What is complete correction? When a patient asks how they can look their best and turn back the hands of time to more youthful skin, often a multi faceted approach is the answer. Here at Delray Dermatology & Cosmetic Center we provide an individualized treatment plan to target the 3 Cs of Complete Correction: color, creases and contour.

The color of our skin is often affected by cumulative sun exposure, genetics and other factors such as acne, rosacea and hormones. Color imperfections can be corrected with a combination of a medical grade skin care regimen and laser treatments. The cornerstone of any good skin care regimen must include a broad spectrum sunscreen with at least an SPF of 30 applied to the face on a daily basis. A sunscreen containing Zinc is preferred for several reasons: mineral sunblocks containing zinc and titanium more effectively block the UV spectrum than chemical sunscreens. This is especially important for patients with sun-sensitive conditions like rosacea, hyperpigmentation from acne scars, melasma, sun spots, and other causes of hyperpigmentation. The use of an antioxidant serum containing vitamin C and E in the morning is an integral part of the skin care regimen to provide protection against UV induced free radical damage to the skin, and to help even the skin tone. Moisturizers, especially those containing hyaluronic acids, provide hydration to the skin and dissipate the appearance of wrinkles. The use of a retinol at night has been shown to stimulate collagen production, lighten discoloration and help with the tone and texture of the skin. Prescription grade lightening products may also be prescribed in addition to the above treatments to lighten severe discoloration. In addition to topical products, laser treatments help with both brown and red discoloration of the skin. There are mild laser treatments with minimal downtime that are best performed monthly for 3-4 sessions and more substantial laser treatments that give results in one session with less than a week of downtime.

Creases and wrinkles are due to volume loss in the dermal and fat layers of the skin. Deep, moderate and fine creases can all be corrected with filler treatments. Improvement in fine lines and skin tightening can also be achieved by fractional laser resurfacing treatments. These treatments have minimal downtime and stimulate collagen production to help tighten lines and creases.

Evaluating the contours of the face is an integral part of any rejuvenating regimen. As we age we lose the natural curve to our cheeks. This is something that can be replaced with dermal filler injections like Voluma or Restylane Contour. We also may start to lose the contour of our jawline, often due to sagging skin or excess fat under the chin. These issues may be corrected with filler injections in areas that need volume with Juvederm Volux, Kybella injections to dissolve fat, and tightening treatments like Sofwave and Exilis to firm loose skin.

Brown spots on the skin can be due to a variety of reasons. Because of the many causes, you should first schedule a medical consultation visit to determine the cause of your pigmentation and the best ways to treat it. A common cause of brown spots is lentigines (“age spots”/“sun spots”). As these names imply they are a result of the aging process and excessive cumulative sun exposure. Another cause of brown discoloration on the face is melasma. Melasma is caused by sun exposure as well as hormonal influences like pregnancy and birth control pills. Any brown spot should first be evaluated by a Dermatologist to rule out skin cancer. There are many treatments for brown discoloration we can provide at Delray Dermatology, including prescription grade lightening topical regimens and laser treatments. Diligent daily use of a broad spectrum sunscreen containing zinc is important in the treatment of any cause of discoloration to prevent new dark areas and to help lighten existing areas. Schedule a consultation to first have your pigmentation evaluated and obtain a personalized treatment plan.

Redness of the face is often due to telangiectasias (“broken blood vessels”) either from rosacea or sun damage. Similarly red and brown discoloration on the neck and chest can also be seen from cumulative sun damage and is called poikiloderma. Treatments may include topical prescription medications for rosacea if present and laser treatments such as IPL or Excel V to address the telangiectasias and background redness. All of which we can provide at Delray Dermatology. Schedule an appointment to discuss our comprehensive approach to redness.

There are many types of acne scars including hyperpigmentation, rolling scars, boxcar scars and ice pick scars. Discolored acne scars may be treated with a combination of prescription grade topical Retin-A and a lightening cream, often in combination with laser treatments. Deeper acne scars can be treated with microneedling, subcision and laser treatments, with best results seen in a series of at least 3-4 laser treatments.

PRF, or platelet-rich fibrin, is the next generation treatment of platelet concentrate. PRF is a fibrin matrix comprised of platelet cytokines, growth factors, and cells used to help promote skin rejuvenation, hair growth, and wound healing.

Platelet-rich fibrin, or PRF, is a completely natural aesthetic injectable that can rejuvenate the appearance of your face. Using a concentration of your blood (PRF), you can restore a more youthful, smooth appearance for many patients. The injections also continue to work overtime, therefore promoting the generation of new collagen. This treatment is best done in a series to achieve the best results. Patients may also choose to do a combination of hyaluronic acid filler mixed with PRF to get an even better result.

A small amount of blood is drawn and then placed in the PRF centrifuge. The PRF is spun at a lower speed necessary to keep white blood cells and stem cells together with the blood platelets and plasma. The PRF is then extracted and ready for injection.

PRF works on a simple premise, utilizing your natural platelets to instruct the body to create new collagen for tighter, smoother, and better-toned skin.

The effects of PRF can be seen with skin rejuvenation but if you are looking for hair restoration, this is a simple solution that works. It uses your natural blood plasma to stimulate growth factors that will produce more hair where it has been thinning.