combination therapies – The key to treating the aging face – Part II

As mentioned in Part I, because we all age differently and everyone’s skin is different, we may need to utilize other types of therapies to address multiple signs of aging. We talked about how injections can be combined with professional chemical peels and daily care products; however, there are many other types of treatments available that can also be implemented into a current regimen. The question is, however, at what intervals can professional chemical peels be performed before and after these other types of treatments?

When patients begin having injections, it is safe to administer PCA SKIN® superficial chemical peels two days before or after the injections and every three weeks continuously.

Microdermabrasion is beneficial for stimulating collagen production and facilitating the penetration of peels and topical products. When administering a peel during a microdermabrasion treatment, it is recommended to do one pass in one direction and to apply no more than two layers of the following treatments:  Sensi Peel®, Ultra Peel® I, Ultra Peel® II, Esthetique Peel. Our peel alternatives, Detox Gel Deep Pore Treatment and Oxygenating Trio®, may be performed at the same time as well.

Intense pulsed light (IPL) is a beneficial treatment modality for collagen stimulation, coagulating fine, visible veins and also helps to address UV-induced pigmentation issues. By combining these treatments with regular superficial chemical peel treatments, patients’ results will be prolonged and collagen production will continue long-term. It is safe to administer PCA SKIN chemical peel treatments alternatively every two weeks with IPL.

Light amplification by stimulated emission of radiation (LASER) resurfaces the epidermis while stimulating collagen production. It will also assist with lifting pigment, and reducing port wine stains and leg veins, depending upon the type used. Begin treating patients with PCA SKIN peels one to two months before LASER treatments begin to prepare and strengthen the skin. Depending upon the level of ablation, PCA SKIN chemical peels may be performed two weeks after the LASER treatment to reduce the risk of hyperpigmentation and prolong results.

Surgery is beneficial in tightening sagging muscle and skin; however, it will not address hyperpigmentation, textural or other skin conditions. Treat patients with PCA SKIN chemical peels one to two months before and after surgery to reduce any existing or potential hyperpigmentation issues, and to encourage collagen production.

Always remember that throughout these suggested treatment intervals, daily care and SPF should be used. This not only maintains any other treatment therapies patients may be receiving, but will also retain your practice’s income and foster long-lasting relationships.


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