iS Skin Source 2022 Q1 | Page 56

My Favorite In-Office Treatments | by Dr . Tahl Humes
Prevention is Key
The best way to treat aging skin is to keep it from aging . Our younger clientele is educated and understands the benefit of early treatments . Preventative treatments , such as decreasing muscle movement and stimulating collagen , slow down the aging process . This helps keep our patients not only from looking their age , but also from having to undergo the “ big guns ” before they are ready .
Neurotoxins , such as Botox or Dysport , are one of my favorite preventative treatments . They work by binding to the muscle receptors , thus reducing muscle movement . When muscles are not moving as much , the skin moves less , and wrinkle formation slows .

With so many wonderful treatments available , the options to address the multitude of skin concerns can be endless .

Microneedling and Laser Genesis are ideal treatments to stimulate collagen and slow the aging process . Microneedling deploys tiny needles into the skin , causing a controlled skin injury . This activates a wound healing cascade , which releases various growth factors . In addition , fibroblasts migrate and proliferate , leading to collagen stimulation . Laser Genesis is a micro-pulsed 1064nm Nd : Yag that works by bulk heating the papillary dermis . Studies show neocollagenesis after a series of treatments with Laser Genesis .
Uneven Skin Tone
A common complaint from many patients is their frustration with their uneven skin tone . Sunspots , age spots , melasma , broken capillaries , and diffuse redness all contribute to these visible signs of aging . Fortunately , there are excellent modalities to treat many of these conditions .
Chemical peels are one of my preferred treatments for brown spots because of their versatility and safety profile . While there are many different types of chemical peels , they all work through a controlled chemoablation of the skin that leads to exfoliation at the desired cutaneous depth , resulting in an improvement in skin appearance . The beauty of chemical peels is their safety , even on difficult pigment , such as melasma , and the fact that they can be used to treat all skin types .
IPL ( Intense Pulsed Light ) treats sunspots and age spots on lighter skin types . It is not ideal for melasma , as the heat
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