Doctors Reveal How We Should be Treating Our Skin in Every Decade

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This article first appeared in the Fall 2019 issue of NewBeauty. Click here to subscribe.

There is no age limit for cosmetic enhancement, but is there an ideal time to call in the reinforcements? The pros weigh in. 

IN YOUR 20S...
“It’s a good idea for someone in their 20s to start 'prejuvenating' to change the course of how they will age. ‘Baby Botox’ treatments with neurotoxins can be used in areas with dynamic wrinkles before they become static.” —Beverly Hills, CA dermatologist Ava Shamban, MD

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“Prevention is key at this stage. Sunscreen is a must, and maintaining healthy lifestyle habits is what helps prevent future signs of aging. If you smoke, quit now.” —Delray Beach, FL dermatologist Dr. Janet Allenby

“The 20s are a great time for light peels. Salicylic acid peels are my favorite because they refine pores and brighten dull skin.” —New Orleans dermatologist Mary Lupo, MD 

IN YOUR 30S...
Pigmentation and texture start to become apparent. I love regular, low-density, nonablative fractional laser resurfacing and microneedling to renew and refresh skin.” —New York dermatologist Ritu Saini, MD

“I think Botox is important to treat early wrinkles on the forehead and crow´s-feet, also Juvéderm Volite to keep a natural glow in the skin.” —Tijuana, MX plastic surgeon Juan Carlos Fuentes, MD

“Toward the late 30s, early 40s, you may consider a thread lift. These absorbable sutures help to lift facial tissue and reposition it in an upward, outward direction.” —New York plastic surgeon Adam Schaffner, MD

IN YOUR 40S...
”Women in their 40s are finally realizing the day is theirs! If they've had children, it may be time for a Mommy Makeover to restore the breasts and abdomen. This includes breast surgery, liposuction and a tummy tuck.” —Atlanta plastic surgeon Amy Alderman, MD 

“This is when collagen and facial fat is depleted, and we can see it in our cheeks, so fillers can help restore fullness and volume.” —Dr. Allenby

“Although injectables are soaring in popularity, many patients are more keen on long-term solutions, like upper and lower eyelid surgery.” —Boca Raton, FL oculoplastic surgeon Steve Fagien, MD 

IN YOUR 50S...
“Metabolisms fall off a cliff in the 50s, and hormones, medications, stress and lack of exercise only complicate the problem. Fat-reduction and muscle-building treatments can help counteract mother nature.” —Dr. Downie

”Loss of elastin, collagen and bony remodeling occurs, especially after menopause. This is a good time to consider a blepharoplasty, fillers and laser skin resurfacing.” —Largo, FL oculoplastic surgeon Jasmine Mohadjer, MD 

“A patient in their 50s would benefit from a facelift, necklift and/or eyelid surgery. Nothing can replace real surgical results.” —La Jolla, CA plastic surgeon Robert Singer, MD 

IN YOUR 60S...
“For facial rejuvenation, we are usually addressing skin quality with different laser options, restoring facial volume with dermal fillers, erasing fine lines with neurotoxins, and tightening skin with facelift, browlift and/or necklift procedures.” —Dr. Alderman

“If hair loss has progressed with age or has become permanent, a hair transplant is an increasingly popular treatment in women to restore density in the front. If the thinning is more diffuse throughout, scalp micropigmentation is a great nonsurgical option to create the illusion of thicker, denser hair.” —Scottsdale, AZ dermatologist Dr. Mariel Bird 

& BEYOND...
“Those with spider veins in the legs can be treated with sclerotherapy and lasers. If they are varicose veins, you may need surgical intervention.” —Dr. Schaffner

”At this age, we need to address every structure, including the bone. Sculptra Aesthetic is often used to mimic bone to restore bone loss and improve layers above it like the fat compartments, dermis and epidermis.” —Fort Lauderdale, FL dermatologist Igor Chaplik, MD 

”For patients who have already had their eyes and face done at a younger age, injectables can help enhance; for others, a second surgery may be more appropriate.” —Dr. Fagien