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Skin Rejuvenation - Exfoliation to Resurfacing
By Peter T. Pacik, M.D., F.A.C.S.

Part 6 - Overview

We at SkinCare-MD hope these educational e-mails on "Exfoliation to Resurfacing" have helped you understand choices available in advanced skin care. Parts 1 - 5 of this series of e-mails are available in the newsletter section of our website skincare-md.com.

As always, we encourage you to send us e-mails regarding your thoughts and future topics that you would like discussed. We encourage you to share your experiences both positive and negative with us. Your comments are important to us.


I. Exfoliation - Superficial removal of dead cells from surface of skin. No Anesthesia
A. Gentle Exfoliation - Healing Time: Immediate
1. Shaving
2. Facial Cleanser I
3. Skin Rejuvenation Lotion I
B. Medium Exfoliation - Healing Time: Immediate
1. Facial Cleanser II
2. Skin Rejuvenation Lotion II
3. Skin Rejuvenation Eye Cream
C. Deep Exfoliation - Healing Time: Some Redness for 1-2 days
1. Microdermabrasion
2. Office peels, such as Obagi Blue Peel

II. Resurfacing - Removal of outer layers of skin. Healing ("resurfacing") from deeper layers of skin. Some type of anesthesia is needed
A. Light Resurfacing - Healing Time: 2-4 days. Redness and Residual Pinkness for 1-2 months
1. Superficial dermabrasion
2. Light peels, such as TCA, Jessners
3. Light laser
B. Medium Resurfacing - Healing Time: 5-8 days. Redness and Residual Pinkness for 2-6 months
1. Medium depth dermabrasion
2. Stronger concentrations of TCA
3. Medium depth laser
C. Deep Resurfacing - Healing Time: 9-12 days. Redness and Residual Pinkness for 4-12 months
1. Deep dermabrasion
2. Phenol peel
2. Deep laser

Whether you choose exfoliation or a method of resurfacing, patients should follow the MD Forte 3-Step Advanced Skin Care Program as discussed in previous e-mails.
1. Facial Cleanser I or II (start with I - 12% glycolic compound, advance to II - 15% glycolic compound). Gentle, creamy cleanser removes daily residue, makeup and oil without harshness or dehydration.
2. Facial Cream I, II or Skin Rejuvenating Lotion I or II. Facial Cream I (15% glycolic compound) and II (20% glycolic compound) exfoliates, softens and refines dry skin. Skin Rejuvenation Lotion I (5% glycolic compound) improves dull, lifeless complexion or for sensitive skin. Skin Rejuvenation Lotion II (20% glycolic compound) is a higher strength for advanced correction.
3. Aftercare Environmental Protection Cream SPF 30 (glycolic free) for maximum protection against UVA/UVB exposure.

LRS and Kinerase are added to enhance the skin care program. These products will re-establish moisture and maintain the healthy, glowing appearance of the new skin. (See below for links to individual products).

Over-the-counter and esthetician products contain a smaller percentage of glycolic acid. These products are often neutralized to the degree that they are poorly effective. Forte has stronger concentrations of glycolic acid; and therefore, is both more effective and works quicker. Because of these stronger concentrations, they are available only through a doctor's office.

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 1-877-415-0600 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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