Ageless Forever - Age Management and Longevity Treatment

Skin Care - Ask Dr. Pierce Archives

Questions and Answers

I am 35. I currently use Retin-A, vita C serum and alternate that with your DMAE cream. I am starting to use a soapless cleanser by Oil of Olay and would like to use a good moisturizer at night. What order should I apply the above and can I use a moisturizer at night w/the Retin-A?
Answer: yes, just apply the moisturizer last, a few minutes after the Retin-A. JG 9.1.06
I am only 21 but have puffy under eyes with what appears to be very thin skin. Blood vessels are becoming slightly visible and fine lines have developed. I currently use Retin-A 0.025% for Acne but as concerned with using it under my eyes as it might thin the skin more, making blood vessels even more visible. What would you recommend?
Answer: Retin-A will irritate the skin for a bit but works to slowly thicken it. JG 8.31.06
Dr. Garcia, I am 50 years old and have extremely dry skin on my legs and arms. My face is oily. I take a fish oil pill everyday and put lotion on everyday after I bathe. Can you tell me what else I can do? Also, I have a small red bump on my bottom lip that won't go away. Any idea what it could be? I did restylane in my lips a year ago, and that has been there about that long. Any chance it could be that? Thank you.
Answer: red bump could be a small hemangioma that can possibly be treated with a laser, as to the skin on your legs and arms, all I can say is you need to apply topical moisturizers more frequently. JG 8.31.06
When using moisturizer do you need a seperate moisturizer specifically for the eye area?
Answer: only if the skin is damaged and needs more care. JG 8.30.06
If I use retin-a do you think I would still need a toner?
Answer: I typically do not use toners. JG 8.30.06
When using a good skin care regimin do you need to use everything from the same line?
Answer: not always, they make lots of products for profit, usually a good skin cleanser and a moisturizer and sunscreen, and if older some other intensive care product. JG 8.30.06
If I use retin-A and vitamin C and a soapless cleanser - what would a good moisturizer be- Oil of Olay or L'oreal and what order do I put these on?
Answer: Oil of Olay is the one I like better. JG 8.30.06
Aveeno has come out with peptide products- what do you think?
Answer: have not seen which ones it contains so cannot say, peptide is a generic term and can mean lots of proteins not all of which will work and also it is important to have a certain amount of the active ingredient and if you do not it won't do much. JG 8.30.06
Between L'oreal and Oil of Olay- which one do you think for a 35 year old?
Answer: Oil of Olay. JG 8.30.06
What bleaching cream would you recommend for dark circles under the eyes? And how long would it be befoe I see a noticeable improvement if used regularly?
Answer: dark circles, unless they are brown spots from the sun will not respond to bleaching creams. JG 8.29.06
Hi Dr. Garcia...4 mos. ago you recommended photofacial/ipl treatments for my sun damage/brown spots. I've had two treatments on my face and one on my arms & hands, about three weeks apart. I'm 56 with TOO MANY years of baking in the sun. The results are AMAZING. Thankfully they took before-pictures because I've already forgotten how bad my face was. My hands are virtually spot-free!!!!!! (young looking again!) And I had MANY spots on my hands....I will go back for one more touch-up on a handful of stubborn spots (nose & forearm).....just thought your readers would be interested in my results!! Cost in Sacramento (LASER CLINIC) was $1200 and worth every penny! A small fortune will now be spent on sunblock and self-tanners! ;) Thanks for the great advice.
Answer: Glad it all went well and thanks for the follow up. Remember to use your sunblock! JG 7.31.06
Do products like the DermaWand actually work to get rid of wrinkles and firm skin, or even just the appearance of them? I'm 41 and I have some deep lines under my eyes and some sagging around my mouth
Answer: save your money. JG 8.3.06
Hello Dr. I have melasma on my chicks and forhead. I am African American, and for my skin type which one do you suggest is better, Obaji, Retin-A or Tri-luma. I have big black marks on both chicks which is very irritating. Please help. Thanks.
Answer: I would start with the Retin-A. JG 7.31.06
What treatment do you recommend for crepey skin under the eye? Is there something other than laser?
Answer: topicals is about all, Retin-A or DMAE. JG 7.28.06
Does skin that has been weakened by steroid cream eventually grow back stronger? Is treatment needed?
Answer: the longer they have been treated, the less likely it is to regain its normal quality and at times not much can be done to repair the damage. JG 7.28.06
Can retin a acrually tighten skin some? If so, how long does it typically take for one to start seeing results?
Answer: it will help fine lines and it reaches maximum effect in 12 months. JG 7.28.06
Dr. G, what can I use to get rid of brown spots on my legs. Do you have anything or do I need some kind of prescription or can I get something over the counter?
Answer: Retin-A and hydroquinone creams, both prescription, mixed together is a place to start. JG 7.28.06
Hi Dr Garcia-I'm the gal that keeps asking about good body lotion. I meant to ask if you can recommend a good non-prescription lotion. Any key ingredients that I should look for? I know there is no fountain of youth cream(unfortunately), but just wondering if there is something that you like. THX.
Answer: Kinerase is non-prescription, otherwise I think most of the ones by the larger cosmetic firms are pretty good. JG 7.26.06
RE: Eye Circles, what about permanent makeup to camouflage them? LAS 7-25-06
Answer: nope, won't work, color will not match too well, sorry. JG 7.25.06
Hi Dr Garcia, Thanks again for the quick response about aging body skin skin creams. I use your DMAE cream for my face and it is awesome. However, I agree it is a bit pricey to use as a daily body cream. So, as far as over the counter creams/lotions, what do you like? I am diligent about sunscreen. Thanks!
Answer: tough call, maybe Kinerase. JG 7.25.06
Hi Dr Garcia, Thanks for the quick response about Tazorac for the body. Any cream or lotion that you like to recommend for aging body skin? Thank you!
Answer: sunblock, a good moisturizer, maybe some DMAE but it will be expensive for the body. JG 7.25.06
Hi Dr Garcia, do you think it would be effective to treat aging body skin (particularly thigh area and arms) with Tazaorac (tazarotene)? Any benefit at all? Thanks.
Answer: I think the effects will be small to none, sorry. JG 7.25.06
Hi Dr Garcia, What do you think of IS Clinical products-specifically the serums? I currently use your DMAE and your peptide cream as well as Retin-A. My skin looks pretty good, but it can always use improvement. My biggest complaint is lines around my eyes and dark circles. Anything else you can suggest?Thx.
Answer: in general a good product line but what you are using is already stronger. I am working on some new things for the dark circles but not ready for prime time yet. JG 7.24.06
Dr. I have alot of sun damage on my arms due to sun sun exposure, I also hav kp which i think may have develped because of the sun damage, never had it before, nor does anyone in my famiy, can you recommend anything that can help with the fading of some of the freckles and something that can help w. the kp, i know its not curable.
Answer: All I can say is glycolic acid products, maybe some Retin-A and definitely sunblock and stop going in the sun. JG 7.24.06
I am three weeks into using the Obaji system with retin-a micro-.1%. Since I am doing the aggressive method, using blender and retin-a in the morning as well as evening, Can you tell me where I can fi
Answer: I think if you are using the Retin-a I would skip the AHA. JG 7.25.06
I'm sorry to keep asking questions, but I just received your DMAE cream with C. I got a flyer in with it that was for Facial Rejuvenation Cream. Is that better for firming and fine lines than what I ordered?
Answer: what you have should be good enough. JG 7.22.06
Hi Dr. G. Two questions: I just started using your DMAE cream and eye booster. Do I need to use eye moisturizer with this? Also, do I need to shake the DMAE face serum (seems separated).I have spider veins behind my knees. What can I do about them? Thank you for your web site.
Answer: no need for a moisturizer on top of the cremas you are using. And if the DMAE has seperated, yes, mix it back up. As to spider veins, lasers and injections can be tried but they will not all go away and they will all return in time. JG 7.20.06
I recently got my face burned with an oil removing soap for acne since it dries my face to much i think so the burn stayed red and they peel and the crust fell off but a brown spot was left and i want to know if it will disappear or i need treatment or something to remove it faster
Answer: it should fall off and heal on its own, but at times some bleaching cream like 4% hydroquinone, a prescription, can help. JG 7.19.06
Is DMAE good for melasma? How much is the cost including shiping- I live in VA.
Answer: I do not think it will do much, sorry. JG 7.18.06
Dr. If I start using your DMAE Syrum how long does it take see results? Will I see results within couple weeks?
Answer: usually most people see some improvement in 2-4 weeks, the worse your skin is the faster you see a difference. JG 7.17.06
Dr. Garcia, what is the best noninvasive way to tighten and firm skin? Thank you.
Answer: no such thing in terms of reproducability. JG 7.17.06
Can you give me the phone number where I can call in an order for your DMAE cream with C. Also, do I use it only at night?
Answer: it can be used twice per day, and you cna call 1-888-FACES-89, thanks. JG 7.15.06
I am getting crinkly skin under my eyes. What should I use? Also, is there any creams that can plump up the under eye area? What do you think of Okusil?
Answer: DMAE with Vitmain C or Retin-A. JG 7.15.06
difference between salex 6% lotion and the salicylic acid
Answer: some salicylic acids are stronger. JG 7.15.06
Can undereye puffiness and dark circles be related to Allergies? Can chilled spoon and cold tea bags help?
Answer: it can and that may help at least temporarily. JG 6.27.06
Hi Doctor, I have a brown spot on top of my upper lip that looks like a moustache. I've had it for about a year now and since then I've been using Aclaro on and off (depending on how bad/good it looks). For the first 10 months of using it, the spot did not completely go away, but at least made it a little pale and i could almost cover it up completely with makeup. Sometimes i wouldn't even use the cream at all for weeks since it didn't look that bad. But now, after a year of using Aclaro, it seems that it's getting worse. I'm afraid Aclaro is having the opposite effect now that I've used it for such a long time. I avoid sun exposure as much as possible, wear 30 SPF everyday, even hats, so I don't think the fact that it's summer now it's the reason why it's getting worse, or is it? Should I stop using Aclaro? Is there any other way of getting rid of this horrible spot that makes me look like a man?!?!?!
Answer: I have no experience with that product but I would suggest using a 4% hydroquinone with Retin-A together to help fade it along wth sunblock all the time.JG 6.27.06
Hi Dr Garcia, I'm in my early 30s and I've been blessed with good skin. No lines nor no wrinkles. Yet. I'd like to start on an anti-aging skincare serum to delay the ravages of time. What should I look for in a serum and are there any you can recommend? Thanks for your wonderful column!
Answer: Vitmain C and sunblock are the best along with a good moisturizer at your age. JG 6.26.06
Hello Dr garcia again, I am the lady who wrote the below question regarding healing ointment. I forgot to ask if applying hydroqinone before the procedure would be a great idea? how long before? and what strength? Thanks again, oh and I am so glad you got to have a little adventure swimming with the dolphins, life's great isn't it!
Answer: Ideally I would start you on it for 2-4 weeks before, twice per day. One week is OK if it is all you have. Stength is 4%. And yes, Life is great. JG 6.26.06
What do you think of Tri-luma? Is it good to cure melasma? My doctor priscribed it for my melasma.
Answer: good product. JG 6.12.06
Does Retin A only help fine lines and wrinkles, or does it also help deep wrinkles or skin elasticity? Thank you.
Answer: it helps all of those.JG 6.13.06
i put a fade cream on that had 2% hydroquinone in it and my face goes bright red straight away (but it doesnt hurt or burn)after 20 minutes or so my face is back to normal. is this supposed to happen or should i stop using it??thanks kirsty
Answer: it should not be bright red that fast, I would get some new cream. JG 6.9.06
Wow, your quick with your response, do you ever sleep? thanks for anwering the latter part of my question the former is it more beneficial to have a face lift in your early forties than early fifties for longer lasting results and more natural look, then just have a minor touch up later on? thanks again, your terrific!
Answer: probably, the younger you are the better the tisues are and the longer things last, best of luck. JG 6.9.06
Aside from any lasers, what is the best method to treat acne and skin texture (i.e. pore size, bumpiness). Thank you.
Answer: Retin-A. JG 6.6.06
hello doctor,my name is anneliz,i'm 27 years old and i have melasma spreading everywhere now(got it 2 years ago).i do not take birth control pills,i'm not pregnant,i'm not a sun fan,don't tan,my hormo
Answer: it only takes small amouns of sun and even flourescent lights can affect it. JG 6.8.06
Are you familiar with the Obagi system at all? Does it help with acne and skin laxity?
Answer: I am, it does help with acne and not much help for loose skin. JG 6.5.06
Dear Dr Garcia, after a co2 or rhytec procedure what after skin care protocol is the best to help achieve the best possible results. I read products such as acquafor or squalene oil help the healing process. Which is best? what do you advise for your patients?. One more very important question there seems to be two schools of thought with skin care post laser. one is as soon as possible that you need to cleanse your face then apply vaseline type mixture at least twice a day to help eradicate old skin so the new skin can come through. The other is don't touch your face at all except to apply vaseline, do not cleanse as this may prematurely take the skin off, the longer the old skin or wound is on the better healing and less redness afterwards. Dr Garcia which protocol is correct? please need your advice. thankyou.
Answer: I prefer the squalene over the Aquaphor. We use those after the skin has healed enough, usually two weeks. Along with that we use sunblock for 6 months. My skin cleaning protocol is to splash water on the face and use a paper towel or wash cloth to press against the face and slowly peel the washcloth off, no rubbing, to remove the old ointment prior to applying the new ointment. JG 5.30.06
Do you think the value of using Ibedenol is as great as the advertising around it? does it really work? It is very expensive. What can you recommend at a lesser price to do the same thing?
Answer: I think they have hyped it to a great degree with little science behind it, they just have a huge advertising budget with all the money they made off of Botox. I think creams with CoQ 10 have more science behind them as that is where idebenone comes from. JG 5.29.06
Hello Doctor Garcia, Is it really necessary to use eye cream around the eye area? Is is just as beneficial to use for e.g. for very dry skin to use a vitamin E cream for face and use that for the eye area as well. Do you have any suggestions? are toners a good idea for skin after cleaning. Thanks a bunch.
Answer: creams will help slow the aging process although it will not stop it. Toners are useful at times but not all people need it. JG 5.23.06
Dr. Garcia what is the most effective way to treat sunspots on the the face?S.L
Answer: Retin-A with hydroquinones, IPL or YAG lasers, TCA peels. JG 5.22.06
Dr. Garcia, how do you know if too much c02 laser has been used, and that permanent scarring may result?
Answer: you can usually tell by the color of the skin during the procedure and afterwards. JG 5.22.06
Hi I was wondering if there is any cream available to lighten under eye circles. One that actually works. Currently been using retin a for almost 4 months with no results. Please can you help me
Answer: nothing I can recommend at present, but I am working on one as we speak. JG 5.22.06
What do you suggest is the best method to remove...crow's feet....and forhead lines....I cannot use botox...tried once...and was so so sick..I am very sensitive. I use restylane for my lip...and I love it..however only lasts 3 months....Thanks so much for you advice...Judy
Answer: try Captique but it will not last very long. JG 5.21.06
Which is better for hyperpigmentation Obagi-C RX System or Skin Medica TNS Recovery Complex & Skin Medica Vitamin C? Thanks Dr. Garcia.
Answer: Obagi. JG 5.20.06
Hi Dr Garcia, I have loose wrinkly skin under my eyes and have just heard about aluma skin renewel system which uses (functional aspiration controlled electrothermal stimulation) whats your opinion?
Answer: save your money. JG 5.18.06
I've noticed that doctor's base the longevity of Sculptra from the 1st treatment, which doesn't make sense to me since it supposedly doesn't take full affect until 3 months later. So just i just subtrate 3 months from what ever time I'm given?
Answer: well actually, that is not totally accurate either. The longevity is based upon studies doen on HIV patietns where they were injected upto 6 times or more and then were found to need a touch up after about one year after the last injection with near total dissolving after two years. No one can say how long it really lasts because it will be different from patient to patient, some more some less. JG 5.17.06
I am 47 yrs. old and my acne seems to be getting worse. I seem to get this big underground cists in the chin area around ovulation and my cycle in the past, butthe past 2-3 months it almost seems weekly. I'm occasionally now seeing them appear around my nose area as well which I haven't had since teenage years! I have previously taken Mynocyclin, but don't like the idea of year round. Is there some natural way I can eliminate this problem?
Answer: progesterone cream. JG 5.17.06
Dear Dr. Garcia, Please kindly advise what is best treatment for fine lines under eyes. Thank you
Answer: all depends on what you are willing to go through, it could be just Retin-A or other topical creams all the way to lasers. JG 5.17.06
Hey there. Many people are talking about fotofacials. As you know I am extremely vain and will never trust anyone but you. What do you think of this, do you offer it and what are the pros/cons. Gr
Answer: good for brown spots and red spots, it is a series of treatments, and not permanent, in time and with sun they will all come back. We no longer offer it, cons are that it might not be as effective in removing the spots as promised and that the amount of collagen it creates is quite small and insignificant. JG 5.16.06
How many ipl treatments are typically required to remove light sunspots on the face?
Answer: varies form patient to patient but typically at least 3-6 or more. JG 5.13.06
What is your opinion of hide the years for crepe paper skin??
Answer: Retin-A, Rhytec or Co2 lasers. JG 5.12.06
What one procedure takes the most years off a womans face at the age of 53 in excellent health? Also have you seen bio-identical hormone replacement change the appearance of dry, mature skin?( The imbalance was lack of estrogen)
Answer: facelift. I do feel estrogens do help skin texture and quality also. JG 5.9.06
if u are using ambi fade cream how long does it take the product to work
Answer: it might take two months or more to see a difference. JG 5.9.06
What is the difference between using ibedenol and ibedenone is an anti-aging creme. Is one better than the other for mature sun damaged skin?
Answer: I would not recommend either one, there are no scientific studies to show it works, only those done by the companies selling it. JG 5.8.06
I am 25 years old and have had back and facial acne scars what can i do to help erase these marks and also what helps erase stretch marks i have them on my under arm towards my arm pit please help thank you M.H 05/07.06
Answer: CO2 laser will improve the face ones but not remove them, the back ones will be minimally improved with a chemical peel and besides a laser to remove the redness, the stretch marks will not be gone and not much that can be done. JG 5.7.06
hello I had a mole removed about 7 years ago on my cheek, it left me with a scar--is there anything I can use now to diminish it? would even rejuv am/pm work??
Answer: hard to say without seeing it in person. JG 5.7.06
Hi Dr Garcia, Have you heard of Hide the years skin cream? My sense is that they make false claims, but I wanted your opinion. website is www.hidetheyears.com Since they don't mention ingredients,I figured it is probably bogus. Thanks.
Answer: it might help but it is probably no better than other creams out there. JG 5.7.06
I am a 27 year old asian who has had acne for 12 years now. My skin is very light, oily and sensitive. Although my acne is mild now, I still have some redness, discoloration and icepic scars on my cheeks, nose and forehead. My dermatologist is advising me to get 4-10 treatments of Laser Genesis (4wks apart). I am rather skeptical since this non ablative laser procedure is still new, and I haven't read much about it on the news and internet. Do you think this will improve my overall skin, and make my icepik scars less visible?
Answer: may help he brown spots but most likely not much for the ice pick scars. JG 5.6.06
How long does Sculptra last in your experience? I have read one to two years. I am interested in trying it, but am concerned about what I have read in terms of possible side effects that people have experienced (lumps). In your experience, has the treatment truly lasted two years? Thank you.
Answer: 6-18 months, but touch ups are needed at least at one year. Lumps are possibly with any filler and the best way to avoid them is to inject deep and in small amounts. JG 5.6.06
What exactly is in the DMAE cream?
Answer: DMAE is a short for dimethylaminoethanol, a naturally occurring substance that facilitates the synthesis of a neurotransmitter acetylcholine. DMAE is a compound found in high levels in anchovies and sardines. Small amounts of it are also naturally produced in the human brain. An intriguing finding in some DMAE studies was that it reduced the accumulation of lipofuscin deposits inside cells. Lipofuscin is a cellular pigment consisting of aggregated chunks of molecular waste. It tends to occur in the cells of older people. It is likely that lipofuscin is not simply a byproduct of aging but also contributes to the aging process. Neurons, heart and skin of older people usually contain particularly large amounts of lipofuscin. It has been demonstrated that DMAE causes some degree of skin tightening. However, despite speculation it remains unclear how DMAE firms the skin -- whether by stabilizing the membranes, boosting acetylcholine, reducing lipofuscin deposits or none of the above. Whatever the mechanism, the effect of DMAE is often noticeable. Besides, even though DMAE can't fully reverse the existing facial sag, it may reduce its further progression. Some people report a cumulative
dr Garcia, I am already a -patient of yours and was wondering what the difference between radiesse and restalyn is? i did restalyn for my laugh lines, however after 2 months the lines are vivid again
Answer: Radiesse can be used but it at times leaves hard lumps that need to be cut out. Fillers may not be an option in your case if they do not last long enough.JG 5.6.06
Does retin A thin the skin underneath the eyes? I am worried about this. I have been prescribed it for dark circles.
Answer: no it does not thin the skin. JG 5.4.06
Does retin-a interfere with fertility? I am a 29 years old and using retinol-a for acne. Please advise.
Answer: no reports though retinol prodcuts can have some issues with fetal develpoment, so it is possible. JG 5.4.06
Hi Dr, I was wondering if there was any cream available to prevent seeing the green veins under the eye. I am 19 and it really bugs me. Thanks i also think your doing a god job.
Answer: none that I feel work most of the time. JG 5.3.06
Dr. Garcia, what is the most effective treatment for enlarged pores?
Answer: glycolic acids, Retin-A, IPL and microdermabrasions. JG 5.3.06
Does obaji have anything to do with fertility? I heard women using obji can not give birth. Is it true?
Answer: never heard of it happening but any retinol product can potentially have that effect. JG 5.3.06
About Sculptra - does it acutally lift the face while augmenting or does it just stretch out the skin where injected to make room? I understand that it's being called the liquid facelift, and in pictures it seems to lift (even the jowls) but didn't know if that was true.
Answer: it fills in lost tissue and when you lose tissue it can allow the skin to drop but it is not a facelift in a needle. JG 5.2.06
I've had one treatment of V-beam w/levulon Acid at the lower setting to treat mild cystic acne and enlarged pores. It has been 4 weeks since the procedure. I noticed a small improvement the week or so after the procedure but still have new cysts forming. In your opinion, does this need several procedures (at a higher setting?) or do i need to take another approach?
Answer: I doubt that a single session will clear it up, it is usually a series and the stength can be increased as your skin tolerance is discovered. JG 5.1.06
Dr. Garcia, can IPL treatments reduce pore size? Does it firm skin? Thanks.
Answer: yes on the pores, not much on the firming though. JG 5.1.06
i am 37 yrs old can the contraceptive pill cause face pigmention if so what can i use to get rid of it.
Answer: yes it can, I would start by trying Retin-A and Hydroquinone. JG 5.1.06
Hi. Dr. Garcia, I recently asked you about a good cream for aging body skin and you recommended your DMAE cream. Are you referring to your DMAE cream for the face also to be used on the body? Thanks.
Answer: correct. JG 5.1.06
Dr Garcia, I have a lot of acne scars, some shallow and some deep. Is there a cure? Do you think Rhytec PSR3 is amazing for acne scars or just slightly better than all of the other procedures out there? I really don't want to waste my money unless I will have dramatic improvement.
Answer: I think it almost as good as CO2 and much better than the other lasers, but amazing, that all depends on one's expectations. No matter what is done, you will have scars, but they will look better. JG 5.1.06
I had co2 laser under my eyes 4 weeks ago and am still red. I can't apply makeup because of the color and texture of the skin, which is waxy. What can I do at this point to address the color and texture? My Dr. prescribed a steroid cream, but I feel that it has only made the area more red.
Answer: best thing is time I am afraid. JG 4.30.06
Welcome back! Is obaji good for melasma? Is it possible to buy it on line? Thanks,
Answer: it is very good but should be bought from a physician's office. JG 4.30.06
Hi. Dr. Garcia, Is it safe to take melatonin every night as a sleep aid? Also, what is the best available body cream for aging skin? Thanks.
Answer: the melatonin I feel is safe and I like our DMAE cream for the skin, availabe at www.lvcosmeticsurgery.com in shopping cart. All the best. JG 4.30.06
Dr.Garcia, What do you think of the Fraxel? I'm 48 and my intentions for this treatment is to reduce pore size, sun spots, to build collogen and tighten the skin some. It's pretty expensive, are there other less expensive treatments that will accomplish all the Fraxel says it can offer? Are there any serious risks involved? Thank You, Karen at kzahyna@aol.com
Answer: I am sorry but I am not a big fan of Fraxel. Lots of hype, lots of promise, great resutls in a small percentage of patients, most patients see mild results, and many see no results. I seriously doubt it will do anything to shrink pore size due to the fact that if it works it will pull on the pore opening and potentially make it larger. As for collagen formation and skin tightening I prefer a Rhytec Portrait laser but it will not do anything for the pores either, sorry. JG 4.22.06
Hi, I got my first levulan and blu-u light treatment two weeks ago. It seems like it helped just a little bit(%10). My main problem is scarring. I never had any problems with acne and now my cheeks ha
Answer: I personally do not use Levulan due to the scarring risk. JG 5.6.06
Hello Dr Garcia, Can you tell me what the best type of procedure there is out there today for tightening sagging skin other than a facelift, is there anything else you recommend for the midface area? And is there any products that help at all. Thank you and I love your website
Answer: nothing topical will be worth it as far as creams, maybe a laser like a CO2 or a Rhytec Portrait to tighten the skin. JG 4.19.06
Dear Dr Garcia, thanks for the info on the glycolic acid and your suggestion to use Retin A, just wondering if you have to have a doctors prescription to get it and if not can you recommend any name brands out there or do you make it with your line of products and if so how do I order it? Thanks so much.
Answer: legally you do need a prescription for Retin-A and that is the brand I use. JG 4.19.06
Hello Dr I am a 38 year old 105 lb female , I take pretty good care of my skin, I wash tone & moisturize twice daily, this past year I have been noticing fine lines under my eyes and I was wondering if you thought glycolic acid peels could help with it or what would be the best thing to do to minimize and/or get rid of them , they are very noticeable when I smile. Thanks in advance
Answer: glycolic peels are really for discolorations so I do not think they will do much. Maybe you need Retin-A or something similar. Best of luck. JG 4.16.06
What has been your experience with using Sculptra to add volume and reduce sagging in lieu of surgery? Is there another filler that is better/safer to use
Answer: no, the effects are to refil lost tissue and although it can have subtle effects on lifting skin, it wil not relace surgery for saggy skin. JG 4.16.06
What do you think of eminence products? are they good for melasma and anti-aging?
Answer: sorry but no experience with them. JG 4.14.06
Dr. Garcia, I have dark circles on my checks it is melasma. I tried so many things including prescription medications. It did not go. What should I use? Please help. Thank you.
Answer: YAG laser. JG 4.14.06
Hello, Dr. Garcia. I am putting together my facial treatment plan. What is the difference between Idebenol and Retin A? Do you recommend one over the other? What strength Retin A is most effective? Thank you, as always. RR
Answer: At present I cannot recommend Idebenol, lots of hype with little science behind it. As to the Retin-A, start with something medium strength and increase it once you know you can tolerate it. JG 4.14.06
I already use retin-a and am going to add your DMAE cream. What would be a good cleanser and moisturizer to go along with?
Answer: many good ones Estee Lauder, Clinique, MAC. Oil of Olay. JG 4.14.06
What about Neutrogena?
Answer: Obagi is better. JG 4.13.06
I am trying to decide which would be better to use for anti-aging.
Answer: of those three, Obagi. JG 4.13.06
What do you think about Olay revitilizer, Obagi or Mary Kay anti-aging products?
Answer: Obagi is a good product line, the others are OK I guess. JG 4.13.06
I am a 55 year old female. Last year I noticed small red spots on my nose and was diagnosed with Roseca. Nothing my Dr. prescribed has helped. Help
Answer: IPL treatments. JG 4.12.06
I have a dark spot uner my arm. Doesn't hurt. what is it?
Answer: could be anything form a sun freckle to a mole to a cancer. JG 4.11.06
I have post acne brown spots on my face from picking pimples, and I have been trying to get rid of them for the past 4 months. Some of the products worked, but every time a brown spot gets erased, a new pimple pops up, and turns into a brown spot,(I don�t even pick them anymore) Right now, I have a basket full of products. I Have 1) Neutrogena at home microdermabrasion 2) Ambi skin discoloration cream 3) Neutrogena Acne mark fading cream 4) Proactiv 5) Palmers skin discoloration cream 6) Esoterica skin discoloration cream 7)100% aloe Vera 8) Bye Bye Blemish Wash 9) Palmers cocoa butter 10) Acn
Answer: may need some prescription strength medicines from your dermatologist. JG 4.11.06
What causes acne cists to pop up from underneath the skin,and how to avoid them?
Answer: need to see a dermatologist to help you control them, it is from them getting infected and then inflammed. JG 4.5.06
Hi, I was wondering if there was any product I could use to get rid of tit moles on my neck. They are so annoying and ugly. I have a friend who is an asthetician (not sure spelling). She recommended me to someone who removed a few for me. But after removal it left scars and like I said I have a few and the cost is kinda high. Do you recommend any topical treatment. I appreciate your time. Thanks, Stephanie
Answer: nothing topical. JG 4.2.06
Hello, again Dr. Garcia. I am interseted in topical tx for aging skin. Kinerase has a whole system as does Dr. Pericone with DMAE and Vit. C. I can get Retin-A. Would you use these other products in c
Answer: they are both good although Perricone's is overpriced. JG 4.2.06
Hello, Dr. Garcia. What products would you recommend for aging skin. Thank you RR
Answer: very broad question I am afraid, do you mean oral, topical, etc. In general for everyone I recommend sunblock after that, it depends. Topical I suggest Retin-A , DMAE and Vitamin C, Kinerase is also good. JG 4.1.06
I have always had pink undertones in my skin, but know that I'm 47 my cheeks and face are always red I have T zone skin and use moisturizer on my cheeks but seems like my skin can't breath and makes it more red. Do you have any recommendations?
Answer: IPL pulsed light may help. JG 3.31.06
I am 22 with asian skin, I had microdermabrasion carried out abou 8 months ago which she did uner my eyes too which has resulted in dark circles. How can i get rid of these? I have tried so many products such as cirlce clear. My dermatologist has given me retin A which Ive been using for a few weeks, but no results. Ive been recommended Jan Marini Pigment lightening gel, do you think that may work? If not what do you suggest?
Answer: I think anything topical is the safest but do not expect improvements for a few months, it does not work in a few weeks. JG 3.28.06
I am researching options for rosacea and age spots. Do you feel that Obagi treatments compare with microlaser and/or IPL with Levulan? It is all very confusing, and cost is a consideration. If I go the Obagi route, what products do you suggest to start with? Thank you.DC
Answer: I think IPL alone or Obaji or microlaser will do well for the brown spots, the IPL will help with the Rosacea, the others probably will not and the Levulan will do nothing for the Rosacea and the discolorations will be better but you wil have lots of downtime compared to plain IPL. Realize also this will be a life long thing you will need to treat and there is not a single treatment that will control it once and for all. You will need to be into to it for the long haul and many treatments.JG 3.28.06
guess the rest of my question got cut off. Anyway, I am considering doing something. I just don't know what. With so many different types of lasers and different treatments, how does a person decide what is best?
Answer: I think you need to see a couple of different physicians and get an opinion, if they both tell you something different, go see another one until two or more say the same thing. That will be the safest and best way to proceed. JG 3.27.06
what is the difference between idebenol and idebenone? Is there any difference in the strength of the product used - .5%, 1%, 2%. Thank you. PS 032306
Answer: if you mean for skin care, there are no medical articles on its effectiveness, just what the companies sellig it claim. I would save your money. JG 3.23.06
When will a full body cream w/ DMAE be available?
Answer: you can use the facial cream but it is kind of expensive, if we decreased the DMAE concentration for a body cream I am unsure how effective it will be. JG 3.22.06
I would like to thank you first of all for this great website, you have answered a lot of questions for me in the past. I am thirty-nine years old with olive skin, large pore and acne scars (mexican decent) and I have been using the obagi skin care line off and on for the last 11 years with good results but now I have this problem with my chin are and hyperpigmentation, I've used other bleaching creams other than hydroquinone and the dark spot goes away temporarily and then comes right back on. I put on 45 sunscreen that I buy at a doctor's office but still no help. Can you recommend any other type of skin bleaching for that area, for some reason that is the only place I get the dark spot. Thank you. P.S. I did have laser surgery about 5 years ago which also helped, but I would not do it again.
Answer: thanks for the kind words, for more topics go to my plastic surgery website at www.lvcosmeticsurgey.com. Unfortunately, what is happening is the best I think you can expect, you are getting rid of it but there is no bleaching cream that will remove the hyperpigmentation on a permanent basis. Hormones and light, even flourescent light will reactivate the cell memory.Sorry. JG 3.20.06
As to the previous question, I tan pretty dark (half lebanese). Should I take this into account when using a bleaching cream?
Answer: yes. JG 3.18.06
I would like to try a bleaching cream for my upper lip and wanted to check and make sure. I have two different problems. The entire area above my upper lip looks as if it won't tan (it's always lighter then the rest of my face) but it's not that noticeable. What is noticeable now is the dark line that has formed above the lip, especially at the corners. I'm sick of applying concealer. I've noticed that I'm also getting indentions from the dynamic winkles which might be casting shadows. I would like to do a bleaching cream if you think that's what I need and maybe a filler for the winkles? There are barely showing but do contribute to the overall rough appearance to my upper lip. What filler would you recommend? Also, is bleaching cream sold over the counter? How much does it cost? What are the side-effects?
Answer: As to a filler I think it will help, I may not be as convinced that the bleaching cream will help though. Bleaching cream sold over the counter are not strong enough and the doctor doing the filler will have his/her favorite material. Costs vary from surgeon to surgeon. Side efects are swelling, bruising and at times small lumps. JG 3.18.06
Hi Dr. Garcia, what do you think of New Injuv? I saw an article about it in a magazine and it claims to contain enough hyaluronic acid to help see a decrease in wrinkles, sagging etc in a 16 week peri
Answer: save your money. JG 3.18.06
Im a 47 yr old male but I look extremely young for my age. I have lived in Arizona all my life where there is alot of sun. I am now noticing red streaks along the sides of my neck. I think its sun damage. Is there a remedy that wont cost me an arm and a leg to fix this problem?
Answer: Retin-A and sun block are the best I think. JG 3.16.06
WE GET LOREAL,OIL OF OLAY LANCOME AND NEUTROGENA PRODUCTS IN INDIA.CAN YOU PLEASE TELL IF ANY OF THESE PRODUCTS HAVE DMAE IN IT.THANKS
Answer: not that I know of. JG 3.16.06
I am 43yrs old with sensitive skin. I have started to notice wrinkles on the inner corner of my eyelids. I have tried several eyecreams but they irritate my eyelids with dry patches and flakiness. Is this common and if not what do you suggest I use ? mbh
Answer: You can try using it even with the irritations as most times the skin adapts and gets over the irritation,a common problem, otherwise, try some DMAE cream or Kinerase. JG 3.16.0
I have noticed that many websites say that Retin-A is a powerful anti-aging cream for deep wrinkles and fine line, including discoloration, but to avoid the eye area, which is the precise location I would want it. Do you think it's okay to apply for the fine lines around your eye? Also, if using Retin-A, would you also use Obagi at the same time?
Answer: yes, just may need to use a lesser concentration. You can use Obaji as the same time, yes. JG 3.7.06
I'm having a problem with discoloration on my upper lip that the Rhytec didn't help. My upper lip looks dark (like a permanent showder is cast on it), especially around the upper corners, and it appears has if I have some fine dark hair there, but I don't. How can I get rid of this since the laser didn't work? Would a bleaching cream work? How long would it take? Would it lighten up my upper lip to much?
Answer: I would start with bleaching creams first and see what happens. JG 3.6.06
how long should i use retin a and hydrroquinon cream and will pigmentatin come after stooping the treatment.we get renova cream in india.is it effective or i use these creams.thanks
Answer: I suggets its use untiul the skin reaches a stable point, then stopping, it can be restarted if the pigmentation comes back from sun exposure. Renova is a litle less effective but similar. JG 3.6.06
where can i get dmae cream in india and under which name
Answer: I am not sure, will need to look at high end skin care stores. JG 3.6.06
Dr. Garc�a, I am a 41 y/o woman looking for a product/technique to reduce and harden the bulge area below the chin. Although I look young, would like to improve my appearance; my boyfriend is 31 y/o and proposed me to marry him this morning...
Answer: I do not know exactly what bulge you are referring to. JG 3.6.06
i am 56 year old living in india.i will be thankfull if you answer my question.ihave discoloration on my chin around my jawline and nose.what should i use to clear it.
Answer: Retin-A mixed with hydroquinone would be the safest option, and use sunblock too. JG 3.5.06
Is it better to apply a stronger retin-a twice a week or a weaker dose..every night.
Answer: weaker dose daily. JG 3.5.06
Hello... I purchased your eye booster and DMAE cream about a month ago. I am apply them twice a day. I am 38 with a few signs of aging. I have seem no difference since beginning this procedure. What am I doing wrong?? When I placed the order the secretary told me that the eye cream is not a product to use over the entire face yet in your posting I see where you recommended it for the entire fa
Answer: it is designed to be used around the eyes as it is stronger than the regular face cream, If someone needs a stonger cream, the eye cream can be used for the entire face. As to when you will see the difference, everyone is different. The worse the wrinkles are the sooner you see inprovement but when one is not too bad the improvements are not as quick as there is less that the cream can do. Also need to stay out of the sun, use sublock and stay away form smoking. JG 3.5.06
How can I determine wether my Melasma/hyperpigmentation is being caused by heat or hormones. (i know it's not the sun I stay fully protected.
Answer: heat does not cause melasma, just the sunlight. JG 3.4.06
if money was not an issue...what would be the best daily skin regimen for a 35 year old with some acne break-outs, normal skin.
Answer: Retin-A for 8 months a year and sunblock. JG 3.2.06
in what order should a dmae cream fall when using the obagi system. i also get occasional acne. should i incorporate a salicylic acid in that regimen as well or is it too much for my skin.
Answer: salicylic acid is OK to use and I would apply the DMAE after the other products. JG 3.1.06
I am currently using glycolic acid lotion at night, wait 10 minutes and then use your peptide cream as you recommended. Can I also use vitamin C serum, if so, in what order? I use the DMAE in the daytime, can I also use vitamin C serum with this? Thank You
Answer: yes, you can apply it before the DMAE or the peptide cream. JG 3.1.06
dr. Garcia, what do you think of Alpha Derma CE by Janson Beckett, Rejuvinol/Rejurox by dermaLogics, and StriVectin SD by Klein Becker? Do you recommend any of these products? Are they ok to use on a 22 years old female?
Answer: no experience with the first ones but as to the Strivectin, I think the clams they make are over the top and exagerrated. I do not recommend any of them I am afraid. I would save your money. JG 2.28.06
Dr. Garcia. It's the same 24 year old girl. Thanks for answering my question. You advised to use DMAE, Vitmain C, and sunblock. Please explain what to put on first? What do I use under my eyes and what on the entire face? Thanks.
Answer: my cream has them already mixed together, available at www.lvcosmeticsurgery.com in the shopping cart area. We have a different one for older eyes but at your age you can use the same one over the entire face. JG 2.28.06
Dr.Garcia, I'm a 24 years old Caucasian female. I got some smile lines and thin lines under my eyes. Other than that my skin doesn't look bad. Sometimes I get acne(usually on the chicks sides by my mouth and on my chin). What eye cream and face cream at my young age should I use to prevent the appearance of new lines, keep the thin ones from becoming deeper, and to help with slight dark circles?
Answer: DMAE and Vitmain C are my suggestions along with sunblock. JG 2.28.06
Dr.Garcia, I'm a 24 years old Caucasian female. I got some smile lines and thin lines under my eyes. Other than that my skin doesn't look bad. Sometimes I get acne(usually on the chicks sides by my mouth and on my chin). What eye cream at my young age should I use to prevent the appearance of new lines, keep the thin ones from becoming deeper, and to help with slight dark circles? Also, what prod
Answer: DMAE with Vitamn C at your age should help. Available at my website www.lvcosmeticsurgery.com in the shopping cart. JG 3.1.06
Dr. Garcia: Is it ok to use dmae cream around eyes? How about with mild eczema? Will it tighten skin? thanks! lm
Answer: it will decrease wrinkles and can be used around the eye. As to using it on eczema, try a small patch and see how it goes before applying it to a large area. JG 2.27.06
what do you recomend for acne?
Answer: Retin-A and glycolic acid facial cleansers. JG 2.26.06
Dr. Garcia: I am 81 years old, have had two face lifts (the last in 1981) am in good health with moderate jowls and a sagging, somewhat wrinkled 81 yr. old neck. With surgery out of the question would you recommend thermage - or any other non-surgical procedure? Thank you. Marcia 2/26/06
Answer: As long as you are healthy, surgery is stil a viable option and I no longer recommend Thermage. Other non-invasive options I feel in older skin do not work very well. JG 2.26.06
what is a good preventative procedure that you think should be done regularly aside from the daily skin-care routine.
Answer: minimize squinting and use a sunblock and stop smoking if you do. JG 2.25.06
is the obagi system to be used just until results are reached or is it something to be used always as part of a good skin routine. Is retin-A okay to use all the time or a break is needed?
Answer: I have patients take a two month break at least per year from Retin-A. as to the Obagi, parts can be continued but you may not need all of the components. JG 2.25.06
What DMAE cream or serum do you recommend.
Answer: the one we sell at our plastic surgery website, www.lvcosmeticsurgery.com in the shopping cart. JG 2.25.06
Is there a difference between the Obagi system and the Glytone system for skin-care. Is either worth the money for better skin-care.
Answer: between those two, although both good, I prefer Obagi. JG 2.25.06
Hi Dr. Garcia--is it safe to use either Aclaro 4 or Renova for dark eye circles. I believe it is more a cause of thin skin under the eye area versus lack of sleep, proper nutrition, or stress for me. I take vitamins, eat healthy and get 8 hours of solid sleep a night. I am currently using Renova on my face but never used it under my eyes. Suggestions? NM
Answer: can try it but the effects might not be very dramatic. JG 2.23.06
Hello again Dr Garcia, I had the 35% tca peel under eye area and want to know what sunblock can be used in this area. I had been using L'Oreal but 4 months later noticed it said not to apply on eye area. I would also need to be able to purchase the product in England. Thanks, AJ
Answer: I think you need a sunblock, we recommend Fallene total block but I am not aware of the companies that sell products in the UK. JG 2.23.06
Hello! I have been on the Obaji system for 5 days now. Since day 1 I have had a terrible headache. I am convinced that it is from the Obaji. I would like to start by eliminating things to see what is causing this headache. I think it is either the clear, blender of exfoliant. Have you heard of this reaction? Also, if I find out the cause is one of these things, by eliminating one or all of them, will the obaji system be as effective? THanks, Sherry 2/22/06
Answer: the effectiveness will be less if you eliminate one or more of the products. To be honest I have not seen nor heard of that complication, but start by eliminating all and then use one at a time and see what happens. All the best. JG 2.22.06
Does Dmae cream help correct wrinkles and is it faster than Retin-A? or pretty equal?
Answer: I think they are very comparable, the DMAE has less side effects. JG 2.21.06
What supplements do you reccomend for prevtion of wrinkles- for good skin?
Answer: alpha lipic acid, Vitmain C, Vitamin E, omega 3 fish oils JG 2.21.06
Does DMAE cream help to correct wrinkles and is it faster than Retin-A?
Answer: I think they are very comparable, the DMAE has less side effects. JG 2.21.06
Does DMAE cream help to correct wrinkles?
Answer: yes. JG 2.17.06
It retin-A a good product to use for wrinkles?
Answer: yes. JG 2.17.06
I want to know what would be best for my extemely dry skin that has aged very poorly I have deep forhead wrinkles and a furrowed brow also I have the 11's in the center of my eyebrows I would like to have laser resurfacing rhytec? not sure because I see people who have had mixed results I am however realistic I am 39 unfortunately for me I look much older. MB
Answer: I think Rhytec would be a good option for you. JG 2.15.06
Great website. What do you think of using Finacea for wrinkles? (I have slight eczema around the eyes) & Salex for dry body skin. Can Salex be used on face? Which is safer? Does Finacea/Salex thin skin like Retin-A? thanks! LM
Answer: I have no personal experience with those products so I am sorry but I cannot tell you as to what they can or cannot do, sorry. JG 21.4.06
I'm currently trying to find the cheapest, yet most effective treatment for brown spots (Melasma) and I'm currently on birth control. I have brouchers sitting in front of me for IPL Treatment, Fraxel and Microlaser Peel. Another Dr. even recommended the Obaji treatment first. Do you have any recommendations? Thank You, TA 2/13/06
Answer: well, the honest truth is, all of them will probably improve it to a certain degree, but the most important thing to understand is that no matter what you do, it will come back, maybe not all, but probably most, with ANY sun exposure. So I guess, I would go with the cheapest since it wil be done and done again in time. JG 2.13.06
I am a 56 year old woman with very dark circles under my eyes (have had them a long time) and wonder if anything can be done to improve them. Thank you. 2/10/06
Answer: mild effect maybe with Retin-A and blaching cream but don't expect much. JG 2.10.06
I use RetinaA .1 % at night every other night & the following night & mornings I use your DMAE Lipoic Acid with Vitamin E on my face. Yesterday morning my face was quite red & very dry & I didn't use it again, in fact that night I didn't use anything & I haven't for a couple of days. Still red & dry. What am I doing wrong? What should I do?
Answer: back off on the Retin-A. That is a rare occurence if you have been using it for some time though. JG 2.8.05
Hi Dr. Garcia, I recently ordered your peptide cream and I also use your DMAE cream. Should I alternate the two? What is the advantage of the peptide cream? Thanks.
Answer: the creams compliment one another and work on the cells to establish good cell integrity and stability and facilitate collagen formation. I would use the peptide and alternate with the DMAE, either one at night and then the other in the morning. JG 2.6.06
I am using victoria principal's Reclaim argireline product, and am experiencing a little dryness in cheek area. Is this normal, if so, how do I reduce irritation?
Answer: as to it being normal, it can be, I assume, as to what can be done I would suggest some moisturizer a few minutes after using the product. JG 1.31.06
Hello, I recently just turned 40 (ouch), I am female with actually not too many wrinkles (I don't drink or smoke) I am a letter carrier(walking route) who is exposed to the sun,wind, and dirt every day. I wear 30spf sunscreen. I have oily skin (olive complexion)and adult acne. My skin is blotchy (sun spots} and I want to cover it but makeup feels so gross in my job! Is Bare Minerals really good for my skin or at least non-comedogenic? Or is there something better? Thank You! AD 1/26/05
Answer: Bare Minerals is a good choice. Many good lines, too many to mention, just avoid the sun as much as you can. JG 1.25.06
What are the differences between your DMAE cream and your eye booster.....what does each do and how should they be used?
Answer: the eye booster has more ingredients, the eye booster can be used on the entire face in severe wrinkles, it is just more expensive as it is stronger. JG 1.12.06
DR. I want to use some good skincare at home to help under eyes and overall skin texture, i am 24 but have sun damage. Is skinceuticals a good line with the retinol and can i use that under the eyes. Or should I be using a vitamin C to remodel.....thank you!!!!
Answer: I think Skinceuticals is a good line, and I think Vitmain C is a must if you have had sun exposure. JG 1.12.06.
The DMAE cream I purchased from your web site came today. It said it has Vitamin E in it, I though it had Vitamin C in it, like the DMAE Eye Booster cream. Dose the face cream DMAE caome with Vitamin C?
Answer: yes, also vitamin E too. JG 1.10.06
I use Obaji Exfoderm in AM & Retina A /1% in PM. I just purchased your DMAE Eye Booster & DMAE Facial cream. I plan on using The DMAE Facial cream in the AM & in the PM on the night I don't use Retina A. Do I also need a moisturizer or is DMAE a moisturizer?
Answer: no, the DMAE will be enough. JG 1.8.06
Hi Dr. Garcia, I just bought your DMAE face cream. My current routine is RetinA w/ Obaji at night and Oil of Olay during the day. Should I use your cream both day and night or alternate w/ RetinA? I currently use your eye cream-I love it. Thanks.
Answer: I would suggest using it during the day instead of the Oil of Olay, or every other night and alternate it with the Retin-A and Obaji. Best of luck. JG 1.6.06
I'm 45 with wrinkles around my eyes and sagging just beginning. I just ordered your DMAE. Will collagen pills also help? I've seen a lot about it on-line. Also, is caffiene a problem for skin like some people say? I drink about 2 cups of coffee a day and tea at night.
Answer: I don't think collagen pills will do much, your stomach will just digest it like a protein. I think excess caffeine can dehydrate your skin but not a cup or two of coffee per day. JG 1.6.06
My lips are very dry. It hurts, and I have noticed brown spots appearing. What can I do for this discomfort and to get my lips back to their natural color.
Answer: any lip moisturizer, even Chap Stix will help, and use sunblock on them when outside. JG 1.3.06
where is the Dmae cream available?
Answer: on my plastic surgery website at www.lvcosmeticsurgery.com JG 1.3.06
Do I need to use both dmae and Retin-A?
Answer: no, I prefer the DMAE/Vitamin C over retin-A. JG 1.3.06
what cream works best for existing superficial lines?
Answer: Retin-A or DMAE with Vitamin C cream. JG 1.2.06
What works best for wrinkles?
Answer: that is a really broad question and varies depending on the person, age, health, habits, sun exposure, skin tone, and where the wrinkles are, the best is to avoid getting them to begin with. JG 1.2.06
Which is better Skin Ceuticals, Obagi or MD Formulations?
Answer: pretty close but I would lean towards the Obagi line. JG 1.2.06
HI DR GARCIA, I need your opinion once again for the last year my skin has been bad and been trying to find out why when it wasnt before. but anyways i fractured my tooth where i had root canal don and after they took the xray they said that they saw an infection and cyst in the tooth that was dormant for how long they dont know could be a year. so im being treated with penicillin and have to get extracted now. do you think that the infection and cyst has anything to do with why my skin got bad or is it not possible? thank you
Answer: absolutely, it should get better once the infection clears up. JG 12.31.05
Which product is better for exfoliating the skin: Skin Biology Exfol Cream or Skin Ceuticals Intense Line Defense? Can DMAE cream be used with the recommended product and how often should it be used?
Answer: about the same. DMAE can be used with either, and should be used daily. JG 12.30.05
hi,what does the gycolic aacid does 2 ur skin,will the discolouration disappear?will my skin be bk to normal?how many months will it take for my skin to be the normal color.i got the discoloration becoz of the rash,wat will the glcolic acid do?thnx
Answer: if the discoloration is superficial it might help. It is impossible to say how long it would take and also impossible to say whether it will take it all off but one thing I can guarantee is that eventually all the discoloration will come back unless you wear sunblock all the time. JG 12.29.05
Which, if any, non-surgical treatments can be used to improve skin firmness and slow down the effects of gravity on the face?
Answer: all treatments are mild and will get a small amount of collagen formation in the skin but will do absolutely nothing for the tissues below the skin. JG 12.18.05
Have read some good advertisements about Idebenol, does it make a big improvement for skin? What does it do?
Answer: lots of ads but very little to no science behind it. CoQ 10 has science in terms of positive effects on skin and Idebenone is a form of CoQ 10 though. JG 12.28.05
hi can u recommend any crean to reduce skin discoloration,got all over body which im obsessed with.anything u can recommend?is creme de la mer a good moisturiser to reduce skin discoloration?
Answer: Creme de la Mer is good but no betteer than other less expensive moisturizers. As to the discoloration, I would start with glycolic acid products and progress to Retin-A and hydroquinone as your skin responds.JG 12.27.05
hi dr garcia, i have been having a rash called lichen platnus.i have got scars all over my body,somebody recommended me to use creme de la mer. Is it a good stuff?Will it vanish all my scars which i have been waiting for that to fade.what can you recommend??thank you
Answer: I think it is good but very expensive and probabaly no better than other good quality mositurizers. Nothing will make the scars vanish, they will always be there, just maybe a little less visible. JG 12.27.05
I am being treated for adult cystic acne with doxycycline and retine a, how long before i see improvements and is this a long term process where i will have to continue with these meds/
Answer: most likely it is a long term issue, especially in adults and it might take a few months to see some improvements. JG 12.27.05
Doctor could you recommend a procedure that would focus on loss of skin firmness. I heard of Thermage and DMAE cream.
Answer: our DMAE with Vitamin C cream is very good, available on www.lvcosmeticsurgery.com shopping cart. I no longer do Thermage as I have been disappointed by the results. JG 12.21.05
Hi Dr Garcia, I am 33 years old with oily skin, and a long history (as long as I can remember) of problems with blackheads and enlarged pores all over my face. I also have some sun damage and pigmenta
Answer: sounds like you need some good skin care and some mild chemical peels and microdermabrasions. JG 12.20.05
I use a dmae cream that has 10% argireline. Does the argireline content need the cream to be put on first, before, say, decleor essential oil, for argireline's firming effects to work?
Answer: I think it will work better, if at all, if you put it on first. JG 12.4.05
What percentage of DMAE should be in a face cream for it to be effective?
Answer: I feel it needs to be about 4%. JG 12,3,05
can DMAE and retin A be used together?
Answer: they can but I don't think you need to, apply the Retin-A first and then follow with the DMAE. JG 12.2.205
what are the long term sideeffects of taking tetracycline for acne
Answer: it can sensitize you to light and discolor your skin, more than that I am not sure there is anything bad. JG 12.2.05
is there any natural oils that can stimulate collagen for the face
Answer: lots claim they do but no scientific evidence that they work. JG 12.2.05
is Skin Ceuticals CE ferulic superior to Cffectives C serum because there is a BIG difference in price.
Answer: I do not think clinically the difference is very much. JG 12.2.05
Which Vitamin C serum is better Cffectives or Skin Ceuticals?
Answer: essentially the same. JG 12.01.05
What do you think of Skin Ceuticals CE ferulic serum?
Answer: good product. JG 12.01.05
Could you recommend a good zinc-based copper peptide sunscreen that is tinted? I just had laser resurfacing and need to wear the sunscreen at all times. I know zinc can go on really white so I'm wanted a tinted sunscreen. The tint could also help with color difference between my face and rest of body. Thank you so much
Answer: I like Fallene Total block with tint, I am not sure if it contains copper though. JG 12.01.05
I'm using a product with 10% Argireline in it. and I can see some firming effects. Do the effects of argireline accummulate, the longer I use the product? Or is it a *cosmetic*, in that do the effects wash off if I were to stop using it after a couple of years?
Answer: I think the results will be cosmetic in most cases. JG 11.30.05
I can not find the DMAE cream on this site?
Answer: http://www.lvcosmeticsurgery.com/cart/index.html
I just had total facial rejuvination and my plastic surgeon has prescribed Renova and Efudex 5% Cream to maintain results. What is your opinion on this?
Answer: I think Efudex long term is not something I would recommend while Renova is OK. JG 11.26.05
What do you know about Sta-Tight formula for reducing wrinkles? Does it really work as advertised? I tried looking up for information and can't find any. SP
Answer: I don't think it will do what they claim. JG 11.26.05
I am a little confused...Renova, Strivectin and Prevage. Which is best? Can any or all be used together? If so, how should they be applied? Is there any advantage to using these three products together? Or any combination of 2 of these products? Thank you. LP 11/24/05
Answer: Renova, no sense in using them together, if you were going to use a second I suggest adding the Prevage. JG 11.26.05
Dr. What do you think about the Obagi Nuderm package. Does it really help the skin? And would it be a good alternative to other non-invasive techniques? Thank you.
Answer: I think the Obagi system is quite good. I think it does great for skin discolorations and only minimal for very small wrinkles. JG 11.26.05
Can I just use an antibacterial cleanser with Idebenol during the day and Retin A at night? I am 55 but have cystic acne on occasion and oily skin.
Answer: I think that would be OK to do together. JG 11.24.05
Where can I get the DMAE cream?
Answer: our shopping cart on this website. JG 11.23.05
Also, Dmae stabilizes but does it correct fine lines?
Answer: it will help with fine lines, yes. JG 11.23.05
What is a good cream to minimize superficial wrinkles- DMAE or retin-A?
Answer: either are good, I prefer DMAE as it does not sensitize to the sun. JG 11.23.05
I would like to use a 10% aha lotion with your dmae cream, as well as a lightening serum. Both textures are (aha lotion and serum) are lighter than the dmae cream. Does this mean they should be used before the dmae cream?
Answer: Correct! JG 11.21.05
Can you tell me if taking oral supplements of beta glucan, alpha lipoic acid and CoQ10 really help, or are creams that contain these more effective - as in the case of DMAE cream versus DMAE supplements.
Answer: if you are looking for skin improvements, topical application is better. JG 11.17.05
I just started using your DMAE cream and EYE BOOSTER. They have a strong, not-so-pleasant odor.....is this how these compounds should smell?
Answer: unfortunately yes, as we do not put any fragrances to mask the smell which comes from the chemical compound so we can avoid allergic reactions. JG 11.17.05
Does your DMAE cream and Eye Booster need refridgeration? Thanks.
Answer: No, but it should not get hot, like in a car. JG 11.14.05
I had botox for the second time for under-eye wrinkles. The first time (six months ago) it was great. I loved the effects. This time, however, something is terribly wrong. It has left me with very dry, crinkled (literally) skin under my eyes that wasn't there before. I re-visited the Doctor who did the injections....she sait it seemed to her that it is working. I constantly keep extra moisturizing lotion under my eyes. I am getting re-married soon and I could just cry. Any advice? Thank you.
Answer: Botox Cosmetic should never be used for wrinkles on the under eyes as it will weaken the muscles. I think you should stop any retinol or Retin-A products or glycolic acid products and use some good moisturizing creams like Kinease or something like that. JG 11.14.05
What do you recommend for under eye wrinkles? I saw a response earlier where you said Retin-A was good. I've just started using your Eye Booster & was wondering if that alone would do the trick. Thank you for your help.
Answer: I think the Eye booster is as good if not better. JG 11.1405
Can you send me the telephone number to call to order the DMAE cream please?
Answer: (702)870-0058, thanks. JG 11.11.05
Which minimum strength % would you recommend for Retin-A for it to be effective. My skin is used to a 10% AHA lotion once or twice daily. Currently, the Retin-A cream I'm using is a 1% one, and this causes peeling. Could I go down to a 0.1% Retin-A cream?
Answer: Some people see benefits with 0.05%. I have never seen 1% Retin-A, just 0.1%, you could decrease it and see what it does though. JG 11.11.05
Hi Dr. Garcia, I discovered your website today & LOVE the Q & A section...thanks for the opportunity! I also just ordered your DMAE & Eye Booster...can't wait to get them! I am 39 & have considerable creases under my left eye only. Will your creams help at all? The non-surgical Dr. that I've been seeing for photofacials recommended Sculptra b/c she claims I mind fat loss on that side. But I've read many negative things about Sculptra & don't think I want to inject anything that close to my eyes. I thought botox or collagen was a possibility, but she claims the skin under the eye is too thin. I guess my last alternative is your eye booster, or do you think Retin-A could help also? Thanks so much!
Answer: I think the creams will help, yes. I think Sculptra is a good choice for fat atropy of the face and the problems are rare. I think Retin-A is good too. Welcome to the site and you can look at www.lvcosmeticsurgery.com for more from me. JG 11.10.05
Can I order your products for shipping out of the United States? I live in Singapore.
Answer: I am unaware of any restrictions on importation to Singapore, but I cannot guarantee they will let it through customs, we always mark it as facial creams so I don't think there should be a difficulty but I cannot say for sure. JG 11.10.05
I use Retin-A, and am thinking to switching to Differin (adapalene) since the latter does not make my skin peel. Is Differin substantially less effective than Retin-A though?
Answer: I have not seen very impressive results with Differin.JG 11.10.05
You answered in an earlier question that glycolic acid and the DMAE cream could be mixed. Would they be layered or actually mixed together? Is there a DMAE lip cream available. Perricone has a separate lip cream and wondered if you did, too. Also, what is your opinion of Dremu emu oil? It's advertised as building collagen.
Answer: glycolic first, then the DMAE.Our DMAE cream can be used on the lips too.The packaging is different but the material inside is the same. I think EMU oil is a great moisturizer and any good moiturizer will help buld new collagen. JG 11.09.05
I just started using your DMAE face cream. I have been using 10% glycolic acid lotion at night and I have a 30% glycolic peel every 60 days. Can I continue to use the 10% glycolic at night and just use the DMAE in the daytime? Would I not get as good of a result using DMAE just once a day? I also have your Neuropeptide cream. Using the 10% glycolic acid makes the 30% treatments easier.
Answer: You can but I think the DMAE is better than the glycolic acid product for aging skin. The peels are OK to continue. You can certainly mix them if you desire though. JG 11.08.05
Hi Dr. Garcia, What do you think of Tazorac for wrinkles? I currently use Retin A with good results. Do you think Tazorac is any better? My dermatoligist recommended it. Thanks.
Answer: I don't think it will be much different from the Retin-A. JG 11.08.05
Can you please explain exactly what it is that smoking cigarettes does to make you age badly? Does it kill the collagen, reduce the moisture, cause the actual structure of the skin to break down, kill the fat cells etc.? Just wondering.
Answer: it shrinks the blood vessels and there is premature breaking of elastin fibers and slower replenishing of lost collagen, it also induces damage to the DNA of the skin cells making proper cell growth abnormal and deficient. JG 11.07.05
I have always had good skin, but recently, all of the sudden, my pores on my noise and checks are huge. Does something in particular cause that. Is there anything I can do to correct it, or a product which will make them look smaller? Thank you.
Answer: As we age our sebaceous glands including our oil glands get bigger and can plug the pores. Glycolic acid and Retin-A and microdermabrasiosn and IPL help. JG 11.07.05
I just had my first pan G treatment a week ago. My age spots blackened then peeled away (great results). Now I am experiencing a total peel of the skin. It started on the chin and is now working its way up the face. The skin got real tight and wrinkled and then peeling began. My skin looks older now than it did before I had the procedure. I didn't read anything like this when I reseached before I had it done. What do you think? KH
Answer: normal part of the healing I am afraid. JG 11.04.05
Dr. Garcia, I have a problem with my skin especially my legs. I have recurrent folliculitis on my legs and plus at my age (28) they are wrinkled and discolored. The folliculitis leaves scars on my legs and I am so insecure about wearing anything above my knees. Please tell me a great product I can use to get rid of all of these problems in one.
Answer: Glycolic acid products help. A product called Tend Skin helps, and you may consider laser hair removal to get the hair to be thinner and lighter and less likely to occlude. JG 11.03.05
I just started using your DMAE cream and Peptide cream. I currently cleanse my face with Cetaphil cleanser. Is it OK to still use this or would I get better results with one of your cleansers?
Answer: I think Cetaphil is OK to continue. JG 11.03.05
I have purchased your DMAE cream. I read below that if you use it on your lips, your lips may swell. How long would the swelling last. I like the idea of my lips being fuller and if I can get that look from my DMAE cream, even if it only lasts a couple of hours, that would be great.
Answer: it does not cause everyone to swell but a mild puffyness can occur for a couple of hours, some patients use it that way on purpose. Jg 11.02.05
I just started using your DMAE cream as well as the neuropeptide cream. Dr. Nicholas Perricone also recommends the use of vitamin C ester cream. Is this necessary, if so, you have such a product?
Answer: There is already Vitmain C ester in the DMAE cream you purchased. JG 11.01.05
I just purchased the DMAE Face Cream & the Neuopeptide cream. I currently use 10% glycolic acid cream. Can I continue to use the glycolic acid and if so, in what order? Also, can the DMAE be used on the lips as well or is there another product for lips? Thank You
Answer: I would stop the glycolic acid cream, won't need it any longer. The DMAE can be used on the lips, they may get a little puffy for a short while. JG 10.31.05
Hi Dr. Garcia, I am liking your DMAe eye cream very much. Which face cream of yours do you recommened for mature skin(46), partly oily with some dehydration. The Copperpeptide cream or the DMAE/Vit C? I also use Retin A in conjunction with the Obaji line-works very well for me. Thank you.
Answer: I prefer the DMAE/VIt C. The copper peptides work well right after an injury like a sunburn or chemical peel. JG 10.29.05
what are the best face mosturizers on the market
Answer: I feel Obagi products are good and our DMAE Vitamin C cream are also good. I do not recommed nor endorse OTC products, not because I don't like them but because there are so many and different people react differently to them. JG 10.29.05
Can I use a skin lightener with DMAE cream? Mine contains hydroquinone, and kojic acid. Does it make a difference if I apply the lightener before or after the DMAE cream?
Answer: Apply the DMAE first, then the bleachers. JG 10.26.05
Great board! Thanks. I'm 36 and have mild rosacea and hyperpigmentation. I've been to two consults one recommending 5 sessions each with Palomar Rejuvelux and alternating microdermabrasion and the other recommending Aurora RF sessions. I'm concerned about both the microdermabrasion and the RF with rosacea. Are these procedures typically bad for skin with rosacea?
Answer: I agree, typically I would suggest just an IPL or ND:YAG laser as the RF and microderm can aggravate the rosacea in most people.
I've just started using DMAE cream. Before this, I was using a De Cleor skin oil, a serum, and then moisturizer - can I continue to use the De Cleor oil and serum with the DMAE cream?
Answer: you can but you really do not need them any longer. JG 10.25.05
Hi Dr.Garcia, How long does it typically take to see results of your DMAE/Vit C eye cream? Also, do you have the same combo cream for overall face as well as a body cream? Also, have you ever heard of a connection bewteen use of Trazodone(anti-depressant) and hair loss? Thank you.
Answer: Well, it all depends on how bad your skin is, the worse it is the faster you see improvements. We have a slightly different one for the face with a little less Vitamin C. As to the hair loss, I have heard of it yes. JG 10.24.05
I purchased your DMAE eye booster cream over the phone. It did not come with any directions. I am assuming I use in under my eyes, on the corner and on lids. Is that correct? Do I just use a small amount? Do I put it on with a circular motion or just lightly pat it?
Answer: correct, just a small amount, start with it at night and you can go to twice per day if desired, just wait ten minutes before applying your make up. Rub it in with little circles. Sorry about the mix up. JG 10.21.05
The Dmae eye cream comes with vitamin C....Also what size are these - the eye and the face cream- it doesn't say.
Answer: They come in 15 grams, should be enough for 4-6 weeks at least. JG 10.20.05
Your Dmae cream for the face comes with vitamin E can I buy Vita C serum and use those together?
Answer: Sure, not a problem. JG 10.20.05
does Sta-Tight work
Answer: absolutely no truth to the claims, the photos are done with different lighting to make it look better. JG 10.20.05
Which, in your opinion is better for anti-aging- Retin-A or DMAE?
Answer: DMAE. JG 10.18.05
So, when using Dmae cream in the morning - I should not use retin-A at night?
Answer: I think if you are using the DMAE you could use the Retin-A at night but it would be better to just use the DMAE at night and skip the Retin-A. JG 10.17.05
What does DMAE cream do? Could I use it with Vita C serum, and retin-A?
Answer: you can use it with Vitamin C although ours has Vitamin C already. I woudl not mix it with Retin-A.DMAE is a short for dimethylaminoethanol, a naturally occurring substance that facilitates the synthesis of a neurotransmitter acetylcholine. DMAE is a compound found in high levels in anchovies and sardines. Small amounts of it are also naturally produced in the human brain. An intriguing finding in some DMAE studies was that it reduced the accumulation of lipofuscin deposits inside cells. Lipofuscin is a cellular pigment consisting of aggregated chunks of molecular waste. It tends to occur in the cells of older people. It is likely that lipofuscin is not simply a byproduct of aging but also contributes to the aging process. Neurons, heart and skin of older people usually contain particularly large amounts of lipofuscin. It has been demonstrated that DMAE causes some degree of skin tightening. However, despite speculation it remains unclear how DMAE firms the skin -- whether by stabilizing the membranes, boosting acetylcholine, reducing lipofuscin deposits or none of the above. Whatever the mechanism, the effect of DMAE is often noticeable. Besides, even though DMAE can't fully reverse the existing facial sag, it may reduce its further progression. Some people report a cumulative effect with continued use of DMAE. JG 10.17.05
Which would you recommend- Almay, Oil of olay or neutrogena, aveeno or Loreal for facial cleanser?
Answer: I think all are OK. JG 10.17.05
I am trying to find a good otc and non otc skin care line- specially facial wash- what can you reccomend?
Answer: non-OTC we use Obagi, as for otc, there are too many to name. JG 10.17.05
How often are you supposed to use Reova on a certian area and does continued used help large pores look smaller.
Answer: it is meant for daily use and it might help the pores get smaller but not always. JG 10.13.05
How long does it take for a completly new outer layer of skin to form?
Answer: It all depends on how deep the skin removal has been, the deeper it has been peeled off, the longer it will take, up to 3 weeks in certain cases. JG 10.12.05
Is it true that the collagen in collagen masks are not well-absorbed topically? I use a monthly one by Activor.
Answer: Correct, the skin doesn 't allow collagen to soak through the skin. JG 10.11.05
I use a 0.1% retin-A cream. I have found that when I use it by itself, and then moisturizer on top of that, that I experience peeling. When I mix the retin-A cream with a moisturizer before applying, however, I get no peeling. My question: is this mixing alright to do, or does this diminish the effects of the retin-A?
Answer: yes but it weakens the Retin-A so it is not as effective. JG 10.11.05
I am currently applying Cosmedical Technology products and TNS Skin Medica on my skin as recommended by my plastic surgeon's office. Though I try very hard to keep any AHA products away from under my
Answer: AHA products are OK to use around the eyes. JG 10.9.05
If retin A thins the skin, will I make my eyes worse by using it under my eyes. As I am getting older, I notice there is a fat reduction under my eyes. I have been using the Retin A there. Also, does it help crows feet or make them worse since it thins the skin. Thank you.
Answer: Retin-A thins the epidermis but thickens the dermis so it will help the skin reduce wrinkles. It will have no effect on the fat under the skin. JG 10.7.05
Hi Dr Garcia, what do you think of Matrixyl for an anti-wrinkle cream? Also, what do you think of Kinerase for body skin? Thank you.
Answer: Both good products, Matrixyl alone is not as good as they claim but it is a good product and can be mixed with others. JG 9.29.05
Can you tell me what your opinion is about DermaFreez 365 and Freeze 24/7. I am looking for something that will relax/erase fine lines and wrinkles. I would want it to last through the evening. Is there a better product out there then these?
Answer: Sorry but I think they are a waste of time and money. There is no product that can be applied to the skin that will relax muscles which are what causes the wrinkles. If there were it would be classified as a drug and would require a prescription. Application of a good DMAE and Vitamin C product will plump the skin and help it look better not only short but also long term as it plumps the skin. JG 9.27.05
I am 45. Are there any products you recommed for crows feet and slight bags under my eyes? By the way, I tried ordering your DMAE cream and cannot get it. The website won't let me order it because I can't download Sunproducts and the phone number you give is incorrect. Thanks for your website. It is fantastic.
Answer: sorry for the problems. Please email my office manager at sandie@lvcosmeticsurgery.com and she wil call you and place your order. I don't think there are any topical creams that wil remove crows feet besides DMAE and Retin-A, the bulges of the lower lids will need surgery I am afraid.
I'm interested in your DMAE and Vitamin C creme, I went to your product section and did not see them, could you please tell me where to find them?
Answer: Sorry, please go to our plastic surgery website at www.lvcosmeticsurgery.com and then to the shopping cart area. JG 9.23.05
Re: JG 9.17.05 response unable to recommend any products wrt I am an oriental person.... with a corticosteroid treated hypertrophic scar (in 1981, 24 years ago) seeking your recommendation for 1)products or 2)procedure to improve the wrinkled and thinned skin. I would like to try a product called Elicina cream made from: snail extract, collagen, elastin, proteins, vitamins, glycolic acid, allantoin, etc., and would like to have your opinion/advice on its efficacy. Do you think it's worth a shot, or will its claimed exfoliant effect cause further damage to the affected area by thinning the skin even more? Thanks Dr Garcia, from G.
Answer: I have never heard of that product so I cannot advise you. I think your best bet is to actually physically see a dermatologist or plastic surgeon so they can examne you and give you specific recommendations. JG 9.21.05
I have some sculptra bumps injected with some steroids. The bumps went down (barely) but now I have an indent around the bump. I understand that's the tissue loss is from the steroids...will the tissue grow back? (Some people say it will grow back in 6 months).
Answer: Whatever is going to grow back will grow back in 6 months. After 6 months you will need to decide if anything needs to be done or if it has corrected itself enough to leave it alone. JG 9.20.05
Hello doctor.Iam 29 and have been diagnosed with atopic dermatitis recently.I have constant flaking of skin on my face and the flaking leaves hyperpigmented spots,I use Aderma cream as a moisturiser.I also have a lot of fine lines on my face.Can you suggest a good anti wrinkle cream which wont aggravate my condition,also can you suggest a good sunscreen .Thanks for taking my question doctor.
Answer: I think DMAE with Vitamin C, available at our plastis surgery website www.lvcosmeticsurgery.com, is really good. I would also recommend taking Omega 3 fish oils. JG 9.20.05
Greetings! I'm a breast-feeding mom and wondering if OTC cosmetics (not creams, but foundations) that contain Retinol (or forms of it) OK to use? One Dr says go ahead, the other says avoid it. I realize there is not much evidence out there, but what is your opinion on this?
Answer: there are no safety studeis that have been done, so I would hold off. JG 9.19.05
I an oriental person prone to scarring easily. In 1981 I had a series of corticosteroid injections into a post-surgical hypertrophic scar. This flattened the scar but has left the skin very thin and with multiple fine ridges/wrinkling and a red appearance. A dermatologist suggested that the affected skin is lacking elasticity (similar to aged skin), and the red appearance is due to underlying blood vessels being visible through the thinned skin. Are there any 1)products to reverse that corticosteroid effect now some 24 years later, e.g. testosterone cream or 2)procedures, both 1) & 2) to resurface or regrow the normal thickness of the affected skin.
Answer: I am sorry but there is nothing I can recommend anything for your problem. JG 9.17.05
What vitamin C serum do you recommend?
Answer: Skin Ceuticals is a good one. JG 9.17.05
What do you mean by the benefits will slowly go away over time with the Dmae?
Answer: I mean that the improvements you see from using the DMAE will slowly go away as the aging process continues and the slowing of that process by the DMAE will not be there. JG 9.17.05
Quiero saber sobre el tratamiento Cosmelan y cuanto es el precio. Tambien me gustaria saber si los tratamientos Obagi son adecuados para todo tipo de piel
Answer: no hacemos esas injeciones. Los tratamientos de Obaji si cambien dependiendo en el tipo de piel y el dano que tiene. JG 9.16.05
How long of periods can you use Dmae and retin A? Should I alternate them, take breaks??
Answer: DMAE can be used without a break, I suggest coming off the Retin-A for three months per year, preferably the summer months. JG 9.16.05
If I use the Dmae cream and then take a break from it are the anti-aging benefits that I got while using it going to play catch up or is it just normal?
Answer: the benefits will slowly go away over time. JG 9.16.05
How do I use the Dmae and Retin A together?
Answer: Just mix the creams together but it may irritate your skin. Otherwise use the Retin-A at night and the DAME in the daytime. JG 9.16.05
Can you recommend a good OTC moisturizer and anti-aging eye treatment?
Answer: L'Oreal and Lancome have good products. JG 9.15.05
I don't see the DMAE cream under your products list?
Answer: sorry, it is in our plastic surgery website shopping cart at www.lvcosmeticsurgery.com JG 9.15.05
What are other DMAE creams that you can buy over the counter or creams that have DMAE?
Answer: Perricone products have DMAE in them but not in as high a concentration as ours. JG 9.10.05
What is the difference between Retin A and Renova? How often are you supposed to use the Renova and is there any area that you are not supposed to used the Renova?
Answer: Renova is the same material but in a cream base so it does not irritate as much but will not be as effective in wrinkle control. The only area you need to be careful is to not get it into the eye. JG 9.10.05
sorry, one more question. afer i go to whatever one you suggest should i start going too lower percentage once skin gets good again?
Answer: correct. JG 9.7.05
Hi Dr Garcia, I had wrote about a 2months ago about being on retin a and blender and skin turned too oil and all lumpy after 1year. yousuggested that i take a break for month or two. now iam wondering if it was caused by the retin a being cream form instead of gel form that made me too oilyand lumpy? they are switching me too retinamicro gel and blender. do you think that will fix the problem? or should i still take abreak and stay on what i was on the cream and blender? thank you very much
Answer: no, they both can do that. I think the Retin-A micro is less effective and may be easier for you to use. I think it is worth trying the new combination. JG 9.7.05
Thank you for your time. I am 43 and in good health and condition. I have been very self conscious this last summer as I have noticied changes in the elasticity of the skin on my thighs. My skin has a crepe texture and sags. There are so many products regarding facial skin, what are the best products / regimine for improving and maintaining elasticity and firmness to thigh skin? CH
Answer: The ones that help the face will help the thighs also, just not as much becasue that skin is harder to improve. JG 9.6.05
is it okay to start using anti-aging products such as nivea all around protection at the age of 17 yrs old? Is it ever too early to use anti-aging product with or without wrinkles?
Answer: It is always better to prevent than treat, so it is never too young to start taking care of your skin. JG 9.6.05
Thank you so much for your quick reply to my questions. I don't understand why I couldn't get an answer from my doctors regarding Tapazole and skin aging. I really would like to stop taking it altogether, but have asked about doing so and never seem to get an answer about that either. I don't feel any differently taking it. What could happen if I did stop? I realize you cannot really answer this without seeing my blood count reports. Would DMAE be of any benefit to me, or can you recommend anything that would? (other than surgical) My skin is looking like a chicken!! Legs and chest area especially!! I see a difference almost monthly!!! I just don't know what to do. Lots of wrinkling on my face. Sagging too...do neck excercises help? I REALLY appreciate your time. Thank you..
Answer: Most people that treat thyroid disease are not familiar with anything out of that field. I think getting a second opinion would be a good idea. I think DMAE would be of benefit in your case but would be a lot to place all over your body. JG 9.5.05
Hi.......I am having difficulty submitting a question and I hope you don't get this twice. Where can I find a search section to type in JG9205 Is the DMAE a cream?..I would like to order these produ
Answer: Sorry, please call our office at 1-888-FACES-89 and the ladies will take care of you. We are closed until September 6 due to holidays though. JG 9.3.05
Hello Dr Garcia.........thank you so much for getting back to me so quickly. You have recommended DMAE and vitamin C cream..to help smooth out my upper chest area. Where can I purchase them?...I live in Ireland...but will be visiting the USA soon..Melinda
Answer: it is on our shopping cart for purchase. JG 9.2.05
I have been using Renova my Dermatologists gave me. I have had broken capilaries on my nose and chin lazer treated and they just come back, in the meantime I recently read that retin a and renova cause broken capilaries - Is this correct? and if so why would my Derm treat my capilaries and then give me something that causes them? Thanks for your time.
Answer: Retin-A and Renova can in some individuals with thin skin cause an exacerbation of the small red capillaries. In most people, that can be transient as anything that thins the skin will increase them, but if the skin thickens in the long run they should get better. JG 9.1.05
Hello from Ireland. Is there any product or procedure that improves the skin on the upper chest area that has been sun damaged and is now quite crepey and loose. I would appreciate your advice....thanks..Melinda
Answer: I would first try Retin-A and also possibly DMAE and Vitamin C creams along with religious use of sunblock. JG 9.1.05
Do you know if lachydrin will smooth out wrinkles, i tried it years ago (am a homecare nurse) on a patient with horrible skin dr dry and wirinkly on the legs d/t PVD and his skin became shiny and smooth after about 1 month- can i try it on the wrinkles in my neck?
Answer: Only very superifical ones that are recent. It will only improve them because it will rehydrate the skin, but not much more. So if your skin is not dehydrated, it wil not do much. JG 8.27.05
Hi Dr. Garcia. Is it OK to use Retin-A on my body? I am hoping it will help with some thinning skin.....Also, do you offer an Apha Hydroxy body cream in your skin care line?Thanks for a great column.
Answer: It probabaly is but the effects will not be as dramatic as on your face. We have alpha hydroxy acids in our skin creams but most good quality skin care lines now carry it as it is not a prescription. Thanks for the kind words. JG 8.26.05
Thanks for the opportunity to participate in this qustion and answer session. I was using Benefiance eye cream by Shesheido. I was very pleased and the jar lasted 2 years. When I replaced the empty I began to experience dryness, irritation and peeling of the skin under my lower lid. I tried the Obagi C system for 4plus months and developed eczema.Did not help the eyes at all. I tried Channel eye cream and it did well on my upper lid. However, the irritation returned under my lower lids. They are crinkly, and look as though they have slight fluid in the tissue. I have switched to Orlane eye cream and the skin is smoother. However, the concealer I use to cover dark circles under my eyes looks terrible. Any ideas about what product to use on a 58 year old nurse's eyes? I am on Premarin if that should make a difference. The rest of my face is really not bad at all. I have always taken very good care of my skin and used what I consider quality products.I hate to spend any more money on crea
Answer: At times the companies will change the formula and they put in ingredients that can irritate the skin. I think you need to avoid anything that exfoliates like Vitamin C and alpha hydroxy acid products. As to OTC products I would suggest Loreal Eye cream, or our DMAE eye booster on our shopping cart. JG 8.24.05
Can you tell me about the DMAE cream and how it works?
Answer: mostly by stabilizing membranes so the cell wall is more stable and avoids the effects of aging and sun. There are reports that it helps muscle tone too but the research is still progressing on that front. JG 8.24.05
Is your peptide cream ready for purchase yet?
Answer: I am sorry but I have had trouble with the packaging as we are not going to sell it in syringes like my other creams. I am hopeful it will be out in September. Thanks for keeping interested. JG 8.24.05
So the lumps aren�t from the collagen filling in, but from the Sculptra material clumping and not absorbing? Do these lumps ever go away or will they have to be removed at some point in my life? Right now they aren�t visible, but they are under the eye � so I worry someday they might show through the thin skin. Thanks.
Answer: Correct.They eventually are broken down and dissolved by the body. They will most likely not get any bigger than they are now. JG 8.24.05
Would collagenase be an alternative to kenalog or other steroids for removal of Sculptra lumps? Thanks.
Answer: I don't think it will work as collagenase will not dissovle the material in Sculptra. JG 8.24.05
I was prescribed Tazorac .1% gel for acne. I was wondering if it would also help with my wrinkles. Also, I just finished acutane about a month ago. Is it safe to use Tazorac so soon? I do still have some breakouts. Thanks.
Answer: It might help with wrinkles and you need to watch your skin as it will be sensitive and if it gets too red or flaky please call your doctor. JG 8.24.05
Have you ever heard of Cosmelan, it's a depigmentation treatment manufactured by mesoestetic? If so, do you recommend the product and are there any long term side effects.
Answer: It has ingredients that are known to help with hyperpigmentation. I do not see any of its ingredients that should cause any long term negative effects. JG 8.13.05
I quit smoking five years ago. I'm 34 and suddenly, i have a ton of wrinkles all over my face. I have rosacea and its getting worse. Everything i've tried thus far has made my wrinkles, redness, dryness, pores, and facial flushing worse. My skin feels like it is on fire most of the time. All these failed treatments are causing me to lose hope. I have recently been prescribed finacea and Obaji skin care. I tried it for two days and my skin went nuts. (sorry for the long background). Do you have any thoughts at all? And, thanks in advance for any consideration.
Answer: I think you need to see a dermatologist or plastic surgeon. It is hard for me to comment without knowing what you have tried.I would suggest some mild IPL fotofacials and then progress to stronger ones once your skin can tolerate it. Best of luck. JG 8.13.05
DR.GARCIA JUST OUT OF CURIOSITY SINCE EVERYONE SAYS MIX BLENDER AND RETINA TOGETHER, IS BLENDER MAKING THE RETINA WORK OR IS RETINA MAKING THE BLENDER WORK BETTER? JUST WONDERED WHICH WAY. THANKS
Answer: Retin-A helps the blender work better. JG 8.8.05
HI DR GARCIA THIS IS WONDERFUL BEING ABLE TO ASK A QUESTION. I HAVE BEEN ON OBAGI BLENDER AND RETIN A1% FOR 1 YEAR AND 6 MONTHS STRAIGHT FAITHFULLY FOR SUN SPOTS AND ACNE. FOR 1 YEAR AND 3 MONTHS IT WAS ABSOLUTELY WONDERFUL AND PERFECT FROM ACNE. BUT ALL OF A SUDDEN THE LAST 3 MONTHS MY FACE IS TOTAL GREASY AND LUMPY INSTEAD OF BEING DRY AND SMOOTH. THEY ARE NOT COMING OUT LIKE RED PIMPLES BUT LUMPY ACNE UNDER SKIN. NOW THEY SWITCHED ME TO TAZORAC 1% CREAM FOR ACNE. WHICH THIS IS THE HIGHEST RETINA THEY SAID. CAN YOU TELL ME WHAT HAPPENED WHEN IT WAS SO PERFECT. WAS IT FROM USING THE BLENDER FOR TO LONG OR THAT I WAS IMMUNED TO THE RETIN A 1% AND WASNT WORKING? SOMETHING TURNED MY SKIN TO TOTAL OIL. ALSO DO I MIX BLENDER WITH TAZORAC? THEY ALSO WANT ME TO GO BACK AND FORTH EACH MONTH FROM TAZORAC TO RETIN A. PLEASE TELL ME YOUR ADVICE. IF YOU STAY ON BLENDER FOR TO LONG WILL THIS HAPPEN? SORRY FOR SO MANY QUESTIONS BUT VERY UPSET. AKN 08-07-05
Answer: I recommed that patients take a break form those products for a month or two every year. Prolonged use can at times cause some skin irritation and casue excessive skin oil production in an attmpt to moisturize the skin. It could have been caused by either the blender or the Restin-A. As one's skin gets better you need to understand that you need less strong medicine and continued use of strong medicine can cause that. JG 8.7.05
Are there any good skin care products that can be found at a local drug store?
Answer: I think there are a number of them but you will need to try them out. JG 8.3.05
What do you think of MD formulations?
Answer: good quality product I think , we used to sell them in our office. JG 8.2.05
Are there any over the counter products for skin care that actually work well for cleansing and moisturizing?
Answer: I think Lancome and Estee Lauder work well for OTC. JG 8.2.05
What skin care systems do you reccomend? I am 34 and wanting to use a good regimen.
Answer: I like Obaji along with our own products. JG 8.2.05
Thank you for your time, Dr. Garcia. I have been trying to order your DMAE cream at your site, but I can never get through. Can you help me? Thank-you
Answer: SORRY ABOUT THAT, PLEASE CALL TOL FREE TO 1-866-faces-89 AND THEY CAN TAKE YOUR ORDER. JG 8.2.05
i have been hearing alot about trivectin and would like to hear your comments on it. also can it be used on the entire face? additionally hydroderm seems to be catching on. a friend of mine swears by it and i can see a differance of some sorts. what is your opion on these 2 products and are their side effects to be aware of. thanks, and i love your site! m. simmons 7/20/05
Answer: Strivectin has no medical reports that it works as they claim, but I think Hydroderm is a good moisturizer. JG 7.24.05
I am a 41 year old female with extensive sun damage and addtional skin damage caused from 10 years of smoking. I have recently stopped smoking, am currently using the Obagi Nu-Derm system as well as receiving microdermabrasion once a week. My dermatologist recommended an Obagi Blue Peel after 6 to 8 on the Obagi/Microdermabrasion...my question is, will this line of offense truly reverse all the abuse I have inflicted upon my skin. I am not expecting to turn back the clock, but would love to see a reduction in lines and wrinkles and skin elasticity. Thanks in advance AA (07/18/2005)
Answer: It wil help with the brown spots and a mild effect on the wrinkling with that plan alone. With severe damage, you will most likely need much more then the program outlined. JG 7.24.05
What would you recommend for wrinkles on upper eyelids?
Answer: If there is no excess skin I would recommend my DMAE and Vitamin C cream, if there is excess skin then I would say a blepharoplasty. JG 7.14.05
Thank-you for taking my question, Dr. Garcia. I have been using the Obagi Nu-Derm system for about 20 weeks. Is there a time when I should go off of the steps 3, 4, and retinol with 5? I was hoping to be able to stay on it for the rest of my life if need be. I use each step religiously every day. Also, I think I made a mistake and used the retinol over my eyelids as well. They are kind of crepey looking and I was wondering if that would improve if I stopped using the product on my eyelids. Have I done any permanent damage? Thank you so much and I truly love your answers.
Answer: I have my patients go off the retinol for 3 months a year if possible, usually the summer months, then restart everything again. I don't think you have done anything permanent to the eyelids but typically they are too thin to use the retinol on and can burn your eye if used so I would advise against it. JG 7.5.05
this is a wonderful website very informative. I was wondering what you thought of alpha hydroxy acid and also the product hydroderm for mild to moderate facial wrinkles. thank you very much
Answer: I am big fan of alpha hydroxy acid products. As to Hydroderm, we sold it in my office for a while as patients were asking fo