Skin Typing Features

One of the fascinating features of Skin Typing is that people of different ethnic or racial backgrounds can share a Skin Type. In most instances, all people with the same Skin Type will follow the exact same treatment plan, but sometimes skin color can be a differentiating factor because of the way pigment (the factor in skin that produces color) is produced in different racial and ethnic groups.

For example, two best friends, Valerie, a medium-skintoned brunette, and Dana, a dark-skinned woman, came in for back-to back appointments. After they each took the questionnaire and tabulated their results, they were surprised to discover that they shared the same Skin Type. They were both “P,” Pigmented Skin Types, which gave both Valerie and Dana a tendency to develop pigmentation issues. And each of them did have a problem with pigmentation. That’s why they came to my office. Valerie had an area of dark skin discoloration (called melasma) on her cheek, and Dana had dark spots in areas where she had once had pimples. Although I recommended that they follow the exact same protocol and use the same kinds of products, there was one key difference. Valerie could benefit from an advanced cosmetic procedure that uses light instruments or lasers to treat pigment problems like hers, while Dana would benefit most from prescription products used daily and should not undergo laser treatment since this can cause discoloration in people with darker skin tones.

A Dermatologist’s Story

“A patient came to see me because of skin discoloration on her chin and cheeks. An African-American with oily skin, Sylvia never guessed that the skin scrub she’d picked up at the Neiman Marcus beauty department was causing this problem. Anyone with highly pigmented skin (like many dark skinned people) must stay away from all ingredients and procedures that cause inflammation. Yet, not knowing her SkinType, Sylvia had no idea that her choice of skin product stimulated the inflammatory response, which in turn led to dark spots. I taught Sylvia what to look for on product ingredient labels. Common ingredients, like vitamin C, AHA, and alpha lipoic acid, can create inflammation, as do buff pu ffs and strong scrubs. She was surprised to learn that hair removal formulas, like Nair, and hot wax products may also cause inflammation. In using wax or a chemical depilatory to remove facial hair, Sylvia wound up with unsightly dark patches that looked far worse than the hair she was trying to remove. Now she knew to avoid them. Once she became aware of the needs of her Skin Type, she was able to make changes that helped reduce the dark spots considerably. In addition, I recommended she use products containing oatmeal, feverfew, chamomile, or licochalone, which are known to have anti-inflammatory properties.” Dr. Leslie Baumann, M.D.

Breaking News: Peanut-Containing Product Recalls

As a natural health consumer, you should already be aware of the peanut recall happening throughout the country.  Below are Federal links for your reference and information to help you narrow down which products have been recalled and the stores they were sent to, etc..

Peanut-Containing Product Recalls Top 2200

Based on FDA and CDC’s ongoing investigation of the Salmonella outbreak, consumers are advised:

• Do not eat peanut-containing products on the FDA recall list. If you are concerned about a product, call the phone number on the product packaging or call 1-800-CDC-INFO (1-800-232-4636) for information 24/7 in English and Spanish.
• No association has been found with major national brand name jars of peanut butter sold in grocery stores.
• DSHS Orders PCA Plainview Plant to Recall All Products (Texas Department of State Health Services)
• Check out latest updates from FDA and updates from CDC.

Diet and Supplements for Dry Skin

To combat dry skin, your body needs fats to build fat-rich cells that hold on to moisture. Saturated, monounsaturated and omega-3 fats are key components in the cell membranes . Vegetarians (who eat eggs and dairy products but not meat) eat about one-third less saturated fat than the average meat eater. Vegans (who eat no animal products of any kind) only receive about one half as much saturated fat as the average meat-eating American. As a result, they obtain from their diet much less cholesterol than omnivores.

Although cholesterol has received a bad name due to concerns about its connection with cardiovascular illness, recent studies show that it does have benefits, particularly for some post menopausal women. Cholesterol is needed for key body functions within the cellular membranes that impact the skin. For example, studies show that cholesterol-lowering drugs can lead to dry skin, while decreased levels of essential fatty acids have been associated with dry skin, dry hair, and brittle nails. If you have these symptoms and you are a vegetarian you may want to speak to your doctor to see if you may suffer from an essential fatty acid deficiency.

The best way to assure you get a healthy diet of skin-enhancing fats is by eating a wide variety of whole plant foods. You can get fats from nuts, seeds, olives and avocados Use olive oil, replete with monosaturated fat, for cooking and salad dressings. Coconut oil is also an excellent alternative for it retains its stability at high temperatures. Try to avoid processed foods and deep-fried foods that are rich in trans fats and omega-6 polyrrnsaturated fats. These fats contribute to the production of free radicals, the by-products of oxidation, which is a skin aging process that antioxidant vegetables help tame. Although for many years polyunsaturated vegetable oils, like canola, corn, safflower, and soy were recommended, c anola oil is actually unstable when heated and the processed used to stabilize it turns a certain percentage of the oil into a trans fat.

Eating the undesirable fats found in these oils (as well in trans-fat containing foods such as margarine, most baked goods, fried foods, processed foods and sweets )may increase both wrinkling and the risk of developing skin and other cancers including melanoma. Vegetarians can eat eggs and dairy to obtain saturated fats while vegans can obtain them from coconut oil.

Fish oils are good sources of omega-3 polyunsaturated fatty acids which can increase the lipid content of your cells. They can be obtained from fish like salmon, as well as supplements with Omega-3 or Cod Liver Oil capsules. Omega-3s help your skin by providing essential fats needed for cellular integrity while they also prevent inflammation which can lead to the formation of dark spots in pigmented skin types.
Antioxidants are helpful in fighting free radicals - renegade oxygen molecules that cause cellular aging and wrinkles.

Also look for products that contain ingredients that help your skin retain moisture, such as essential fatty acids along with ingredients like lecithin to strengthens kin cell membranes. Look for products that are also third party tested to ensure they are free of environmental toxins. It is important in purchasing essential fats to ensure that you find a pure, well-tested source, free of environmental contaminants.

Several studies have suggested that it is better to get antioxidants through natural food sources instead of supplements, but if this is not possible or additional vitamin intake is needed, supplements can be a valuable help.

SUPPLEMENTS
The following oral supplements that contain the below nutrients can all be helpful to your skin:

Selenium is a powerful antioxidant mineral. Selenium. Some scientific evidence suggests that consumption of selenium may reduce the risk of certain forms of cancer. However, FDA has determined that this evidence is limited and not conclusive. Vitamins A, C, E, B5, alpha lipoic acid, and grape seed extract, Ester-C , CoQro, lutein, as well as zinc, selenium, copper, and lycopene. Take these supplements according to the manufacturer’s directions.

Taking glucosamine supplements increases hyaluronic acid production. Hyaluronic acid (also called Hyaluronan) is a component of connective tissue whose function is to cushion and lubricate. Vitamin C can be especially beneficial, although it is tough to get ample quantities from supplements, every little bit helps. Be cautious of a laxative effect from vitamin C. take small doses at first then build gradually to endure to reaction has occurred. Buffered vitamin C is also available for those with sensitive digestive tracks. Complementing your daily skin care regimen with skin supportive supplements can boost the benefits to your skin.

Chloasma - skin changes through pregnancy

Chloasma or the “Mask of Pregnancy” can cause blotchy discoloration on your face and splashes of darkened skin that may appear on the forehead, nose, and cheeks in a mask-like configuration on some pregnant women — more often in dark-skinned women.

What causes chloasma: Those mischievous pregnancy hormones are toying with you again, causing hyperpigmentation on many parts of your body. You might have noticed your freckles and moles are darker now, there’s probably a dark line down the center of your abdomen (the linea nigra), and your areolas are probably a deeper shade as well. (You might as well decide this is sexy.) Dark-skinned women usually notice such hyperpigmentation more, but light-skinned women aren’t off the hook completely — they too will get their fair share of darkening skin, though it may not be as noticeable.

Despite have clear skin most of their lives, many women find another “new experience” awaiting them once they discover a pregnancy. The beginning stages can be small and unnoticeable pimples - usually showing around the jaw line or forehead due to hormonal fluctuations.

Three main factors contribute to acne: increased oil production, clogged pores, and a bacteria called P acnes. First, oil causes the dead skin cells to stick together, leading to a clogged pore, which is called a blackhead or a whitehead. Bacteria then moves into the pore, producing inflammation, which manifests as redness and pus. Addressing acne requires medications or treatments that decrease oil secretion, unclog pores, and kill bacteria.

As the pregnancy progresses, the acne will worsen. It is at this point, many women may frantically search for cures in their local drugstore or try home remedies. Perhaps they feel overwhelmed by the choices or confused by the long list of ingredients and decide to give up finding a solution. In some cases, the acne can grow to included pigmented or “age” spots as well.

All of these changes typically last the duration of the pregnancy and are due to hormonal changes and increased oil production, resulting in acne, while higher estrogen levels will activate skin color cells to make dark spots. This occurrence is so common in pregnancy that it’s been given the name “mask of pregnancy.” Sun exposure will exacerbate the issue further without a good sunscreen or sun protection.

Like many others, when facial skin suddenly becomes oily, the first reaction is to take away all moisture or anything ‘greasy’ that can increase the feel of oil on the skin layer.

Never fear, these again are temporary problems with easy fixes. First, stop using anything oil-based and switch to gel-based or water based sunscreens and moisturizers for the time being. Treat you skin as if it were the acne-prone, pigmented type and finally ask your doctor or dermatologist for a baby-safe acne treatment if the situation is really uncomfortable. Your skin should return to its previous condition soon after your baby is born.

• In the meantime - Eat foods that contain folic acid (you’ll also get plenty in your prenatal supplement), since studies have shown that a folate deficiency can be related to hyperpigmentation. Good choices include green leafy vegetables, oranges, whole-wheat bread, and whole-grain cereal.
• Stay out of the sun as much as possible and wear a sunscreen of at least SPF 15 (sunlight can also intensify hyperpigmentation). A hat and long sleeves are a good idea if you’re fair-skinned, headed to the beach, or have a historically sensitive complexion.

• If you like, use a good concealer to cover particularly pesky spots, but skip bleaches or other chemically based lightening treatments until after you give birth. No peels or lasers, either.

Dry Skin Diet Tips

Dry Skin Diet Tips and the Mediterranean Diet

We all know how important diet is to building healthy, beautiful skin. But did you know eating the right foods and avoiding the wrong ones can actually help prevent wrinkles and minimize the signs of aging?
According to a recent article in the UK’s Daily Telegraph, “Eating a Mediterranean diet can halve the risk of the most dangerous form of skin cancer, research suggests.” The recent study may eventually prove regular intake of fruit, vegetables, nuts and fish may protect against malignant melanoma.
The” Mediterranean diet,” which features plenty of vegetables, legumes, and olive oils, may be a catalyst for the body to absorb and benefit from fat-soluble antioxidant vitamins and phytochemicals, such as vitamin E, lycopene, and isoflavones. In this light, organic produce has been shown to contain a higher level of beneficial antioxidants than conventionally raised fruits and vegetables.
So, what does all this mean if you suffer from dry skin or sensitive skin? With dry skin issues, it is important to get the right types fats into your diet. But what are the right types of fats? For example, increased intake of saturated fat and monounsaturated fat in the diet has been associated with a decrease skin hydration. So consuming some saturated fats but not too many, seems to be best.
Countless studies show that an omega-3 fat deficiency is associated with dry skin and skin problems like eczema. That’s why it is important to consume adequate amounts of these essential fats, found in fatty fish, fish oils, flaxseeds, flaxseed oil, etc.
Be aware of the difference from the omega-6 polyunsaturated vegetable oils (including corn, canola, and safflower), formerly hailed as healing for the heart. Meaning, most need to eat more omega-3s and less omega-6 oils.
The dairy products you eat (and avoid) can also make a difference in skin aging. Butter, full-fat milk, margarine, and sweets should be minimal, while yogurt, cheese, and reduced-fat milk are neutral in their aging effects.
The epidermis (upper layer of the skin) is composed of 25 percent monounsaturated fatty acids. In the cell membranes, both monosaturated fats and saturated fats resist oxidation, a key process in cellular aging. Omega-6 polyunsaturated oils, on the other hand, contribute to the production of free radicals, the by-products of oxidation - also the cause of the skin aging process. This would increase both wrinkling and the risk of developing skin and other cancers, including melanoma. Polyphenols, found in fresh fruits, vegetable and herbs can protect the body’s cells against the damaging effects of oxidative stress, a process by which oxygen-rich molecules can attack and destroy cells in much the same way as rust rots a car.
Therefore, it is beneficial to eat more olive oil (a monounsaturated) while avoiding omega-6 polyunsaturated oils, such as corn, canola, safflower and others. Included in this list of foods to avoid, are the trans fats, present in margarine, most baked goods, fried, processed foods, and sweets, which are oxidized polyunsaturates, making them even more detrimental. In certain studies they have been shown to block healthy Omega -3 fats. High trans-fats content may interfere with the hormonal pathways needed for healthy fat metabolism and preventing inflammation.
Consuming the omega-3s and avoiding unhealthy oils that block them will help the body absorb the vital lipids needed in the skin cells and improve the hormonal actions. Since skin aging is caused by hormonal shifts that occur naturally in the aging process, it’s best to eliminate the polyunsaturated and trans fats as much as possible.
Fish oils and fish are the purest sources of omega-3 fatty acids,which can increase the lipid content of your cells. These fats have been shown to improve psoriasis and other severe dry skin conditions. If you are pregnant or nursing, please be aware of the mercury content in your fish - which has been shown to cause detrimental effects to mothers, and young children, so supplements may be the best way of obtaining these fats vital to skin health.

Dry, sensitive, and wrinkled skin can also be helped with a diet rich in antioxidants obtained from fresh fruits and vegetables, such as spinach, kale, collard greens, turnips, romaine lettuce, broccoli, leeks, corn, peppers, peas, and mustard greens. Egg yolks and oranges contain the antioxidant lutein. Lutein is an important natural antioxidant that may help your eyes stay healthy while maintaining the health of your skin.

So, to recap your skin-healthy diet should include:
• Fats from whole foods-nuts, seeds, olives, and avocados
• A wide variety of whole plant foods
• Monounsaturated fats, such as olive or nut oils
• Good sources of omega3 oils (never heated) or in capsule form
• Moderate use of omega-6 oils (corn, safflower, canola and soy oils)
• Limited amounts of processed foods and deep-fried foods
• Pure sources of omega3 fats, including a source of essential fatty acids (EFA)

Organic Skincare for Babies

Your baby’s skin is highly sensitive. Before using any skin care product, be sure it is formulated for babies with as few chemical ingredients as possible. Natural and organic baby products are preferable, as they use little to no man-made chemicals that your baby can have a harsh reaction to.
Organic baby skin care products are made from things that come from the earth, such as herbal plants and natural oils. Because there are no chemicals in organic skin care products there is less chance of your baby having a skin reaction when using the products

The best way to avoid chemicals is to choose pure and natural toiletries for babies and question which products you actually need at all. Yet when you read the list of ingredients listed on baby products they look much the same as those listed on standard family toiletries. Look at the chemicals listed in your child’s toiletry products; commonly SLS or sodium lauryl sulfate is used in baby wipes and shampoo’s it has been linked to skin irritations, diarrhea, breathing problems and eye damage particularly in small children. In higher concentrations, this same chemical is used in household cleaning products. Another item to consider when you purchase baby clothes or baby linens for the very first time, make sure to wash the baby items in a hypoallergenic soap formulated for babies.

Avoid products containing potentially irritating or harmful ingredients. Unscented, all-natural products are the safest things to use on our children. Making your own all-natural powders, salves, and bath products is a wonderful way to care for your children. Research organic baby skin care and learn what is best for your baby’s soft and delicate skin. As a caring parent, you want your baby to have the best health possible – that includes their skin care as their tiny body can absorb every chemical of a lotion or skin care product you apply.

Organic baby skin care products today include a full range of baby lotions, baby creams, balms, baby oils, salves and baby powders to soothe, moisturize and protect. Refrain from using products designed for adults as they are usually too harsh and contain irritants and allergens.

Speak to your pediatrician for organic products he/she may recommend. If you live in a small town and don’t have access to specialty stores, check online. There are now many sites linking you to stores across the country that can ship products for little to no additional cost of driving to a nearby store.

Check this chart for your skin condition

http://familydoctor.org/online/famdocen/home/tools/symptom/545.html

Skin Rashes and Other Changes

See complete list of charts.

The location, appearance and color of a rash will help your doctor make a diagnosis. Look for care suggestions on this chart for common rashes and other skin conditions.

SYMPTOMS		DIAGNOSIS		SELF-CARE
1. Is your face, chest or back covered in small, pus-filled sacs or pimples, blackheads or sore, red bumps?		This may be ACNE, a common skin problem that often begins in adolescence.		See your doctor if over-the-counter acne treatments, such as benzoyl peroxide, don’t help. Gently washing your face with mild soap on a regular basis may be helpful. Sometimes prescription medicines, such as an antibiotic, may be prescribed by your doctor.

SKIN HYDRATION 101

With oily skin, your face may often look shiny, and you naturally avoid products that feel oily. You will be more vulnerable to acne and breakouts than dry skin types. People with dry skin will notice that their skin feels tight, perhaps irritated or itchy and has a dull color and/or rough texture.

Dryness and oiliness depend primarily on the condition of the skin barrier, the outer layer of skin which helps the skin retain moisture, and the oil (sebum) production itself. The barrier is like a brick wall, with each brick (or cell) held in place by mortar (fats called lipids). Harmful ingredients, cold, and dry weather can wear down these fats, eroding the mortar so that the “bricks” are not secured in their proper place. Read more

Benzoyl Peroxide and Isotretinoin Acne Treatments

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Acne treatments that can dry the skin should be used with caution by people with skin of color.
Tretinoin (Retin-A) is available only with a physician’s prescription. It comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians experienced in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.
Recommended Dosages

The recommended dosage depends on the type of antiacne drug. These drugs usually come with written directions for patients and should be used only as directed by the prescribing physician. Teens who have questions about how to use the medicine should check with their physician or pharmacist.

Patients who use isotretinoin usually take the medicine for a few months, then stop for at least two months. Their acne may continue to improve even after they stop taking the medicine. If the condition is still severe after several months of treatment and a two-month break, the physician may prescribe a second course of treatment.
Precautions

Isotretinoin

Isotretinoin can cause serious birth defects, including mental retardation and physical deformities. This medicine should not be used during pregnancy. Females who are able to bear children should not use isotretinoin unless they have very severe acne that has not cleared up with the use of other antiacne drugs. In that case, a woman who uses this drug must have a pregnancy test two weeks before beginning treatment and each month she is taking the drug. Another pregnancy test must be done one month after treatment ends. The woman must use an effective birth control method for one month before treatment begins and must continue using it throughout treatment and for one month after treatment ends.

Females who are able to bear children and who want to use this medicine should discuss this information with their healthcare providers. Before using the medicine, they will be asked to sign a consent form stating that they understand the danger of taking isotretinoin during pregnancy and that they agree to use effective birth control.
People using this drug should not donate blood to a blood bank while taking isotretinoin or for 30 days after treatment with the drug ends. This will help reduce the chance of a pregnant woman receiving blood containing isotretinoin, which could cause birth defects.
Isotretinoin may cause a sudden decrease in night vision. If this happens, users should not drive or do anything else that could be dangerous until vision returns to normal. They should also let the physician know about the problem.

This medicine may also make the eyes, nose, and mouth dry. Ask the physician about using special eye drops to relieve eye dryness. To temporarily relieve the dry mouth, chew sugarless gum, suck on sugarless candy or ice chips, or use saliva substitutes, which come in liquid and tablet forms and are available without a prescription. If the problem continues for more than two weeks, check with a physician or dentist. Mouth dryness that continues over a long time may contribute to tooth decay and other dental problems.
Isotretinoin may increase sensitivity to sunlight. Patients being treated with this medicine should avoid exposure to the sun and should not use tanning beds, tanning booths, or sunlamps until they know how the drug affects them.

In the early stages of treatment with isotretinoin, some people’s acne seems to get worse before it starts getting better. If the condition becomes much worse or if the skin is very irritated, they should check with the physician who prescribed the medicine.

ACNE AND ANTI ACNE DRUGS

Anti-acne drugs are medicines that help clear up pimples, blackheads, whiteheads, and more severe forms of acne.

Benzoyl peroxide is found in many over-the-counter acne products that are applied to the skin, such as Benoxyl, Clear By Design, Neutrogena Acne, PanOxyl, and some formulations of Clean & Clear, Clearasil, and Oxy. Some benzoyl peroxide products are available without a physician’s prescription; others require a prescription. Tretinoin (Retin-A) is available only with a physician’s prescription and comes in liquid, cream, and gel forms, which are applied to the skin. Isotretinoin (Accutane), which is taken by mouth in capsule form, is available only with a physician’s prescription. Only physicians who have experience in diagnosing and treating severe acne, such as dermatologists, should prescribe isotretinoin.

Acne is a skin disorder that leads to an outbreak of lesions called pimples or “zits.” The most common form of the disease in adolescents is called acne vulgaris. Antiacne drugs are the medicines that help clear up the pimples, blackheads, whiteheads, and more severe forms of lesions that occur when a teen has acne.
Different types of antiacne drugs are used for different treatment purposes, depending on the severity of the condition. For example, lotions, soaps, gels, and creams containing substances called benzoyl peroxide or tretinoin may be used to clear up mild to moderately severe acne. Isotretinoin (Accutane) is an oral drug that is prescribed only for very severe, disfiguring acne.

Acne is caused by the overproduction of sebum during puberty when high levels of the male hormone androgen cause excess sebum to form. Sebum is an oily substance that forms in glands just under the surface of the skin called sebaceous glands. Sebum normally flows out hair follicles onto the skin to act as a natural skin moisturizer. The glands are connected to hair follicles that allow the sebum, or oil, to empty onto the skin through a pore.

Sometimes the sebum combines with dead, sticky skin cells and bacteria called Propionibacterium acnes (P. acnes) that normally live on the skin. The mixture of oil and cells allows the bacteria to grow in the follicles. When this happens, a hard plug called a comedo can form. A comedo is an enlarged hair follicle. It can appear on the skin as a blackhead, which is a comedo that reaches the skin’s surface and looks black, or as a whitehead, which is a comedo that is sealed by keratin, the fibrous protein produced by the skin cells and looks like a white bump.

In addition, pimples can form on the skin. Types of pimples include:
• papules, which are small, red bumps that may be tender to touch
• pustules, which are pus-filled lesions that are often red at the base
• nodules, which are large, painful lesions deep in the skin
• cysts, which are painful pus-filled lesions deep in the skin that can cause scarring

Pimples form when the follicle is invaded by the P. acnes bacteria. The damaged follicle weakens and bursts open, releasing sebum, bacteria, skin cells, and white blood cells into surrounding tissues. Scarring happens when new skin cells are created to replace the damaged cells. The most severe type of acne includes both nodules and cysts.

Acne cannot be cured, but antiacne drugs can help clear the skin and reduce the chance of scarring. The goal of treating moderate acne is to decrease inflammation and prevent new comedones from forming. Benzoyl peroxide and tretinoin work by mildly irritating the skin. This encourages skin cells to slough off, which helps open blocked pores. Benzoyl peroxide also kills bacteria, which helps prevent whiteheads and blackheads from turning into pimples. Isotretinoin shrinks the glands that produce sebum. It is used for severe acne lesions and must be carefully monitored because of its side effects. Antibiotics also may be prescribed to kill bacteria and reduce inflammation.

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