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Looking at treatment options for improving/eliminating wrinkles.

 
Dr Nair's Avatar
  • Answered by:Dr Nair
  • Dermatologist
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in Dermatology

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Customer Question

Looking at treatment options for improving/eliminating wrinkles. Fine lines start showing up near the mouth and above upper lip. Being Asian, I am afraid to have skin darkening side effect from laser treatment, so I am also looking at different types of laser treatments/equipments for comparison.

Is IPL treatment effective to treat wrinkles? Will that have the same side effect like laser resurfacing? Any other good treatment options?

Skin care products - what works best to help with wrinkles?

 

Optional Information:
Person's Gender: Female
Person's Age: 42

Submitted: 342 days and 1 hours ago.
Category: Dermatology
Value: CA$38
Status: CLOSED
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Expert:  Dr Nair replied 342 days and 1 hours ago.

Hi,

Do you want information on any particular lasers that you have looked at?

Customer replied 342 days and 1 hours ago.

I am kind of confused. What's the main difference between ProFractional and Fractional?

I can not really remember names of them, just trying to read as much information as possible. Any particular popular ones you would recommend?

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Expert:  Dr Nair replied 342 days and 1 hours ago.

I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

I don't have much experience with the ProFractional laser but theoretically it uses a different laser type as compared to Fractional laser (Erbium versus CO2 or 1550 nm laser for fractional laser) and penetrates to a deeper level. The post-procedure downtime is longer and it can take 1-3 months for the skin to recover as compared to the Fraxel which only has a downtime of 7-10 days. Of the two for wrinkle treatment Fraxel should be more than enough.

IPL also works quite well, but for more superficial wrinkles and it takes more sesssions to see improvement (3-6). And for Asian skin this has a much lower risk of post-inflammatory hyperpigmentation as compared to the lasers.

For mild wrinkling a combination of microdermabrasion and chemical peeling or dermaroller treatments are quite effective and I usually start my patients on one of these before considering light or laser based therapies.

Regarding creams which help - Tretinoin cream (0.025 to 0.05%) is amongst the best anti-ageing creams in my opinion. It requires a prescription. As far as over the counter creams go Retinol containing creams and Vitamin-C serums are useful.

Hope this helps, please feel free to ask if you have any queries.

Customer replied 342 days and 1 hours ago.

Thank you for the information.

 

I had silkpeel done recently. I guess this is some kind of microdermabrasion. They told to have that only one every two months. I feel this seems to be long?

I did not find many doctors here do dermarolling treatment.

 

I am currently using OTC retina A cream and VivieSkin vitamin C serum. I also have Estee Lauder Copper Peptides serum.

 

For treatment options, I will look info IPL and Fraxel.

 

I read the information saying copper peptide can not be used with vitamin C together. If that true? If so, is 12 hours apart enough?

Accepted Answer

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Expert:  Dr Nair replied 342 days ago.

I hope you find our interaction helpful. If you are satisfied with my response(s) please remember to press the ACCEPT button.

Yes a 2 month gap is too long for the SilkPeel. For optimum results this should be repeated at 2-3 week intervals for a total number of 4-6 procedures.

Copper peptides can inactivat Vitamin C and so they should not be used at the same time. A 12 hours gap is more than sufficient - use the Vitamin C in the morning and the Copper peptide serum at night - follow this 15-20 minutes later with the Retin-A cream.

Expert TypeDermatologist
Category: Dermatology
Pos. Feedback: 99.0 %
Accepts: 6261
Answered: 5/3/2012

Experience: MBBS, MD (Dermatology, Venereology & Leprology)

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