By Kevin C. Smith MD FACP FRCPC
What is that Spot?
As time goes on, we start to notice brown spots and freckles -- “souvenirs of Florida” -- on the backs of our hands and on other sun exposed areas like the upper chest and face. At first these brown spots are small and light colored, but eventually they become a cosmetic problem -- an obvious sign of premature aging of the skin because of ultraviolet damage from sun exposure or from tanning beds.
By using modern high-SPF sunscreens like Ombrelle-60™ or Anthelios-60™ we can safely enjoy outdoor activities like gardening, golf and boating, and greatly reduce the rate at which our skin deteriorates. Patients who get into the habit of applying Retisol-A 0.01% cream (a prescription product which combines a retinoid and an SPF-15 sunscreen) to their faces every morning will usually see a considerable improvement in the appearance of their skin after 1-2 years, and if treatment is continued long-term patients will notice that their skin ages more slowly.
Hats and sun protective clothing can also slow down the rate at which “age spots” appear – and also reduce the chance that we will develop skin cancer. You can learn more about how to prevent sun damage, learn about the early warning signs of skin cancer and see photos of typical skin cancers at Skin Cancer Guide.ca.
The early warning signs of skin cancer include:
It is not too late for those of us who already have sun spots and age spots. I have seen many patients who had sun damage improve gradually over a period of 3-5 years simply in response to daily sun protection. For those who want more rapid and complete improvement in their sun damaged skin, one or two treatments with the Medlite™ laser can fade or eliminate brown “age spots” on the face, chest and hands within a few weeks.
Intense Pulsed Light (IPL) treatments, for example with the Cutera Xeo-600, can be used in cases where there is a background of tiny freckles and brown discoloration – sometimes erasing 20 years of irregular pigment with a series of 20 minute treatments! Where there is severe sun damage or when a person wishes the most rapid improvement (for example, if a daughter is getting married in two months) a medicine called Levulan™ is applied to the skin for one hour before treatment with the Cutera Xeo-600. Levulan™ is absorbed by cells in the skin which are misbehaving, and then is activated by light from the Xeo-600. The abnormal cells are shed from the skin over a period of 1-2 weeks, revealing fresher, healthier skin – and giving the patient a “fresh start”.
What ever the type of spot – if you have concerns, or if you see changes in its appearance, it is important that you have it inspected by your family physician or dermatologist.
About the author:
Dr. Kevin Smith is a dermatologist in Niagara Falls, Ontario with a particular interest in protecting the skin and in correcting skin problems resulting from aging, rosacea and sun damage. He is an expert in the use of Botox®, fillers, lasers and intense pulsed light to maintain and enhance the appearance of the skin, and have lectured on those subjects across North America, and in Europe, Asia and Mexico. Read more at www.smithlaser.com
Thursday, June 25, 2009
Age Spots? Sun Spots? Skin Cancer?
Face Lift - A Treatment for Everyone?
By Mariusz J.A. Sapijaszko, MD FRCPC (Dermatology)
Face Lift is a procedure that most people can benefit from. This may sound too radical but most people feel a need and desire to look their best. When skin creams and lotions, Botox, lasers, chemical peels and fillers fail - face lift may offer the solution that is difficult to resist. Of course, many people are afraid of having surgery and having a "surgical look" but fortunately face lifting techniques have evolved considerably to offer patients less invasive methods that even the most sophisticated patient can find attractive. You can read more information on www.CosmeticProcedureGuide.ca
How The Technique Is Performed:
Face lift remains one of the most effective rejuvenating methods for the aging face. Its technique varies from simple skin excision to complex procedure including the repositioning of muscles, fat and skin. Recent trends in patients desires of having effective facial improvement while minimizing down-time have led to the development of newer, less traumatic, short scar, less recovery methods. Full understanding of the face and neck anatomy as well as the changes associated with aging process is required by the physician prior to undertaking any face lift procedure.
Two key subcutaneous structures are at the core of face-lift surgery - superficial musculoaponeurotic system (SMAS) and platysma. SMAS is a fibrous interlocking, sometimes ill-defined, structure/sheath deep to the skin fat. It extends from platysma muscle (a thin, fan-like muscle that extends from both collar bones to the jaw line) and reaches cheekbones as well as temple and scalp components. These two structures are utilized and modified in most face lift procedures.
As we age, several facial components undergo significant changes. The skin becomes less elastic that is associated with decrease in collagen support. Furthermore, there is modification of the facial fat with respect to its amount and position. In addition, there is remodeling of facial bones that in combination with fat and skin changes lead to aged facial appearance.
Most of the surgical face lifts procedures today are a variation of two-plane face lift - use of the epidermal-dermal component (full thickness skin) as well as the SMAS-platysma component. Optimal results require modification of SMAS-platysma component through resection, placation and/or suspension. It is this modification that is at the core of most face-lifts. These adjusted deep supporting structures provide durable framework over which skin can be safely re-draped. It is imperative to realize that stretching skin alone will not result in any sustained improvement and can lead to skin death, appearance of "surgical look" as well as significant facial distortion and scarring.
The Latest Techniques:
Latest face lift techniques utilize shorter skin incisions and are primarily designed for patients with mild to moderate jowls and neck laxity. With the recent advancements in local anesthetic and, in particular, the development of tumescent anesthesia, most face lift procedures can be safely and comfortably accomplished without the need for the traditional general anesthesia. These modified procedures have accomplished several things. Shorter incisions and local anesthetic make the recovery from modern face lifts much easier than in the past. In addition, the shorter scar and resulting less significant distortion of hairline make these methods much more appealing for modern men and women.
What Every Patient Needs To Do
As with any aesthetic procedure, pre-operative consultation is an optimal time for defining patient's motivation for aesthetic improvement and developing plan of action. It is at this time that patient's desires and fears can be explored. It is important for the patient to ask pertinent questions regarding the expected degree of sustained facial rejuvenation, the length of the scar as well as modification of the temporal and post-auricular hairline. With proper patient selection and optimization of desired procedure, most patients can achieve rewarding sustained results that can benefit most if not all of us at some point in our life.
For more information about skin care, go to www.SkinCareGuide.ca.
About the author:
Mariusz J. A. Sapijaszko, MD FRCPC is the Director of the Western Canada Dermatology Institute located in Edmonton, Alberta. He is also the Clinical Assistant Professor at the Division of Dermatology, University of Alberta, in Edmonton. His areas of expertise include cosmetic and laser surgery. Learn more on www.youthfulimage.com
Skin Care Info
