Poikiloderma of Civatte

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Well, bugger. I'm pretty sure I've figured out what is going on with the skin on my neck and chest, and it isn't simple aging. Well yes, it is aging, but something else added on.

I grew up in the desert southwest, and sometimes used sunscreen. I didn't diligently start using sunscreen until I was in my late teens, although I wasn't an avid sunbather. I have strawberry blond hair, blue eyes, and fair skin, so a deep golden tan just wasn't in the cards for me. But I did get my share of sunburns.

When I did start to regularly use sunscreen, I focused on my face. I really didn't pay any attention to my neck or chest. Weeeell, now I'm seeing the consequences.

My oldest son had a lacrosse tournament yesterday in Santa Cruz. It was a beautiful sunny day in a gorgeous beach town, about 80 degrees with a nice ocean breeze. I was prepared...lots of sunscreen and a very wide brimmed straw sun hat, long sleeves. When we got home around 10pm last night, I took a sho…

I just woke up and discovered that I'm 46! Ack!

I'm not bonkers, I promise. I actually did know that I was 46. But over the past few days, I've been noticing new things happening with my skin. They've likely been happening for a while, and I've probably just put blinders on and chosen not to see them. Or I haven't spent real analytical time in front of the mirror to assess the exact state of my skin.

Well, now I'm spending hard time in front of the mirror. And I wasn't happy with what I saw. I thought I was coasting through my 40's just based on my past vigilant use of sunscreen and Retin-A in my 20's and 30's. And for the most part, I still have very few lines and wrinkles on my face.

But then I took a look at my neck and decolletage. And then I took a closer look. O-kaaaay...not good. Here's a photo of my neck area, taken a couple of days ago:

My skin tone is mottled, uneven, and just...aged-looking. I really haven't been paying attention to my skin in this part of my body at all! So, internet to the rescue! After about an hour of research, it appeared that glycolic acid will be the treatment of choice for the current state of my skin. I don't have any deep wrinkles or crepey skin in this area, so it's way too early for laser rejuvenation or other more intensive treatments one would get at a dermatologist.

I purchased a 15% glycolic acid serum a couple of days ago. Today's application will be the third. So far I can't see a visual improvement, but my skin does feel a bit softer, even after just two applications. I'll post my progress with another photo in about a week.

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