The nice warm weather of the summer and the beauty of seeing the sun repeatedly over clear skies has made for a fun and productive season…and put a tan and a glow to that face. But with that good summer look lies some damage from the sun underneath. The suncreen you used (hopefully) and a hat were helpful but it can’t repair the ongoing damage to your skin cells from the UV rays that made it through or the damage that was there beforehand. To get skin healthier and looking better from sun damage requires the process of exfoliation. Whether this exfoliative process is superfical or deep will determine, how much recovery, cost, and the amount of improvement seen.
Medical facials are a good and pleasurable way to help nourish sun damaged skin. Light chemical peels and nourishing facial agents help infuse the skin with cell-boosting vitamins and minerals that will soften and hydrate dry facial skin. You will need a series of treatments in order to reap any long-term benefits but these need to be be repeated every few weeks as they are more about stimulation than exfoliation. Usually a facial is best combined with microdermabrasion or other skin resurfacing procedures (see below) for a more comprehensive treatment that gets a better result.
Microdermabrasion, a procedure which almost everyone has heard of, is a superficial exfoliating treatment that can help buff away dead skin cells and give your skin an immediate brighter gklow. It is usually combined with a light chemical peel to get a better result.Microdermabrasion can help brighten up a dull complexion and also boosts collagen production deep within the skin’s layers. You’ll see immediate results, and a noticeable difference in the texture and tone of your skin after a few days. Because it does not go very deep, it will not correct deeper wrinkles or heavily damaged skin. I like to think of microdermabrasion as a ‘maintenance’ treatment rather than a truly therapeutic one, meaning it is a good to other more aggressive treatments but do not expect miracles from it. Medical microdermabrasion treatments usually cost in the range of $125 – $175.
Resurfacing of your skin with the use of the laser is the most aggressive and successful approach to skin rejuvenation. By burning off the top layers, the outer layer of damaged skin is partially removed and the skin must heal by producing new skin cells. The result is a smoother, more youthful appearance and the elimination of sun damaged skin spots or patches of pigmented skin. The key to laser resurfacing, and the real progress made in this technology, is that you can control the depth of the exfoliation or burn. Measured in microns (typical facial skin is around 1000 microns thick), lasers can be adjusted to burn off as little as 6 to 100s of microns. Superficial laser resurfacing is around 6 to 20 microns, medium-depth laser resurfacing is 20 – 75 microns, and deep laser resurfacing is anything over 100 up to 200 or 300 microns. Superificial and medium-depth laser resurfacing can be done in the office under topical anesthesia and heals well in a week or less at a cost of $500 – $2000 for a full face treatment. Best results are obtained with a series of treatments over time. Deep laser resurfacing requires an anesthetic, usually a general, and takes weeks to heal and will run in the $3000 to $4000 range. Which method you would choose depends on the time you have for recovery, your budget, and how fast you want to get the best result.
Photofacials are a well known skin treatment method that is poorly understood. It is not laser therapy but a high-intensity light treatment. Some know it as IPL (intense pulsed light). We use a higher intensity treatment known as BBL or broad-band light. It’s single best benefit is in helping reduce sunspots, freckles, and superficial pigment changes. It is very effective for facial, neck, chest, and hand age spots and pigmented sun damage. It is not an exfoliative treatment, jut think of it as most effective for helping even skin tone. It is an adjunctve treatment to skin resurfacing and chemical peels, not a substitute.
A variety of good after-the-summer facial treatments are available that can clear up summer sun damage and provide protection during the colder winter months. Meet with a plastic surgeon who works closely with a medical aesthetician to get the best treatment program for your skin.
Dr. Barry Eppley
Indianapolis, Indiana