| Photoaging Classification | Recommended Treatment |
Type 1: “no wrinkles”- Patient age 20s or 30s
- Early Photoaging
- Mild pigmentary changes
| - Sunscreens and education
- Topical Retin A® (tretinoin)
- Glycolic and beta (salicylic acid) peels
- Botox®
- IPL™ with Lumenis
- Jessner’s Peel
|
Type 2: “wrinkles in motion”- Patient age late 30s or 40s
- Early to moderate photoaging
- Early solar lentigines (brown spots) visable
- Early keratoses
- Parallel smile lines
| - Sunscreens and education
- Topical Retin A®
- TCA 30% Peels, or a series of light peels
- Soft tissue augmentation with collagen, hyaluronic acid or silicone
- Botox®
- IPL™ and PDT™ for Photorejuvenation
- Blue Light
|
Type 3: “wrinkles at rest”- Patient age 50 and older
- Advanced Photoaging
- Obvious dyschromia and broken blood vessels
- Visible keratoses
- Wrinkles, even at rest
| - Sunscreens and education
- Topical Retin A®
- TCA 30% Peels
- Dermabrasion
- Soft tissue augmentation with collagen, hyaluronic acid or silicone
- Botox®
- IPL™ and PDT™ for Photorejuvenation
- Blue Light
|
Type 4: “only wrinkles”- Patient 60s or 70s
- Severe Photoaging
- Yellow-gray skin color
- Prior skin malignancies
| - Dermabrasion
- PDT™ Photodynamic skin rejuvenation with Lumenis IPL™ and ALA™
- Facelift
- Browlift
- Blepharoplasty
- Botox®
|
