If you are bothered by visible signs of aging, including wrinkles and age spots, there are a variety of treatment options that can provide a more youthful appearance.
Facial rejuvenation describes the various approaches that may be combined to provide a rejuvenated and healthy look.
Facial rejuvenation can be safely performed in the doctor’s office with minimal if any downtime and can achieve the following cosmetic results:
- reduce the appearance of fine lines and wrinkles
- remove age spots, sun spots and other irregular blotches
- tighten loose skin
- treat damaged blood vessels
- improve overall skin texture, tone and color
Some medications, such as topical retinoids (Renova®, Refissa®, tretinoin), can be applied to the skin and reduce the appearance of fine lines and superficial wrinkles. They also provide a more balanced skin tone by reducing the appearance of pigmented areas. The benefits of other cosmetic procedures may last longer in those who take topical retinoids.
Topical retinoids of sufficient “strength” to provide visible benefits are available by prescription only.
Cosmeceuticals are skin care products that are available without a prescription. These have other active ingredients, such as glycolic acids, antioxidants and peptides. These too help to improve the texture and appearance of the skin.
Dermal Fillers (Juvederm®, Radiesse®, Restylane®)
Dermal fillers “plump” up the lines and furrow in the face, which smoothens the skin and reduces the appearance of wrinkles.
Botulinum Toxin (Botox®, Dysport®, Xeomin®)
Botulinum toxin injections diminish lines and wrinkles associated with facial expression. Botulinum toxin (Botox®, Dysport®) is used to treat vertical lines between the eyebrows and on the bridge of the nose, forehead lines and furrows, and wrinkles around the eyes (“crow’s feet”). It may also be used to diminish the appearance of bands on the neck.
Dermabrasion and Microdermabrasion
Dermabrasion uses an abrasive instrument to mechanically rub away the topmost layer of skin (epidermis) to provide a rejuvenated appearance. Dermabrasion can be used to treat substantial scarring, discoloration, and sun damage. The results are generally very good and long-lasting.
Microdermabrasion uses small particles to gently “sand away” the topmost skin layer (to stimulate new skin growth. This non-invasive treatment requires no anesthetic, and involves no downtime. Multiple treatments every 2-3 weeks are usually recommended.
Chemical peels use a chemical solution to remove the outer layers of skin and stimulate new skin growth. There are different strengths of chemical peels defined by the depth of skin penetration; superficial, medium or deep. Superficial peels, as the name suggests, are the mildest and are often referred to as “lunchtime peels”. The new skin that grows in response to a peel is smoother and less wrinkled, and has a more consistent texture and tone.
Chemical peels may produce reddening and peeling similar to a sunburn, which typically lasts a few days to several weeks, depending on the strength of the peel.
- Non-Ablative Laser Rejuvenation. Laser rejuvenation with “non-ablative” lasers can work on the deep layers of the skin to stimulate collagen growth and tighten underlying skin to remove fine lines and wrinkles. There is also minimal downtime.
- Laser Resurfacing. Laser resurfacing with “ablative” lasers accurately removes the topmost layer of skin for the treatment of wrinkles, and deeper scars. Ablative lasers can also induce skin tightening and improve texture and tone. The CO2 laser and erbium:YAG laser are the ‘traditional’ lasers used for laser resurfacing.
- Fractional Lasers. Fractional lasers offer a new development in laser technology. They split (“fractionate”) the laser beam into millions of tiny dots. When the fractional laser is applied to the skin, each dot treats just a microscopic section of skin and is surrounded by untreated skin. The skin in the treated area develops new collagen for up to one year, leading to a fuller, more youthful appearance. The skin heals quickly with few complications because the surrounding untreated tissue supports the treated skin.
Some skin lesions, such as moles, scars, and benign skin growths, may be surgically removed (excised)
Choosing the Best Treatment
Your doctor will recommend a treatment best suited to your personal needs, desires, medical history and skin type.
In most cases, multiple procedures will be combined for the best possible outcome and long-lasting results.
In general, more mild treatments are recommended for those with minimal signs of aging or sun damage, and more aggressive treatments may be recommended for those with more advanced signs of aging or sun-damaged skin.
For instance, those with minimal signs of aging may achieve wonderful results with the use of only topical retinoids, microdermabrasion, superficial chemical peels, and/or Botox.
Those with moderate signs of aging may benefit from the addition of dermal fillers, medium-depth peels and/or IPL (photofacial).
Those with more significant signs of aging may benefit from the addition of ablative laser resurfacing and/or deep chemical peels.
Image courtesy of Gerald Goldberg, M.D.
111 Veterans Blvd. Ste 406
Metairie, LA 70005
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Wednesday: 8:00am - 4:30pm
Thursday: 8:00am - 4:30pm
Friday: 8:00am - 4:30pm
At Poole Dermatology - Laser Center of New Orleans, our goal is to provide each one of our patients with high quality, personalized and compassionate care for all your dermatology needs. Our range of services include adult and pediatric general medical dermatology, surgical dermatology, skin cancer surgery and the latest advances in cosmetic and laser surgery... Read More & Meet Our Providers