Facial Peels remove superficial layers of skin. Superficial peels occur by creating superficial wounds that then heal, revealing new, healthy appearing skin. Superficial peels correct damage no deeper than 0.06mm deep (i.e., within the epidermis, the superficial layer of skin), whereas, deeper peels may penetrate from 0.45mm to 0.80mm in depth (i.e., the lower dermis, the deeper layer of the skin). Generally Dr. Buchen uses superficial to medium depth peels to diminish fine wrinkles, to correct pigmentation problems, or to treat acne. In lieu of deeper peel, he usually opts to use one of the resurfacing lasers. The depth of tissue injury is more easily controlled when using a laser than when using a deep peel.
Collagen is a dermal filler substance that can be used to augment facial features. Most often, it is used for lip augmentation, though it was used extensively in the past for the correction of fine wrinkles around the mouth and eyes. Botox is now the agent used most frequently to correct wrinkles in these sites.
BOTOX® Cosmetic (botilum a neurotoxin) has been used safely for years by Ophthalmologists to correct eye muscle dysfunction. Now dermatologists are using it frequently to eliminate facial wrinkles that are caused by overactive facial muscles. These areas include the crow's area lateral to the eye, the horizontal forehead creases and the glabellar (frown) area.
Leg veins are troublesome to many patients. Today, scelerotherapy (the injection of veins with scelerosing agents), and laser are used to eliminate these veins. Though lasers are in fashion now, most studies have shown that scelerotherapy is superior for the treatment of these veins.