| EDITORIAL W
Our patients were born
with naturally beautiful skin,
so the first goal is to retain that beauty.
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HEN AN ARTIST APPROACHES THE CANVAS HE IS NOT ONLY THINKING about how he will paint the trees. He also prepares and plans a drawing that includes the trees, grass, buildings, and sky to complete the artistic composition. We should do the same when we consult with our patients. Look at the whole picture and prepare a comprehensive treatment plan. My plans contain the elements described below.
Retain Beauty Our patients were born with naturally beautiful skin, so the first goal is to retain that beauty. This can be done through the lifelong use of sun protection and quality skin care products. Those who start early and follow a regimented program of beauty retention will look decades younger, in their mature years, than those who do not. While good care and protection is important for the face, don’t forget the neck, trunk, and extremities. Additional efforts to retain the skin’s natural beauty should include proper nutrition, hormone optimization, moisturization, antioxidants, vitamins, and supplements. Early treatment of skin conditions such as acne will prevent scars and other destructive processes that impair a patient’s natural beauty. Relax Muscle contractions can cause wrinkles, folds, and creases in the skin. These include glabellar lines, crow’s feet, as well as lines on your forehead, lips, neck, and cheeks. Regular use of Botox or Dysport, 3 to 4 times a year, will relax the muscles that cause dynamic creases, wrinkles, and folds, preventing them from becoming permanent. Resurface Despite our best efforts and the efforts of our patients, the skin will age. During the aging process, wrinkles, scars, pigmented spots, small skin lesions, nevi, precancerous spots, keratoses, and enlarged oil glands will appear. Resurfacing with lasers, radiofrequency energy, chemical peels, or other energy sources help restore the skin’s natural beauty. These treatments need to be customized to the needs of each patient. Not everyone needs the same kind of resurfacing. It is important to have the right tools to do exactly what the patient needs. Skin tightening Another result of aging is skin laxity. While laxity is often genetic, the sun and other environmental exposures can accelerate the problem. Therefore, skin tightening should be part of a skin maintenance program. Often skin tightening procedures are best started in the middle age of life and continued periodically as necessary to maintain firm and healthy skin. Many effective devices are available including lasers, radiofrequency, and focused ultrasound. Reflate Volume lost in the face, neck and even the back of the hands is a hallmark sign of aging skin. Replacing volume with fat or fillers can keep the skin looking years younger. Younger faces have an oval appearance. As we age, we develop jowls, deep laugh lines, hollow checks and temples, and bony hands. Artistically restoring volume in these areas will turn back the aging clock and restore the beauty of youth. Redrape A minimal incision face, neck, eye, breast or body lift is necessary if the skin laxity does not respond to less invasive procedures. There is an art to maintaining youthful beauty. It is important to
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understand the components of the artistry of beauty creation and maintenance and how they fit together. Periodic consultations and revised treatment plans will help maintain the optimum youthful appearance at every age.
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Mark B. Taylor, MD Dermatologist and Cosmetic Laser Surgeon Gateway Aesthetic Institute & Laser Center Salt Lake City, Utah
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