Skin Health with Dr. Germain ~ Options to Reverse Signs of Aging

“I’m 42, when I smile more lines appear. My lower cheeks have bumps or lines, I also want to get rid of acne scarring, and my my crows feet, as well as smile lines around mouth, and circles under eyes. Any and all advice welcomed.” – Real Self  Q&A
Great questions! 42 is a perfect time to get serious about preventative cosmetic treatments. Being preventative now will save save you from seeing many other unfavorable changes in the future. 
Getting down to it, ​it sounds like your skin is losing some elasticity so that is why you see more lines and why your acne scars may be appearing worse. When you lose collagen and elasticity in your skin the creepiness of the skin can produce fine lines and any scarring that you have will appear worse.  
As we age, there are also bony changes and soft tissue changes that occur. The bony changes increase the appearance of dark circles and also cause more lines around the mouth due to the mandible (lower jaw) turning inward and the maxilla (upper jaw) getting smaller. The soft tissue changes result in atrophy of certain fat pads in the face which cause loss of fat in the upper face and actually enlargement, or hypertrophy, of some of the fat pads in the lower face. 
To help you with some of the issues that you are facing, I think that a volumizing filler to lift your face in the mid face area would help, plus a small amount of dermal filler to help with some of the finer lines more superficially. The fillers will definitely help your acne scarring look better especially with some subcision beforehand (which is a simple in office procedure known to help with acne scarring). 
Also, with the volumization and reflation of your face (not inflation but reflation) even your under eyes will improve. If your under eyes don’t improve to your satisfaction a very small amount of filler can be added in that area to decrease the hollowness that can occur and also decrease the discoloration. I think I would also suggest some superficial laser treatments that can tighten your skin as well. My favorite lasers to accomplish this are a series radio frequency micro needling treatments and also non-ablative fractionated resurfacing laser treatments. 
Also always remember not to look at your self for long periods of time, especially in a magnifying mirror. Subtle slow improvements will always get you to your best outcome. 

Interested in any of the procedures or treatments mentioned by Dr. Germain here? Call our office and schedule a consultation with our expert staff. 



We are honored to be included in the 2017 Best of Charleston Ballot with The Charleston City Paper. We would LOVE to have your final vote for Dr. Germain as Best Dermatologist in Charleston.  

Voting is easy – Simply CLICK HERE and cast your vote! 

We thank you for all your votes and support! 

You Ask~ Dr. Germain Answers!

We love getting questions from our patients – being proactive with your skin health and skin care is essential for graceful aging and the longevity of your skin. Post a question on any of our social media outlets and yours may be featured on our blog! 
“Im 39. I have some lines and wrinkles. I do have large pores that I hate and discoloration from child birth and sun. What would be the best treatment for younger looking skin again?” 
The most important thing you can do to improve your skin is get on a great skin care regimen that includes a physical block sunscreen and a retinol or retinoid. If you did this alone you would see good improvement over the next few months. 
You can speed up the improvement if you do other treatments like a resurfacing laser (there are several depending upon how aggressive you want to be) and a good IPL (depending on your skin type). There are also some superficial peels you can do. It’s always better to do a little bit of a lot than a lot of one thing so combining modalities gives the best results. 

If you have similar skin concerns- come see us! 

Dr. Germain will work with you to accomplish your skin goals. 

Black Friday SALE- Germain Dermatology

Tis’ The Season! 
20% OFF for not one, not two but FOUR days online at 

Shop our extended Black Friday/Cyber Monday Sale 
by using Code: CYBER 
Sale begins midnight, Friday 11/25 and ends midnight, Monday 11/29

Q & A with Dr. Germain and Germain Dermatology~ Just Ask!

You ask and we’ll answer! 

@ThoughtsofHillary tweeted and asked: 
“If you could recommend only ONE topical treatment that’s most beneficial for anti-aging what would it be and why?”

“Sun Block, for sure!! Using a sunblock with good quality zinc oxide and strong/active antioxidants is the best way to slow down the aging process. The second would be retinol but since I can only pick one, sunblock it is!!!” ~ Dr. Marguerite Germain 

Have a question for Dr. Germain and our staff? Just ask! You can post your questions on Twitter @Germain_Beauty, Facebook @GermainDermatology or Instagram @GermainDermatology 

Charleston’s BEST Dermatologist- 2016

We could not be more excited for our 11th year honoring Dr. Germain as Charleston’s BEST Dermatologist. Thank you to everyone who voted and who has supported us throughout the years. We can’t be the best without YOU!