Brown Spots & Wrinkles: How to Reverse Your Damage

Spots and wrinkles have a way of just showing up when we least expect it. We go to bed one night and in the morning, BAM, there they are! Question is, now what do you do? The aging process can be tough on anyone. At Sylvana, we strive to slow down and even reverse the aging process.

We combine products that have been scientifically tested with various treatments to give you a more youthful look, but make it look natural due to the artistry and experience of our staff. So many of our patients suffer from brown spots or wrinkles, so we decided to share our favorite product classes to remedy these skin issues!


Brown Spots, A.K.A. freckles, angel kisses or age spots, appear after years of sun exposure. What used to be a cute gathering of small brown dots on the bridge of your nose have now fused into big dark patches, forcing you to run out to get a foundation one or two shades darker than your normal skin tone during the summer. Sound familiar? Sunlight makes the spots darker and creates more of them, so you must use sunscreen to protect yourself; but how do you reverse and prevent further damage?

Hydroquinone, or HQ, has been used for years all over the world to stop melanocytes (the brown producing cells located in your skin) from producing brown spots. In the summer when you receive most of your sun exposure, Hydroquinone with a 4%, 6% or even 8% is completely safe to use. During the winter you can switch to a botanical lightener with no hydroquinone. HQ has gotten a bad wrap over the years, es

pecially among European countries, because too much of a good thing can be too much for your liver. HQ is a medication that is metabolized by your liver. In many countries HQ in very high concentrations (over 10%) have been used all over the body to "bleach" the skin. However, when used in the evening and during the summer months, this medication is completely safe under the guidance of a clinician.


Why is it that the little lines around the eyes on men are considered distinguished and on women, devastating? For over thirty years now we have been using Tretinoic Acid (RETIN-A) for acne and more recently, as a wrinkle reducer. Tretinoic Acid does an excellent job of increasing the rate at which your skin cells turn over. In adolescence, it happens about every 28 days. As we age, this number increases and leads to dull lackluster skin.

Using products with Tretinoic Acid in them helps to rev up those cells to turn over more quickly. Unfortunately, a drawback is that your skin becomes irritated, dry and red. So after years of the mantra, “Exfoliate, Exfoliate, Exfoliate”, we started rethinking and revising how we approach skin rejuvenation.

Cousins of Tretinoic Acid such as Retinaldahyde and Retinol are not as harsh on your skin and make it possible to increase skin cell turn over without the redness. To reduce the appearance of wrinkles and slow down the aging process, you don't have to use these products EVERY night. Applying it 3 to 4 times a week is a good compromise. Use these products at night during your “repair” stage. Since you’re turning over your skin a bit more quickly, protection of that new baby smooth skin is key. So remember…SUNSCREEN, SUNSCREEN, SUNSCREEN!


There’s nothing worse than investing in skin care treatments and products without knowing if it was worth it. At Sylvana we use the Visia Complexion Analysis, a machine that analyzes your face and skin, to provide us with science-based information about the most elegant and effective ways to achieve the results you want. We then use the Visia to track the progress of your Sylvana Solution products. We do this to ensure they are working and that you, the patient, is satisfied.

These visits are also complimentary as it is important to monitor your “home care” and take note of what you are doing so we can make the best decisions for your “in office treatments”. Furthermore, we have a very flexible return policy in order to be certain our patients don’t feel “stuck” with something if they have a reaction or just aren’t favorable to it cosmetically.

It’s important to make sure that if you are going to use these products, that you get them from a physician that will monitor the use. Patients have had bad experiences making purchases online that resulted in expired products or fraudulent products, that when tested, didn’t even contain the ingredients that the products are made of. In other words, be careful in taking the gamble of ordering products online! Sometimes you get what you pay for and the companies will not stand behind products that weren’t purchased from a physician.

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Sylvana Institute Med Spa in Frederick, MD Hours:  Mon, Wed, Thurs, Fri: 9am-1pm & 2pm-5pm
Tues: 9am-1pm & 2pm-6pm
Saturday & Sunday:  Closed


182 Thomas Johnson Drive, Suite 100  |  Frederick, MD  21702  |  Phone: 301-668-0002  |  Email: