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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Skin care, Botox, Facial Plastic Surgery in New York

Whats your New Years’ Resolution? Love Your Face

It’s the New Year and we are all filled with resolutions about how we will eat better, drink more fluids, exercise and take better care of our bodies. Unfortunately, even if that takes place, nothing will firm up your face or prevent the effects of gravity. Of course using sunblock daily, eating well and avoiding smoking will help but nothing can reverse facial aging. As I tell my patients, gravity sucks.

The face ages in 5 ways, we each go through it. Treatment choices depend on your priorities, tolerance and financial means.                           

Facial Aging Treatment
  • Skin changes: red and brown spots, wrinkles
  • Lasers, peels, skin care
  • Loss of volume
  • Fillers
  • Dynamic lines
  • Relax muscles: Botox, Dysport
  • Loss of Elasticity
  • Surgery
  • Gravity
  • Surgery

You can start small with good home skin care and light office peels. My patients love the myBody myPROBIOTIC PEELTM peel that our office nurse Christine Ross does.

If you “Like” my page on Facebook you may qualify to win a complementary peel.

Other minimally invasive treatments that can be done right in the office chair are fillers and Botox or Dysport. In 20 minutes you can knock off three of the 5 causes of aging. There is really no such thing as a “non-surgical” facelift but many patients can look great with peels Botox and fillers.

Surgery is the next step and can be read about on my website. 

Tip of the week: Exercise, hydration and good nutrition can make your body look younger but doesn’t help your face.

Skin Care NYC

Topical vitamins, health and anti-aging for skin care and facial aging

New York, NY – If you told me as recently as 2 months ago that I would be blogging based on a question from my Facebook Fan page, I would have thought both you and I were crazy. Well, here it is; I had an inquiry from Pauline, a lovely lady from Charlottesville, VA about vitamins and skin tightening. This came as a response to an article in Natural Health Magazine February 2010, where I was quoted on the benefits of topical vitamins for skin rejuvenation.

We have long known about the beneficial effects of various vitamins on anti-aging. The most well documented is Retin-A, a vitamin A derivative. Technically, Retin-A is only FDA approved for the treatment for acne. However, people have been using this for decades for more youthful appearing skin and it is probably the single best anti-aging topical treatment you can use at home for facial aging. Retin-A has been demonstrated to reverse the signs of aging right down to the cellular level. There are potential side effects though; dryness, redness and sun sensitivity. So, use it at night and use daily sunscreen (as everyone should do so already). Other Vitamin A preparations are also available that have moisturizers or modified retinoids that may be less irritating and better tolerated by your skin.

Vitamin C is an antioxidant that is effective in fighting aging skin. Anti-oxidants combat the formation of free radicals. What does all that mean? Ultraviolet (UV) radiation from the sun penetrates the skin and causes the formation of free radicals. Free radicals damage the skin cell membranes, enzymes, surrounding fluid and proteins making the skin age prematurely. Vitamin C neutralizes some of this damage. It is also a necessary building block for a number of the enzymes that make collagen for our skin. UV exposure also depletes the skin of Vitamin C making it less available for the skin cells. Oral vitamin C is good for overall health, but little gets to the skin so topical is helpful as well. Unfortunately, you can’t chop up vitamins and smear them on your skin. The vitamin C molecules need to be of a specific size and associated with certain carriers that enhance skin penetration and absorption. This varies from product to product.

Pauline also asked about Vitamin D. Vitamin D has been a hot topic lately, as it was even featured in the New York Times Science Section last week. Vitamin D is made in the body from sunlight and also found in fish and fortified milk. There are well documented health advantages from Vitamin D for many disease processes as well as overall health. What is not known is if we really need to take supplements other than what we get naturally from food and sunlight. Active healthy patients have higher Vitamin D levels. But is this from outside sources or do healthier people produce more Vitamin D themselves?

When it comes to vitamins taken orally, nothing beats a balanced diet and good hydration for healthy skin. The #1 thing I recommend for overall health is adding Omega 3 fatty acids. These are the highest in fish but can be obtained from a number of other sources such as flaxseed oil or even oral supplements.

Here’s to a healthier you. Steven J. Pearlman, MD, FACS

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