STEAMING. “If pores are clogged, steaming lets you clean out dirt without excessive pressure, which can cause inflammation,” says Amy B. Lewis, a New York City dermatologist. It works on all skin types, but the facialist should do it only on clean skin.
EXTRACTIONS. “Attacking a pimple on your own causes redness and swelling, because your fingers carry bacteria,” explains Doris Day, a New York City dermatologist. “A comedone extractor—which is more precise than gloved fingers—can clear a pimple or a blackhead with less trauma.” If your skin is sensitive, the extractor may cause mild redness or irritation.
MASKS. Soothing and exfoliating masks tend to have the best results, but doctors are less laudatory of collagen masks: “Topical collagen cannot penetrate the skin,” says Leslie Baumann, a Miami Beach dermatologist. As for antioxidant masks, “the ingredients begin to work on the surface to neutralize environmental damage, so there may be some benefit,” says Day.
FACIAL MASSAGE. “There’s no science to indicate any real gains beyond the way a face massage makes you feel,” says Day. Avoid this step if your skin tends to break out.
MICROCURRENT/ELECTRICITY. These treatments send a painless low-level current to the skin, causing muscle contractions. “The evidence is anecdotal, but this appears to produce subtle, temporary toning,” says Day. “Get it done before a party, but don’t rely on it for long-term results.”
OXYGEN. Pressurized oxygen is said to drive wrinkle-fighting serums deeper into skin. But, says Baumann, the treatment can “increase free radicals, which lead to aging.” Bottom line: Skip it.
PEELS. Experts agree that any peel with glycolic, salicylic, malic, lactic, or citric acid will exfoliate skin’s top layer more effectively than will a grainy scrub. There is also evidence that a high-concentration AHA peel (20 to 30 percent) can increase collagen production. “This is where you should spend your money,” says Baumann.