The onset of wrinkles is caused by two things: the depletion of the skin’s collagen support network and repetitive facial expressions that create creases in the skin. In many cases, these two factors can also interplay for an exacerbated effect.

The depletion of collagen can be very frustrating for patients. When we are young, our skin is filled with collagen fibers that keep the skin elastic and provide it with support. As we age, various factors destroy some of the collagen fibers and cause the remaining ones to shrink. This leads to skin that is thinner and more likely to sag.

Repetitive facial expressions, like smiling and frowning, also contribute to wrinkle formation by causing the skin to crease in the same place over and over. Eventually, the creases can become pronounced-enough that even the smallest movement of facial muscles can make us look tired or angry.

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"So impressed with everyone there! Dr. Lily Talakoub is amazing and I would send anyone and everyone to her! I was referred by a girlfriend and I can't thank her enough! My Botox and fillers are far better than I expected and look 10 years younger. Plus it's a gorgeous and clean office and everyone is so sweet and helpful! Can't say enough good things about this place! Thank you for going beyond my expectations!" - Hannah G., Falls Church, VA

"Dr Lily is more knowledgeable than the derms I've been to in DC, she's also friendly and most important honest. She will actually tell you no if you don't need something. Love love this practice!!!" - Kelly L., Mclean, VA

"I've seen Dr. Lily twice - once for a consultation (adult acne and hyperpigmentation) and a second time for a Fraxel laser treatment. I got a great vibe from her the moment I met her and her staff is really top notch. They have always been kind, informative and honest. The ride to McLean is definitely worth it!" - Tarah S., Alexandria, VA

"5 star is not enough for Dr Lily and her staff!! She is the best dermatologist I have ever seen ... I have been to her office for both medical and cosmetics reasons and were happy with both!!! I highly recommend Dr Lily.. She is also very friendly and pretty :)." - Mahsa A., Reston, VA

"I strongly recommend McLean Dermatology and Skin Care Center. They were able to get me in the day after I called because they had a cancellation. I was going to have to wait approximately 6 months to get into other places in the area. Everyone is very friendly, and the office is beautiful, which is an added bonus!" - Jessica M., Mclean, VA

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