Askanesthetician's Blog

An esthetician explores skincare issues and concerns

What I’ve Been Reading January 18, 2013

The Oiran Komurasaki of Kadotamaya Reading a Letter

 

Before you go out and make your own beauty products read this post from The Beauty Brains:   Is DIY Mascara Safe?

Gouldylox Reviews gives you straightforward advice to getting great skin in Gouldylox Beauty Bootcamp 102: How to Get and Keep Great Skin.

Allure presents three simple steps to preventing dry hands in How to Prevent Dry, Cracked Hands in Winter.

The New York Times explores oxygen spa treatments and oxygen based creams and serums in Oxygen Bubbles Into Facial Care Products.  For more information about oxygen treatments see my posts Oxygenation Treatments: The Case For and Against and Does Your Skin Need to Detoxify/Breathe?

New Beauty discusses a sunscreen pill in Sun Protection in a Pill: The Results Are In.

Prevention helps you figure out how to make your moisturizer more effective in Why Your Moisturizer Isn’t Working.

Whole Living tells you how to use coconut oil as a beauty product in 3 New Skin Care Uses for Coconut Oil.

 

And lastly, but certainly not least, Dr. Leslie Baumann shares skin sins in The 10 Biggest Skin Mistakes – this is a must read!

 

 

Image from The Metropolitan Museum of Art – The Oiran Komurasaki of Kadotamaya Reading a Letter by Chobunsai Eishi (Japanese 1756-1829)

 

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

 

UPF Clothing – Really Protecting You From The Sun? August 20, 2012

Loyal readers to this blog know that I am sun protection obsessed.  Besides for reminding my readers to always use sunscreen I have promoted the use of clothes with built-in sun protection and laundry detergent additives that wash sun protection into your clothes (I have also used this laundry additive myself) in this blog.  But I had to rethink my promotion of these products when I read The New Times article New Breed of Products Is Said to Offer Sun Protection, but Doubts Linger back in May.  (Yes, May.  I’ve been slow to write about this issue)

Now why would I start to rethink my position on these products?  For a very simple reason – there is no oversight over their production, just over how they are advertised.  So you have to trust that the product is doing what the manufacturer says it is and being the cynical person I am I sometimes doubt that companies have the consumers best interest in mind.

The article does a good job at explaining the dilemmas surrounding these products:

…  manufacturers are upping the ante with whole new categories of chemically treated products that purport to block ultraviolet light. The products range from clothing and shoes to makeup and umbrellas. There are even sunscreen bikinis that pledge to shield those patches of skin that they actually cover.

But consumers and dermatologists have their doubts. Among those doctors who view this new breed of products as just so much marketing is Dr. Naomi Lawrence, head of procedural dermatology at Cooper University Medical Center in Camden, N.J.

“When it comes to sun protection, you really can’t beat a dark shirt with a tight weave and a good hat,” she said. “There is a lot you can do and not spend a lot of money.”

Which is not to say that many UV-protective products do not do what they promise. UV-protective clothing — once the realm of specialty retailers catering to skin cancerpatients, but now a hot seller for brands like the Gap, Izod,Uniqlo and Lands End — add protection by infusing fabric with chemicals that absorb UV rays, like titanium dioxide or Tinosorb. Sunscreen-infused laundry additives work the same way. With the infusion, summer-ready materials like cotton and linen can keep harmful rays from reaching the skin, even if the fabric is white, yellow or light blue, for example.

Because standard clothing must be densely woven or dark colored to offer advanced UV protection, these specially treated clothes are “good if you want something long-sleeved that is also lightweight,” Dr. Lawrence said.

But as sun-protective clothing has made its way into the mainstream, seemingly obvious features like sleeves have occasionally been sacrificed, defeating part of the purpose. Lesser offenses include shorts and sleeveless shirts, while items like bikinis — which claim to offer the maximum degree of sun protection — might be a bit of a stretch.

…  The Food and Drug Administration briefly regulated sun-protective clothes in the early 1990s, classifying them as medical devices. While it no longer does that, the Federal Trade Commission does monitor marketing claims about garments and sun protection. A measurement called UPF, or ultraviolet protection factor, is the standard for UV-protective clothing. Developed in 2001 by ASTM International, a product-testing agency, a UPF ranges from 1 to 50, with 50 being the most UV light that is blocked by a garment.

Despite the doubts about these clothes why are consumers still purchasing them?

While no one tracks sales of sun-protective products across categories, the market for them is clearly growing, said Marshal Cohen, chief industry analyst with the NPD Group, a research company.

“Coming out of the recession, consumers are looking at products with a greater level of scrutiny and greater expectations,” he said. “They want their products to do more than just one thing, not just to look good, but to travel well and to match their lifestyle and to protect them from the environment.”

So is it a good idea to invest in these types of clothes which generally are not cheap?  I think that if you spend a lot of time outdoors in a sunny climate than yes.  Clothes like these could definitely benefit people who exercise outdoors in the summer and have a tendency to both sweat off their sunscreen and/or not have the time to reapply.  Clothing with built-in sun protection could be a real help to such people.  Just make sure you buy your clothes and products for a reputable manufacturer and read consumer reviews before hand.

 

Further Reading:

Image from spagenius.com

 

In Memorandum: Evelyn Lauder November 21, 2011

A few months ago I read a fairly interesting article in Harper’s Bazaar about Evelyn Lauder, daughter-in-law to Estee and wife of Leonard Lauder, that shared her beauty and entertaining tips and lavished attention on her homes, fashion choices, and overall fabulous lifestyle.  The article only briefly touched on her background, career, and charity work leaving me, who knew nothing about Evelyn Lauder, quite in the dark about her true contributions to the beauty industry and breast cancer research.  Since the article included many stunning photos of the 75-year-old (see above for an example) after reading the article my main thought was  – “wow, I hope I can look that amazing when I’m 75″.  I decided the article was mainly a fluff piece about someone wealthy and privileged and didn’t give much more thought to it.  It turns out I was quite wrong on many levels about Evelyn Lauder.  First of all, despite her fabulous appearance in the photos in the magazine Lauder was quite ill.  About a week and a half ago she passed away from ovarian cancer.  And secondly, after her death I learned much more about this woman and have to say that there was much to admire about this beauty industry icon.

Lauder was born in Vienna in 1936, and luckily she and her parents eventually found safe passage to England thus escaping the Nazis.  But their haven in England was not without its traumas as well:

Evelyn Hausner was born on Aug. 12, 1936, in Vienna, the only child of Ernest and Mimi Hausner. Her father, a dapper man who lived in Poland and Berlin before marrying the daughter of a Viennese lumber supplier, owned a lingerie shop. In 1938, with Hitler’s annexation of Austria, the family left Vienna, taking a few belongings, including household silver, which Ernest Hausner used to obtain visas to Belgium.

The family eventually reached England, where Evelyn’s mother was immediately sent to an internment camp on the Isle of Man. “The separation was very traumatic for me,” Mrs. Lauder said. Her father placed her in a nursery until her mother could be released and he could raise money. In 1940, the family set sail for New York, where her father worked as a diamond cutter during the war.

In 1947, he and his wife bought a dress shop in Manhattan called Lamay. Over time they expanded it to a chain of five shops.

Source:  The New York Times - Evelyn H. Lauder, Champion of Breast Cancer Research, Dies at 75

Evelyn Lauder met and married her husband while his mother was building her beauty empire, and it turns out that Lauder held many roles in the company as well:

Evelyn H. Lauder (1936-2011) was the Senior Corporate Vice President and Head of Fragrance Development Worldwide for the Estée Lauder Companies Inc. During her more than 50 years with the Company, she held many positions while contributing her invaluable insights about fashion trends, consumers’ changing needs, and new approaches to the development of innovative skin care, makeup and fragrance products. She also helped name the Clinique brand. As Head of Fragrance Development Worldwide for the Estée Lauder Companies, she led the development of the Company’s most globally successful fragrances, including the best-selling Beautiful and Pleasures.

But it stands to reason that Evelyn Lauder will be remembered most for her role in spearheading breast cancer research.  After her own diagnosis in 1989 of breast cancer she become an advocate for research to find a cure for the disease along with providing support for those with the disease.  She created the Pink Ribbon Campaign, an instantly recognizable symbol for breast cancer research and support, and founded The Breast Cancer Research Foundation which has raised more than $350 million to date for research.

So I would like this post to be a tribute to a great beauty industry icon who overcame adversity to truly make a significant difference in so many women’s lives.  Rest in peace Evelyn Lauder – thank you for all your hard work (and sorry I misjudged you).

 

More tributes to Evelyn Lauder:

  • The editor-in-chief of Self magazine made a touching video about Evelyn Lauder which also explains how the pink ribbon campaign came about in the first place
  • Personal remembrances of Evelyn Lauder in Prevention magazine
 

Do You Have Porexia? June 13, 2011

Thank goodness forThe New York Times because sometimes they just publish the perfect article.  Case in point – the article entitled Do My Pores Look Big to You?.*   One of the biggest complaints estheticians hear from their clients is that the client wants to minimize the appearance of their facial pores.  It turns out that this obsession with one’s facial pores actually has a name – porexia.  The article explains:

Some fret about fine lines and sun spots; others are fixated on pores. High-definition television has arguably upped the ante. Consider the celebrity with glistening teeth and yogic arms, but a jarringly pock-marked nose in close-ups. Viewers think, “If her pores look like that, what do mine look like?” said Dr. Mary Lupo, a clinical professor of dermatology at Tulane University School of Medicine.

Like home renovators who overhaul the kitchen only to then find fault with the master bath, some dermatology patients feel that, once their wrinkles are relaxed and their brown spots treated, their pores stand out. Such is the level of worry that doctors have nicknamed the condition “porexia.”

“There’s a level of obsessiveness,” Dr. Lupo said. “Instead of looking at the global picture, they overfocus on an individual component of the picture.”

It’s not just women who are concerned about large, perpetually clogged pores. Tony Silla, an owner of the Face Place and the head aesthetician at its Los Angeles flagship, said men vent about the craterlike look of enlarged pores more now than when he got into the business 16 years ago. “They don’t want their nose to look like their grandfather’s nose,” he said.

Now for those of you who might have porexia or for those who will admit that they suffer from this condition here are a few things to keep in mind:

Pore size is mostly genetically determined and grows with age, despite the conventional wisdom that only teenagers are swiping their noses with Stridex. The more collagen lost, the looser the pores’ natural support structure becomes, making them great nets for dead skin cells. “Loosening that girdle over time” makes them look bigger, said Dr. Amy Derick, a dermatologist in Barrington, Ill.

And most importantly remember the following:

No matter what marketers might lead the gullible to believe, pores cannot be shrunk permanently. But they can look smaller, temporarily.

Don’t get disheartened by the above statement.  First off there are tons of products on the market that will help minimize the appearance of your facial pores, but before you go investing in such products I want you to ask yourself  the following question:  are my pores really that big or am I obsessing about them needlessly?  There is a reason that I selected the photo above to illustrate this post.  Unless your eye sight is poor please throw out your magnifying mirror – those mirror just make people obsess needlessly about their appearance.  If your pores appear big because you examine them nightly in your magnifying mirror keep in mind that your facial pores probably aren’t large at all.  If you can’t see your facial pores without a magnifying mirror don’t go looking for them.  You’ll only find them because you looked for them.  Keep in mind that no one’s skin can look like the skin on models in cosmetic ads and fashion magazines.  I call those photos – “the tyranny of perfect skin”.  Rarely, rarely does anyone’s skin look like that in real life – including the model’s skin.  They airbrush the hell out of those photos.  I find that many people think they have large pores when they do not so please take a moment to really assess the appearance of your skin.

OK -  so what can you do to minimize the appearance of large pores if you really do have them?  Here are a number of suggestions:

Dr. Fredric Brandt, a dermatologist in Manhattan and Coral Gables, Fla. [says] “Keeping pores cleaned out is going to make them look a lot smaller,” he said.  …

But like exercise, physical exfoliation even once or twice a week can seem an unpleasant task. “Most people surprisingly don’t exfoliate,” Mr. Silla said. “It’s laziness.”

Even the lazy, though, can use a cleanser with salicylic acid or glycolic acid routinely, or get a prescription for a tretinoin like Atralin or Renova, if it doesn’t irritate their skin (causing redness and flakes on top of the pore problem).

Dr. Rendon added that there is another reason to fear sun damage: “It leads to bigger-looking pores,” she said. She recommends daily, year-round use of a sunscreen. If the damage is already done, treatments that aim to stimulate collagen — for instance, intense pulsed light (IPL) and certain lasers or peels — can improve the appearance of pores for 4 to 12 months at most, Dr. Lupo said.

But “it will require constant maintenance,” she warned. Alas: “We have no permanent solution to make pores appear smaller.”

And don’t forget the power of a good make-up primer and powder.  Both will temporarily help minimize the appearance of large pores.  For tips on how make-up can disguise your large pores see my post Large Pores – Can You Shrink Them?.

 Further Reading:

*I’ve actually written about this subject in my past in my blog (see my post Large Pores – Can You Shrink Them?) which included much of the same information that is in The New York Times article, but I loved The New York Times article so much I wanted to write a post about.

 

 
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