Introduction

The Beauty of Food Turning Back The Clock

Homemade Skin Care Recipes

Get Instant Access

No matter what type of operation you do, cosmetic surgery alone cannot create a convincingly youthful impression. The patient's loose skin may be pulled up but often they appear merely as neat, tight-skinned mature people. In the worst case, many surgeons have had the experience of doing a facelift on a severely photoaged patient and it seems that the only distinguishing changes in comparing the before and after pictures is the date! The skin does not simply have to be smooth; it should be fresh, glowing and show few or no signs of accumulated photodamage. (Fig. 62.1) By understanding the basics of the science of skin care, you can guide your patients to use products that can do this for you and complement your work.

Many surgeons make the mistake of believing that they can achieve youthful skin by using drastic measures such as laser resurfacing, heavy peels or other techniques that destroy the epidermis. The epidermis is far too important and complex to be destroyed or tortured into becoming smooth. The epidermis is an extremely thin layer, only 0.2 mm thick, which is thinner than the average sheet of paper. This fine membrane, made up mainly of differentiated kerati-nocytes, is our only protection from the harsh world outside. It is extremely intricate and is not merely a series of layers of dead or dying skin cells. The destiny of differentiated keratinocytes is to become the complex stratum corneum that is our real protection. This layer is even thinner and is only 0.01-0.02 mm thick so we should be very careful about the use of physical or chemical abrasives. The convoluted lipid bilayers that fill the space between the corneocytes create the protective properties of the stratum corneum. Healthy keratinocytes are ultimately responsible for a beautiful, resilient skin. Our first aim must be to rehabilitate photoaged, inefficient keratinocytes to create a normal healthy epidermis that then sets up the possibility of improving the dermis (Fig. 62.2).

This chapter will explain how to give your patients normal healthy smoother skin with a thick epidermis and a dermis that is rich in collagen, elastin and natu

Fig. 62.1. One should judge rejuvenating effects of a cosme-ceutic not after 6 weeks or 6 months, but rather by the maintenance of a good result after many years of use. a Wrinkled right lower eyelid before using topical vitamin A (retinyl esters in concentrations to equate with retinoic acid preparations), vitamin C and antioxidants (Environ Ionzyme C-Quence and

Crème 2001). b Five years later showing significantly less wrinkling and healthier skin. The patient should have developed more wrinkles after 5 years under normal circumstances. No make-up was used in b and no intervention was done other than daily skin care

Fig. 62.1. One should judge rejuvenating effects of a cosme-ceutic not after 6 weeks or 6 months, but rather by the maintenance of a good result after many years of use. a Wrinkled right lower eyelid before using topical vitamin A (retinyl esters in concentrations to equate with retinoic acid preparations), vitamin C and antioxidants (Environ Ionzyme C-Quence and

Crème 2001). b Five years later showing significantly less wrinkling and healthier skin. The patient should have developed more wrinkles after 5 years under normal circumstances. No make-up was used in b and no intervention was done other than daily skin care

Fig. 62.2. a Histology of sun-damaged skin with irregular pigmentation, dyskaryotic cells and thin epidermis. b The effects of 3 months' use of topical vitamin A, and antioxidants (Environ Original Day and Night creams). The epidermis is
healthier with a thicker stratum spinosum, regular cells, normal nuclei and more even distribution of melanin. The stratum spinosum is 20% thicker by measurement. Magnification X100. Haematoxylin and eosin stain

ral moisturising factors. One must use well-formulated, honest cosmeceuticals [1] (a term coined by Kligman) based on essential micronutrients to gently nurture and rehabilitate photoaged skin. However, we have to realise that each person's requirements will be a bit different, and that is why we first have to inspect the facial skin very carefully.

Was this article helpful?

0 0
How To Have Beutiful Non Aging Skin

How To Have Beutiful Non Aging Skin

Age does a lot of things to us and most of them arent good. Sure, we may get wiser, and more knowledgeable as a result of our experiences over time, but time also takes a hefty toll on our health, and appearance.

Get My Free Ebook


Post a comment