Askanesthetician's Blog

An esthetician explores skincare issues and concerns

Nanoparticles in Sunscreens – Should You Worry? May 19, 2010

When it comes to skincare advice a few sources of information consistently upset me.  One is all the misinformation on the web about skincare (one of the reasons I started this blog was to “combat” all that misinformation) and the other is the so-called skincare advice found in glossy fashion magazines.  Now I love fashion magazines – LOVE them – but for the fashion not for the skincare advice.  I do love to get make-up advice and tips for fashion magazines, but for me fashion magazines consistently fall short when it comes to skincare advice.  Either the advice given is basic, even out-dated or it is just downright wrong or ridiculous.  In my opinion only Allure and Elle actually do real in-depth research about skincare issues and trends. 

One beauty editor who constantly gets my goat is Jean Godfrey-June, the beauty editor at Lucky magazine.  I happen to love Lucky for the fashion advice because they highlight trends and clothes that I can actually afford and would want to wear.  I love the way they style the clothes as well.  But when it comes to skincare advice Lucky sucks, in my opinion.  In particular the advice that Godfrey-June gives in her monthly column “The Beauty Closet” makes me want to scream.  Since I took the time to read Godfrey-June’s book about being a beauty editor I now know that she has absolutely no expertise in skincare beyond reporting about it (see my review of her book).  I can take or leave her make-up advice, but her skincare advice is so completely off base at times that I felt I needed to mention it here in this blog.  For example in the June issue of Lucky in the article “Clear Skin Forever: 12 Rules for achieving a perfect complexion no matter how bad you think it is” rule number 5 is:

The only topical treatment to even slightly faze the dreaded body acne is copious amounts of isopropyl alcohol.

This is completely terrible advice!  Isopropyl alcohol is drying and irritating for the skin.  On top of that it can create free radical damage in the skin.  And I should add that this is not the first time that the beauty staff at Lucky has recommended isopropyl alcohol as a treatment for body acne.  (By the way, the correct way to treat body acne is exactly how you would treat the acne on your face.  Look for products with AHA, salicylic acid, and benzoyl peroxide in them)

And then in the same issue there was this gem of advice regarding sunscreen:

The Beauty Closet

Anyone who has ever looked for a no-artificial-chemicals, all-mineral, whole-body sunscreen that does not leave you covered in a whitish film has been, until now, a very frustrated person. This brilliant, answer-to-all-my-dreams SPF30 sinks in instantly, miraculously.

And no, it has no nanoparticles either (if you’re the sort of person searching for the above ultimate formula, you do not want nanoparticles). And it smells nice! Like … lotion. That unobtrusive-yet-somehow-comforting lotion smell.




So perhaps you are wondering – what made me so upset about this product recommendation?  Let me explain.  First of all there are many, many great sunscreen formulations out there that include chemical ingredients and will not damage your skin.  Yes, some people do believe that physical blocks ( titanium dioxide and zinc oxide) are the best sunscreen ingredients just as many people believe that chemical sunscreen ingredients are just as effective as the physical ones and in some cases even better because they are longer lasting for one thing.  It all comes down to finding a sunscreen that you like and that works well with your skin type (and that you like enough to reapply throughout the day).  Chemical, physical ingredients – just use your sunscreen please!

But what was written about nanoparticles really bugged me since Godfrey-June states that if you want an all mineral sunscreen you also do not want nanoparticles in your sunscreens.   Of course, she doesn’t explain what nanoparticles are or why you would want to avoid products with them. 

I had actually been meaning to address the issue of nanoparticles in sunscreens for some time and seeing this item in Lucky finally prompted me to write this post.  The issue of nanoparticles in sunscreens is far from a simple issue and when it comes to nanoparticles in sunscreens in particular different, very credible, sources actually have come out in defense of  their use in sunscreens.


What Are Nanoparticles?


Simply put nanoparticles are tiny particles (a nanometer is one billionth of a meter) of an ingredient.  Scientists shrink ingredient particles to such small microscopic size in order for the ingredient to be able to penetrate cell membranes.  When it comes to sunscreen the ingredients that are nanosized are zinc oxide and titanium dioxide so that sunscreens do not leave a white film when applied to the skin.  The use of nanotechnology in sunscreens improves the aesthetic quality of the sunscreen and thus makes it much more likely that consumers will be willing to use the sunscreen.

The use of nanoparticles is certainly not limited to skincare products.  Nanoparticles can be found in a range of products from toothpaste to nutritional supplements to food colorants.


The Controversy Over Nanoparticles


The controversy with nanoparticles stems from research that suggests that when nanoparticles are absorbed into the skin, inhaled, or other wise consumed they can damage chromosomes and cause inflammation that could lead to cancer.   But the data about nanoparticles/nanotechnology is far from conclusive and far from exhaustive.  Much more research needs to be done about this new field of technology before a general conclusion can be reached that nanotechnology is dangerous to humans. 

When it comes to skincare products and nanotechnology it must be remembered that even if there is data that nanotechnology can be harmful to humans it might not be harmful in all forms.  Inhaling and consuming products with nanoparticles might be much more dangerous than spreading a product on your face with nanoparticles.  This is the very point about nanotechnology that has to do with sunscreens.


Sunscreens and Nanotechnology


Most sunscreens sit on top of the skin and do not penetrate past the the very top layer of the skin.  As such the use of nanoparticles in sunscreens do not pose a threat to consumers.  But don’t just take my word for it.  The Environmental Working Group, a non-profit organization of scientists, engineers, lawyers, and policy makers that researches and advocates on issues of public health and the environment, reached the same conclusion in their annual report on sunscreens in 2009.  The EWG is a watch dog group that does extensive research on a huge range of subjects that affect public health and their conclusions can be taken seriously.

Instead of paraphrasing the EWG report I will instead highlight some of the important points from the report here.  I want to quote quite a bit of the report since it does a great job of explaining the risks involved with the nanoparticles in sunscreens and then fully explains the conclusions of different research studies about nanoparticles and sunscreens. 

I get the feeling that people are having a knee jerk reaction to nanoparticles in sunscreens like they do to the issue of parabens in skincare products.  There is a lot of smoke and mirrors and hysteria without any real scientific evidence to support the fears that people express over those ingredients.  So please read the excerpts below.  You’ll find a link to the full report at the end of this post.


Nanotechnology and Sunscreens by the Environmental Working Group:

When we began our sunscreen investigation at the Environmental Working Group, our researchers thought we would ultimately recommend against micronized and nano-sized zinc oxide and titanium dioxide sunscreens. After all, no one has taken a more expansive and critical look than EWG at the use of nanoparticles in cosmetics and sunscreens, including the lack of definitive safety data and consumer information on these common new ingredients, and few substances more dramatically highlight gaps in our system of public health protections than the raw materials used in the burgeoning field of nanotechnology. But many months and nearly 400 peer-reviewed studies later, we find ourselves drawing a different conclusion, and recommending some sunscreens that may contain nano-sized ingredients.

Consumer Reports (2007) testing showed that consumers can be protected from UV radiation using products free of nano-scale ingredients like zinc and titanium. We expected to find this as well, but we took our study further than Consumer Reports to be certain. We looked not only at whether or not products provide broad-spectrum UV protection, but also at which sunscreens break down in the sun, and at the full range of potentially hazardous sunscreen ingredients that can absorb through the skin and into the body to pose other risks. Our answers changed.

Our study shows that consumers who use sunscreens without zinc and titanium are likely exposed to more UV radiation and greater numbers of hazardous ingredients than consumers relying on zinc and titanium products for sun protection. We found that consumers using sunscreens without zinc and titanium would be exposed to an average of 20% more UVA radiation — with increased risks for UVA-induced skin damage, premature aging, wrinkling, and UV-induced immune system damage — than consumers using zinc- and titanium-based products. Sunscreens without zinc or titanium contain an average of 4 times as many high hazard ingredients known or strongly suspected to cause cancer or birth defects, to disrupt human reproduction or damage the growing brain of a child. They also contain more toxins on average in every major category of health harm considered: cancer (10% more), birth defects and reproductive harm (40% more), neurotoxins (20% more), endocrine system disruptors (70% more), and chemicals that can damage the immune system (70% more) (EWG 2007).

We also reviewed 16 peer-reviewed studies on skin absorption, nearly all showing no absorption of small-scale zinc and titanium sunscreen ingredients through healthy skin. In a 2007 assessment the European Union found no evidence of nano-scale particles absorbing through pig skin, healthy human skin, or the skin of patients suffering from skin disorders (NanoDerm 2007). Overall, we found few available studies on the absorption of nano-scale ingredients through damaged skin, but nearly all other sunscreen chemicals approved for use in the U.S. also lack these studies.

On balance, EWG researchers found that zinc and titanium-based formulations are among the safest, most effective sunscreens on the market based on available evidence. The easy way out of the nano debate would be to steer people clear of zinc and titanium sunscreens with a call for more data. In the process such a position would implicitly recommend sunscreen ingredients that don’t work, that break down soon after they are applied, that offer only marginal UVA protection, or that absorb through the skin.

If this were nano-containing eye shadow, blush, or body glitter our position would be different — if it’s not protecting your health, don’t use it. But sunscreen is meant to protect us from exposure to a known human carcinogen, UV radiation, responsible for some of the more than one million cases of skin cancer diagnosed in this country every year.

EWG conducted our sunscreen study because comprehensive sunscreen safety standards have not yet been set in this country. FDA has been drafting these standards for 31 years, and still has set no firm deadline for finalizing their latest proposed rule, issued in August 2007. FDA has also not yet evaluated sunscreen chemicals that are widely available in other parts of the world and that could potentially replace nanoparticles in sunscreen.

EWG has called for more safety studies for all sunscreens, nano or not. We’ve called for more data to understand when and in what amounts these ingredients penetrate the skin, and we’ve advocated for science-based assessments of health risks, so that everyone from consumers to health officials at FDA will know that we have the best possible products on the market. For nano-scale ingredients we have also called for full labeling so consumers can make informed choices.

 safety concerns surrounding nanomaterials lead some manufacturers’ choice to label their products as free of nanoscale zinc and titanium. EWG’s 2009 analysis of sunscreens identified 16 manufacturers claiming to steer free of nanoparticles.Consumers should view such claims with skepticism. FDA has neither set standards for nanoparticle claims nor defined the maximum dimensions of a nanoparticle. Products claiming to be nano-free do not divulge the size of the particles used instead. Friends of the Earth has called for consumers to avoid zinc and titanium-based sunscreens unless manufacturers specify that they use no nanoparticles (FOE 2007). A more reliable criteria is the color of the sunscreen: larger particles leave a white coating on the skin.

Sunscreen manufacturers have used nano-scale titanium dioxide since 1990 and nano-scale zinc since 1999. Now the typical size for titanium in sunscreens is 10-100 nm for titanium and 30 to 200 nm for zinc (Nohynek 2007). At these sizes both zinc and titanium are nearly transparent. An estimated 1,000 tons of nanoparticles were used in sunscreen worldwide from 2003 to 2004 (Börm 2006). Nano zinc and titanium are thought to be widely used in US sunscreens, although they are rarely labeled as such. The common label terms “micronized” and “ultra-fine” do not preclude the presence of nano zinc or titanium in sunscreen. Consumer Reports recently tested 8 mineral sunscreens and detected nanoparticles in each one (Consumer Union 2007).

The European Union and Australian cosmetic regulatory bodies have reviewed the toxicity of zinc and titanium nano-ingredients in sunscreen. In 2000, the EU approved nanoscale titanium for use in sunscreen, concluding that the chemical does not penetrate the skin or present risks for cytotoxicity, phototoxicity, or genotoxicity (SCCNFP 2000). In 2004 the same panel reviewed nano-scale zinc and found the evidence insufficient to support its use in sunscreen. The panel could not preclude the possibility that nanoscale zinc might penetrate the skin or damage human DNA (SCCNFP 2004). In 2005 the panel called for additional study by manufacturers to evaluate these concerns (SCCP 2005). The EU Scientific Committee on Consumer Products recently recommended a case-by-case risk assessment of all nanoparticles used in cosmetics, particularly those particles that are insoluble and biopersistent, with the potential to build up in body tissues (SCCP 2007).

In 2006 the Australian Therapeutic Goods Administration concluded that the weight of evidence showed no penetration of nanoscale zinc and titanium to viable skin cells (Australia TGA 2006). The US has not evaluated the safety of nanoscale zinc and titanium in sunscreen. The FDA considers their approval of zinc and titanium as sunscreens to encompass all particle sizes.

Zinc oxide and titanium dioxide offer moderate to strong UVA protection. In the nano size range UVB protection increases and UVA protection decreases. These 2 chemicals are among only 4 US-approved sunscreens providing significant UVA protection. The remaining two, Avobenzone and Mexoryl SX, provide UVA-I protection. However Avobenzone can be quite unstable and Mexoryl is not widely sold in the U.S. Two alternative UVA blockers, Tinosorb S and Tinosorb M, have been used in Europe since 2000 but have not yet been approved by FDA.

The European Union-funded NanoDerm project conducted a series of experiments over 3 years and found no evidence of dermal penetration in human and pig skin using a variety of analytical techniques, titanium types, and test conditions. NanoDerm focused on titanium penetration since zinc is not approved for use in European sunscreens. They observed that nano-scale titanium particles often aggregated into larger masses on skin, and penetrated deepest in hair shafts. The project also performed absorption studies on skin samples from several patients with psoriasis, which has been a particular concern because skin affected by this condition lacks a protective barrier. Titanium particles penetrated nearly to the level of living skin cells (keratinocytes), but researchers found no evidence that the particles reached the bloodstream. None of their 11 publications found evidence that nano-scale titanium reached “vital tissues” (NanoDerm 2007; Kiss 2008).

EWG separately reviewed results from 16 academic experiments representing a variety of skin types (mouse, pig or human skin) and including nano-scale titanium and zinc. All of the studies examining human skin or pig skin (the most suitable surrogate for human skin) conclude that very few particles, if any, reach living skin cells (Cross 2007; Dussert 1997; Gamer 2006; Gottbrath 2003; Kiss 2007; Lademann 1999; Landsdown 1997; Mavon 2007; Menzel 2004; NanoDerm 2008; Pflücker 2001; Pirot 1996; Schulz 2002; Tan 1996; Wu 2000; Zvyagin 2008). The only signs of penetration come from studies of hairless mice, whose skin is much more permeable than human or pig skin (Kuo 2009; Wu 2009).

One recent study found no titanium particle penetration and limited zinc particle penetration (1.5 to 2.3%), though the study is difficult to interpret because of apparent background contamination of laboratory materials by zinc (Gamer 2006). Hair follicles make up 0.1% of the skin surface and can be potential openings for deeper movement of nanoparticles into skin. Penetration studies for nano zinc and titanium note accumulation of the particles in follicles, but no movement into deeper tissues (Lademann 1999, 2005, 2006, 2007; NanoDerm 2007).

The available research, including studies of psoriatic skin tested by NanoDerm, does not completely address the potential for penetration in damaged skin. Sunburned skin might be more permeable, as might skin of children or the elderly, or thinner skin that occurs in some areas of the body. The NanoDerm assessment concluded that sunscreen containing titanium nanoparticles should not be applied to open wounds, and called for more study of psoriatic skin, which has a damaged outer protective barrier.

Two studies find direct evidence of skin penetration to hairless mice (Kuo 2008, Wu 2009). Hairless mouse skin is less than half as thick as human skin and is a poorer barrier to absorption (Kuo 2009). The European Union’s Scientific Committee on Cosmetic Products considers it to be a poor proxy for human exposure (SCCP 2006).


Our assessment of the comparative benefits of zinc and titanium sunscreens that might contain nanoparticles is obviously not meant as an endorsement of all nano-scale products nor the manufacturing processes. But we find nano-scale zine and titanium to be reasonable choices for use in sunscreen, particularly given the known hazards of UV exposure, and the limited choices for UV protection in the United States. We are concerned about the potential for nanoparticle inhalation with powder or spray forms of mineral sunscreens, particularly given marketing claims promoting their use on faces and on children’s skin. EWG urges consumers to avoid mineral-based sunscreens sold in powder or spray forms, and for manufacturers of these products to avoid using nano-scale particles. Consumers can expect a wider range of safe and effective products when FDA finalizes comprehensive sunscreen standards and reassesses the safety of all sunscreens to ensure they are effective and that they are safe for people and the environment alike.



Bottom Line



I trust the research done by the EWG and see absolutely no reason to be concerned about nanoparticles in sunscreens that are rubbed into the skin.  Remember to always take the skincare information that you read in glossy fashion magazines with a grain of salt.  The people writing those articles are journalists not dermatologists, not estheticians, and not scientists.  Do your own research before reaching conclusions. 


And one last word about sunscreens.  I think the Skin Cancer Foundation says it best:

Consumers should rest assured that sunscreen products are safe and effective when used as directed. Since our inception 30 years ago, The Skin Cancer Foundation has always recommended using a sunscreen with an SPF 15 or higher as one important part of a complete sun protection regimen which includes seeking the shade and covering up with clothing.


So get out your sunscreen, with or without nanoparticles, and use it!







Test Your Label Knowledge February 28, 2010

Back in March, 2009 Shop Smart  published a quiz called:  What’s Your Beauty IQ? .  This quiz tested readers knowledge about label terms on cosmetic products such as “natural” and “cruelty free” and claims made by cosmetic and skincare companies about their products.  The quiz does a great job of debunking many myths about cosmetic and skincare labeling and really educates the consumer about what the government regulates and does not regulate in terms of cosmetic and skincare products.

This quiz ties in perfectly with my previous post – How to Be a Savvy Skincare Consumer so I thought it would be a good idea to share the quiz.  As I explained in my earlier post, the more you know how to read a product label the better choices you will make when it comes to buying cosmetic and skincare products.  This quiz is a great way to educate yourself.


Further Reading:



Book Review: Free Gift with Purchase by Jean Godfrey-June February 9, 2010

I love, love glossy magazines.  I particularly love glossy fashion magazines.  If I am reading a magazine I tune the rest of the world out; so please do not disturb me while I am holding a glossy fashion magazine.  I began reading Teen and Seventeen in junior high and by high school I was happily reading Vogue and Harper’s Bazaar. These days my two favorite glossy magazines are Allure and Lucky.  I like Allure because of the make-up tips and amke-up looks, the skincare articles, and the other articles they have about beauty (or really our perceptions about beauty).  I like Lucky for the clothes that are featured,  the way the clothes are styled, the fashion tips, the fashion website recommendations, and the fashion trends that are predicted.  The one thing I don’t care for in Lucky is the make-up and skincare advice.  I consider it uninteresting and pedestrian at its worst.  So it is interesting that I would chose to read and review the book featured here since it is by the Lucky beauty editor, the person who is responsible for those features that so annoy me in what is otherwise, in my opinion, a wonderful magazine.  But I have always been very curious about a few things – just how to magazine beauty editors choose the products that are featured in their magazines?  Do these women really know anything at all about skincare?  Why should I listen to their advice?  Once I became an esthetician I was pretty much no longer interested in skincare product advice from magazines.  Of course, I am still interested in articles about new ingredients, formulations, and skincare discoveries, but choosing products?  Thank you very much but I’ll do that on my own.  (I do have to admit that I am still a complete sucker when it comes to hair care products.  My shower currently has a product that Allure raved about a few issues ago.  I believed everything I read and went and bought the product.  Alas it does absolutely nothing for my hair.)  Yet I know many women who take the skincare advice of fashion magazines very, very seriously.  As such I actually see fashion magazines, at times, to be “working against” me.  Not so much that they give people advice that I would wish they would only hear from me but that they give out wrong advise on so many occasions.  For example, last year Jean Godfrey-June, the author of the book being reviewed here, wrote in her monthly Lucky column that she felt that too many women were doing too many unnecessary and harsh treatments to their skin (like chemical peels) and thus thinning their skin.  She then recommended a cream that would be a cure-all for those woes.  I disliked the tone of the piece and the message.  Yet now I have just read an entire book by the same author.

I wanted to read Free Gift with Purchase: My Improbably Career in Magazines and Makeup in order to both confirm my suspicions that beauty editors – a. really know nothing about skincare and b. to find what working at a magazine is really like (and yes, of course I have read The Devil Wears Prada).  I did get lots of inside information about magazines and plenty of gossip as well (if you are a fan of Bravo’s “The Real Housewives of New York City” you will want to read the parts about Kelly Bensimon).  Of course, I wish that all the people mentioned in the book were named instead of just hinted at.  I want to know which famous actress lives with Godfrey-June in the suburbs of Manhattan.  I want to know which famous European fashion designer has a strange and disgusting obsession.  But nevertheless the book did satisfy on that end.  I do wonder why Godfrey-June felt the need to devote an entire chapter to describing the suburb she lives in and how she is different, yet the same, as everyone there.  And if I hear one more time that nursing makes you super skinny after pregnancy I will scream (page 196). 

This book to me was a quick and easy and enjoyable read, but it was also chockfull of what I consider inane and unhelpful “advice”.  For example please turn to page 53 to learn that you need to take all formal wedding photos the day BEFORE your actual wedding.  Pray tell – how are you logistically supposed to pull that tip off?  And what kind of tip is that anyway?  Or see page 163 in the book to learn that you should only use Creme de la Mar (an extraordinarily expensive face cream) on your radiation burns while undergoing cancer treatments.  Or to buy nail polishes, lipsticks, lotions, and perfumes to hand out to hospital and nursing home staff in order to bribe them into giving you (or your loved one) better care – see page 35 for that tip.  But for all of those ridiculous tips Godfrey-June does make a number of important points in the book:  nothing gets rid of cellulite (page 86), her list of skincare ingredients that actually work is very up to date (pages 228-229), and finally her advice that the best present you could ever give a new mother would be to hold her baby so she can sleep is very, very true (page 196). 

I appreciated Godfrey-June’s honesty in describing her awkward physical stages, her failed beauty experiments, and embarrassing moments while doing her job, but really I read this book to have my curiosity satisfied about how exactly beauty editors go about their jobs.  And indeed my curiosity was satisfied.  According to the book beauty editors receive an enormous amount of free make-up and skincare products (Godfrey-June estimates that she receives between 50 to 200 free products a day), are wined and dined all the time by make-up and skincare companies, and receive on top of all the free products numerous free gifts from these companies.  Doesn’t sound like a bad job, right?   At least Godfrey-June recognizes that she has a job many, many people see as either  frivolous and silly or enviable (it all depends on how you feel about beauty products).  So does Godfrey-June really know all that much about skincare?  Not really – she is a journalist who has always written about the beauty industry so yes, she definitely knows more than your average joe about make-up and face creams but her advice, or that of any other beauty editor, should not be substituted for the knowledge of a trained individual (such as an esthetician or a doctor).  Godfrey-June says that the products that make it into fashion magazines are the best products, as decided by the beauty editor, and no amount of free gifts or meals will bribe them into endorsing something they do not love.  She does point out though that instead of sending beauty editors lots of free gifts if you will really want to get their attention buy lots of ad space in their magazines. 

On a personal note I had to cringe when I read three times in this book variations on the theme that facials are unnecessary, estheticians only try to sell you products, and facials just stress Godfrey-June out (pages 227, 203, and 202 respectively).  Though Godfrey-June does point out that a good esthetician can make a world of difference for a person’s skin (pages 226-227) I was upset, once again, to see my profession derided in print.  I am not the type of person to tell you that every esthetician is a miracle worker, but I can tell you that the vast majority of us take our profession very seriously and are knowledgable and capable people who can greatly help our clients improve the look and health of their skin.  And we certainly don’t receive the freebies that Godfrey-June does in order to recommend products.

Bottom Line: If you are a glossy fashion magazine devotee or simply love creams and make-up you’ll enjoy this book.  If you watch any sort of reality show on Bravo you’ll definitely enjoy this inside look into the world of celebrity make-up artists and hair stylists.

Further Reading:


Is There A Correct Way To Wash Your Face? January 31, 2010

The title of this post might seem a bit strange because how can there be an incorrect way to wash your face?  Well it turns out that what seems like a simple and straight forward act is actually more complicated than you might realize.  I think it is also interesting to point out how many people don’t wash their faces daily and find it a hard thing to do.  I wonder if some skincare issues people have could easier be solved with the right daily facial cleanser and cleansing technique?  I think Paula Begoun makes a great point in her book The Beauty Bible, 2nd edition (page 178) that is essential to get the cleansing step of your daily skincare routine “right, and that means thoroughly, but gently, cleansing the face.”

So first things first, you should wash your face daily.  Now do you need to wash your face twice a day?  Until a short time ago I would have answered that question with a resounding yes!, but now I am rethinking that stance.  Currently I am reading the book Simple Skin Beauty  by dermatologist Dr. Ellen Marmur, and in the book she writes that she usually doesn’t use cleanser to wash her face because her skin is dry and sensitive.  Furthermore, she writes that unless you have very oily skin you only need to wash your face once a day.  Dr. Marmur recommends splashing your face with cold water in the morning instead of washing it.  If you have dry skin, Dr. Marmur recommends that you only use warm water and a washcloth to clean your skin (pages 59-65).  Now this isn’t the first time that I have read or heard of a dermatologist recommending that you use only water to “wash” your skin.  I have always found this advice bizarre since it seemed to me that not only did this just move dirt and oil around your face, instead of removing it, but not cleansing your face would lead to clogged pores and breakouts.  I have always thought of the idea of using washcloths as harsh and disgusting because I figured, I don’t know why, that the washcloths were harboring lots of bacteria.  Paula Begoun writes in her book The Beauty Bible, 2nd edition that “using a washcloth can prove irritating for some skin types and should probably be avoided” (page 179).  Ok – so who is right – Marmur or Begoun?  I actually think I am going to side with Dr. Marmur on this one though I would never recommend to anyone to just splash their face in the morning with cold water as a way to wash it.  If you have very dry skin or very sensitive skin then just using warm water and a gentle washcloth to cleanse your face in the morning might be a great solution for you, but overall I think that most people will be just fine using a gentle cleanser twice a day. 

I thought about discussing in this post the different types of facial cleansers, particularly cleansers with added ingredients like salicylic acid or glycolic acid, but I decided that such information should wait for its own separate post.  So let’s get back to the matter at hand – how exactly should you wash your face?

A while ago Allure magazine published an interesting article about new facial cleansers called “Power Wash”.  Included in the article are directions for washing your face.  (By the way, this article also recommends that people with dry skin should only wash their face once a day.)  To wash your face use warm water, lather quickly with a massage like motion, and rinse.  Blot your skin dry, don’t rub.   Pretty straightforward right?  Well if you continue to read chapter 6 in Paula Begoun’s book you will see that not only do you need to be concerned about the temperature of your water when washing your face but also if you have soft or hard water in your home.  Hard water will leave a film on your skin and hair even after cleansing.  Begoun recommends that you try a water softener in your home if you have hard water.  Once you do you’ll find that your skin is softer and smoother.   

I would add one more comment about washing your face.  I love cleansing oils as a first step in your evening face washing routine if you wear any sort of make-up.  I personally use and love Dermalogica’s Precleanse, but I’ve heard (but have yet to try) great things about Shu Uemura Cleansing Oils as well.

So – how do you properly wash your face?

  • remove your make-up
  • wet your face with warm water
  • gently massage your cleanser over your entire face
  • rinse thoroughly
  • pat your face dry (and always have a separate towel just for your face)

Skin Cancer Affects All of Us January 30, 2010


I wanted to write a short post today that would tie into some of the information I mentioned in my post yesterday about winter skincare.  One of the things I discussed in the post yesterday was the importance of using sunscreen (spf 30) all year-long.  Though I would like to devote a longer post in the future about skin cancer and how to prevent it I thought in the meantime I would post some very important information about skin cancer.

According to the Skin Cancer Foundation :

  • Skin cancer is the most common form of cancer in the United States. More than one million skin cancers are diagnosed annually.
  • Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon.
  • If those statistics aren’t enough to make you sit up and take notice (and put on sunscreen) perhaps reading this article from Self magazine about skin cancer survivors will do the trick: Diagnosis Skin CancerWomen are continually updated with information about the fight against breast cancer.  I wish as much attention would be given to skin cancer.

    Sunscreen Tips:

    First of all, please remember that there is no such thing as a healthy tan.  When your skin gets darker after being in the sun that is actually your skin’s way of protecting itself from damage.  If you love the way you look after getting a tan use make-up (or get a spray tan) in order to achieve that “glow”.

    Use a moisturizer that has spf 30 or higher or a sunscreen with spf 30 or higher.  Be sure to use at least a teaspoon size of either (or both) of those products on your face in order to get enough protection.  Apply sunscreen AFTER your moisturizer (if you aren’t using a moisturizer with spf) and BEFORE applying your make-up.  Reapply your sunscreen every two hours if you are outdoors or in a sunny room in-doors.  If you are in an enclosed space all day reapply your sunscreen before going out to lunch or leaving your office for the day.  (See my post about brush-on sunscreens)  Don’t rely on make-up with spf to give you enough protection.  It is always better to use a separate sunscreen in addition to your make-up to get enough protection.

    Don’t neglect the rest of your body.  Any part of your skin that is exposed, even if it is incidental sun exposure (walking to your car, etc.), needs to be protected from the sun with sunscreen.  You can use a body lotion with sunscreen like Eucerin.

    And remember – anyone can get skin cancer!  Skin color, where you live, and your lifestyle choices may lower your risk of skin cancer, but they will not prevent it.  Use sunscreen daily!

    Recommended Website:

    Once again I’ll recommend The Skin Cancer Foundation’s website.  It is an excellent resource for all your questions about this disease.

    And lastly, what is the single most recommended anti-aging product?  Sunscreen!  So while you are protecting yourself from skin cancer by using sunscreen you are also preventing wrinkles and fine lines.   Do you need any more reasons to use sunscreen?

    Also please read:  Nonmelanoma Skin Cancers a National Epidemic  Skin IncMarch 2010



    I’ve noticed a growing interest in this post in the last few weeks so I thought I would add a few more things to the post.  I’ve written extensively about sun protection in this blog.  I think three of my more relevant posts about sun protection are:

    Also please see my post – May is Skin Cancer Awareness Month – for more links to my posts about skin cancer.


    Winter Skincare Tips Or Don’t Put Away Your Sunscreen January 29, 2010


    It is always important to “check in” with your skin at least four times a year – during each new season.  Now that winter is really upon us I felt it was a good time to talk about some winter skincare tips.

    Generally the biggest skin issue people have during the winter is dry, flaky skin which makes perfect sense, of course.  Cold, wind, and dry air all take moisture from the epidermis, the top layer of the skin, leaving it dry.  Since our dermis is our skin’s shield from external factors it is important to keep it well hydrated.  Even people with very oily skin might find that they need a  moisturizer during the winter.  There are a few ways to get that extra moisture that your skin needs.  You could simply buy a creamier, thicker moisturizer with more emollients to use during the coldest months of the year.  I actually prefer another method since I like both my daytime and nighttime moisturizers a lot.  I started using a little bit of jojoba oil on my face before applying my regular moisturizers (I buy my jojoba oil at Trader Joe’s; it is about $7 for 4 fluid ounces – very reasonable price).  Jojoba oil will not clog your pores so it is a great choice for any skin type.  You can also use a B5 serum since B5 is very hydrating.  Skinceuticals and Dermaquest both make good B5 serums.  Or you could use a hydrating mask once or twice a week in order to help your skin regain some of its lost moisture.

    Make sure that you don’t spend too much time in the shower or rinse your face with water that is too hot.  If you do you are further compromising the skin’s dermis and once again leaving it vulnerable to moisture loss.  If you are using a cleanser with AHA or salicylic acid you might want to switch your cleanser to one without those added ingredients during the winter.  Though both of those ingredients are great they can dry skin out over time and as such generally most people will find that cleansers like that are better suited for the warmer months or when you are feeling especially oily.  Instead of using such a cleanser exfoliate gently about two times a week with a lotion, mask, or gentle scrub.

    I find that my hands become extremely dry and even crack during the winter.  Wear gloves when you wash dishes or clean the house in order to protect your hands.  I am constantly washing my hands, partly because I have a two year old and I am constantly washing my hands after changing diapers and wiping his runny nose, so I find I need extra moisture to combat the dryness and cracks.  Lately I’ve been using a Vitamin E oil in the morning and night.  You can even slather your hands at night with A&D ointment which will create a protective barrier over your skin as you sleep.  (Though this is a post about winter skincare tips I will mention that in the summer I find my hands don’t need quite as much moisturizer as they do during the winter, so I simply use a regular sunscreen on them which works great to both moisturize and give me the sun protection I need.  Last summer I used the Target brand Up & Up Face Lotion spf 70 on my hands) 

    And above all – don’t forget your sunscreen!  People seem to think once it is no longer summer there is no need to use sunscreen.  Nothing could be further from the truth!  According to an article in Skin Inc. –  “Even on gray winter days, about 80% of both UVA and UVB rays penetrate clouds. And 100% of UVA rays penetrate glass.”  Further more The Skin Cancer Foundation points out: “No matter how many layers we wear, one part of the body — our head and neck area — tends to remain exposed to the sun’s damaging ultraviolet (UV) radiation year-round. Not coincidentally, the face, head and neck are where the majority of skin cancers occur.”  I cannot emphasis enough how important it is to use sunscreen daily (I recommend spf 30 or higher and be sure your sunscreen is labeled “broad spectrum” so that it protects you from both UVA and UVB rays) and to reapply that sunscreen before you go outside again after having been indoors. 

    And don’t forget to use lip balm with sunscreen (Blistex, which you can find almost anywhere and is cheap, makes a few types of lip balm with sunscreen.  There are also lots of lipsticks and lip glosses with sunscreen).  Lastly, don’t neglect your hands.  Yes, you will probably be wearing gloves when you go outside because it is cold, but do you take your gloves off while driving?  Your car is a confined space, and you are being assualted by UVA and UVB rays while in the car.  There are lots of really nice hand creams for sale that already include spf in them.  Try Neutrogena Age Shield Hand Cream, Peter Thomas Roth, or Studio Gear hand creams.  (And for my Israeli friends I highly recommend this Crema hand cream – Daily Sun Defender)

    Since dry air is extremely dehydrating to skin think about getting a humidifier to use at home. 

    Sources and further reading:


    Elective Cosmetic Surgery for the Right Reasons January 24, 2010

    Earlier this week a friend of mine gave me an old copy of More magazine (April 2009).  I had never read More before because I thought there wouldn’t be much in the magazine that I would enjoy since I am not their target demographic (the magazine is meant for women 40 and older, and I have about five years until I reach that milestone).  Much to my surprise I have really enjoyed reading the magazine.

    In the copy of the magazine my friend gave me I came across an article by Annie Groer entitled “From Buyout to Face-lift” about her decision to get a face-lift when she turned 60 and had just been laid-off.  I thought it was a great article – thoughtful, funny, and entertaining.  The article also did a wonderful job at describing why someone would choose to have elective cosmetic surgery and why such a choice isn’t entirely vain or ridiculous.  I know many, many women (and men) who consider elective cosmetic surgery a silly, narcissistic decision.  Of course there are numerous, numerous examples of people who choose elective cosmetic surgery for all the wrong reasons – completely giving in to societal pressure to look young and beautiful, deep-seated self loathing, or they are trying to change their appearance to fit in with a certain desired group.  For all those people there are many others who just want to make a few physical  improvements.  Perhaps the way your breasts look bothers you or perhaps your body (no matter how much you exercise or watch what you eat) never “recovered” from having children.  What is so wrong then with getting a few improvements?  It is clear that when you feel good about how you look your attitude and outlook on life changes, your confidence grows, and your ability to cope with what life throws at you is greatly enhanced.  This article clearly shows how a physical improvement can have those desired impacts on your life.  What I also liked about this article is that the author realizes that a face-lift won’t change her life entirely, but it would as she writes “ease [her] entry into [an] uncertain new phase” of her life.  Groer saw the face-lift as a much-needed ego boost.

    I expect that more than one person will disagree with mine and Groer’s stance on elective plastic surgery, and I think that it is important to continue to have a debate on the subject since there are many plastic surgery “abusers” and “addicts” out there.  But bottom line – if you can find a way to make yourself look better in order to feel better, and have realistic expectations about the physical and emotional results of your surgery, why not do it?  If elective plastic surgery makes you enjoy your life to the fullest than go for it!  For those reasons I don’t consider the decision to get elective plastic surgery to be a frivolous or selfish decision.  Keep your expectations in check but your goals high and enjoy your new look.


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