I suggest that my patients take a proactive approach to...

I suggest that my patients take a proactive approach to the appearance of their skin from an early age. We should all be exfoliating and moisturizing our skin on a daily basis.

• I recommend microdermabrasion treatment, or an Alpha Hydroxy acid (such as glycolic or lactic acid) to remove dead layers of the skin. Both are available over the counter. Interestingly men exfoliate their facial skin each day when they shave, so they have this advantage.
• Moisturizing the skin from youth will help prevent wrinkles from forming prematurely. The use of Retin-A is also crucial as it helps the body maintain its collagen layers as we age, long before the visible signs of aging set in. In fact, it is the only such treatment that can do so.
  • Botox is also one of the best preventative treatments for aging. When we flex the muscles of the face the skin folds. Over time this will etch the skin surface, causing wrinkles. I have many patients who start preventative Botox treatments in their twenties.

Facial exercises should never be done to your skin. The muscles of the face are the only muscles in the body that are attached to the skin, so that when you "exercise" your facial muscles, you are actually dragging the skin around, causing further wrinkling and stretching.

If you want to look young, keep your face still and don't show any emotion -- but this would make life pretty dull!

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Collagen stimulating intense pulse sources, collagen stimulating lasers, and skin tightening radiofrequency technologies prevent wrinkling and aging skin laxity.

Volumetric fillers and Botox restore volume and diminish neuromuscular activity, diminishing the need for surgical procedures.

• Reduce sun exposure.  If you are in the sun, renew sunblock every three hours, or after swimming.
• Also stop smoking, it robs the skin of nutrition and ages the skin prematurely.

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