Décolletage is what we call the neckline, or more specifically the area made up of the neck, chest and cleavage. If we neglect this area between our face and breasts, it is sure to age us. Although we can cover up our décolletage, we would certainly be limiting our style and where is the fun in that.
The décolletage is a special concern, because it tends to suffer more sun damage than other areas and women also tend to develop lines between the breast while sleeping on their side. Luckily, there are plenty of options to improve this area, but we have to be patient as correction for non-facial skin is much slower than it is when treating the face. When we treat the décolletage or any non-facial area, we need to treat more conservatively and thus, more often. The skin cell turn over for non-facial skin tends to be slower, so this means the recovery process will take longer, which will require more time spaced between treatments. When treating the décolletage you should treat early and often. Slow and steady wins the race.
When it comes to skin care and anti-aging, the best approach is a comprehensive one. One treatment does not necessarily replace the other. Your skincare provider should work to help you understand which treatments are best for you and the time line that treatments may be done. When budget is a concern, you will need to decide which concerns are a priority for you.
Topical Skin Care
The first step is to use effective skin care products on your neck and chest, every morning and every night, just as you would your face. Most of the skin care products that are used on the face, can also be used on the chest. Some topicals, such as hydroquinone and retinoids need to be used less frequently on non-facial skin to avoid irritation. Some products should be used daily, such as topical antioxidants and an SPF 30 or higher. There are some great products formulated specifically for the neck and chest. Revision skin care formulated Nectifirm for firming the neck and décolletage. NIA 24 Sun Damage Repair for Décolletage and Hands, is formulated with patented Pro-Niacin to repair damaged skin. Consult with your Esthetician, to determine the appropriate protocol for you.
Treatments that use Intense Pulsed Light work to treat brown spots and redness. There is also research to suggest that ongoing treatments will positively effected gene expression in the skin to mimic that of a younger person. Generally a series of 3-5 treatments are recommended, scheduled 3-4 weeks apart. For enhanced results Levulan may be applied prior, this is known as PhotoDynamic Therapy.
Medium depth chemical peels that reach the papillary dermis or upper reticular dermis, such as the Obagi Blue Peel or ZO controlled depth peel will improve skin discolorations, improve texture, laxity, lines and stretchable wrinkles. A medium depth peel on the chest, may take up to 14 days for peeling to be complete. On the up side, peels on the face generally do not look bad during the peeling phase and are easy to tolerate. These peels can be done as often as 4 times a year, however I find that once a year is optimal when combined with other treatments.
Ultherapy is the treatment of choice for the lines that develop between the breasts. Ultherapy works at a deeper level than any other non-surgical treatment, to lift and tighten skin. Ultherapy uses focused ultrasound to target deep into the dermis and even the top of the muscle. Like many other aesthetic treatments, Ultherapy works by creating a wound healing response, but because the targeted areas are at a deeper level we see more tightening and lifting. The increased collagen production in the treated area, can be seen a year post treatment. Most people should plan on repeating this treatment once a year, although younger patients may be able to stretch it out to every two years. Those with advanced photo damage, or who desire more improvement may choose to repeat the treatment in six months. Pain medication may be prescribed, in which case you will need to arrange for someone to bring you in to your appointment and take you home.
Non facial skin does not respond well to “full coverage” ablative laser resurfacing. Non-ablative or sublative fractional resurfacing treatments, such as E-Matrix or Fraxel are more appropriate for treating non-facial skin. These treatments reduce lines, wrinkles and smooth skin texture. Like many other aesthetic treatments, fractional lasers work by creating a wound healing response in the skin, that stimulates the fibroblast in the skin to up regulate the production of collagen. Because laser treatments create heat, we appreciate a different type of wound healing response than we do with other treatments such as chemical peels, micro needling, which is why we see the up regulation of collagen for longer periods of time post treatment.
Fractional lasers generally work in the deeper layers of the skins dermis, an area which is not effected by chemical peels or IPL treatments. The frequency and number of treatments will depend on the level of treatment performed, level of correction desired and condition of skin.
Micro-Needling Collagen Induction Therapy
Aesthetic professionals use micro-needling pens such as the Eclipse or Dermapen, to deliver tiny needles into the epidermal and dermal layers of the skin creating micro-injuries. This begins a natural wound healing or renewal process that will stimulate collagen production in the treated area. There is little to no down-time, and it is surprisingly comfortable. Although, micro needling treatments do not deliver the same level of correction to skin texture as fractional lasers, they are the treatment of choice for scars and stretch marks. Micro-needling is also a good option for early intervention or in between other aesthetic treatments.
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“Does CoolSculpting REALLY work”, this is a question people ask me all the time. I think the idea of removing fat permanently, without surgery seems hard to believe. Some people notice great results, while others may not see desireable results. So…why does CoolSculpting work for some and not others.
How CoolSculpting works
CoolSculpting is a non-surgical device that works by cooling selected areas of fat to a tempeture the causes the fat cells to go into apoptosis. Apoptosis is a programed cell death, it’s like your fat cells commit sucide. With each treatment cycle we expect 20% of the fat cells to die. You may see improvement 8 weeks after your first treatment, but the fat cells will continue to die up to 4 months post treatment.
You may see a noticeable reduction of fat in the treated area after one visit, but you may appreciate even more fat reduction with additional treatments. Most people should expect to do two treatment cycles on each area treated. Occasionally, more than two treatment cycles are needed to achieve your personal desired results.
Coolsculpting uses something we call applicators that pull the fat bulge in and hold it in place during treatment. It usually take multiple applicators to treat a specific area. For example a stomach may require 3 applicators to treat the desired area, and the sides may require 4 applicators. The exact number of applicators needed to treat an area will vary by individual.
What CoolSculpting will not improve
– CoolSculpting and other procedures like liposuction only treat adipose fat, which is the fat above your muscle. Cosmetic procedures do not treat visceral fat, which is the dangerous fat that surrounds your internal organs. The visceral fat needs to be reduced via diet.
– CoolSculpting will not reduce loose or excess skin, it is not an alternative to a tummy-tuck or body lifting procedures.
– CoolSculpting is not used to treat cellulite. Treatments like VelaShape that us RF to reduce the size of fat cells and improve skin quality are better for cellulite treatment.
Why it does not work for some people
Occasinally, someone will tell me that they have a friend who had CoolSculpting and it didn’t work. The truth is, it most probably DID work, but it may not have worked enough or was not the best treatmentfor actual concern. If someone is confusing skin for fat, they will be disappointed with results. If they have a large amount of visceral fat, reducing the adipose fat will not make enough of an impact. While there are those who were not good candidates, the most likely reason someone may feel like it didn’t work is because they didn’t have enough treatment. They probably needed more applicators to treat the area of concern and may have needed an additional treatment to make an impact that is appreciated.
When I had fat transfer, the doctor used liposuction to remove fat from my abdomen to inject into my face. Now, I know for a fact that the fat was removed from my body, but I did not have any improvement in body conturing. To conture my shape he would have needed to suction out more fat. This does not mean that the liposuction didn’t work at removing fat, it means that MORE fat removal would have been needed to improve my shape. This is usually the case with CoolSculpting, it worked, but more treatment is needed for the desired results.
It is important to keep realistic results, make sure that you understand the amount of area that is being treated. Do not assume that you are the exception, and will only need one treatment. If you have had a treatment and were not satisfied with the results, follow up with your provider to see if further treatments are needs or if perhaps another procedure would be better.
YES, CoolSculpting does work and well.
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A serum that claims to give you the “best of both worlds”, how perfect is that?! Youth Serum is designed to provide an instant smoothing and tightening effect, and long term wrinkle reduction (via collagen production). Could this Youth Serum be the fountain of youth we are all searching for?
I think expecting any single skin care product to be “THE” fountain of youth, may just be setting you up for disappointment. I believe that the fountain of youth is a full comprehensive approach to anti-aging, which would include skin care products along with aesthetic treatments, healthy lifestyle, diet, excersise and what ever fits your personal beliefs towards a healthy mind and spirit. With that said, I think it is fair to say that Youth Serum is one of those things that will add to our fountain youth.
This serum is appropriate for all skin types, espesially when anti-aging is a concern. As someone who works in medical esthetics, I am very interested in the role this product plays in wound healing, tissue remodeling as well as it’s anti-tumor effect and ability to protect DNA from the damaging effects of radiation. I think this product would be very beneficial for those with thin or impaired skin that may have reduced wound healing ability due to medical conditions or treatments.
This serum uses intelligent proteins that target damaged sites, strengthen dermal structure, to smooth fine lines and firm skin. YOUTH SERUM’s safe, bio-identical growth factors gradually rebuild lost collagen to reduce fine lines and wrinkles long-term. The patented Extremozyme® technology, combined with a powerful blend of antioxidants, including vitamins A, C, E, and centella asiatica, encourage cellular health, provide UV photoprotection, and prevent environmental damage. The result is a more youthful, vibrant, and resilient complexion.
• Clinically proven to increase collagen synthesis
• Contains safe growth factors that shield skin from cancer development, improve skin firmness and elasticity
• Helps prevent DNA damage (Extremozyme technology)
• Excellent for use under makeup
Copper Tripeptide-1 Growth Factor – Copper Tripeptide-1 sequence is found naturally in your bodies collagen, and it stimulates the synthesis of new collagen. This is a bioidentical growth factor, which means that your body recognizes it and it can be put to use immediately. This growth factor has been shown to prevent tumors, helping to protect skin from cancer development. It stimulates collagen production, which restores the skin’s structure and smoothes wrinkles over time.
Extremozymes – Think of them like “extreme” enzymes, these enzymes are harvested organisms that are able to withstand extreme conditions.These enzymes work to nuture skin and prevent free radical damage with powerful antioxidants. Clinically proven to repair and protect fragile proteins and DNA components.
Intelligent Peptides & Proteins – Primarily pseudoaltermonas ferment extract, which is a glycoprotien from the Antarctic Sea. Clinically proven to adhear to damaged sites, providing targeted regeneration.
Active Algae Extracts – A potent intertidal seaweed extract, that is a rich source of a rare amino acid found only in collagen – which triggers the epidermis to repair collagen loss.
Asiaticoside, Asiatic Acid, & Madecassic Acid Sourced from Centella Asiatica – Efficacious antioxidants that stimulate collagen synthesis and improve microcirculation, capillary flow and vascular tone, to promote wound healing and reduction of scar tissue.
Vitamin A, C & E Blend – Powerful vitamin antioxidant blend.
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It seems that the “inner thigh gap” has become an obsession for many women. The internet is absolutely littered with “ITG” or “inner thigh gap” propaganda. Obtaining this goal can be dangerous, if you are dropping to an unhealthy weight. There are however, options to help you achieve the coveted thigh gap, with out starving yourself.
About Fat Cells
Our bodies, generally do not create new fat cells after puberty. While the actual number of fat cells remain the same, they do change in size. Each fat cell will become larger with weight gain (stored fat), and when we lose weight (reduced body fat) each fat cells shrink. Where the fat cells are concentrated within the body, will vary, individually. Although, diet and exercise can reduce the size of fat cells, it will not reduce the number of fat cells or change the concentration of fat cells in a specific area. Luckily, there are procedures that can reduce the number of, or shrink fat cells in a targeted area.
Cosmetic procedures are ideal when you want to reduce the concentration of fat in a specific area, however they are not intended to be used for weight loss. Cosmetic procedures target subcutaneous fat, which is found underneath your skin, but over the muscle. Cosmetic procedures do not target visceral fat, which is below the muscle and surrounds internal organs. Exessive visceral fat is associated with many serious health problems, and needs to be controlled with a healthy diet and exercise.
Liposcuction is a surgical procedure, where fat cells are physicaly and permently removed from the treated area. Liposuction has long been used to remove fat, but we now have non surgical options, such as CoolSculpting and Velashape to treat targeted areas of fat.
VelaShape™ is a non-surgical option that uses a combination of Bi-Polar Radiofrequency (RF), Infrared Light Energy, plus Vacuum and Mechanical Massage to increases the metabolism of stored energy, increases lymphatic drainage and reduces or shrinks the size of the actual fat cells and fat chambers. In short it shrinks fat cells, tighten skin and reduce cellulite. Velashape allows you to target the fat cells in the treated are. Most people should expect to do a series of 5 treatments, each treatment scheduled about 2 weeks apart. This treatment is very comfortable and with out any down-time. A typical treatment takes about an hour per area.
CoolSculpting™ uses controlled cooling to freeze and eliminate unwanted fat cells without surgery or downtime. CoolSculpting procedure is similar to liposuction, because it actually reduces the number of fat cells in the treated areas permenatly. Results can be seen as early as 6 weeks and continue to improve up to 4 months after each treatment. Most people should expect to do about two treatments per area.
Motivation & Self Image
Most of the people I see in the clinic are a healthy weight, but would prefer to reduce the fat between their thighs, without dropping a lot of weight. These women are good candidates for aesthetic contouring procedures. My concern is with anyone who may have an unhealthy body image and an inner thigh gap is a measure of how thin they have become. If you are hopeing for an inner thigh gap, you need to ask yourself if you have a healthy goal or if you are struggling with body image and a possible eating disorder. In general a BMI below 18.5 is underweight, but if you are not sure consult with a doctor. History has shown us, that like beauty trends, body type prefreances will come and go, but healthy is always pretty.
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I’m letting you all in on my personal experience getting plastic surgery. After having 2 children and breast feeding both of them, the volume that was once there in my early 20’s was not there. Can we say deflation?! After trying on a swimsuit and having hardly any volume up top and feeling frustrated, I told myself it was time. I was not happy with the way my breasts looked anymore. Luckily for me, I work for an extremely talented plastic surgeon, Dr. Geoffrey Leber. After seeing all of his happy patients, and how they would glow and their confidence boosted and seeing countless before and after pictures, I knew I was in good hands and that I would get a great result. My decision was made. I had a consultation with him and explained the look that I was going for and that I was just looking to replace volume and have a natural looking breast. He understood what I wanted. He took my measurements and a 3-Dimential photo with a system called the Vectra, that was able to measure my chest wall and minor asymmetries. It was super high tech and he was also able to select the size, brand, and type of implant that he would place in my breast. It was very helpful to get to see what my breast would actually look like with implants.
After my consultation Dr. recommended the Sientra brand, textured silicone implants, moderate profile, and for them to be placed under the muscle and the incision to be in the inframammary crease (under the breast, in the crease). The Sientra brand is highly cohesive silicone which means that if you were to cut the implant in half and squeeze it apart it wouldn’t leak out. This is the true “gummy bear” implant. They call it the “gummy bear” implant because if you cut a gummy bear in half it is similar to what the implant would do if cut in half.
The day of surgery, I arrived at Paradise Valley Cosmetic Surgery Center and checked in. I was super nervous, but Dr. Leber gave me a hug and assured me that all would be okay, I felt much better. After he marked my breasts, I met with the anesthesiologist and then went back for surgery shortly after. My surgery was only an hour and when I woke up the nurses had dressed me and I was being wheeled out to my car and ready to head home! I asked my husband to drive by my office which is located in the same parking lot as the surgical center, I wanted to say hi to my co-workers! They thought it was great how excited I was after just coming out of surgery!
That day when I got home I was in a moderate amount of pain, and so I basically laid in my recliner chair and dozed off for most of the day while making sure to keep up on pain meds. For the most part, I would say that most of the pain was the first four days. I was still able to get up and walk around, but did not do any housework or anything like that. By day five, a little ibuprofen took care of any discomfort. I had my surgery on a Tuesday and I was back to work the following Monday, with a light day of performing facials and lasers.
So here I am, over a year later and very happy with my decision to have breast augmentation surgery. Dr. Leber did an amazing job and has the best bedside manner. He just recently updated his website and has thousands of before and after pictures for all of the surgeries he offers! www.drleber.com
Skin Medica’s new GlyPro ia a glycolic acid cleanser that uses eco-friendly microbeads to give you the combined benefits of chemical and manual exfoliation. This encourages skin cell turnover while reducing the look of premature aging. It will also help to refine pore size, smooth and brighten skin, and unclog pores.
APPROPRIATE FOR: All skin types
If you like facial scrubs or cleansers with scrubbing microbeads you will like this cleanser. If you like other glycolic product lines, such as Vivite, MD forte or JanMarini’s Bioglycolic, this will likely be a favorite.
PURPOSE: Sloughs off the top layer of skin to reveal fresh, new skin. Proper deep cleansing improves efficacy of other skin care products.
WHEN TO APPLY: Use 2 – 3 times a week, in the morning and in the evening as tolerated. Alternate GlyPro with your regular cleanser. We do not recommend using this cleanser to remove I make-up.
WHERE TO APPLY: Evenly onto face (neck and chest if desired)
HOW TO APPLY: Moisten skin with lukewarm water. Apply a small amount to fingertips, add a little water and gently massage into face (neck and chest if desired). Rinse thoroughly with warm water. After cleansing and gently patting skin dry, apply other treatment products if you are using them, followed by moisturizer and sunscreen (a.m. only)
Key Ingredients & Benefits
Glycolic Acid → an alpha-hydroxy acid that helps diminish the appearance of fine lines and wrinkles, and helps support natural skin turnover for smoother-looking, softer skin
Eco-friendly Microbeads → an exfoliant that helps slough off the top layer of skin
Salicylic Acid → a beta-hydroxy acid that pairs with glycolic acid for more complete skin renewal
Olive Leaf Extract → a highly active antioxidant and soothing agent; polyphenols help improve skin hydration
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Stars like Angelina Jolie and Kim Kardashian are rumored to be fans of Collagen Induction Therapy, also known as micro-needling. Collagen Induction Therapy is a minimally-invasive skin rejuvenation treatment designed to improve the appearance of fine lines, wrinkles, scars, and even stretch marks of the face and body by improving collagen production in the skin.
About Collagen in The Skin
Collagen is the main structural protein of the skin, it is produced by a cell in the dermis called fibroblast. Collagen works with elastin and keratin to provide tensile strength, firmness, elasticity, resilience, and skin density. Throughout life the activity of the fibroblast slows and the genes that degrade collagen become more active, as a result collagen levels continuously and progressively decline. Adding insult to injury, the quality of collagen is also degraded and less organized. There are a variety of influences that can further accelerate the decline of collagen, such as genetics, hormones, and sun damage. Collagen begins to decline in our 20’s, and by the time we are in our 40’s, it’s about half of what it was at 18.
Scar tissue is also composed of collagen, but the organization of the collagen is different. In scar tissue, the collagen is aligned in a single direction, instead of a random basket weave formation.
How it Works
Micro-needling delivers tiny needles into the epidermal and dermal layers of the skin creating micro-injuries. These micro-injuries to the skin break up old collagen strands which cause the skin to begin a natural wound healing or renewal process. During the renewal process, skin releases growth factor which triggers fibroblast proliferation, matrix production, followed by the deposition of collagen, elastin, proteoglycans, and GAGs. This tissue remodeling results in an increase of collagen production that is better organized. This collagen induction process can improve lines, wrinkles, scars, and stretch marks. Micro-needling is an exciting anti-aging option to induce collagen, even at an early stage.
The best part is, there is little to no down time, and, with topical anesthetic, it is very comfortable.
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Can you imagine that in 10 years from now, that you could look 2 years younger than you do today? A recent study may have discovered the fountain of youth in a popular skin treatment that utilizes BBL technology, also known as IPL.
PhotoFacial is a popular skin treatment that utilizes IPL (Intense Pulsed Light) technology also known as BBL (Broad Band Light). Traditionally, IPL/BBL technology has been used to treat reds (vascular) and browns (pigmented spots),but new research shows impressive anti aging benefits.The study looked at the effects that BBL treatments had on the skin over a period of nine years. They found that with continued treatments over the nine years, skin looked two years younger than it did before treatment.
Why Does Skin Look Younger
Many of the treatments that we use in aesthetics, benefit from skins wound healing ability to produce collagen. Although IPL/BBL treatments do cause a wound healing response that will stimulate collagen production for the first 3 weeks post treatment, it isn’t exactly long enough to account the level of anti aging results observed. So, then, why did the skin look younger?
The study revealed that ongoing BBL/IPL treatments positively effected gene expression in the skin to mimic that of a younger person. Gene expression is the process by which information from a gene is used in the synthesis or form a functional gene product, usually a protein. Aging is associated with changes in gene expression, which is most evident in the skin.
The study indicates “that patients who maintained a regular annual or biannual regimen of BBL treatments over 5 to 11 years can reduce and delay the long-term signs of skin aging such as photo damage, telangiectases, fine lines and wrinkles, and skin laxity in a natural way.”
BBL has been shown to change the expression of genes associated with aging, longevity, and increased lifespan.
Before Treatment: 43 Years Old | After Treatment: 55 Years Old
After 12 Years of Forever Young BBL treatments, the skin looks younger…
How To Stay Forever Young with BBL/IPL
The protocol that we use for this treatment is more advanced and differs slightly from traditional “Photofacials”. IPL/BBL devices use something we call “cut-off” filters, which are used and changed to target specific chromophores in the skin, for example the color in melanin (browns) or hemoglobin (reds). The best IPL/BBL devices are equipped with several “cut-off filters” that the technician can switch between during a treatment. With a traditional “photofacial” treatment we use these “cut-off filters” to specifically treat brown spots and reds such as broken blood vessels and we work only until we reach what we call a “clinical end point”, which basically means we have treated the targeted lesions. With this new approach we treat with multiple “cut-off filters” and make more passes over the skin than we do with a traditional IPL/BBL treatment. We are not focused solely on treating reds and browns, but also on rejuvenating the skin to act more youthful.
To delay aging, I generally recommend a series of 3-5 treatments, spaced 3-4 weeks a part. A treatment series should be repeated annually or biannually depending on level of improvement desired. I would like to emphasize the importance of a comprehensive approach to aging, as the aging process is multi-faceted and ongoing. Regardless of how great any treatment is, it will never replace the need for treatments that address the other aspects of aging. – One treatment does not necessarily replace the need for another. Consult with your skin care professional to determine which treatments are best for you.
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Ultherapy has become a popular anti-aging treatment for those looking to tighten, lift and avoid the thin skin associated with aging. The common question with any aesthetic treatment is “how long the effects will last” and with Ultherapy, the answer is a long time.
How Does Ultherapy Work?
Ultherapy is the only device that is cleared for skin tightening and lifting. It uses focused ultrasound to precisely target and treat tissue at three levels, the Superficial Dermis, Deep Dermis and most importantly the SMAS which is at the top of the muscle, all while leaving the surrounding tissue intact. We are not able to treat all these areas with chemical peels, micro-needling or even other devices such as lasers or Radio Frequency. So basically…. this is as good as it gets with the exception of surgery.
As we age the processes within the skin begin to slow, our skins fibroblast are more sluggish and we produce less hylauronic acid, elastin fibers become weak, we produce less collagen and our collagen becomes un-organized. This all results in lax skin that is less firm and thinning.
Many of the treatments we use in aesthetics, benefit from the skins wound healing ability. By creating a wound healing response in the skin we stimulate the fibroblast to produce more collagen. The type and length of the wound healing benefits can vary, depending on how and where the “wound” was created. For example a scratch or something like microdermabrasion may only be 14 days of increased collagen production, an IPL / BBL treatment is about 3 weeks, and RF treatments around 6 months. Ultherapy leads to an inflammatory wound healing response which stimulates long-term tissue remodeling and leads to further lifting and tightening. Increases collagen production is seen in skin biopsies 12 months after treatment.
Clinical tightening and lifting can be seen as early as 3-6 weeks,but the most appreciable results are seen at 3 months. The duration of response after a single treatment can be up to 2 years.
Anti-Aging Benefits of Ultherapy Observed in Study
– Increased dermal collagen by over 23.7%, new collagen is organized
– Increased over all dermal thickness
– Increased New collagen Type I (21%-30%) and collagen Type III (48%-68%)
– Increased amount of elastin, elastin fibers are more parallel and straighter
Repeating Ultherapy Treatments
The aging process is continues and regardless of which procedure you choose, maintenance is always necessary. The exact longevity of results with any treatment depends on your body’s ability to produce, maintain and breakdown collagen. The frequency of treatments will depend on age, health, lifestyle, condition of skin, other anti-aging measures taken and desired results. Although one year between treatments is most common, many opt for a second treatment as early as 6 months to boost results.Those who are younger may go as long as 2-3 years between treatments. Ultherapy works best as part of a comprehensive approach to aging, your skin care professional can work to customize a plan for your specific needs.
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Summer time heat and sun can contribute to common skin concerns such as skin discolorations, sun damage, free radical damage, heat induced inflammation, acne, premature aging and skin cancer. With the appropriate skin care products you can prevent some of this damage while still enjoying a little fun in the sun.
I have always referred to “summer as acne season”. It is hot and everyone is sweating, this can contribute to an increase in clogged pores and breakouts. First of all, you need an actual facial cleanser. Facial wipes, makeup remover and shower gel, do not count as a facial cleanser. In the summer I recommend a foaming cleanser, if you have dry skin use a gentle foaming cleanser. It is also good to incorporate an exfoliating cleanser with active ingredients such as glycolic or salicylic acid with exfoliating granules that are not too abrasive. I usually recommend using an active cleanser at night and your basic foaming cleanser in the morning. Some active cleansers are stronger than others, so be sure to consult with your Esthetician for recommendations on which product is best for you and how often you should use it.
Exfoliating Cleansers We Like : AHA/BHA Exfoliating Cleanser or GlyPro Exfoliating Cleanser by Skin Medica, Offects Exfoliating Cleanser by ZO, BioGlycolic Rusurfacing Body Scrub by Jan Marini.
Daytime Antioxidant with Vitamin C
Sun exposure and pollution cause oxidative stress on skin. Oxidative stress can directly damage cell membranes, proteins, DNA as well as turning on the cellular and molecular mechanisms that accelerate aging. This means a break down of collagen, less collagen production and increased inflammation. Use topical antioxidants during the day to help combat the many free radicles we encounter during the day and reduce inflammation in the skin, which can result from heat and sun exposure .
Some antioxidants such as vitamin-C, have photo-protectants abilities and are believed to enhance the effectiveness of sunscreen. A photoprotectant works by neutralizing the UV rays, rather than reflecting or absorbing UV rays like a sunscreen, so use them together to maximize your protection.
Nighttime Antioxidant with Resveratrol
Most topical antioxidants are used during the day, however resveratrol is best used at night. Resveratrol has a dual antioxidant capacity. This means that not only does resveratrol scavenge free radicals from the environment, it also works to increase the production of the bodies own “endogenous” antioxidants. The depletion of naturally occurring (endogenous) antioxidants contributes to aging. Resveratrol preserves collagen, so it helps to reduce “thinning” of the skin. It is important to know that resveratrol is degraded by UV rays, so it must be used at night. Additional benefits include:
– Reduce skin inflammation
– Helps with skin discoloration (tyrosinase inhibitor)
– Inhibits non-melanoma skin cancer formation, when applied topically
– Positive effect on extrinsic and intrinsic skin aging
– Works synergistically with antioxidants such as vitamin E
– Increased epidermal and dermal skin density ( with topical Resveratrol BE )
Pro-Niacin delivers niacin to the skin cells and enables healing from within, helping the skin repair and protect itself from sun damage. Nia24 has a line of products that contain Pro-Niacin, including the neck and décolletage. The Nia24 Skin Strengthening Complex is a light weight daily moisturizer that contains 5% Pro-Niacin, Vitamin-A, antioxidants, ceramics and peptides.
Broad Spectrum Sunscreen
It seems pretty obvious to use a sunscreen, but choosing the best sunscreen can be confusing. You should select a product that is an SPF-30 or above, but more importantly it should be broad spectrum. Broad spectrum means it will protect skin from both UVA and UVB rays. There is currently no rating that measures UVA protection. I recommend looking for a sunscreen that contains Zinc Oxide as it is the most broad band protectant and also works to block some of the heat that can contribute to inflammation, rosacea flareups and broken capillaries.
Do not forget to protect the delicate skin around the eyes, which is highly susceptible to skin cancer. Skin Cancers on the eyelid can be difficult to detect and challenging to treat. If you find that your eyes sting or burn with your usual sunscreen, try Skin Ceuticals Physical Eye UV Defense, it is formulated for the area around the eye and will not migrate or run into your eyes. In addition to protecting the skin from the damaging effects of the sun it is also slightly moisturizing and tinted. I use this on my kids and it is easy to put on them without a fight.
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