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Aging Hands
By Peter T. Pacik, MD, FACS

In recent weeks, we have had a number of patient inquiries about aging hands. Most often these patients are concerned about the onset of increasing brown spots, though at times, this is combined with wrinkling.

Historically, there have been fewer procedures available for the hands than the face, even though both areas are affected by aging. For the face and hands both exfoliation and resurfacing are successful because of the body's ability to regenerate new layers of skin; however, facial skin has a much greater capacity to regenerate new cells. It is for this reason that procedures involving hands need to be more conservative. Hands can be peeled; however, a lighter solution of TCA (15% trichloroacetic acid) should be used and should only be performed by a physician experienced with TCA peels. Inappropriate and aggressive peels on the hands can cause skin breakdown and scarring.

Advanced skincare products can also help the appearance of your hands. Hands will tolerate the same exfoliation creams that are applied to the face. When I was using the MD Forte Level III products, my daily regimen included the use of MD Forte Hand and Body Cream once or twice a day on my hands, arms, legs and feet immediately after towel drying.

For the past year, I have been using the Obagi Nu-Derm System, which I use on my ears, neck and hands, as well as my face. The photo below shows the contrast between my treated hands and the untreated forearms. The tan scaling appearance of my forearms contrasts vividly with the lighter healthy appearance of my hands. I treat only my hands to show my patients the benefits of treating their hands, but I would recommend that these products be applied into the forearms to accomplish a more even blending. In addition to treating the hands, it is worthwhile to treat other exposed areas such as the ears, neck, and bald scalp for men. These areas are vulnerable to breakdown and can be rejuvenated with the same products that work for your face.

Apart from the cosmetic aspect, treating your hands will keep the skin healthy and avoid the cracked skin so common in colder climates. In years gone by, every winter I personally struggled with recurrent cracking of skin, made worse by harsh surgical hand scrubs. With my current programs, I have not had problems with cracked skin.

As always, we encourage you to call our office and speak to Lisa Roberge, our licensed esthetician. Lisa is happy to talk to you about your skin type and condition and make a product recommendation based on your conversation. Our MD Forte and Obagi Nu-Derm Advanced Skin Care Programs are excellent skin care regimens for skin rejuvenation. Lisa can help you decide which skin care program would be best for you. She is available during office hours Monday through Thursday 9-4, Friday 9-3 EST at 1-800-640-0290 or (603) 669-0290 .

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May you skin be healthy and reflect the radiance of your soul.

For more information, please visit our Web site skincare-md.com and our plastic surgery website plasticsurgerypa.com. All of our previous educational e-mails , as well as The MD Forte 4-Step Daily Regimen, Obagi Nu-Derm System Daily Regimen, and Obagi-C Rx Recommended Daily System Application are found on our website www.skincare-md.com. If you have any additional questions or would like to speak to or would like to speak to Lisa Roberge, our esthetician, please feel free to call us during office hours Monday thru Thursday 9-4, Friday 9-3 EST at 1-800-640-0290 or (603) 669-0290. If there are any topics that you would like covered in these educational e-mails, suggestions or concerns you may have, please let us know. We encourage you to share your experiences both positive and negative with us. Your comments are important to us.

Peter T. Pacik, M.D., FACS
Medical Director

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