I am 32 but Look 10 Years Older.I Have Dry Skin and Have Dark Spots in my Face.

What are my options?

Doctor Answers 2

Sundamage treatment in a 32 year old

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Sundamage, or photodamage, usually does present with fine or deep lines from the ultraviolet A damaging the dermal collagen and brown spots, or lentigines, from epidermal melanocyte (pigment cell) activity. There are many treatments for this but very importantly, use an ultraviolet A and B sunscreen every day otherwise the money you'll invest in treatment is going down the drain.

1. Topicals, such as antioxidants, Tretinoin (Retin-A) prescription, lightening creams

2. Chemical peels, superficial such as Jessner's, glycolic acid, salicylic acid, trichloracetic acid may help make topical medications work better.  Too strong a peel can scar! See an expert.

Medium depth chemical peel, stronger than above, can lighten the skin in one treatment and help fine lines minimally.

3. Microdermabrasion, a series of treaments along with topical cream at home.

4. Fraxel Restore, Fraxel Dual, the latter can provide Significant improvement with only one treatment! Some patients benefit with a second Fraxel Dual.

5. Plasma resurfacing, Energist, formerly Portrait. Helps reduce brown spots, fine lines and improve texure.

6. Fraxel Repair laser resurfacing, more down time and risk, designed for brown spots with more deep lines.

See an experienced board-certified dermatologist or plastic surgeon.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

You have many options

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You have many options but a lot will depend on what your skin looks like so a photo would be helpful. If you have a lot of dark spots laser might be a possibility but whether it is or not and what laser to use would depend on your skin 's baseline pigmentation. There are bleaching creams that can fade dark spots as we  as treatments like different peels. You should use a sunscreen every morning and probably a retinoid at night. 

Jo Herzog, MD
Birmingham Dermatologist
4.8 out of 5 stars 20 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.