A top plastic surgeon tells how to look your best

Dr. Steven DayanRenowned plastic surgeon Dr. Steven H. Dayan of Chicago gives DolceDolce readers the latest information and tips on how simple non-invasive procedures can help anyone look years younger. A board-certified expert, Dr. Dayan takes a holistic approach to beauty. He explains the importance of a healthy lifestyle and simple steps to look your best. Don’t miss a word from this remarkably articulate and informed expert.

DD: What are enzyme peels and who should use them?
Dr. D: Enzyme peels are mild exfoliants derived from fruit enzymes. The most commonly used are bromelain from pineapple and papain from papaya. Enzyme peels are good for all skin types; they work by dissolving dead skin cells revealing a softer, smoother appearance. However, enzyme peels should not be compared to chemical peels that are much stronger and provide significantly better results.
DD: What would you suggest as a quick way for anyone to look younger with a minimal investment of time and money? 
Dr.D: Botox and fillers! Fillers are one of the fastest ways to significantly turn back the wrinkled hands of time.  The mid-face or cheek warrants a particularly dramatic rejuvenation in as little as 10 minutes. Someone can walk out the door and immediately look 10 years younger! Botox and Dysport, its new competitor, also quickly can lead to a youthful appearance, but you have to wait a bit as it usually takes two to three before kicking in.
DD:  Is it possible to surgically tighten skin? Who is a candidate for non-surgical skin tightening? How long does it take and what is the cost? And how long does it last?
Dr. D: Yes, it is possible to physically tighten the skin, but to have appreciable results some downtime is necessary. Newer-generation fractionated lasers such as Lumenis Active and Deep FX can provide significant skin tightening that’s immediately visible. However a four- to seven-day downtime period of redness and some skin peeling can be expected if you want dramatic results. Alternatively, no downtime light-based and heat-based treatments for skin tightening, while successful for some people, often fall short of expectations for most.
DD:  What is the quickest and most economical way to remove skin discoloration? Do you prefer laser treatments or creams? In the case of lasers, how many treatments does it require and what is the cost?
Dr. D: Laser treatments are more effective but they work best when used in conjunction with lightening creams, especially those containing hydroquinone. The number of treatments needed depends on the severity of pigmentation as well as skin type and possible hormonal imbalances. Most people see significant differences after three treatments. The cost per treatment typically ranges from $250 to $500 for a full face.
DD: What can women do slow the aging process?
Dr. D: Sunscreen is the most important and easiest way to slow the aging process. A healthy lifestyle including no smoking and a balanced diet can also help to fight aging, as well as the use of good skin care products, recommended by a skin care professional. 
DD: What is a Botox face lift is and is it effective? How does it work?
Dr. D: Microdoses of Botox placed into the skin can provide a subtle but noticeable improvement in the skin’s appearance. We have noticed a decrease in acne breakouts, oil production, a narrowing of the pores, and a global improvement in the skin’s look. Additionally it has recently been proven that people who get Botox make a better first impression and enjoy an improved quality of life. However, its ability to actually lift the underlying muscle tissues is very minimal. Strategic placement of Botox around the neck can reduce the thick skin bands some people get in their necks and also help to lift the corner of the mouth. Also, Botox placed around the nose can lift the tip of the nose five degrees, and Botox placed under the eyebrow can lift the brows quite dramatically. These advanced treatments provide some lifting and certainly a quick and temporary solution to look more rested and youthful, but it is not equivalent to a surgical face lifting procedure.
DD:  Besides sun exposure, genetics and smoking what other factors or behaviors pre-maturely age a women’s appearance?
Dr. D: Stress can be a factor. Too much alcohol consumption can dehydrate the skin. And improper product use can cause excessive dry or oily skin which can make fine lines and wrinkles become more apparent. There also is new evidence that a diet high in sugar and simple carbohydrates leads to inflammation and skin damage. Also there have been reports that those who take fish oil and non-synthetic antioxidant vitamins and minerals, and consume low quantities of red wine can tolerate more sun before getting burned. Intuitively this would suggest these important components of a healthy diet also are protective to the skin and prevent accelerated skin aging.  

DD:  Young women are very concerned about aging.  What is too young to start procedures such a Botox or fillers?
Dr. D: There really is no age at which Botox is not safe, if administered appropriately. In fact we use it in infants prior to surgical procedures. However for preventing wrinkle formation, many women will start using it in their late 20s and early 30s. However, fashion models younger than that who are interested in the facial-shaping benefits that Botox can provide — such as narrowing the cheeks, raising the brow, opening up the eye aperture or lifting the corner of the mouth — may get treated. Once Botox is started you can stop anytime. Wrinkles will not get worse if you start and then stop it. But undergoing a Botox treatment two to four times a year will likely be preventative of wrinkle formation and is quickly becoming part of many women’s routine. Fillers in the cheeks or facial folds are rarely needed. The one area younger patients most commonly request fillers is for the lips. Some are born with naturally small lips and many in their 20s may desire fillers for a little more lip fullness and pout. Additionally fillers may be used on occasion for younger people who want acne and chicken pox scars filled.  
For more about: Dr. Dayan: www.drdayan.com