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HEALTHY SKIN GUIDE
Many of our patients have questions regarding which products are best and how to choose between an overwhelming number of options. The following information has been compiled so that you can be better informed when choosing skin care products.

Prevent Sun Damage
The single most important thing you can do for your skin is to wear a good sunscreen every day.

Sun emits ultraviolet (UV) radiation. Exposure to UV radiation from the sun and tanning salons causes many changes in the skin including wrinkles, discoloration, freckles, age spots, benign growths such as moles, and precancerous or cancerous growths. There are two main types of UV radiation: UVB and UVA. UVB rays cause sunburns and UVA rays cause tanning. Both rays contribute to the risk of developing skin cancer. UVA rays are responsible for photoaging.

Few sunscreens are successful at blocking UVA and UVB rays. A high concentration of zinc oxide with an SPF greater than 30 offers maximum UVA and UVB coverage.

 
Daily Cleansing & Moisturizing
Facial Cleansers
Your skin is the first line of defense against environmental elements, microorganisms, wind, and pollutants. The biofilm, a fine film with a slightly acidic pH located on the surface of the skin, is an important barrier for your skin. Washing skin with soaps and detergents can cause the loss of this protective mantle. Even minor differences in the pH of skin cleansing preparations can have significant impact on skin integrity.

Moisturizers
Moisturizers are applied to limit the natural evaporation of water from the skin and play an important role in maintaining the biofilm (see above).

Eye creams
The skin of your upper and lower eyelids is thin and lacks the oil glands found in surrounding facial skin. Because this skin is thin, blood pools beneath it and creates the blue hue on the lower eyelids. The ingredients of an eye cream should be directed at smoothing fine lines and wrinkles, inhibiting the oxidative process that occurs with environmental exposure, increasing skin thickness and density, and reducing the pooling blood beneath the skin.

 
Reduce Signs of Sun Damage & Aging
Vitamin A Derivatives
Next to an excellent UVA/UVB sunscreen, nothing is more effective at preventing fine lines and wrinkles and reducing photodamage than a vitamin A derivative. Renova, Retin-A, Retin-A Micro, Avita, Differin, and Tazorac are examples of prescription-strength vitamin A derivatives. We recommend starting with an over-the-counter product, Avene Retrinol (a retinaldehyde). If your skin tolerates nightly use of Retrinol, we suggest moving to a prescription strength vitamin A derivative.

Vitamin C Products
Vitamin C products are antioxidants. Antioxidants protect your skin from sun damage, fine lines, and wrinkles. Vitamin C products are intended for use in conjunction with vitamin A derivatives, or solely for those persons who cannot tolerate vitamin A derivatives. Many over-the-counter vitamin C products are deactivated by light, air, and contact with skin. We recommend the use of LaRoche vitamin C products, as research studies have documented that they remain active once applied to the skin.

Alpha Hydroxy Acids, i.e. Glycolic Acids, Lactic Acids, Citric Acids
Alpha hydroxy acids loosen up the surface layer of cells on the skin. They give the skin a fresher look, and even out skin tone and pigmentation. With repeated use, they build the collagen substructure of the skin. The most common alpha hydroxy acid is glycolic acid. Because of their pH, glycolic acids can be irritating. Glycolic acids in over-the-counter products are not nearly as effective as those found in doctor’s offices. We have researched alpha hydroxy acid products in detail to identify those that contain the most effective yet tolerable glycolic acids.

Beta Hydroxy Acids
Salicylic acid is the most common beta hydroxy acid. It works by loosening the surface layers of the skin and building the infrastructure of the skin. It is a slightly more aggressive product than glycolic acid, so it can be more irritating. We perform salicylic acid facials in the office.

 
Lifestyle Choices
Finally, each of us makes lifestyle choices each day that affect our skin’s overall health. Nutrition and rest are two basic contributors to healthy skin. Exercise helps the skin by increasing circulation and promoting deeper, more revitalizing sleep. Water sustains the skin’s moisture content. Smoking, caffeine, and alcohol are lifestyle choices which negatively impact your skin. Smoking deprives skin of oxygen, leaves a pale complexion, and causes onset of wrinkles. Caffeine and alcohol dehydrate the skin. Healthy lifestyle choices combined with a good skincare regimen can give you a youthful, healthy glow.

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