Holistic Skin Care Program - the best skin care modality combining various skin care regimens

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A complete skin rejuvenation program

Most cosmetic surgeons and skin care specialists now use a five - step holistic skin care and rejuvenation program for the best anti-ageing benefits.

The best anti-aging skin care program consists of the following components of the skin care and anti-ageing modalities:

  • Avoidance of free radical generators such as UV light exposure, cigarette smoke and blood thinners in the form of medicines and herbal supplements.

  • Use of a daily regimen of superficial peels with hydroxyl acids and vitamin A treatments.

  • Having microdermabrasion with vacuum assisted abrasion using granules along with fruit acid peels to maintain accelerated skin proliferation.

  • Photofacials with intense pulse light therapy to remove blotchy hyperpigmented areas and dilated blood vessels.

  • Final deep resurfacing with trichloroacetic acid peels, laser, phenol, peels, dermabrasion, or combinations thereof.

  • Avoiding smoking

    Cigarette smoking or chronic sun exposure generates free radicals which destroy the texture of the skin. Prolonged exposure to smoke causes damage to subcutaneous tissue and destroys the support collagen and elastic fibers.

    If this is mixed with excessive exposure to UV light, there is elastic fiber degeneration (elastosis) resulting in a sallow, pebbly appearance of the skin.

    No skin rejuvenation program can work if the patient continues to smoke.

    Similarly, some patients do not discuss their complete medical history with the doctor. If they continue using blood thinning medicines or herbal supplements, these can have serious repercussions after the treatment - especially after highly aggressive techniques like dermbrasion or chemical deep peels. So it is essential to avoid these if one is interested in obtaining the best results with the skin rejuvenation treatments.

    Daily Skin Care Regimen

    The second step of the skin rejuvenation program is the use of a daily skin care regimen. A normalizing tonic containing α-hydroxy acids is applied daily to strip off the upper layer of the epidermis, forcing the skin into rapid proliferation.

    An application of vitamin A conditioning lotion or a retionoid skin care cream is also recommended to keep the cells in the active state with the nuclear replication system making new DNA needed for skin repair. The treatment has been shown to accelerate the skin turnover from the normal 28 days to 10-12 days, and leads to a rosy-red hue.

    The patient can also have a slight skin peeling once a week to see the whether they are at the right therapeutic level of skin care.

    This skin care program is followed for several weeks or months before a more in-depth skin rejuvenation program. The more the pigment and the darker the complexion, the longer this skin care program is continued.

    Glycolic Acid Peels, Microdermabrasion, and Intense Pulse Light Therapy

    To prevent skin from hardening and for acclimatizing the skin ready for aggressive procedures, a combination of glycolic acid peels (20-30%) with microdermabrasion is used to strip off the build up of old skin cells.

    A monthly microdermabrasion treatment is performed for keeping the skin care program working and stimulating dermal regeneration.

    Photo-facials (intense pulse light [IPL] therapy) are also added to the program to reduce de-pigmentation. This technique is especially helpful on the neck and chest where the skin is too thin for deeper techniques.

    Superficial Peels

    Superficial peels are added to the program after the skin has adjusted to the initial steps of the program. The patient is advised to persist with their facial skin care program using glycolic acid pads (5%, 10%, or 20%) used weekly at home with instructions to progressively increase the time of exposure to the glycolic acid and the frequency of its application.

    Intermediate-Depth Peels with the Jessner Solution/ Trichloroacetic Acid

    After the combination of the skin care regimen and the patient is now ready for a more aggressive medium depth peeling program using a Jessner peel or TCA peel.

    TCA peels at (20-35%) may be repeated every 2-3 months. Above this concentration (for example, 45-55%) the TCA tends to penetrate irregularly into the skin and may cause scarring.

    The Jessner solution is applied in 3-4 coats to strip off the oily deposits and debris from skin to make the application of TCA more uniform.

    After the skin has been thoroughly been prepared, it becomes tolerant to the more aggressive procedures like dermabrasion, phenol deep peels and laser resufacing techniques

    All the procedures have their role to play in the skin rejuvenation program. And following the holistic skin care program step by step help is sure to improve the outcomes of the more aggressive procedure.

    Mixed Peels as the best skin care modalities

    Experienced skin resurfacing cosmetic surgeons often use a combination of the resurfacing techniques. A light-to- moderate chemical peel is often combined with laser resurfacing or dermabrasion to blend in the rejuvenation in different areas.

    Blending is necessary so there are no sharp lines of demarcation that are visible on the face and the neck.

    A skilled skin care specialist is able to mix different peels so at to produce the best results. Having information on these procedures will help you to understand the different procedures and understand the rationale behind them.

    Being adequately informed about the procedure and having trust in the cosmetic surgeon is in your hands and it is in fact the key to the best skin care treatment that you give to your face.

    Remember that the anti-ageing treatment is for your benefit only.


    James E. Fulton, "Chemical Peels- Their Place Within the Range of Resurfacing Techniques", Am J Clin Dermatol, 2004; 5 (3): 179-187

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