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Garry Cussell Clinic Barangaroo

Injectables & Laser Treatments: What To Do When You’re Staying Home & Can’t Get Them

June 28, 2021

As Sydney goes back into a temporary lockdown, we gathered your most common questions and Dr Cussell’s expert advice on what you can do if you’re due for an injectables or laser treatment and you have to postpone your appointment.

What can I do for fine lines around the eyes instead of injectables?

Until you can come back in for anti-wrinkle injections for crows’ feet or filler underneath the eyes, Dr Cussell recommends an eye serum to improve the quality of the skin and preserve youthful plumpness in this thin, delicate area.

He suggests using something with multiple active ingredients. RejuvAus E2 i-Active Rx serum has Arnica and Vitamin K to help improve circulation and reduce dark circles, as well as Hyaluronic Acid for plumping and hydration. This ingredient is what they use to make dermal fillers, and when it is applied topically, it helps bind water to the skin to keep the skin cells plump.

What are the top anti-ageing ingredients in skincare?

In medical grade skincare, there are three main categories of ingredients. The first category is the antioxidants/vitamins, second is pigment regulators and third is your collagen peptides.

Antioxidants

Antioxidants are the most important group of actives, and the most important antioxidant is Vitamin A. Vitamin A comes in several forms and it is the most active and beneficial ingredient you can put on your skin. It helps promote collagen production and natural cell turnover for younger-looking skin.

In our RejuvAus brand products, we use Retinaldehyde because it is stronger yet less irritating than Retinol or Retinal.

The next most important antioxidants are Vitamin B, particularly in the form of Niacinamide as it helps to regulate moisture and soothe the skin, and Vitamin C which helps to synthesise collagen and brighten the skin.

You can purchase serums with individual antioxidants, or try a product such as RejuvAus [S1] ABC Antioxidant Serum which has vitamins A, B and C in stable forms that are safe to use together.

Pigment Regulators

Pigment regulators help even out the skin tone, which can help to enhance a more youthful appearance.

If you are doing a course of laser toning treatments or medical grade facial peels for pigmentation, but you’re unable to come in for your next treatment, pigment regulating serums are the next best thing.

They use ingredients such as SymWhite (derived from pine trees) to inhibit the pigment-producing cells in your skin (melanocytes). Some will also have skin-brightening ingredients such as Vitamin C and certain peptides.

We recommend RejuvAus [S2] Whitening & Brightening Pigment Serum.

Collagen Peptides

Collagen peptides are amino acids that help improve cellular function of the skin in metabolising collagen. These peptides can help improve the skin’s texture and reduce some signs of ageing.

Some peptides, such as Tetrapeptide-30 can help reduce hyperpigmentation.

For a complete collagen peptide serum, we recommend RejuvAus [S3] Collagen Peptide Pores & Fine Lines Serum.

Do any skin care products we apply to the skin actually prevent wrinkles the way that injectables do?

According to Dr Cussell, we generally use anti-wrinkle injections in the forehead or crows’ feet where the muscles are constantly folding and creasing the skin. As we know, those creases and folds turn into consistent lines as we get older and our skin loses elasticity.

When anti-wrinkle injections are not available to you, skincare can improve the quality of the skin, so it is not as prone to lines from creasing. Skincare won’t stop the muscles from folding the skin the way anti-wrinkle injections can, so there isn’t a great advantage in using skincare instead of anti-wrinkle injections, but it can help.

Fillers have a unique asset, Dr Cussell says, that can’t be reproduced by skincare. Fillers create volume where you’ve lost volume that existed before. You can use fillers for cosmetic enhancements, but their greatest asset is volume. “We have fat pads in our skin, and with age, those fat pads tend to atrophy and we lose volume, so that’s the best place for dermal fillers,” Dr Cussell explains.

While there isn’t a direct substitute for fillers at home, a proper anti-ageing skincare routine with the ingredients discussed above can improve the quality of your skin and help to hydrate and plump the surface until fillers are available to you again.

Can skincare tighten and strengthen the skin?

Skincare can only treat the surface, epidermal layer, or the top 20% of your skin. Dr Cussell points out that, contrary to a lot of advertising, skincare does not penetrate to the deeper, dermal layer of your skin. To tighten and strengthen your skin, you need to do it from this layer.

This is where we use skin-tightening treatments with ultrasound energy. These treatments create deep heat in the dermal layer of your skin to strengthen, contract and tighten it.

That being said, topical skincare can make a difference to fine lines and texture. When you treat the epidermis with skin care, it becomes healthier, smoother, as well as plumper and more well hydrated with Hyaluronic Acid. When the epidermis is in a better condition in general, it gives the appearance of being tighter.

The real, honest value of skincare is to keep quality and evenness, pores, structure and tone healthy.

Many brands advertise that they can tighten skin, is this true?

Dr Cussell acknowledges this as “a lot of false advertising.” We know from scientific evidence, he says, that topical skincare cannot penetrate to the deeper dermal layer.

Will taking collagen supplements help?

There is no real direct evidence that taking collagen, which really are a form of protein supplements, directly make the skin stronger. There is some anecdotal evidence, but not enough to say they will help with confidence.

What Dr Cussell says is more important is a well-balanced, nutritious diet that supports the health of your gut. When the right nutrients are in circulation in our systems, they can help the health of our skin and our health in general.

Topically applied collagen peptides certainly help to strengthen the surface epidermal layer of skin, but they are not absorbed into the deeper layers. Only blood circulation can deliver nutrients to the subdermal layers of skin, and you cannot guarantee that collagen supplements taken orally will end up in your skin.

Is there anything I can do to prolong the results from anti-wrinkle injections or fillers?

Unless you can train yourself to stop all movement in your face, there isn’t really any way to prolong the results from anti-wrinkle injections or fillers. There is no need for concern, though, because anti-wrinkle injections and fillers can help reverse some of the lines that may appear while you are waiting to return for treatment.

If you improve the texture and health of your skin through medical grade skincare, it can make the skin appear more plump and youthful, and a little less prone to creasing as it folds.

With some laser treatments, a good skincare routine may help prolong results, particularly for pigmentation and surface-level collagen.

Dr Cussell recommends a three step routine. First, use an exfoliating cleanser to remove dead cells and improve penetration of your serums. Second, apply serums with the anti-ageing antioxidants, pigment regulators and collagen peptides discussed above. Third, apply a moisturising, physical sun block to prevent ageing caused by UV damage.

What should I do about my next appointment?

If you are due for treatment or if you had an appointment booked with us, rest assured that a member from our team will contact you soon to assist.

You are also welcome to contact us as our staff will be available by phone, email or online chat to answer any enquiries you may have.

Are you interested in injectable treatments?

Contact us to reserve your spot for when we are able to open again!

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