Skin begins to age when a person reaches the age of 25 because hormone levels begin to decrease. On average, the epidermis regenerates new cells every 27 to 37 days; 14 days for someone who is 20 years old; 37 days for a 50 year old. This process is most intensive at night, because cell regeneration takes place 8 times faster between the hours of 2 am and 3 am. This is why it is important to use regenerating and healing products at night and protective ones during the day.
As moisture content goes down, cell division slows, skin renewal decelerates, and oil secretion declines. By the time we reach 60 years of age, we are able to make only about half of the necessary functional proteins our skin made when we were 20 years of age.
Skin is the largest organ and is the major organ for elimination. It contains approximately 32 feet of nerves and 8 feet of blood vessels per square inch. The epidermis (the outer layer) accounts for only 10% of skin mass. As the body ages, muscle, fat and the skeletal structure begin to deteriorate whereas the skin continues to grow; because it renews itself, it is important to ensure that the skin which is regenerating is from healthy cells. As the skin regenerates it sloughs off the old cells which can amount to approximately 1 gram per day. During the average lifespan, a person will shed approximately 44 pounds of skin cells.
The thickness of skin differs for every individual; skin can be between a twelfth to a fifth of an inch thick. This is why not all skin ages the same. The area around the eyes has the thinnest skin so it is very important that you treat them with the appropriate products to protect and prevent aging.
The major factors for premature aging are: excess of hot and cold, pollutants, Ultraviolet A rays and Ultraviolet B rays (UVA and UVB) sun damage, smoking and intrinsic (biological) aging.
Most sun damage becomes visible after 15 to 20 years; if there has been intense sun exposure it can take even less time to come to the surface. More than 80% of damage from the sun is created before the age of 18, and 45% - 50% of all Americans who live to the age of 65 will develop skin cancer at least once.
Smoking causes large levels of free-radical damage. A single puff contains one hundred quadrillion free-radicals (more than one for every cell in the body). These free-radicals bind to our proteins and fats, causing tissue damage. Alcoholic Beverages – ingesting more than 0.08 ounces of alcohol (a 16 ounce beer) can be deleterious and negate efforts to treat or prevent wrinkles.
The only way to slow this process down is Anti-aging skin care regimes, healthy nutrition, water consumption, sunscreen, exercise, and adequate rest to counteract skin damage.
Shape MD offers skin treatments to remove existing skin damage, skin care to prevent further skin damage, and a Weight Loss Wellness program to ensure the inside organs are taken care of as you improve externally.
Chemical peels are the oldest form of skin rejuvenation, dating back to the days of Cleopatra when they used various food acids. Chemical peels remove the outer most layers of the skin to freshen the skin, and remove some sunspots, rough scaly patches and irregular pigmentation. It can also reduce fine lines and wrinkles. Chemical peels are safe to use on most areas of the body.
In the early 1950s the Phenol peel was developed. The Phenol peel is the deepest peel available, which also means that it is the most aggressive. Although it will remove years of wrinkles, the deep depth of penetration has accompanying complications. Some of the adverse reactions include scarring, hypo/hyperpigmentation, or abnormal heart rhythms.
Trichloracetic acid (TCA) is much gentler; the depth of penetration can be controlled with virtually no serious side effects. It is used to treat a wide range of patients for age related skin conditions like pigment disorders, photo aged skin, fine lines, light to deep wrinkles, actinic keratosis, acne scarring, and thick uneven textured skin.
Jessner’s Solution is a clinical chemical used to superficially exfoliate the skin. This active solution assists in drying acne lesions, reducing acne scarring, clearing the skin of blackheads, smoothing fine lines, reducing light wrinkles, and lighting pigmentation.
Consistent use of anti-aging skincare regimes, good nutrition, water consumption, sunscreen, exercise, and adequate rest act to counteract skin damage.
Skin that is thin, fragile, and sun-damaged, even bald scalp skin, can be significantly rejuvenated. Chemical peeling is not a substitute for a facelift, because it does not tighten sagging skin, stimulate collagen production, or remove broken capillaries. It is not suitable for people who will not be cautious about sun exposure.
What to Expect
Skin may be prepared with Vitamin A, Alpha Hydroxy Acids (AHA’s) or other preparations. First, the skin is thoughly cleansed. A layer of the chemical is then painted onto the face and monitored. If burning or stinging is a problem, cold air may be helpful. Usually the treatment is carried out in stages.
The skin will go red and mildly swollen over the next 24 hours. Once the initial burning has worn off, it is not painful, but feels tight. Over the next few days the skin dries and looks like brownish leather. A treatment cream should be applied several times a day to prevent cracking. Water will do no harm but soap should be avoided.
The skin will begin to peel between 5 and 7 days later, and must be left alone to come off at its own pace. As soon as the skin has healed, Jane Iredale Mineral make-up may be applied over the new pink skin. Sometimes a secondary peel occurs during the second week in the form of dry skin.
Sunscreen is mandatory for at least three months, and moisturizers are recommended. Chemical peeling can be repeated at anytime in the future and will not harm the skin. The habitual use of sunscreen will prevent further sun damage and therefore maintain the improved skin quality. Additionally, the use of vitamin creams, AHA creams or enzyme creams can continue to improve the skin texture and reverse some of the effects caused by years of sun exposure.
Obagi Nu-Derm ®System
Skin functions slower as we age. Skin becomes more fragile and less healthy. Premature aging is accelerated with daily abuse and environmental factors. The Obagi Nu-Derm® System is a clinical skin care line prescribed only by physicians to change the structure of the skin. By changing the actual structure, we are able to transform your skin to make it healthier, so your skin can act and look younger.
The Obagi Nu-Derm® System transforms your skin by:
Increasing cell turnover
Normalizing pigment producing cells for a clearer complexion
Reducing lines and wrinkles
Improving skin firmness by increasing collagen and elastin production
We are able to adjust the clinical protocol for each individual to match your lifestyle and the needs of your skin.
Gentle abrasion and suctioning work to remove dead skin cells, unblock clogged pores, smooth the appearance of facial lines and minor scars, and mild pigmentation. Microdermabrasion leaves the tone of the skin smooth and even. While removing dead skin cells, the blood flow is increased allowing oxygen rich blood to flow closer to the surface of the skin so healthy cells are nourished and able to repair damaged cells. Microdermabrasion is suitable for most skin types and all ages. It is a non-invasive treatment that can be combined with other complimentary treatments for more intensive results.
Facial lines are caused by the continuous movement of the skin due to muscle contraction. When frowning, the skin is gathered into a furrow and eventually it becomes a static line (lines that are always visible). When this happens, there is a tendency to look unhappy all the time.
Botox™ is injected into the muscle of concern that is causing the static or dynamic lines (movement lines). The Botox™ temporarily inactivates these muscles and relaxes the area by blocking the release of acetylcholine, as a result the muscle does not receive the message from the brain to contract. Results can last from 3 to 6 months depending on the strength of the muscle and if there have been previous injections.
Botox™ injections are performed in the comfort of our medical facility by Dr. Tse and Dr. Adamis. Due to the wide range of medical and cosmetic procedures that are offered at Shape MD no one ever can differentiate who is a medical or cosmetic patient. Discretion is of the utmost importance at Shape MD.
Due to external and internal factors, skin starts to atrophy (breakdown) as time goes by. This means that the structure that keeps the tissue in place is breaking down, resulting in thinning of the skin as well as loss of firmness, plumpness, and elasticity. This will contribute to sagging, deflating, and general flattening of facial contours.
Signs of aging:
Forehead lines and naso-labial (folds around the mouth) folds are more noticeable
Eyebrow droopiness or heaviness
Lip thinning and (less prominent) cupid’s bow
Marionette lines and pre-jowel depressions deepen beside the corners of the mouth, or the corners of the mouth turn down
Wrinkles, furrows, blood vessels and bone structures become more visible
Surgery can help tighten the skin and Botox™ can relax the muscles but they do not replace volume. Having tight skin, without volume will not look youthful. As aging takes place there is volume and bone mass loss in the facial structure.
Volumetric Filling is a gel that is injected into the skin, to increase the volume at the injection site by rebuilding the underlying diminishing structure. An increase of volume can create facial fullness and symmetry that may not have been there before. We are able to enhance facial features and lessen the signs of aging without surgery or down-time. Results depend on the amount of volume loss, bone structure, genetics, and lifestyle.