Skin Solutions

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There are treatments to try; if you have started to notice changes in your skin that you think can be attributed to DNA damage (wrinkles, hyperpigmentation, dull skin, etc.), then see your dermatologist about in-office procedures. Some are more invasive than others, so research your options before getting in the chair. Here are a few of my favorites for women all ages and races.

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Theraplex peels. Chemical peels are among the least intensive options for fixing damage done by sun exposure. I like the Theraplex peel that is 25 percent salicylic acid for gentle exfoliation. Plus, this peel is safe for all skin tones and has no downtime.

Fraxel Re:Store Laser. This resurfacing laser works on skin types ranging from the lightest of the light to the darkest of the dark and helps with deeper pigmentation issues, including acne. People are usually able to return to work the next day, which is incredible considering that it can diminish the signs of crows feet, age spots, melasma and precancerous lesions.

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Allumera. This is the first non-invasive photodynamic cream that can even out skin tone and improve texture. You need to avoid the sun for two days after having the cream applied by your doctor, so plan accordingly. When it comes to pigmentation issues, I find that my patients are willing to undergo more involved treatments to fix their problems faster. Pore size is reported to decrease in 44 percent of patients after three treatments.

Botox and Fillers. These two products usually do more than almost any other product there is to decrease fine lines and wrinkles, build collagen, plump up the face and keep women and men with sun damage looking significantly younger. I have used both of these on my patients since 1994 and have been involved in many of the clinical trials. Botox is my favorite for the forehead and I use Restylane, Perlane and Juvederm for fillers.