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Skin Care

Skin > Skin Care

Standards of beauty are timeless and cosmetic surgery of the face is continually improving. Advances in technology have continuously contributed to the restoration of a youthful appearance. Many factors contribute to the aging process, those are: genetic factors, sun damage, and smoking damage.

The average person receives the majority of his or her sun exposure before the age of 15 and the effect of this insult is not observed until after the age of 35. The same is true for smoking and it is this cumulative affect that brings patients to consult their plastic surgeon regarding treatment of the aging skin.

Treatment of the stigmata of aging skin is divided into three parts:

  1. Prevention
  2. Maintenance
  3. Treatment

Prevention and maintenance are an ongoing, life long activity. Treatments are episodes in the individual life where medical or surgical treatments are applied to reverse certain effects of aging.

Youthful skin is characterized by its unblemished, evenly pigmented, smooth appearance. This is in contrast to the aged skin, which is thin, inelastic, wrinkled, leathery and rough, with uneven pigmentation. Classifying the skin type is of importance in planning a maintenance and treatment program. The skin is classified based on the degree of pigmentation or fairness, and degree of oil production.

The fundamentals of skin care maintenance includes the use of the appropriate combinations of skin care products including: Cleanser, astringent, exfoliant, alpha-Hydroxy acid, Tretinoin, moisturizers, sunscreens, and make-up.

The treatment of the aging skin is centered around:

  1. Surgical treatments, including face lifts, eyelid surgery etc.
  2. Skin resurfacing

Resurfacing skin is not a new concept. Dermabrasion and chemical peeling have been used for several decades, although there were a number of disadvantages with these techniques. The newer methods using state of the art lasers and chemicals such as the Obagi peels, and the Glycolic acid peels may offer significant advantages over other resurfacing techniques.

Candidates for skin resurfacing may have one or more of the following:

  • Wrinkled or sun damaged facial skin
  • Wrinkled around the mouth, or eyes, crows feet
  • Brown spots or blotchy skin
  • Certain pre-cancerous skin changes
  • Acne scarring
  • Superficial scars from previous injury

The method of resurfacing is determined at the time of consultation, the extent of the damage or aging and consideration for the time you can allow for healing and recovery. Any of the resurfacing techniques can be varied in depth of the peel or laser resurfacing.

A more superficial treatment will require less time for healing and recovery, but the procedure may need to be repeated several times to achieve the desired effect. This is true for most chemical peels, Obagi peels and superficial laser treatments.

Deeper treatments are usually more accurately performed using the ultra-pulsed carbon dioxide laser. This may take up to 10 days for healing but the results are much more superior and may not require repeat treatment.

These skin procedures may be used alone or in combination with other surgical treatments, such as face lifts, brow lifts, eyelid rejuvenation. Also the use of facial implants to enhance the aesthetic appearance of a region in the face such as the cheek bones with cheek implants or chin enhancements with chin implants is are options. These procedures are complimentary to each other to give the best cosmetic result.

Call for a private, confidential, complimentary consultation with computer imaging. Dr. Shureih is a board certified plastic surgeon in private practice in Baltimore. He has been chosen "Top Doc" by his peers in Baltimore Magazine.


10 East 31st Street, Baltimore MD 21218

5094 Dorsey Hall Drive, Ellicott City MD 21042


(410) 243-3035