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Anti aging services

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An awful lot of women—on TV, on the street, in the next office—are suddenly looking remarkably smooth-cheeked, uncannily fresh-faced, suspiciously rested. How did everyone (including certain people whom we know graduated six years ahead of us) get so young? The answer is that somewhere between throwing a few AHAs into your skincare routine and going for a total surgical overhaul, there's been an explosion of not-quite-drastic treatments aimed at keeping the bloom on. But not so fast: All of them come with some sort of price—in pain, in scabs and bruises, and, of course, in dollars. Plus, the results won't last forever (none of these procedures have the power to stop time), so in a few months or years you'll be right back where you started. Are these procedures worth it? That's your call. We're just here to present the facts.

One anti-aging avenue to explore is topical treatments. To prevent the formation of lines and discoloration—and to minimize the ones you already have—look for lotions, creams, and serums that contain one or a combination of these ingredients:

Sunscreen (chemical blockers like avobenzone and the recently FDA-approved Mexoryl, and physical blockers such as zinc oxide and titanium dioxide), to absorb the UVA and UVB rays that break down collagen and alter the skin's pigmentation. Since unprotected sun exposure is the leading cause of skin aging (not to mention skin cancer), use a moisturizer that has at least an SPF of 15 (as far as we know, there is no product referred to as a "sunscreen with moisturizer") every single morning.

Antioxidants (vitamins C and E, green tea, coenzyme Q10), to stave off the free-radical damage that makes the skin more susceptible to wrinkles.

Alpha and beta hydroxy acids (glycolic, lactic, citric, and salicylic), to lift away dead cells on the surface of the skin, revealing fresher, smoother skin underneath.

Peptides , to help stimulate some collagen production. Evidence of their collagen-building power is limited, but at the very least they offer extra hydration.

Tretinoin , a vitamin A derivative that's the gold standard in collagen production. The retinoids (Retin-A, Avage, Renova, Differin, and Tazorac) are prescription only; retinol is the less-potent over-the-counter version. For patients with severe sun damage, doctors often prescribe Tri-Luma, a combination of tretinoin, hydroquinone (a bleaching agent), and a corticosteriod.

Pain-o-meter (where 1 is the lightest pinprick and 5 is agony): 0. Products that contain alpha and beta hydroxy acids may sting for a couple of seconds on application; the retinoids can leave skin flaky for the first few weeks of use, but cause no discomfort.

Average cost: Anywhere from $5 for a basic sunscreen to $500 for a luxury-brand night cream.

Val Answers Your Top 20 Skincare Questions

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Val Monroe

You've consistently honored Ask Val with your most pressing beauty questions, from the straightforward (do I really need an SPF if I'm inside all day?) to the strange (though my skin is dry, my eyelids are oily—what's up with that?). Here are some of our favorite skincare dilemmas along with their bottom-line solutions.

Q: Which do I put on my face first, sunscreen of moisturizer?

A: What you apply first depends on the kind of sunscreen you use. A physical block (containing titanium dioxide or zinc oxide) can be applied over your moisturizer. But a chemical sunscreen (avobenzone or oxybenzone), which works by interacting with your skin to absorb the sun's rays, must penetrate whatever is already on your face in order to be effective, says Heidi Waldorf, MD, associate clinical professor of dermatology at Mount Sinai School of Medicine. So it's smart to apply this type before anything else.

Keep in mind: In summer, unless your skin is very dry, you can probably use just one product: a moisturizing sunscreen. I like PCA Skin Protecting Hydrator SPF 30 ( $34, for stores) and Yes to Cucumbers Soothing Daily Calming Moisturizer with SPF 30 ($15,

Keep reading: What's the best moisturizer for you?

Q. How can I get rid of the deep vertical lines on my upper lip?

A: Those lines are really the only thing I don't like on my face. (Unless you count the spaghetti sauce I discovered on my chin after dinner the other night. I didn't much like that, either.) A three-step approach works well to eliminate the lines, says Deborah Sarnoff, MD, clinical professor of dermatology at New York University Medical Center. Injections of a filler like Juvéderm or Restylane can fill them in. A very small amount of Botox, injected into the sides of the mouth, can prevent the kind of puckering that helps to cause them. Finally, one treatment with a fractional CO2 laser can get rid of them for more than ten years (with three days to a week of redness and swelling and a cost of $1,500 to $4,500).

Keep in mind: If you choose to go this three-pronged route, it's critical that you see a board-certified dermatologist or plastic surgeon experienced in the treatments (too much filler can look unnatural—as I'm sure you've observed—and too much Botox around the mouth can affect your shpeesh).

Keep reading: What are your skin treatment options?

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This article is part of's 2011 Feel Good Challenge. Join now—and move closer to the life you want!

Q: How can I figure out my skin type? 

A: It's easy. Wash your face with a cleanser designed for normal skin; rinse well, and pat dry with a soft towel. Now pick up a copy of Alan Bennett's The Uncommon Reader. It's a short, funny book, and if you're undistracted you can probably finish it in about an hour—exactly when your skin will be ready to evaluate. How does it feel? If it's tight, ashy or flaky, your complexion is dry, says Susan Taylor, MD, assistant clinical professor of dermatology at Columbia University. If you're oily only across the forehead, down the nose and on the chin, you've got combination skin; and if you need to blot your whole face with a tissue, you're oily. If your face feels irritated or slightly itchy, you likely have sensitive skin.

Bottom line: Once you've established your skin type, repeat the test four times a year, because your skin probably changes seasonally.

Keep reading: Top 10 skin myths—a dermatologist tells all

Q: Why isn't there a way to get rid of acne immediately and permanently? 

A: Hear, hear! We've pretty much figured out how to dissolve fat, prevent wrinkles, shoot people into space (and even bring them back); how hard can it be to get rid of acne? Actually, harder than you'd think, because acne results from a complicated process involving a plugged pore, oil, bacteria and inflammation, and it's also influenced by genetics and hormones, says Katie Rodan, MD, clinical associate professor emeritus of dermatology at Stanford University School of Medicine. A shot of cortisone directly into a pimple reduces inflammation in a day or two, and the oral prescription medicine isotretinoin can give long-lasting results with cystic or severe acne, but the best way to prevent acne is by using a combination of ingredients that address each step in the breakout process, including salicylic acid to disrupt the plug, benzoyl peroxide for protection from bacteria and sulfur for its anti-inflammatory effect. Recent research shows that milk and milk products may aggravate acne, so it might be wise to avoid them.

Bottom line: You can treat the superficial causes topically, but because acne involves genetics, the only permanent solution will involve gene therapy—and we're not there yet.

Keep reading: Val's adult acne cures

Q: Do more-expensive skincare products have some kind of "professional strength"?

A: Price alone has nothing to do with the strength and effectiveness of skincare products, says Cheryl Burgess, MD, medical director at the Center for Dermatology and Dermatologic Surgery in Washington, D.C. A drugstore mask or moisturizer can have the same concentrations of active ingredients as one from a department store or spa. But there is a correlation between the strength of a product and whether it's prescription or over-the-counter, says Burgess. A prescription product will likely contain a higher concentration of active ingredients than an OTC formula.

Bottom line: The price and strength of a product do not necessarily correlate.

Keep reading: The facts about cosmetic procedures

Q. I'm 26. When should I start using anti-aging products?

A: The day before yesterday (and I wish I'd followed my own advice). Leslie Baumann, MD, director of the Baumann Cosmetic and Research Institute in Miami Beach and author of The Skin Type Solution, says she tells patients as young as 18 to use ingredients that have been shown to slow the effects of aging. When it comes to wrinkles, prevention is key, so it's important to conserve collagen, hyaluronic acid and elastin, all of which keep skin looking plump and firm. Retinoids and antioxidants help preserve all three. For nighttime, Baumann suggests using a prescription retinoid product like Retin-A, Tazorac, Differin or Renova—in conjunction with a daily moisturizer containing antioxidants like idebenone, coenzyme Q10, lycopene, vitamin C, vitamin E and ferulic acid. She points out that the best anti-aging product is sunscreen, used every day, even indoors (where UVA rays can work their bad chemistry through windows).

Bottom line: If you're old enough to ask the question, you're old enough to be using anti-aging products.

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