I am want to correct sun damage on my face. I'm 64 yrs. old. I use retinol daily at night. I used to get a Trinity treatment annually & that took care of sun damage spots on my face, as well as skin tightening. It worked well but was very painful. I'm interested in non-surgical only. What is more effective to remove sun damage now? Chemical Peels or Microneedling? My doc uses the Skin Pen for Microneedling. I haven't tried either yet. Will wait for your advice. Thanks. :-)
Answer: Chemical peels can help even out skin tone. Recommend doing IPL or Clear & Brilliant to further remove sun spots Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
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Answer: Chemical peels can help even out skin tone. Recommend doing IPL or Clear & Brilliant to further remove sun spots Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
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July 29, 2018
Answer: Improving spots with lasers (fraxel, IPL, tattoo laser, Excel V, Pulsed Dye), microneedling/prp Thank you for your question, both the Chemical Peel and M+N will give you some improvement with sun spots. However, a combination approach will give the most improvement long term with lasers (Fraxel, Tattoo lasers, Excel V, Pulsed Dye) and microneedling/prp. It may take a few treatments to get improvement and will need life-long treatments to maintain. See an expert. Best, Dr. Emer
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July 29, 2018
Answer: Improving spots with lasers (fraxel, IPL, tattoo laser, Excel V, Pulsed Dye), microneedling/prp Thank you for your question, both the Chemical Peel and M+N will give you some improvement with sun spots. However, a combination approach will give the most improvement long term with lasers (Fraxel, Tattoo lasers, Excel V, Pulsed Dye) and microneedling/prp. It may take a few treatments to get improvement and will need life-long treatments to maintain. See an expert. Best, Dr. Emer
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August 17, 2018
Answer: Sunspots and hyperpigmentation Hi! Thank you for your question! I think that either peels or laser treatments would be your best option to address sunspots/hyperpigmentation. While microneedling is an amazing treatment for a variety of other concerns, it’s not the most effective when trying to impact pigment. It’s also important to factor in your individual skin type and lifestyle, which can most easily be done with an in-person consultation. Please see a Board Certified Plastic Surgeon to review different options for both peels and laser treatments, and you may find that a combination approach will yield the best results. Thanks!
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August 17, 2018
Answer: Sunspots and hyperpigmentation Hi! Thank you for your question! I think that either peels or laser treatments would be your best option to address sunspots/hyperpigmentation. While microneedling is an amazing treatment for a variety of other concerns, it’s not the most effective when trying to impact pigment. It’s also important to factor in your individual skin type and lifestyle, which can most easily be done with an in-person consultation. Please see a Board Certified Plastic Surgeon to review different options for both peels and laser treatments, and you may find that a combination approach will yield the best results. Thanks!
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July 30, 2018
Answer: Skin spots In the short-term, hyperpigmented areas of the face and neck such as sunspots are best treated by keeping the areas out of the sun and protected when outside. They may fade on their own or can be treated with energy-based treatments such as laser and intense-pulsed light (IPL photofacial). Another option which can be used synergistically is topical "bleaching" creams such as hydroquinone, however care must be given to apply the cream only to areas that are darker to avoid lightening normal skin. Maintenance skin care such as chemical peels and topical creams should be used to maintain beautiful and youthful skin in the long-term. Microneedling is not as effective since it does not penetrate into the deepest layer containing the pigment cells. I prefer to use microneedling for textural issues rather than color issues. It is important to wear sunblock and to protect your skin whenever outside. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps! Johnson C. Lee, MD Board-Certified Plastic Surgeon IG: @drjohnsonlee
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July 30, 2018
Answer: Skin spots In the short-term, hyperpigmented areas of the face and neck such as sunspots are best treated by keeping the areas out of the sun and protected when outside. They may fade on their own or can be treated with energy-based treatments such as laser and intense-pulsed light (IPL photofacial). Another option which can be used synergistically is topical "bleaching" creams such as hydroquinone, however care must be given to apply the cream only to areas that are darker to avoid lightening normal skin. Maintenance skin care such as chemical peels and topical creams should be used to maintain beautiful and youthful skin in the long-term. Microneedling is not as effective since it does not penetrate into the deepest layer containing the pigment cells. I prefer to use microneedling for textural issues rather than color issues. It is important to wear sunblock and to protect your skin whenever outside. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps! Johnson C. Lee, MD Board-Certified Plastic Surgeon IG: @drjohnsonlee
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July 30, 2018
Answer: Which treatment is more effective for removing sun spots? Chemical peel or microneedling? It depends on the type of sun spots, your overall skin condition and health. That is why it is very important to get an assessment from an experienced physician. I think in your age group I would have a deep chemical peel first. Reassess your face 6 weeks after and decide if you are a candidate for microneedling or a series of IPL.
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July 30, 2018
Answer: Which treatment is more effective for removing sun spots? Chemical peel or microneedling? It depends on the type of sun spots, your overall skin condition and health. That is why it is very important to get an assessment from an experienced physician. I think in your age group I would have a deep chemical peel first. Reassess your face 6 weeks after and decide if you are a candidate for microneedling or a series of IPL.
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