Botox or Laser- Which is Better?

Q&A2Question:  My Mom  reads your blog and  has been talking about getting Botox  or the “lunchtime laser.”  I want to get  her a treatment for Christmas but don’t know which one to choose.  I can afford  only one  and I want  her to see the biggest results.

Answer:  What a great question and you’re a great daughter! Both  Botox and  Intense Pulsed Light  laser  ( also known as the lunchtime laser) will make a major  difference in her appearance.  The choice depends on the condition of her skin.  If she has spent many  happy hours in the sun, its likely that she has lots of freckles and dark patches.  An Intense Pulsed Light treatment  will literally vaporize this aging pigmentation and leave her skin younger and refreshed.  The results are permanent but brown spots will return if she goes out without sun protection.  … Continue Reading…

What’s the best way to deal with brown patches?

Darkened areas  on the cheeks, dark circles under the eyes, age spots, and  hyperpigmentation  are all basically  the same problem– excess melanin production in the skin.  It  can happen at any age, but as  we grow older  it becomes more of a problem.  While we often focus on lines and wrinkles as signs of aging, clearing  brown spots and splotches  can erase years from your skin. 

While there seems to be a boatload of options, there are basically two different approaches:

1.  Products that inhibit the skin cells from producting melanin.

2.  Procedures that actually remove darkened skin.

One of the  most powerful tools against hyperpigmentation  has been hydroquinone, but  many doctors use it cautiously.   There were reports of increased pigmentation and  allergic reactions  with hydroquinone and  but according to Dr Wendy Roberts  these problems were often due to contamination of hydroquinone products. Doctors found that it was the … Continue Reading…

My BFF– Best Friend with Freckles

Intense Pulsed  Light (IPL) is a type of photorejuvenation  that uses  a blast of light to remove freckles, unwanted hair and  little red lines on the skin.    Often called the “lunchtime laser”  it does not burn off the top layers of the skin like a tradtional laser and the skin looks beautiful and smooth within a week.    I had IPL  last year in June  with Dr Marmur and was so pleased with the results.  I thought  it made my skin look tighter and fresher and I posted before and after pics on the blog.  My BFF ( best friend with freckles) liked  the changes so much that  she went  for her own IPL date.  I think her results were even better.  Not only does she look 10 years  younger, her skin  has a new radiance.  She is so pleased with the … Continue Reading…

Red Carpet Shoulders

Watching the celebs walk the red carpet during awards season, I began to focus on the flawless  chests and creamy  shoulders of the stars  in their strapless gowns.  Was I  the last woman in America with  age spots  on my upper body?

The short answer is  no.  This is an often overlooked spot until a dress or bathing suit suddenly reminds you that sun damage doesn’t stop at the chin. That’s the bad news.   The good news?   There a buffet of spots removers including skin bleaches, IPL, lasers, Fraxel, peels and  microdermabrasion. The question is  which one  is the best.   According to Dr Marmur, I have several  different types of discolorations that require  different types of treatments.  For example the true freckles can be easily treated with a YAG or Ruby laser– the same type that I used on the freckles ( aka age … Continue Reading…

New Respect for Retinol

I have often mentioned my reservations about retinols vs the more powerful retinoids like Retin A.  When applied to the skin, retinols have to convert themselves to  a true retinoid before they can be effective. Researchers estimate that a retinol is only 25% as effective as a Retin A.   For example, a .1% Retinol (  a very common concentration) is equal to a .025 Retin A–  which is actually the mildest Retin A on the market.  And then there is the problem that most retinol products don’t say how much of the power  stuff they actually contain.  You can’t know if a  product is to weak to be effective or too strong and irritating. 

I stayed away from retinol products until wandering in the exhibit hall  of a derm conference, I picked up  free samples of .5% Retinol from Skinceuticals. I was intrigued.  A .5% retinol … Continue Reading…

New Help for Old Hands– Part 2

Judith’s   hands  healed rapidly after her  IPL treatment. On Day One ( top left) the freckles  looked a bit red, but were not painful. Other than a sunscreen, Judith  did not need  to put anything on them   or to wear a bandage. Over the next week (bottom left )  her hand   developed  numerous  small brown spots which were exploded freckles. These   soon rubbed off  revealing  fresh new skin. The bigger freckles developed  crusted  over, which then   fell off to reveal  pale  spots.  After three weeks( bottom right) her  hands  had a  brighter, softer surface with just a few freckles that were much lighter than  before. 

And as an additional bonus, IPL  took care of the fine  lines   which made  her hands fresh and young.  Dr Lefkovits  has scheduled another visit  to totally erase the  remaining  shadows of the old … Continue Reading…

Pretty with Pelleve

The first time I went for a Pelleve  treatment with Dr Prasad, I was  anxious that it would be painful. I’m  just  not  a “no pain, no gain” type of person. I was delighted that Pelleve was a very comfortable, even relaxing procedure– and was even more pleased  with  the improvements I could see. This time   I  was pretty mellow  when I went to my second Pelleve appointment.  It was  just as painless and I saw  even more improvement.    In the pair of photos   above, the profile on the left was before any treatment and the profile on the right was just after my second  Pelleve treatment. My  cheeks and chin  are clearly firmer and less flabby.  Its not  nearly as extensive a change as I would see with a surgical lift, but I don’t want to go there. What you can also see  is that my nose does not droop down as … Continue Reading…

New Year, New Retin A

I finally got  my new Retin A this week and I’m lovin it.  To recap my Retin A adventures, I  had been using .04% Retin A  micro with wonderful results.  Its the lowest dose of  one of the gentlest forms  of tretinoin and I got good results  without too much discomfort. After about 10 months, I noticed that  I no longer could see  that characteristic yourthful glow you get with Retin A  and  realized  it was time to move up to the next level.  Dr Marmur gave me a prescription for.1%  Retin A– the  turbo powered one, not the micro-sphere stuff.  And here is where I went rogue.  In my local CVS, brand name Retin A was about $200.  I decided to order a generic version from Canada for $40.  I was so proud of all the money I saved.

When my bargain Retin … Continue Reading…