Baylor Dermatology Clinic

Options for Skin Rejuvenation

Sunblock: Required to prevent further sun damage
Pros: Inexpensive and easy to use.
Cons: Will not reverse damage already done

Cosmeceuticals, microdermabrasion, superficial peels: Less aggressive options.
Pros: Very safe with no downtime. Good for skin maintenance.
Cons: Results not impressive. Expensive in the long-term.

Botox: Injection that greatly improves wrinkles due to overactive muscles.
Pros: Works well for overactive muscles in the forehead, frown lines and crows' feet. Few side effects with no downtime. Lasts 3-4 months.
Cons: Temporary results. Expensive ($300 per area, discount given for more than one area).

Collagen and other injectable fillers: Injectable implant can "fill in" creases.
Pros: No downtime, quick results. Lasts 6-8 months.
Cons: Temporary results. One percent chance of an allergic reaction. May work better combined with Botox.

Fotofacial - Intense Pulsed Light: Improves redness and brown spots.
Pros: 70 percent improvement average with 3-5 sessions. May help to some degree with pores, fine texture and flushing. Minimal downtime (redness for 1 day average, minimal to no bruising). Great for large zones. 20-30 minute treatment. We own one of the latest and most advanced IPL systems.
Cons: Moderately expensive (full face treatment $500/session with the fifth session free). Minimal wrinkle improvement. Numbing cream needs to be applied 45-90 minutes pre-treatment.

Fraxel: Rejuvenates skin in all skin types with relatively easy skin care and little downtime.
Pros: Improvement in most wrinkles, skin texture, redness and brown spots. Minimal downtime (swelling for 1-2 days, redness for 2-4 days, flaky tan for 4-7 days). 30 -45 minute treatment with topical numbing cream. Can be used in nearly all patients.
Cons: Expensive (full face $1000/session with 3-6 sessions required). Not a replacement for a facelift.

Lumenis Ultrapulse Encore: The best overall laser skin rejuvenation available.
Pros: Best combination of improvement in wrinkles and side effect profile. Also helps brown spots and precancerous lesions.
Cons: Expensive (full face $1250-3500 per session with 1-3 sessions required). Moderate downtime.

Sciton Contour: The most aggressive laser treatment for wrinkles.
Pros: Very effective with only 1 treatment typically needed.
Cons: Expensive. Extensive downtime of 1-2 weeks. Somewhat greater risk of infection or scar.