5 Tips for Oily Skin

July 29th, 2014

If you have skin that looks very greasy and shiny, generally around the forehead, nose and t-zone areas, then you have an oily skin type. Oily skin can be very challenging. As you age it gets better. On the bright side, people who have oily skin tend to wrinkle less or not at all. Here is what you can do to avoid your face getting oily and shiny.

  1. Cleanse Correctly. Look for cleansers that contain salicylic acid as an ingredient. Salicylic aid helps to control oil production to avoid oily and shiny skin.
  2. DO NOT Over Cleanse. Cleansing is good but knowing how many times is essential. Washing or cleansing your face too often can dry the skin out but does not affect the oily production. As a matter of fact, cleansing too often will make your skin increase oil production to replace what was washed away. Those who have oily skin should cleanse once a day.
  3. Exfoliate. Exfoliation plays a huge role in oily skin types. It is important to exfoliate. Always look for an exfoliator that contains glycolic acid. Glycolic acid gently removes dead skin cells.
  4. Moisturize. Buying the right moisturizer is vital for oily skin types. Look for moisturizers that are oil free that do not clog pores. The most effective moisturizer for oily skin type must include hyaluronic acid as an ingredient. Hyaluronic acid is breathable and does not influence the oil balance but it will keep the skin hydrated.
  5. Sunscreen. Applying the right sunscreen is essential for oily skin types. Stay away from sunscreens that often clog pores. Use the gel or powder sunscreens to keep from clogging the pores. Sunscreen helps to maintain oil production and avoid over production of oil.
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Hawaii Bans Indoor Tanning for Minors

July 28th, 2014

Legislation was recently passed in Hawaii prohibiting anyone younger than 18 from indoor tanning. This makes it the 10th state to pass this kind of legislation following Vermont, California, Illinois, Louisiana, Minnesota, Oregon, New Jersey, Nevada, Texas, and Washington. Annually around 2.3 million teens use indoor tanning in the United States and it has been proven that excessive exposure to UV rays at a young age greatly increases the risk of developing melanoma. The American Academy of Dermatology has supported this and similar legislation in other states because of indoor tanning’s harmful effects.

Why is indoor tanning so dangerous?

Anytime you get a tan your skin has been damaged. The increased production of melanin which changes the skin’s tone is a result of self-defense against UV rays. Over time this damage will lead to premature aging of the skin and greatly increases the risk of skin cancer. In 2009, the International Agency for Research on Cancer changed the status of indoor tanning devices that emit UV rays from “probably carcinogenic to humans” to “carcinogenic to humans.” This was based on a review of 19 studies conducted over 25 years. If you’re feeling invincible to skin cancer remember this: sun damage is one of the largest preventable contributors to premature aging of the skin. See our previous blog “Photoaging: Sun Damage Causes Wrinkles” to learn more.

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Study Finds Inflammation and Oxidative Stress Caused by Free Radicals Factor in Adult Acne

July 23rd, 2014

According to Laser and Cosmetic Dermatology Specialist Dr. Whitney Bowe, antioxidants help block acne causing free radicals

When a woman in her 30s or 40s develops acne, she may reach for the same remedies she relied on decades ago to treat pimples as a teenager – over-the-counter acne cream and some cover-up to camouflage the blemishes. But that’s a mistake because adult acne is different from teen acne, according to Dr. Whitney Bowe, a dermatologist with Advanced Dermatology in New York and a Clinical Assistant Professor of Dermatology at SUNY Downstate Medical Center. While many factors contribute to adult onset acne, including hormones, diet and yes, stress, research has also shown that oxidative stress, or inflammation, is one of the culprits. In a 2012 study published in the Journal of Drugs in Dermatology, Dr. Bowe, the lead author, found that inflammation and oxidative stress – caused by free radicals — might play a role in causing acne, a theory that challenges the conventional wisdom that plugged follicles are the main instigator.

In an analysis of several studies, Dr. Bowe found that decreased antioxidant levels are commonly found in adults with acne. (Blood levels of antioxidant vitamins such as A, C and E are actually lower in people suffering from acne as compared to people who have clear skin). Studies have also found that people with acne have a higher burden of oxidative stress, as indicated by certain markers in the blood.

“Treating acne with antioxidants may address acne while at the same time reducing some of the signs of aging such as fine lines and wrinkles.”

Dr. Bowe explains that antioxidants can be delivered directly onto the skin as a serum, cream or lotion, or they can be indirectly delivered to the skin after going through the mouth and undergoing digestion. In other words, you can incorporate more antioxidant-rich foods or beverages in your diet. For example, antioxidant-rich green tea can be found in a number of over-the-counter creams, but can also be sipped hot or cold. “Treating acne with antioxidants may address acne while at the same time reducing some of the signs of aging such as fine lines and wrinkles,” she says. “This makes antioxidants especially attractive for the woman who suffers from acne and also sees fine lines beginning to form.”

About acne

Acne is the most common skin condition in the United States, and research indicates that an increasing number of adults – particularly women – experience acne. A November 2012 study of nearly 3,000 women at Massachusetts General Hospital in Boston found that 45 percent of women 21 to 30 experienced acne; that number dropped to 26 percent among 31 to 40-year-olds and 12 percent in women 41 to 50.

Acne is characterized by chronic inflammation of the hair follicles and oil glands. Adults with acne may have pimples as well as other blemishes such as comedones (whiteheads and blackheads), nodules, cysts and solid round growths known as papules. Acne is most common on the face but it can also appear elsewhere on body, including the back, chest, neck, shoulders, upper arms and buttocks, according to the American Academy of Dermatology.

Adult acne can be embarrassing and upsetting, leading to both depression and anxiety, says Dr. Bowe. “It can be perplexing and frustrating when the remedies you used to turn to aren’t effective,” she says. “The good news is that after treatment many women feel more confident and it boosts self-esteem.”

Dr. Bowe offers tips for preventing and treating adult acne:

“Almost all cases of acne in adults can be treated and in some cases it can even be prevented,” says Dr. Bowe. “It’s crucial to address both periodic breakouts and chronic acne because over time acne can lead to scarring or dark spots.”

“Even though some people believe that the sun can help control acne, exposure to the sun’s harmful rays can cause skin cancer and premature wrinkles.”

*After cleansing your skin in the morning, apply an antioxidant serum under your sunscreen, or find a sunscreen that contains antioxidants along with broad-spectrum UVA and UVB-blocking ingredients .“Even though some people believe that the sun can help control acne, exposure to the sun’s harmful rays can cause skin cancer and premature wrinkles. If you think your acne benefits from exposure to the sun, ask your dermatologist about light-based treatments that are just as effective for acne but safe” says Dr. Bowe.

*Try to add antioxidants to your diet. “The more deep colors you see on your plate, the better. Look for deep greens such as kale or spinach, bright reds such as tomatoes and strawberries, and oranges such as salmon and squash.”

* Don’t smoke, which can increase your exposure to free radicals and lead not only to accelerated signs of aging such as wrinkles, but to cancer.

* Talk to a dermatologist if you have chronic acne that isn’t responding to over-the-counter therapies. Depending upon the type, location and severity of symptoms, additional treatments may include antibiotics, oral contraceptives and other medications as well as laser and light therapy, treatments shown effective in patients with acne.

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New Treatment Area Approved for Ultherapy

July 21st, 2014

Ultherapy is a skin tightening procedure that uses ultrasound to reach the deeper foundation of the skin without harming the upper layers. Recently Ultherapy was approved by the FDA to treat wrinkles on the chest. The previously hard to treat décolletage area can now benefit from the same results proven on the neck, under the chin, and above the eyebrows.

“An Uplift, not a Facelift!”

Just like other Ultherapy treatments, the décolletage treatment has no downtime, is non-invasive, and requires only one treatment for results. Collagen formation is stimulated and skin wrinkles are gradually reduced with results visible in about three months. Ultherapy is a very safe procedure, which uses the same technology used in ultrasounds for pregnant women. You should always have a procedure like this done by an expert dermatologist who has been trained in the procedure. Advanced Dermatology’s expert board-certified dermatologists can help you decide if Ultherapy is right for you and answer any questions you may have. Schedule your consultation today at one our 13 office locations in New York and New Jersey.

Ultherapy before and after of treatment for decolletage

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Dermal fillers vs. Botox

July 18th, 2014

Many patients want to reduce signs of aging like wrinkles and volume loss but are unsure exactly what treatments they need to get the results they want. Dermal fillers like Juvederm and Restylane are often used as well as injections that stop muscles from contracting like Botox and Dysport. Both treat signs of aging but are used for different areas and for different reasons. Often they can be used together to produce even better results.

Dermal fillers

A dermal filler is used to restore volume to creases, folds, and other areas that have become sunken due to aging. A severe depression in the skin, for example at the nasolabial fold, can be filled and smoothed out. A sunken cheek can now be plumped up with Juvederm Voluma XC, the only FDA approved filler for this area. Fillers will also provide a subtle lifting to the skin as the area is filled by pulling the skin up. Volume loss in the cheek is not the same as a wrinkle on the forehead as they each have different causes. Repeated muscular movements from facial expressions often cause wrinkles on the forehead and between the eyebrows. Each time the muscle is moved a wrinkle is formed and after years these lines start to remain visible even when you aren’t making the expression. This is where injections like Botox can be useful.

Wrinkle relaxers

Botox works by blocking the nerve signals that cause muscles to contract. This reduces “frown lines” between the eyebrows and makes wrinkles relax. Botox can also reduce crow’s feet around the eyes. Dysport and Xeomin are other injections that produce similar results to Botox. An injection like Botox will not be much help when it comes to deep creases. This is why a combination of fillers and nerve blocking injections may produce optimum results. For example, Botox may be used to stop muscular movements that cause wrinkles but a wrinkle may already be too severe and deep. A filler can be used to diminish these severe wrinkles in combination with Botox.

Schedule a Consultation

To find out the best combination of treatments for you, talk to one of our board-certified dermatologists who are experts in a wide range of cosmetic treatments. We have 13 offices located in New York and Jersey and offer early morning, evening, and weekend appointments. Click here to book an appointment today.

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