Our expert says:
Hi Coral, thank you for the question and my apologies for the delay with my response but I was away presenting at a medical congress.
A number of topical ingredients have been shown to benefit the skin at the dermal layer but it is important to state that these effects will be mild to moderate. To be specific one can expect an improvement of fine lines, increased smoothness of skin, textural improvement, pigmentation improvement, and an increase in skin elasticity. Your most important topical is a good SPF (50 or higher) that contains zinc oxide and/or titanium dioxide.
Topicals to look out for should include the alphahydroxy acids, polyhydroxy acids, vitamin A, and vitamin C. these ingredients are found in one form or another in NeoStrata, Environ, Nimue, IS Clinical, etc. One can expect further improvements with topicals by adding a regular glycolic acid peeling regime.
Moderate to deep lines and severe deep pigmentation will require other treatment modalities. These include Botox, dermal fillers, and skin rejuvenation technologies.
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