1. Daily sunscreen, year round. I have been doing it every single day for 27 years. Do I need to refer you again to the previous post “Quit complaining and wear your damn sunscreen”?
2. Daily retinoid (tretinoin 0.05% cream) use. Again I have done this every single night for 27 years.
3. A series of IPL photorejuvenation treatments—usually 3-5. Gives a creamy complexion and is very effective in reducing the signs of aging sun damage.

An often overlooked area in sun damage protection and treatment—the backs of hands, backs of forearms and the neck. Look at the sun exposed back of your forearm. Now flip it over and look at the sun protected inside. Do I need to say more?

So here is your bonus secret—Just treat the skin on the back of your forearms and hands and your neck exactly the same as your face, especially sunscreen every single day. Many people can only tolerate retinoids to these areas every other night because of dryness and irritation. So alternate tretinoin 0.05% cream (Refissa) one night and a peptide cream or lotion on the other nights. I use our fabulous peptide and antioxidant serum Line Diminisher every other night alternating with Refissa.