By Lily Machuca, FNP
The Reality of Sun Damage: What We See and Why It Matters
As a medical provider, I often explain that no matter how diligent you are with sunscreen, years of sun exposure leave visible and invisible imprints on the skin—commonly referred to as photoaging. These include fine lines, dark spots, uneven texture, and, in some cases, pre-cancerous lesions such as actinic keratoses.
Primary prevention, daily broad-spectrum SPF, protective clothing, and avoiding peak sun hours, remains the first and most powerful step. But even when damage has occurred, a range of effective treatments can restore a smoother, more even, and healthier-looking skin.
In-Office Treatments: What We Offer
Laser and Light Based therapies: We use both ablative and non‑ablative lasers—like BBL, Moxi, and Halo to address pigmentation, texture, and fine lines. Ablative lasers remove the top layer of skin for dramatic results but require longer downtime. Non‑ablative options offer more gradual improvements with shorter recovery periods.
Microneedling: Microneedling induces controlled micro-injury to trigger collagen production, improving texture and reducing pigmentation. We are now offering PDGF as a topical option to help accelerate healing times.
Skinvive and Botox: Dermal fillers, Botox, and newer injectable moisturizers—such as hyaluronic acid microdroplets or Skinvive, can address volume loss, fine lines, and dullness caused by sun damage
Daily Support: Medical-Grade Skincare
A consistent at-home routine accelerates healing and enhances in-office results:
- Topical Retinoids (e.g., tretinoin): The most evidence-based agent to improve hyperpigmentation, fine lines, and thickness via enhanced cell turnover and collagen stimulation
- Antioxidants (Vitamin C, Vitamin E, Niacinamide): Protect from oxidative damage, brighten tone, and support collagen health.
- Hyaluronic Acid & Ceramides: Hydrate and strengthen the skin barrier—vital during and after treatment.
- Light Exfoliants (AHAs such as glycolic or lactic acid): Promote renewal of surface cells and improve texture gently over time.
Final Thoughts
Sun damage is not irreparable. As medical providers, we offer well-researched, multi-tiered approaches—ranging from home healing to advanced in-office procedures—to safely and effectively restore your skin’s health and appearance. Recovery isn’t instant, but with patience and precision, we guide your skin back toward resilience.
We look forward to seeing you soon.
Lily Machuca, FNP
