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  • Nov 17, 11

    For pigmented scar removal, we use both the pulse dye laser (for reddish scars) and the Medlite and Palomar q-switched lasers to remove darker colored scars (brownish or black scars). The Cynosure V-star is used to close the small blood vessels that cause red colored scars, which in turn helps the injured area match the color of the surrounding tissue. Q-switched lasers (Palomar and Medlite) are used to break up areas of excess pigment in the body by heating up the melanin (excess color) more so than the surrounding skin tissue. This in turn helps return the injred area to the same skin tone as the surrounding area.

    • For pigmented scar removal, we use both the pulse dye laser (for reddish scars)  and the Medlite and Palomar q-switched lasers to remove darker colored scars (brownish  or black scars). The Cynosure V-star is used to close the small blood vessels that  cause red colored scars, which in turn helps the injured area match the color of  the surrounding tissue. Q-switched lasers (Palomar and Medlite) are used to break  up areas of excess pigment in the body by heating up the melanin (excess color)  more so than the surrounding skin tissue. This in turn helps return the injred area  to the same skin tone as the surrounding area.
    • "If a dark patch has been present for a year or more, the pigment is probably pretty deep beneath the skin; a laser is the best option to get rid of it. On light skin, I use the Q-switched or KTP laser, which feels like rubber-band snaps; you'll have a few scabs afterward that fall away after about two weeks. One or two treatments are usually enough to vaporize specific dark spots. Lighter-skinned patients with more diffuse pigmentation do beautifully with four or five monthly intense pulsed light (IPL) treatments. IPL minimizes discoloration and other symptoms of sun damage, like broken blood vessels and enlarged pores; it's painless and doesn't involve downtime. For darker-skinned patients, I usually recommend fractional nonablative lasers, like the Fraxel Re:store. I turn down the energy on the machine so patients don't leave the office red or swollen, and there's no risk of causing post-inflammatory hyperpigmentation. These less-intense treatments do necessitate four to six sessions, though.
      • Your Options:
         
           
        • A.M.: Sunscreen
           
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        • A.M./P.M.: Glycolic or lactic acid cleanser and moisturizer
           
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        • Hydroquinone cream, OTC (like Ambi Fade Cream, $6), or prescription, $50, three to 24 weeks
           
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        • Two or three monthly chemical peels, $100 to $150 each
           
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        • For lighter skin: One or two KTP or Q-switched laser treatments, $250 to $500 each, or four to six monthly IPL treatments, $250 to $350 each
           
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        • For darker skin: Four to six monthly fractional nonablative laser treatments, $750 to $1,500 each
    • 2. Not using a retinoid: Retinol, a form of vitamin A, is the only topical ingredient proven not only to prevent lines and wrinkles but to minimize the ones you already have. Past the age of 30, I recommend seeing a dermatologist for a higher-concentration prescription retinoid (like Retin-A, Differin, or Tazorac, for example), but there are also many great over-the-counter creams that contain lower concentrations of retinol. I like Roc Retinol Correxion Deep Wrinkle Night Cream, Neutrogena Healthy Skin Night Cream, and SkinCeuticals Retinol 1.0.
  • Jan 02, 12

    For example, alpha and beta hydroxy chemical peels offer medical benefits and are among the treatments worth the cost, but each has different benefits. “A common beta hydroxy is salicylic acid, which gets into the oil glands and is very good for someone with acne-prone skin,” she says. Alpha hydroxy acids are good exfoliators and beneficial for older skin that has lost radiance.

    • For example, alpha and beta hydroxy chemical peels offer medical benefits and are among the treatments worth the cost, but each has different benefits. “A common beta hydroxy is salicylic acid, which gets into the oil glands and is very good for someone with acne-prone skin,” she says. Alpha hydroxy acids are good exfoliators and beneficial for older skin that has lost radiance
    • She also advises facials that include retinoic acid, which helps slough off older skin cells, build collagen, and reduce the signs of aging. But you’ll need a treatment every four to six weeks to see results.
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