A: Studies have shown that prior to any resurfacing procedure, a good skin care protocol can improve results. I usually combine an antioxidant with sunscreen in the morning and some form of topical prescription retinoid with growth factors in the evening. I prefer for the patient to be on this program for several weeks prior to the peel and to discontinue the retinoid the week immediately preceding the peel. I usually restart everything immediately after the peel except for the retinoid, which I restart one week later. I put patients on an anti-viral drug, but I do not use antibiotics prophylactic. Keeping the skin moist to avoid crusting and always avoiding the sun after peeling are good practices. These things will prevent redness, infection and hyperpigmentation.
Q: I've had bad under eye bags, lines since I was little but have been told that I' m ineligible for blepharoplasty (I' m 22 years old and I have anemia, asthma, hay fever and borderline diabetes). Can a chemical peel safely get rid of my under eye wrinkles? Also, are chemical peels safe for people with allergies? My allergies can cause my eyelids to swell up, crust over, and peel. I am also prone to styes (so I can't get fillers). Suffice it to say, my eyes are very sensitive.
A: The likely reason for the eye bags and wrinkles is the underlying allergies. Chronic swelling and redness, and your likely rubbing in response to the allergies has stretched the skin, changed the texture, and caused a pocket to fill with the fluid formed as a result of the inflammation. Interestingly, chemical peels like TCA are tolerated well by those with skin allergies, but first, I'd do the following: 1. Take an oral antihistamine, decongestant daily to reduce the itch, swelling, and fluid pooling. 2. Sleep ONLY on your back, and on 2-3 pillows. Face sleeping worsens the bags. 3. Lumierre eye cream is worth a try. You can return it for full refund if you are allergic. Try doing a test spot first just in front of your ear. 4. Cool compresses with cold milk may decrease some inflammation and this is an excellent homeopathic remedy for this delicate area when inflamed.
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
- 𝐋𝐢𝐟𝐞𝐭𝐢𝐦𝐞 𝐂𝐚𝐫𝐞𝐞𝐫 𝐄𝐝𝐮𝐜𝐚𝐭𝐨𝐫 𝐀𝐰𝐚𝐫𝐝 from the 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧 - Recognizes full-time academicians who have dedicated their careers to educating dermatology residents and fellows;
- 𝐖𝐢𝐥𝐦𝐚 𝐁𝐞𝐫𝐠𝐟𝐞𝐥𝐝, 𝐌𝐃 𝐕𝐢𝐬𝐢𝐨𝐧𝐚𝐫𝐲 and 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐰𝐚𝐫𝐝 from the 𝐖𝐨𝐦𝐞𝐧'𝐬 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜 𝐒𝐨𝐜𝐢𝐞𝐭𝐲 - Recognizes dermatologists of national prominence who have been trailblazers for women in some aspect of dermatology.
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.