Procedures

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As a Royal College-certified plastic surgeon with extensive training in skincare and cosmetic medicine, I'm often amazed by the sheer volume of information, and sometimes misinformation, on offer to consumers about skincare. How can patients choose from the many products advertised that promise miraculous results?

I always advise my patients in Mississauga and Toronto to start by getting advice from skincare experts at a reputable physician-owned clinic. At Mississauga Cosmetic Surgery and Laser Clinic and Toronto Plastic Surgery Clinic we start with an in-depth skin assessment with myself, my medical aesthetician or my registered nurse. This assessment is free and will give solid, scientifically based information on your skin type, what kinds of products can benefit you and what results you can expect.

Dr. Michael J. Weinberg is a Royal College certified plastic surgeon, and is committed to helping you achieve a youthful and vibrant appearance.

Meet Dr. Weinberg
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Meet Dr. Michael J. Weinberg Plastic Surgeon, BSc, MD, MSc, FRCS(C)

Dr. Michael J. Weinberg is a Royal College certified plastic surgeon, and is committed to helping you achieve a youthful and vibrant appearance.

Request Your Appointment View Before & After Photos

Retinoids

A number of well-designed, fairly large scientific studies have demonstrated the usefulness of topical vitamin A analogues1 which can be found in a variety of formulas to reduce signs of aging caused by sun damage and improve fine lines and wrinkles. Prescription examples include Renova® and Tazorac®, and non-prescription Retinol is found in good percentages in many high-quality medical skincare lines. These products are usually recommended to be applied before bed at night. Benefits can be seen after a number of weeks. Side effects can include skin irritation, dryness and breakouts. The associated dryness can cause photosensitivity, so moisturizers and sunscreen should be used in combination with Vitamin A. Some form of retinoid is recommended for most skincare regimens as an ingredient in a good night cream, as it can help reduce photodamage and brown spots, help with acne, and reduce appearance of fine lines, and is thought to be stimulating to skin cells, promoting the production of collagen and elastin.

Sunscreen

Exposure to UV radiation has been proved to increase skin cancer risk as well as the appearance of lines, wrinkles and uneven skin tone and texture. Studies have been able to show sunscreen is associated with lower risk of the commonest form of skin cancer2. While the evidence for other forms of skin cancer is less conclusive, most skincare physicians recommend sunscreen to reduce the overall UV exposure, and incidence of sunburns, which studies suggest are associated with an increase in the risk of the most serious of the most serious life threatening forms of skin cancer. Thus most doctors such as myself would advise that if you are going to pick one topical agent to use that would significantly protect your skin from the ravages of aging and improve your skin's health, it should be a high quality sunscreen, which should be applied generously and re-applied frequently when you're going to be exposed to the sun.

Antioxidants

When building a good skincare plan, in addition to sunscreen, and skin stimulators for night, compounds that offer protection from a process known as oxidation are essential ingredients of a good day cream. Oxidation is a chemical reaction that is integral to the aging process. We think oxidation happens when skin is exposed to stresses, like pollutants, chemicals, UV radiation, and also due to poor nutrition or toxins in food and water, lack of exercise, and other health issues. The best-known antioxidant is vitamin C, but there are many compounds for which some evidence exists to suggest they have antioxidant effects. Many of these compounds are naturally occurring and are derived from plants. Many good quality skincare products have incorporated several of these agents into their skin creams and can provide good research evidence suggesting efficacy.

Other Topicals

I do not endorse any one specific skin care product or line. At Mississauga Cosmetic Surgery and Laser Clinic we offer lots of choices and are of the view that many products can be beneficial, and choices should be made that are tailored to your particular skincare needs, and your budget. Beyond the basics of a protective cream for day, together with sunscreen, and a wrinkle fighting stimulating cream for night, there are many ingredients that have some scientific support showing they can help treat many other specific concerns, including sagging skin or laxity, rosacea, acne, dryness, oiliness, large pores, scars, and pigment such as melasma. Examples of compounds that may have some benefit for these conditions include copper peptides and other amino acids, hyaluronic acid, hydroquinone, retinol, salicylic acid and glycolic acid, rutin, niacinimide, azleic acid, arbutin, ferulic acid, kojic acid, and DMAO, to name a few. Together these compounds are often referred to as “cosmeceuticals,” and there is research to suggest that they can improve the appearance of the skin and fight the signs of aging3. Cosmeceuticals remain largely unregulated or less regulated than drugs, and therefore it is probably advisable to use high quality products from companies with a long track record in the industry. Our art is in carefully curating which of these many compounds will be best for your skincare goals.

Some examples of medical-grade skincare products that we offer at MCSC include:

  • Obagi®
  • SkinMedica
  • Alumier
  • Universkin
  • VivierSkin®
  • SkinCeuticals®

Book an appointment for a free Skin Care Consultation at MCSC with our medical aesthetician or registered nurse, and take the first step toward a healthier, more glowing complexion, by requesting an appointment online or by calling 905-273-3045 (Mississauga) or 416-207-9090 (Toronto).

To help you prepare for your skin care consultation, we offer an online questionnaire that you can use to assess your skin and provide us some details in advance of your consultation. Click to complete the questionnaire.

Authored by Dr. Michael Weinberg, Board Certified Plastic Surgeon. In keeping with the highest ethical standards, Dr. Weinberg does not endorse or lend his name to any specific product, medication, or device. The information on this page is meant to familiarize prospective patients with some of the commonly available treatments/products and devices in use for specific issues and is intended for general educational purposes only. Decisions regarding treatments in a specific patient must be made in the context of a medical consultation.

  1. Clin Dermatol. 1996 Mar-Apr;14(2):207-15
  2. CMAJ. 2005 Aug 2; 173(3): 244–245
  3. Mo Med. 2011 Jan-Feb; 108(1): 60–63
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TPSC

The Toronto Plastic Surgery Clinic:
Dr. Michael J. Weinberg

1-66 Avenue Road
Toronto, ON M5R 3N8
(416) 207-9090

Monday–Friday 9 a.m.–5 p.m.

MCSC

The Mississauga Cosmetic Surgery & Laser Clinic:
Michael Weinberg, MD

247 Queensway West
Mississauga, ON L5B 1B9
(905) 273-3045

Monday 8:30 a.m.–4:30 p.m.
Tuesday 8:30 a.m.–5 p.m.
Wednesday 8:30 a.m.–6 p.m.
Thursday 7 a.m.–7 p.m.
Friday 8:30 a.m.–4:30 p.m.
Saturday 9 a.m.–3 p.m.

Keep in mind that each patient is unique and your results may vary.