Great skin just in time for the holidays: IPL, Fraxel, Injectables with Linda Behla of SkinSpirit

Linda Behla, RN at SkinSpirit has been treating my skin with IPL procedures for the last couple months.

Trying to attack those stubborn brown and red spots from sun damage years ago is no simple task. But Linda knows what she’s doing!

Day2 Post-IPL Spots lifting

Day2 Post-IPL Spots lifting

Chest décolleté: I see a big reduction in hyperpigmentation on my chest—where I’ve incurred the most sun damage… with more to come.

Rosacea: Linda was pleased with the diminished red blood vessels from rosacea on my face, especially around my nose and chin.

Sun spots: We’re having some difficulty with the sun spots on my cheeks which had been treated in the past with a laser. The damage goes to a deeper level below the skin than expected. Time to set the IPL strength to a higher level, says Linda. She also did more spot treatment on this third go around now that she’s seen how these spots have reacted so far.

Hands with hyperpigmentation: I look forward to making some progress on my hands too, an area which we haven’t focused on much yet. The annoying darkness around the scars is what needs the most help.

After two IPLs with Linda Behla, I see a significant reduction in skin spots and redness which results in clearer skin.

A person in the waiting room at SkinSpirit before my third IPL appointment said to me:

Your skin looks great already. I don’t even see the redness or brown spots. I hope my results are like yours!

Of course, I am probably seeing more imperfections than others since it’s my focus. Linda does as well since she’s a skin specialist. Our goal is: spot-free skin!

Skincare products: In between IPL #2 and #3 I used the TNS Complex human growth factor, both morning and night, to rejuvenate my skin, reduce fine lines and wrinkles and to enhance the skin texture and tone. Each night, stopping 3 days before today, I used Retin A and hydroquinone. The Retin A reduces wrinkles, which caused exfoliation and sensitive skin each morning. It was noticeably wiping away dead skin cells to make room for renewed ones. The hydroquinone lightened the darker spots.

New skin regimen: From this point going forward I will protect my skin with sunblock every day, even on the cloudiest days in winter. I especially need to remember that driving in a car (with a sunroof, despite the glare screen) is a big culprit to the brown sun spots on my face, sides of neck, chest and hands.

Linda believes that, in my case, the IPL is great for reducing redness and some brown but that a Fraxel (after we’ve gotten rid of the red) may be the best way to zap—and practically erase—the remaining brown.

What is a Fraxel? A Fraxel® is a laser procedure that restores your youthfulness by resurfacing the skin, resulting in smoother skin as well as improved tone and texture. We lose our youthfulness through the years from sun, pollution, stress and fatigue. The Fraxel® treatment uses a fractional laser technology by safely penetrating the skin layers in microscopic laser columns—leaving some cells untouched—to stimulate your own body’s natural healing abilities to produce new skin cells and generate new collagen. You’re left with fresh new glowing and healthy skin.

I am going to start saving up for a Fraxel treatment in the future, after seeing my IPL results of course.

Great skin for the holidays: Many procedures can help you look great for the holidays. Besides IPL to reduce red and brown spots, Linda Behla is an expert injector. BOTOX® or Dysport™ temporarily erase wrinkles (for many months) and fillers such as Restylane® and JUVÉDERM® fill in the gaps that appear when we age to restore a more youthful look.

Stay tuned for my IPL results.

© 2013 R.E.L. Copywriting

IPL photofacial for face, neck, chest and hands: To reduce brown and red spots with Linda Behla of SkinSpirit

Linda Behla, RN, SkinSpirit Mill Valley

Linda Behla, RN, SkinSpirit Mill Valley

My second IPL procedure was yesterday with Linda Behla from SkinSpirit. During round one we focused mainly on my face and neck, paying close attention to hyperpigmentation (brown spots) from sun damage and aging and also red vascular problems (i.e., pronounced blood vessels) from rosacea on my face.

Yesterday we added my chest (i.e., décolleté) and hands to the mix, totaling 4 areas.

In preparation, I have remained out of the sun, covered or with plenty of SPF 50 sunblock on my skin since I know the IPL (Intense Pulsed Light) targets the unwanted discoloration; in other words, my natural skin needs to be a natural (and light) as possible so that the colors stand out the most.

SkinSpirit lobby

SkinSpirit lobby

SkinSpirit in Mill Valley has a cozy, secluded waiting room. I always look forward to arriving early just to hang out there, drink some of my favorite tea and some fruit-infused water.

The IPL procedure (face, neck, chest, hands):

Linda Behla analyzed my skin before we began treatment #2. The spots on my cheeks looked noticeably lighter to her, as well as the rosacea, but she decided that she wanted to go deeper this round. She was happy with the results from the first round and noticed that pigments are starting to come to the surface (soon to be erased with next IPL treatments).

As done prior to my previous IPL, I prepared the treated areas with topical numbing cream 45 minutes in advance. This helped tremendously with my nervous system and skin’s heat sensitivity from the IPL light.

Linda continued to be as caring and thoughtful of my comfort, while at the same time turning it up a notch for better results. Of course, the goal remains: erase most of the hyperpigmentation (i.e., brown spots) on my face, neck, chest and hands, and also reduce the redness in blood vessels on my face.

I will post photo comparisons as the days progress but here are the pre-IPL #2 photos:

pre-IPL hand

pre-IPL hand

pre-IPL chest

pre-IPL chest décolleté

pre-IPL2 rosacea

pre-IPL2 rosacea

pre-IPL2 brown spots

pre-IPL2 brown spots

Linda stressed the importance of skincare following my treatment and ongoing. She advised the following regimen for me (starting after inflammation cools):

Each morning:

  1. Gentle cleanser
  2. TNS Recovery Complex by SkinMedica – human growth factor
  3. Phloretin by SkinCeuticals – antioxidant
  4. Dermal Repair Cream by SkinMedica – moisturizer
  5. SPF 50 – sunblock

Each evening before bed:

  1. Gentle cleanser
  2. TNS Recovery Complex by SkinMedica – human growth factor
  3. Mixture of a) Tretinoin Cream by Obagi – Retin A and b) Blender – skin lightener with hydroquinone
  4. Dermal Repair Cream

As needed in the next few days, I have Epidermal Repair by SkinCeuticals for itchiness.

Day 2:

I woke to more pronounced spots on all treated areas, especially my chest. Linda expected this as it’s where I have the most sun damage.

The only other side effect was that my face reacted with extra fluid under my eyes. It only lasted through the morning.

Linda said that this swelling edema under eyes is normal and is because the IPL targeted small tiny red vessels near my eyes.

No heated yoga for me this morning 😦

Days 3-6:

day4 post-IPL chest décolleté

day4 post-IPL chest décolleté

Chest décolleté: I have the most sun damage here. We expect the best final results here. Linda is pleased with how much of the pigments are lifting.

I’ve experienced some very itchy skin for the last few days. I’m sticking strictly to the Epidermal Repair, topical Benadryl and ice. I’m staying out of the heat since this inflames the itch.

Face: Still a little swelling under eyes in the mornings up to day 5. Rosacea reduced significantly. Linda confirmed in person. She has a plan for attacking the brown spots with a higher strength for the next treatment since we are only seeing minor lifting (darker brown but not getting to the “coffee ground” stage).

Neck: Black specks formed on the darker spots and still there. I’ll wait for them to naturally come off.

day6 post-IPL hand

day6 post-IPL hand

Hands: A few black specks have formed but Linda did mention that it would take longer to see results on my hands.

My skincare regimen: I’ve been following Linda’s advice and using the skin products above on my face, neck and hands (skipping chest for now until the inflammation calms).

I know for the most part that Phloretin is an antioxidant with vitamin C and protects against the sun, Retin A reduces wrinkles and hydroquinoine lightens the skin. But what about the human growth factor?

What is  human growth factor (TNS Recovery Complex by SkinMedica)? I’m all about cell regrowth. Before my IPL, I’d been using a cell stimulating facial mask which includes argan stem cell + chlorella growth factor, which is plant-based. TNS® official ingredient is Human Fibroblast Conditioned Media (a.k.a. adult human stem cells) and is a physiologically balanced, naturally secreted and stabilized combination of multiple natural messenger proteins.

What does that mean exactly? I wrote a previous article in this blog on how adult stem cells are used in plastic surgery and how they are found in all multi-cellular organisms. They are cells that can take on the identity of other cells (analogous to a chameleon regrowing its tail when it falls off), which are then conditioned in sugars and amino acids to grow. The proteins that are secreted from the cells are what goes into the serum.

The purpose of using TNS® is to rejuvenate skin, reduce fine lines and wrinkles and enhance skin texture and tone. There are many benefits to cell regrowth.

Days 7-9:

Chest décolleté: Today the itching resided. I have noticeable “brown coffee grounds” over a considerable number of spots.

My next appointment is scheduled for 2 weeks from now.

© 2013 R.E.L. Copywriting

IPL procedure with Linda Behla: Comfortable, effective removal of brown spots on face and neck

Linda Behla, RN, SkinSpirit

Linda Behla, RN, SkinSpirit

Yesterday I had my first face and neck IPL by Linda Behla, RN, at SkinSpirit.

I interviewed Linda to get her take on why she was so enthusiastic to do an IPL on me. She stated,

I chose an IPL procedure for you because you have the ideal skin and conditions. The spots on your light skin are so pronounced that it’s the first thing I see every time I look at your face. My guess is that you were a lifeguard in your earlier years. Your light skin that has aged through the years, with a history of extra sun, is now showing the typical brown spots that are congregated in certain areas.

The IPL procedure (up to 3-5 applications) will improve your skin tone by decreasing redness and reducing hyperpigmentation caused by sun exposure and age. People will definitely notice and ask you what you did to get such great skin! You will be blown away by the results.

I learned that the IPL will not only reduce the brown hyperpigmentation and red veins (i.e., rosacea) but that beneath the skin’s surface, there will be some cell regrowth, skin tightening and collagen stimulation.

That all sounds good to me…

pre-IPL

pre-IPL

Pre IPL treatment: Before my appointment, since I am such a wimp for pain, I didn’t want to take a chance so I applied a heavy dose of topical Lidocaine to my face and neck 45 minutes prior to the procedure. My face was pretty numb at that point. Extra numb.

Procedure:  All went well—actually, better than I expected.

First, Linda took some photos so that we could analyze the before-and-after results. I got some protective eyewear to block out the intense light during the procedure. Linda washed my face and neck with specially-formulated cleanser, applied some ice-cold gel by area and immediately got started.

Starting with my cheeks, I could feel the contrast between the cold gel and the hot pulses, but there was very little discomfort. I could see a dim red light during each pulse. Linda constantly asked me if I were feeling ok, if the heat temperature was too high, and especially wanted to know how I was doing. I was happy that she quickly moved from area to area, knowing that it was best for me. I felt the most intensity on the areas which were the most highly pigmented.

The light from the IPL targets the darker pigments that stand out against the light, naturally-colored skin. When it saw the darker sections, the heat intensified and I could feel that. I felt the most on my upper cheeks and sides of neck.

After moving over the whole face and neck, she returned to the spots themselves with a spot-treatment application, which targeted both brown and red. The procedure was over quicker than I thought and I could then breathe a sigh of relief, while I got to hold an ice pack on the areas which began to feel hot. I was instructed to use ice through the evening if I needed it.

Post treatment: I was sent home with some Epidermal Repair by SkinCeuticals (available at SkinSpirit) to apply every morning and night post-IPL.

post-IPL

post-IPL

It’s a moisturizer which includes hydrocortisone for healing and comfort. It repairs by stimulating the tissues and renewing cells. It accelerates the skin’s barrier, reduces inflammation, diminishes redness from the treatment and protects the skin.

Within the hour following my treatment, I kept applying the ice to my hot skin. After two hours, I developed a headache which I treated with ibuprofen. My skin cooled down at this point.

At home, I was told to expect redness tonight, and little black “coffee grounds” on the darker spots as they fall off around day 5, leaving my skin noticeably clearer. At first, the spots will be more pronounced with a rim of red around brown in the days to follow.

I asked about my heated activities since I’m addicted to steam rooms and hot yoga. I am to stay away from intense heat for 48 hours, as it’s not a good idea to make the hot skin feel even more uncomfortable. The skin needs time to heal on its own first.

Tomorrow evening I will do some mellow Yin yoga.

Linda advised that to protect my investment after I have my new skin, she highly recommends daily application of a topical antioxidant vitamin C, specifically SkinCeuticals Phloretin to block harmful UVA/UVB rays from the sun, reduce fine lines, improve texture and decrease pigmentation. Approximately day 3-5, after the redness has gone away, Linda recommends I start using RetinA at night.

Linda is great! I can’t say enough about her confidence and expertise, let alone her personable approach. She made me feel at ease and was always looking out for my comfort, balanced with her knowledge on how high the intensity needs to be in order to get results! I can tell she really cares that I am happy with my final results. She is determined to get me clear, spot-free skin! Thank you, Linda.

IPL hyperpigmentation

Day 2 post-IPL

Day 2:

I woke to completely normal-feeling skin. I can already see a couple small spots darkened to the color of “coffee grounds”. The spots are more pronounced but I don’t feel like I need to hide from the public. I cleansed my face and neck with some gentle cleanser containing tea tree oil and applied my Epidermal Repair, followed by sunscreen SPF 30-50.

I am set to return for IPL #2 in 3-4 weeks, depending on how quickly my skin heals from this first round and my schedule. Stay tuned for more updates as I share my day-to-day comparisons.

day3-post-IPL neck

Day 3 post-IPL

Day 3:

The brown pigmented spots are getting darker. My neck is making the most progress. Little specks of “coffee grounds” on the rest of my face in various places. My skin overall feels normal.

Linda advised me that it looks good so far and reminded me that I should not scrub or pick off the brown/black spots to prevent irritation and scarring.

Day 4:

My whole face has been itchy today, so I’ve washed it a few times and reapplied the Epidermal Repair to help with itchiness. So far I haven’t felt the need to take an anti-histamine for itching, which Linda gave as an option if I needed it. I also used a natural facial cleansing pad containing tea tree oil, and am remaining in a cool environment.

day4_ipl

Day 4 post-IPL

My face is extra splotchy-looking today. The spots on my neck have gotten the darkest (almost black) the quickest. Of course, I am not trying to rub them off. I look forward to seeing no pigment underneath the “coffee grounds” after they naturally wash away.

Day 5:

I went into a steam room today, but started off with a heavy application of lotion to my face and neck so that it would soak in (and so that I could do away with itchy skin). I started in the sauna, but this was too dry. The steam felt like it was giving my skin the moisture it needed.

Day 6-7:

No real changes to report. My cheeks are still prevalent with darker spots (light brown), but no blackening yet. The IPL procedure clearly brought some of the pigment to the surface. I am sure the next round will do even more. Holding out until the 10th day to see how far this IPL #1 takes me.

day 9 IPL

Day 9 post-IPL

Day 8-9:

At this point all of the blackened areas are gone, darker spots seemed to have settled back down. I believe this is as far as I’ll get with this IPL #1 treatment.

In my next office appointment with Linda, she will take more photos. I will post the latest before and after photos here before starting the second IPL procedure.

Stay tuned for November 5.

 

© 2013 R.E.L. Copywriting

Skin spots from aging, sun damage: Can we diminish the pigmentation in my skin?

Here we go again… On a mission to clear up my skin. With significant damage from sun to aging, I am left with brown skin spots that are less than attractive as I put on more years. I have also developed rosacea on my face.

Intense Pulsed Light (IPL) is the answer? Expert skin specialist, Linda Behla, R.N. from SkinSpirit, tells me that an IPL treatment is a great choice for me to even out my skin tone and reduce hyperpigmentation from sun exposure. Linda has been in the aesthetics industry for over 10 years, specializing in medical-grade skincare.

hyperpigmentation and rosacea

Erasing hyperpigmentation and rosacea

Why me? I already know that the hyperpigmentation on my skin (i.e., brown spotting) is due to a combination of aging and sun damage. I’ve presented research on healthy skin after sun exposure to learn that 85% of my brown spots are due to environmental conditions through the years, and only 15% due to aging.

As a light-skinned individual with a heritage from countries that normally don’t get much sun (Scotland, Scandinavia), it is no puzzle that as a former suntan goddess–starting in my early teens growing up in Florida–I am a prime candidate for brown spots on my skin now that I’m in my 40’s.

If I analyze the body location of the spots, they follow the precise pattern of my targeted suntan spots. To be more specific, they are the areas that received the most Hawaiian Tropic suntan oil.

All on the front side of my body (as I normally laid on my back for all suntan contest endeavors), my face, front of neck, chest, tops of hands, fronts of arms and fronts of legs have taken the brunt of the damage. For some reason the skin on my stomach was more prone to tanning and not burning. This explains the real culprit to sun damage: sunburn. Wherever I got sunburned and subsequently peeled, I have the most skin spots now!

Why does some skin tan easily and other skin burn? It’s all about the melanin. The darkness in skin is called melanin, a protectant against the sun’s harmful rays or skin injury. People with darker complexions naturally have more melanin in their skin.

A darker-skinned individual gets a suntan while in the sun because the skin has enough melanin to handle the sun’s damaging rays. The melanin protects it. However, a lighter-skinned individual, such as myself, has less melanin; therefore, my skin reacts and goes into protection-mode by releasing my own melanin that lays beneath the skin’s surface.

Remember that melanin is the skin’s protection. As melanin is released to protect against injury, it does not rise to the surface uniformly. This explains the spotty look.

What will IPL do for my skin? IPL treatments (3-5 times) will not only reduce the darker hyperpigmentation spots, but also diminish the redness caused by a condition called rosacea. I have both.

IPL is sometimes referred to as Photofacial, and is a non-laser procedure driven by light. The intensive light looks at the contrast between the lightest skin and the darkest skin (i.e., pigments) and attempts to erase the darkest areas. In short, browns come up to the surface of the skin and reds are absorbed by larger vessels below.

Preparation for IPL?

Stay out of the sun: It goes without saying that in order to obtain the best result, the lightest and natural color of my skin should be able to stand out the most against the spots. In other words, I should not have a suntan, sunburn, or any sun at all on my skin overall at least 6 weeks prior to the IPL treatment.

White as a ghost, and all spotty, I prepare for my first IPL treatment. We will begin with my face and neck, and possibly work on the chest and hands too on this first round. Linda Behla, RN, is particularly concerned with any discoloration that may be caused by even indirect sun that I may have been exposed to even while driving in the car.

No Retin A: Since Retin A has an exfoliation trait, it’s best to stay away from this at least 5-days prior to the IPL.

She will take all precautions necessary in order to obtain the optimal results for me. I look forward to my first appointment in 2 days. I will prepare by applying a topical numbing cream with Lidocaine approximately 45 minutes prior to the IPL procedure for maximum comfort.

I will post again at the time of my first IPL photofacial procedure, which will include an interview with Linda.

© 2013 R.E.L. Copywriting

Aged, brown-spotted hands: Sciton® broadband light (BBL™) to remedy aging and sun damage spots

Phototherapy BBL™.  Image credits:  simeon schatz photography

I’ve been going through a series of Sciton® BBL™ treatments for my hands with Dr. Macdonald. I’ve had 3 treatments so far and each has been different in terms of intensity, focus and healing time.

Dr. Macdonald has been treating the age and sun damaged spots on my hands, in fact, for over a year now. The Sciton® laser experience is the latest and greatest; we started with VariLite™ laser spot treatment on the darker spots only.

Annoying brown spots

I won’t bore you with the details and all the photos in between then and now. So, let’s get straight to the photo of my pre-laser treatment. [See photo on left].

The VariLite™ laser treatment for me was too invasive, as the skin burned and left scars–despite the lower laser setting. A year later, I was ready to try the Sciton® Phototherapy BBL™ experience.

Unlike VariLite™ laser treatment, Sciton®’s Phototherapy BBL™ treats entire areas of skin. There is also a method for spot treatments for tougher-to-get spots, where needed.

Why did these spots appear on my hands in the first place?

Unwanted skin pigment is normally referred to as hyperpigmentation. It is unwanted melanin in the skin that creates a spotty look with brown spots and is a result of too much sun exposure and also aging.

The dark spots on my hands seemed to be getting darker and more prevalent through the years. It was time to do some research and learn about how to diminish or erase them.

What is Phototherapy Broadband Light?

Sciton® Phototherapy BBL™ is an innovative light-based technology that sets new standards for skin conditions associated with aging, active lifestyles and sun damage. It also treats any unwanted melanin and pigment you were born with (i.e., freckles).

This phototherapy treatment utilizes pulses of light energy to gently penetrate into the skin. The light energy will gently heat the upper layers of your skin, stimulating the skin cells to regenerate new collagen. The natural beauty of your youthful skin will be evident as this process blends the natural skin colors, restoring your youthful skin’s glow to a state that existed before the pigment irregularities appeared.

I chose BBL™ so that I could get an overall, even tone on my hands. The spot treatments with VariLite™ created some scarring and unevenness in the skin texture, which remained 18 months later.

Preparation for my BBL™ procedure

I decided to go for the broadband light treatments on the entire back surface of my hands. To date, I’ve had three BBL™ treatment sessions. I have summarized the findings below.

It’s important to prepare the skin properly before receiving broadband light treatments. The most important factor is: no sun exposure for 2-4 weeks prior to each phototherapy BBL™ treatment. The pigmented areas need to stand out as much as possible in relation to your unpigmented skin, since Phototherapy laser technology targets color in the skin.

Second treatment, Day 1

The broadband light bursts effected my nervous system during my first treatment, startling me to jump with each pulse. Therefore, we agreed that for future treatments I receive some anti-anxiety medication ahead of time (i.e., Ativan).

First, ultrasound gel was applied generously and I was given metal goggles to wear to block my eyes from the intense light pulses. This second treatment BBL™ procedure setting was a bit higher intensity than round 1 so that we could see more significant results. In addition, the overall treatment was followed up by a round of boosts to each of the darker spots. I only felt a small burning sensation.

At home a few hours later I had no side effects. I was sent home with Dr. Macdonald’s Post Laser Healing Kit (part of his MAC·MD aesthetics™ skincare line). This kit contains:

  • Total Protection SPF 30 (with 17% zinc oxide)
  • Replenish

Since it is very important to block the sun’s rays completely after BBL™ procedures, the Total Protection sun block with zinc oxide was perfect. In addition, I stayed out of the sun.

The Replenish face and body lotion contains green tea and caffeine. Pure green tea polyphenols are known for their antioxidant protection, anti-redness and calming & soothing effect. Caffeine enhances the antioxidant properties of the green tea and acts like a topical vasoconstrictor, which reduces redness. Replenish is comfortably nourishing to my skin, and the type of lotion you can use on the total body [good thing I was given a large bottle 🙂 ].

This second treatment healing time was very mellow. Tiny black “coffee ground” speckles appeared and then came off around days 7-10. I was left with positive results, but clearly needing another treatment.

Third Treatment, Days 1-6

3 months after 2nd BBL™ treatment

The third treatment was the most intense to date, as Dr. Macdonald and his nurse were looking to achieve optimal results–attempting to find the edge of my skin’s threshold. We found it. Although on the conservative side for lighter skin, Joule 12 was too much (Joule 11 appears to be my target).

I had significant burning sensations which reacted with redness and swelling–evidently even to the nurse who treated me, as I received an ice pack promptly throughout the rest of the procedure (and 30 minutes to follow). The burning sensation–and my need for ice–continued for hours after the procedure.

The darkening and scabbing of the darkened spots did not start until a few days later though…

Day 3 post BBL™ (left hand)

Day 9 post BBL™. Scars evident.

I know it looks scary, but I knew there was a means to the end. I was instructed to treat the wounds with Aquaphor (or Dr. Macdonad’s Heal ointment).

Dr. Macdonald instructed me to use Dermatix™ scar gel 2-3 times per day to see if that helps to diminish the scars. I have noticed a significant healing effect.


Day 10 post BBL™ (right hand)

The right hand was treated with Joule 11 and resulted in a more even-toned result in the end.

To keep you in suspense, I’ll save my final results for both hands until after my next treatment (which I predict will be my final treatment).

Stay tuned for those results …

But first, just a little planning ahead for the next natural enhancement:  

  • Erasing the scars
  • Focusing on overall improvement to the hands

SCARS:

The scars leftover on my hands–from the 3 VariLite™ treated spots 18 months ago as well as the more intense BBL™ procedure recently–could use some attention. Now that the brown age and sun spots are practically gone, the scars are more of an eye sore.

Perhaps for my next (fourth) treatment, I will get a few zaps of the ProFractional™ laser, as the skin–with this ablative procedure–is fully punctured, allowing for collagen remodeling in the 30 days to follow. Or, it may be that MicroLaserPeel® is the way to go, removing a thin top layer of skin to the hands.

HOLLOWED-OUT HANDS:

RADIESSE® injectable is used to treat the hollowed-out look of aging hands.

Loss of volume and elasticity characterizes older hands as hollowed, aged and wrinkled (as well as spotted, which we’ve covered). RADIESSE® is the preferred filler for hands needing significant volumization and lasting results.

© 2012 R.E.L. Copywriting

Sciton® laser: Skin tightening with BBL SkinTyte™

Continuing on with my series of articles about Dr. Macdonald’s Sciton® laser services, available now.

As discussed he will be treating patients soon for:

Sciton® BBL SkinTyte™ laser treatment is an innovative approach to tightening aging skin that is starting to wrinkle and sag.  Of particular concern to many patients is the “turkey gobble” that often develops in the neck region, but common areas successfully treated include:

•    neck
•    lower face/jowls
•    chest
•    hands
•    tummy
•    arms
•    just above the knees

How does SkinTyte™ work?  

BBL (Broadband light) treatment utilizes pulsed light technology to deeply heat your skin while simultaneously cooling and protecting the entire treated surface, setting you on your path to more youthful skin.

Delivered in a sequence of rapid, gentle pulses that heat the dermal layer of your skin’s collagen, use of this technology promotes contraction and denaturation—modification of protein’s natural configuration.  Rebuilding themselves, the skin cells form a new foundation of collagen, leading to increased skin firmness.

How many treatments are needed?  

Although the number of treatments needed will vary based on the level of improvement desired and the starting point of your skin condition, many patients opt for 2-5 treatments to achieve maximum positive benefit.

With no anesthetic needed, this quick and effect “lunch-time” procedure will only last 30 minutes and cause you no disruption to your day.  Not only is there no downtime, there is also no skin care regimen necessary.  The collagen in your skin will, however, continue to rebuild and strengthen up to 4 months after the procedure.

Stay tuned for more details on vein treatments.

© 2012 R.E.L. Copywriting and Michael R. Macdonald. All rights reserved.

Sciton® laser: Skin pigment reduction with Contour TRL™ or BBL™

Continuing on with my series of articles about Dr. Macdonald’s Sciton® laser services, coming soon…

As discussed he will be treating patients soon for:

  • Hair removal
  • Skin resurfacing
  • Skin pigment
  • Skin tightening
  • Vein treatment

Skin Pigment. Unwanted skin pigment is normally referred to as hyperpigmentation. It is unwanted melanin in the skin that creates a spotty look with brown spots and is a result of too much sun exposure and also aging.

I am a candidate for one of these laser procedures, to reduce the pigment on my chest, hands (and maybe fronts of legs too). After my 5-series PCA chemical peel (physician-strength) with Dr. Macdonald, we were not able to make much progress on my chest area. I experienced a lot of itching and irritable rash on chest but no peeling on peels #4 and #5 when Dr. Macdonald used the PCA with resorcinol.

On my face, I was left with a vibrant glow after the PCA peel treatment by peel #5 though. I had wonderful, soothing results with his new private label skin care products, specifically the Power of Three by Replenix and Fortified by Glycolix.

Note: on my face, now that the brown spots have diminished, I have some rosacea that Dr. Macdonald would also like to treat with the Sciton® laser (vein treatment to be discussed later in this series of articles).

A) Contour TRL™ Laser Peel skin pigment reduction treatment. This procedure is not only a treatment for overall skin resurfacing, but specifically reduces hyperpigmentation.

Sciton® Laser Peel – Contour TRL™ safely erases skin hyperpigmentation that appears on the skin from sun damage and age. Although there are several different types of lasers on the market used to perform peels, the Contour TRL™ is widely regarded as the most effective laser available. This treatment targets the effects of sun damage and environmental pollutants which create skin tone irregularities, solar spots, and scars.

How does Contour TRL™ work? This laser safely removes a layer of skin, with computer-guided micron precision. The depth of treatment depends on your skin condition, desired outcome and expectation for down time. Treating your hyperpigmented skin with this laser will stimulate the growth of new collagen to improve the skin as healthy new skin cells regrow.

Common body parts treated:
 face, neck

B) BBL™ Broadband Light skin pigment reduction treatment.

Sciton® BBL™ is an innovative light-based technology that sets new standards for skin conditions associated with aging, active lifestyles, and sun damage. It also treats any unwanted melanin and pigment you were born with (i.e., freckles).

How does BBL™ work? This phototherapy treatment utilizes pulses of light energy to gently penetrate into the skin. The light energy will gently heat the upper layers of your skin, stimulating the skin cells to regenerate new collagen. The natural beauty of your youthful skin will be evident as this process blends the natural skin colors restoring your youthful skin’s glow before the pigment irregularities appeared.

Common body parts treated (body parts exposed to the sun): face, hands, neck, chest, shoulders

Stay tuned for more details on skin tightening treatments.

© 2012 R.E.L. Copywriting and Michael R. Macdonald. All rights reserved.

PCA chemical peel for face, neck and chest

Last month I began a physician-strength PCA chemical peel with Dr. Macdonald for my face, neck and chest (a.k.a. decolletage area) to attempt to repair some –if not all–of my sun-damaged skin.   Now I am on peel #3 of 5 and seeing a positive effect.  Dr. Macdonald, whom I only see every 2 weeks, sees a noticeable difference as well.

On peel #2, the concentration was increased on both the neck and chest to PCA resorcinol which contains hydroquinone to lighten the hyperpigmentation. On peel #3, resorcinol was used on my face too, and yet a stronger dose on chest and neck since I had very little reaction on previous attempts.

The resorcinol peel does produce a hot, burning sensation during the peel, making it soothing to use the fan to cool my skin for 10 minutes.

Rosacea. An issue Dr. Macdonald wanted to bring to my attention is some rosacea on my cheeks and nose (i.e., little red blood vessels on the skin).  After lightening my hyperpigmentation, the red vessels will be more visible.  His solution would be to treat the rosacea with laser treatment after the peels are completed with VariLite laser at 512 nm strength.

Like clockwork, it seems that after 48 hours, my skin begins to peel and lasts until around day 6 for the face, with a longer delay on the neck.

My neck has been the itchiest.  I treated this with hydrocortisone creams.  PCA SKIN® Après Peel Soothing Balm (with 0.5% hydrocortisone) was especially supportive.  I also fell in love with a new lotion with a soothing effect called “Yes to™ Cucumbers”  It is formulated for sensitive skin and gently hydrates with organic cucumbers, aloe vera and green tea.

During one of my peely-ist moments, an acquaintance asked me:  Is that good for you? Answer:  Here is exactly what happens to the skin–and underneath the skin–during the 2 weeks between peels.

The carefully selected solutions in a chemical peel sink into the skin and cause the skin layers below the surface to react on the cellular level.

  • The skin cells are repaired
  • Melanin is reduced (darkness)
  • Cells produce more collagen and elastin
  • Dead cells are eaten away

Even though it looks like a sunburn, there is a science behind chemical peels vs. the sun.  Melanin protects the skin from the sun’s harmful rays or from any skin injury.

  • Suntan. The skin of a person with enough melanin in their skin to handle the sun’s rays turns a little darker as a result.
  • Brown spots. However, the skin of a person with less melanin in their skin reacts; it goes into protection-mode and releases melanin (that naturally lays beneath the skin’s surface).  This melanin rises to the surface… but not uniformly, resulting in a spotty look.

The tender skin on my neck and chest are starting to react for the first time on peel #3.  Of course, I have the itchiness but also some significant skin shedding….

Throughout the peel process, I need to pay extra attention to sunscreen.  During the days where I’m wearing lots of lotions to sooth or cover up peeling and itching, it sure is nice to have the powdered sunscreen by Colorscience®.  [Dr. Macdonald is now carrying this product in his office.]

5-minute sauna and steamroom steam sessions sure do help to break down and soften harder, thicker, dryer skin on days 4-5, while continually dousing with cool water while in the steam.

I’ve experienced the most advanced stage of peeling today (counting my PCA peel last year, 1st and 2nd PCA peels this past month and Vi PEEL™ this year) on day 5 of peel #3.  I’m scared to post this one, but here is a lovely photo of my peeling-look as I woke up this morning.  Today is the day I discovered the “Yes to™ Cucumbers Soothing Cooling Body Butter“.  In a few days I will be all better…

Dr. Macdonald has a full-fledged skin rejuvenation and skincare treatment center in his office, including laser treatments for full fractional resurfacing, skin tightening, sun damage repair to hair removal, dark spots and rosacea.

Pam DePianto is his new Medical Esthetician in the office as of August.  Pam is focusing exclusively on the beauty of your skin…  She brings you 15+ years of experience as a small skin spa owner, a Kaiser skin health educator and, most recently, the lead esthetician for an East Bay dermatology & plastic surgery practice. With Pam, you’ll be in good hands!

Pam is offering a special Pumpkin Enzyme Peel Facial now (on special now through next Friday):

This luxurious facial is loaded with antioxidants, beta-carotene and vitamin C to replenish the skin with much needed nutrients.  Exfoliating the skin’s surface, this facial will soften the appearance of fine lines and wrinkles as it improves the skin’s texture.  Price includes: deep cleansing, steam, pumpkin enzyme exfoliation, extractions, massage, treatment mask, treatment serums, day cream and SPF. 

© 2011 R.E.L. Copywriting. All rights reserved.

New spacious office space for a Dr. Macdonald chemical peel and more

For over a year now, I’ve been on the path to clearing out the hyperpigmentation on my skin. My light, sun-damaged and aged skin has been stubborn. Since my skin is also sensitive, we have had to take the slow path.

Last summer I did 5-series PCA peel through Dr. Macdonald’s office. My results were a better complexion, smoother skin, fine wrinkle line reduction, and less hyperpigmentation.

I wasn’t convinced at that point that I was not capable of going to the next level in hyperpigmentation reduction. To that end, I did the following:

  • Sunscreen and hat all year round (even on cloudy days)
  • Recognition of my sensitive skin and genetics as seen in my father
  • HQRA (Hydroquinone to lighten pimentation & Retinol A to reduce wrinkles)
  • Research on PhotoFacial
  • Research on 2 Sciton laser applications: skin resurfacing, IPL for sun-damage (available in January 2012 through Dr. Macdonald’s office)
  • Vi PEEL™ (12 days) last month

My goal is to make a visible difference in my brown age spots on my face and upper chest area (i.e. decolletage area) and hands so that I a) look younger and b) feel that there is a solution to most of the sun damage from my many years in the sun.

Dr. Macdonald’s new office space at 500 Sutter St, Suite 430 in San Francisco. The new office space is beautiful and is a lot more spacious than the previous office. He has stunning artwork from local artist and photographer, on order–a must see…

Dr. Macdonald and his staff are ready to take on more patients and a new Sciton laser, among other perks. [It’s only a block away so the parking situation is similar.]

PCA Chemical Peel. Since Dr. Macdonald has been working with me on this for over a year, during my recent skin check-up he decided that he wanted to do another PCA peel on me himself (and go a little deeper to make some more progress on the darker pigmented areas, yet pay close attention to my sensitivies).

I had my 1st of 5 PCA peels to my face, neck and chest area (i.e., decolletage). Similar to my previous experiences, I had no irritation in the first 2 days. I am starting to peel today, 48 hours later.

What I like the best this time around is the PCA SKIN® post-procedure solutionwhich includes:

  1. PCA SKIN® Facial Wash (very light and absorbant)
  2. PCA SKIN® Apres Peel Soothing Balm (with 0.5% hydrocortisone)
  3. PCA SKIN® ReBalance (to help inhibit redness and inflammation)
  4. PCA SKIN® Silkcoat Balm (for nighttime moisturizing)
  5. PCA SKIN® Perfecting Protection SPF 30 (for UV protection)

The products are soothing and restorative to the skin (and have a great scent and light non-greasy after effect).

I will return in 2 weeks for PCA Peel #2 of 5.

Day 2

The skin on my face was a bit tight but I kept the PCA SKIN® products on all day. I had a healthy glow.

Day 3

The skin on my face was tighter and noticeably wrinkly. I continued with the PCA SKIN® products.

In the afternoon, which is 48 hours since the peel, my skin started to peel. It started around my mouth and continued through the day.

Day 4

My neck was itchy but the PCA SKIN® products soothed it tremendously. I had to use the products more often than previous days.

By afternoon my face was peeling in big flakes, and the skin on my chest started to peel partially in flakes, previously splotchy looking skin (as if it had peeled). There was no itching or irritation though.

Day 5

The skin on my face and chest was peeling all day. It was a little itchy. I wore a hat and long sleeves all day (even on hot sunny day).

Day 6

My face was still peeling along hairline. I noticed that the peeling on my chest had stopped yet was still splotchy (i.e., half-peeled). I made a note to have double PCA solution applied next time (hopefully) so that it will all peel off.

Day 7

I was still peeling on my face, neck and chest. I started to use an exfoliant cleanser at this point to continue the peeling (possibly). Next peel in a week.

Amazing new sunscreen by Colorscience®

Pam turned me on to this powder sunscreen by Colorscience®. It’s SPF 50 plus comes in a convenient brush applicator. It contains some skin color, so is much like powdered foundation makeup. I love the easy application and light formula. Thank you, Pam!

© 2011 R.E.L. Copywriting. All rights reserved.

Vi PEEL™ daily results, first 12 days: Final results at 4 weeks

I ended up going for it and got a Vi PEEL™ to  reduce the hyper pigmentation (i.e., brown skin spots), visibly improve my complexion, firm up my skin and produce smoother, more youthful skin.

It has worked beautifully so far.  But 2 weeks later, I have learned that I won’t see the final results most likely until week 4.  As stated already, I had been nervous about getting the stronger peel with my sensitive skin. Here are my daily results.

Day 1

Vi PEEL™ performed by Pamela DePianto, Dr. Macdonald’s Clinical Esthetician.

Preparation. For the week proceeding this day, I had not used any cleansers or creams which would have exfoliated the skin on my face.  I needed to let my skin rest.

The procedure. To prepare my skin, Pam started with an acetone cleanser. She then applied 2 layers of Vi PEEL™ solution while I was cooling off by the fan.

I felt a little tingly and warm sensation but no real burning. In fact, the burning sensation was less than my PCA peel series I did last year.

The scent was more like a “perm” (for permanent hair curling).

Two hours post-procedure. As expected, my skin was yellow-orangish, similar to the look after coming back home from a day at the beach, or after having applied tanning lotion. It’s was not red or hot though. It felt a little tight though.

I was instructed to leave the solution on until I go to sleep at night.  My skin was a little itchy but not too uncomfortable. What bothered me the most was the scent.

Pam sent me home with a small home kit containing:

  • Vi PEEL™ post-peel towelettes (two) containing Retin A and Vitamin C — to use each night before going to sleep
  • Vi DERM™ moisturizer — to use as often as needed when my skin feels tight, irritated or dry
  • Vi DERM™ sunscreen SPF 55, containing aloe and green tea, for daytimes

I was also instructed to avoid exercise and heat such as a sauna or the sun.

Sunscreen is important. Pam reminded me how important sunscreen is on a daily basis. She has a great way to remember the two important breakdowns of ultraviolet radiation that we get from the sun.

  • UVA — think of A as standing for aging. We get UVA rays from the sun through clouds and on days when we don’t know it. This is when most people forget to wear sunscreen, or do not think it’s important.
  • UVB — think of B as standing for burns. We get UVB rays from the sun through direct, hot sunlight. This is when most people think to apply sunscreen.

*** Sunscreen is necessary to protect against harmful UVA and UVB rays.

Nighttime routine. I cleansed my face with a mild cleanser containing tea tree oil and awapuhi. I then followed the Vi PEEL™ instructions by swiping my entire face and neck with the Vi PEEL™ post-peel towelette.  I could feel the stinging sensation of the Retin A / Vitamin C. That sensation didn’t last too long though. I was instructed to apply it one hour before bed and to leave it on overnight.

After a few hours, I found myself still awake working on my computer.

The skin on my neck started itching too much….

I tried many cooling remedies and finally washed off the Retin A / Vitamin C from my neck around midnight and applied the Vi DERM™ moisturizer which contains 1% hydrocortisone, vitamin E and organic aloe vera gel.  [2 hours later my face was unbearably itchy so it too was washed of the Retin A / Vitamin C .  I tried to last as long as I could, but I felt like sleeping..]

Then I went to sleep more comfortably, ceiling fan on.

Day 2

First morning after procedure. I woke to a red face as expected. After cleansing, I applied the Vi DERM™ moisturizer to my entire face and neck. It had a soothing effect.  My skin was comfortably warm.

I noticed that I needed to keep the activity level to a minimum, as even walking fast would make my face feel extra hot, which then turned to an itchiness. Drinking cool water and staying cool in general helped.

Mid morning. Drove in car on a sunny day.  I had to turned on the air conditioning to max to cool down. I wore a big floppy hat for extra sun protection.

My neck still felt itchy, so I applied Vi DERM™ moisturizer repeatedly.

Afternoon. I tried out the Vi DERM™ SPF 55 and it was soothing and comfortable for my face. So, with the A/C blasting and my sun hat, I was comfortable even as the day got hotter.

Nighttime. Cleansed and reapplied the 2nd and last Retin A / Vitamin C towelette provided by Vi PEEL™ for day 2.

  • To my neck: Since Retin A / Vitamin C was too strong for my neck the evening before, and I feel like sleeping, I did not put it on my neck. I used Vi DERM™ moisturizer instead.
  • To my face: Applied Retin A / Vitamin C as directed. It did not burn as much as previous night. I went straight to sleep, so was able to leave it on the entire night. My lips felt especially dry so I used Alba Un-petroleum jelly. [I was not putting the Retin A / Vitamin C on my lips, nor was the Vi PEEL™ applied to my lips–only to the skin above my upper and lower lip.]

Day 3

Upon waking.  Face felt a little dry, a little hot, a little itchy before I did the morning cleanse.

No peeling yet. I noticed the most dryness around my lips.

I also notice that the hyperpigmentation I had on my cheeks had turned darker.

Afternoon. Just when I was thinking this “peel” should be renamed, I started peeling in big flakes. It began on my chin. Then around my mouth. No discomfort.

Dr. Macdonald called to check up on me about the state of my skin. He mentioned,

I would not apply the Retin A / Vitamin C this early on in a peel. I would not have advised it until day 4 or 5 instead.  [A change in the Vi PEEL™ company instructions].

Since my Vi PEEL™ packet only included 2 of these towelettes, I was already finished with them.

Dr. Macdonald also let me know that although there is trichloric acid in this peel, he does not consider it a typical TCA peel because the amount is so minimal. This peel is a step between typical PCA and TCA peels.

Evening. Skin started to tighten and peel more continuously all day.

Before bed. I cleansed my face with the Trader’s Joe’s tea tree oil cleanser, applied the Vi PEEL™ moisturizer and went to sleep with some active peeling. No itching or pain.

Day 4

Morning. I woke to tight skin and skin shedding like a lizard. It felt the tightest on my forehead and around my lips. No pain, no itching.

I smiled at all that is getting peeled away here. All of my skin’s impurities.

Afternoon and evening. Continued to peel. I was in public most of the day just smiling as if I had a Hawaii suntan peel. I applied more Vi PEEL™ lotion than previous days.

By bedtime it started to feel like the lotion was irritating my skin, especially on my chin area which had stopped peeling (also where peeling began) so I didn’t put on as much as before. I used another moisturizer which contained more inert ingredients  — Alba’s Un-petroleum Jelly.

Day 5

Morning.  I woke to extra tight skin and very strange looking tight crepey wrinkles when I smiled

Forehead and upper cheeks were still peeling.  Using the Vi PEEL™ moisturizer and SPF 55 sunscreen, which both soothed the raw skin.

Afternoon.  Skin peeled off in sheets. By early evening, it was close to done (little remnants along hairline). What remained on my forehead and upper face was a smoothness, yet red and splotchy.  What remained on the lower half of my face was an irritation (slight raw skin pain) and dry, hard skin like a callous or leather.  I continued with the Alba Un-Petroleum Jelly  since at this point the Vi PEEL™ moisturizer  was too irritating.  The Alba product contains:

  • Castor seed oil
  • Coconut oil
  • Beeswax
  • Vitamin E

Early evening. Since the peeling had subsided and I knew my skin craved some serious moisture, I went into the steam but had cold water with me to keep pouring on my face too. I did this routine for about 10 minutes. While I was in the steam, the hardened skin seemed to be completely better!

Hours later, it was a little raw again but the hardened skin was not as bad.

Later in the evening I switched to 100% pure jojoba oil for my dry and scaly chin and lips.

Day 6

Morning. My skin was still dry. The area around my mouth was dry and scabby, beginning to flake off in tiny sections (very unlike the initial layer which came off in light sheets of skin).

My overall face was reddish and all previous hyper pigmentation now darker (reddish) and more pronounced.

I kept up with the moisturizers, caked on at this point.

A quote from my daughter:

“My mom looks like a snake failing to shed its skin. It feels hard like scabs on her chin.”

Afternoon. Check up with Pamela DePianto and Dr. Macdonald’s.

Pam said that I was definitely was not done peeling and healing. The darker skin would lighten up to 4 weeks post-peel.

Day 9 and Day 10

Second layer of peeling on forehead and cheeks.

I was happy to find that the darkest hyper pigmentation areas had extra dryness and scabbing, preparing to peel off.

Before bed I used a Vitamin C Exfoliant cleanser (by L’Oreal). Very mild but has a little kick to the exfoliating. Since my skin is not irritated at all, I wanted to get that extra boost so these dark spots definitely come off…

Day 12

Skin color evened out.  Peeling stopped.  Skin felt smooth….   Planning on next update at 4 week mark.

Week 4

My face is smooth and noticeably healthy, similar to day 12.  It is recommended to do 3 peels with the Vi PEEL™ series.

© 2011 R.E.L. Copywriting. All rights reserved.

Obagi Blue Peel®, Vi PEEL™: What is the result?

I keep hearing about the TCA peel, Obagi Blue Peel® and the latest peel (with a small amount of TCA) called a Vi PEEL™. I wondered if it is time for me to have one done. Having been through a 5-series PCA chemical peel through Dr. Macdonald’s office, I know the benefits to enhancing the skin at the cellular level, and also know that it’s good to do this periodically.

Am I ready for the intensity of a TCA Peel or even a medium peel that is stronger than a PCA? This is what I wonder.

For my next peel I’m thinking I want to try a deeper and stronger strength–one that will potentially diminish, if not erase, my remaining hyperpigmentation (a.k.a. “brown spots”) that I’ve accumulated from the sun and/or age.

As I’ve discussed before brown spots on your aging skin are 85% due to the environment and 15% due to aging.

Unlike the chemical peel series I had performed last year (search Category: Chemical Peel for my story), the Obagi Blue Peel® and Vi PEEL™ contain TCA (medium to deeper peels made of trichloric acid) and are considered physician-strength peels. This means that a doctor needs to administer it instead of a Medical Aesthetician.

I am a little nervous about the idea of a stronger peel since my skin is so sensitive, even with the lighter PCA peel. However, I have faith in Dr. Macdonald’s physician-strength peel care.

With TCA peels, I would expect a mild, burning sensation for the first few minutes. Then I will require a longer healing time than the PCA peel. There will most likely be more than one peel to get my desired results.

Both PCA and TCA peels together with the following will help with my skin health:

  • proper cleanser to balance out the oil and the dryness
  • sunscreen with SPF to block from the sun’s harmful rays
  • antioxidants to neutralize free radicals
  • retinol A (vitamin A) to rejuvenate cells
  • vitamin C to build collagen
  • vitamin D3 to protect
The Obagi Blue Peel® and Vi PEEL™ TCA peel would:
  • reduce the brown skin spots
  • visibly improve complexion
  • firm up skin
  • produce smoother, more youthful skin

Of course I’d like the results I mentioned. The cons are the longer downtime (7-10 days). This would mean that not only would I need to hide from the public, but I also cannot go to yoga or go in a steamroom–my favorites.

I asked Pamela DePianto, new Clinical Esthetician in Dr. Macdonald’s practice, about her stance on chemical peels and skin care. Specializing in skin care, after hearing my story, she advised that I will probably want to try the Vi PEEL™ since it has a milder approach and would probably be more favorable to me with my sensitive skin (yet desire to go deeper than PCA). She said that the Vi PEEL™ is not as intense as Obagi Blue Peel® and just as effective. She advised that I would probably do 2-3 peels in a series.

Before making any true assessments of my skin, she will have me come in to the office for a consultation and facial. I’m looking forward to it!

To be continued….

© 2011 R.E.L. Copywriting. All rights reserved.

Healthy Skin After Sun Exposure: PCA and TCA Body Peels

photo Wikimedia Commons

Do your hands or upper torso need help restoring a youthful appearance they once had and now are just covered in “brown spots”? I know my answer to that question is ‘Yes’ for me.  I’m also learning that a chemical peel is for more than just the face, but for different body parts too such as the hands and chest.  Dr. Macdonald’s office does both the PCA peels (plus more through Amy, the Medical Esthetician) and TCA (and other physician strength peels).

Did you know that brown spots on your aging skin are 85% due to the environment and 15% due to aging? That statistic opened my eyes as I had thought more of my recent effects were due to aging.  Environmental damage, for me, started in my early years with suntan contests with suntan oil (no SPF) which left me sunburned and peeling… Sun exposure to this day is minimal but I have heightened effects.

Not only do I have brown spots on my face (as we’ve seen in my facial chemical peel story, I have them on my hands too, as we’ve seen in part with my laser treatment.

But wait, there’s more!  I also am full of brown spots on my chest, front of arms and front of legs.  Basically, all the main target areas hit by sunburn and peeling during the suntan years now have brown spots. [And I didn’t even win the suntan contests, even when I used the silver, reflecting suntan blankets… Go figure–someone with my light skin trying to compete with a person whose skin has more natural melanin.]

Since I am now “studying” brown spots on skin, I seem to notice them everywhere, on everyone.  I am perplexed at how clear some people’s hands are.  I have learned the reasons behind this.

The darkness in skin is melanin.  Those with darker complexions naturally have more melanin in their skin.  What happens when we go in the sun?  We either get tan or we get burned (or somewhere in between).

I am interested in the science behind tan vs. sunburn. Melanin protects the skin from the sun’s harmful rays (or from any skin injury).  The skin of a person with enough melanin in their skin to handle the sun’s rays turns a little darker as a result.  However, the skin of a person with less melanin in their skin reacts; it goes into protection-mode and releases melanin (that naturally lays beneath the skin’s surface).  This melanin rises to the surface… but not uniformly, resulting in a spotty look.

Wrinkles are another subject of interest here, increased with sun exposure. The reason is that the UVA light breaks down collagen fibers which were once tightly woven together, and then as the skin repairs itself, the fibers grow back together with a little separation.  This results in wrinkles.   Another reason is that the sun strips the skin of its natural moisture.  Healthy skin needs moisture.

PCA (light peels) and TCA (medium to deeper peels made of trichloric acid) together with the following will help you with your skin health:

  • proper cleanser to balance out the oil and the dryness
  • sunscreen with SPF to block from the sun’s harmful rays
  • antioxidants to neutralize free radicals
  • retinol A (vitamin A) to rejuvenate cells
  • vitamin C to build collagen
  • vitamin D3 to protect

Next time you’re in the sun, especially a hot beach, chose a spot with an umbrella, or wear a hat if you can….

© 2011 R.E.L. Copywriting. All rights reserved.

VariLite Post-Laser Treatment to Remove Brown Spots From Hands, Scar Healing

It’s been 4 months since my VariLite Laser Treatment by Dr. Macdonald on my hands.

Laser treatment for hands. I’m seeing first hand how different the skin on the hands is from the face.  When it comes to scarring, Dr. Macdonald indicates that the hands have a longer healing time because the skin is thinner.

4 months post-laser

He did a great job getting rid of the brown pigment.

As stated in my post directly following the laser treatment, the darker the pigmentation, the harder the laser has to work.

Dr. Macdonald wears special glasses that allow him to see the pigmentation in the most effective way.

Scar healing timeframe. Scars can take up to 18 months to heal.  To assist with

pre-laser

this effort, it is best to:

  • Apply scar gel daily. Dermatix™ is a great brand to use.
  • Wear silicone sheeting taped on at night (or during the day if it doesn’t bother you).
  • Protect the scar from the sun with clothing, hats or sunscreen.
  • Let time heal 🙂

At my 4 month follow up appointment yesterday, Dr. Macdonald advised me that I will see significant healing in the next 6 months and to use the scar gel and silicone sheeting when I can. The more I wear it, the more it works.  [It’s cool that you reuse the sheet over and over so it’s not so wasteful.]

Also, I’ll do my best in the sun to cover the areas with sunscreen.  I’m going to the tropics next week so I will definitely be in the sun!  🙂

At any rate, since my skin is so thin and susceptible to scarring, I was already ready for some extra healing time.

© 2011 R.E.L. Copywriting. All rights reserved.

2 1/2 Weeks: VariLite Post-Laser Treatment, Removing Brown Spots on Face + Hands

It’s now been 2 1/2 weeks since my laser treatment for my hands and face.

The lesions are almost healed but still noticeable.   I’ve been applying vaseline moisturizer every day.  Some days they itch a little but I have tried not to scratch off the scabbing, so that it comes off on its own as directed by Dr. Macdonald.

I will start using scar gel on the effected areas until the wounds completely vanish.

18 days post-laser

pre-laser

© 2010 R.E.L. Copywriting. All rights reserved.

Days 3-5: VariLite Post-Laser Treatment, Removing Brown Spots on Face + Hands

It’s been 5 days since my VariLite laser treatment with Dr. Macdonald.  The healing process has been as expected.

Dr. Macdonald notified me to expect the following post-laser treatment for pigmented lesions:

  • Pigmented lesions may turn gray or dark after treatment.  As the skin heals, in 7-14 days, the spot will slough off.  Do not rub or pick the lesion.  Antibacterial or moisturizing ointment may be applied to the area as desired.
  • Do not use a “loofa” sponge on these areas.  Let them “slough” off naturally.
  • For the next 3-4 weeks, avoid sun exposure to the treated area.  Use of a sunscreen containing an SPF of 15 or higher is recommended.

I had dark scabs at first, as shown in my previous post on day 2.

Day 3

The day to follow I went surfing 🙂   The salt water I know has a healing effect for skin.  [Applied sunscreen].  It stung a little bit.   The scabs soaked in salt water became soft and started to come off later in the day as shown in the picture (left).

On my face, the scabs remained as you can see in the picture (right).

Since the treatment I have been applying antibiotic ointment or Aquaphor a few times a day.

Day 5

Today the scabs have fallen off on my hands but they still feel and look as if they are infected and yellowish, encircled with redness and a little painful to the touch.  Without the protective scab, I’m using even more ointment to protect them and help the healing process.

I’m looking forward to looking down at my hands and seeing those darker spots gone!

Stay tuned…

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