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In office microdermabrasion treatment is a non-invasive treatment utilizing tiny crystals that remove + exfoliate the superficial layers of skin and dry dead skin cells. In-office micoderm is one of the older but most efficient in-office procedures for exfoliation and overall skin texture, smoothness and removal of the appearance of fine lines and wrinkles.

Screen Shot 2016-08-08 at 2.09.08 PMTopical Retin-A (Tretinoin) treatments can be beneficial, due to its ability to build collagen and tighten skin, which makes pores smaller and tighter.

In-office Glycolic peels can be very beneficial for refined complexion and the appearance of large pores. Glycolic treatments also help with hyper-pigmentation, overall skin texture and fine lines and wrinkle.

Fraxel Laser Skin Resurfacing is FDA-approved, and uses fractional laser technology to help restore your skin to its original, perfect texture and achieves smoother,

younger looking skin, improved tone and texture, smaller pores, erasing of unwanted brown spots, acne scars, and surgical scars, and reduces fine line lines and wrinkles. Sometimes referred to as the ‘collagen enhancing laser’.

Fractional lasers are generally NOT good for redness, but work to reduce sun damage, fine wrinkles, large pores, aging on the face, neck, chest hands, arms, legs, and back. These lasers also reduce the appearance of certain cases of melasma, certain acne and surgical scars, the crepiness and fine lines around the eye area including the eyelids as well as overall skin texture and tone.

While Fraxel can be pricey this laser does produce results but as with most things, maintenance is required. The cost greatly varies by where you live, the office you go to, and the size of the area being treated. A full face laser resurfacing should cost ranges from $900 to about $1400. A full face plus eyelid should run approximately $1400 to $1900. And a full face with neck and chest will be $1500 to $1900. If you have scars that might benefit from a Fraxel, a specific quote will be given.Many people notice results within a week after their first treatment.  Their skin feels smoother, looks less blotchy, and has a glow to it. Obviously results depend on the specific issue being targeted with treatment. Usually, collagen will continue to develop even up to 3-6 months after your last treatment.

Although in-office procedures are extremely effective they will work even better with an at home daily skin regimen and a healthy lifestyle. This includes sun protection, not smoking and exercising.

Exfoliation is key to a refined complexion. Both physical (scrubs) and chemical (peels + acids) will get the job completed-the choice is yours. Any type of exfoliation will help pore size, by removing dead dry skin cells, pollution, bacteria and signs sun damage the skin’s surface will appear smoother, brighter, more even and less wrinkled. After proper and continues exfoliation, choosing a treatment product is imperative to refined pores. Powerhouse ingredients such as Ferulic Acid and Vitamin C must be incorporated into a healthy daily regimen.

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Exfoliation types for Pore Refinement

 Chemical exfoliators

Chemical exfoliation uses acids or enzymes to remove dead skin cells

Alpha-hydroxy acids target fine lines, irregular pigmentation, and age spots, while exfoliating and promoting collagen production

  • Glycolic: reduces visible signs of aging
  • Lactic: exfoliates, reduces appearance of hyperpigmentation + draws moisture to skin surface
  • Tartaric: helps reduce appearance of fine lines + wrinkles
  • Malic: promotes collagen production + reduces signs of aging
  • Citric acids: exfoliates + expedites new cell turnover

Beta-Hydroxy Acid

  • Salicylic Acid:  good for Acne prone skin, exfoliation and improves skin’s texture and color.

Manual + Physical exfoliators

Physical exfoliation utilizes a hard substance to manually remove the dead skin cells–think microdermabrasion

  • Ruby crystals-perfectly round so they provide an even exfoliation and they do not cause tearing to the surface of skin

 Ingredients for Pore Refinement

Vitamin C and Retinol as they both stimulate cell renewal and collagen production, which will firm up the connective tissue around the pores making them become + appear smaller.

Hyaluronic

Acid helps to bind moisture to the skin and fill fine lines and wrinkles, making pores appear smaller.

DMAE provides firmness and helps give a lifted appearance

Feruilc Acid fights free radical damage and is an extremely potent anti-oxidant. On par with SOD

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What you need based on your skin type

Oily/Acne: Doctors Scrub Advanced or Fresh A Peel + Brightening Elixir

Oily and Acne skin types need to wash and often due to the excess oil production. Doctors Scrub Advanced offers a deep exfoliation along with Hyaluronic acid for a tight and smooth finish. Fresh A Peel can be used 1-2 a week for an overall glow or if you are trying to target acne scars or dark spots. To treat and reverse signs of aging, use our newest serum Brightening Elixir which contains Ferulic acid, Vitamin C, Vitamin B and Vitamin E.

Red or sensitive skin Fresh-A-Peel, Radical Difference, Fleuressence Oil

A chemical Lactic acid based peel is perfect for sensitive or reactive skin (NO scrubbing involved). Physical scrubbing can aggravate sensitive skin and induce redness. Radical Difference serum soothes agitated skin and quells redness and inflammation. Fleuressence oil brightens, help rebuild collagen with Vitamin A and provides skin with essential fatty acids for hydration.

Dry

Doctors Scrub or Fresh A Peel, Brightening Elixir, Fleuressence Oil

The hydrating emollients and Hyaluronic acid in Doctors Scrub, will

keep your skin hydrated and supple. The main ingredient in Fresh A Peel is Lactic acid, which is derived from milk. Lactic acid actually helps to pull moisture to the surface of the skin as well as attacking hyperpigmentation and dark spots. Seal and reverse signs of aging with Brightening Elixir followed by Fleuressence Oil for maximum hydration and brightness.

Normal/Combo

Fresh-A-Peel or Doctors Scrub, Brightening Elixir, Wake Up Call

Doctors Scrub is exfoliating and hydrating enough to use a 3-4 times a week. Fresh-A Peel can be added in once week for that over red carpet glow!

Reverse damaged skin with Brightening Elixir followed by Wake Up Call for a dose of DMAE and Retinol.

 

 

 

Pore refinement is one of the most sought after outcomes in Dr. Goldfaden’s practice. During the month of August we will embark on a full examination of how to achieve smaller pores, which products to choose and how to maintain.

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What are pores?

Pores are the tiny little openings in the skin where the body’s natural oil (called sebum) is produced in the sebaceous glands and are also the opening at the top of our hair follicles.

Why do we have them?

Pores allow oil to travel up to skin’s surface and lubricate it. Pores are also our hair follicles and are there for the hair to grow from.

Why can they appear large?

Large pores are genetic so you have your parents to thank, however abusing the skin can cause them to appear larger. Over time, especially if you’ve incurred a lot of sun exposure in the past—you start to lose the collagen and elastin that support the pores. Sun damage and aging also cause the skin to thicken that causes a thick rim around pores making them appear larger. This is where exfoliation comes into play and is crucial in shrinking the appearance of pore size.

Oily skin types tend to have larger pores and thus produce more oil in those pores. While this may be an annoyance during adolescence and young adulthood (due to breakouts and Acne), excess oil is beneficial as we age in keeping wrinkles and dry skin at bay.

A common question Dr. G is asked is ‘Can certain foods playing into the effect of large pores and oily skin?’. As mentioned earlier large pores are genetic but yes food can play a part in large pores. Glycation is the main enemy when it comes to the skin and the aging process of the body in general. The glycation process, which is basically, sugars (from food and alcohol) breaking down the collagen fibers in the skin and therefore speeding up the aging process. Foods that feed glycation and cause inflammation in the body and the skin are carbohydrates, fried foods, sugar, fatty meats and alcohol.

Steps to refine pores?

Exfoliation will help pore size, by removing dead dry skin cells and signs of sun damage the skin will appear smoother and less wrinkled.

Use Hyaluronic acid based products, which help to bind moisture to the skin and fill fine lines and wrinkles, making pores appear smaller.

Use products rich in Vitamin C and/or retinol, these stimulate cell renewal and collagen production, which will firm up the connective tissue around the pores.

Eat a clean diet of fruits and vegetables high in antioxidants and stay clear of fried foods, sugar and alcohol, which all cause glycation.