57 Years Old Male. Skin Type Fitzpatrick 4 What is the Best for Skin Rejventation?

57 Years old male .skin type Fitzpatrick 4 what Is the best for skin rejvenation ?

Doctor Answers 5

Skin Rejuvenation

With type 4 skin you need to be careful about treatments that will cause problems with pigmentation. My preference would be sublative radiofrequency (RF) treatment to improve superficial texture. To treat deeper lines, creating new volume and elasticity, ePrime fractionated RF is fantastic. Both work extremely well in type 4 skin and can be used as a combination treatment.

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Radiofrequency Devices

You have received some very good advice thus far regarding your question. Even with type 4 skin, a board-certified dermatologist or plastic surgeon should evaluate you to learn what your best options are for rejuvenating your skin. What I will tell you is that you should start, as noted, with a good skin care routine. Then, based on what is needed, you can work with your provider to determine which of the energy-based devices are best for you. Please keep in mind that all of these devices that we use here are also used in Asia, which has become one of the biggest places for laser companies to be doing business so they all spend considerable efforts there to make sure that their devices are all working successfully on the skin colors commonly seen in Asia, which means darker skin types. Also know that radiofrequency (RF) is color blind so the skin tightening RF devices are safe for you to have done, as well as the RF sublative devices and the RF microneedles, depending on what is needed. And ultrasound is also color blind, so skin tightening with it will also be safe. Consult with your doc and find out which is best for you.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.5 out of 5 stars 10 reviews

Rejuvenated skin begins with a strong foundation of skincare

Hi Aziz! Before looking into procedures, it would be great to start building a strong foundation of skincare. Gentle skincare and SPF are very important. Even though you are skin type 4, a daily SPF 30+ will protect you against harmful UV rays, which can still damage your skin. Recommended sunblocks for skin of color include SkinCeuticals Physical Fusion UV, EltaMD SPF 41 UV Physical Broad-Spectrum Sunscreen - these sunblocks contain a bit of color which will look very natural for your skin tone, while providing the most protection against UV rays.

Next, I recommend a retinoid product, such as Tazorac, Retin-A, etc. These creams/gels will help your skin "renew" itself and rejuvenate by stimulating collagen production, evening out skin tone, tightening pores, and preventing acne. 

After you have built a strong skincare foundation, then you can start to consider other treatments as mentioned earlier! Good luck.

Andrea Hui, MD
San Francisco Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

Skin rejuvenation for Fitzpatrick 4 skin type

You must be very cautious having skin treatments that based there rejuvenation on heat.  The problem is that he producing treatments like IPL, radiofrequency and CO2 laser can cause a burn injury which could cause you to lose pigment.

All of the topical skin treatments including micro-dermabrasion, Retin-A, and others can be helpful.

If you have loose skin and surgical lifting is a better option then laser resurfacing.

Currently non-ablative fractional erbium laser resurfacing is safe for darker skin types.  For more information see the link below:

Protect your Skin

Choosing the form of energy that may be kindest to the color of your skin may be the best answer. So why not choose Ultherapy, which uses ultrasound energy to not only tighten but to lift. Of all treatments perhaps it has the least chance of pigment darkening.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.