Treatment of ageing skin that is aimed at correcting damage of years includes noninvasive, mildly invasive and invasive procedures. When searching for options, not all possibilities are suitable for all. Therefore, when selecting a treatment for ageing skin it is important to find out in advance are there any possible side effects? What are these side effects? Is there down time? Pain level?

Treatment of ageing skin includes the use of dermal fillers, botox, skin resurfacing, and more invasive surgical procedures. Lasers can be used to address issues of pigmentations, discolorations, abnormal skin growths etc’. The most effective treatment of ageing skin would probably combine the use of anti ageing technologies that induce strengthening of the skin from within with skin surface treatments that remove old skin damage and expose newer skin. Fine spot corrections can include the use of dermal fillers and botox for deep wrinkles.

One non invasive technology for treatment of aging skin uses Radio Frequency (RF) energy for facial contouring and skin tightening, inducing heat in the treated area, this heat stimulates the body’s own collagen generation and in addition, tightens the existing collagen. The result is an improved skin texture along with reduced laxity of the skin.

Combining radio frequency non invasive treatment with a more aggressive treatment of skin resurfacing (using laser or radio frequency fractional treatments), will result in the benefits of collagen build up from within due to the RF treatment and renewed skin surface. However, this combined treatment will require a healing period due to the skin resurfacing and does involve minimal down time.
Treatment of ageing skin also includes prevention of further damage. This will include good hydration by drinking plenty of water, eating healthy food, physical activity, avoid smoking and excessive drinking and most important of all BE HAPPY.

Does sunscreen provide complete protection?

The Sun Protection Factor (SPF) of a sunscreen formula states the effectiveness of this cream when applied at an even layer of 2 milligrams per square centimeter, for blocking the effect of UV sunrays that cause sunburns. The SPF level is defined by comparing the effect of exposure to the sun causing burns to a body area with the evaluated sunscreen compared to the burns to a non coated area. SPF 15 means that compared to a body area without sunscreen, the area with sunscreen will require 15 times more UV to be equally burned compared to the same area without sunscreen.
SPF is evaluated per 2 milligrams of sunscreen per square centimeter, unfortunately most people apply less sunscreen than needed. This causes the SPF value to be reduced dramatically hence the person thinks he/she is protected but in reality the effectiveness of the sunscreen is reduced. Thinking that you are protected when in reality you are not is very dangerous as you might linger in the sun for longer.
Another problem with sunscreens is the fact that many of them protect mostly against skin burning, caused by UV-B.  There are three types of UV rays emitted from the sun, the skin cancer foundation has a good explanation about UV classification on their web site. The different types of UV are: UV-A, UV-B and UV-C. Both UV-A and UV-B pass the ozone layer and reach the earth, most of the UV-C is absorbed by the ozone layer and does not reach us.
UV-A is the most dominant UV radiation reaching us from the sun. It is present throughout the year and during all day light hours. UV-A penetrates glass and clouds and has a deeper penetration depth into the skin than does UV-B. UV-A is a main inducer of skin ageing, wrinkles and skin cancer. It is the main contributor to tanning, it does so by inducing changes in the cell’s DNA, the skin darkens due to synthesis of melanin to protect the skin from further damage form the UV exposure. Tanning salons use mostly UV-A as the tanning source, the intensity in the salons can be 12 times higher than the natural UV-A levels from the sun.
UV-B penetration depth to the skin is superficial and it plays a major role in skin burning. As apposed to UV-A, UV-B is present in lower levels during different hours of the day, different seasons and various locations on earth and it does not penetrate glass. Similar to UV-A, UV-B contributes to skin cancer, and skin ageing.
Sunscreens were created originally to prevent skin burning and to block mainly UV-B. In recent years manufactures of sunscreens have added UV-A protection too, however the level of protection from UV-A is not included in the SPF classification. It is important to verify, when purchasing a sun block, if the formula claims to protect from UV-A and UV-B. If not specified it is probably UV-B protection only.
The problem with sunscreen is that people feel protected from the damaging rays of the sun while they really are not safe. Most people will assume that if they apply sunscreen on exposed areas, they can allow themselves to walk freely in the sun during the extreme UV hours (10AM-4PM). This is a very dangerous assumption as applying the sunscreen needs to be in the correct amount and the sunscreen needs to be of good protection values. In addition, no sunscreen provides complete protection and it is wise to always stay away from exposure during the extreme hours mentioned above.
Another misconception is that after about 4PM and in early morning hours (6AM-10AM) there is no need for sunscreen as the UV radiation is lower. Very wrong assumption! As mentioned above, UV-A is present most hours of the day, so be ware!
Most people are not aware that they need to apply sunscreen when driving or sitting in a car, or if sitting in front of a sunny window at home, the windows will not protect you, (unless they are coated with a UV protection film).
Below are the Prevention Guidelines of the Skin Cancer Foundation for wise protection from the sun:

“Prevention Guidelines
•    Seek the shade, especially between 10 AM and 4 PM.
•    Do not burn.
•    Avoid tanning and UV tanning booths.
•    Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
•    Use a sunscreen with a SPF of 15 or higher every day.
•    Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours, or immediately after swimming or excessive sweating.
•    Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
•    Examine your skin head-to-toe every month.
•    See your physician every year for a professional skin exam.”

If your skin has been damaged by years of exposure to the sun’s damaging rays you might be happy to learn that you can help reduce the damage by treatments offered by various technologies. Sun spots (liver spots) can be removed by skin resurfacing technologies and photo-rejuvenation technologies. In addition, a RF technology exists, that targets reduction of wrinkles, collagen regeneration, skin tightening that improves skin texture and lessens the ill affects caused by UV radiation.  For example, TriPollar RF treatments, have been proven to effectivly reduce wrinkles and tighten the skin.  TriPollar based products are maufactured exclusively by Pollogen Ltd.    You do not have to wait till you are in your forties or later to begin treatments; the earlier you begin the better.
To finalize this write up, it would be nice if we adopted the fashion of un-tanned skin as our ancestors admired during the renaissance and earlier periods. Of course this should not include the discrimination against darker color skin that accompanied the earlier age admiration of non tanned skin.
And finally, if you do spend significant time in the sun, make sure to follow the guidelines mentioned above and minimize the damage to your skin.

Slyle-M Clinic staff. Ms. Muraki Hiroe second from LEFT

Ms. Muraki  Hiroe, of Style-M and the Matsukura clinic in the fashionable Omotesando Hills district in Tokyo Japan, has been voted as the No1 aesthetician 2 years in a row by a few magazines in Japan.
Being voted as the No 1 Aesthetician in Japan is not a trivial or minor honor, taking into account the high value the Japanese culture places on beauty, body care, aesthetics of appearance, generally talking the art of beautifying the body to its highest level.Ms Muraki Hiroe studied in Tokyo and is still in the process of studying while working as an aesthetician for the past 15 years. Ms Hiroe does not see herself as a master, she acknowledges that her wide and diversified knowledge along with her constant search for methods and technologies that obtain results in an effective and efficient way, are what placed her on top of the ladder. According to Ms. Hiroe, many aestheticians are into general healing and treatments that will be pleasurable for the minute, while her focus is on the obtaining lasting results.
Ms. Hiroe’s advice to beginning aestheticians is to invest in education and strive to achieve higher levels of knowledge. The more one knows, they will understand what they are doing and how to combine the best methods to obtain the best treatment protocols. Ms. Hiroe wants to focus on different good treatment methods and combine them to obtain the best results.

Ms. Hiroe treating with the apollo device

To a question regarding her favorite present treatment, Ms. Hiroe answered without hesitation “The apollo is my favorite now”. (I stressed while I presented the question to Ms. Hiroe that she does not have to answer ” the apollo” just to please me…). Ms. Hiroe loves working with the apollo because she sees wonderful results, it is very pleasant for the client being treated and there is no pressure and stress while treating.
At present, Ms Hiroe is studying a method that works through adjustment and very specific alignment of the bones and muscular structure to improve structure and facial contour (This is very different than chiropractic work). She works mainly on the facial structure and is just about to take examinations.  We wish you luck Ms Muraki Hiroe, we are sure you will do very well.

Aging is unavoidable fact of life – everyday we are all getting older. However, it is not age itself that bothers us, but the visible signs of aging that can make us feel old despite the fact that we feel young and vital. The health and look of our skin – whether on our face or on our body – plays a significant part in how old we feel and is seen as the most common indicator to others of our age. Facial wrinkles,  neck décolletage and hands are one of the most visible signs of skin aging. Over time they tend to get more visible. Wrinkles aren’t an illness! But wrinkles can alter the way we look, and this may change the way we feel about ourselves. Wrinkles usually start as fine lines. They tend to get deeper over time. Wrinkles are often noticeable on the face. Lines tend to form on the face in the places our skin folds when we smile or make other facial expressions.
 

The aging process of the skin occurs in two different ways, (Intrinsic and Extrinsic skin aging). Intrinsic aging is what we get from our parents and is inevitable and pre-determined. The skin will become thinner, less elastic and essentially dryer as a consequence of skin aging. This is a direct result of a reduction in the overall production of collagen. This decrease combined with gravitation will lead to sagging of the skin.
Skin will become dryer as a consequence of aging because the dermis is stripped of its ability to retain moisture. In addition, the process will lead to a substantial reduction in the sweat glands and sebaceous glands, all of which ordinarily lead to moist, plump skin.
Although the extent of the process will vary, skin aging will predominantly become apparent at age 30.
Extrinsic aging is associated with exposure to various toxins and environmental elements. The foremost and most detrimental element is the sun. UV sun rays associated aging, often known as ‘photo aging’ will cause a number of fine lines on the face, wrinkles, age spots, freckles, enlarged pores, broken capillaries and rough, uneven skin tone.

Infrared (IR) radiation

 Infrared (IR) radiation is a form of electromagnetic radiation whose wavelength is longer than that of visible light. The name means below red. Visible red light is the color of the longest wavelengths of visible light that we can see with naked eyes.

IR radiation is divided into 3 different bands according to wavelength:

• IR-A: 700 nm–1400 nm (Near-infrared)
• IR-B: 1400 nm–3000 nm
• IR-C: 3000 nm–1 mm

Infrared radiation is popularly known as “heat” or sometimes “heat radiation”, since many people attribute all radiant heating to infrared light and/or to all infrared radiation to being a result of heating.

Infra Red Laser Skin Tightening
In the last 10 years various non-invasive and non surgical treatments modalities have been developed for aging skin. Most of the advanced dermatology clinics are using lasers, radiofrequency (RF), IR lasers and a combination of the above to treat aging skin. All these methods are aiming to heat the deep skin layer in order to shrink redundant or lax connective tissues through the mechanism of collagen denaturation.

How does Infra-red laser work on aging skin?

Infra-red laser utilizes infrared light to heat the dermis well below the skin’s surface by heating up the water content in the skin. This heating can cause immediate collagen contraction by the denaturization of collagen. During the procedure, the outer skin’s surface (epidermis) must be protected through continuous cooling by means of active cooling. After the procedure, new collagen growth results in further tightening and the development of a more youthful, complexion with less fine lines, folds or looseness of the skin. People with dark skin should avoid the treatment.
  

Who should not undergo this procedure?

There are various contraindications which are similar to other light based technologies such as:
Women who are pregnant or breastfeeding are not suitable candidates.

Since the treatment heats the tissue under the skin’s surface by Infra-red light, dark skin absorbs most of the energy in the uppermost skin layer, which can cause burns. In such cases RF procedures are optimal since RF is considered as ‘color blind’ technology which is suitable also for dark skin type and color.  
Large areas of loose or redundant skin, such as after massive weight-loss may be better suited for TriPollar RF treatments or for surgical approaches in severe cases.
 
Also, until further studies have been carried out it is advisable not to have treatment directly over dermal filler products.
 

 
What sort of practitioner can perform this treatment?

Only suitably trained medical professionals should perform infrared laser skin tightening procedures.  

For more information see also: Titan™ skin tightening review