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Prevention

  • Avoid smoking

  • Avoid exposure to the sun

  • Use an SPF 50 or higher sunscreen during the day

  • Wash with a ‘neutral’ mild soap (e.g. Neutrogena, max. twice daily) and pat dry

Treatment

  • Optimal nutrition—diet rich in fruit and vegetables

  • Tretinoin (Retin-A) cream: apply once daily at bedtime (on dry skin): test for skin irritation by gradual exposure (e.g. 5 mins at first, wash off, then 15 mins until it can be left overnight)

  • Alpha hydroxy acid preparations (e.g. Elucent cream)

  • Injectable treatments such as botulinum toxin and fillers

  • Laser treatments

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