Answered by Renee Stroffe PA-C
Continue all the recommendations of the previous decades in terms of skin care. It is important that you continuously minimize future damage. Previously recommended fillers, neurotoxins, and energy devices are also still appropriate.
At this stage, recommendations are geared toward improving sun damage and skin laxity that have progressed and accumulated. Combining treatments and maintenance with repeated treatments is key to address multiple compounding issues related to age and sun exposure. This way, you will have a multipronged approach that addresses individual components and produces results that are more than the sum of its parts.
An example of great combination treatments are the Pico, VBeam, Genius, and Thulium lasers in different three and four-laser packs. Depending on your individual skin needs and damage, combining laser treatments creates an exponential improvement instead of only additive. Even when adding multiple laser treatments, downtime can be as little as two to three days. We have multiple laser combinations that enhance skin texture and glow.
As we age, sun-induced lentigos or brown spots, broken capillaries, and diffuse redness start to appear on our faces and bodies. Pico laser helps improve low contrast, light brown spots that devices like IPLs cannot improve. VBeam causes the blood within the vein to coagulate, eventually destroying the vessels to be later reabsorbed by your body. Blood flow is then redirected to veins deeper below your skin’s surface where they are not visible or not as visible.
Genius is a radiofrequency micro-needling procedure that tightens elastic fibers and collagen. Radiofrequency heat tightens and stimulates, while mechanical microneedles induce a healing reaction in the skin. This procedure can treat all skin tones at various depths in the skin. The Genius is also an excellent treatment for depressed acne scars and enlarged pores.
Thulium is a fractional laser that treats only a percentage of the skin surface, which reduces the healing time and promotes the skin’s natural process for creating new, healthier tissue to replace the damaged cells. This treatment helps to reduce skin cancer risk by 50% as it treats actinic damage and helps to create a glow to the skin.
Another example of combining therapies is to use a multimodality approach of laser and bio stimulatory fillers. Ultherapy with Radiesse is a great combo that improves texture and wrinkling with quick results and long-term benefits of collagen formation. Combining these treatments on the face, neck, and or chest is a powerful duo. Ultherapy is a non-invasive, no-downtime laser treatment that uses ultrasound technology to both visualize the appropriate tissue layer that needs treatment and supply the energy and heat needed to treat the lax tissue. This allows for customized treatments for each patient. Radiesse is a long-duration dermal filler for moderate to severe wrinkles that also stimulates collagen and elastin production. There is an immediate improvement as Radiesse integrates into the skin to create a scaffold that stimulates collagen and elastin production. This stimulation of your own collagen and elastin will, over time, replace the scaffold of the filler and smooth lines and promote renewed skin structure.
Microcoring (Ellacor) is a good treatment in your 40s, 50s, and 60s because it helps stimulate collagen formation and physically remove tissue to decrease the amount of laxity. This is a treatment that removes small cores of skin without scarring. Over several months after the treatment, the cores that were removed help our own skin rebuild some lost collagen, which will tighten and lift the skin. The neck is a particularly good area for this technique.