Really easy concept to understand- when you see a dentist for teeth whitening and a clean & scale, you maintain the results with bruising & flossing. Same applies to skin.
Procedures including laser resurfacing & chemical peels can markedly improve skin texture & quality. These procedures remove DNA damaged cells, allowing new cells (with less damage) to replace older cells. The source of these new cells comes from the hair follicles. Cells that lie within the deeper confines of follicles have had less DNA mutations, hence act as ‘stem cells’ that re-populate the epidermis.
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It is thus paramount to maintain your results. The timing of when to start really depends on the procedure you had. As a guide, for level one resurfacing (pico, Clear & Brilliant), you can start ‘actives’ at day 3-5 post laser. For fully ablative resurfacing, namely level 4 -5, waiting 8-16 days maybe prudent. This of course is modified if you have prepisosing skin conditions such as rosacea, sensitive skin, flushing & blushing etc.
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So what is the best way to maintain results? After photoprotection & antioxidants, my go to is a retinoid, followed by niacinamide & lastly ascorbic acid (not because I don’t like vitamin C, but because it is the hardest to titrate, given the low pH). Augment your routine with clinical peels, every 4 to 8 weeks. My choice is retinoic acid peels, 1-5%. This really supercharges your skin. For a more intense approach, laser assisted dermal delivery can convert a superficial retinoic acid peel into a deeper mid-layer peel. This is not for everyone, discuss with your allocated nurse/therapist about this procedure.
If you understand your skin’s threshold & know how to subdue irritant contact dermatitis, you can add a strong AHA/BHA formulation every 7 to 14 days. This functions as an exfoliant & as a priming agent. I personally prefer higher concentration with a lower pH, less frequently, compared to a toner – wash- scrub on a daily basis. I do think the high percentage/low pH formulations do so much more than a sub-therapeutic, sub-irritant method of daily application.
Once you have achieved your goals, maintain you skin care with suitable procedures, these include-
- Pico or nano laser toning to reduce pigment pores, wrinkles & fine lines.
- Laser genesis for improved skin quality, especially if you are prone to redness.
- RF with Tempsure/Pelleve to maintain collagen production.
- Fraxel, Lase MD, C&B for maintenance of skin quality & texture
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Biostimulatory injectables offer a significant advantage over laser procedures (to help maintain collagen) as they-
- Have little to no downtime
- Stimulate collagen efficiently
- Address skin quality issues
- In some cases can be tiered to improve volume, depending on the agent and mix
For more skin care advice, book a consultation with our dermal therapists or nurses @cliniccutis. More complex cases of sensitive skin are seen by our medical team. Please note I do not give skin care advice as my work is procedural.
Skin care advice in Sydney is done via Louise at Dr Van Park’s clinic in Woollahra. For biostimulatory injectables, you can see me or Dr Kate. Please email the practice for more information as to availability.
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