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9 Top Cosmetic Treatments for Aging Skin

November 20, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

This article is based on a recent one in US News and World Report.

Battling the clocksplit face age
No one likes looking older…which is why we spend billions of dollars every year on over-the-counter products, prescription creams and fillers, and, most drastically, cosmetic surgery. Do any of these actually work to reduce the signs of aging? In many cases, yes – at least temporarily. But given the not-inconsiderable costs, it’s important to be smart in your choices.

Aesthetic physicians can prescribe skin creams and perform laser skin-resurfacing and chemical peels, and they can administer injections. Surgical procedures, meantime, can be performed by cosmetic and plastic surgeons. When you pick a doctor, ask how often and how frequently he or she performs the procedure that you’re having (weekly is better than monthly.

Here is a quick guide to some of the most popular treatments and procedures.

1.Retinoid creams
A  host of over-the-counter products claim to help fight wrinkles.  One option: topical retinoid (derived from vitamin A) creams; look for retinol in the ingredient list.  They are proven to get rid of wrinkles that you already have. We love our Night Defense Cream, which comes in 3 strengths, suitable for all skin types. A stronger  prescription strength version is Retin-A.

2. Over-the-counter peptide creams
Creams containing peptides—short snippets of linked amino acids—can be useful for reducing the appearance of wrinkles and fine lines, but they haven’t been shown to work as well as retinoids. As skin ages, it loses collagen and becomes wrinkled and thin; creams containing peptides are supposed to encourage the skin to make new collagen. Our favorite peptide boost is Daily Cocktail, which gives a one-two punch!

3. Microdermabrasion
Microdermabrasion uses a very hard diamond-tipped wand to slough off cells from the top layer of the skin and encourage new skin growth. The procedure is usually quite comfortable, doesn’t require an anesthetic or recovery period, and the skin heals quickly. But you may require multiple procedures spaced a few weeks apart. A recent study found that a rougher buffing of the skin is better than a lighter touch.  You will be left with ultra-smooth, polished and glowing skin.

4. Laser Skin Resurfacing
Laser resurfacing uses high-intensity light to zap and improve the look of wrinkles and scars, and to tighten loose skin. The effect of your treatment and recovery time vary. We use either the eMatrix system which uses fractionated Radio Frequency, and requires little to no downtime and 3 – 4 treatments, and also the CO2RE fractional CO2 laser, which requires 3 – 5 days of downtime, but only one treatment.

These treatments can be tailored to specific needs and  can be superficial or intermediate and deep. Depending on which treatment and how aggressive, you may see redness from one day to two weeks. The benefits of laser resurfacing usually last between two and five years, however,  if you smoke or don’t use sunscreen, it’s likely to be on the shorter end of that spectrum.

5. Chemical Peels
Used to address mild acne scars, age spots, dull skin texture, skin discoloration, or wrinkles around the eyes or mouth, chemical peels remove the outer layers of the skin and encourage the growth of new, smoother, more evenly colored skin. Depending on the peel’s intensity—which can range from superficial to medium to deep—it may cause reddening and peeling that can last up to several weeks. Our favorite peel, the Apeele, is a blended mix of several ingredients that safely and effectively addresses many skin concerns. This peel comes in 3 strengths, depending on the specific needs and concerns of each patient. The benefits of superficial and medium depth peels last up to a few months.

6. Botox or Dysport
Injections of the now familiar Botox or of Dysport (our favorite) can relax tiny facial muscles, smoothing out the appearance of lines or wrinkles. The cost of Dysport or Botox will vary depending on how many units are needed. The effects of injections may last three to four months, depending on whether you’re a repeat customer. The more injections you’ve previously had, the longer the results last.

7. Filler Injections
Injections of fillers containing hyaluronic acid (Restylane, Perlane, Belotero and Juvederm) and the longer lasting Radiesse, can fill in lines and wrinkles and add volume to skin. Hyaluronic acid is a naturally occurring sugar which is significantly reduced as we age. Radiesse, a longer lasting filler, acts by stimulating your own collagen formation around tiny synthetic microspheres. Injecting these fillers into wrinkles  and hollows plumps them up and restores lost volume. The effects generally last between six months (hyaluronic acid fillers)  and one year (Radiesse).

8. Cosmetic Surgery
Lifting the skin on the face, neck, eyelids, and forehead can give a tighter appearance. The effects of cosmetic surgery are somewhat permanent. With this type of surgery you are turning the clock back, but we’re not stopping the clock.

9. Try Prevention
If all this sounds extreme (and expensive), remember that you can start immediately to prevent any further damage: Start wearing sunscreen every day. Lifetime exposure to the sun can wreak serious havoc. When many of our patients were younger, they didn’t think that the sun caused any harm. Now, 30 years later, they are really seeing the effects of all that exposure. We advise our patients that without diligent use of mineral based sunscreen daily, our treatments will not  be an effective solution for the long term.



4 Types of Skin Discoloration and How to Stop Them

November 8, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

hyperpigmentation

As aggravating as hyperpigmentation can be, understanding why it’s happening and how you can stop it (yes, it can be done) is rule number-one on the path to clear, even skin. 

What is Hyperpigmentation?
Brown, red or pink, small or large, clustered or diffuse, hyperpigmentation is a darkening of the skin due to higher than normal levels of melanin. Any part of the skin that is darker than the rest is hyperpigmented, no matter where it occurs. The most important thing to do is wear sunscreen – even if you don’t see discoloration on your skin, you should protect it from the sun to lessen your chances in the future. 

Two Types of Melanin
Melanocyte cells make pigment by creating one of two types of melanin: eumelanin or pheomelanin. Both are found in the skin and each creates different shades of pigment. Eumelanin is brown to black in color and is more common in those with tan or darker skin. It also absorbs UV rays, acting as a skin protector. Pheomelanin is yellow to red in color and is found in concentrated amounts in the lips and in people with lighter skin tones. Pheomelanin cannot absorb UV rays and makes the skin more sensitive to UV rays.

Types of Discoloration and How to Treat Them
Melasma
Light to medium brown in color, this pigmentation occurs on the cheeks, sides of the face, upper part of the nose, forehead and above the lip. It appears as splotchy patches that are inconcsistent in shape and size, and is caused by a surge in hormones, usually from pregnancy or birth control coupled with sun exposure. Melasma can be treated with: hydroquinone and Retinol; salicylic,lactic or glycolic acid peels; Intense Pulsed Light (IPL)/FotoFacial plus vitamin C; or chemical peels containing hydroquinone. (Melasma is hard to treat because of its potential to reoccur.)

Sunspots (AKA Age or Liver Spots)
Light to dark brown in color, sunspots can appear on the face, chest and hands; and look like small, flat, dark spots. As their name indicates, they are caused by the sun and can be treated with Retinol plus IPL/FotoFacial  or CO2RE fractional laser resurfacing

Post-Inflammatory Hyperpigmentation (PIH)
Pink, red or brown in color, PIH can show up anywhere on the face. It appears as flat spots and is caused caused by inflammatory acne. PIH can be treated with light salicylic acid chemical peels or red light and blue light treatments(if there is active acne).

Freckles
Caused by the sun, freckles are light to dark brown or even red or black in color. They occur on the face, chest and arms in the form of small, concentrated spots. For treatment try  IPL/Fotofacial or CO2RE fractional laser resurfacing



Four Reasons You Need To Exfoliate

September 21, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

There are many benefits of regular exfoliation. As we get older, skin-cell turnover slows down and exofoliating can help speed up the normal sheding cycle. Exfoliating can rid the skin’s dull, outer layer as well as all of the flaws that reside there, like fine lines, dark spots and blemishes. Plus, your skin-care products can better penetrate your skin. Here are four top reasons to exfoliate on a regular basis:

1. Even out skin texture. Exfoliating with microdermabrasion or SilkPeel polishes the skin, leaving it with a softer, smoother texture. It’s like using sandpaper on coarse, unevenly textured wood—step-by-step it becomes smooth.

2. Fight the signs of aging. With age, the skin’s ability to naturally exfoliate slows down. When the skin is laden with dead cells, lines, wrinkles and dryness become more apparent. Removing dead skin reveals fresher, brighter, younger looking skin. Another excellent way to exfoliate is with a gentle chemical peel.

3. Prevent blackheads, whiteheads and breakouts. When the pores get clogged with dead skin and oil gets stuck beneath the surface, pimples can occur.

4. Minimize dark spots. Long after a blemish has healed, a red, brown or purple mark may remain. But each time you exfoliate, you’re removing the top layer of skin to diminish the appearance of discoloration.



3 Non-Surgical Ways to Rejuvenate the Face

September 7, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

When you want to look and feel younger, your face is the front and center battleground of that fight. And while there are a few ways to surgically make the face look years younger (facelift, neck lift, even a nose job), many women might not be ready for the commitment or cost of a surgical procedure. If not, there are “best practices” for rejuvenating the face without reaching for the scalpel. Here are some of the best treatments to get a younger face without surgery.

SKINCARE – First and foremost, start with a good skin-care routine. Routine skin care by trained, experienced estheticians is invaluable in producing, improving and monitoring the skin. Let’s face it – beautiful skin always creates a more youthful look. A comprehensive skin-care program that may include professional products and treatments (like microdermabrasion and facial peels) can minimize sun damage, soften fine lines, reduce acne, rehydrate dry skin and brighten dull, aging skin.

INJECTABLES – If you want to take it one step further, a cosmetic physician has more options available to make the face look younger. Before finding the best method for facial rejuvenation, your doctor has to take into account your age. When you are younger, we’re getting rid of wrinkles with products like Dysport, Botox and hyaluronic acid fillers such as Restylane, Juvéderm and Belotero. For restoring more volume in an aging face my choice filler is Radiesse.

LASERS – Noninvasive radio-frequency treatments, on the right patient, can work wonders. I am a big fan of eMatrix Sublative Rejuvenation and Sublime Skin Tightening (the eTwo duo). I also love to treat with FotoFacial RF for color correction and eMatrix for texture improvement with my FotoMatrix combo.  For a more significant result CO2RE Fractional CO2 Resurfacing is my go-to treatment. It is an ablative laser, but it’s not as invasive as making incisions. It is a very effective tool in treating fine lines, irregularities and brown spots. With one treatment, a major improvement can be obtained.



FOUR GREAT WAYS TO ACHIEVE SMOOTHER SKIN

August 31, 2012 / Category: Anti-Aging, Cosmetic Procedures, Health News

Most of us are born with naturally smooth, soft skin, but as we age moisture levels drop, often resulting in dryness and rough, uneven texture. Rough skin may also be the result of sun damage, which depletes collagen and moisture, or a chronic skin condition such as rosacea or eczema that causes bumpiness and inflammation. Whatever the cause, there are a variety of topical treatments and noninvasive procedures that address poor texture at the source.

1. For a Quick Fix:
Try a moisturizer rich in hyaluronic acid to soften and hydrate dry skin.

2. For Results Over Time:
Look for  topical resurfacing products that encourage cell turnover and promote smoother, softer skin such as retinol.

3. For a Dramatic Effect:
In-office resurfacing procedures help achieve a fresh, smooth complexion. Especially effective for sun-damaged skin, fractional resurfacing treatments, like CO2RE Fractional CO2 resurfacing, target the skin’s deeper layers with microscopic laser light, removing damaged skin and allowing fresh, healthy skin to emerge. You may experience redness and swelling for a couple of days post-treatment, but one treatment is all you will usually need. For a gentler and more gradual approach, eMatrix Sublative Rejuvenation greatly improves skin texture with virtually no downtime. Three treatments is the usual protocol for this beautiful treatment.

Suitable for all but very sensitive skin, microdermabrasion uses a wand embedded with laser cut diamond chips to polish away the uppermost layer of skin, eliminating roughness as well as fine lines and wrinkles. Chemical peels, another option, are often performed with glycolic, retinoic or alphahydroxy acids; they help smooth out uneven texture by removing the upper layer of skin.

4.For Relief From Redness:
If you experience persistent red blotchiness, dryness or bumpy, rough skin—more than just the occasional dry patch or inflammation—rosacea may be the cause. A chronic inflammatory condition that can develop at any age but is typically found in those older than 30, rosacea is often triggered by alcohol, heat, stress or spicy foods. Irritation, swelling, dryness and inflammation may be signs of a flare-up, and in severe cases, thickening of the skin and red, raised patches, known as plaques, may occur. Rosacea is often rated by grades one to four to indicate its severity, four being the worst.
A series of five or more painless FotoFacial treatments, which use a broad spectrum of light and bi-polar radiofrequency, will repair the deeper layers of skin and reduce redness.



How To Reverse Sun Damage

August 16, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News, Special Offers

While sun damage doesn’t happen overnight, it can seem like it visibly affects the skin in a rather short period of time. The more the skin is exposed to the sun, the more the collagen and elastin in the deeper layers is broken down, giving less support to the underlying muscles and the skin’s surface. As a response mechanism, the skin tries to protect itself from the damage, in turn thickening as a means of regeneration.

 

Treat sun-damaged skin at home:

Peptides and vitamin A need to be used consistently to help strengthen the skin and improve its texture. Retinol is key since it sheds the top layer of skin and strengthens it from inside out. Dr. Tanne’s favorite daytime skincare – Daily Cocktail – is bursting with peptides, antioxidants and other key repair ingredients. Her Tanne MD Medical Skin Care Night Defense is her go-to nighttime anti-aging must-have – a retinol serum blended with hydrating hyaluronic acid.

Free radical-fighting ingredients like green tea and vitamins C and E will help safeguard the skin from future damage. Check out Tanne MD Medical  Skin Care T-Power Pads and CE Ferulic Infusion.

Protection and maintenance are vital-once sun-damaged skin has been transformed, you don’t want it to regress. It is recommended to wear a sunscreen with ingredients that contain primarily physical blockers, which provide protection from all UV rays. Check out our absolute favorite, TIZO (titanium/zinc oxide).

Treat sun-damaged skin professionally:

Before starting any in-office treatment for sun damage, Dr. Tanne recommends all patients begin a 3 product at home regimen to pre-treat their skin, including:

  • Brighten Pads -These custom blended pads contain 4% hydroquinone to “shut down” unwanted pigment cells.
  • Night Defense – to help shed these unwanted pigment cells
  • TIZO – to protect your beautiful rejuvenated skin

Laser and light-based treatments, like FotoFacial RF (which combines Intense Pulsed Light with bi-polar Radiofrequency) and both ablative and nonablative resurfacing procedures, work to reinstate the skin. FotoFacial can help eliminate brown and red spots on the face and body. A downtime-free treatment, although several sessions are required, FotoFacial  helps to rejuvenate the skin so that it looks younger and fresher.

Treatments that tackle sun-damaged skin, including chemical peels – our hands down favorite is Apeele – can improve the skin, too. Acid-based peels buffer the skin, making it more sensitive to the sun. We also love DiamondTip™ Microdermabrasion to gently buff away the top layer of dead skin cells, leaving you polished and glowing.

Our new fractional CO2 resurfacing laser, CO2RE, reverses years of sun damage. Unlike older versions of the laser, which used a solid beam, this revolutionary device uses a fractionated beam so there are zones of normal skin, allowing for a shorter recovery period – less than one week, as opposed to two or three. It’s excellent for restoring skin to its natural state without all of the sun damage.  CO2RE gets rid of discoloration while improving the skin’s texture. Instead of employing light, fractional resurfacing lasers create microscopic wounds in the skin-as the skin heals, the sun-damaged areas flake off, and collagen is increased – all in ONE treatment!



WRINKLE FILLERS – The Easiest Way to Erase 10 Years!

November 21, 2011 / Category: Anti-Aging, Cosmetic Procedures

Wrinkle Fillers!
Still… the quickest, easiest way to erase 10 years!

You wake up one morning and look in the mirror. Suddenly, you notice facial lines that just weren’t there yesterday. Are fine lines and wrinkles getting you down? With each and every look in the mirror, do you concentrate on them so much that you would love for them to instantaneously disappear, but you are not sure about your options are or what your cost would be to reduce them?

Studies have shown that wrinkles can have a profound impact on self-esteem, so much so that over 16 billion dollars is spent each year simply on camouflage make-up to hide the signs of aging. If you are tired of wrinkles, worry no more. Education is the first step to making the best decision, and education about your options is what we are here to provide.

Facial wrinkles and creases begin to appear as the under-lying collagen and elastin fibers begin to break down and wear out. While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning and smiling.

As people live longer and healthier lives, more and more of them are looking for ways to look young without surgery.  Because the aging process causes the face to lose underlying fat volume and collagen, the skin starts to look deflated and droops, sags, and wrinkles. The result is the permanent tired and aged face look we hate to look at in the mirror.

Fillers or injectables have become a popular means of wrinkle corrections and addressing loss of facial volume that results from aging, sun damage, stress, age related hormonal decline, weight loss, chronic illness, trauma and or scarring, and lip enhancement. The results are instantaneous and the easiest way to erase 10 years, just like that!  No surgery, minimal down time and natural results.

Because there are so many filler options, Dr. Tanne at Cosmetic Laser MD always consults with patients first, and after a careful examination and discussion recommends the filler(s) that is/are best suited to best address each patients’ unique issues.

There are many types of fillers, including the following that are approved by the US Food and Drug Administration (FDA) and widely available at Cosmetic Laser MD.

Hyaluronic acid gels such as Juvederm Ultra, Juvederm Ultra Plus, Restylane and Perlane may be used to treat lines around the mouth, under the eyes and to plump lips  or to provide a 5 Minute  “Non-Surgical” Nose-Job.  Results last 6-12 months depending on which injectable filler used and which area is filled.

Radiesse which is made of Calcium-based microspheres in a carrier gel is longer lasting than the hyaluronic acid fillers mentioned above and is used to fill deeper folds and lines or to add volume to the face.  Radiesse can also be used to fix dents and divets in the face and to provide a 5 Minute “Non-Surgical” Nose-Job

Select a filler that best suits your particular needs!  Selecting the proper filler is an important part of the process.  Some fillers are intended for superficial wrinkles and some work best for deeper folds and wrinkles.  Others are better for deep cheek hollows and more generalized facial fat loss.

A consultation with Dr. Tanne is your next step for a more youthful look which is only one phone call away.  Call us at 973.716.9000.

What causes wrinkles

  • Smiling, frowning, squinting and other habitual facial expressions cause wrinkles to become more prominent. · Your facial muscles degrade over time and weaken. · Some muscles weaken sooner than others due to the way one sleeps.
  •  Small muscle contractions are believed to develop frown lines (lines between eyes) and crow’s feet (lines jutting from the corners of the eyes)
  • With age the ability to repair itself weakens.
  • Cells divide more slowly and the inner layer of skin starts to thin, causing wrinkles.
  • Elastin and Collagen fibers loosen and unravel and can no longer spring back to their initial position.
  • The sweat and oil secreting glands atrophy, depriving the skin from water-lipid emulsions, which enhances the skin’s ability to retain moisture.
  • Time, using gravity and stress, continually pull the muscles downward.
  • Smoking is one of the worst causes of wrinkles. · Exposure to the sun can be another culprit.

Options for Wrinkle Reduction.
Botox, Dysport and Xeomin (neuromodulators) treat wrinkles, those little annoyances known as frown lines, worry lines, laugh lines and crow’s feet. These neuromodulators relax the muscles so your wrinkles begin to smooth away.

Wrinkle Fillers or injectables are injected underneath the skin, underneath the wrinkle itself, and act as a physical support system for the skin. Fillers are treatments for deep wrinkles, or lines for smoother skin as well as volumizing and plumping up areas on the face such as hallows under the eyes or cheek.

Chemical Peels can reduce fine lines, wrinkles, pore size, scars, age spots, and other signs of premature aging.

DiamondTip™ Microdermabrasion gently and painlessly exfoliates your skin while vacuum suction removes the crystals with the dead skin cells. It revitalizes your skin’s appearance, promotes production of new cells in the deepest skin layers, cleanses pores, and stimulates collagen.

There are a wide variety of Laser and/or Light Treatments such as eMatrix Sublative Rejuvenation, ReFirme/Sublime Skin Tightening, or FotoFacial that offer everything, from those that stimulate collagen to replenish itself improving skin tone, to those that encourage the elastic fibers to tighten, resulting in vibrant skin.

Treatments can soften the appearance of wrinkles, giving youthful-looking skin. Some also kill acne-causing bacteria, healing blemishes and preventing future eruptions. We have applied our quality professional skills in choosing only the latest in technology, offering the finest results.

How long do wrinkle treatments take?
A typical procedure will take about 45 minutes, but the length of time may vary depending on the amount of filler you require.

Will my treatment hurt?
Although most people find the treatment relatively painless, you may notice a slight pricking sensation while the injection is given.  Depending on what area you are correcting, (lips or folds) Dr. Tanne will provide a topical and/or injected numbing medication.

What can I expect following my treatment?
Reactions are rare, but mild side effects may include swelling, tenderness, pain itching and discomfort around the injection site, and minor bruising, which will all disappear within a few days.  You will notice a visible change immediately that will last several months, but depends on several factors including the filler being used, skin structure, lifestyle and age.  Most people choose to repeat treatments every six months, except Radiesse which usually lasts longer.

Please call 973.716.9000 today to schedule a complimentary consultation to find out which injectable filler is right for you.



HOW TO IMPROVE SKIN TEXTURE

June 16, 2011 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

Over time, the texture of our skin naturally changes. Hydration, collagen and elastin are all important factors for smooth, soft, young-looking skin. When hormones, pollution and lifestyle come into play, they can diminish these key factors, causing dramatic changes in how your skin feels. I’ve listened to some of your most common complaints about your skin’s texture and have some answers on how to treat it.

Does your skin feel thin and look translucent? Collagen loss tends to cause the skin to become thin. And it’s especially prevalent in fairer skin tones. How do you treat it? “A combination of fillers and collagen-stimulating lasers, like eMatrix, Portrait PSR and fractionated CO2 lasers, is best for plumping up thin skin. The skin needs to be built up from underneath, as well as stimulated on the surface.

Does your skin feel dry and dehydrated? Dry, dehydrated skin is a common change that comes along with aging, since moisture levels drop and water is lost. Diminished blood circulation, harsh ingredients, moisture stripping products, and less-active oil and sweat glands can all lead to dryness. Try treating it by restoring moisture with deep hydrating creams and masks. A consultation with our skincare advisor will put you on the right track. Also, hyaluronic acid fillers (which bind moisture to the skin) such as Juvederm, Restylane-L and Perlane-L may minimize the appearance of lines and wrinkles and reintroduce moisture to the skin.

Does your skin feel rough and weathered? Rough, weathered, leathery-looking skin is the price we pay for spending years in the sun. It damages the skin by causing inflammation, in turn making it look and feel thick. Weathered skin is usually laden with deep wrinkles, too. Protect your skin from the sun with a mineral based sunscreen every day. Prevent further damage to weathered skin with antioxidative and reparative topical products (we love our Tanne MD Medical Grade Skincare), and fractional resurfacing (such as eMatrix) or pulsed light treatments (such as Fotofacial RF) to stimulate collagen production.

Does your skin feel like sandpaper? Skin that feels like sandpaper often has a dull and muddy complexion. Dull skin is caused by a buildup of dead skin that stays on the surface for long periods of time. It’s important to rev up the skin’s natural shedding process to remove dead skin and expose fresh skin. A retinol product such as our Night Defense or a prescription topical retinoid, Chemical Peels (we love the Apeele Peel), laser treatments, SilkPeel™ DermalInfusion and DiamondTip™ Microdermabrasioncan increase cell turnover.



News/Brief History on Chemical Peels…..

March 8, 2010 / Category: Anti-Aging, Cosmetic Procedures


Despite most people’s concern for the health of the economy, patients want to look their best to bolster their self-confidence and to feel secure in the workplace.In general, patients are choosing less expensive procedures and those with minimal downtime.According to the American Society of Plastic Surgeons the top minimally invasive procedures in 2008 were Botox Cosmetic, dermal fillers, and chemical peels.

Facial blemishes, wrinkles and uneven skin pigmentation are conditions which can be improved by chemical peels. Chemical peels use a solution to improve and smooth the texture of the facial skin by removing its damaged outer layers.Well-formulated blended chemical peel solutions work by breaking down the bonds between the surface cells to allowing them to be more effectively exfoliated. Improved exfoliation allows fresh cells to arise to the surface and leaves skin with an even and fresh appearance. Chemical peels are relatively inexpensive procedures, require minimal recovery time and provide excellent results for patients with all skin types and skin tones, improving the health, function and appearance of the skin.

Peeling the skin has long been a tool for improving its appearance.The use of milk, limestone, sulfur mustard, and even urine was documented for this purpose as early as 3150 BC.Most options available until the late 1800s were highly acidic or alkaline substances that worked purely as corrosives.It was not until around 1850 that physicians began using phenol, salicylic acid, resorcinol and TCA (trichloroacetic acid) for skin lightening and the improvement of skin texture.These procedures were highly invasive and presented dangers of toxicity.During the 1950s and 1960’s the concepts of blending acids as a way to reduce this toxicity came about.In the mid 1970s fruit acids (AHA’s) gained popularity, and since then many options have become available. Superficial blended chemical peels are now the standard of care and offer excellent outcomes, little or no discomfort or down-time.

Using blends of peeling ingredients gives superior results compared to straight acid peels.These newer peels do not cause surface irritation or burns. They allow topical skincare products to penetrate more effectively to strengthen, smooth and brighten the skin.The addition of Vitamin C and other collagen stimulating ingredients, along with skin brighteners increases the excellent outcomes of these peel treatments. These newer blended peels also minimize post inflammatory hyperpigmentation (PIH), which was a common negative side effect of performing chemical peels on patients with darker skin tones.

The correct peel for each patient is determined based on the condition being treated. These peelsare noninvasive, exfoliating treatments that rely on fruit acids, vitamins, herbs, antioxidants and pigment suppressing agents to loosen the “glue” that binds dead cells to skin’s surface. Superficial blended peels are available for every skin type and condition. They are used for the treatment of sun damage, fine lines and wrinkles, melasma, acne scars, acne, rosacea and discoloration. They promote the growth of new skin and collagen with an improved texture and radiance that is noticeable in just a few days. The result is smoother, tighter, more hydrated new skin, ultimately, leaving you with a clearer, more youthful complexion.

**A variety of superficial blended chemical peels are available at Cosmetic Laser MD***



Let There Be Light – A Bright Future for Your Skin

October 10, 2009 / Category: Anti-Aging

Achieving a porcelain-like complexion has long been a priority among Asian women. However patients in the U.S. are becoming increasingly aware of skin brightening products and services, and are also increasingly more interested in achieving luminous skin. While anti-aging treatments and products are still more popular, uneven pigmentation has joined the list of aging skin concerns. Treating hyperpigmentation properly begins with a consultation and digital skin analysis to determine the cause, and developing a treatment plan that will most effectively and safely give patients beautiful, luminous skin. Current skin brightening products and procedures allow treatment of all ethnic groups, as uneven pigmentation affects all skin types, tones, and colors, and is a top concern for women of color. As we diversify (half of the world and one-third of the U.S. population are people of color) skin brightening promises to continue to attract an increasing number of patients.

Treating Hyperpigmentation

Inflammation of the skin can cause redness, swelling, pain and heat. This is the body’s normal response to injury or infection. Many everyday events and exposures can also lead to a low level of inflammation that is less obvious but can result in damage to the skin, including hyperpigmentation and melasma. In addition, skin cells are exposed to inflammatory agents like smoke, pollution, and chemicals, as well as other factors like sunlight and stress. All of these can contribute to inflammation, which leads to an overproduction of melanin, causing hyperpigmentation and uneven skintone. Dark spots on the skin can also arise due to age, sun exposure, pregnancy and other hormonal changes, or acne scarring.

In my practice I treat hyperpigmentation with a combination of non-invasive cosmetic procedures, such as laser treatments, peels and at-home skincare. Exfoliation plays a key role in creating a smooth and glowing complexion, as it prepares the skin to more readily absorb ingredients. Microdermabrasion, SilkPeel and chemical peels may be used to remove accumulated dead skin layers that cause a dull appearance. These skin resurfacing techniques improve overall skin radiance.

I perform microdermabrasion just prior to FotoFacialRF Skin Rejuvenation treatment to improve the penetration of this light based treatment, making it more effective in treating hyperpigmentation. FotoFacial RF is a non-ablative laser treatment which gently and effectively treats age spots, uneven skin tone, small broken blood vessels, and sun-damaged skin. FotoFacial also tightens pore and reduces fine lines since it combines light and radiofrequency in each pulse. FotoFacial is safe and effective for fair to medium skin types and can even be used safely on Latin-American, Middle Eastern, East Indian and Asian skin tones.

To achieve the best possible results when addressing any skin imperfection, the energy, whether it be laser or light, must be delivered below the skin without overheating the top layer of the skin. For many of my patients who need to address texture issues along with their hyperpigmentation, I use Matrix RF Fractional Skin Resurfacing. With this treatment I can give my patients superb results with virtually no downtime. The beauty of this treatment is that it can be safely used on all skin types including black skin.

For my patients with dark skin tones I often use the Melanage Skin Lightening Peel. Melanage is the most effective and safest treatment that I have found to address hyperpigmentation on all skin types, but especially for those patients with darker skin tones who cannot tolerate FotoFacial.

Home skincare is an essential part of effectively treating hyperpigmentation. I remind my patients that although they visit their dentist twice a year, they still brush their teeth twice a day! The same is true for aesthetic skin treatments. I insist that my patients partner with me to maintain and continue to improve their skin with a dedicated program of home skincare. I have even been able to achieve significant results on patients who only use a rigorous program of home skincare.

One of the most important components of their skincare regimen is the daily use of high quality sunscreen which protects against both UVA and UVB radiation. We want our patients to use sunscreen that contains Zinc Oxide and/or Titanium Dioxide, to protect against sunburn, aging skin damage, brown spots, wrinkles and even skin cancer.

Medical science can help restore the radiance that we had in our youth. Skin brightening treatments are an excellent way for me to give my patients the younger, luminous complexion that they desire.



Call us at 973.716.9000 to schedule a complimentary consultation or click the button below. We will discuss your concerns and establish a treatment plan to achieve your aesthetic goals.

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