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PHONE: (828) 526-3783 | TOLL-FREE: (877) 526-3784

209 Hospital Dr #202
Highlands, NC 28741

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Skin Beautifying Treatments

Dr. Buchanan and his highly skilled team at the Center for Plastic Surgery can help you achieve beautiful healthy rejuvenated skin through use of skin care systems and equipment, spa services, lasers, the IPL, peels, injectables and mineral make-up.

We all would like to have the flawless skin of babies. Their skin is:

  • smooth
  • hydrated with
  • a thin outer protective dead cell layer,
  • a thick dermal support layer,
  • good blood supply,
  • and an even, light color.

Many things affect this balance and are a factor over time, but the major contributor to deterioration and aging of the skin is sun exposure.

Sunrays are composed of different types of energy.

  • Light energy probably has little effect on skin aging.
  • Infrared (IR-A) rays may play a part, though not yet defined.
  • UVC rays do not reach the earth.
  • The rays believed to be most harmful to the skin are UVB and UVA.
  • UVB (Burn) rays:
    • are absorbed by the atmosphere and significantly by the top layer of the skin,
    • are present mainly mid-day, in the summer, down South,
    • cause mainly sunburn by heating the top layer where they are mainly absorbed (Many of the injured cells are sloughed and, therefore, do not cause permanent damage.)
    • make up only 2 to 3% of the sunrays actually hitting us.
  • UVA rays cause cellular damage leading to Aging and skin cancer
    • They are present all day, all year, and at all latitudes,
    • account for about 97-98% of the UV Rays hitting the skin.
    • They penetrate not only the atmosphere, but also clothing, glass, and the skin.
    • In the skin, they cause direct tissue damage and the release of free oxygen radicals that attack normal skin cells.
    • They are present in the car, in the house and anywhere with windows or fluorescent lights and even in the shade.

Until relatively recently, we have had little that would really protect us from these changes. Additionally, what we have done to our skin has actually harmed it.

  • Sunscreens containing only UVB protection (indicated by SPF) keep us from getting sunburned, but allow us to stay in the sun longer, thus getting more UVA damage. (Even a high SPF does not protect from UVA.)
  • Washing the skin with regular soaps removes the normal protective barrier and changes the pH.
  • Moisturizers weight the skin increasing wrinkles and change the normal lipid balance causing the skin to stop making its own moisture and reducing cellular integrity.

We believe that good skin care for minimally damaged skin should prevent these and other problems. We, therefore, recommend minimally:

  • Cleansing with a specially formulated gentle cleanser.
  • Removal of the thickened, dry dead cell layer to restore moisture and remove weight by:
  • Restoration of normal pH and protective lipid layer by:
    • Specialized balancing toners
    • Topical Vitamin-C or
    • VIVITÉ® Vibrance Therapy
  • Protection using a sunblock containing clear Zinc Oxide

Although sunscreens have been available for many years, most of them have not protected us from anything but UVB. SPF indicates only the effectiveness of UVB blockage and protection from sunburn. Wearing a sunscreen with high SPF without total UVA blockers only increases the length of time most of us stay in the sun, and, thus, the amount of exposure to the harmful UVA rays, thus causing more damage. Assuming we do not need sun protection unless we are laying or out in the sun for an extended time also markedly increases our sun damage.

As of December, 2012, new FDA regulations required sunscreens to meet stricter requirements to be labeled “Broad Spectrum,” indicating the ability to block the full spectrum of UVA. The regulations, however, do not require any information on the effectiveness of the blockage. Some of the products that meet the new requirements do so for only a short while, making them impractical, since you must reapply them frequently to be protected. Instead, what we need to do is use one of the newer broad spectrum Sun Blocks containing clear Zinc Oxide (Z-Cote) daily. This goes on clear and is effective until washed or wiped off. We recommend reading the ingredients label looking only for Zinc Oxide or Z-Cote of at least 8%, and, preferably, 10% or more. This has the equivalent of an SPF of 20 to 50, and, thus, protects us from both UVA and UVB. Additionally the Topical Vitamin C or VIVITÉ® Vibrance Therapy recommended are Topical Antioxidants. Their use prevents or reduces injury from any UVA rays that get through the sunblock and helps correct some previous damage.

Significant sun damage causes problems that must be addressed in addition to the above basic care. These problems are:

  • Pigmentary abnormalities
  • Crinkles and wrinkles
  • Thinning dermis (the support layer of the skin) further increasing wrinkles
  • Reduced blood supply that speeds deterioration of the skin
  • Development of abnormal small blood vessels causing a redness or flushed appearance (telangiectasia – also lumped with Rosacea)
  • Change in the nuclear make-up of the cells, eventually leading actinic keratosis or skin cancer.

If these things are present, other steps are necessary to restore the health of your skin. Skin health restoration IS A PROCESS, NOT a product. Healthy skin is Smooth, Firm, Evenly Pigmented & Hydrated. To restore Sun damaged skin to this condition, we:

  • Restore after cleansing the normal skin pH and the protective surface barrier with specific rebalancing toner and Vitamin-C or VIVITÉ® Vibrance Therapy
  • Remove the thickened outer dead cell layer (to make the skin feel more moist) using AHA’s (Alpha Hydroxy Acids), Beta hydroxyl acids, Peels, and/or Microdermabrasion.
  • Correct the Pigment by removing spots & making the rest of the skin a uniform color using Hydroquinone, Kojic acid, Arbutin, botanicals, to some extent, topical Vitamin-C, or IPL (Intense Pulsed Light), occasionally supplemented with peels and micro peels.
  • Rebuild the dermis & blood vessels & heal injured cells using Retin-A®, Elastoderm® and topical Vitamin C.
  • Remove abnormal blood vessels (called telangiectasia) using an IPL.

As the skin ages, it allows other factors to have greater effect on the tissues of the face and body. In the face, where the muscles of expression attach to the skin, these muscles cause wrinkles and lines to appear. Gravity also pulls the skin, causing folds and lines from descent of the tissues and stretch of the skin. Many of the changes of gravity are quite specific because of underlying ligaments limiting skin descent to certain areas. Also, some changes occur form loss of the deeper supportive layers such as the bony orbital rim and the fat in the lips and other places. These changes can be reversed with surgery (such as the Today’s Facelift™, Blepharoplasty, Brow Lift, and/or Lip Revision) or improved or disguised by smoothing the skin and reducing wrinkles with injections of fat,Radiesse®, Juvéderm® Ultra, Juvéderm® Voluma, Belotero®, BOTOX® Cosmetic, or a combination, or use of Fruit acid peels, Phenol peels, or Laser resurfacing.

For further information, please see:

 

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