Q: What Skin Resurfacing Can You Do?
The explosion of interest in facial skin resurfacing on the part of physicians has paralleled the desire of members of the general public to acquire a youthful appearance by rehabilitating photoaged skin. Many over-the-counter
“New, healthy, younger-looking skin replaces damaged skin.”
Patients have many questions before undergoing a resurfacing technique. Here are the ones I am most frequently asked.
Q: How Do You Evaluate Patients Before Selecting the Treatment Method?
Q: How Are Skin Types Classified in the Fitzpatrick System?
Q: What Are the Four Categories of the Glogau System?
Q: How Do Dark-Skinned Patients Respond to Treatment?
Q: Can Resurfacing Halt the Development of Skin Cancer?
Actinic keratoses can be treated by many different modalities including cryosurgery, topical 5-fluorouracil, tretinoin (Retin AO), and the erbium:Yag laser. Medium-depth chemical peeling is well suited for these epidermal lesions, as the entire face or a particular sub-unit of the face, such as the forehead, temples, and cheeks can be treated fully within a week to ten days. Deep chemical peels will produce a wound deeper than needed for the removal of epidermal lesions.
Q: Why Are Medium Peels Used for Actinic Keratoses?
Q: When Is Dermabrasion Your Treatment of Choice?
While dermabrasion improves wrinkles, the change is not as long-lasting as deep chemical peeling or laser resurfacing. This may be because heat produced by the laser has a greater thermal effect on collagen contraction and, therefore, on deep wrinkles. The degree of complexity for this procedure is greater than that for chemical peeling and is equal to that of laser resurfacing.
Q: What Are the Drawbacks of Dermabrasion?
Q: When Do You Favor Superficial Chemical Peeling?
Q: What is the Lunchtime Peel?
Q: When Do You Favor Medium-Depth Peeling?
Removal of diffuse actinic keratoses as an alternative to exfoliation with topical 5-fluorouracil chemotherapy.
Mild to moderate photoaging including pigmentary changes, lentigines, epidermal growths, and rhytides.
Melasma (a patchy discoloration of the skin) and dyschromia (abnormal skin color).
Used in combination with other modalities, i.e., dermabrasion and laser resurfacing, it can blend or unify areas of the face with mild to moderate photoaging changes.
Agents currently used include combination products-Jessner’s solution, 70% glycolic acid, and solid carbon dioxide combined with 35% trichloracetic acid.