for facial rejuvenation in women over 65.
  
  
  METHODS
  Drawing from both the literature and personal experience, the opportunities, modifications, and limitations of minimally invasive techniques for facial rejuvenation in older women are considered.
  
  
  RESULTS
  In this older age group, dermal fillers, chemical and laser peels, and nonablative photorejuvenation remain useful and can each be used as stand-alone treatments. In this age group, botulinum toxin (BTX) injections are more often used in combination with other procedures.
  
  
  CONCLUSIONS
  With respect to aesthetic procedures, women over 65 are different from younger women. More scientific investigation is necessary to better meet needs of this growing part of the population. Available data suggest that aesthetic dermatology can make a major contribution to the complex matter of aging well.
authors.affiliation: Department of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Friedrichstrasse 41, 01067 Dresden, Germany. wollina-uw@khdf.de
authors.forename: Uwe
authors.initials: U
authors.lastname: Wollina
authors.forename: Christopher Rowland
authors.initials: CR
authors.lastname: Payne
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods; D001672:Biocompatible Materials / Q000008:administration & dosage; D001905:Botulinum Toxins / Q000008:administration & dosage; D002615:Chemexfoliation / Q000379:methods; D003357:Cosmetic Techniques; D003879:Dermatologic Agents / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005145:Face; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D017060:Patient Satisfaction; D012060:Rejuvenation; D015595:Skin Aging
chemical_list: D001672:Biocompatible Materials; D003879:Dermatologic Agents; D006820:Hyaluronic Acid; D001905:Botulinum Toxins