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Ask the Expert
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Why do I get a dark upper lip in the summer? |
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Written by Dr. Anita Fofie
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Q: Why do I get a dark upper lip in the summer? It looks like a freckle mustache!
A: Melasma is a very common brown, tan, or blue-gray facial skin discoloration seen almost exclusively in women. It typically appears on the upper cheeks, upper lip, forehead and chin of women 20 to 50 years of age. It is thought to be complex interaction between external sun exposure, external hormones like oral contraceptives and internal hormonal changes as seen in pregnancy. However, many women who have never been on the birth control pill or been pregnant suffer from melasma. It is most commonly seen in women of Latin, Asian, and African descent, but it affects a significant number of Caucasian women as well.
Melasma is notoriously difficult to treat, and the best approach is prevention of the characteristic hyperpigmentation that occurs with this condition. This means strict avoidance of sun exposure, and diligent use of a broad spectrum SPF of 30 or greater every day, rain or shine, at the beach or in the car. There are three steps to reversing melasma:
- Protect the skin by doubling or tripling your sunscreen. First use a chemical sunscreen, followed by a physical sun block containing zinc oxide and titanium dioxide, and finally add a mineral makeup powder with SPF that you can reapply throughout the day.
- Suppress the overactive pigment-producing cells in your skin called melanocytes. This is where fading creams containing kojic acid or hydroquinone (HQ) come into play. There are many over-the-counter products containing two percent HQ, but short-term use of prescription strength products with four percent HQ are more effective for melasma.
- Gently resurface the skin to help remove existing hyperpigmentation This is where combining hydroquinone with exfoliating agents such as tretinoin, glyolic, lactic or azelaic acids can help fade brown patches faster than HQ alone. Depending on how deep your melasma is, chemical peels and resurfacing laser procedures like Fraxel can reduce the appearance of hyperpigmentation.
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How does menopause affect my skin? |
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Written by Dr. Lydia Waterson
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Q: How does menopause affect my skin?
A: We all know that our skin changes as we age, but during menopause there is a sudden, dramatic drop in our powerhouse hormone, estrogen. Few of us are prepared for the dry, dehydrated, dull skin that follows. The cells in skin have estrogen receptors, and that means our cells react and respond to the loss of estrogen. The results of this dramatic change include:
- Loss of collagen, which provides the skin’s main structural support.
- A decrease in glucosaminglycans (GAG’S), which hold water and provide plumpness and moisture.
- A decrease in dermal thickness.
- Loss of elasticity, causing increased wrinkling.
Since hormone loss is responsible for these unwanted changes, hormone replacement therapy (HRT) can prevent many of them, and has been proven effective in countless studies and clinical trials. Whether or not you decide to try HRT, there are a number of additional techniques for minimizing the effects of menopause on the skin:
- Be gentle with your skin! Gentle cleansing twice a day with gentle exfoliation twice a week will reduce the build-up of dry skin cells.
- Feed your skin! Use a serum to add moisture plus nurturing and supportive ingredients like peptides, botanicals and antioxidants. Antioxidants like vitamin C are extremely important in protecting the skin from further damage due to free radicals.
- Stimulate your skin! Another important factor is vitamin A (in the form of retinoids), which is well known for rebuilding and rejuvenating aging skin.
- Moisturize your skin! Lock in your serum with a good emollient moisturizer to maintain optimal hydration.
- Prevent further photo-aging! Use a good sun block every day with minimum SPF 30.
- Relax! Take ten minutes a day to meditate, reflect and relax. It will show in your skin!
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How can I ensure my makeup lasts all day (and all night) long? |
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Written by Julie Brown
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Q: I feel great when I leave the house in the morning, but a few hours later, when I look in the mirror, my makeup seems to have practically disappeared! How can I ensure my makeup lasts all day (and all night) long?
A: Does your eye makeup crease and your foundation fade, and you find yourself having to touch up your makeup far too often during the day? Makeup products that last the longest are the formulas that are “long wearing” or “waterproof.” To start, top your moisturizer with a primer that will help your foundation go the distance. The best waterproofing primer is Hourglass Veil Mineral Primer. Use a long-wearing liquid foundation such as MAC Pro Long Wear Foundation, or a powder mineral foundation such as Bare Minerals Ready Foundation. If you are using a liquid foundation, always set it with a finishing powder, or a little of the powder mineral foundation. An important tip that helps your makeup look flawless is to always use a concealer under the eyes. This brightens the whole eye area and makes you look more awake and youthful. The key is finding one that doesn’t budge. I’ve tried many, and my favourite is Estée Lauder Double Wear Stay-In-Place Flawless Wear Concealer. Eye makeup tends to be what fades the most, so an eye primer is a must-have. Not only will it stop the creasing; it helps increase the vibrancy of the eye shadow applied on top of it. Two of the best eye primers are Urban Decay Eyeshadow Primer and Bare Minerals Prime Time Eyelid Primer. Lipsticks now come in long-wearing formulas that do not dry out your lips as they did in years past. Try Make Up Forever Aqua Rouge Waterproof Lip Color and Make Up Forever Aqua Lip pencils. Spend less time touching up your makeup, and more time looking fresh and fabulous all day long! |
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I have heard about cosmetic acupuncture and was wondering if it is a good option for my skin concerns. |
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Written by Amanda Beisel
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Q: My skin looks tired and dull since turning 40. I have heard about cosmetic acupuncture and was wondering if it is a good option for my skin concerns. My friend also said is it covered by extended benefits – is that true?
A: Cosmetic acupuncture is a great solution for tired and dull looking skin. It breathes life back into the skin by increasing both the blood and oxygen flow up to the face. Often, after just one session, clients see the vibrancy returning to their skin. Because it is a holistic approach to beauty, aside from approving of the appearance of your skin, you will feel better physically, too. It decreases stress levels and boosts energy. It is covered by your extended benefits if you have acupuncture coverage. It is a traditional acupuncture treatment to balance the body while improving the look and health of the skin. |
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What exactly is in dermal fillers? Are they safe? |
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Written by Dr. Anita Fofie
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Q: What exactly is in dermal fillers? Are they safe?
A: Dermal fillers are injected into the skin to effectively reduce the appearance of unwanted wrinkles, optimize facial proportions and recreate lost volume that results from aging. Fillers have come a long way since the days of collagen and silicone injections. Modern fillers are made primarily from hyaluronic acid (HA), which is a substance that naturally exists in our bodies. Popular fillers like Juvederm, Restylane, Voluma and Perlane are in the HA family of fillers. Other fillers are semi-permanent, such as calcium hydroxyapatite, better known as Radiesse, and poly-L-lactic acid, known as Sculptra. These reduce the appearance of wrinkles by stimulating the body's own collagen production. However, HAs are by far the most commonly injected dermal fillers for facial rejuvenation.
HA dermal filler injections provide an easy way to reduce the appearance of wrinkles, smooth the skin and give a more youthful appearance by boosting the skin’s supply of hyaluronic acid. For those who are hesitant to inject chemicals into/ their body, note that the soft, injectable gel is tissue-friendly and closely resembles the hyaluronic acid that exists naturally in the body. It is long-lasting, but not permanent. The result of a single HA treatment is seen instantly and can last for six to nine months. HAs are very safe and are easily reversible with an injectable enzyme called hyaluronidase, should you wish to dissolve what has been injected. Most fillers even have an anesthetic mixed into the product to minimize the discomfort of injection. Done artfully, dermal filler injections restore the contours of youth without affecting facial expression. |
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Meet the Doctor
Misty A Henne  Description: Misty A Henne, D.M.D. is a family dentist in Cloverdale. She graduated from Temple University in Philadelphia and has been practicing dentistry for almost ten years. She and her husband opened a practice together three years ago and also reside in the ar ... Company: Clover Hills Dental Website: www.cloverhillsdental.com |
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