Text а. Cosmetic Procedures

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Unless someone invents time travel, you can’t reverse the flow of time and become younger. However, with the wide array of dermatologic treatments available today, you can remove many of the effects of aging and photoaging. You can’t become younger, but you can look younger and more attractive by working with a dermatologist to choose the skin rejuvenation treatment that is right for you.

There are a lot of treatments available today for skin rejuvenation:

• Medical skin rejuvenation

• Surgical skin rejuvenation

• Chemical peeling

• Soft-tissue augmentation

• Botulinum toxin

• Laser skin resurfacing

• Electro surgical skin resurfacing

• Non-ablative skin treatment

• Liposuction

• Surgical excision

• Surgical Facial Skin Rejuvenation

• Acne Scar Removal

• Tattoo Removal

• Hair Removal

Sometimes two types of treatment may be combined to make each more effective.

Text b. Dermatologic Medical Skin Rejuvenation

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Topically applied treatments are usually most effective when skin manifestations of aging and photoaging are superficial to moderate:

• Tretinoin, a substance in the vitamin A family, has been shown to reduce fine wrinkles, splotchy pigmentation, and rough skin associated with chronic sun exposure. Tretinoin cream 0.02% and 0.05% are the only prescription treatments approved by the Food and Drug Administration (FDA) for these indications. Other available forms of tretinoin are indicated for the treatment of acne. Talk to your dermatologist about which tretinoin formulation may be right for you.

• Alpha-hydroxy acids (AHSs) may be used alone or in combination with tretinoin to treat mildly damaged skin. AHAs are derived from fruit and dairy products.

• Over-the-counter products containing retinols (of the vitamin A family), AHA, anti-oxidants and moisturizing agents may temporarily improve the appearance of fine lines and wrinkles.

• Topical antioxidants, especially vitamins C and E, function to help cells repair damage caused by ultraviolet radiation and smoking.

Before	After
These untouched photographs show this woman before and after six months of treatment with tretinoin cream 0.05%.  Her reduction in fine lines and wrinkles is characteristic of a more dramatic improvement experienced during clinical trials. Individual results may vary.

Text c. Methods of Dermatologic Surgical Skin Rejuvenation

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1). Chemical Peeling

Chemical peeling, also called chemexfoliation or dermapeeling, is a facial skin rejuvenation procedure that does what its name implies—it peels the skin. Its use is usually in the treatment of superficial to moderate photoaging skin damage. Mild chemical peels can be applied to people in their 20s, to prevent effects of aging from becoming apparent too early in life.

In a chemical peeling treatment, a chemical solution is applied to facial skin, causing the skin to blister and peel off over a period of days. As the treated skin blisters and peels, new skin forms to take its place. The new skin is usually smoother and less wrinkled than the old skin.

A mild chemical peel is usually all that is necessary to treat fine lines and wrinkles around the eyes and mouth. Patients with minimal skin damage often respond best to a series of light peels in combination with a skin care program including retinoids and a sunscreen protection program. A medium-depth peel is often more effective for patients with moderate skin damage, including age spots, freckles and actinic keratoses. A medium-depth peel may be combined with another treatment such as laser resurfacing to achieve maximum effectiveness.

Depending on the objectives of the treatment as determined jointly by the patient and dermatologist, the condition and type of the patient’s skin, and the degree of skin damage, the dermatologist by performing dermatologic surgery individualizes the strength of the chemical solution and the depth of the peel. Peeling solution may include one or more chemicals such as alpha-hydroxy acids, trichloroacetic acid, or carbolic acid. The procedure can be performed in the dermatologist’s office, or in an outpatient surgery center. In addition to skin rejuvenation, chemical peeling is effective in reduction of some acne scars. Peeling does not remove deep scars.

The immediate after-effect of a chemical peel is similar to a sunburn. After a mild or superficial peel, redness and scaling of the skin last 3 to 5 days. Medium-depth or deep peeling can result in redness, swelling, blistering and peeling for 7 to 14 days. Medications are prescribed to alleviate discomfort. Overexposure to sun must be avoided for a period of time to prevent sun damage while the new skin is susceptible to injury.

Chemical peeling is effective only for surface skin damage. Effects of aging in deeper tissues, such as sagging jowls and drooping eyelids, must be addressed by other procedures that can be recommended by your dermatologic surgeon.

to blister	покрываться пузырями
to respond	ответить
jointly	совместно
condition	условие,состояние
degree	степень, градус
reduction	сокращение
to alleviate	облегчать