Minimal control may be achieved with a cleanser alone, but more commonly a cleanser and an exfoliator (fruit acid wash, salicylic acid, lactic acid, glycolic acid) are useful when used together. More extensive acne can be helped via facial peels of higher strength that can be obtained via a doctor's office. Deeper acne "ice pick" scars may require a combination of surgical removal and a series of facial peels of varying strengths. These maneuvers need to be carefully planned taking the patient's skin type into account to minimize risk.
In most skin types a sun screen and a bleaching gel can keep pigment under control. Sun exposure can make freckling and darker pigment (sun spots) more appreciable. Sun screens help keep the areas from progressively darkening. Fade gels can help decrease the existing pigment. Some patients may desire the judicious use of exfoliators, such as those used in acne. This also helps decrease superficial pigment making these "spots" less appreciable.
Patients with even more defined pigment problems may seek more involved treatments such as those available in a doctor's office (chemical peels, laser re-surfacing).
Sun damage frequently makes pigment problems worse, but can actually improve acne in small doses. The bigger problem is sun exposure's potential to contribute to the formation of skin cancer. For these reasons, a quality sun screen should be worn regularly. Choosing a foundation with a sun screen is an easy way to integrate their use into your daily routine. For days in which extensive sun exposure is expected, heavier sun screens (SPF 30 +) are reasonable.
There are a few creams that can help make wrinkles less appreciable. Retin A and related medications can be obtained with a prescription. A few other creams can be obtained online. They usually work by improving skin hydration therefore making wrinkles less visible.
Glycolic acid formulations can be useful in combination to make wrinkling less prominent by "peeling" the superficial skin. More extensive "wrinkle reduction" can involve deeper peels and surgery found at the doctor's office.
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