Denver Plastic Surgery Associates
Plastic Surgery Group
Revalla Plastic Surgery
Dr. Popham, MD FACS
Vascular Institute of the Rockies

 

 

 

 

 

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SPRING SKIN
TUNEUP


Warm weather means it’s time
to review beauty regimens

By DAVIDA SIMON

The birds are finally singing. We’re coming out of a long hard winter. We almost broke records with 61 days of snow on the ground. This adds up to 61 days of bundling up in coats, scarves and boots to stay warm and 61 days of the furnace cranked up and drying out our skin.

But this week, I’ve heard my friend the determined woodpecker perched outside my window, hailing the coming of spring. Buds are appearing on the trees, there’s new growth everywhere we look, and sweater weather is back. As we roll into spring, now is the time to take stock of our skin care routine, add an extra step and possibly alter a few regimens.

I went right to the source for advice. Several sources actually, because we approach the skin from several angles — topical at-home skin care, treatments in a spa with a medical aesthetician, or laser tech and medical procedures involving physicians.

I spoke with paramedical aesthetician Kris Popowski at the Dermatology & Laser Center in Denver about what we can do to hydrate and “tune up” our overheated, dry skin. “Exfoliated skin retains moisture better, and the first thing that comes to mind is an in-office mechanical skin exfoliation treatment such as light microdermabrasion to remove superficial layers of dead skin and allow treatments to penetrate better,” says Popowski.

What can be done at home? I for one have shelves full of half-used cleansers, scrubs and moisturizers that I abandoned for the new and improved products advertised in magazines and on television. Popowski replies, “To exfoliate at home you can use products containing alpha-hydroxy acids or retinol.”

With all that “stuff” on my shelves, can’t I just use what I have? Why do I need to come in for professional service? Popowski helps me to understand: “I like to use the analogy of teeth cleaning. You brush your teeth at home but then go in to the dentist to have your teeth professionally cleaned. You are not going to have the same dentist-clean results with just your toothbrush. Women can use home skin care products and the massmarket store-bought microdermabrasion wands, but it won’t be the same as inoffice treatments.”

Skin care is big business, and many brands tout amazing results in a short amount of time. These products don’t always deliver those results because products sold through retail stores or salons and spas are cosmeceutical. The product won’t have the potency to treat the skin as well as skin care products tagged pharmaceutical. Skin care products sold and supervised through a physician or medical aesthetician usually have a higher percentage of the key ingredients that give you more bang for the buck.

AN EXPERT CAN
SAVE YOU MONEY

Consulting with experts may even save you money. Dr. John Bershof with the Plastic Surgery Group and owner of Body by Design, a medical spa in Denver, says, “A good skin care aesthetician will evaluate a person’s concerns and put her on a skin care program that works specifically for her. The patient will purchase only what she needs. She will know how to use the products, apply them correctly and use them in the correct order. People need to be educated consumers.”

He goes on to say, “The patient might supplement her at-home program with medical spa treatments such as Botox, fillers, microdermabrasion or an office peel. When a skin care program is designed by a medical spa, the aesthetician will follow up with the patient, making sure she is applying her products correctly and not using something she no longer needs.”

Susan Strasburg at Body by Design offers her take on spring skin tuneups. “Even though we have had so much snow, the air is dry,” says Strasburg. “A lot of people think that just putting products like moisturizer on their skin is going to help them through this. You need to get the dead layer off to jumpstart your skin for spring. I usually give my clients options with either a few sessions of in-office microdermabrasion treatments or a peel and at-home skin care, or send the patient home with skin care products like Obaji. Three or four weeks later, when that dead stratum corneum layer starts to loosen, they can come in, and I can get that skin layer off with a treatment. But it’s not a one-time thing.”

Says Strasburg, “Like having your hair highlighted, you’ll have to keep it up for the best results. Like working out at the gym, or going on a diet, it’s a program.” What’s the cost of all this? “I am concerned with people’s budgets,” says Strasburg, “and I’ll work with them to give them what they need even if it’s just a few products they can incorporate with products they might already own.”

I watched with permission as Strasburg’s client, Brenda, received injections of a new filler called Juvérderm in her nasal labial folds. The area was instantly smoothed and plumped, giving a more youthful appearance. Hyaluronic acid is a naturally occurring sugar found in the human body. The gel temporarily adds volume to facial tissue and restores a smoother appearance to the face. A local anesthetic was applied first, and Brenda was comfortable with the treatment and happy with the results.

COMBATING SUN DAMAGE
Laser technician Paula Maes of Denver Vein Center helps her clients get ready for spring using the newest
infrared light treatment. IPL (Intelligent Pulse Light) machines help rid the skin of last year’s sun damage, including broken capillaries, freckles and age spots, and help to improve the overall appearance of the skin. It can even be done during a lunch hour.

“It takes a few minutes and doesn’t involve messy gels or topical anesthetics,” says Maes. “IPL targets the pigment, and just a few treatments may be all that is needed. The newer Cutera laser IPL works for all skin types and can give the treatment anywhere on the body that has sun damage.”

Sunscreen is an all-important step to protecting your skin all year round. ”There’s a new over-the-counter sunscreen that offers protection from both ultraviolet A (UVA) and ultraviolet B (UVB) radiation. Just approved by the FDA, Anthelios SX, manufactured by L’Oreal, is better at blocking the sun’s harmful effects and will be available soon,” says Popowski.

“Treat last year’s sun damage first,” advises Maes. “If there is already sun damage, you will be prone to get more sun damage if you don’t use sunscreen protection with zinc oxide.”

All our experts agree sunscreen is one of the most important products you can use to ward off the signs of aging. Dr. Libby Shurnas at the Dermatology & Laser Center emphasizes the consistent use of sunscreens to minimize the aging process.

WHAT ABOUT
SUPERFLUOUS HAIR?

Another spring-to-summer tuneup is removal of superfluous hair, and laser hair removal might be the ticket. “We won’t treat anyone with blond, red, grey or white hair,” says Maes. “The laser needs to be targeted toward pigment, and those hair colors don’t carry enough pigment in the follicle.”

Strasburg offers a way to get rid of dead skin with the added bonus of removing facial “peach fuzz” using a different type of exfoliation service called Dermaplane. After the skin is cleansed and possibly treated with an in-office peel, Strasburg uses a specially designed instrument to gently scrape away dead skin and unwanted facial hair.

Strasburg notes, “We try to teach people that you can have a face-lift, your jawline cleaned up, or your eyes
done, but if your skin looks old, you are not going to be happy with your face-lift.” So when Dr. Bershof feels
patients are premature in wanting surgical procedures, he’ll send them to the medical spa for treatments to smooth, soften, plump and revitalize the skin tone. “If we haven’t met all her concerns, then we’ll send her back to Dr. Bershof for a consultation,” says Strasburg.

Our skin care routine doesn’t stop with the face. Legs, feet, arms, chest and back will be uncovered soon, and our skin care programs must incorporate the total body. While you’re tuning up your skin care routines, be sure to see your physician for your annual check of moles and spots.

We want to stay healthy and vibrant. The key to your spring skin tuneup is a healthy diet, lots of water, and cleansing, exfoliating, treating and protecting your skin both at home and with the help of experts.