Not All Freckles Are Equal

After a lifetime of happy, sun filled days, the skin  is dotted with freckles, dark spots  and patches.  But not all spots are equal.  There can be  little flat dark freckles, larger bumpy areas the size of a raisin  and even larger cafe au lait patches of melasma.

freckle before treatentI  have been exploring different lightening and brightening products on different dark spots on my face and limbs.  As it turned out these formulations are not effective  against  raised or very dark  areas of pigmentation.   I had tried just about everything on a tan rough spot on my arm which just kept getting bigger.  When I finally showed it to Dr Lefkovits, he diagnosed it as a seborrheic keratosis.  This is a benign growth that  comes with  both  age and sun exposure.  They have a waxy, flakey  appearance– not attractive, … Continue Reading…

Tri-luma– Its back!

The return of Tri-luma, an effective treatment for dark spots and melasma Continue Reading…

The Anti- Aging Chest

golden globe (2)Watching the red carpet parade of beautiful women at the Golden Globes, I was mesmerized by the flawless chests above the strapless or plunging gowns. While we usually focus on signs of aging around the face and eyes, the skin on chest is often more lined and sun damaged and in need of some TLC. These women who professional lives depend on their beauty clearly knew this and they take great care to create a smooth polished and sexy decollete.

After trying  out  a wide range of anti-aging tools for my face, I realized that   there was now quite a difference between the skin on my face and the skin on my chest.  Last year  I had most of the freckles  and age spots  on my chest removed by  laser, … Continue Reading…

Question: What are BB creams?

Answer:  I love new beauty ideas that are based on good science and BB creams are just such a concept.  BB stands for ‘blemish balm”  where blemish is defined as a skin defect ( eg dark spots and splotches and acne scars), not  just  traditional breakouts.

The original BB creams were developed by a Korean dermatologist to help his patients care for laser treated skin.  After having both IPL and frying off my freckles with a YAG laser, I had difficulty finding  appropriate  moisturizers and sun protection products.  The treatments made my skin especially vulnerable to sun damage, yet traditional chemical sunscreens were irritating while  zinc based formulations left my  skin with a weird white sticky film. 

BB creams are a genuinely clever idea.  They are a zinc based high SPF moisturizer/sun block combo that have a flattering tint.  The result?  On the skin … Continue Reading…

IPL– Safe and Beautiful Results

Question:  I have heard so  many horror stories about IPL, but you had great results.  Can you tell me what machine was used and at what settings?

Answer:  I had IPL with Dr Ellen Marmur of Mount Sinai School of Medicine, so I  asked  her to answer this question.  Dr Marmur used the Luminis IPL with two handpieces– the 560nm and the 590nm.   “Both  of them focus on red spots, blood vessels and brown freckles”  she explained.  “The treatment settings vary from patient to patient based on skin color and the amount of the target to be removed.  For example, I use  lower settings for freckles to avoid over-heating the skin.’    Dr Marmur also warned against getting IPL when tanned ”   You need to avoid the sun for at least wo weeks prior to IPL treament ” she warned.

IPL Road Rules

IPL … Continue Reading…

Skin Lightening, Week One

  Here is the two step  jar of Elure, the new skin brightening agent.  The jar is divided into two compartments.  As per instructions, I used the first little spatula to put a dab of cream from the first side on  the BIG FRECKLE, waited a  minute then spread the same amount from side two on the same spot.  Totally simple, but I’ve yet to get into a routinue to do it twice a day.  So far, I’ve put  on about half  the recommended doses.  I’ve got to step up my game to give it a legitimate chance to work. I keep forgetting to put it on  either in the morning or evening.  I think that if I was using  on my face, it would be easier to remember, and … Continue Reading…

Pelleve– Three weeks later

Here are the pix I took before  and three weeks after my Pelleve procedure. To my eye there is a visible difference in contours of the face.   The smile  lines are not as deep   and  my jaw line a little tighter.   I don’t look in my twenties or  even in my thirties– but to my eye I just look more like the person I remember. 

I really like these subtle changes  much more than the  more drastic changes of a full face CO2 laser.  While that bad boy can erase decades of  lines, wrinkles and age spots, I find  the post -laser face looks waxy with a  pale  shiny appearance.  Its the  strange face you see on some of the women on The Real Housewives of You  Name the City.

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Tri-luma- Five Top Questions

1.  Can I use Tri-luma on  my chest?

In theory, yes but its not going to be that effective.  A chest with lots of freckles and age spots will need more help than Tri-lima can  provide.  Once areas of hyperpigmentation become raised and lumpy, you’re going to need some kind of  laser or IPL to deal with them. 

2. Can I use Tri-luma and Retin A together ? 

It  depends. Tri-luma already contains Retin A to increase cell turnover, hydroquinone to break down  and discourage pigment formation and a steroid to keep down inflammation.  If you are using Tri-luma  under  your eyes, you can  then apply Retin  A to the other facial areas.  If you have areas of discoloration on your cheeks and forehead, you can use Tri-luma on these areas, but not at the same time you are  using Retin A. It won’t do a  better  job and will  make you … Continue Reading…