Askanesthetician's Blog

An esthetician explores skincare issues and concerns

Product Review: Dr. Spiller Pure Skincare Solutions February 20, 2013

Alpenrausch Organic

Months and months ago I was contacted by Melissa from Dr. Spiller skincare products asking me if I would be interested in trying some of the products from their organic line.  Even though I was in the process of moving back to Israel Melissa still graciously mailed all the products to my new home.  Not only that I also received full size products and an entire product brochure with ingredient breakdown.  I was impressed!  (Truth be told though I have been writing this blog for a little over three years I have very rarely received free products to try.  If I am contacted about receiving free products I always let the person know that I can’t guarantee that I will review their product, and if I do review the product I can’t guarantee it will be a positive review)

Before I get to my product review let me be very upfront about a few things – I see no reason to purchase organic skincare or beauty products as opposed to “conventional” products, I have no problem with parabens in skincare products (truth be told the Dr. Spiller line doesn’t talk about parabens, but I thought I would just throw that out there anyhow since the topic of organic skincare and parabens usually go hand in hand), and I don’t buy into the organic or natural skincare products are better for you nonsense.  (You can read more here and here for my opinions about these topics)  I am more interested in the feel, smell, and above all efficiency of a skincare product.  Does the product do what it says it will?  Yet in regards to the organic claim I was happy to see that Dr. Spiller did not just slap that label on their products without being able to back it up.  It turns out that their products meet strict standards for organic skincare products.  The fact that the products are full of natural ingredients is heavily promoted by the company, but in my view the proof is in the pudding.  If the product doesn’t feel good or make your skin look good then who cares what it has in it.

Here are the products that Melissa sent me to try:

First off take a look at the product information on the website.  Very thorough!  Not only is there a detailed explanation given for each of the main ingredients the product’s pH is stated along with the amount of lipids in the product and the base ingredient are listed as well.  I am all for as much consumer transparency as possible in skincare products so I was happy to see how much information was provided on the website.

After receiving the products I realized that some of them were not ideal for my very oily, acne prone skin, but I tried everything anyhow for the sake of this review.  After trying everything at least once I held onto the cleanser and passed the rest of the products along to my friend Vanessa.  I chose Vanessa as my tester because she has sensitive skin and has had numerous reactions to skincare products in the past.  Since this line is supposed to be good for sensitive skin I thought Vanessa would be the ideal candidate to try out the products.  So what was the verdict in regards to Vanessa’s sensitive skin and these products?  Vanessa experienced no irritation or side effects from using these products so indeed it seems that they really are ideal for those with sensitive or sensitized skin.

As I wrote above I kept the foaming cleanser for myself since I use a mild cleanser daily.  I liked that the cleanser came out as a foam (that was fun), it has lasted me a good four months with twice daily use, and was indeed gentle though a little drying in the winter.

Vanessa actually hasn’t gotten around to trying the toner.  From my use of it I really don’t have much to say.  It was a pleasant toner, and my skin felt fine after using it.  I didn’t notice anything either good or bad after using it.

The soft peeling for me was pleasant, but I am a fan (and my skin needs) of a much stronger exfoliant.  Vanessa, on the other hand, was very happy with this mild exfoliant.  She found it gentle with a good consistency and nice fragrance.  Thumbs up from her on this product.

Both Vanessa and I found the protecting care cream way to thick.  The consistency was almost like an ointment and not a cream.  We both thought it was much too dense and hard to spread on our skin.  This definitely was not the right cream for my oily skin even though my skin is really dehydrated.  Despite my skin dehydration this product was too thick for my skin.  Vanessa did not like the smell of the cream, and she felt it didn’t make her skin soft enough.  If this cream was not as thick I think it would appeal to more people.

The reviving eye care cream was gentle around the eye area and did not cause irritation.  Neither Vanessa or I saw a difference in how our eye area looked after using this cream, but we both found it pleasant and nice.

The last product we both tried was the cooling mineral mask which is really meant more for my skin type than Vanessa’s.  Needless to say we both found the mask strange because after applying the mask it dries and becomes EXTREMELY tight on your face.  So tight it is uncomfortable.  I left it on for the full 15 minutes as instructed, but I did not enjoy those 15 minutes.  My skin did feel soft afterwards but what I had to go through to get to temporarily softer skin wasn’t really worth it.  Vanessa did not like the mask at all.

Bottom Line:  If you have sensitive skin and/or are looking for an organic skincare line with natural ingredients than Dr. Spiller is for you.  I particularly appreciate the fact that these product meet high standards for organic products instead of just slapping a label on the product and that the website shares a plethora of information with the consumer about the products.  Though the products are not cheap they last a long time so you definitely get your money’s worth.

Image from Dr. Spiller website

 

The Risks of Over Exfoliation December 5, 2012

Usually I can’t say enough good things about exfoliation.  In my eyes regular, at home exfoliation is one of the most essential things you need to do to maintain healthy and beautiful skin.  Depending on your skin type, how your skin is feeling and looking, and what exfoliation product you use you can exfoliate every day or just twice a week.  The thing is – you need to exfoliate.

Why exfoliate?  New Beauty explains why succinctly:

There are many benefits of regular exfoliation. As we get older, skin-cell turnover slows down and exofoliating can help speed up the normal shedding cycle. Exfoliating can rid the skin’s dull, outer layer as well as all of the flaws that reside there, like fine lines, dark spots and blemishes. Plus, your skin-care products can better penetrate your skin. Here are our top four reasons to exfoliate on a regular basis:

1. Even out skin texture. “The granules polish the skin, leaving it with a softer, smoother texture. It’s like using sandpaper on coarse, unevenly textured wood—step-by-step it becomes smooth,” says Los Angeles aesthetician Ole Henriksen.

2. Fight the signs of aging. With age, the skin’s ability to naturally exfoliate slows down. When the skin is laden with dead cells, lines, wrinkles and dryness become more apparent. “Removing dead skin reveals fresher, brighter, younger looking skin,” says Mt. Pleasant, SC, dermatologist Marguerite Germain, MD.

3. Prevent blackheads, whiteheads and breakouts. When the pores get clogged with dead skin and oil gets stuck beneath the surface, pimples can occur.

4. Minimize dark spots. Long after a blemish has healed, a red, brown or purple mark may remain. But each time you exfoliate, you’re removing the top layer of skin to diminish the appearance of discoloration.

(From Four Reasons You Need to Exfoliate)

And what are different ways you can exfoliate?  Once again I’ll turn to New Beauty to explain:

Manual Exfoliation: exfoliates with beads or spheres
This involves physically removing dead skin with scrubbing spheres or beads, which are massaged into the skin by hand. Some ingredients, like ground-up nutshells, can tear the skin and potentially cause infections, so if you choose to use a manual exfoliant, make sure that you use one with beads or spheres, which are less likely to scratch the skin.
The Upside : Quick and easy to use, manual exfoliators are available in a variety of forms and are best for normal skin types.
The Downside: May aggravate acne or sensitive skin.

Enzymatic Exfoliation: exfoliates with fruit enzymes
Ideal for sensitive and mature skin, enzymatic exfoliators contain enzymes that are derived from fruits like pineapple, pumpkin, kiwi and papaya to purge the skin of dead cells.
The Upside: Can be used on extremely sensitive or reactive skin because they tend not to irritate since there is no physical scrubbing. Plus, they’re excellent for really cleaning out clogged pores.
The Downside: “Enzymatic exfoliators take longer to work because you have to let them sit on the skin for awhile,” says Kirkland, WA, dermatologist Julie Voss, MD.

Chemical Exfoliation: exfoliates with acids
Good for acne-prone and sun-damaged skin, chemical exfoliators rely upon ingredients like alphahydroxy (AHAs), betahydroxy, lactic, malic, tartaric, salicylic, retinoic, uric or glycolic acids to break the bond between the dead skin cells, dissolving and removing them.
The Upside: Deep cleans pores, making it a good choice for oily and acne-prone skin types. Exfoliators with AHAs offer anti-aging benefits too.
The Downside: Can cause sun sensitivity and may be too irritating for dry skin. “These exfoliators are usually found in cream or lotion form, rather than being part of a cleanser, so they require an added step,” says Dr. Voss.

But sometimes too much of a good thing well is just too much.  That brings us to the risks of over exfoliation.  Go overboard with exfoliation and risk red, irritated, dry, flaky, and even thin skin.  The New York Times T Magazine article The Peel Sessions explains:

… the search for perfection often leads to just the opposite. Instead of achieving plump, soft skin, some women are winding up with visages that are “thin and kind of stretched, almost like Saran wrap,” according to Dr. Macrene Alexiades-Armenakas, an assistant professor of dermatology at Yale School of Medicine and the director of the Dermatology and Laser Surgery Center in New York. “It puckers like the material would if wrapped tightly on something and looks like if you pricked it with a pin, a clear fluid would come out.”

This is the over-exfoliated face. For the past few decades, the most dominant recipe for radiant skin has called for removing the dead layers of epidermis to reveal newer, brighter, less-wrinkled skin. But not everyone knows just how often to slough, and some women have been misled into thinking that the more often you do it, the better. Or women exfoliate constantly to ensure that anti-aging or anti-acne serums are delivered more effectively. Exfoliate too frequently, though, with chemical peels or Retin A, and you could encounter a multitude of problems: redness, a strange waxy look and, over time, the thin skin Alexiades-Armenakas described. It can look crepelike and translucent, with capillaries showing (if you’re Caucasian), and is far more prone to fine lines, not to mention increasingly vulnerable to cancer-causing UV rays, than untreated skin. For those with darker complexions, overpeeling can also cause hyper-pigmentation, which can be permanent. …

At-home treatments can have their downsides as well. Retinoids like Retin A increase skin turnover and should be used at the correct strength and frequency. “Everyone used to put it on every night — you brush your teeth, you put on your Retin A,” Enterprise recalled. “Cheeks were getting very thin and people had that glossy look. That waxy skin makes you look older and can make you look dated in the same way your hair or makeup can.”

Abuse of drugstore or beauty-emporium products is also a danger. “I’ve done R&D for a large cosmetic company, and unfortunately to launch these over-the-counter peeling agents, the rule of thumb is to recommend twice-weekly use,” Alexiades-Armenakas said. And why is that? “Because if you don’t use it that often, you’re not going to see any results. It’s so weak compared to a dermatologist’s peel, and to compensate for this they have people overuse it.”  …

Of course, disrupting that barrier at just the right rate — either by peels, Retin A, lasers or other means — is how you stimulate the skin into creating collagen. Alexiades-Armenakas is at work on a new method for doing so, testing pixelated radiofrequency technology and ultrasound to push anti-acne or anti-aging drugs into the skin. It’s another form of fractional resurfacing, whose advantage, she said, is that most of the epidermis is left intact. Eventually, according to the dermatologist, this science will make its way into an over-the-counter product, in the form of a hand-held roller.

There remains, however, the conundrum of what to do until those futuristic gadgets arrive. For now, Alexiades-Armenakas recommends relying on a much older technology — that of the body itself. “The skin turns over every 28 days,” she said. “I’m of the firm belief that you’re better off having a strong peel just once a month at most, giving the skin a chance to recover, rebound and rejuvenate itself.”

Furthermore, according to the article Exfoliation: When Is Just Enough … Enough?  by Annet King explains that exfoliation:

… a course of action intended to keep the skin vibrant, supple and youthful, may result in a skin which is more fragilehas less natural ability to protect from UV, is easily sensitized, heals more slowly and lacks in general structural fortitude. Parchment paper comes to mind.

We now know that much of what we call aging is caused by inflammation. And overly aggressive exfoliation, along with other cutaneous assault such as pollution and UV exposure, set off the cascade of dermal interactions known as inflammation.  It is very important to note that skin which is past the age of 25 or so recovers more slowly from inflammation. In fact, inflammation, whether in response to a heavy handed microdermabrasion procedure or some other inflammatory condition such as adult acne, may result in extremely persistent redness—and by persistent, we mean that it may not ever really dissipate.

The good news is, our skin is genetically designed for remarkable resilience. The human skin produces about 1,000,000 skin cells every 40 minutes, which equates to over 36 million skin cells per day. No wonder we think nothing of obliterating them with scrubs, enzymes, acids, sonic brushes and other procedures! …

LESS IS MORE
Gentle exfoliation keeps the debris from accumulating. Today, the market is full of exfoliants which are gentle enough to use daily, such as superfine micropowders and precise dose leave- on serums containing silky microparticles of rice bran, phytic acid or salicylic acid, botanical extract combo’s. These lift dead cell debris, gently resurface using only the mildest bit of mechanical action, and still leave the lipid barrier robust and intact. …

Often, problems arise when clients start to “help the program along” by being over enthusiastic with different products in the confines of their bathroom or while in the gym sauna! Also discuss their comfort-level, perhaps from years in the gym with masochistic fitness trainers, many consumers believe that pain is required part of an effective regimen. This may be true of acquiring a rock-hard six-pack—but it definitely is NOT true of effective skin care.

NIX THE MIX
Combining products and procedures “freestyle”, without the close supervision of a licensed therapist, is where consumers often get themselves into trouble. The trumpeting claims of lunchtime lasers and other medi-office procedures along with powerful products may prove irresistible, especially with the advance of age, and especially with the impending arrival of a pivotal life passage such as a high school reunion or a daughter’s wedding.

Lastly, another reason to stop with over exfoliating – you may be causing breakouts.  According to Allure:

Convincing people that they’re exfoliating too much “is one of my great challenges,” laughs [ Ranella] Hirsch, a clinical assistant professor of dermatology at Boston University School of Medicine. “Over-exfoliating is probably the single most significant cause of breakouts. For some reason, people think exfoliating means ‘torture my skin like it has secret government information.’” In particular, Hirsch shakes her finger at skin-care overachievers: “The person who is exfoliating too much is also putting on actives [such as Retin-A and salicylic and glycolic acid], is doing facials, is doing microdermabrasion. Each of those things on their own is good, but when you add every form of treatment together it leads to injury.”

So how can you exfoliate effectively?  Once again according to Allure:

Hirsch insists that for the most part skin knows how to exfoliate itself and says using just one exfoliator should be enough. And instead of having a set routine for how often you use your product, leave it up to your face. In other words, don’t exfoliate because it’s 7AM—exfoliate because you feel like you need to. “You have to listen to your skin,” says Hirsch. “Something that’s right at one moment can shift in real time. Just listen and adapt.”

Bottom Line:  Everyone needs to exfoliate just don’t overdo it.  Check in with your skin regularly to see if you need to adjust your exfoliation routine.  Strive for balance (I know – much easier said than done)  Experiencing breakouts and clogged pores turn to a salicylic acid product for exfoliation.  Flaky yet normal skin?  You could use a gentle scrub.  Want an effective anti-aging product?  Find the right retinol or Retin-A product for you.  Just remember – when your skin starts to feel irritated and sensitive or is constantly red you could be overdoing it.  Then it is time to reevaluate your exfoliation routine.  Keep in mind that correct exfoliation will make your skin soft, smooth, and bright.  Since everyone is different don’t look to others – figure out what your skin needs.  Check in regularly with your skin to make sure you are doing what is best for your skin.

My Related Posts:

Image from realbeauty.com

 

Baking Soda – A Great Natural Exfoliant? November 26, 2012

I’m not someone who usually makes her own skincare products except for the occasional body scrub from sugar and oil (you can read about my misadventures in trying to make my own beauty products here).  I am very diligent about facial exfoliation though it has never occurred to me make my own facial exfoliant.  Yet again and again I’ve seen baking soda recommended as a DIY exfoliant (even Arm & Hammer recommends you do this).  So is it really ok to put baking soda on your face and scrub away?

I’ll turn to The Beauty Brains for some explanations from their post Is Baking Soda an Effective Natural Exfoliant?:

Baking soda (aka sodium bicarbonate) falls under the category of physical exfoliants, and what makes it especially effective is that it is a fine, yet hard powder, making it highly effective at removing the dead skin cells without causing excessive irritation. Chemically speaking, baking soda is acid neutral, and acts a mild buffer which means that it has the ability to neutralize other substances it comes in contact with that are acidic (like vinegar) or basic (like soap). Many people also believe that baking soda has cleaning properties; however, scientific evidence has shown that this is due to baking soda’s physically abrasive nature, and it is not an effective anti-microbial agent.

Exfoliating with baking soda

To reap the benefits of exfoliating with baking soda, add a teaspoon of the powder to your facial cleanser, mix well, and massage into skin like you would with a commercial exfoliant. Do this 2-3 times a week or as per your regular exfoliation routine. If you notice that your skin is red or irritated afterwards, try putting in less baking soda and use the treatment at night so that your skin has a chance to get back to normal while you sleep. Remember to always moisturize afterwards!

Baking soda as an acne treatment

While there are numerous testimonials in which people claim that baking soda cleared up their acne when nothing else helped, please remember to take these statements with a grain of salt. We don’t know what else that person had changed in their skin regimen; it’s possible that besides using baking soda they also started drinking more water, switched their cleanser or moisturizer, or maybe even changed the number of times they cleanse their skin per day. Seasonal changes and stress levels also have a very strong impact on how much and how noticeable your acne may be. However, there is some evidence that baking soda may be beneficial in treating acne since just the exfoliating properties of baking soda alone lead to an increased skin cell turnover rate making your acne look less noticeable. Plus, baking soda’s neutralizing properties maybe reduce redness of the skin also reducing the appearance of acne. If you want to try using baking soda as an acne treatment, my recommendation is to use one teaspoon of it in your cleanser at night to exfoliate your skin, as well as make a thicker paste of just baking soda and water and apply it to the acne as a mask for 5-10 minutes or overnight (beware, when it dries the mixture will crumble so you might up wake up to a messy pillow).

The Beauty Brains bottom line

In summary, all signs point to baking soda being an excellent and cheap physical exfoliant. It is ph neutral and a fine powder, which means that it will be gentle on your skin. Baking soda may also be useful in treating acne when made into a paste and applied to the affected areas although there is not as much scientific evidence to back that up.

(As an aside I want to mention that I was actually taught, though I never tried it, while in esthetics school that if we didn’t have another way to exfoliate skin we could use a mixture of baking soda and water.)

I thought for the purposes of this post I should try exfoliating with baking soda.  I added about a half a tablespoon of baking soda to my gentle cleanser one night and gently scrubbed away.  I found the baking soda felt very harsh on my skin, too harsh almost, but my skin did feel very soft afterwards – if only for that night.  Because I found the baking soda too  harsh I would think twice before using it again.  (I should mention that I use prescription Retin-A on a regular basis so my skin tends to be more sensitive to exfoliating products)

Bottom Line:  As long as you aren’t using a lot of other exfoliating products you can try baking soda a few times a week as a mild scrub to exfoliate.  Just keep in mind that a scrub will remove surface dead skin cells and will not penetrate into your pores in order to unclog pores or dissolve excess oil.  I would definitely not believe the internet hype that using baking soda cures acne.  Keep in mind what The Beauty Brains had to say above about that phenomena.

Further Reading:

Image from http://www.good.is

 

Moisturizer Musings November 19, 2012

I came across a few things lately related to moisturizers that I thought would be good to share with my readers especially now that the weather is getting colder most places.

Future Derm recently addressed a number of common moisturizer misconceptions.  The issue I found most interesting was that of moisturizers with spf versus sunscreens:

Moisturizers with SPF versus Sunscreens

Incorrect Definitions:

I don’t actually know how people (in their minds) differentiate moisturizers with SPF from sunscreens. But I always see people give this distinction, without giving an explanation. For example, a reader recently commented that:

“… HOWEVER, the LRP is actually a MOISTURIZER with SPF rather than a straight sunscreen.So I was wondering if the PCA Sunscreen you recommend is moisturizing as well or would it require an additional moisturizer?…”

Analysis:

Now that we’ve defined what a “moisturizer” is, a moisturizer with SPF is therefore just a leave-on product that contains occlusive agents AND UV filters, and may also contain humectants, emollients, and other beneficial ingredients. What about sunscreens? I honestly don’t know what to say, except that sunscreens are the exact same thing. They can certainly be “moisturizing.” In fact, a common complaint is that “sunscreens,” especially those that contain inorganic UV filters like titanium dioxide and/or zinc oxide, are TOO moisturizing, greasy, emollient, and/or heavy. So I don’t understand how this distinction was imagined in the first place. I mean, anything with an SPF rating is measured the same way; a “moisturizer” with an SPF of 20 and a “sunscreen” with an SPF of 20, will both provide the same initial level of UVB protection.

Correct Definitions:

Moisturizers with SPF and sunscreens are the exact same thing: leave- on products that contain occlusive agents AND UV filters, and may also contain humectants, emollients, and other beneficial ingredients.

After reading the above analysis of moisturizers with spf versus sunscreens I thought – why did this never occur to me before!?!?  Truthfully I can’t say why I needed to read what someone else had written about this in order to realize that it was true.  The real key here is finding the right product for you and using it – make sure that you use it every day without fail and that you use enough of it.  A tiny drop of sunscreen (or moisturizer with spf) will not give you enough protection, and make sure you reapply throughout the day.  Sunscreen only lasts two to three hours.

The Importance of Moisturizer

Recently I reviewed the book Stop Aging, Stop Living by Dr. Jeannette Graf.  My review focused on Dr. Graf’s dietary and lifestyle advice and how an alkaline diet helps your skin look and function at its best.  When it comes to hands on skincare advice Dr. Graf’s is very straightforward and easy to follow.  I was struck by her insistence of the daily use of moisturizer for all skin types.  Here is her advice about using moisturizer during the day (pages 112-114)

It doesn’t matter whether your skin is dry, oily, combination, or normal.  You need moisturizer to replace moisture lost during cleansing and seal in that moisture so it does not escape.  Your skin type may affect what type of moisturizer you use, but not whether or not you use it.

Moisturizers replace lost water and hold it there with humectants (water-binding agents).  In other words, they add moisture to your skin and prevent existing moisture from escaping.  Although your skin naturally retains moisture through small molecular weight compounds called natural moisturizing factor (NMF), it needs a layer of fatty acids (lipids) above the NMF layer to seal in this moisture and prevent it from evaporating.  Showering, cleansing, sun exposure, wind, dry heating and air-conditioning, swimming, and other factors remove these fatty acids on a nearly constant basis.  If you don’t use a moisturizer to replace this lipid layer and seal in NMF, your skin’s natural moisture evaporates, resulting in dry, thin, tight, older-looking skin.  …

Look for a moisturizer that advertises an SPF of at least 30.  During the winter months, when UVB rays are weakest, you can get away with an SPF of 15.  This SPF will protect your skin from sun damage during short outdoor activities, such as going to and from the car.  Apply it first thing in the morning rather than waiting until you are ready to head outdoors.  Although glass blocks sunburn-inducing UVB rays, it does not block much of UVA.  Your SPF protection will last about an hour*, so reapply (or touch up your mineral makeup, which also provides some sun protection) before going outdoors later in the day.

Make sure the sunscreen and/or sunblock in your moisturizer is broad-spectrum, with wording on the packaging that says it protects against both UVB and UVA rays.  …  As an added bonus, any antioxidants in your moisturizer (vitamins C, E, grape seed extract, or green tea) will enhance the protection from your sunblock as well as provide protection from environmental pollutants.

Finding the perfect moisturizer may take some trial and error.  Try free samples whenever possible, and trust your instincts.  If your skin feels shiny or greasy, the moisturizer is too rich for your skin type.  If your skin feels tight and dry, it’s not rich enough.  If you have combination skin, you may need two different moisturizers – a gel or a sheer sunscreen for the oily areas and a thicker moisturizer for the drier areas.  If you have very dry skin, you may need to double your efforts, both using a rich moisturizer that contains no SPF or anti-wrinkle ingredients and applying a separate SPF product on top.  This first layer moisturizer should contain humectants and emollient lipids such as ceramides and evening primrose oil.  Evening primrose oil is the richest source of gamma-linolenic acid, a type of essential fatty acid that is soothing and particularly moisturizing for the skin.

As for the evening Dr. Graf has the following to say (pages 119-120):

Moisturize and Renew

Use a different moisturizer at night than you use in the morning.  At night, your skin is renewing itself, so you need a moisturizer that helps the skin to perform this important function.  That comes down to one important ingredient: retinol.  This highly studied skin care ingredient has been proven to even skin tone, promote elasticity, build collagen, and renew skin cells, promoting the birth of new skin cells as well as protecting the ones that already exist.  It’s the most important skin care ingredient, apart from sunblock, no matter your age, complexion, or skin type.

Retinol is a natural form of the vitamin A that is found in yellow and green vegetables, egg yolks, and fish oils.  It’s the most abundant form of Vitamin A found in the skin.  We learned about the benefits of retinol in the 1970s, when researchers began using it to treat acne.  They noticed a side benefit to people who used Retin-A (a very strong prescription form of retinol).  Their skin began to look younger.  Retin-A seemed to reverse sun-induced aging in the following ways:

  • Decreasing fine lines and wrinkles
  • Improving collagen production
  • Enhancing elasticity
  • Improving skin tone and texture
  • Enhancing skin lightening and minimizing age spots

It was most effective on the people who needed the most help – on skin that already had suffered lots of premature aging due to sun exposure.  Retin-A is not available over the counter.  You need a prescription for it.  Over-the-counter retinol moisturizers, however, have also been shown to reduce wrinkles and other signs of aging – and without all the irritating side effects of prescription Retin-A.

To choose a moisturizer, follow these tips:

  • To avoid redness or irritation, start with the lowest retinol cream you can find, slowly working your way up to increasingly stronger creams.
  • Look for a retinol cream that is formulated for sensitive skin.
  • Buy a cream from a respected company to ensure stability and safety.  Respected companies include Johnson and Johnson, Neutrogena, and Roc.
  • Don’t step using retinol once your appearance improves.  You need to keep using retinol to maintain the results.

 

So there you have it – two interesting opinions about moisturizers.  My take on the issue is that you should find a moisturizer that is right for you and use it.  How your skin looks and feels and the climate that you live in will definitely influence which moisturizer is right for you.  Just as Dr. Graf explains it might take some trial and error to find the right moisturizer for you but once you do your skin will thank you.

 

My Related Posts:

 

*Yes, I know that I wrote above that your sunscreen lasts two to three hours and Dr. Graf says one hour.  Who’s right?  I don’t know.  What I do know is that you should reapply your sunscreen throughout the day.

 

Image from health.howstuffworks.com

 

Are Cleansing Wipes an Effective Way to Clean Your Face? November 12, 2012

All of us have been there – you’re tired and you have a face full of make-up.  All you want to do is go to sleep and the last thing you want to do is wash your face, yet you know that you should wash your face before going to bed.  At this point many people may use a cleansing wipe to clean their faces instead of facial cleanser and water.   But are cleansing wipes really an effective way to clean your face?  Can these wipes replace your regular cleanser on a nightly basis?

First let’s analyze just what cleansing wipes are.  In their book Physiology of the Skin (3rd edition) Drs. Draelos and Pugliese explain (pages 31-32):

Disposable face cloths

The first exfoliating pads led to the development of more gentle exfoliation provided by the disposable cleansing cloths.  These cloths are composed of a combination of polyester, rayon, cotton and cellulose fibers held together via heat through a technique known as thermobonding.  Additional strength is imparted to the wipe by hydroentangling the fibers.  This is achieved by entwining  the individual rayon, polyester, and wood pulp fibers with high pressure jets of water, which eliminates the need for adhesive binders thereby creating a soft, strong cloth.  These cloths are packaged dry and impregnated with a cleanser that foams modestly when the cloth is moistened.  The type of cleanser in the cloth depends whether strong sebum removal is required by oily skin or modest sebum removal is required by dry skin.  Humectants and emollients can also be added to the cloth to decrease barrier damage with cleansing or to smooth the skin scale present in xerosis.

In addition to the composition of the ingredients preapplied to the dry cloth, the weave of the cloth will also determine its cutaneous effect.  There are two types of fiber weaves used in facial products: open weave and closed weave.  Open weave cloths are so named because of the 2-3 mm windows in the cloth between the adjacent fiber bundles.  These cloths are used in persons with dry and/or sensitive skin to increase softness of the cloth and decrease the surface area contact between the cloth and the skin yielding a milder exfoliant effect.  Closed weave cloths, on the other hand, are designed with a much tighter weave and provide a more aggressive exfoliation.  Ultimately, the degree of exfoliation achieved is dependent on the cloth weave, the pressure with which the cloth is stroked over the skin surface and the length of time the cloth is applied.

Furthermore, the article Face Cleansing Wipes from Discovery Fit and Health explains:

Face cleansing wipes come in two varieties: dry wipes and wet wipes. Dry wipes require some water for use. A quick run under the faucet allows the cloth to create a foam when gently rubbed against the skin. The second type can be used anywhere because they are already moistened. Many of the wipes come in one large container, but some wipes also are individually wrapped for convenience.

Both dry wipes and wet wipes have a variety of ingredients that range from gentle moisturizers to strong exfoliants, which help remove dead skin for a smoother complexion. Some skin-nourishing vitamins found in cleanser cloths are vitamins B5, C and E. Some stronger wipes have salicylic acid and benzoyl peroxide in them, which help remove oil and prevent acne breakouts. The cloths often have two sides, with the softer side used to clean and moisturize and the other to exfoliate. …

Another major benefit of cleansing wipes is their all-in-one ingredients feature. Some of the products have cleansing, exfoliating and moisturizing abilities, which allow people who normally don’t spend much time on skin care to at least get those basic tasks done. And for those who normally partake of a full skin care treatment but don’t have time on certain days, they can still get those three steps done by simply using one cleansing cloth.

Many people consider hygiene to be another benefit. Unlike with a pot of cream or foaming wash that requires the use of your fingers, cleansing wipes allow the user to clean his face without worry of contaminating a container with germs by repeatedly touching it.  Even so, many traditional cleansing products have preservatives and antibacterial agents to prevent contamination, so cleansing wipes might not have as much of an advantage here as you might think.

Can A Cleansing Wipe Replace Your Cleanser?

I’m all for using cleansing wipes instead of not washing your face at all at night or for using them post workout, but keep in mind that convenience costs you lots of money.  It is much more cost-effective to invest in a good facial cleanser to use nightly.  Personally my face never feels completely clean when I use a cleansing wipe which is why I see them as a first step in a two-step cleansing process, not as a stand alone cleansing routine.  Cleansing cloths are an excellent way to quickly and effectively get rid of sweat after a workout or dirt and grim midday if your skin needs to be refreshed.  So having a package of cleansing cloths in your work-out bag is actually something I’m all for especially if you suffer from breakouts.  (Now you can save money by making your own cleansing wipes, but I can’t vouch for any of the “recipes” I’ve come across online so I decided not to include any in this post)

I still think that nothing beats the power of using the correct facial cleanser for your skin type and water in the morning and evening to clean your face.  But if that is something that you can’t commit to on a nightly basis or you’re on the go then it is better to use cleansing wipes instead of doing nothing at all.  (Of course if you find yourself in an extreme situation and have no water than by all means break out the cleansing wipes)

Further Reading:

My Related Posts:

Image from paiskincare.com

 

Products Worth Trying? October 22, 2012

Recently I came across quite a few intriguing skincare and make-up products I thought I would share with my readers.  I haven’t tried any of these products so if you have please comment below.

I’m a big fan of using a lactic acid exfoliating product during facials (I used to use GloLactic with much success during facials as long as the client wasn’t using Retin-A.  If the client used Retin-A and you put this product on their face they generally could not handle it) so my ears perked up when I heard of a whole product line based on milk (lactic acid comes from milk).  The product line is called Dairy Faceand the website explains why they use milk in their products:

Milk has been prized as a beauty care ingredient since cows roamed the Roman Empire. It’s rich in unsaturated fatty acids, lecithin, vitamins A, D, E, C and B12, and offers amazing nutritional benefits for the skin.

Almost all facial creams include fats and oils to help keep skin healthy. Well, milk is an utterly nourishing source of natural fat. One drop of milk contains over one million superfine, easily-absorbed, nutrient-rich balls of fat that quench your skin’s moisture-thirsty cells.

Your skin will also love the lactic acid found in this dairylicious ingredient – which helps to break down and remove dead skin cells and helps to stimulate collagen production.

Milk has other naturally occurring nutrients – peptides and protein. Dairyface is the first yogurt specifically formulated to contain pre- and pro-biotics for topical use on your skin!

Another interesting thing about this line is that it needs to be refrigerated.  Once again according to the products website:

Cold is the next hot thing in skincare.

The solution is as simple and everyday as refrigeration.  It’s fresh, natural dairy, after all. Keeping Dairyface products cold means there’s no need to add synthetic or other harmful preservatives. Dairyface works with local dairies to source live milk cultures, then combines them with other beneficial fruits, vegetables and herbs, to bring a powerful and gentle skin care from nature to you.

I have no idea if the products in this line work as described, but I do find the concept and main ingredient appealing.

Further Reading:

A good primer can make a lot of difference with how your make-up goes on and how your skin looks.  After reading a positive review of Hourglass Veil Mineral Primer  on Future Derm I would like to give this product a try in the future.  In the meantime I try to keep excess shine away by mixing a little Smashbox Anti-Shine with my sunscreen each morning.

I’m much more of a lip gloss girl than a lipstick person, but the problem with glosses is that you have to keep reapplying them throughout the day.  Enter Obsessive Compulsive Cosmetics Lip Tar which promises the following:

OCC Lip Tar combines the longevity of a lipstick, with the ease of application of a gloss. Goes on slick and moist, and dries down to a satin finish. Ultra-saturated in color, Lip Tar contains an unprecedented amount of pigment – a little goes a very, very long way! An intense yet featherweight layer of color that never looks or feels heavy. Meant to be mixed, Lip Tar comes in concise array of colors for a limitless selection of shades made by you! A simple, elegant formula that contains Hemp Oil, Peppermint Oil and Vitamin E, OCC Lip Tar feels as good on the lips as it looks!

This product is 100% vegan and cruelty-free (cruelty free is a must for me) and according to Allure it really does last all day long.  Furthermore, once again from Allure:

A few months ago I came across a little tube of brightly colored pigment fromObsessive Compulsive Cosmetics called Lip Tar. It was unlike anything I had seen before: It had the opacity of a matte lipstick, the consistency of a gloss, and a satin finish. “I think the best way to describe it is concentrated lipstick,” said the creator of the brand, makeup artist David Klasfeld. “It’s lipstick in its most basic form—just pigment and a natural oil base.” Since then, I’ve seen more and more of these lipsticks popping up: Stila Stay All Day Liquid LipstickYves Saint Laurent Rouge Pur Couture Glossy Stains, and there’s more to come. In August, Guerlain will debut Rouge G L’Extrait, and Hourglass Cosmetics is coming out with a full-coverage liquid lipstick called Opaque Rouge.

The only downside to these concentrated lipsticks is that you have to move quickly and be extra precise because they dry so quickly. I like to put them on starting in the center of my bottom lip, dotting on just a little bit and then smoothing the color out to either side, bringing it closer to the lip line with the tip of the sponge applicator. If you can’t get the hang of the applicator, though, you can also dip a tiny lip brush in the tube, which makes it easier to follow the curve of your cupid’s bow. And while they’re intensely pigmented, they aren’t at all heavy or gross, so they’re actually perfect for summer—I promise they will not budge in the heat.

(New-Product Alert: Lipstick Concentrate)

And lastly, thinking about doing a cleanse?  (I have but I know I would break after a few hours and stuff french fries and chocolate into my mouth)  Now there are skincare products to use in conjunction with your cleanse since it is a well known fact that cleanses can cause temporary skin issues (breakouts, dryness) as your body detoxifies.

Once again – if you’ve tried any of these products please share your thoughts below.

 

Image from paleoplan.com

 

Beauty Briefs: BB Creams Are Over, Here Come CC Creams September 10, 2012

I toyed with the idea a while ago about writing about BB creams but decided against it when I realized that I had nothing new to add to the discussion.  In case you need a recap, BB creams were first developed in Germany but caught on in popularity in South Korea.  These creams only started recently appearing in the US market, but it is easy to find one in all price ranges since they’ve become popular very quickly.

In theory I like the idea of BB creams since they are really souped up tinted moisturizers.  Not only are they meant to hydrate and provide some coverage (like a light foundation), but they also include added ingredients that can act as a make-up primer and are anti-aging or anti-acne.  They also include sun protection though my great fear remains that people think they are getting enough sun protection from a product like this.  Always use a separate stand alone sunscreen.  Please!

Though it is not labeled a BB cream the one I’ve tried is called Miracle Skin Transformer.  I consider it a BB cream since it is a multi-tasker – it is tinted, hydrates, has spf, and contains antioxidants as well.  I first discovered it when I received a free sample with a Sephora purchase, and I thought that it made my skin look amazing.  A few months later I bought a travel size at Sephora.  Interestingly enough now that I have the product at home I don’t quite like it as much as I did when I had the sample.  I can’t figure out what would have changed about the product and how it looks on my face, but something did change.  Not that it looks bad, simply my skin doesn’t look as fresh or dewy as it did when I applied the product from the sample.  Nonetheless I still think it is a good product.

Just as US consumers were getting used to the idea of BB creams, it turns out that they are on their way out.  Here come the CC creams.  Allure explains:

Still trying to wrap your head around BB creams? (Pssst, we’ll help you out. They’re souped-up moisturizers that cover like a sheer foundation and treat various skin-care concerns such as acne or wrinkles.) Well now there’s a whole new category of multitasking formulas: CC creams. Short for “color and care” or “color and correct”, CC creams are essentially BB creams on steroids.

They’re designed to offer more coverage than BB creams but still go on sheer, they moisturize better, and they contain hard-core anti-aging ingredients. Look out for the first CC cream to hit the U.S. this October: Olay Total Effects CC Tone Correcting Moisturizer.

Future Derm isn’t so excited about either BB or CC creams.  The post How is a CC Cream Different From a BB Cream? explains and highlights a few important points:

A CC cream is a color correcting cream, meaning that it is a brightening primer, foundation, moisturizer, SPF and anti-aging cream.

On the other hand, a BB cream is a non-brightening primer, foundation, moisturizer, SPF and anti-aging cream.

BB creams are typically laden with hydrators to create a dewy finish, which are not so great for acne-prone or oily skin.

CC creams, on the other hand, are typically oil-free.  …

Delivery systems matter.  Ingredients like propylene glycol, butylene glycol, and other alcohols, as well as advanced delivery systems like liposomes, are commonly used to increase the skin’s absorption of ingredients.

Unfortunately, BB and CC creams typically are designed to be make-up products.  Yes, you will get benefits.  But I’d take 10% vitamin C in a serum over 10% vitamin C in a BB or CC cream any day!

I love the idea of multi-tasking skincare and make-up products that help cut down on the amount of time you spend prepping in the morning.  I just think you have to very careful before you buy something.  Remember my warning about not relying on a BB cream, a CC cream, or your make-up for your sun protection.  Additionally, keep in mind what the Future Derm post said about delivery systems in products.  Just because a product includes fabulous sounding ingredients doesn’t mean that they are actually getting into your skin and providing you with any benefit.  If you have a BB cream that you like I see no reason to stop using it and I see no reason not to try a CC cream, but don’t expect miracles.  Sometimes the newest thing on the market just makes a scene only to disappear.  Tried and true products are always around.

Further Reading:

Image from glamour.com

 

Adventures in Self Tanning June 28, 2012

When winter finally ends in Chicago and I start wearing shorts and skirts I am always struck by how pale my legs or arms are.  Plus I have lots of prominent veins and capillaries on my legs that I really need to have professionally taken care of sooner than later, but in the meantime I am just trying to mask some of this unattractive feature.  This summer I decided that I should give Jergens Natural Glow for the body another try since now they had come out with a version with SPF 20.  I thought – perfect I’ll get my sun protection and a little color all at once.

I don’t want to look deeply tan or even medium dark – I just want a warmth to my skin instead of looking pasty white.  Of course, I knew that my skin should be exfoliated before application and that I should rub the lotion really well into my skin in order for the color, which appears after a few days, to look natural.  After reading the directions I realized I also needed to let the lotion dry thoroughly before I could get dressed.  This was difficult for me since I am always late and in a hurry in the morning, but because I didn’t want to get stains on my clothes I sucked it up and stood around my bathroom in my underwear and bra until I felt like the lotion was dry.  The lotion has, in my opinion, a strong scent which to me smells like artificial coconuts.  It isn’t my favorite smell, but I can live with it.

When I began using Jergens about two months ago, and even though I rubbed it in very well, it did not look good.  I had orange streaks on my feet, dark patches on my knees and elbows, and my hands were ghostly white since I wash them so much the self-tanner didn’t stay on them.  I tried to exfoliate the dark patches so that they looked more normal and gave up.  I just decided that stop using the lotion and live with my pale skin since I was so self-conscious about the results.

Less than a week ago I figured that I should just use up the self-tanner instead of chucking it.  And this time – wow!  great results!  No streaks this time, no ghostly white hands, and no dark elbows and knees.  The problem is I can’t figure out what I did differently this time from the time before.  Really.  Why did I get so-so, even bad results two months ago and nice, natural looking results this past week?  I wish I knew why.

I just finished the bottle this morning, and I don’t know if I am going to buy another one.  The smell bugs me, and I am afraid that my good results now were a fluke instead of what is going to go on all the time.

Please share your self-tanning tips and tricks below.  Remember – the only type of safe tan is a fake tan!

Extra Tips and Product Recommendations:

Image from jergens.com

 

The Secret to Getting Compliments During Your Pedicure May 21, 2012

Filed under: Skincare products — askanesthetician @ 5:00 am
Tags: , , , , , ,

I don’t know about you but my least favorite part of a pedicure is when the nail tech uses her file board to soften my callused heels and smooth out my rough skin.  Not only do I find this part painful, I also find it to be very ticklish.  I squirm and squirm in my chair just wishing that we could move on to the next part of the pedicure.

Just the other day when I went to get a pedicure the nail tech was very surprised (and pleased) by how smooth my feet were and that there was barely any need for her to use that dreaded foot file paddle on me.  The secret to my smooth feet?  Alternating the use of the two different products after every shower.  After I shower I either use:

  • Philosophy Soul Owner which has glycolic and salicylic acids to gently exfoliate the skin and moisturizing ingredients to hydrate
OR

While I love to use both products, alternately, on my feet you could choose one or the other for your feet.  Use the Epionce product if your feet are cracked and painfully dry.  This cream heals the skin barrier so that your skin can properly retain moisture and be healthy.  If your feet are not cracked this is simply a great moisturizer (good for your lips too!).

Use the Philosophy product if your feet are rough and you need to get rid of dry, flaky skin.  Since this product has both moisturizers and gentle acids in it, it does double duty in terms of getting your feet sandal ready.

Though you can skip a night here and there when using a product like this I do recommend using them year round instead of just during the summer.  This way your feet stay smooth and hydrated all year round.

Your feet and your nail tech will thank you!

Image from coronadobeautysalon.com

 

There Is No One Size Fits All In Skincare May 17, 2012

This post was prompted by a group of clients at our office who all knew one another.  One of the clients had been using one of our skincare lines for a very long time and with great success.  When her friends started a similar regime the original client was surprised to see that the products we recommended for her friends weren’t exactly the same as what she was using, and the original client also wondered why her friends weren’t reacting the same way to the skincare products as she had.  Of course this got me thinking about how everyone’s skin is different and that – there is absolutely no one size fits all in skincare.

While many, many people may have exactly the same skincare issues as you do – let’s say fine lines, dryness, and sun damage – that doesn’t mean that you and everyone else with the same skincare issues will use the same products or even need the same products.  You need to keep other factors in mind when comparing skincare routines.  Everyone is unique.

Keep the following things in mind:

  • Do you have any allergies?
  • What is the climate like where you live?
  • Do you spend lots of time outdoors?
  • Are you sensitive to any skincare ingredients?
  • What’s your age?
  • What is your main skincare concern?
  • How much time and inclination do you have to devote to your daily skincare routine?
  • What is your budget?
Everyone is going to answer the above questions differently and for that reason everyone is going to have a different skincare routine.  Of course it is inevitable that people are going to compare what skincare products they are using with the products their friends are using and that can be a good thing.  But don’t get bogged down in making sure that everything is the same.  As the saying goes – variety is the spice of life.

 

Image from teradatamagazine.com

 

 
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