Fine wrinkles, brown age spots, roughened sunspots, pigmentary abnormalities and many sun-related conditions can all be improved with peels and laser resurfacing. This is essentially done by stripping away the dead outer layer of skin (epidermis) and stimulating re-growth within the deeper layer of skin (dermis).
As we age, the skin becomes dryer, rougher and thinner with the appearance of blotchy pigmentation particularly in areas exposed to the sun. Every day, thousands of cells die, fall off and are replaced by new cells from below. Unfortunately as we age, this becomes a slower and more haphazard process. The cells of the epidermis (top layers of skin) become large and irregular. Activity of the cells in the dermis which produces collagen and elastin decreases with age. The content of actual dermal collagen, which is the most important component of the dermis decreases by 1% per year after the age of 20. The collagen fibers become thicker and more brittle and the elastin fibers also decrease and break up with age. THE END RESULT: the skin is thinner and more susceptible to environmental conditions such as dryness, infection and skin cancer. The goal of all skin therapy including creams, peels and lasers is to remove the dead skin and stimulate cell regeneration and increased collagen production. The peel or laser creates an even controlled shedding of several layers of damaged cells. This exposes a new fresh layer of skin (at the dermal level) and a regrowth of skin with more even color and smoother texture. New cells are stimulated to grow in a more uniform direction, thereby tightening the skin, and thus decrease wrinkling.
There are many different types of peels and laser therapies that vary from being extremely superficial to deep peels. All peels, lasers and dermabrasion remove the epidermis and portion of the upper level of dermis (the papillary layer). The real difference is the actual depth or amount of skin removal that occurs and not necessarily the method or modality. The deeper the peel or laser, more wrinkles and deeper wrinkles can be removed and the smoother the skin – but at a cost. The greater the depth, the longer recuperative time. There is a higher chance for hypo or hyperpigmentation with lines of demarcation that may occur between the face that is being treated and the neck skin that is not treated. Additionally, deeper peels cannot be done on darker skin. Superficial peels or laser treatments such as the "photo-facial" and aesthetician "lunch time" peels have little down time and can improve the quality and texture of the skin in multiple treatment sessions over time. They are in no way as effective for rejuvenation or removal of facial lines and wrinkles as the deeper peels and laser resurfacing techniques.
Swelling and "crusting" of the skin are normal occurrences after peels, lasers and dermabrasion. Different regimens of postoperative care are provided for peels and lasers. The moderately deep peels and laser resurfacing procedures require at least a week of recuperation. In one to two weeks after surgery, new skin will emerge that is pink, finer and with less wrinkles. Redness of the skin will persist for usually up to 4 weeks or longer (usually with a laser procedure).
THE SECRET TO SUCCESS:
An understanding of the procedure and what it accomplishes is essential for a successful outcome. One must understand, that neither chemical peel, laser resurfacing, nor dermabrasion will correct or "lift" sagging skin which only a face lift will accomplish. However, fine imprinted lines around the eyes or mouth can only be remedied by skin resurfacing techniques. This is why the road to facial rejuvenation is a "multi-modality" treatment. Your surgeon should have ALL of the tools available, so that he can recommend the best one suited to your needs and specific problems.
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120 S. Spalding Drive, Suite 340
Beverly Hills, California 90212