Expert's Opinion

Perfecting the Non-Surgical Skin Rejuvenation Paradigm

By Mary P. Lupo, MD, Dermatologist | January 25, 2010

Combine an array of skin products with an arsenal of treatments for best results, explains Dermatologist Mary Lupo.

Since the introduction of injectable neuromodulation using Botox cosmetic, the world of cosmetic rejuvenation has not been the same. Botox is the number one cosmetic procedure during the past five years for several reasons. It works predictably. It is safe. It is easy for the patient. In just a couple of days after a treatment that involved no time off from work or play, the patient looks more relaxed, eyebrows are lifted and eyes appear more open. As a result, patients now look at rejuvenation differently. Due to Botox’s success and newer dermal fillers that are more durable and versatile, patients are doing more to look better without the risks that conventional surgery can bring.

Dermatologists have perfected the art of non-surgical rejuvenation. We combine skin products that refine the complexion with an arsenal of peels, lasers and light devices that resurface more severe discolorations, lines and wrinkles. We can help our patients choose among lasers and light devices that require multiple sessions, but allow the patient to continue their normal activities. Alternatively,patients can choose fractional lasers that entail weekend swelling or fractional CO2 lasers with a week of downtime that are safer than the older resurfacing devices.

In general, the new rejuvenation paradigm involves combining all of our tools: fillers like Restylane and Juvederm; volumizers like Radiesse and Sculptra; neuromodulators like Botox and Dysport; and lasers such as Fraxel, Pearl and various peels like TCA (trichloro acetic acid) Jessner, and AHA. (alpha hydroxyl acid)

We are expert in individualizing the protocols and managing the health of the patient's skin both before and after each procedure to insure better results, safer recuperations, and long-term improvement. The benefits of seeking the care of a board-certified dermatologist for non-surgical rejuvenation are clear!

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About the Author
Dr. Mary Lupo is a board-certified dermatologist and clinical professor of dermatology at Tulane Medical School. She received her medical degree from Tulane Medical School and practiced internal medicine at Ochsner Foundation before entering the dermatology program at Tulane, where she served as chief resident in her final year and was awarded the Peterkin Award for her original research in skin lipids and inflammation in patients with atopic dermatitis.

She is past-president of the Women’s Dermatologic Society, Louisiana vice-chair for the Dermatology Foundation and member of the Annenberg Circle. She is on numerous committees for the Women’s Dermatologic Society, the American Society for Dermatologic Surgery, and the American Academy of Dermatology (AAD). She is a member of the ASDS board of directors. As director of Tulane’s Resident Cosmetic Clinic, she has taught courses on fillers, BOTOX, sclerotherapy, chemical peels, and laser therapies since 1984. As a member of the Allergan National Training Center and National Education Faculty, she teaches BOTOX Cosmetic injection techniques to other physicians. She is a founding director of Cosmetic Bootcamp, an innovative Continuing Medical Education (CME) program that teaches core aesthetic physicians the latest techniques for aging skin correction.

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