Q&A Topic: Non-Surgical Skin Rejuvenation

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David A. Palaia, MD, FACS

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Q.  Can I benefit from non-surgical skin rejuvenation?

A. The earlier in life you take a proactive approach to skincare, the fewer additional treatments you’ll need to repair problems or simply maintain a healthy, vibrant look. It’s important to know that there have been major advances in non-surgical facial rejuvenation procedures. These include the medical-grade HydraFacial, as well as non-surgical laser and radiofrequency skin-tightening and skin-resurfacing technologies. These newer procedures offer remarkable time-freezing results with far less visible surface damage, less discomfort, and only a minimal time investment on your part.

Q.  What occurs when I have a non-surgical facial procedure?

A. The dermis, the skin’s third-deepest layer, is composed mostly of elastin and collagen, which give our face its look of youthful vibrancy. As we age, our skin gets thinner, has fewer blood vessels, and produces less elastin and collagen. As a result, it loses elasticity, grows fragile, and is susceptible to developing wrinkles. This inevitable scenario is why all non-surgical facial skin-rejuvenating procedures aim to preserve and increase our skin’s supply of elastin and collagen. They achieve this by injuring the dermis, which causes an inflammatory response and triggers the production of more collagen and elastin.

Q. What is a HydraFacial?

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A. Formerly, a facial involved receiving a number of procedures separately. What makes the HydraFacial superior is that it combines many treatments into one 40-minute procedure: exfoliation (removal of dead skin cells), super-hydration of the skin, pore extraction (suction of dirt), and the administration of the antioxidant, glycolic acid and other peptides that stimulate production of collagen and elastin. Results last for about a month for most people.

Q. What are non-surgical approaches with lasers and radiofrequency?    

A. Our most popular procedure at Northern Westchester Hospital (NWH) uses the 1540 fractionated laser to tighten the skin, eliminate fine wrinkles, reduce brown facial staining, and minimize the appearance of scars. The Smartskin laser is a major advance that permits “resurfacing” of the facial skin, minimizing the look of deep lines on either side of the mouth. The Intense Pulse Light treatment filters lightwaves to eliminate the appearance of small blood vessels, as well as pigmented areas, or “age spots.” The Protégé Elite technology uses radio (sound) waves to boost the production of collagen and elastin. This pain-free treatment can produce a significant tightening of the facial skin. The most noticeable benefits of all these procedures last from one to two years.

Q. Where is the best place to go for these services?

A. Choose a physician board-certified in plastic surgery or dermatology. Be aware that a person might have a laser in their office, but not be familiar with the skin or be an expert in dealing with any after-effects of treatment. At NWH’s Laser Center and Medi-Spa Services, we offer full-service, safe, and advanced cosmetic skin care administered by trained specialists. Treatment with Botox and fillers complete the picture of a non-surgical facelift. Today, it is more possible than ever to look your best throughout your lifetime, thanks to a wide range of sophisticated non-surgical skin-rejuvenating procedures.

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Dr. Palaia is Board Certified in Plastic and Reconstructive Surgery and is a member of the American Board of Plastic Surgery. He was the Chief of Plastic Surgery at Northern Westchester Hospital Center from 2000 to 2005 and specializes in facial cosmetic surgery. He has authored numerous articles in prestigious journals and has lectured internationally on a variety of topics, including breast reconstruction, cosmetic breast surgery, and facial plastic surgery. 

Northern Westchester Surgical Services, P.C.
Plastic Surgeon,
Center for Plastic Surgery
Learn More About Dr. Palaia

Read more about non-surgical facial procedures

More from Dr. Palaia:

Facial Plastic Surgery 
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