Tag Archives: Tretinoin

3 Essential Steps to Skin That’s Forever Young

Oh, hello Beautiful!

I recently wrote this article for my organization, DuPage Medical Group. Thought I’d share it with you.

Until next time, stay fabulous, my friends!


3 Essential Steps to Youthful Skin

By: Elizabeth Weiler, LE

TOPICS: SKIN HEALTH
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 Whether you’re beginning skin damage prevention in your 20s and 30s, or improving age-related changes and maintaining the condition of your skin in your 40s and beyond, the services at DMG Aesthetics can help you achieve and maintain radiant skin no matter your age.

Our licensed aesthetician, Elizabeth Weiler,offers her professional advice on how to sustain youthful skin by following the ladder metaphor, along with a helpful visual for planning and navigating results-oriented options for age management.

3 Essential Steps to Anti-Aging by Elizabeth Weiler MBA, LE, CAC, CLT

Step 1: Daily  

The first and most important step on the ladder for maintaining healthy and glowing skin year-round is daily use of the core four products.

The following products create a skincare routine that protects your skin from damage during the day and repairs damage at night. Without these core skincare products, your skin is highly vulnerable to environmental damage every day.

The Core Four

1. Sunscreen (SPF) – AM Only

No matter your age, it’s a good idea to apply sunscreen daily, even on cloudy days and days when you don’t plan to go outside. To streamline your routine in the morning, you may opt for a sunscreen that also moisturizes.

Revision Skincare’s Intellishade is a popular SPF product, which is an all-in-one anti-aging daily sunscreen and moisturizer. Another SPF option is ISDIN Eryfotona Actinica, which is a light-weight, easy to apply mineral sunscreen.

2. Antioxidants – AM (PM’s as indicated)

High quality, topical antioxidants can help protect your skin from environmental damage. Many formulas such as a vitamin C serum, are proven to visibly brighten, reduce redness and stimulate collagen in the skin.

Skinmedica’s Lumivive system is a great option for almost all skin types. It includes a nighttime antioxidant serum to stimulate mitochondria to repair damage as you sleep.

3. Growth Factors and Peptides – AM/PM

Once you turn 40, it is helpful to use a growth factor/peptide serum twice a day, which heals any accumulated skin damage over the years.

When it comes to growth factor and peptide serums, TNS® Essential Serum and Neocutis MicroSerum are both a great choice.

The TNS Essential Serum is popular due to its powerful, multi-tasking technology that includes a combination of antioxidants, peptides, HA plumping spheres, brightening Alpha Arbutin and the highest concentration of topical growth factors available.

Neocutis’ MicroSerum is an unrivaled blend of newly developed peptides that is proven to stimulate three different types of collagen to support the structure of the skin.

4. Retinol or Retinoids – PM Only

Step four, which typically starts at 30 years or older, is incorporating a retinol on a nightly basis.

Retinols and growth factor serums are well known for reducing fine lines, brightening, smoothing, restoring and repairing the skin.

One of the most popular retinols is SkinMedica’s Retinol .25 (for sensitive or dry skin) and SkinMedica’s Retinol .5 (for normal skin).

For recommendations on what skincare products you should be using, please schedule a consultation online or by calling your local DMG Aesthetics.

Step 2: Quarterly

In this step, photorejuvenation and/or a wrinkle-reducing treatment such as BOTOX Cosmetic is recommended at least three to four times a year. 

Photorejuvenation treatments can instantly help improve the quality of your skin with results lasting up to several years. The Forever Young BBL is a common quarterly photorejuvenation treatment.

The Forever Young BBL is a specialized light-based treatment that increases brightness, smoothness and evens skin tone. This BBL treatment not only improves and maintains your skin tone, but can also be used to rejuvenate the skin on the neck, chest, hands or any other area of the body.

A wrinkle-relaxing injection (neuromodulator), such as BOTOX Cosmetic, Dysport or Xeomin, works by relaxing the muscles that cause lines and wrinkles. For that reason, injections such as BOTOX can help prevent deep dermal creases, folds and wrinkles or prevent wrinkles you already have from deepening over time.

Wrinkle-relaxing injections are typically repeated every three to four months to maintain the effect, as recommended by the FDA.

Step 3: Annually

For men and women in their 40s and beyond, receiving a laser resurfacing treatment approximately one to two times per year can help reverse and prevent age-related changes in your skin.

An innovative laser treatment called the Halo™Laser is a popular choice. It is a dual-fractionated laser treatment that reduces enlarged pores, lines, wrinkles and mild acne scarring. It also treats visible sun damage as well as deeper sun damage we can’t see. The Halo™ laser is unique because of its low downtime and highly customizable settings that can be personalized for a wide variety of needs.   

For example, a lighter Halo™ treatment is ideal for those who want to maintain a youthful and radiant complexion. A more intense treatment is beneficial for those who have deep lines and textures. A Halo laser and BBL combination treatment is common for those with stubborn pigmentation, or those who want ‘wow’ results.

Finally, because we lose volume in our faces over time, treatments with an FDA filler can help to reverse deep dermal creases and the look of sagging skin, without surgery.

When it comes to filler injections, Sculptra Aesthetic or Juvederm Voluma XC are often recommended because of their long-lasting, lifting results. For a list of fillers we offer, please visit our non-surgical procedure page.

Start working towards your healthiest and most youthful-looking skin today by scheduling a consultation online, or by calling your local DMG Aesthetics

To schedule a consult with Elizabeth Weiler, call our Glen Ellyn DMGA location at 630-545-7840.

 

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These Villains are the Cause of Skin Damage, Part 3

If we want to look at our anti-aging practices from an informed and discerning perspective, it’s good to know what’s going on in there that causes wrinkles (and other not-so-fun manifestations of skin aging). So far, we know about three main things that happen in the skin when damage is caused. Click HERE for the 1st Villain I wrote about, Click HERE for the 2nd in the series. Read on for the 3rd biochemical phenomenon in my series:


Advanced Glycation End-products (AGEs)

AGE is a a conveniently-coincidental acronym for Advanced Glycation End-products, which are the evil little products of a reaction between glucose (sugar) and proteins… Specifically collagen and elastin in this case (glycation).
Yes, it tastes good, but excess sugar in your diet screws up more than just your waistline.
How does it cause aging? 
Glucose is good, of course, in the way of providing energy. But when there’s extra glucose, it rumbles with our collagen and elastin. This process produces AGEs, which make these fibers crispy and easily breakable. This reaction contributes to inflammation, slowed/inhibited growth of cells, and wrinkles (oh my!).
To simplify, think of it as turning your normal, elastic rubber band-like fibers into an old, dried out and crumbly rubber band. When AGE’s wreak havoc, your rubber bands are in an accelerated aging state, causing that loss of elasticity, sagging, and wrinkles.
You know all those old, crumbly rubber bands in the back of your desk drawer? That's your elastin after AGE's.

You know all those old, crumbly rubber bands in the back of your desk drawer? That’s your elastin after AGE’s. Yikes!

In an article for Prevention, dermatologist Dr Frederic Brandt (well-known for his research in AGE’s) breaks it down further: “Besides damaging collagen, a high-sugar diet also affects what type of collagen you have—another factor in how resistant skin is to wrinkling… The most abundant collagens in the skin are types I, II, and III, with type III being the most stable and longest lasting. Glycation transforms type III collagen into type I, which is more fragile.
The article goes on to describe that “AGEs deactivate your body’s natural antioxidant enzymes, leaving you more vulnerable to sun damage—still the main cause of skin aging.”

yikes! What Now?
1) It’s time to build some new Collagen. If you’re not already, start using a Retinol or Retinoid.
My favorites for sensitive or dry types:
My favorites for resistant or oily skin types:
Rx Tretinoin .05 or Tretinoin .1 creams

2) Diet:
Cut down on simple sugars in your diet. From a dietary perspective, refined sugar seems to impact glycation about 10 times more than glucose.
Yup, just another reason… Sorry.
Judgmental cat seems judgmental, but he really just cares about your complexion.

Judgmental cat seems judgmental, but he really just has your best interests in mind.


3) Use topical antioxidants.
These guys are ONCE AGAIN a great way to cut down on all the domino effects of damage. . Click HERE to read more about them. 

4) Try a Targeted Treatment Cream: One of my fave go-to’s is Skinceuticals AGE Interrupter. Give it a Go if you’re in the market for a rich, cosmetically-elegant treatment cream.

And Until Next time, Stay Fabulous My Friends!
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Alert, Alert!! New Obagi Medical Products System, available next week!!

My lovely Obagi representative just alerted me to a new Obagi Medical Products line, specifically designed for those in their 20’s and 30’s, but likely appropriate for anyone who may not want or need an Rx Tretinoin (or anything ‘hardcore’, per se).

She didn’t have any literature to send me yet, but referred me to the Youtube vid here… which, at the time that I viewed it, only had 63 views!! This is new, hot off the press!

http://www.youtube.com/watch?v=CjKvHbZAxf4

Obagi 360 features only 3 products: an exfoliating cleanser, a retinol .5 to use at night, and a hydrating broad-spectrum SPF. This line promises simplicity, gentle care, an emphasis on consistency and routine, and maintenance! Well done, Obagi… can’t wait to hear more!!

Until next time, stay fabulous my friends!

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Before and After: My Obagi Transformation

I think the Spring season gets a lot of credit for renewal and transformation, but Fall is really when I (and clients/patients alike) really get in the mood for change. The summer can be a time when we drop off of our strict regimens and become a bit lax… with schedules, eating, bedtime, skin care, and who-knows-what else.

In my opinion, there seems to be something about the changing colors, the crispy air, and the earlier nightfall that seems to make us all think: ‘OK, these summer freckles are bothering me. Time for a change’, or ‘Hey!! I’m suddenly interested in regimented self-care again’. I myself jumped back onto full time Obagi use a couple of weeks ago, and I thought I would share my slightly embarrassing before and after pictures from my first time using the Obagi Nu Derm system. (about 7 or 8 years ago)

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Yup. You are right to be impressed.

I had some issues, as you can see. It’s especially tough to have skin trouble when you are a professional aesthetician. After all, how are you supposed to recommend treatments and products for your practice’s patients when your own skin is terrible??

Notice the acne, the post-inflammatory hyperpigmentation (red spots left-over from acne), melasma (patchy-brown above my lip and on my forehead), freckles, and uneven tone.

I used the Nu Derm system with tretinoin .1% (hardcore!!) religiously for 18 weeks, followed by a maintenance regimen. What a life-changing transformation this was for me! I am so thankful for this line, and have many, many happy clients who would agree.

So if you are in the mood for change yourself, join me in fall transformation! Start using that night-time product instead of falling asleep on the couch at night, jump into that Zumba class, or finally organize your closet by color; whatever blows your hair back! :)

Check out Obagi Medical’s website here to learn more about nu derm, and until next time: Stay Fabulous My Friends!

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ZITS: 5 Break-Glass-In-Case-Of-Emergency Tricks

As I sit here with a blemish so large that I may end up naming him (Thor? Steve? Brutus?), about to get my Kenalog Injection, it occurred to me that I may want to share a few of my emergency acne treatment ideas.

Yes, it’s true. Even the skincare-obsessed (and skincare professional) will get the occasional blemish. If you are like me, you might have a fabulous dermatologist in your back pocket.  A quick and almost-painless injection of a steroid and will have you like new in 24-48 hours. What I have is called Kenalog- it’s a glucocorticoid corticosteroid meant for intralesional, (meaning: in-the-zit-itself), injection.

This is one of the best ‘break glass in case of emergency’ treatments before weddings/prom/reunions. There’s risk of a scar when you have these injections, so talk it out with your doc. Sometimes the blemish itself threatens a scar, like when it’s big enough to have its own name. So depending on your situation, despite the risk you may still opt for the shot.

Don’t have a derm? No time for an appointment?

Here are 5 of my top at-home emergency blemish treatments:

Acne Arsenal: Here are a handful of my fave blemish-fighters

Acne Arsenal: Here are a handful of my fave blemish-fighters

Over-the-counter hydrocortisone: 

(I prefer the cream version, but it’s also available in an ointment form) you can apply hydrocortisone 1% a couple times a day for up to 7 days to help reduce inflammation and redness.

Ice, Ice, Baby (better yet, cool packs):

Reduce inflammation by holding a cool pack on for 15 minutes at a time, or as long as is comfortable. It’s good to do while you’re checking email or watching a movie.

Don't forget your 20% off coupon! Super Cutie Cool Packs at Bed, Bath, & Beyond

Don’t forget your 20% off coupon! Super Cutie Cool Packs at Bed, Bath, & Beyond

Tretinoin (aka Retin-a):

If you have some of this (generally for use all over the facial skin at night) I have found that if you use a dab during the day, it can help to flatten things out a bit faster. Tretinoin is typically for anti-aging and /or acne treatment and prevention- it’s a power house prescription. If you don’t happen to have any laying around, Salicylic Acid is always a good one to dry and flatten things out. I love Obagi’s Clenziderm MD Pore Therapy.

Anti-histamines:

Try taking Benedryl or Claritin, if its appropriate for you (i.e, your md says you’re good to go) … It’s all about reducing the inflammation!

Um, yuck. Murder those anaerobic bacteria jerks with BPO

Um, yuck. Murder those anaerobic bacteria jerks with BPO

BPO:

Benzoyl Peroxide products are awesome for prevention and treatment of the pustule-type of lesions… the yucky ones with the ‘head’ on them. This is because BPO works by bringing oxygen in to murder the anaerobic (O2-hating) bacteria in the follicles. A crazy awesome Rx version is called Acanya, otherwise my fave and most-recommended BPO is Obagi’s Therapeutic Lotion.

Of course, always follow the recommendations of your own skin care professional or physician- and may the force be with you!

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