Which is better for rejuvenating a dull complexion: microdermabrasion or light AHA peels? (Photo)

Question

I am 59 years old and have an oily sensitive pale skin and auburn hair. Years of using a sunbed has led to a coarse reddened complexion which looks dull. A course of microdermabrasion has lifted by skin(I can only tolerate it on a low setting and it leaves me red for 4 or 5 hours) but my therapist has recommended progressing onto light AHA peels. Would I be better suited to a glycolic, salicylic or mandelic peel or should I stick to microdermabrasion?

Nelson Lee Novick, MD · Answer

For over three decades I have been successfully treating photoaged skin with a series of superficial peels. My personal favorite for this purpose, and the one I most frequently treat myself and my family with, is glycolic acid 70%. A typical series consists usually of about six to eight treatments spaced at monthly or bimonthly intervals. Following that maintenance treatments may be performed as needed every few months. Other agents I have also used successfully for this purpose in appropriately selected individuals include salicylic acid, Jessner's solution and TCA in 10-15% concentrations. I have not been impressed at all with the results of IPL treatments normicrodermabrasion, both of which are frequently suggested by medspas and aestheticians for photoaged skin. As an aside, your photo suggests some facial volume less and hollowing of the cheeks, particularly on your left side, and a pretty prominent marionette line on the left side. You may wish to seek consultation with a board certified aesthetic physician regarding treating these problems with volumizing fillers, which would likely go a long way toward rejuvenating your overall look and smoothing the skin of the cheeks and perioral regions.Best of luck to you.

Linda Cecilia Honet, MD · Answer

The SilkPeel Dermalinfusion provides different solutions for all skintypes. SilkPeel uses a diamond tip handpiece exfoliating damaged skin cells, and evenly abrading the top layer of the skin. All while delivering a condition-specific topical being infused into the skin leaving you with even-toned, brighter skin. Whether you are trying to target acne, dark spots, redness, or dry skin, SilkPeel can be personalized to your needs. With no downtime, patients find SilkPeel Dermalinfusion more effective than most chemical peels.

Melvin Elson, MD · Answer

You look and sound like you would do best with a series of medium strength glycolic acid peels to smooth and brighten your complexion

Douglas Halliday, PhD, MD - Account Suspended · Answer

You have several options that can help.  For your age, a series of medium strength peels (such as a Circadia or SkinMedica peel) with the potential of combination of derma planing (for exfoliation and better penetration) would be recommended.Correct at home care would also be recommended including a top level moisturizer and retinol.From your photograph, we would also recommend you consider fillers.Best of luck.

Which is better for rejuvenating a dull complexion: microdermabrasion or light AHA peels? (Photo)

Answers (4)

Answer: Peel vs. Microderm

Answer: Peel vs. Microderm

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Everything you need to know about Microdermabrasion

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Which is better for rejuvenating a dull complexion: microdermabrasion or light AHA peels? (Photo)

Answers (4)

Answer: Peel vs. Microderm

Answer: Peel vs. Microderm

Browse related questions

Recommended reading

Everything you need to know about Microdermabrasion

Our mission is to create a world where every investment in modern beauty is Worth It.