• First, the correct cleansing regime for your particular skin type.
• Second, an excellent topical exfoliant to unroof the stratum corneum (glycolic, lactic, azeleic acids).
• Third, a dermal growth stimulator (tretinoin, retinoids, retinols).
• Fourth, the correct nutrients to promote dermal growth (topical C, topical E).
• Fifth, photoprotection (Topical C, titanium dioxide) from the suns ever increasing damaging UVA and UVB rays.

To help protect your skin from the damaging rays of the sun, dermatologists recommend wearing a broad-spectrum sunscreen with a sun protection factor (SPF) of 15 or higher every day in all seasons…in summer and winter, on both cloudy and clear days.

A broad-spectrum sunscreen helps protect your skin from both UVA (aging) and UVB (burning) rays. UVA rays are believed to be responsible for photoaging — the damage that occurs to the skin from many years of exposure to the sun. It's important to protect your skin from incidental sun exposure like while you're driving in the car, walking outside, etc.Apply sunscreen to all exposed skin, including lips, ears, backs of hands, and neck.

Apply sunscreen generously and evenly before going in the sun, and reapply frequently after swimming, exercising, or sweating. It's also important to look for a sunscreen product that is water resistant.

Yes. And though the improvements can last many years, they are far from permanent and may have to be repeated at periodic intervals.

Dermabrasion and medium-depth chemical peels have both been used for many years to improve the appearance of superficial wrinkling, eliminate sun-induced pigmentation and keratoses, and to improve the overall surface texture of the skin.

In the past decade, laser resurfacing has become very popular and for the most part has begun to replace the other two procedures because the results are easier to control and predict.

Laser resurfacing, however, is usually more expensive. All three procedures, if done correctly, are relatively safe, although localized scarring and pigment alterations can occur in a small percentage of patients.