Thursday, February 13, 2025

Proven Paths: What REALLY Works

Let's make your evening skincare routine work harder! Here's what the science and studies suggest:

1. Start with this powerhouse product (Trentinoin)
2. Give it a 10-minute break to sink in
3. Seal the deal with one of the specially selected moisturizers listed below the Trentinoin

This 1-2 punch is designed to give your skin the TLC it deserves while you sleep!

TRETINOIN VS. TAZAROTENE?  ------ click here 



Effective, affordable, and simple. This moisturizer is a no-brainer


Dr. Brenner Triple Lipid Restore and SkinCeuticals Triple Lipid Restore are both anti-aging moisturizers designed to restore the skin barrier with lipids like ceramides, cholesterol, and fatty acids. Here's a simplified comparison:

  

Dr. Brenner is a budget-friendly alternative that delivers comparable results to SkinCeuticals for many users.


Key Insights:


Best choices: Stearyl alcohol and cetearyl alcohol (fatty alcohols) act as emollients to hydrate, soften skin, and maintain moisture without drying. Stearic acid serves as a thickener, enhancing product texture. Dr. Brenner’s Triple Lipid Restore explicitly contains stearyl alcohol.

Avoid: T-butyl alcohol is a harsh solvent that strips natural oils, causing dryness and irritation—not ideal for facial skin.



Effective on the Face and at Enhancing the Neck—Perfect for the Whole Body, Priced for Widespread Use


CeraVe Intensive Moisturizing Lotion is an excellent choice for aging skin, particularly on areas like the neck, due to its ability to provide deep hydration and repair dry, rough skin. Formulated with Hydro-Urea, three essential ceramides, MVE Delivery Technology, and shea butter, this lotion intensely hydrates and strengthens the skin barrier. It is especially beneficial for mature skin as it helps replenish natural moisturizing factors, which can decline with age, leading to smoother, softer, and more radiant skin.

    





This lotion is suitable for use on the body, making it ideal for the neck area, where skin can become particularly dry and sensitive with age. Its non-greasy, fast-absorbing formula relieves itchiness and tightness, common issues on aging skin, without leaving a sticky residue. Additionally, it is fragrance-free and pH-balanced, making it suitable for sensitive skin, which is often more prevalent in older adults.

Overall, CeraVe Intensive Moisturizing Lotion offers a comprehensive solution for maintaining healthy, hydrated skin on the neck and other areas prone to dryness as we age including the face.



CeraVe PM Facial Moisturizing Lotion: A Nighttime Hydration Hero for Tretinoin Users


This product's 3-star rating at Real Face may be attributed to its use of hyaluronic acid alongside glycerin, rather than exclusively relying on glycerin. While both ingredients are widely used in skincare, concerns about hyaluronic acid's long-term effects have emerged, with some studies suggesting potential links to increased cancer risks at high concentrations. Glycerin, by contrast, has a well-established history of safe use with minimal side effects. Compared to the other two moisturizers listed by Real Face, this one is notably lighter and better suited for those seeking a lightweight product, which is factored into the lower rating. Better ratings are typically given to moisturizers with broader appeal across different skin types. Despite these concerns, Real Face acknowledges that this product works well for its targeted users, particularly those seeking a lighter moisturizer option, which is why it remains listed here. If CeraVe reformulates without hyaluronic acid, the rating could potentially improve, subject to live testing results.


             

          

Key Features and Benefits:


Ultra-lightweight formula: The oil-free night cream moisturizes the skin while you sleep without feeling heavy or greasy.

Barrier-restoring ingredients: Formulated with three essential ceramides, it helps restore and maintain the skin's natural protective barrier.

Hydration boost: Contains hyaluronic acid to attract moisture to the skin's surface and help retain it.

Soothing properties: Niacinamide in the formula helps calm the skin, making it ideal for those with sensitive or irritated skin.

Long-lasting hydration: The patented MVE Technology provides a continuous release of moisturizing ingredients for 24-hour hydration.

Comparison with Other Products:


When compared to higher-priced options like SkinCeuticals Triple Lipid Restore 2:4:2, CeraVe PM Facial Moisturizing Lotion offers excellent value:

Gentle formulation: Free from fragrance, oil, and parabens, making it suitable for sensitive skin.

Non-comedogenic: Won't clog pores or cause acne flare-ups.

Dermatologist-developed: Formulated with input from skincare professionals.
User Experience

Many users report positive experiences with CeraVe PM Facial Moisturizing Lotion:

The lightweight, non-greasy texture absorbs quickly into the skin.

It provides long-lasting hydration, keeping skin moisturized throughout the night.

The formula is gentle and suitable for various skin types, including sensitive and acne-prone skin.

While CeraVe PM Facial Moisturizing Lotion is highly regarded and consistently performs well, it's important to remember that skincare is not one-size-fits-all. This product may be an excellent choice for many, particularly those using tretinoin or dealing with dry, sensitive skin. However, individual skin needs and preferences may vary, highlighting the importance of a diverse skincare market that caters to various skin types and concerns.

.


One More Reason to Love Lasers: UltraClear's Superiority in Skin Rejuvenation


When evaluating skin rejuvenation treatments for maintenance, it's clear that all effective procedures—whether microneedling, Ellacor micro-coring, Morpheus8, IPL, or BBL—require a financial investment. However, UltraClear laser emerges as the superior choice for several compelling reasons. Given this reality, isn't it wise to stick with one versatile and effective procedure? UltraClear laser not only addresses a broad range of concerns but also poses less risk of infection compared to devices that mechanically break the skin.

Why UltraClear Laser Stands Out


Versatility and Effectiveness

UltraClear laser tackles a wide array of skin concerns, including fine lines, wrinkles, acne scars, sun damage, pigmentation, uneven texture, and age spots. Its ability to address multiple issues in a single session makes it a cost-effective and comprehensive solution for skin rejuvenation.

Collagen Stimulation for Long-Term Benefits
By promoting collagen production, UltraClear helps restore skin elasticity and firmness while reducing signs of aging like sagging and wrinkles. Since collagen levels naturally decline with age, frequent UltraClear sessions can maintain youthful skin over time, making it ideal for semi-regular maintenance.

Minimal Downtime and Comfort

Unlike invasive procedures or traditional lasers like CO2, UltraClear offers quick treatments with minimal discomfort and recovery time (typically 24–48 hours). This makes it perfect for those with busy lifestyles who want visible results without extended downtime.

Safe for All Skin Types

UltraClear is FDA-approved for all skin tones and types, including darker complexions that are often at higher risk for hyperpigmentation with other lasers. Its advanced cold fiber laser technology minimizes thermal damage while maximizing safety and effectiveness.

Customizable Treatments

The laser settings can be adjusted to target specific concerns, from mild resurfacing to deeper collagen remodeling. This flexibility allows for highly personalized treatment plans tailored to individual needs.

Frequent Maintenance for Ongoing Results

Unlike more aggressive treatments like CO2 lasers—which are better suited for severe concerns but require significant downtime—UltraClear can be performed regularly to maintain collagen levels and tighten the skin over time. This makes it an excellent option for ongoing rejuvenation as part of a proactive skincare routine.

How It Compares to IPL and BBL

IPL (Intense Pulsed Light) and BBL (BroadBand Light) are popular light-based treatments that address pigmentation issues, sunspots, rosacea, and broken capillaries by using light energy converted into heat. While effective for surface-level concerns:

IPL: Requires more sessions (3–6) to achieve results and is less precise in targeting deeper layers of the skin.


BBL: Offers better precision and fewer sessions than IPL but focuses primarily on pigmentation and vascular issues rather than comprehensive rejuvenation.

Both IPL and BBL are valuable tools but are more limited in scope compared to UltraClear’s ability to treat not only pigmentation but also fine lines, texture irregularities, acne scars, enlarged pores, and overall skin laxity—all in one treatment.

The Best Option Beyond Basic Skincare

For those looking to go beyond a basic skincare routine without overcomplicating their regimen or budget, UltraClear laser is the clear winner. Its ability to address age spots and stimulate collagen sets it apart from IPL/BBL while providing more comprehensive results with minimal downtime. Combined with a good skincare routine that includes sun protection and hydration, UltraClear offers a long-term solution for maintaining radiant, youthful skin without the need for multiple separate treatments.

Whether you're addressing early signs of aging or looking for ongoing maintenance, UltraClear delivers consistent results that justify its cost—making it the best investment in your long-term skincare journey.



Navigating Facial Rejuvenation: A Patient's Guide


Stick to Your Plan: Don't let practitioners pressure you into unplanned procedures. Some doctors, especially those with inflated egos, may view you as a practice opportunity.

Research Thoroughly: Understand the differences between treatments like fillers and neurotoxins. Knowledge is your best defense.

Consider Long-Term Effects: Certain treatments, like excessive fillers or Sculptra, can complicate future surgical procedures.

Set Realistic Expectations: Non-surgical options offer quick results but have limitations and may impact future treatments.

Understand the Full Treatment Plan: Some procedures require multiple sessions. Be wary of overhyped solutions.

Know the Risks: Discuss all potential side effects and complications with your practitioner. Some procedures, like direct brow lifts, may leave serious scars.

Communicate Concerns Immediately: If dissatisfied, speak up promptly. Remember, reversing some treatments can be challenging or impossible.

Start Small: A conservative approach with non-surgical procedures often yields more natural-looking results.

Get Second Opinions: If unsure about recommended treatments, consult another professional.

Evaluate Combination Treatments: While caution is advised, sometimes a multi-modal approach can be beneficial. Discuss thoroughly with your practitioner.

Budget Carefully: Consider both immediate and long-term costs of treatments.

Remember: It's your face and your choice. Stay informed, advocate for yourself, and prioritize safety throughout your rejuvenation journey.

Caution on Reversals: Hyaluronidase treatments for filler reversal aren't always ideal. They can affect natural hyaluronic acid, potentially leading to tissue wasting. Results can be unpredictable, and there's a risk of not fully restoring your pre-filler appearance.



Plastic Surgeon EXPOSES the Facial Aesthetics Industry


Disclaimer: This video is shared for informational purposes only and does not constitute an endorsement.




To prolong the results of laser skin resurfacing, particularly after treatments with Fraxel CO2 lasers or the new UltraClear laser, follow these essential tips:


Sun Protection

Diligent sunscreen use is crucial. Apply a broad-spectrum SPF 30 or higher sunscreen daily and reapply frequently, especially on sunny days. This helps prevent UV damage that can break down newly formed collagen and elastin, preserving the results of your laser treatment.

Hydration and Nutrition

Stay well-hydrated by sipping water throughout the day. Proper hydration supports skin health and helps flush out toxins.

Supplement with antioxidants, particularly time-released vitamin C, to combat free radicals that contribute to premature aging.

Skincare Routine

Tretinoin use and Proper moisturizing  10 minutes after Trentinoin application.

Maintenance Treatments


Consider annual laser resurfacing sessions to maintain results. The UltraClear laser, in particular, offers:

Comprehensive treatment for both superficial and deep skin issues

Faster results with significant improvements often visible after one session

Minimal downtime compared to traditional ablative lasers

Precision targeting of specific skin concerns


Maintain a healthy lifestyle with a balanced diet and regular exercise to support overall skin health.

By following these guidelines, you can extend the benefits of your laser skin resurfacing treatment, whether you've undergone Fraxel CO2 or UltraClear laser therapy. 


Revive Your Radiance: No Face is Ever Too Far Gone, No Age Too Old






Plasma Pen: Separating Fact from Fiction in Dermatology


Effective Uses


Wart removal

Mole removal

Age spot treatment

Cherry angioma removal

Skin tag removal

The plasma pen is particularly useful for these conditions as it can precisely target and destroy small areas of tissue without affecting surrounding skin.

Limited Effectiveness


Despite marketing claims, plasma pen treatment is not ideal for:

Skin tightening: While some immediate tightening may occur, the uncontrolled energy output of plasma pens can lead to unpredictable results and potential scarring, especially on facial and neck areas.

Scar removal: The risk of iatrogenic scarring makes this treatment unsuitable for scar removal or collagen induction therapy.

Dermatologists and plastic surgeons acknowledge that plasma pens have their place for specific skin conditions but caution against their use for broader skin rejuvenation purposes due to the lack of regulated energy output and potential for adverse effects.


Comprehensive Ranking of Scar Removal Lasers: From Gold Standard to Cutting-Edge Technology


Standard CO2 Laser


Considered the gold standard for deep scar treatment

Highly effective for surgical scar removal

Can produce excellent overall improvements with a single treatment

The standard CO2 laser remains the gold standard for surgical scar treatment due to its ability to deliver high-energy, deeply penetrating laser light. This causes significant thermal damage to the scar tissue, triggering a robust healing response and collagen remodeling. The intense ablation and heat generation lead to more dramatic results, especially for deep, stubborn scars.

DEKA SmartXide Tetra CO2 Laser


Advanced fractional CO2 technology

Multiple emission modes for precise control

Effective for deep surgical scars

Promotes collagen remodeling

Faster recovery compared to standard CO2 lasers

It's crucial to note that the DEKA SmartXide Tetra, due to its advanced settings and multiple emission modes, requires a seriously experienced operator for patients to achieve maximum results. The system's versatility and precision can lead to superior outcomes, but only in the hands of a skilled practitioner who fully understands how to optimize the various parameters for each specific case.

UltraClear Cold Ablative Laser


Cold technology minimizes thermal damage

Suitable for all skin types

Less pain and faster healing

Can be used without topical numbing in some cases

For surgical scar treatment, the choice depends on scar severity, skin type, and desired recovery time. While the DEKA SmartXide Tetra offers advanced control and the UltraClear provides a gentler approach, the standard CO2 laser's intense ablation and thermal effect still make it particularly effective for severe surgical scars.

Ultimately, the best choice should be made in consultation with a qualified dermatologist or plastic surgeon, considering the specific characteristics of the scar, the patient's individual needs, and the practitioner's expertise with each technology.

Summary of Laser Options for Scar Treatment: Benefits and Drawbacks


Standard CO2 Laser: Highly effective for deep scars, but costly due to longer recovery time and potential need for anesthesia.

DEKA SmartXide Tetra CO2 Laser: Offers precise control and promotes collagen remodeling, but requires an experienced operator for optimal results.

UltraClear Cold Ablative Laser: Suitable for all skin types and ethnicities with faster healing, but may be less effective for very deep scars compared to traditional CO2 lasers.

Balancing Efficacy and Risk in Laser Scar Treatment


The effectiveness of laser scar treatment generally correlates with its intensity: more aggressive treatments often yield more significant improvements. However, this increased potency also brings a higher risk of adverse effects, including potential scarring or alterations in skin pigmentation. Therefore, selecting the appropriate laser treatment involves carefully weighing the desired outcomes against the associated risks.

Worth noting:


The Erbium. :YAG laser was not included in the previous comparison because CO2 lasers generally outperform it for scar removal. However, when comparing Er:YAG to the UltraClear Cold Ablative Laser for scar treatment:

Ablation depth: Er:YAG typically achieves shallower ablation than UltraClear, which may limit its effectiveness for deeper scars.

Thermal effect: Er:YAG produces less thermal damage than CO2, which can result in faster healing but potentially less collagen remodeling.

Pain and recovery: UltraClear's cold technology offers less discomfort and faster recovery compared to Er:YAG.

Versatility: UltraClear is suitable for all skin types, while Er:YAG may have limitations for darker skin tones.

Efficacy: Studies show Er:YAG can improve acne scars by 26-75% after four sessions, while UltraClear's effectiveness for scars is still being evaluated but shows promise for various scar types.

Overall, while Er:YAG has a longer track record, UltraClear's advanced technology may offer advantages in terms of comfort, recovery, and versatility for scar removal.


Skin Tightening Solutions: Effective Treatments for a Youthful Glow



A full epidermal renewal, including deeper layers, takes approximately:

28 days for young adults

45-60 days for middle-aged adults

60-90 days for older adults

This complete renewal cycle is crucial for understanding the timing of treatments like laser therapy, which can be safely performed every 90 days to allow for a full skin renewal between sessions.


Regarding the interventions:

Autophagy

Tretinoin

Laser treatments

Surgery

These remain effective for skin tightening and rejuvenation.

You may have astutely noted the omission of red light therapy. This treatment is often left out of top recommendations because its results, compared to the time and cost invested, don't provide as significant benefits as the other methods mentioned. The effort-to-outcome ratio for red light therapy isn't as favorable, making it a less prioritized option for those seeking efficient skin tightening solutions.




In this video, it mentions microneedling. However, here at Real Face, we recommend saving money for what works. FaceTite, BodyTite, and laser treatments have proven to be more effective for significant skin tightening results.