Procedures Through the Ages

The secret to looking and feeling your best involves prevention and correction. In your teens and twenties, the focus is on taking care of your skin and creating facial balance. As you get older, rejuvenation becomes more important. Because aging involves changes in skin, fat, muscle, and bone, you want to select a comprehensive approach. This simple guide can help you figure out what’s right for you.

• In Your Teens:

  If you’re concerned about:	Prevent:	Correct:
  Overall Anti-Aging	Sunscreen Good Skin Care Regimen Don’t Smoke Drink Plenty of Water Eat Fruits/Veggies
  Excessive Hair Growth	Rule out medical conditions contributing to your hair growth.	Laser Hair Removal Rx Creams (Vaniqua) Waxing/Threading Electrolysis
  Large, Prominent, or Protruding Ears		Otoplasty or “Ear Pinning Surgery”
  Trouble Breathing Through your Nose	Avoid Allergens Consider Allergy Testing Saline Nasal Spray Nasal Saline Irrigation	Steroid nasal sprays surgery to correct a deviated septum (septoplasty) can sometimes help. Usually only done after the age of 16 or 17.
  Large nose, “nasal hump”, or “crooked nose”		Surgery to correct a crooked nose (rhinoplasty) can sometimes help. Usually done after age of 18.
  Birthmark or Mole	Consultation for Diagnosis	Possible laser treatment Surgical options

• In Your 20’s:

  If you’re concerned about:	Prevent:	Correct:
  Overall Anti-Aging	Use Sunscreen Good Skincare Regimen Eat Fruits/Veggies Drink Plenty of Water Don’t Smoke
  Brown Spots/ Excessive Freckling	Wear sunscreen Avoid sun exposure between 10AM and 2PM	Skin Lightening Creams Chemical Peels BBL Laser Treatments
  Excessive Hair Growth	Consultation to rule out medical conditions.	Laser Hair Removal Rx Creams (Vaniqua) Waxing/Threading Electrolysis
  Acne Scars		Resurfacing/Dermabrasion Sculptra® /Fillers
  Forehead Lines/Wrinkles		In selected cases, injectables (BOTOX® or Dysport®) work very well.
  Early Wrinkles	Sunscreen Use a good moisturizer Consider Tretinoin (not for pregnant/nursing women or with rosacea)	Chemical Peels Microlaser Peels Injectables
  “Tear Trough” Hollowing		Restylane® (in selected cases)
  Puffy Lower Eyelids	Rule out a rare condition called blepharochalasis	Transconjunctival lower eyelid blepharoplasty
  Thin Lips		Injectables, such as Restylane® and Juvederm®
  Trouble Breathing Through Your Nose	Avoid allergens/consider allergy testing Saline nasal spray Nasal saline irrigation	Steroid nasal sprays In selected cases, surgery to correct a deviated septum (septoplasty) can help.
  Large nose, “nasal hump”, or “crooked nose”		In selected cases, surgery to correct a crooked nose (rhinoplasty) can help.
  Small Chin		Injectables (Radiesse®) Chin implant
  Ill-Defined Area Under Chin/Fat Under Chin		In some cases, neck liposuction. Can be combined with a chin implant.

• In Your 30’s:

  If you’re concerned about:	Prevent:	Correct:
  Overall Anti-Aging	Sunscreen Antioxidant Serums Skin Care Regimen Diet and Exercise Don’t Smoke
  Fine Lines/Wrinkles	Preventative Laser Treatments Consider Tretinoin (not for pregnant/nursing/rosacea) Sun Avoidance	Corrective Laser Treatments Chemical Peels Injectables
  Brown Spots/Freckling	Avoid Sun Exposure Tretinoin (not for pregnant/nursing/rosacea)	Lightening Creams BBL Laser Treatments Chemical Peels
  Blood Vessels/Redness Around Nose and Cheeks	Check for Rosacea	Nd:YAG Laser Treatments
  Forehead Lines, Frown Lines, Crow’s Feet	Avoid Excessive Sun Exposure	Injectables (Botox® or Dysport®)
  Smile Lines	Use a Good Moisturizer	Injectables (Restylane®, Juvederm®)
  “Tear Trough” or “Undereye” Hollows		Restylane®
  Puffy Lower Eyelids	Rule out a rare condition called blepharochalasis.	Transconjunctival Lower Eyelid Blepharoplasty
  Mid-Cheek Hollowing		Injectables Sculptra® Mid-face lift
  Trouble Breathing Through Your Nose	Avoid allergens/consider allergy testing Saline nasal spray Nasal saline irrigation	Steroid nasal sprays In selected cases, surgery to correct a deviated septum (septoplasty) can help.
  Appearance of Chin or Area Under Chin	In some cases, neck liposuction. Can be combined with a chin implant.

• In Your 40’s:

  In addition to the minimally invasive treatments listed above, there are procedures to correct the changes that begin to occur in your 40’s and beyond.

  If you’re concerned about:	Prevent:	Correct:
  Loose Skin of the Upper Eyelid		Upper Eyelid Blepharoplasty
  Crepiness of the Lower Eyelid	Preventative Laser Treatments Moisturizing Eye Cream	Laser Resurfacing Chemical Peels
  Loose Skin of the Lower Eyelid, Lower Eyelid “Bags”		Lower Eyelid Blepharoplasty
  Dull, Bumpy Skin	Consultation to evaluate for any lesions	Microlaser Peel Chemical Peels
  Moderate Wrinkles	BOTOX® or Dysport®	Injectables (BOTOX® or Dysport® and in some areas; Restylane®, Perlane®, Juvederm®, Radiesse®) Laser Resurfacing Chemical Peels
  Severe Wrinkles		Laser Resurfacing Baker’s Peel
  Loss of Facial Volume		Injectables Sculptra® Fat Grafting (in selected cases)
  Mid-Face Hollowing/Sagging		Injectables Cheek Implants Mid-Face Lift
  “Jowls,” Loss of Defined Jawline or Neckline, Sagging Skin of the Lower Face and Neck		Facelift/Necklift