Dan's Papers - May 29, 2009

Brown spots, broken capillaries, blotchy skin, and acne, at any age, can make you feel like you need to cover up with makeup even in the summertime. But according to Dr. Francesca Fusco, a dermatologist who practices medical and cosmetic dermatology at the Wexler Group in Manhattan, with a focus on non-surgical rejuvenation of the face, hands and neck, there are procedures that can erase these imperfections, so you can dare to go bare.

Broken blood vessels, capillaries and facial spider veins can be treated with a laser called Diolite, which has virtually no downtime. There is no special preparation needed prior to treatment, but patients should avoid sun exposure and tanning of the treatment area, and avoid taking products with aspirin and substances that inhibit coagulating abilities. There is mild discomfort during the procedure. Afterward there may be some minimal redness and swelling, but it usually subsides in just two to four hours. The number of treatments required depends on the size of the vessel, its location and how long it's been there. On average, anywhere from two to six treatments may be necessary.

For acne, Isolaz Therapy is a treatment that combines a vacuum and a painless light, which clears up existing acne and prevents further outbreaks. The vacuum loosens and takes out blackheads and excess oil. The broadband light kills the bacteria in the pores that contribute to acne. Patients that have used Isolaz report improvement within 48 hours. In addition to clearing up acne, it reduces pore size, improves skin tone and texture, and helps to reduce red and brown spots associated with laser treatments. Treatments are given every one to two weeks. Many patients experience dramatic and lasting results in just three to five treatments.

Then there is the much talked about Fraxel, which is a laser that has FDA clearance for the treatment of wrinkles around the eyes, brown spots, acne scars, surgical scars and skin resurfacing. Everyone's skin is different, but it usually requires three to five sessions and the downtime is 24-48 hours of pinkness or redness. Topical anesthesia is applied and left on for an hour prior. While the treatment is being done, cold air is blown on the treated area. Afterwards, skin looks smoother and fresher. Tone and texture is improved and wrinkles are reduced around the eyes. Acne scars are reduced in appearance or gone completely. The most common areas treated are face, neck, chest, and the back of hands.

Dr. Fusco warns, however, that if you are going to be spending a great deal of time in the sun this summer that you postpone having Fraxel until the fall. I asked her to define what she meant by "a great deal." She said, "If you plan to be on the beach everyday this is not something you are going to do at the start of summer." I asked her about those who bike, hike or swim mostly on the weekends. "As a physician, I'm not comfortable recommending patients have Fraxel if that is how they spend each weekend." But if you're someone who does wear sunscreen and a hat and you're not an outdoor, weekend warrior you can begin Fraxel now, and enjoy the benefits in time for the Hampton Classic and other events in August when the weather is hottest and you are wearing the skimpiest of sundresses.

While the cost of these treatments might be more money than you want to spend in this economy, consider what you spend on topical treatments, concealers and the psychological discomfort. Another benefit is that you can expect results from these treatments to last an average of two years. Two good reasons to steer clear of too much sun exposure and make an appointment for one of these treatments now.