Our expert says:
Hi Elsie, thank you for the questions.
There is no topical product that can completely eliminate the appearance of age spots but topical products can definitely lighten them. The following regime should be followed:
SPF that contains zinc oxide and/or titanium dioxide
Glycolic acid, Kojic acid, Lactic acid, Mandelic acid and Citric acid
Vitamin A or pro-vitamin A, vitamin E, and vitamin C or ascorbic acid
Licorice extract (Glycyrrhiza Glabra), Mulberry Root extract (Morus Bombycis), and Bearberry extract (Arctostaphylos Uva Ursi)
Arbutin and Arginine
By combining the above with glycolic acid peels one should get an improved result.
All of the above ingredients can be found in NeoStrata’s range of products.
If this regime does not show enough of a visible improvement one may consider skin rejuvenation for pigment removal with IPL/Bi-Polar Radiofrequency (Syneron elight or emax), laser (Fraxel, Lumenis) or IPL (Ellipse) skin rejuvenation. These technologies have varying degree of pigment removal usually in the vicinity of 70% to 85% removal. Exact figures can be found in the form of studies on my web page: www.aestheticfacialenahncement.co.za. (One can search pigment removal or each of the individual technologies).
One can correct swollen joints surgically but a consultation with a plastic surgeon and an orthopedic surgeon may be necessary before one can decide whether the surgery would be successful.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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