Dr. Katie Beleznay

Vancouver Skin Care Specialist

Dr. Katie Beleznay is a leading medical and cosmetic dermatologist specializing in the latest treatments to repair and rejuvenate the skin

Filtering by Tag: skincare

All About The Chest

The chest, or its fancier term décolletage, is commonly neglected when it comes to prevention and rejuvenation strategies, but it really does deserve some attention! It’s often a clear give-away of someone’s age. So what are some treatments for this area? Here is a list of some of my favourites:

1)    Complexion: Evening out the red, brown, sun spots and more on the chest is an easy first strategy. The skin on our chests is often damaged from years of exposure to the sun and unfortunately this area, like the neck, is commonly forgotten when it comes to important sun protection strategies.

a.    IPL - This is one of my favourite go tos. It can reduce redness, sun spots, and help even out discolouration.

b.    Skin Care - Don’t forget to put skin care on your chest as well!! The neck and chest skin is often more sensitive so you may need to start out every few days or even once a week to begin with for your more active products.

2)    Lines and wrinkles: If you squeeze your chest pushing from outside in you can often see long vertical wrinkles. Side sleepers (me included) get this the most!  What are some different treatment options?

a.    Sculptra - This injection can stimulate collagen and is long-lasting, looks natural, and can help soften those lines and wrinkles. It often requires more than one treatment, but the degree of improvement can be quite meaningful (see video below).

b.    Thermage or Ultherapy - This will help soften lines and lift the chest. In fact Ultherapy is formally approved for improving lines and wrinkles in this area.

c.     Hyaluronic acid filler - Soft fillers like Volite or Restylane Skin Boosters can hydrate the skin and reduce some of the more superficial lines.


The before and after photos above are following two treatments of Sculptra to the chest. There is a subtle, but noticeable improvement in the vertical lines on the V-shaped central part of her chest despite the colour difference (a little sun education was implemented from the before to the after photos as well ;)

You can watch the video below for a little more information about the use of Sculptra on the chest. If you are interested in learning more please contact our office.


4 New Years Resolutions for Healthy Skin

A new year is here and while many people are making their resolutions I thought I would share four skin care resolutions that everyone can make.

1. Protect your skin from the sun. This is the single best thing you can do for your skin to prevent photoaging and skin cancer. Top priority is trying to minimize sun exposure, staying in the shade, and wearing clothing and hats to protect the skin. But avoiding the sun is not always possible or practical, so be sure to use a broad spectrum sunscreen that blocks both UVA and UVB rays. Many daily moisturizers include sunscreen but often the SPF is minimal. This is of course better than no protection but I strongly encourage the use of SPF 50 or higher.

2. Check your skin. Most people don't think of visiting a dermatologist unless there is something "wrong" with their skin. Like most things, preventative maintenance is better than waiting to take corrective action. Worse yet is the possibility of missing the opportunity to treat a potentially dangerous skin condition before it progresses. I recommend that everyone do a self skin examination. If you notice any changing or suspicious lesions it is important to get in to see your dermatologist. Annual skin reviews can be an important way to monitor your skin, particularly if you have fair skin, lots of moles or freckles, or a personal or family history of skin cancer.

3. Use a retinol cream. Retinoids are chemical compounds derived from Vitamin A. While high potency oral retinoids are used to treat skin conditions including acne and psoriasis, the science indicates that low dose topical retinoid creams are valuable for general skin health, including minimizing fine wrinkles, reducing brown pigmentation, preventing precancerous lesions and improving acne. Topical retinoid creams are often prescription based, but there are physician directed skin care lines that also contain retinol and have good evidence supporting their effectiveness.

4. Embrace a daily skin care routine. There are lots of skin care products on the market touting all sorts of claims and very few are backed by science. However, there are some physician directed skin care lines that I recommend to patients, including SkinMedica, SkinCeuticals and Obagi. These brands have scientific studies backing their claims. Key products that I recommend include antioxidants, retinol, and of course sunscreen. I find that using a system such as these can help to form a positive habit of using sunscreen every morning and retinol at night, along with a daily cleanser and moisturizer.

If you stick with these resolutions your skin will thank you.