Aging skin can age add ten years to the face with dark spots, spider veins and fine lines and wrinkles. Sunblock, avoiding smoking and tanning beds, good nutrition and skin care maintenance with tretinoin, Vitamin C, alpha hydroxys, BOTOX® and sometimes injectables are very effective in maximizing your assets. Sun exposure increases the enzymes in the skin responsible for the breakdown of collagen and hyaluronic acid, deepening the furrows in the face (and possibly making fillers go away faster). There are some options to make significant changes to the skin, and these procedures can dramatically set back the clock!
Microdermabrasion and light chemical peels - administered by an Aesthetician, these treatments can exfoliate the skin and stimulate new collagen formation, minimizing fine lines and evening skin tone and texture. These treatments are usually recommended in a package for best results.
IPL (Intense pulsed light) photo-rejuvenation-This no or minimal down-time option provides some benefit with both dark spots and spider veins. Do NOT expect all dark spots or spider veins to go away, and do not expect significant tightening of the skin. The results of photo-rejuvenation are more in line with a "glow" or refreshed look to the skin, with an improvement in tone and texture.
Dermabrasion - not microdermabrasion! This is an aggressive resurfacing technique that sands down the outer layer of skin to allow new skin to grow- tighter, with fewer wrinkles and dark spots. Down-time is about 7-10 days, pain is minimal and results are impressive, especially for acne scars and deep lines around the mouth.
Ablative Chemical Peel (35% tri-chloro acetic acid = TCA). This is a more aggressive peel than glycolics or fruit acid peels administered by an aesthetician. The 35% TCA peel should only be administered by a physician. Chemical resurfacing allows new skin to grow, eliminating the flaws in the damaged layer, including pre-cancerous lesions! Dark spots and fine lines are blasted away and the down time is approximately 5-7 days on average and the results are amazing! One area or the full face can be treated. This is a favorite at our office!
Resurfacing Lasers (like CO2)- An aggressive procedure that yields fantastic results. I do not recommend this on all patients, as the skin may become pale, shiny and thin (and somewhat unnatural-looking) with time and healing. Scarring is possible, and geometric patterns and demarcating lines are common. Down-time is significant (usually months of redness) .
Fraxel, or fractional resurfacing - A relatively new laser technique that improves the skin in tiny spots, so down-time is lessened. The down-time is a few days, and results are variable. Best results approximate those achieved with a TCA peel.
No matter which modality is selected for improving skin, maintenance is required for best results!