1. Skin Care Options
  2. Skin Care Glossary
  3. Skin Care Self Evaluation


1. SKIN CARE OPTIONS

Unsure about how to treat your aging skin? "Confusion and uncertainty is understandable given the countless number of products that claim they can magically fix these conditions," says Deborah Sarnoff, M.D., Assistant Clinical Professor of Dermatology at New York University. "The good news is that dermatologists have access to a vast array of medically proven treatments to help reduce or eliminate wrinkles, brown spots, and other signs of aging and improve the overall appearance of skin." Following is a brief description of several skin care options for aging skin, an explanation of what each can do, and important information patients should know about each one." Talk to your dermatologist about which treatments are best suited for your skin and lifestyle.


Cosmetics
Herbal Cream
Invasive Procedures
Moisturizers ROLENTA® Chemical Peels
Exfoliants     Dermabrasion/
Laser Therapy
Alpha-Hydroxy Acids (AHAs)     Fat and Collagen Injections
Retinol     Cosmetic Surgery
        Botox®

Cosmetics/Over-the-Counter

Moisturizers

What they are:   Creams and lotions - usually a mixture of oil, water and emulsifying agents.

What they can do:   Temporarily plump up your skin and alleviate dryness, making it soft to the touch.

What you should know:   Moisturizers don't penetrate deeply into your skin, so they can't produce any lasting changes.

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Exfoliants

What they are:   Facial scrubs, grainy soaps and abrasive sponges.

What they can do:   Remove some of the outer layers of the skin so that the surface looks and feels smoother.

What you should know:   This is not a permanent change; exfoliants can cause some irritation in sensitive skin.

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Alpha-Hydroxy acids (AHAs)

What they are:   Naturally occurring complexes derived from food sources such as fruit, milk or sugar cane.

What they can do:   Remove top layer of dead skin cells and moisturize skin.

What you should know:   Many products contain low levels of AHAs. Higher concentrations are available from physicians. AHAs can be irritating, with tingling or burning on application.

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Retinol

What it is:   Retinol is a vitamin A derivative. Retinol is considered a cosmetic and not a prescription drug.

What it can do:   Vitamin A plays a natural role in maintaining and promoting skin health. Retinol works on the surface of the skin to renew and restore skin's appearance.

What you should know:   Retinol is a cosmetic. Retinol products available in the dermatologist's office range in concentration from 0.15% to 0.60%. Retinol products available at drug and department stores contain less than or equal to .10% retinol. As the strength of retinol increases, so does its irritation potential. Retinol and all retinoids may produce irritation, depending on the concentration of retinol in the product and the patient's skin type.

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Herbal Cream

ROLENTA® TTC (Transdermal Therapeutic Complex)

What it is:  An
advanced skin care line has been formulated to layer on the face in a 5-step regimen that will deliver superior results in a short period of time. .

What it can do:   
ROLENTA is approved
Rolenta +
as a cosmetic cream, not a chemical, that is medically proven to reduce fine facial wrinkles, fade brown spots and smooth surface roughness when used as part of a total skin care and sun protection program. Unlike over-the-counter wrinkle creams which simply exfoliate the surface layer of your skin, ROLENTA works deep at the cellular level. That's why researchers believe Rolenta increases collagen to reduce the signs of aging.

What you should know:   
UV Protection Cream
Like other prescription medicines, ROLENTA has been tested for safety and effectiveness. When using ROLENTA, as with any other therapy for the treatment of aging skin, you should limit exposure to the sun and always use a sun screen.



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Invasive Procedures

Chemical Peels

What they are:   Application of an acid solution such as glycolic, trichloroacetic acid or phenol which are applied by a physician to the entire face or just to certain regions. Chemical peels vary according to their specific ingredient and strength and the depth at which they peel.

What they can do:   Remove the outer layer(s) of skin, which will be replaced by fresher new skin during healing.

What you should know:   Healing time, risks and benefits all depend on the strength of the peel. (Deeper chemical peels will produce redness and swelling to varying degrees. After the initial redness subsides skin may be pink for several weeks to months). Results last from six months to several years. Light chemical peels will need to be repeated periodically in order to maintain their benefits.

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Dermabrasion and Laser Therapy

What they are:   Mechanical resurfacing procedures which remove the outer layers to expose smooth, new skin below. Dermabrasion uses a small, rapidly spinning wheel with a roughened surface similar to fine-grained sandpaper to abrade the skin. Laser therapy removes skin layers by vaporization.

What they can do:   Both are used for fine wrinkling. Dermabrasion is also used for scarring; laser therapy for blotchiness or age spots.

What you should know:   Type and length of reaction (including erythema, redness, or skin blotchiness) may vary from weeks to months.

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Fat and Collagen Injections

What they are:  Injections of either fat taken from elsewhere in your body, or a form of biological collagen.

What they can do:   Fill isolated deep wrinkles, depressions and acne scars.

What you should know:   Most patients require a skin test prior to treatment, since approximately two percent of patients show an allergic reaction to collagen. Periodic maintenance treatments are needed to restore the skin to its desired state.

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Cosmetic Surgery

What it is:   Performed to reshape normal structures of the body in order to improve the patient?s appearance and self-esteem (e.g., tightening of the skin around the eyes; full, deep tissue face lift, liposuction).

What it can do:  Reshape your face or get rid of jowls and loose skin; often used with prescription skin cream or chemical peels to improve the skin as the face is resculpted.

What you should know:   Although cosmetic,
this is surgery. Choose a surgeon carefully, and ask questions including what you can realistically expect from the procedure.

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Botox®

What it is:  Botox is the trade name of Botulinum Toxin Type A, a purified toxin produced by the bacterium Clostridum botulinum. It is most effective for the frown lines between the eyebrows, but can also be used to lessen the horizontal wrinkles in the central portion of the forehead and crows feet around the eyes. It is not effective for wrinkles in the middle and lower portion of the face. While the treatment can be used alone, it is often used as an adjunct to other cosmetic procedures such as face-lift or laser resurfacing.

What it can do:   In large amounts, this toxin blocks the nerve impulses to muscles, causing a form of paralysis called botulism. By using extremely small doses of botox, injected directly into a specific muscle, only action of that muscle will be paralyzed. Botox injections are used to weaken the fine line muscles around the eyes and forehead that are responsible for the frown lines and deep wrinkles that occur in these areas.

What you should know:   Botox still is the expensive methode and takes 3-5 days to take effect and lasts between 3-6 months. There have been no permanent side effects reported from the use of botox. Approximately one percent of patients will develop a slight lowering or drooping of one eyelid. This is temporary (may last 2-3 weeks) and may not even be noticed by the patient.

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