Askanesthetician's Blog

An esthetician explores skincare issues and concerns

Winter Skincare Round-Up December 14, 2014

 

Winter can bring about a lot of unpleasant skin changes – dry and itchy skin, red and irritated skin, cracked hands, chapped lips.  Fun, right?  As always I want to help my readers best care for their skin under any weather conditions, but instead of writing a new post about winter skin care I’m going to share my older posts on the topic.  Looking back at my previous posts I realized I had covered so many issues related to winter skincare that, at the moment, there wasn’t something new to add.

Happy reading and wishing you beautiful and healthy skin during the winter!

 

Photo from wallalay.com

 

A Slew of Interesting and Important Sunscreen Articles July 21, 2014

Filed under: skin cancer,sun protection,Uncategorized — askanesthetician @ 7:30 am
Tags: , , , ,

 

Allure magazine’s Daily Beauty Reporter recently published a few excellent posts about sunscreen that I decided to share here all at once instead of posting them piecemeal on my Facebook page:

 

 

Wrinkles and Pimples At The Same Time: Solutions May 5, 2014

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This post was inspired by something I saw on Facebook.  The reality for many women is just as they start to see wrinkles on their skin (perhaps around the eyes or on the forehead for example) they still get an occasional pimple.  This can be both frustrating and confusing.  Yet it isn’t so difficult to find one solution for both skincare issues.

I would like to point out that the skincare phenomena I am writing about here is not adult acne.  While adult acne is definitely on the rise, I am referring here to people who are probably in their late 30s, early 40s and are starting to see the emergence of fine lines while still occasionally experiencing breakouts (for women perhaps around the time they get their period).  This is also different from women who are undergoing menopause and find that they are all of a sudden breaking out.  I’ve blogged about both adult acne and menopause’s effects on the skin in the past.  Those posts are listed below if you would like to look at them.

In my opinion what is happening here is simple: you are starting to see fine lines because sun damage from years before is now becoming visible, and you are still experiencing an occasional breakout because of your hormones (especially those related to your period) and/or stress.  Just as I see the cause of this skincare issue as fairly straightforward so is, in my opinion, the solution: add a retinol cream to your skincare regime at night, make sure you use sunscreen daily, and use an antioxidant serum every day.  Be sure not to go overboard in order to improve the appearance of your skin.  Do not start using anti-acne products meant for teenagers such as Stridex or Clean & Clear.  These products will be much too harsh for pretty much anyone who isn’t a teenager anymore.

Retinol is the ideal skincare ingredient for people experiencing both fine lines and an occasional breakout because it can treat both issues simultaneously.  I’ve written about retinol and Retin-A before in my blog (you can find the posts below), but I’ll explain again why this is a great skincare ingredient.  As Lab Muffin explains in the post Fact-Check Friday: What Does Retinol Do? :

Retinol is a form of vitamin A. Other forms of vitamin A in skincare that you may be familiar with include isotretinoin (better known as Accutane) and retinyl palmitate (another topical ingredient found in many creams).

Things retinol can help:

– fine lines and wrinkles
– skin roughness and dullness
– skin firmness
– pigmentation from age spots
– acne

Retinoids are skin cell normalizers so that means that they speed up skin cell turn-over which will help clear up breakouts, and retinoids help rebuild collagen so they will minimize the appearance of fine lines and wrinkles over time. As such adding a retinol product to your skincare regime is the perfect solution for both fine lines and breakouts.

Just keep a few things in mind when using retinoids (I’m quoting Lab Muffin again):

Retinols can be irritating to the skin, and cause dehydration. To reduce the chances of this happening, you should introduce it into your routine slowly (don’t use it every day to begin with), and use extra hydrating moisturisers.

Retinol breaks down with exposure to light and air. Pick a retinol product in an airtight, opaque container to improve its shelf life.

Using retinol with other excellent skin treatments like AHAs and vitamin C can speed up the skin renewal process, fading hyperpigmentation and wrinkles faster. However, the activation of retinol by skin enzymes is optimal at a higher pH (5.5-6) than the pH for AHAs (3.5). While there isn’t much research on how quickly the pH of skin readjusts itself, waiting an hour or so in between applying the two is a safe bet, or even using one in the morning and one in the evening.

Retinol, much like AHAs, can make the skin more susceptible to sunburn. Wear extra sunscreen when you use retinol so you don’t completely reverse its beneficial effects!

Lastly, keep in mind that you cannot use Retin-A or retinols when pregnant or nursing.

 

So how would this anti-aging, anti-acne skincare regime look?  I suggest cleansing twice daily with a mild cleanser, applying an antioxidant serum in the morning (such as a Vitamin C serum in order to boost the effectiveness of your sunscreen, further prevent the signs of aging, protect your skin from inflammation), and then using a sunscreen with a spf between 30 to 50 (you can also use a separate moisturizer before your sunscreen if you feel your skin needs it).  In the evening after cleansing apply a retinol cream followed by a moisturizer.  Pretty simple, right?

 

Recommended Products:

  • While I am not familiar with all the recommended products in this article I like the approach of this skincare regime since the recommended products are not too harsh.  Remember there is no need to buy just anti-acne products if you only experience an occasional breakout.
  • Cleanser:  I suggest using a mild cleanser such as CeraVe or even Cetaphil.  You don’t need to use an anti-acne cleanser.  That would be overkill for most people.
  • Antioxidant serum:  See my previous posts below for more information about why you want to use an antioxidant serum and in particular a Vitamin C serum.  There are quite a few good (and even great) Vitamin C serums out there, but at the moment my recommendation is to buy one from South Korea.  OST Original Pure Vitamin C20 Serum is excellent and super affordable (even when you factor in the shipping costs). I am using it now and love it.
  • Moisturizers and Sunscreens:  Choose your products according to your skincare needs and the weather in the area you live in.  Some people may need a richer moisturizer and others not so much especially if you live in a humid climate.  Now that Target is selling some of my favorite skincare lines making them accessible to all I would recommend Laneige Water Sleeping Mask as a moisturizer (don’t be put off by the name; it’s a moisturizer), particularly as a nighttime one, and any La Roche-Posay sunscreen, particularly Anthelios Ultra Light spf 60.
  • Retinol Creams or Serums:  There are also numerous retinol products on the market including ones from Roc and Neutrogena, but for my money I would try either La Roche-Posay Effaclar K Daily Renovating Acne Treatment (if you have blackheads and more than just the occasional breakout) or La Roche-Posay Redermic R (if you only have an occasional breakout).

Further Reading:

 

Korean Skincare Products: Tested December 12, 2013

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Anyone who is a regular reader of this blog knows that I am fascinated by skincare products and routines from around the world, and in particular I’ve developed a real obsession (not a scary, stalker one – I swear) with all things related to South Korean skincare and beauty.  Over a year ago I wrote a post called Beauty in South Korea in which I discussed how South Korea (and other Asian countries such as Japan) are world leaders in skincare innovations and trends.  (Don’t forget that the BB craze first caught on in South Korea)

After writing the post mentioned above I spent a lot of time online looking at various Korean skincare products and wondering just how well they worked.  Finally I took the plunge and ordered products from two different websites: Wishtrend and I Buy Beauti.  First a few words about these sites.  Each site has completely different brands, giving the consumer a wide variety of products to choose from.  Though both sites carry mostly skincare products they also have make-up (including lots of BB and CC creams).  Products are presented with lots of information, many times that includes instructional videos (sometimes in Korean, sometimes in English).  The English language is used very creatively on the sites which I found quite entertaining.  Prices are reasonable, and the sites always seem to be having specials as well.  Both sites ship worldwide (Wishtrend ships for a very reasonable fee, I Buy Beauti ships for free :)).  My items were packed very safely (ie lots of bubble wrap) and compactly.  It took about three weeks from the time of my order until I received my products here in Israel; I paid via PayPal each time.  You receive lots of free samples with your order, and I Buy Beauti even included a thank you postcard which I found to be a lovely touch.

I did wonder if the products on these websites were the Korean equivalent of drugstore products like Neutrogena or Garnier or more upscale like those skincare products sold at Sephora.  My attempts at researching this question failed so if anyone knows the answer I would appreciate hearing from you.  Also if anyone knows a good website to purchase Japanese skincare products from, that doesn’t have crazy international shipping costs, I would love to hear from you as well.

With so many products to choose from I had a lot of trouble deciding what to try.  Since at the time of my order I needed moisturizer and sunscreen I concentrated my purchases on those items.  Now that I am finally getting around to reviewing my purchases I’ve noticed that some of the items are no longer available online, but I’ll still review them here anyhow.

Wishtrend Products

When I was making my purchases the weather in Israel was turning hot and humid so I wanted to get a light, daytime moisturizer.  For reasons that I can no longer remember (it might have just come down to choosing according to price since there were so many interesting products to choose from) I bought Klair’s AC Control Lotion with aloe and snail  (I can no longer find the product on the website).  Yes, I chose a moisturizer with snail slime which is a very trendy ingredient in Asian skincare at the moment. As I already indicated when the product arrived I couldn’t figure out why I had decided to buy this moisturizer over another one particularly since I really don’t believe the hype about snail slime and I’m a lifelong vegetarian (yes, I know I was going to be putting it on my face and not eating the slime but I do prefer to avoid products with obvious animal ingredients though I am not a vegan).  But I have to admit that I didn’t have the patience to mail the product back and wait for another (even after the spring on the pump broke and I could no longer get the product out as intended I still didn’t send the product back) so I just decided to use it.  The entire label is in Korean though there is a nice snail smiling at me from the front of the container and that picture can be universally understood.  Apparently the snail is happy to share his slime with me.  Anyhow, the moisturizer itself is very light and just fine.  After using it for months there really isn’t anything else to say about it.  It absorbs quickly into the skin, you don’t need all that much in order to cover your whole face, and it smells ok.  I wasn’t blown away by this product and even if I could I wouldn’t purchase it again.

Another item I purchased was which is SPF 50 and has Vitamins C and E in the formulation.  This product promised all the things I look for in a sunscreen for summer – a high SPF, contains antioxidants, chemical and physical sunscreen ingredients, and was supposed to be non-sticky, lightweight, and non-whiting on the skin.  The label for this product is in both English and Korean.  In the end I was disappointed by this sunscreen as a summer sunscreen because I found it too heavy on the skin for use in hot and humid weather.  I recommend it for winter use since it actually is quite moisturizing.  As a sunscreen I have no complaints, but the feel on skin was not as light as I expected.  I constantly hear clients complain how sunscreen feels too heavy on their skin, and the feel of this product would certainly cause a lot of whining.

I also purchased a sheet Vitamin C mask which I can no longer find on the website.  This product was a lot of fun.  The product is packaged in a two pouch flat package that is sealed in the middle separating the sheet mask from the Vitamin C serum.  All the words on the label were in Korea, but luckily there are pictures on the package so you can easily figure out how to use the product.  You need to roll the package so that the seal breaks and you mix the mask with the serum.  Then you remove the mask and place it on your face for about 15 to 20 minutes.  No need to rinse your face afterwards; if any serum remains on your face just gently rub in into the skin.  I tried the mask before bedtime and found that my skin felt very soft the next morning.

Additonally,  I received a bunch of samples from Wishtrend that I had a lot of fun trying.  First off I tried Elisha Coy’s Always Nuddy BB 24 which I liked a lot.  It gave very natural, light coverag; I would definitely consider purchasing a regular size of this product in the future.  I also received a sample of Elisha Coy’s Skin Repairing Snail Cream (yes more snail slime) which was fine, but I would not purchase a regular size of this product.

I was also sent a lot of Skin&Lab samples which were lots of fun to play with.  The samples were moisturizers and essences which are labeled by the letter of a vitamin such as C Plus Brightening or A Plus Lifting or E Plus Moisturizing or ACE Triple Action Essence.  I mixed and matched the samples.  In the morning I might have used the moisturizer with Vitamin C and then in the evening the moisturizer with Vitamin A. Essences are an Asian skincare innovation that have a gel-like consistency.  After toning, but before moisturizing, you apply an essence to treat skin issues.  The moisturizers were nice, but I really loved the essences and would definitely consider purchasing one again in the future.

The last sample I received was two anti-blackhead, anti-acne mask both from Caolion: Blackhead Steam Pore Pack and Pore Minimizing Pack.  I actually haven’t tried these products yet so I can’t comment on them.

I Buy Beauti Products

I made just three purchases through this website and two were from the same brand – tn (teen’s nature).  I was looking for a nighttime moisturizer and was sucked in by the video that I found on the page for the moisturizer Moisture Cocktail Cream.  Yes, I fell for the advertising, something I always tell my readers to resist.  Anyhow, this moisturizer is very light with a gel-like consistency.  It is easily absorbed into the skin, has a light refreshing scent, and nice packaging (what can I say – I’m a sucker for good packaging).  I was surprised by the feel of the moisturizer since, as mentioned above, it is a gel not a cream or liquid, but I actually like it a lot.  If you live in a colder climate this is definitely not a winter moisturizer option for you, but it works well in warmer climates or in summer.  It’s also a good choice for oily skin.

For make-up removal I purchased Etude House Eraser Show Cleansing Serum which is a cream version of make-up removal products like Dermalogica’s PreCleanse or DHC’s Deep Cleansing Oil.  Apply to dry skin, gently rub into your skin, rinse, and then cleanse with your favorite facial cleanser.  I thought this product did a pretty good job removing my make-up (I have never found a product that removes all my eyeliner and waterproof mascara), and it certainly left my skin feeling soft.  Another plus – though the package is on the small size (75 ml or 2.53 fluid ounces) I have found that a little bit goes a long way, and it has lasted me months. This is a product I would definitely consider repurchasing; it is also very reasonably priced.

I am consistently on the look-out for a sunscreen that I can carry with me in order to reapply, over make-up, during the day.  I gave up on brush-on sunscreens about a year ago because they were constantly exploding all over my purse, but, more importantly, I realized that though they might not mess up my make-up they weren’t really giving me any sun protection.  I tried stick sunscreens and was disappointed.  So when I came across this sunscreen balm (tn Sun Balm SPF 50) that was packaged like a make-up compact I had to try it.  I love this!  All I can say is whomever invented this product is a genius.  The mirrored compact contains a sponge for easy application, and the product itself goes on smoothly and invisibly.  I have definitely found my solution for how to reapply sunscreen during the day.  It’s not messy and won’t explode in your bag like brush-on sunscreen, you definitely can control where you put it on your face and know how much you’ve applied, and it leaves a matte and silky finish on your skin.  Yes, my sponge quickly turned brown since some of my morning make-up was removed when I applied this product, but I never noticed that my complexion looked worse.  I highly, highly recommend this product!

Lastly, with my purchase I received samples of tn Facial Foam Cleanser and Moisture Lotion neither of which I can find on the website (though maybe I’m not looking for the right product; I can’t tell).  Both were fine though nothing to write home about.

Bottom Line:  Overall I was pretty happy with my Korean skincare product purchases.  I will definitely be trying other products in the future.  Both websites mentioned here are well worth exploring and buying from.

** Have you tried any Korean skincare or make-up products?  If yes, please share your experiences below.  Be sure to mention where you bought the products.  **

Image from hermo

 

May Is Skin Cancer Awareness Month May 7, 2013

Sunbathing by the Sea

The number of times I have written a post in this blog about sun safety, skin cancer, or sunscreen could, at this point, fill a book.  Well maybe not a book but at least a thick pamphlet.  But since it is once again Skin Cancer Awareness Month I thought it important to revisit these topics yet again.  It is always good to be reminded about proper sun safety.  Skin cancer is an almost entirely preventable cancer so keeping yourself and your loved ones safe from the sun is of utmost importance.  Yes, proper sun protection takes some extra time and thought, but preventing skin cancer shouldn’t be an afterthought.  And I haven’t even mentioned the wrinkles and pigmentation issues that come from daily sun exposure.  So if skin cancer doesn’t concern you particularly at least protect your skin from the sun in order to keep it looking young and fresh.

The Skin Cancer Foundation provides the following sun safety tips:

Since its inception in 1979, 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. Sunscreen alone is not enough, however.

  • Seek the shade, especially between 10 AM and 4 PM.
  • Do not burn.
  • Avoid tanning and UV tanning booths.
  • Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
  • Use a broad spectrum (UVA/UVB) sunscreen with an SPF of 15 or higher every day. For extended outdoor activity, use a water-resistant, broad spectrum (UVA/UVB) sunscreen with an SPF of 30 or higher.
  • Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside.
    Reapply every two hours or immediately after swimming or excessive sweating.
  • Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
  • Examine your skin head-to-toe every month.
  • See your physician every year for a professional skin exam

Allure adds even more tips:

As much as we know about skin cancer, though, only about 20 percent of us wear sunscreen daily. (Which is crazy, considering in a poll we did onAllure’s Facebook page, 68 percent of our fans said they either have had skin cancer or know someone who has.) But here’s the thing: It’s never too late to start taking care of your skin. Here, a few sun-protection tricks to keep in mind as the temperatures start to rise:

• If you’re the outdoorsy type, you may want to take a summer vacation from retinols: They thin the top layer of skin and can make you vulnerable to redness and brown spots, says dermatologist Fredric Brandt.

• One bottle of sunscreen is not going to last. “One ounce is the right goal for each application, as well as for each reapplication, so a 12-ounce bottle is 12 servings—and that’s not a lot,” says Patricia Wexler, an associate clinical professor of dermatology at Mount Sinai Medical Center in New York City. Set an alarm on your phone to ring every two hours to remind you to reapply.

• If you’re outside for 30 minutes or more, wear a chemical sunscreen (like one with Mexoryl SX or Parsol) topped by a physical one (with Z-Cote or titanium dioxide). “Neither type is 100 percent perfect, and whatever rays get through the first layer are caught by the second one,” says Miami dermatologist Leslie Baumann.

• Think twice before you use sunscreen wipes: The FDA is reviewing their effectiveness, along with powders and shampoos containing SPF. (No decisions have been made yet.)

So whatever your daily beauty routine is make sure that it includes an SPF of at 15 but SPF 30 is better.  Apply 365 days a year, rain or shine.  And be sure that everyone you love and care about is protected from the sun as well.

My Related Posts:

As I mentioned at the beginning of this post I’ve written so much about the topic of this post that I decided to choose some of my related posts to share here.  If you type “sun” into the search line on the home page of this blog you’ll find even more related posts.

Image from askdegas.com: Sunbathing by the Sea.  And yes, I do think everyone should go to the beach fully dressed 🙂

 

My Beauty Regrets February 12, 2013

This post was inspired by two separate posts I read online.  The first was Beauty Regrets I Wish I Knew In My 20s from My Beauty Bunny and the other was ATB Learning Curve: 10 Beauty Lessons I Learnt in My 20s from Addicted to Blush.  (Full disclosure – I found the second post since my blog is mentioned in the post.  Before then I did not know of this blog, but I am finding it quite fun to read a beauty blog from India)  Though I am well past my 20s, and nearing 40 more and more with each passing day, I did find parallels in my beauty regime to what the ladies mentioned in their posts.

Overall I try not to have regrets when it comes to anything or everything in my life.  But try as I might, of course, I do still have regrets.  Mine mostly revolve around something I should have said to someone or something I shouldn’t have said to someone.  I’m a work in progress but aren’t we all?

So without any further delays my beauty regrets are as follows:

  • Not taking sun protection more seriously sooner.  I started using a moisturizer with SPF in it back in high school (or at least I think I did, maybe it was college), but now I know I didn’t use enough and I never reapplied.  I have the sun damage to prove it.  In the last few years I’ve become a sunscreen fanatic, and I am never without a sunscreen at all times so that I can reapply.  Many people think I am insane because of my sunscreen fanaticism, but I don’t care :).
  • I wish I had learned about skincare ingredients sooner.  Until I started studying esthetics about five years ago I got all my beauty information from glossy fashion magazines.  Not that those magazines cannot provide helpful information for the consumer, but they are certainly just one perspective on a complicated and far-reaching subject.  Once I started my esthetic training I discovered a wealth of publications for estheticians that I currently read and blogs that help me sort through all the beauty mumble jumble out there (for a list look at the right hand side of my home page under “links I love”).  I also started reading lots of books by dermatologists which I have found very informative (look under “book reviews” for my reviews).  Better informed you are the better choices you make when it comes to taking care of your skin.  Lastly, always remember to keep an open mind.  I am constantly learning new things from my fellow estheticians, the reading I do, and from taking care of different client’s skin.
  • I wish I had understood the link between skin health, particularly acne, and food earlier.  Last year I read quite a few books about skin health/beauty and food.  What I found most fascinating was the information about an alkaline diet and skin health.  (You can find more information about this in my two earlier posts Is An Alkaline Diet Good for Your Skin? and Book Review: Stop Aging, Start Living)  I also wish I had realized sooner how awful sugar is for your skin and health.  I am still trying to break my sugar addiction.  (For more information on how terrible sugar is for your skin see this post of mine)
  • I regret not doing chemical peels sooner.  Chemical peels are a great way to treat a myriad of skincare conditions including, though not limited to, hyperpigmentation, acne, and fine lines.  (For more information about chemical peels see my post 13 Reasons You Should Get a Chemical Peel from an Esthetician)
  • I wish I had learned to apply make-up earlier.  I’ve reached the point in my life were I really look better with some make-up on instead of none.  It took me years and years and years to get over being intimidated by make-up, any make-up.  I can’t say that I am great at applying make-up, but I do have simple routine down pat.  Make-up is also a great way to be creative without having regrets since you can simply wash your face and be done.  (I recently discovered Lisa Eldridge’s make-up tutorials.  Check them out!)

So what are your beauty regrets?  Share below!

Image from http://www.underconsideration.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

 

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

 

Foods That Prevent Skin Cancer? July 26, 2012

My newest skin obsession is finding out how the foods we eat impact our skin both positively and negatively.  Recently I came across the following information about foods that may help prevent skin cancer.

According to Prevention magazine (August, 2012, page 26):

Supplements – including vitamins, minerals, and antioxidants from berries, green tea, red wine, and dark chocolate – may help protect against skin cancer, a recent spate of studies show.  “Regularly drinking green tea or adding antioxidants in the form of vitamin E or beta-carotene may be helpful, although topical use shows greater promise,” says Andrew Weil, MD, director of the Arizona Center for Integrative Medicine.  “Compounds found in grapes (resveratrol); berries (ellagic acid); cruciferous vegetables such as broccoli, cauliflower, cabbage, kale, bok choy, and brussel sprouts; garlic; onions; and the spice turmeric also show promise for general cancer prevention.”  But the effects are modest, Dr. Weil says.  Preliminary studies also suggest that Heliocare, an oral supplement made from South American fern plants, may boost the body’s defense against sun damage slightly, but it’s very expensive.  So don’t forget the sunblock!

And drinking caffeinated coffee may help prevent certain types of skin cancer as well:

Drinking more cups of caffeinated coffee could lower a person’s risk of developing the most common form of skin cancer, basal cell carcinoma, according to a recent study published in Cancer Research, a journal of the American Association for Cancer Research.

“Our data indicate that the more caffeinated coffee you consume, the lower your risk of developing basal cell carcinoma,” said Jiali Han, associate professor at Brigham and Women’s Hospital, Harvard Medical School in Boston and Harvard School of Public Health.

Han and his colleagues conducted a prospective analysis of data from the Nurses’ Health Study, a large and long-running study to aid in the investigation of factors influencing women’s health, and the Health Professionals Follow-up Study, an analogous study for men.

Of the 112,897 participants included in the analyses, 22,786 developed basal cell carcinoma during the more than 20 years of follow up in the two studies. The results revealed a decrease in the risk for basal cell carcinoma as coffee consumption increased. Similar results were seen with other caffeinated products such as tea, cola and chocolate. Caffeinated coffee also reduced risk for other serious conditions such as type 2 diabetes and Parkinson’s disease.

However, consumption of decaffeinated coffee was not associated with a decreased risk of basal cell carcinoma, the study found. Also, neither coffee consumption nor caffeine intake were associated with the two other forms of skin cancer, squamous cell carcinoma and melanoma, the most deadly form of skin cancer.

Still, Han said more studies in different populations are needed before the group can make a “definite” determination on the impact of caffeine on these serious health conditions.

(Skin Inc.Study Says Caffeinated Coffee Decreases Skin Cancer Risk)

At least now I know my morning coffee is protecting my skin instead of hurting it, and I’ll continue to drink my green tea in order to help my skin.

 

Sunscreen Myths – Beware of Things You Read and Hear July 2, 2012

Filed under: sun protection — askanesthetician @ 5:00 am
Tags: , , , , ,

A few weeks ago as a patient was leaving our office she turned to tell me and the doctor I work for that Dr. Oz had recommended on his TV show that you go outside without sunscreen on for 15 minutes in order to get enough Vitamin D.  Both the doctor I work for and myself told her that we did not agree with Dr. Oz’s recommendation.  We explained that by going outside, even for 15 minutes, without sunscreen you still get too much sun exposure and expose yourself to the risk of skin cancer.  The stakes were simply too high to follow that recommendation.  If you aren’t getting enough Vitamin D take a supplement instead of going out into the sun unprotected.

Of course being the sunscreen fanatic that I am along with the fact that I see it as a personal responsibility to warn people about the dangers of skin cancer, I was very upset after hearing that Dr. Oz had made that comment on TV to millions of viewers.  I can tell you that many women take Dr. Oz’s medical advice extremely seriously and want to follow it to a T.  So I did a little online research and found the reference our patient had mentioned:

If these foods don’t sound very appealing to you, there is good news: you don’t have to eat vitamin D to make sure you’re getting your daily dose! Vitamin D is actually produced in your body when ultraviolet rays from sunlight strike your skin. The UV rays trigger synthesis of vitamin D, which then gets converted in your liver into its active form.

This means one of the best ways to get vitamin D is to spend about 10-15 minutes a day outside in the sun. Keep in mind that wearing sunscreen will prevent you from getting adequate vitamin D outdoors. In the summertime, an easy solution is skipping sunscreen on your legs for the first 15 minutes in the sun. Just make sure you apply in time to prevent any burns or damage.

If this sounds complicated (or it’s cloudy!), there’s an even easier way to get your vitamin D: many foods in the American diet are fortified with this essential nutrient. In fact, fortified foods provide the majority of vitamin D in our diets.

(From Daily Dose: Vitamin DThe Dr. Oz Show website)

I am not here to quibble about the fact that you can get all the Vitamin D that your body needs from the sun, what I am going to argue against is Dr. Oz’s advice.  Let’s be very realistic here – you’ve thought about it and today you notice it is sunny outside so you think “I’ll be out and about running errands, I won’t put sunscreen on for the first 15 minutes I am out”.  Now how many people do you know who will stop during their busy day and put on sunscreen??  I don’t know any.  People drastically underestimate the amount of damage intermittent sun exposure does to their skin.  Put your sunscreen on everyday before you leave the house.  If you are inside during the day and then leave to go out while it is still sunny put more sunscreen on all your exposed skin.  A tan may look sexy now but wrinkles and dark spots are not sexy later on.  And remember – a tan is a sign of damage to your skin no matter how fabulous you think you look right now.  One of the most common complaints any esthetician hears is about sun damage.  It is very hard to treat hyperpigmentation (one way you can gauge how hard it is to treat a specific skin issue is by the number of products on the market sold to treat it.  There is no perfect solution for hyperpigmentation hence the vast proliferation of products to erase it).  I found this comment about Vitamin D and sun exposure to be just another example of how well-meaning advice will be improperly followed and interpreted out in the real world.

Another case in point – terror over the safety of sunscreens.  The EWG has made numerous headlines over their claims that sunscreens are more harmful than helpful.  As with many controversies the cold hard truth gets lost adminsts the hype.  Renee Rouleau does a good job at explaining one controversial sunscreen ingredient in her blog post Does Sunscreen Cause Cancer?:

While the internet is an amazing resource for information, when a rumor gets out there, it spreads like crazy on the web and when people read it they may consider it to be factual.

One such skin care rumor that has swirled around on the internet for a while now is that octinoxate–the most common sunscreen ingredient in the world– causes cancer. Then the other day I was reading one of the handled bags from a recent Lululemon purchase and was shocked when I read the following printed on their bag: “Sunscreen absorbed into the skin might be worse than sunshine. Get the right amount of sunshine.” What? Did I really read this correctly on a Lululemon bag? Why is a fitness clothing company implying this claim on their cute bags that are given out in the stores? While I’m certainly okay with getting the right amount of sunshine as I do many of my own workouts outdoors, I am not okay with the comment implying that sunscreens may be worse than sunshine. This is wrong and misleading. Can we say melanoma–one of the deadliest forms of cancer??? There is so much scientific evidence that excessive sun exposure can increase your chances of skin cancer.  (Read more about melanoma here.)…

So does sunscreen cause cancer? No. This is simply not true because there is no study at all that proves octinoxate causes cancer, and without a proven scientific study, this claim simply can be not accurate and true.

Some cosmetic brands that do not use this ingredient in their sunscreens will use scare tactics to get consumers to believe that their product is safe and others are harmful. This has been the case with parabens and I have spoken publicly about this here. Instead, they use the phrase “linked to cancer” to scare the public to buy their product, instead of “proven to cause cancer”– and there is a huge difference between the two.

In some studies where octinoxate is “linked” to cancer, the ingredient has been placed in high concentrations directly onto various types of cells taken from skin or other areas of the body (liver, uterus) or was fed to rats or mice in their food. One such study, conducted by researchers at the University of Zurich in Switzerland in 2004, found evidence of endocrine disruption activity in rats fed octinoxate but did not find a link to cancer.*1 Shortly after the 2004 study was published, another research group in Australia found detectable amounts of octinoxate in the stratum corneum and epidermis layers of the skin 24 hours after applying the ingredient to intact skin, but the amount found was 5 times less than studies where octinoxate was applied directly to human keratinocytes in a Petrie dish.

Bottom line: There is no evidence or information about octinoxate causing cancer. Trust me, if there were valid, published studies about octinoxate as a cause of cancer, we would all know about it.

The Skin Cancer Foundation has long refuted the EWG’s claims that sunscreen ingredients are dangerous and are doing more harm than good.

Recent attacks on sunscreens in the media point to imperfections and potential risks, but miss the point that sunscreen continues to be one of the safest and most effective sun protection methods available.

We are concerned that the criticisms will raise unnecessary fears and cause people to stop using sunscreen, doing their skin serious harm.

In general, the criticisms have not been based on hard science. In fact, The Chair of the Skin Cancer Foundation’s Photobiology Committee, an independent panel of top experts on sun damage and sun protection, reviewed the same studies cited in the media, and found that their determination of what made a sunscreen bad or good was based on “junk science.”

(If Recent Attacks on Sunscreen Concern YouThe Skin Cancer Foundation)

In the same article The Skin Cancer Foundation goes on to refute different claims made against sunscreens such as:

• Retinyl Palmitate, a Form of Vitamin A and an Ingredient in 41 Percent of Sunscreens, Speeds up Growth of Tumors and Other Lesions When Exposed to the Sun.

An FDA study is often cited for this data, with some faulting the FDA for not releasing the study. However, the FDA is yet to release the study precisely because it has not gone through proper peer review. Thus, the criticisms are based on an unapproved 10-year-old study of mice that has never been published in any journal. To date, there is no scientific evidence that vitamin A is a carcinogen in humans. What’s more, only trace amounts of retinyl palmitate appear in sunscreens, and some evidence suggests that it is actually protective against cancer.

I think the lesson here is don’t believe everything you read or see on TV.  You’re a smart person, right?  Do some of your own research before just accepting what someone else has to say.

Further watching and reading (from my related posts):

Mary Cassatt painting Children Playing on the Beach image from wikipaintings.org

 

 
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