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Martha Stewart Living - - Good Living -

The strong­est treat­ments are per­formed by a doc­tor. They pen­e­trate far­ther into skin than top­i­cal op­tions, and over time can smooth bumps, di­min­ish dis­col­oration, help treat fine lines, and zap acne. Make sure to have them done by a board-cer­ti­fied der­ma­tol­o­gist, or an aes­theti­cian work­ing un­der the guid­ance of one.

MICRODERMABRASION Doc­tors use a tool to sand away dead skin, which causes tiny bits of in­jury that spur cell pro­duc­tion, ac­cord­ing to Ja­cob. The tips vary in coarse­ness, and some new de­vices spray fluid to hy­drate newly ex­posed skin. You might feel slightly sun­burned for a day or two af­ter­ward.

DERMAPLANING An ex­pert uses a blade to shave off fa­cial fuzz— plus a layer of fad­ing cells. The up­shot: vel­vety skin with no down­time.

IN- OF­FICE PEELS A chem­i­cal so­lu­tion con­tain­ing high doses of AHAs and BHAs is ap­plied for sev­eral min­utes, then re­moved. Re­sults de­pend on strength, but they even­tu­ally make skin ra­di­ant and smooth. Post-peel red­ness lasts from a few hours to a few weeks.

FRACTIONAL LASERS They’re the most ef­fi­cient way to buff skin and kick-start col­la­gen pro­duc­tion. But they also re­quire the most down­time. The most com­mon ones, like Fraxel, send light into skin to trig­ger the wound re­sponse, cu­ing a surge in cell pro­duc­tion. Ex­pect swelling and red­ness for a day or two, and peel­ing on dark spots for about a week be­fore resur­faced skin makes its de­but.

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