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

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Skin Care

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Skin Care Rejuvenation

Img_SkinOur philosophy for skin care is based on three principals: prevention, treatment and maintenance. Of course, as with all aspects of health, the best treatment is prevention. Proper exercise, good diet, and adequate hydration (at least eight glasses of water per day) go a long way to maintaining a youthful appearance.


One of the major villains in the battle against wrinkles is smoking. Smoking causes the tiny blood vessels in the face to narrow, which dehydrates the skin and robs it of blood circulation.

Sun exposure is also a major factor in skin aging. Ultra violet (UV) waves stimulate the pigment containing cells called melanocytes that give us a tan. However, UV rays also cause pigment irregularity with advanced age and may lead to skin cancer. The sun causes the skin to age prematurely which leads to wrinkles. Early prevention includes daily use of sunscreens, no matter what the season. We are exposed to the sun whenever we are outdoors; therefore if you want to delay skin aging, it is important to wear sun protection daily. We recommend at least SPF 15 for daily use and SPF 30 or higher for prolonged sun exposure. Our skin care experts can help select the right sun protection for you.


A chemical peel is a skin rejuvenation technique that has been used by physicians for decades. Chemical peels range from mild in-office peels with no down time (you can go right back to work), to deep chemical or laser peels that treat the most advanced wrinkles.

What is a chemical peel?

A chemical peel is a skin rejuvenation technique designed to improve the appearance of the skin. A solution is applied to the skin causing the surface cells to separate and peel off, thus allowing new skin to regenerate. The new skin is generally smoother and less wrinkled.

What can a chemical peel accomplish?

Chemical peeling can be used to treat fine lines and wrinkles that result from sun damage. Chemical peels can also be used to improve sun and age spots or “blotchiness” that can occur from excessive sun exposure. In some cases chemical peels can improve mild acne scars. The main accomplishment of a chemical peel will make dull skin appear more vibrant and revitalized.

What are the different types of peels that are available?

There are three different peels that are performed at our office: Light, Medium, and Deep. Depending on the patient and the recovery time, the proper peel can be determined during your office visit.

The lightest peel (or superficial) is the Vitalize Peel®. This is a powerful yet non-damaging peel that helps fight the effects of time, sun damage, and environmental damage. The Vitalize Peel® is one of the only superficial peels that is safe for ALL skin types. This special formulation includes a unique blend of peeling agents (obtained by physicians only). While results are predictable and noticeable after just one peel, dramatic results are seen after a series of peels. This is a highly effective peel with NO downtime.

Medium depth chemical peels are perfomed with TCA and/or Jessner’s solution. This acid penetrates deep into the skin surface, touching on the layer called the dermis. Most patients experience a warm to tingly sensation that lasts for five to ten minutes. Immediately after this peel the skin is pink to red in color and feels very tight. Peeling of the skin begins in 2-3 days and may last for as long as 7-10 days. This is a deeper peel than the minimally invasive Vitalize Peel and the recovery time generally takes about one week.

Deep chemical peels generally use a phenol based compound. Deep peels are usually only performed on individuals who have significant changes/damage in the skin, and have very deep wrinkles. The full face deep chemical peels have the longest healing time, and the redness can last for as long as 2-4 months. However the results are the most dramatic and longest lasting. Basically, when it comes to skin peels, the longer the healing time, the better the result.

When is a chemical peel not enough?

Chemical peels are not ideal for an individual who has wrinkles that occur during muscle movement, deep scars, and skin sagging due to aging. For these conditions other methods of treatment are suggested. For example, muscle movement that causes deep wrinkles will have a better result when treated with BOTOX®. Chemical peels are primarily used for the texture and appearance of the superficial layers of skin and are often used in conjunction with BOTOX®, fillers and surgery.

Maintenance: There are a number of high quality skin care products that can enhance your skin. The best products for your skin type can be determined at the time of your consultation. Generally, the best skin care regimen includes a cleanser, anti-aging growth factor serum, vitamin C, SPF, retinol and a night cream. We might also suggest the addition of an eye cream. In fact, Dr. Pearlman himself has been using this exact regimen for years.



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