Zein E. Obagi, MD

Before we do any peels, on all patients of all skin types, we prep the skin aggressively. We also have a comprehensive skincare program for patients after the peel to help control pigmentation that in many cases is expected in some skin types. Eventually the pigmentation will likely fade but you should make sure your dermatologist has placed you on a comprehensive skincare program post-peel.

At 72, you would still potentially be a candidate for a peel. I would suggest you see a dermatologist for a formal evaluation where you can review your health history and any medications or issues that may prevent you from receiving this treatment.

Our office sees patients with melasma from all over the world. We specialize in it. Melasma requires a comprehensive cream program, chemical peels, and sun avoidance. We have great success treating melasma this way and then maintaining creams to prevent the pigmentation from returning. Our controlled depth peel is one great modality used to control melasma for patients who seek perfection. We also have the 3 step peel which significantly helps pigment control when used with the cream program. 

First- you must make sure your doctor is treating your rosacea correctly. Constant use of antibiotics ends up making rosacea worse in the long run. 

For the redness of rosacea,  A PDL (laser) can also be used very well but needs to be repeated once per month to help control it. Sunscreen and avoiding heat/saunas, etc also help with the redness. 

Many years ago, full C02 laser ablation was utilized a lot. But we were seeing a lot of side effects like scarring, pigmentation issues, persistent redness, and a marble like quality to the skin. Now with fractional laser ablation technology- resurfacing can be performed in a much more safer way. In my practice, we utilize fractional laser resurfacing for its safety and efficacy.