Aging skin Q&A with Dr. Archer

* What causes premature wrinkles? Is there a technique behind our daily skin care routine that can help slow the process?

Premature wrinkles are usually early signs of sun damage (photo-aging) or smoking.  These wrinkles can pop up as early as our 30s.  Other than leading a healthy lifestyle, it is important to establish a routine that fits you, be vigilant in adhering to your regime, and adjust your plan when necessary.  Daily sunscreen is a MUST! I always say to my patients – it isn’t HIGH maintenance - it is just MAINTENANCE! I adhere to necessary maintenance for a lifetime of healthy and happy skin. :)

* Skin thinning - what is it and how can we delay the process?

Skin thinning is a part of the inevitable facial aging process.  As the skin ages, the collagen becomes disorganized, the epidermis (top part of the skin) thins, and there are fewer fibroblasts and collagen fibers.  These factors contribute to the development of wrinkles and fine lines.  We can’t stop the aging process but we can slow it down by decreasing the amount of sun damage (SPF sunscreen) and using products that hydrate and strengthen the skin.    

* How does exfoliation improve our skin? Can it do more harm than good?

For truly flawless and well-balanced skin, a little extra care is necessary.  Exfoliation improves skin texture (smoothness) and brightness by sloughing dead skin away.  Exfoliation is a great product to have as a part of your beauty routine.  It can be very gentle as a scrub 2x/week in the evenings after your cleanser or can be more aggressive such as microdermabrasion every 6-8 weeks.  Exfoliation in moderation is very healthy for the skin.  Over-exfoliation can definitely do more harm than good by stripping away the skin.  You may need to cut back as well in the fall and winter when your skin will be more sensitive.

* When dealing with skin cancer reconstruction, what is the number one piece of advice you give to your patients for the healing process and preventative measures after recovery?

With skin cancer, the key is patience.  The immediate reconstruction is done with sutures out in a week but the process of healing takes several months to a year.  During this time, we may inject a small steroid and have patients massage the skin. The number one preventative measure after recovery is sun screen! We recommend incorporating a facial sunscreen into your daily routine.  SPF will not only help to prevent future skin cancers but it will help with fading of the healing lines.  UV radiation exposure to fresh scars can almost “tattoo” them pink.

Thank you for reading our blog post! Please reach out to Dr. Archer on social with questions, comments and any recommendations on topics! Twitter @ArcherMD, Instagram @archerfacialplastics, Facebook @archerfacialplastics.  See more patient Q&A by Dr. Archer at RealSelf:

Pic from


Kaete Archer, MD Facial Plastic Surgeon

You Might Also Enjoy...

Facelift No.3

Introducing the latest generation of facelift: Facelift No.3 and the trifecta effect