Skincare Case 123

Age: 53 years old
Gender: Female
Fitzpatrick: 2
Skin type: Combination

Main Concern: Deep wrinkles between the eyes, on the side of the eyes, and on the forehead.

History: She tried wrinkle silicone sticker patches, massage, and some botanical therapies but saw only a slight improvement that didn’t last long.
She is skeptical about Botox’s side effects and hesitates to do Botox injections.

Home care routine: She uses a gel cleanser, hyaluronic acid, vitamin C, Cerave Retinol serum, and facial yoga in the evening.

Skin analysis: There are deep wrinkles on the glabella site, crow’s feet on the side of both eyes, and wrinkles lines on the forehead.

Skincare Exams 123
Case Discussion (Please click here)

The client is a 53-year-old woman with Fitzpatrick skin type 2 and combination skin. She is primarily concerned about deep wrinkles between her eyes, at the sides of her eyes, and on her forehead. Despite her attempts with various treatments, including silicone sticker patches, massage, and botanical therapies, the improvements have been minimal and short-lived. She has reservations about Botox due to concerns about potential side effects.

Causes

The primary cause of these deep wrinkles is aging, which naturally leads to the loss of collagen and elastin in the skin, causing it to become less firm and elastic. Other contributing factors could be her skin type and lifestyle factors, such as sun exposure, stress, diet, and lack of adequate hydration.

What’s Done Wrong

The client’s current skincare routine includes a gel cleanser, hyaluronic acid, vitamin C, Cerave Retinol serum, and facial yoga in the evening. While these are beneficial for maintaining skin health, they may not be potent enough to significantly improve deep wrinkles. It seems like she might not be using a broad-spectrum sunscreen, which is essential to prevent further skin damage and the deepening of existing wrinkles.

Office and Home Treatment Options

Office treatments include dermal fillers, laser resurfacing, and microneedling, all of which can help stimulate collagen production and improve the appearance of wrinkles.

At home, she could consider using a prescription-strength retinoid, which is more effective than over-the-counter retinol. Regular use of a broad-spectrum sunscreen, a moisturizer, and maintaining a healthy lifestyle can also help improve skin health and appearance.

Prevention

To prevent further skin damage and the deepening of existing wrinkles, daily use of a broad-spectrum sunscreen, maintaining adequate hydration, a balanced diet rich in antioxidants, regular exercise, and adequate sleep are essential. Also, managing stress levels and avoiding smoking and excessive alcohol consumption can help.

Home Care Daily Routine

AM:

  1. Cleanse with a gentle cleanser.
  2. Apply a vitamin C serum.
  3. Apply a moisturizer.
  4. Apply a broad-spectrum sunscreen with an SPF of 30 or higher.

PM:

  1. Remove any makeup with a gentle makeup remover.
  2. Cleanse with a gentle cleanser.
  3. Apply prescription-strength retinoid (start slowly to avoid irritation).
  4. Apply a moisturizer.
  5. Hyaluronic acid can be used before moisturizer for additional hydration if needed.

Regular facial exercises or yoga may help improve muscle tone and could be continued. Regular check-ins with a dermatologist or skincare professional can help monitor progress and adjust the routine as needed.