Hi, Dr. Pickart, I am new to this site. I am 55, but have been told I look much younger. ( I don't do sun. ). I have been through a lot of emotional stress tha last few yrs and now I am so sad when I look in the mirror. My jaw is sagging, my eyelids are swollen looking on top and sagging underneath. I have changed so much. Should I just go get a face life? Keep in mind, I was fine in 05/06. This is so sudden. If not, what products would you recommend. The skin texture, etc. is ok---fine lines around eyesis about it, but I am not going to deal well with saggy jowls! Thank you so much for your recommendations!
P

If you don't get sunlight, then take 5,000 units vitamin D each day.

Hold off on a facelift. First try other methods of tightening.

These are general starting instructions for rebuilding skin. But
everyone's skin is different, so it may take some experimenting to find
what works best for yourself.

The process of rebuilding skin with our method is slow, but not
irritating. Reducing wrinkles and skin lesions is much slower. But even
very strong Retin-A takes about 2 years to reduce major wrinkles at the
price of chronic redness and irritation.

Look at http://www.reverseskinaging.com/pictures.html and
http://reverseskinaging.com/nasolabial.html and read the comments.

For your face.....

Our serums work best on oily skin areas like the T-Zone and the creams
are best for drier skin areas. The fastest actions are on general skin
tone and "glow".

The best results for wrinkle reduction, pore reduction, and skin
tightening that that we hear from our clients are:

1.Use a very mild cleanser such our Gentle Clean. Do not over cleanse
your skin. Use biological healing oils such as squalane or emu oil to
remove make up.

2.Our Serums are best on sensitive skin or oily outbreak-prone skin. Our
creams work best of dryer skin areas. Sebum Be Gone helps reduce excess
facial sebum.

3.In the morning, use CP Serum in the morning followed by Emu Oil-S for
Skin. Start with 2 drops of each daily for your face and increase the
amount slowly. If your skin feels oily, blot off the excess oil with a
tissue. Later you might change to Super CP Serum.

4.For your eyes, read http://store.reverseskinaging.com/ProductDetails.asp?ProductCode=26 This is a
difficult area but it can be rebuilt and the skin around the eyes tightened.

5.At night, you might alternate Exfol Cream or our new LacSal Cream and
Protect & Restore #3 - a high retinol cream. If you have problems with
acne, then use Retinol-free P&R#2.

6.Many women also use Super Cop at night, but you should use the other
products before you move to this very strong product.

7.The Day Cover can be used for protection when outside.

8.SRCPs and retinoic acid applied together often work very well and
gives a stronger action than SRCPs alone.

9.Daily supplements of 1 gram Vitamin C and 1 gram MSM also help rebuild
skin proteins. 1 gram of Borage oil or Primrose Oil, which contains high
levels of gamma linolenic acid, helps some people with chronic dermatitis.

10.Stress inhibits skin renewal and skin repair by increasing blood
cortisol. Taking 50 to 100 mgs daily of DHEA for a few months may help
block the cortisol effect and stimulates skin repair.

11.Regular aerobic exercise floods more blood into the skin and speeds
skin repair and scar reduction.

12.Microdermabrasion cloths (cost about $10) often help remove older skin.

13. Derma rollers also can help skin remodeling. But do not use them
more than every 1 or 2 weeks. Be certain to effectively wash the rollers
after use and sterilize it before further use.

Also take a look at http://reverseskinaging.com/tighten.html

Thank you Dr. for your response. I do have fair, sensitive, dehydrated skin. I failed to mention that. I will go with your recommendations. Eyes (not the crows feet which I do have but don't much care--just the tired ,saggy look bothers me) and a slight sag at the bottom of each jaw are the things worrying me. Thanks again