Why Should You Seek Medical Skincare Advice

It is not that you should see a skincare expert only when a problem strikes. You should in fact maintain a periodical schedule of appointments with a dermatologist for it is only a doctor who can guide you well on the usage of beauty products. Grave skin disorders do attract medical consultation. If however, you choose to seek medical skincare advice for mild skin problems, the problems won’t just take a severe shape!

Can you count the number of cosmetic brands operative in the beauty industry today? Don’t you think you need expert guidance on how to go about selecting the best skincare products?

Dermatologists suggest that people with skin problems (howsoever slight they may be) must essentially consult a good skincare expert. Experimenting with the skin is easy but that in itself may promote skin problems. People who are fighting skin disorders know how harrowing the experience is and as such they should avoid unnecessary skin experimentation.

Skincare experts suggest that you must sprinkle some mineral water on your face every day. This has to be done year round but it will be all the more needed in winters. Mineral water is full of useful skin nutrients and external appliance of mineral water refills the skin with the required valuables.

This was about the direct application of mineral water but otherwise also, you may add a few drops of mineral water in your facial masks. Some dry powders require you to add water. You may choose to add mineral water there into. People with frequent acne break-outs will find mineral water usage all the more gainful. Mineral water causes no side-effects and so you may go ahead with its usage without any hesitation. This however does not solve the problem. You will have to see a dermatologist in any case! Good luck!

Brightening And Whitening of Your Skin Tone

Every lady wants a bright and white complexion with as little imperfections as possible. Even you are also one of them. So, the best news is that there are natural herbs available that can make your skin bright and healthy. You can have a perfect skin without using any harmful chemicals on your face and do away with freckles and blemishes by using natural products.

The most important thing that is related to having a good bright skin is your diet. You should avoid eating too much of oily and sticky food. Eating of more sweets and chocolates can also make your skin worse. If you are looking for a perfect skin then you can stick to the Paleo diet. Such a diet will not make your skin white but will increase the elasticity of skin. It will also be helpful in removing blemishes from your skin safely. Another diet chart known as Urban Healthy Kitchen Diet focuses on the increase intake of natural and organic whole food. These diets suggest a lot of fiber and water and staying away from sugar that is a promoter for bad skin.

Apart from a good balanced diet you can also use natural products as a good bleaching agent for your skin. Natural bleaching agents such as limes or lemons, tomatoes, flour, fuller’s earth can be chosen to have a white textured skin. These products help in reducing the skin tone and can be applied to face either directly or in the form of mask. They also provide essential nutrients that the skin requires to fight from bacteria, acne and other skin related problems.

Some ayurvedic facial packs can be made by using turmeric powder, neem and can be applied on the skin directly. These natural skin care face packs can be prepared at home also and can provide you with a perfect white skin.

Zinc Oxide Reduces Acne Breakouts and Prevents Wrinkles

You may have first seen zinc on a summer day at the beach or your local swimming pool. Lifeguards traditionally use the thick, white cream to cover their nose and cheeks to prevent sunburn. You may have learned then, that it was the strongest sunblock available – it just wasn’t very attractive.

In the eighties, zinc sun protection got a makeover, with bight neon colors. Applying wacky colors all over your face was fun and it blocked out the sun’s rays. Almost completely, and it stayed on - almost too well.

Today, thankfully, formulations have improved and zinc is no longer the eyesore it once was. It does, however, still protect your skin from sun damage and wrinkles and recent findings have shown zinc offers anti-microbial benefits that also reduce acne and breakouts.

So, what exactly is zinc and how does it work?

Zinc is a natural mineral, minced and refined to a fluffy white powder. Zinc becomes Zinc Oxide after the mineral is oxidized. Oxidation allows the mineral to be slightly changed giving it new properties. Zinc Oxide is used widely in cosmetics and natural skin care products and is quickly replacing the use of Titanium Oxide in sunscreens.

Because zinc is completely natural, it is an excellent ingredient to use in natural skin care products and beauty treatments. Before many of its

beneficial properties were known, Zinc Oxide was initially used in cosmetics as a whitening agent to moisturizing lotions, facial creams and most sunscreens.

Zinc Oxide has been the ingredient of choice for sunscreens, sun protection and cosmetics. Zinc Oxide is categorized as a physical sunscreen, therefore SPF labels are not given to the mineral. SPF or sun protected factor only relates to chemical sunscreens. Chemical sunscreens such as PABA and Oxybenzone absorb the suns rays; where as Zinc Oxide actually blocks the rays. While some chemically-based sun protection products include zinc, they can not claim zinc as their primary component and must be labeled as such.

How does Zinc Actually “block” the Sun’s Rays?

Zinc Oxide works much like a diamond to bend (or refract) light. It is the only known element that can block both UVA (aging rays) and UVB (burning rays). Zinc Oxide has been approved and labeled by the FDA as safe for the skin as sun protection. It is important to note that Zinc Oxide is not an organic compound as it has undergone oxidation. Zinc Oxide should be 20 to 25 percent of ingredient in cosmetic or sunscreen to properly inhibit sun damage to the skin and prevent wrinkles from forming. As we all should know by now, one of the primary causes of aging skin and wrinkles, is the sun.

If blocking sun rays, preventing wrinkles and aging skin weren’t enough, pure zinc has also been found to be very effective in the treatment and care of acne prone skin. Zinc regulates production of oil glands and hormone levels, two main triggers of acne. Zinc also helps absorb Vitamin A which promotes healing and fights bacteria. As with any acne treatment results may vary depending on diet and other environmental factors. It is always important to consult a dermatologist prior to any acne treatment. Zinc is commonly used in ointments for diaper rash, minor scrapes and burns, dry scalp and irritated skin.

In addition to the benefits on the skin zinc helps maintain many healthy body functions. Zinc plays a role in strengthening the immune system by assisting white blood cell development, protecting the body form infection. Lack of zinc to the body can result in a week immune system. As zinc plays a vital role in the immune system it is imperative to acquire the proper amount of zinc while pregnant. Zinc helps reduce inflammation and infection. Proper amounts of zinc in a diet have shown to contribute to proper growth, strength, and endurance. Zinc is also involved in stimulating many enzymes which play an essential role in metabolism. Zinc has been found to benefit the inside and outside health of our bodies and can be found in many topical creams, like Vivoderm’s zinc repairing cream, as well as in many nutrient rich foods.

According to the American Zinc Association, zinc seals and protects the skin. “Zinc is essential for healthy skin. As a drying agent and astringent, zinc oxide has been used for generations to soothe diaper rash and relieve itching. And zinc is a natural sun screen, protecting chapped lips and skin from the sun’s harmful rays. Zinc sulfate is effective in treating some cases of acne. And in a water-based solution, zinc sulfate helps remedy cold sores. Zinc also improves healing of wounds, like surgical incisions, burns and other skin irritations. Used as an anti-inflammatory, zinc soothes skin and skin tissue. Poison ivy, sunburn, blisters and gum disease are all improved when treated with zinc. It is even a natural insect repellent. And zinc stimulates the transport of Vitamin A from the liver to the skin, helping to protect body tissue from damage.”

So, remember, if you are interested in protecting your skin from the sun, preventing wrinkles and aging skin and reducing your acne breakouts – zinc might just be the all in one treatment for you. Look on the back of cosmetic and food labels to see if you are getting the benefits of zinc in your diet and beauty routine

Psoriasis 101-Information on Skin Disease

Top Five Psoriasis Myths

1. Myth: Psoriasis is contagious.

Fact: Psoriasis is not contagious. It is a life-long, immune mediated skin disease.

2. Myth: Psoriasis is caused by poor hygiene.

Fact: There is no link between hygiene and psoriasis. Psoriasis is a disease that no amount of washing or scrubbing can remove the scaly areas, or ensure they don’t come back.

3. Myth: Psoriasis is just an annoying skin rash.

Fact: Once thought to be a skin condition, research has shown that psoriasis is actually a disease of the immune system that causes abnormal growth in skin cells.

4. Myth: Psoriasis can be cured.

Fact: Psoriasis is a chronic disease for which there is currently no cure. Once symptoms appear, patients have psoriasis for life.

5. Myth: Psoriasis only affects patients physically.

Fact: There is a significant emotional impact experienced by psoriasis sufferers including feelings of helplessness, hopelessness, anger, frustration and even depression.

Several factors are thought to aggravate psoriasis. These include stress and excessive alcohol consumption. Individuals with psoriasis may also suffer from depression and loss of self-esteem. As such, quality of life is an important factor in evaluating the severity of the disease. There are many treatments available but because of its chronic recurrent nature psoriasis is a challenge to treat.

Plaque Psoriasis

About 80% of people living with psoriasis have plaque psoriasis, which also is called “psoriasis vulgaris.” “Vulgaris” means “common.”

How to recognize Plaque Psoriasis:

1. Raised and thickened patches of reddish skin, called “plaques,” which are covered by silvery-white scales.

2. Plaques most often appear on the elbows, knees, scalp, chest, and lower back. However, they can appear anywhere on the body, including the genitals.

3. Plaques vary in size and can appear as distinct patches or join together to cover a large area.

In the early stages, the psoriasis may be unnoticeable. The skin may itch and/or a burning sensation may be present.

Plaque psoriasis usually first appears as small red bumps. Bumps gradually enlarge, and scales form. While the top scales flake off easily and often, scales below the surface stick together. The small red bumps develop into plaques (reddish areas of raised and thickened skin).

Now that you know abit more about psoriasis, we urge you to find out more about this!

About the author: Psoriasis is an inflammatory skin condition and CAN be cured! We urge you to find out more about Psoriasis at http://Psoriasis.eask.info

Psoriasis by Camry James

Natural Acne Treatments Vs Leading Pharmaceuticals

In June 2009, the pharmaceutical giant Roche Holding AG, pulled its Accutane acne medicine from the U.S. market after juries awarded at least $33 million in damages to users who blamed the drug for bowel disease.

According to Bloomberg.com, “Roche notified the U.S. Food and Drug Administration today that it was withdrawing Accutane after a “reevaluation” of its product lines showed it faced serious challenges from generic competitors, company officials said in a statement.”

This is just another in a long list of recent health concerns over pharmaceutical skincare treatments and the serious health risks they may pose.

As the natural skincare movement gains popularity, many consumers are discovering their old over the counter acne treatments can have potentially harmful chemicals that would be best to avoid. In response to these concerns, many have made the switch to all-natural acne skincare treatments. While some are convinced that natural remedies can’t be strong enough to fight stubborn acne. If you are convinced a more powerful acne medication is the best option, read on to find out what approach is right for you to become acne free.

Product	Contains Chemicals	Birth Defects	Depression Psychosis	Skin Irritation	Restrictions on Sun Exposure	Gastro-intestine Disorders
Vivoderm 100% Natural Anti-Acne Mask	NO	NO	NO	NO	NO	NO
Retin-A	YES	NO	NO	YES	YES	NO
Tetracycline	YES	YES	NO	NO	YES	YES
Benzoyl Peroxide	YES	NO	NO	YES	NO	NO
Differin	YES	NO	NO	YES	YES	NO
Skinoren*	YES	NO	NO	YES	YES	NO
Roaccutane	YES	YES	YES	YES	YES	YES

Effective Natural Acne Treatments and Ingredients

There are various home treatments and natural ingredients that have been proven to be effective in treating mild to moderate cases of acne. Some of these may include:

· Massage essential oils into your skin at night such as Tea Tree Oil, Bergamot Oil, Clove Oil, Lavender Oil, and Rosewood Oil. Wash your face clean in the morning with pure soap and water.

· Acne starts within the body, not just at the surface of the skin. Therefore, it is important to drink plenty of water to help detoxify your body and help clear acne.

· You can exfoliate and clear pores with an oatmeal mask once or twice a week. Cook oatmeal and while it is still warm, apply to your face, allow oatmeal to dry and then wash away.

There are many varieties of at home solutions, some of which are effective, and some not. Those with more serious cases of acne however, such as cystic acne, usually turn to stronger over the counter acne treatments.

Over the Counter Acne Treatments

Over the counter acne products tend to be more powerful in fighting acne because each product works differently to target causes of acne. Certain products function by killing Prionibacterium acnes (P.acnes), the bacteria that creates inflammation. Other medications reduce sebum output and renew skin. Other products function by using combinations of these things. Acne medication treatments work in different ways depending on their active ingredient. Here are some common active ingredients that acne products contain.

*Benzoyl Peroxide works to eliminate P. acnes and reduces excess oil and dead skin cells. It is available in different strengths that come in products in certain percentages.

*Salicylic Acid prevents pores from clogging by slowing the process of skin cell shed within hair follicles. It also helps fight whiteheads and blackheads.

*Alcohol and acetone are found in astringents and cleansing washes. They clear your skin of dirt and oil.

These medications might be more powerful in treating acne but they often come with more side effects such as dryness, sensitivity to sun, stinging or irritation, redness or peeling.

There are many natural options that are now available that give you the opportunity to fight acne with powerful results but without the unnatural chemicals that may cause unwanted side effects. The top natural acne treatments have been proven to be as strong as leading pharmaceuticals, yet a perfect compromise between gentle home remedies that don’t show results and powerful but irritating over the counter products.

When it comes to the next generation of acne treatments, the most promising products are natural blends to specific herbal constituents–like Rosemary, Marshmallow, Aloe Vera, Lavender, Fennel, Angelica, and Green Tea – that evade irritating side effects. Vivoderm Laboratories offers a natural acne mask that reduces sebum output, controls inflammation, unclogs pores, and moisturizes skin. It also serves as an acne scar treatment as it regenerates skin affected by redness and scars. Many herbs also contain natural antiseptic properties to attack acne-causing bacteria. This anti-acne treatment removes dead skin cells and repairs blemishes without drying out the skin.

The bottom line is to always be aware of chemicals you expose yourself to and make the choice that is best for you. If chemicals are in any way a concern for you - opt for a natural solution that treats the root causes of acne, not just the symptoms and become acne free – naturally.

A Scientific Look at Moisturizers (pt.1)

Moisturizers are widely used products that are important in many dermatologic and cosmetic skin therapies. They contain varying combinations of emollients, occlusives, and humectants to achieve their beneficial effects, and there is an overwhelming number of formulations available. To develop a rational approach for prescribing moisturizers, commercially available products can be categorized on the basis of application site.

There is a vast array of moisturizers available on the market today and consumer demand for these products is growing. These products range from value brands that provide basic moisturization to luxury therapeutics with claims of anti-aging benefits. A recent US study found that moisturizers are the third most commonly recommended OTC topical skin product (13.4%) behind hydrocortisone (27.6%) and anti-infectives (23.4%).

What Are Moisturizers?

The term moisturizer is a marketing term with little or no scientific meaning. Consumers see moisturizers as actively increasing the water content of the skin. Dermatologists see moisturizers as bland oleaginous substances that are applied to the skin by rubbing. The term “moisturizer” does not necessarily imply that moisture or water is being added to the skin. Moisturizers are a key component of basic skin care especially when there is alteration of the epidermal barrier and reduced water content in the epidermis.
They are used to restore the barrier function of the epidermis, to cover tiny fissures in the skin, provide a soothing protective film, and increase the water-content of the epidermis. They may, thus, slow evaporation of the skin’s moisture, thereby maintaining hydration and improving the appearance and tactile properties of dry and aging skin. Newer products claim to have other properties such as anti-aging, skin-firming, anticellulite, and sun-protectant effects.

How Do Moisturizers Work?

For many years, epidermal water content has been known to be crucial for skin plasticity and the prevention of “dry skin”. Traditionally, moisturization was believed to inhibit transepidermal water loss (TEWL) by occlusion. Water originates in the deeper epidermal layers and moves upward to hydrate cells in the stratum corneum (SC), eventually being lost to evaporation.

The SC architecture is the most important factor in water flux and retention in the skin, and in overall level of moisturization. The four key processes for the formation and functioning of the SC are the corneocyte process, SC lipid process, natural moisturizing factor (NMF) process, and desquamation process. Corneocytes are the physical barrier of the SC and, when hydrated, contribute to elasticity. The lipid bilayers of the SC function as a moisture barrier and although they prevent the entry of many chemicals, they are the means of entry for most topically applied substances. The NMF is found within corneocytes and is a mix of hygroscopic molecules that, by helping maintain hydration in the corneocyte, keep the SC hydrated. Half of the NMF is amino acids derived from the protein filaggrin in keratinocytes, and the other half is salts, including lactates, urea, and electrolytes. Production of NMF is directly related to external humidity. In desquamation, corneodesmosomes are degraded by water-dependent hydrolytic agents. When there is low moisture in the SC, these enzymes do not work efficiently. Corneocytes accumulate on the skin surface producing the signs of dry skin, e.g., when the moisture content is less than 10%, and when there is loss of continuity of the SC.

The moisturizing treatment involves repairing the skin barrier, retaining/increasing water content, reducing TEWL, restoring the lipid barriers’ ability to attract, hold and redistribute water, and maintaining skin integrity and appearance. Moisturizers perform these functions by acting as humectants, emollients, and occlusives. Moisturizers containing collagen and other proteins, i.e., keratin and elastin, claim to rejuvenate the skin by replenishing its essential proteins but whether or not they have any effect on skin hydration is questionable. Moisturizers also act to reduce skin friction and increase skin hydration by providing water directly to the skin from their water phase and by increasing occlusion, as measured as a decrease in TEWL. Loden suggests that skin care products not only form an inert, epicutaneous layer, but that they also penetrate and influence the structure and function of the skin.

Moisturizers have little effect on the mechanical properties (i.e., distensibility, hysteresis, and elasticity) of the skin but do increase skin hydration significantly, as shown by an increased skin capacitance.10 When moisturizers are used to improve skin plasticity it is suggested that lipid-rich formulations be used.

Emollients

Emollients, which are mainly lipids and oils, hydrate and improve the appearance of the skin by contributing to skin softness, enhanced flexibility, and smoothness. The “skin slip” or lubricity of some moisturizers, contributes to consumer satisfaction and product preference. Consumers desire smooth skin following moisturizer application. Emollients serve to fill the cracks between clusters of desquamating corneocytes and are not usually occlusive unless applied heavily.

Long chain saturated fatty acids and fatty alcohols are commonly used in topical pharmaceuticals and cosmetic formulations. They exert their benefits through effects on the skin barrier, partially through improved repair, and on permeability. Examples include stearic, linoleic, linolenic, oleic, and lauric, which can be found in palm oil, coconut oil, and wool fat. A sterol-enriched fraction from canola oil reduced clinical signs of sodium lauryl sulphate (SLS)-induced irritation. Other lipids (e.g., fish oil, petrolatum, shea butter, and sunflower seed oil) had no effect on the degree of irritation. Loden and Andersson suggested that canola oil assisted the skin in supplying the damaged barrier with adequate lipids. Essential fatty acids (i.e., linoleic and alpha-linoleic acids) influence skin physiology and pathology via their effects on skin barrier functions, eicosanoid production, membrane fluidity, and cell signaling.

Next article will focus on emollients, occlusives, and humectants and what an ideal moisturizer should be….

J. N. Kraft, BSc (Hons)1 and C. W. Lynde, MD, FRCPC2
1Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
2University Health Network (Western Division) and Department of Dermatology, University of Toronto, Toronto, Ontario, Canada

Adverse Reactions to Herbal Therapy in Dermatology

There are many herbal therapies available for dermatological diseases that patients have already begun to discover. Dermatologists must be educated not only in the benefits of these therapies, but must also be aware of some of the risks and adverse effects. They need information about the effects of herbal remedies in order to better serve their patients who may be using herbs to treat their dermatological conditions. This brief review summarizes some of the more common herbal therapies used by many dermatology patients for their skin diseases, and the adverse reactions and drug interactions that may occur.

The use of herbal therapy by dermatology patients is on the rise. Because of their convenient availability, many patients with chronic dermatological diseases have attempted to take more control over their health by using herbal remedies along with or instead of conventional treatments. Some patients have lost hope; standard treatments have failed to be effective for them. As a result, they seek newer therapies in an attempt to find a “cure” for their problems.

Government Regulations

The exact frequency of herbal use is not known because of its non-regulatory status. However, some regulations do exist at the federal level in Canada with the Natural Health Products Directorate (est. 03-99). Most of these regulations are still under review. However, regulations do exist with regard to definitions, product licensing, adverse reaction reporting, site licensing, good manufacturing practices, clinical trials, and labeling/packaging.

There are many herbal remedies that have scientific merit; they may be of clinical benefit and provide safe, effective and reliable alternatives to conventional medicine. However, herbal products cannot be patented.² They are intended for the self-treatment of a self-diagnosed, self-limiting condition. Although there are numerous herbal therapies that are relevant to the specialty of dermatology, many of these have not been studied in proper randomized, double-blind, placebo controlled trials. Most herbal treatments have evidence that is based on sparse anecdotal reports and word of mouth.

Drug Interactions and Side-Effects

Many of these therapies are considered “natural” and therefore harmless. However, because of the poor regulations that exist in monitoring these drugs, adverse reactions do occur.³ Herbal therapy, therefore, should be avoided in pregnancy, infants and children because of the uncertainty of adverse reactions that could occur. There is little incentive for pharmaceutical companies to investigate or standardize these preparations because it is unlikely patents would be applicable.

Because of the assumed safety of natural products, many patients believe these products have “fewer” side-effects. Herbal therapies should be regarded as drugs. Since drugs have side-effects, such events can be seen with herbals. Drug interactions although infrequent, can also occur with herbal therapies and conventional medications.^4,8 This may be due to altered absorption, distribution, biotransformation and/or excretion.⁶ These interactions are often patient initiated because of the lack of consultation with a physician. These effects can increase or decrease the activity of the corresponding drugs and lead to untoward or unexpected adverse events or changes in drug efficacy. Some herbals may be contaminated with toxic substances or the herbal can be toxic alone. Others may have traces of potent topical steroids.⁷ This makes it even more important for physicians to take a proper and complete drug history, including herbal medications.

Drug	Side-Effects	Drug Interactions
emaphyte (Chinese Herbal Therapy)6,10-14	Diarrhea, increased liver function tests, reversible dilated cardiomyopathy, reversible acute hepatic illness, fatal hepatic necrosis, symptomatic nephropathy & bladder carcinoma, worsening of atopic dermatitis, acute urticaria	Methotrexate
Evening Primrose Oil (EPO)(Efamol®)4,6,8	GI upset, headaches	phenothiazines, seizure threshold of phenobarbital, phenytoin
Borage Oil15	Potential for hepatotoxicity orally, no toxicity data for topical use	None Known (NK)
Aloe Vera4,6,8,9,16	Contact dermatitis	corticosteroids, Potassium
Calendula (Calendula officionalis)4,8,9,16	Allergic reactions, ACD	NK
Capsaicin (Zostrix®)8,9,16	Severe burning, intolerability, allergy: can cross react with latex, bananas, kiwi, chestnut, avocado	NK
Goldenseal (Hydratis canadensi)4	Allergic Contact Dermatitis	NK
Licorice (Glycyrrhiza glabralensis or ura)4,6,8,16	Contraindicated in hypertension, diabetes mellitus, hypokalemia, liver/kidney disorders	Cyclosporin A (CyA) , digoxin, prednisone, thiazides
Purple Cone Flower (Echinacea angustifolia or internalpupurea) 4	Recurrent erythema nodosum CAUTION!: in HIV, CTD, TB, MS, ragweed, sunflower allergies	Immunomodulators and CyA, Methotrexate, coticosteroids
Slippery Elm Bark (Ulmas fulva)	Dermatitis CAUTION! Oral form induces miscarriage	NK
St. Johns Wort (Hypericum perforatum)4,6	Oral form can cause photosensitivity, erectile dysfunction	amitriptyline CyA , digoxin, paroxetine, HIV protease inhibitors, oral contraceptives, retrovirals
Thyme (Thymus vulgaris)4	Essential oils can be a mucous membrane irritant	NK
Ginkgo (Ginkgo biloba) Garlic, Ginger, Ginseng (Panax ginseng)4,8,17	Can cause spontaneous bleeding	Can potentiate aspirin, NSAIDs, warfarin, heparin
Tea Tree Oil (Melaleuca alternifolia)6,8,9	ext- ACD, burning, dryness, itching, 5 irritation, systemic allergic reactions, can cross react with colophony. int- TOXIC	NK
Bromelain-Pineapple (Ananas comosus)16	ACD, GI upset, diarrhea	Ethyl acrylate
Yarrow (Achillea millefolium)16	ACD	NK
Fenugreek (Trigonella foenum-graecum)16	ext-Skin irritation int-Hypoglycemia	Hypoglycemics
Chamomile (Matricaria recuita L)4,6,9,16,18	ACD, anaphylaxis	Hypersensitivity cross-reactions to ragweed, Chrysanthemums (Compositae family)
Arnica (A Montana)8,9	ext-ACD int-TOXIC	NK
Horse Chestnut seed extract (Aesculus hippocastanum)6,8	ext-ACD int-Dizziness, drug induced lupus, GI upset, headache, pruritus	NK

Table 2: Side-effects and drug interactions of some herbal remedies

The most common dermatologic reaction from herbal therapies is allergic contact dermatitis.⁸ Herbs that are known for causing this condition include: aloe, arnica, bromelain, calendula, chamomile, goldenseal, tea tree oil and yarrow.^6,4,9 However, more serious events have occurred including erythroderma and Stevens-Johnson syndrome from combination herbal preparations.⁸ Serious systemic adverse events have been reported with herbal therapies for the treatment of dermatological diseases as well.⁷ Most are hepatotoxic effects and some have been fatal although this is rare.⁸ Herbals that are recommended for topical use should not be ingested and vice-versa. Drug interactions that most commonly occur are due to immunomodulatory reactions, however effects on anticonvulsants and anticoagulants can occur.⁵

Conclusion

A brief search of the literature reveals many therapies used for dermatological disease however there are fewer reports of their side effects in dermatologic or medical literature. Only those therapies relevant to the specialty of dermatology that also have had reports of side-effects are discussed. Those therapies without known side-effects are excluded from this manuscript. It is important for dermatologists to become aware of these adverse events and interactions in order to better educate their patients and possibly prevent potential and unexpected adverse reactions.⁸

Skin Needling Treatment Reduces Acne and Wrinkles

What is Skin Needling?

Skin Needling or “derma rolling” has become quite popular in the last few months. Indeed, one Google search on “dermarollers” returned hundreds of links.

I was unfamiliar with this new anti-aging tool, so, I decided to research it further. At a recent beauty expo, the cosmetic representatives I spoke to claim these new facial rollers could increase collagen production and reduce wrinkles.

The process of skin needling uses a very small rolling device that contains 192 micro points made of surgical steel. Studies show that when this device is rolled over the skin, it creates small puncture wounds that cause the body to produce collagen in an attempt to heal the skin. Our collagen production falls dramatically after about age 35 or so.

This puncturing will then cause a type of wound-healing reaction for the dermal layer to begin production of collagen fibers, elastin, and other skin cells that helps to fill in lines, wrinkles, remove stretch marks and fill in deep pitted scars – also allowing the derma roller to be a great acne scar treatment. In addition, the derma roller allows for optimum absorption of any anti-aging cream you may use afterwards.

While it goes by different names, ‘skin needling,’ ‘dermaroller,’ or ‘meso roller,’ among many others, it appears to be a simple and natural method that promises to prevent skin aging, restore collagen, smooth out scars, pitted skin, and stretch marks - or your money back in some cases.

Research on Skin Needling

The skin needling device is used along with your normal skincare routine to remove acne scars, stretch marks, wrinkles, fine lines. Representatives say it can even help with big pores, black heads, and white heads. This micro needling or skin needling anti-aging technique is also used to perform collagen induction therapy (CIT). Skin rejuvenating results with skin needling are similar to laser treatment, dermabrasion or chemical peels but much less expensive, less invasive, does not damage the skin, and can be done at home for pennies.

Celebrity Endorsements

More than a few sites claimed famous celebrities used derma rollers or a type of skin needling technique to keep their skin look young and healthy and reduce acne scars. The London Daily Mail Online, reported, “ It looks like an implement of torture, but this spiky roller is thought to be the secret to Angelina Jolie’s plump, glowing skin.”

The Rachael Ray show hosted a segment titled ‘The Human Lab,’ where Rachael selected members of her audience to test several anti-aging creams and devices and report a few weeks later on their results. See the You Tube clip here.

The Studies

Study results by plastic surgeons and dermatologists claim in that addition to reducing the appearance of sun damage and wrinkles such as crows feet, skin needling can help lessen or remove stretch marks, cellulite, acne scars, surgical scars and smooth out pitted skin and dimpling.

Dr. Philippe Simonin, a Swiss Dermatologist, performed a study on 600 people divided into two groups — the skin aging group and the scar reduction group. Published results found that - in the skin aging group there was a 40% significant improvement and an impressive 60% improvement in scar reduction group. And this was only after 5 to 6 treatments!

See the link here: http://www.scar-reduction.com/needling.html

Another doctor, Dr. Andre Camirand, a plastic surgeon from Canada, found that skin needling improved the texture and depression of scars and also improved over-all skin color and texture. The best part is this remodeling process can go on up to 12 months from each treatment.

Other benefits of the skin needling are:

• Dramatically increases the effectiveness of your hair & skin products through increased penetration.

• Stimulates blood flow through directly massaging the scalp, face and body.

• Gentle exfoliation of dead skin cells accumulating in the hair follicles, face and body.

• The process is not painful (a tickling sensation).

• Medical grade stainless steel makes the needles non-allergenic to human tissue.

• Cost effective compared to expensive commercial treatments

• It can be used on all areas of the scalp, face, neck and body. Can be used on all skin types.

• It can be used anytime at your own convenience (no restrictive treatment session times).

• Removes old collagen fibers and rapidly stimulates new collagen growth.

• Clears blocked pores and stimulates blood flow.

• Natural process requiring no lasers or chemical peels.

• Does not induce sun sensitivity.

• Does not damage the skin.

• No risk of hypo– or hyper– pigmentation.

• Short healing time.

There are many skin rollers on the market with different needle lengths, so do your research if you do decide to purchase one of these new tools.

Skin needling devices range in price from $25-$200 depending on where you purchase them and the type of device you choose.

Professional sites advise using a skin needle length at 0.5mm for use on the face, a 1.0mm for most of the body and a 1.5mm for very fleshy areas such as the stomach, thighs and backside.

Each brand is slightly different. Certain features make different derma roller brands suitable for different needs. The more expensive brands benefit from superior build quality, narrower needles and a better overall look and feel. As with any product though, the results you achieve are not necessarily dependant on choosing the most expensive model.

~ R. Dupree

Harmful Skincare Ingredients in Pregnancy

By Van Le | Many pregnant women radiate that natural special “glow”, however, hormonal changes can also influence new reactions to certain chemicals. Knowing what, and more importantly, what not to put into your body during those nine months can affect the well-being of you and your baby. What to put on your body is no different. Since some skincare products can seep into the bloodstream, pregnant women should avoid the following ingredients.

Retinoids

Due to the ability to accelerate cell growth and renewal, retinoids (a type of Vitamin A) are commonly found in many anti-aging products. While Vitamin A is vital for growth and development of the fetus, excessive amounts can lead to birth defects. A study conducted in 1995 suggests that women who consume more than the recommended amount of Vitamin A in the first two months of their pregnancy doubled the risk of having a child with birth defects, according to the March of Dimes website. Topical application of retinoids has not been proven to be harmful, but as a precaution, many doctors and the National Institute of Health advise pregnant patients to stay away from skincare products containing this ingredient.

Salicylic Acid

Acne can wreak havoc anytime, but can be especially frustrating during pregnancy. Salicylic acid is a powerful and common remedy to help sooth inflammations and reduce redness caused by acne pimples, however, it can be harmful for the developing fetus. Medical experts have yet to pinpoint the exact amount of salicylic acid to deem as harmful, but believe that it can lead to respiratory problems for both the mother and baby.

Oxybenzone and Avobenzone

Just because you’re pregnant does not mean you can’t have some fun in the sun. As always, sun protection is pivotal, especially during hours of 10am and 4pm, when the sun’s UVA and UVB rays are most harmful. During the 1970s the Food and Drug Administration approved oxybenzone and avobenzone as safe UVA absorbers, however, a study done at Mt. Sinai School of Medicine in New York states that oxybenzone may cause lower birth weight in baby girls and has also been linked to cell damage and allergies. Avobenzone is capable of absorbing UVA lights, making it effective in sunscreen products, however, it can be absorbed into the skin, therefore, some healthcare professionals encourage expecting mothers to stay away from products containing oxybenzone and avobenzone. A safe sunscreen alternative is zinc oxide, which is made of organic ingredients that siton top of the skin as a protective barrier. Physical sun protection such as clothing as hats are also effective and highly recommended by doctors.

An expecting mother may not have total control over her cravings or hormones, but can dictate which products and ingredients go in and on her body. Most pregnant women abstain from products that have been proven as dangerous and unsafe, such as alcohol and cigarettes. A commitment to stay away from potentially harmful ingredients can also have long-lasting positive effects for both the mother and unborn child.

Van Le is a staff writer for the CSU paper the Daily Titan and writing intern for Vivoderm Laboratories in Los Angeles, California. She is currently pursuing a Journalism degree at California State University, Fullerton.

For the latest findings on natural skincare link to http://naturalantiagingproducts.net

Natural Healing with Aloe Vera

By: Van Le
The healing power of Aloe vera has been known for decades, dating back to the Egyptian era when it is believed that Cleopatra used it as a skincare remedy, and found in Greek history when it is believed that Alexander the Great used it to care for his army after battles.  Today, Aloe vera is widely used in many cosmetic products, anti-inflammatory creams, and some grocery store shelves even boast Aloe vera juice.

Aloe vera is a member of the succulent (water-retaining) plant family, and is also known as “lily of the desert” since researchers believe it originated in Africa.  There are over 250 known species of Aloe vera, and are relatively easy to care for, therefore increasing its popularity.  The spokes of Aloe vera plants are filled with a gel-like substance that is filled with a combination of enzymes, vitamins and minerals.  Dermatologists and cosmetic companies often extract the gel for use in their products.   Aloe vera is also considered an alternative treatment for high blood pressure and intestinal problems.

Aloe vera is a popular choice for the treatment of sunburn, since it contains a variety of enzymes and amino acids that are anti-inflammatory and speed up the skin’s healing process.  Many after-sun moisturizing creams contain Aloe, and for those who have access to actual Aloe plants, the gel can be applied directly on the affected area.

Aloe vera is a common ingredient in many cosmetic products, particularly anti-aging and anti-acne products due to its ability to generate healthier skin.  The combination of enzymes, vitamins and minerals in Aloe vera products increases oxygen flow, which toughens the skin tissues and provides protection from pollutants and dirt.  It also moisturizes the skin and increases its elasticity, which reduces wrinkles and signs of aging.  Used in conjunction with exfoliating products, Aloe vera can help control acne by helping shed dead skin cells and reduce redness.
Once Alternative, Now Mainstream

Not so long ago, herbal products or foods deemed “natural” were considered less than desirable by the mainstream public.  The Industrial Revolution not only changed the face of production and how we worked, it changed what we ate and used for our health.  Mass-produced, new chemical compounds in fancy packaging quickly replaced the ‘old-fashioned’ herbal remedies used by our grandmothers.

While Aloe vera never completely fell out of favor, by the 1970’s and 80’s use of medical plants and herbs to treat ailments and skin conditions was considered unconventional and provided mostly by naturalists and alternative therapists. In the new millennium, science and technology have not proven to be the miracle we were expecting.  Today, modern science is re-discovering what our already ancestors knew.  Aloe vera and similar natural treatments provide vital healing, nourishing and regenerative qualities that no chemical lab can re-create.

Van Le is a staff writer for the CSU Daily Titan and writing intern for Vivoderm Laboratories in Los Angeles, California. She is currently pursuing a Journalism degree at California State University, Fullerton.

For the latest findings on natural skincare, you can also link to http://bestfacemask.com

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