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Skincare Regimen / Chemical Peels Specialist

Amy B. Lewis, MD

Dermatologist located in Upper East Side, New York, NY

Dr. Amy B. Lewis provides comprehensive and modern instructions, as well as clinically developed dermatological products, and chemical peels to keep skin youthful and healthy, helping patients in the Upper East Side of Manhattan and throughout New York City obtain skin care regimens that work cohesively with their lifestyles.

Skin Care Regimen / Chemical Peels Q & A

Do I need a Skin Care Regimen?

Skin care regimens are an extremely important part of keeping the skin more youthful and healthy. Different skin types need different products, and here at Amy B. Lewis Dermatology, we customize an appropriate regimen for your skin care needs. The three commonly known skin types are oily skin, combination skin and dry skin. People with Oily skin have multiple black or white heads, enlarged pores and the skin could feel greasy and shiny during the day without excessive sweating or activity. People with dry skin have chapped and rough skin that feels tight and flakes easily. Combination skin is a mix of both oily and dry skin, typically with oily areas in the center of the face and drier areas on the cheeks and forehead. People can also have sensitive skin in addition to having oily, dry or combination skin, which is presented by signs of redness and irritation. Dr. Lewis and her highly trained staff can customize a regimen with clinically developed skin care products that can help you develop and maintain a healthy and beautiful skin. The rule of thumb is to layer from “thin to thick”. The lightest weight products such as serums and gels go on first then the heavier weight products such as lotions and creams go on second. We recommend that every regimen should end by applying SPF in the morning. Makeup can be applied at the very end.

Why is skin care important?

Your skin is the largest organ in your body and a barrier to the outside world. Properly hydrating the skin will allow the skin to act as a barrier more efficiently. There are a few key things to keep in mind when taking care of your skin. First, in order to keep your skin young, it is essential to have a great moisturizer to keep your skin hydrated, which will also give you a healthy glow and an overall improvement in skin texture. Also, even though you work inside an office, if you sit by a window, walk outside to run errands or drive to work, you are exposed to UV rays. This can cause premature aging overtime and in order to prevent aging, hyperpigmentation and overall sun damage from exposure to harmful UV rays, it is recommended that SPF is applied to the skin daily, rain or shine. One of the essential parts of your regimen will also include a retinol. Retinol is a vitamin A derivative that is extremely effective in treating acne and wrinkles. It can unclog pores, thus allowing other skin care products to enter the skin more efficiently, prevent dead cells from clogging pores, and improve the appearance of aging by stimulating collagen production, fading age spots and reducing fine lines and wrinkles. Adding Vitamin C to retinol will give you an even better result. Vitamin C helps because it is a co-factor that takes part in collagen production. When you apply products with vitamin C, it stimulates the function of the specialized skin cells that produce collagen, thus improving the appearance of fine lines and wrinkles. Lastly, taking care of your eyes is also important because the eye is a delicate and thin area. Therefore, it is more prone to dryness and quicker in showing signs of aging than other areas of the face. Moreover, due to sun damage, genetics and constant squinting of the eyes, the thin layer of skin around the eyes become more susceptible to forming fine lines and wrinkles in addition to collecting fluid under the eyes, which causes dark circles and puffiness. Depending on what your concern is (dark circles vs puffiness vs lines or all the above), we can select the right eye cream that fits your needs. The correct strength and appropriate products should be chosen after a thorough examination by Dr. Lewis or the PA.

What are chemical peels?

Chemical peels are cosmetic treatments that use special chemical formulations to slough off the upper layers of dead or damaged skin to reveal fresher skin beneath. Peels can range in strength from mild to very strong for deeper peels, and the types of results you achieve will depend on the strength of the peel. Peels can be used to improve the texture and appearance of your skin and to reduce the appearance of fine lines and wrinkles, scars and discolored areas.

How are chemical peels performed?

Prior to your treatment, your skin will be gently cleansed to remove oils and makeup so the peel solution can be more effective. The solution will be carefully applied to the treatment areas and allowed to remain on your skin for a specific period of time, depending on the type of solution that's being used and the issues being treated. At the end of the treatment period, the solution will be neutralized using a second solution and then removed from your skin.

How will I feel afterward?

Depending on the depth of your peel, you may have some stinging or burning sensations, especially with moderate to deep peels, which can also cause tenderness and even mild swelling. Lighter peels can result in redness that resembles a mild sunburn. Scaliness and peeling occur with all types of peels, with the extent of peeling varying based on the depth of the peel. Stronger peel solutions penetrate more deeply, resulting in a longer recovery time, while the effects of mild peels can resolve in a few days to a week or so. After your peel, you'll need to protect your skin with sunscreen and avoid sun exposure during the initial healing period. You'll receive a complete set of care instructions once your peel is complete.