There are many causes for changes or damage to the skin – most notably, aging and sun exposure. With these changes come alterations to the skin including wrinkling, thinning, color and pigment changes and loss to volume on the supportive tissues under the skin. Advances in technology over the past several decades have blossomed non-surgical treatments that effectively slow down, treat or even reverse these changes.
- 1 Options
- 2 Procedures To Improve Your Skin
- 3 Frequently Asked Questions (FAQs)
- 3.1 Why is the skin so important?
- 3.2 How does the skin protect me?
- 3.3 How does the skin keep me warm?
- 3.4 What else does the skin do?
- 3.5 Is the skin the same throughout the entire body?
- 3.6 Is taking care of the skin the same for all people?
- 3.7 Why is the skin so susceptible to outside forces?
- 3.8 What is skin resurfacing?
- 3.9 How does the face age?
- 3.10 Can we stop our face from aging?
- 3.11 Why is the sun so bad for our skin?
- 3.12 Why does the sun cause our skin to change?
- 3.13 What does overexposure to the sun cause?
- 3.14 What is ultraviolet radiation?
- 3.15 Do sunscreens really protect our skin from the sun?
- 3.16 What does SPF stand for?
- 3.17 How does a chemical peel help the skin?
- 3.18 Why does smoking affect my skin?
- 3.19 How does a hormonal disorder affect my skin?
- 3.20 What is the epidermis?
- 3.21 What causes my face to wrinkle?
- 3.22 Why does poor nutrition affect my skin?
- 3.23 Are liver spots on the skin a sign of liver disease?
- 3.24 What is intrinsic aging?
- 3.25 What are the signs of intrinsic aging?
- 3.26 What is extrinsic aging?
Dr. Gabbay has stayed at the forefront of the non-surgical technologies and prides himself on offering his patients the safest most advanced treatment options. Working in Southern California, Los Angeles and Beverly Hills for his entire medical career, Dr. Gabbay has extensive experience treating patients who have been severely affected by sun exposure, aging and other skin damaging factors.
Some of the cosmetic non-surgical procedural options we offer at Gabbay Plastic Surgery include:
The skin is the largest organ of the body that contains many specialized cells and structures and one of its main functions is to protect us from a sometimes “harsh” environment.
Dr. Gabbay also specializes in non-cosmetic procedures of the skin including:
Procedures To Improve Your Skin
Whether your cosmetic goals include smoothing out lines and wrinkles, adding volume to facial features, or improving the surface appearance of your skin, Dr. Joubin Gabbay M.D., and the capable team at Gabbay Plastic Surgery, offer a minimally invasive cosmetic treatment option to suit your needs. From his state-of-the-art facility located in Beverly Hills, California, Dr. Gabbay is committed to keeping abreast of all of the advancements in non-surgical cosmetic procedures, in order to provide his patients with the most effectual and convenient treatment possible. He understands that his patients live exceptionally busy lives, and strives to enable them to achieve their aesthetic goals with minimal interruption to their daily schedules.
Because they are quick, and very well tolerated procedures, treatment with skin injections (dermal filler, Botox, etc.) enable our patients to conveniently schedule a lunchtime appointment and return to work 30 minutes later looking naturally refreshed and rejuvenated. Chemical and laser peels can take years off of your appearance with minimal discomfort or downtime. The field of cosmetic enhancement has stepped up to meet the need for procedures that are effective but practical, and at Gabbay Plastic Surgery, we offer a wide variety of the most cutting edge non-surgical cosmetic treatments. If you would like additional information about any of our minimally invasive aesthetic enhancement procedures, please contact Gabbay Plastic Surgery today. We are happy to answer all of your questions and to set up an initial, complimentary consultation with Dr. Gabbay.
Frequently Asked Questions (FAQs)
Why is the skin so important?
Your skin is your body’s home shielding you from the outside world by absorbing trauma, deflecting harsh environmental conditions, and resisting the invasion of micro organisms that could do you harm. Your skin also ensures that your internal organs and systems have the chance to work effectively.
How does the skin protect me?
Your skin is the largest organ of the body that contains many specialized cells and structures. Secretions kill bacteria, while the pigment melanin provides a chemical pigment defense against ultraviolet light that can damage your skin cells.
How does the skin keep me warm?
Another important function of the skin is body temperature regulation, and it is very involved in maintaining the proper temperature for the body to function well. When your skin is exposed to a cold temperature, the blood vessels in the dermis constrict allowing the warm blood to bypass your skin. The skin then becomes the temperature of the cold it is exposed to, and body heat is conserved since the blood vessels are not diverting heat to the skin anymore.
What else does the skin do?
In addition to serving as a protective shield against heat, light, injury, and infection, the skin also:
- Stores water and fat
- Is a sensory organ gathering sensory information
- Plays an active role in the immune system
- Prevents water loss
- Prevents the entry of bacteria
Is the skin the same throughout the entire body?
Throughout the body, the skin’s characteristics vary in color, thickness, and texture. As an example the skin on the head contains more hair follicles than anywhere else while the soles of the feet contain none. In addition, the skin on the soles of the feet and the palms of the hands are much thicker.
Is taking care of the skin the same for all people?
Every person has special skin care needs, depending on their skin type, complexion, age, health, and environment. Beautiful skin is determined by the healthy structure and proper function of components within the skin, and to maintain your skin the structures and functions must be supplemented and protected.
Why is the skin so susceptible to outside forces?
The skin is ever changing and because it is constantly working, it has the potential for a variety of diseases and conditions that can range from painfully irritating and embarrassing, to extremely serious.
What is skin resurfacing?
The goal of skin resurfacing (including chemical peel and dermabrasion) is to resurface the outer layer of the skin to minimize acne and other scars, age lines, and wrinkles. Before deciding on a skin resurfacing procedure, Dr. Gabbay may recommend a skin care regimen prior to your procedure, and if you have extensive damage, more than one procedure may be necessary to achieve optimal results.
How does the face age?
Growing older is certainly a part of life and a process that everyone must accept. As the years pass certain changes take place in your face as a natural part of the aging process. The three basic factors that determine how your face ages include the changes in your skin, gravity, and the loss of volume in your face.
Can we stop our face from aging?
People age at very differing rates, and during your consultation with Dr. Gabbay; he will evaluate your skin condition and recommend a treatment plan to restore the characteristics of youthful skin. It is important to understand that proper skin care is essential to avoiding and combating the signs of aging, including proper nutrition, a healthy lifestyle, protecting the skin against the sun, and advanced skin care techniques.
Why is the sun so bad for our skin?
Many people love the warm sun because it makes them feel good, and we often associate a glowing complexion with good health. Skin color is obtained from overexposure to the sun, which actually accelerates the effects of aging and increases your risk for developing skin cancer.
Why does the sun cause our skin to change?
Sun exposure causes most of the skin changes that we think of as a normal part of aging, because over time, the sun’s ultraviolet (UV) light damages the fibers in the skin called elastin. When these fibers breakdown, the skin begins to sag, stretch, and lose its ability to go back into place after stretching. The skin also bruises and tears more easily, and takes longer to heal; and while sun damage may not be apparent when you are young, it will definitely show up when you are older.
What does overexposure to the sun cause?
Over-exposure to the sun may cause:
- Premature wrinkles and lines
- Skin discolorations called mottled pigmentation
- Pre-cancerous (actinic keratosis) and cancerous (basal cell carcinoma, squamous cell carcinoma and melanoma) skin lesions caused by loss of the skin’s immune function
- Benign tumors
- Sallowness or a yellow discoloration of the skin
- Telangiectasias or the dilation of small blood vessels under the skin
- Elastosis or the destruction of the elastic tissue causing lines and wrinkles
What is ultraviolet radiation?
UV (ultraviolet) radiation has a shorter wavelength than visible light and much of the energy emitted by the sun is in the form of UV rays. Although earth’s atmosphere (particularly the ozone layer) does a good job of filtering most of this type of radiation before it reaches us, how much UV radiation you are exposed to depends on several factors, including proximity to the equator, altitude, time of day, season, and cloudiness. UV radiation is divided into categories according to its wavelength, and UV-B radiation is to blame for sunburn, while UVAs are responsible for long-term skin damage.
The portion of the sunlight that is filtered or blocked is ultraviolet radiation, and there are three regions of ultraviolet light that include:
- UV-A penetrates deeply into the skin and can lead to cancer and premature skin aging.
- UV-B is involved in the tanning and burning of your skin.
- UV-C is completely absorbed by the earth’s atmosphere.
Do sunscreens really protect our skin from the sun?
Thankfully, sunscreens help to filter out UV radiation using a combination of two main types of active ingredients. Inorganic particles (such as titanium dioxide or zinc oxide) form a physical barrier reflecting or scattering the UV waves, while organic components absorb UV rays and release their energy as heat. Nowadays nanotechnology has made it possible to produce completely clear sunscreens that protect us from UV rays and they contain the same ingredients as traditional formulations, except that the inorganic particles are so small they are invisible.
The organic molecules in sunscreen absorb the ultraviolet radiation and release it as heat and they include:
- PABA (para-aminobenzoic acid) absorbs UVB Cinnamates absorb UVB
- Benzophenones absorb UVA
- Anthranilates absorb UVA and UVB
- Ecamsules absorb UVA
What does SPF stand for?
SPF stands for Sun Protection Factor and it is a number that you can use to help determine how long you can stay in the sun before you get a sunburn. The SPF is a multiplication factor and if you can stay in the sun 15 minutes before burning, using a sunscreen with an SPF of 10 would allow you to resist the burn for 10x longer or 150 minutes. Your skin has a natural SPF determined by how much melanin you have or how darkly pigmented your skin is. Sunburns are caused by UV-B radiation, and until recently, the majority of sunscreens were only designed to block UVB light. Since UVA rays are responsible for long-term skin damage however, they are now available; and you should always choose a sunscreen that protects you from both UVA and UVB sunlight. A minimum of SPF 30 should be used everyday, and you should make sure that the product information states that it contains protection against UVA rays as well as UVBs.
How does a chemical peel help the skin?
A chemical peel can be used to treat uneven, wrinkled skin, due to aging and exposure to the sun. A solution is applied on the skin to remove the outer damaged layers and stimulate new cell and collagen formation, resulting in a smoother, younger appearance. It may also be used for patients with uneven skin pigmentation, freckles, scarring, age spots, or other blemishes; and chemical peels are most often used on the face, although they can also be applied on the neck and hands to improve their appearance as well.
Why does smoking affect my skin?
Smoking acts primarily through vasoconstriction (decreased size) of the blood vessels going to and through the skin layers. As a result the overall blood flow is decreased resulting in decreased nutrients, decreased oxygen supply, and increased inflammatory byproducts (free radical oxidation byproducts). The effects of smoking results in decreased collagen production and turnover, poor quality collagen and elastin, decreased quantity of matrix components, and less gland secretions. So a smoker’s skin will show more severe signs of premature aging.
How does a hormonal disorder affect my skin?
Altered hormonal levels will directly affect cellular activity in multiple skin components, including keratinocytes, fibroblasts, melanocytes, and the blood vessels.
What is the epidermis?
The epidermis is the outermost layer of your skin comprised of a basal cell layer where all of the precursor cells that produce keratin (keratinocytes) and pigment (melanocytes) are located. The main purpose of the basal layer is to provide a barrier for your body.
What causes my face to wrinkle?
Wrinkles are the classic symbol of facial aging and they are caused for many reasons. Your skin can be thought of as a container composed of fat supported by a foundation of bone. Your skin is constantly being pulled by the muscles and as you age the skin becomes thinner, weaker, and less elastic. The skin loses fat (volume) and the muscles atrophy, while the bone foundation resorbs. Your skin is also influenced by static forces (gravity), and dynamic forces, or the muscles from facial expression.
Why does poor nutrition affect my skin?
Malnutrition, or the lack of adequate nutrients, result in decreased collagen production, decreased cell turnover, fewer fibroblasts, and fewer cells in the basal layer of the epidermis.
Are liver spots on the skin a sign of liver disease?
Liver spots have nothing to do with the liver and they are not an indication of liver disease. They are more correctly called “age spots” and “photoaging spots” and in medical terminology they are called lentigines or lentigos. Their typical appearance is light to dark brown, and they appear as flat patches on the hands, face, legs or feet. The edges of the spots are rounded, giving them a resemblance to a large freckle, or several may cluster together. The causes of these spots are genetics and chronic sun exposure.
What is intrinsic aging?
Intrinsic aging, also known as the natural aging process, is a continuous process that normally begins in the mid-20s. Within the skin, collagen production slows and elastin (the substance that enables skin to snap back into place) becomes lax. Dead skin cells do not shed as quickly, and the turnover of new skin cells may decrease slightly. While changes begin in the 20s: the signs of intrinsic aging are typically not visible until later.
What are the signs of intrinsic aging?
The signs of intrinsic aging include:
- Fine wrinkles
- Thin and transparent skin
- Loss of underlying fat, leading to hollowed cheeks and eye sockets as well as noticeable loss of firmness on the hands and neck
- Bones that shrink away from the skin due to bone loss causing sagging skin
- Dry skin that may itch
- Inability to sweat sufficiently to cool the skin
- Unwanted facial hair
What is extrinsic aging?
A number of extrinsic (external) factors combine with the normal aging process to prematurely age our skin. Most premature aging is caused by sun exposure, and other external factors are repetitive facial expressions, gravity, sleeping positions, weather, and smoking.