• 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.

Most SPFs of 15 or higher will protect against both UVA and UVB rays. Known as broad-spectrum sunscreens, these products contain titanium dioxide. Other active sunscreens are zinc oxide, oxybenzone.

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.