Warning: Trendy At-Home Skin Care Devices or Gadgets

Life hacks, DIY tricks, and at-home devices that are meant to “mimic the effects of in-office skincare treatments are all the rage right now. They are posted on Instagram, YouTube, and all over the Internet. While some are very constructive and budget-friendly, others are ineffective or downright dangerous. To be safe, it is imperative that you read reviews from Skin Helpers before deciding to buy a gadget for your skincare routine. We asked Dr. Gretchen Frieling, who is a Boston area Dermatopathologist, to highlight several highly publicized methods that should bear the warning, “don’t try this at home.”

Dermaplaning- Dermaplaning is a cosmetic procedure that removes the top layers of your skin. The procedure aims to remove fine wrinkles and deep acne scarring, as well as make the skin’s surface look smoothIt uses an exfoliating blade to skim dead skin cells and hair from your face.

The Risks– Anecdotally, the risk of infection, complications, and experiencing pain during home dermaplaning is higher when you do it yourself.  “If you have acne, there is a chance that the blade could nick a pimple,” says Dr. Frieling which means it would take longer to heal. In addition, the tool used for dermaplaning is not a safety razor like what we ladies shave with. The device or tool used to accomplish the dermaplaning on the face is made of a sharp blade with a handle or wand.

At home “Derma-Rollers” for MicroNeedling” Aestheticians and dermatologists use derma rollers on clients to increase elasticity, reduce the appearance of wrinkles, and help with discoloration. Professional treatment can cost anywhere from $100 to $1,200 per session. According to Marketwatch, “A trend report for 2018 from lifestyle site Pinterest says it’s seen a 345% increase in posts for the “derma-roller” over the past year.”  Dr. Frieling is not in favor of using the tools at home because, “the needles aren’t big enough to penetrate the proper holes into the skin, so you’re essentially damaging your face for no reason. And without proper sterilization, derma rollers can harbor harmful bacteria causing infections, breakouts, and can trigger skin conditions such as rosacea, which causes redness and bumps on the face; eczema, itchy inflammation spots; and brown patches on the skin.”

Injecting Botox or other “Black Market” Filler into Your Face– First, even if you were able to get your hands on “real” Botox or filler such as Juvederm or Restylane® it’s almost like putting a firearm in the hands of someone untrained at shooting.  There is no safe way to give yourself Botox. You can’t trust what you’re buying, and even if you could, no amount of YouTube-ing will ever adequately teach you the skills you need to inject it. First, you need to know where to inject the substance. The answer is not to point the needle at the fine lines. After all, you’re relaxing muscles, not filling in wrinkles. Injecting Botox requires an understanding of facial muscles. You need to know which muscles should be relaxed for the desired results and where to target them. Second, you need to know how deeply to insert the needle and how much of the mixed substance you should apply in any given location.

Incorrect injection practices can lead to a host of complications, including eyelid drooping (ptosis), excessive swelling, excessive bruising, and a greater risk of infection. In fact, the infection may become so severe that it becomes a staph infection, an infection that spreads throughout the body and causes a variety of diseases. In any case, recovery will be longer, and the results may not be what you intended.

Lip Plumper Suction Devices- We have Kylie Jenner to thank for these! They are much less expensive than filler in the lips but with a far shorter shelf life. Dr. Frieling’s verdict: “Overuse of suction cup lip plumpers can cause misalignment of the teeth due to the outward pressure of the suction. Devices such as these can also cause swelling and bruising of the lips (and sometimes permanent scarring) when used excessively. The advice is to use these devices sensibly and with caution.”

At home acne extractors- The county has become obsessed with popping pimples thanks in part to the success of the TV show “Dr. Pimple Popper.” Acne extractors sold online, and people are using them at home. But should they?  Picking causes scars or scabs by ripping off the top layer of skin, whereas extracting by a professional pulls out the fluids or solids inside a pimple. It’s far more sterile, sanitary, and cleans the pore of extra debris. Why can’t you simply do this yourself? Acne extraction, be it white or blackheads, is a ‘don’t try this at home procedure.’ It’s a one-way ticket to scarring, infection and even more breakouts. Only through a professional facial will your skin be prepped and steamed correctly for extractions – by the hands of a trained, licensed esthetician. Skin that has not been adequately prepped for extractions may be resistant, requiring more pressure and manipulation. If used too aggressively, the pressure of the extractor tool can inflame and even bruise the skin. Additionally, a skin care professional is well-practiced in gentle and efficient movements to maximize results while minimizing potential harm.

Cuticle Cutters-Trimming or cutting cuticles during a manicure is purely cosmetic and doesn’t benefit the nail in any way. In fact, it’s actually harmful to your nails. “The small area of skin is there to protect your nails from infection. When this skin is removed, your nail is left unprotected from bacteria and fungus. Dr. Frieling recommends pushing back the cuticles by applying cuticle remover on each nail.

Chemical Peels- Chemical peels are designed to work by removing part of the top layer of skin to reveal fresher skin for a more youthful appearance. Many products containing low concentrations of acid are sold through beauty retailers and drug stores, and are often safe to use. People also are treated with peels using a higher concentration at medi-spas or doctor’s offices.  When it comes to alpha hydroxy acids or (AHAs) like salicylic and glycolic acids, a concentration of 10 percent or less is safe for home, and more than 30 percent should be reserved for a professional environment, according to a Food and Drug Administration advisory panel. Like many substances, illegal concentrations of chemical peels can be purchased online for substantially less than they would cost in a doctor’s office. But what price do you pay for a “bargain?”  According to Dr. Frieling, “the dangers of experimenting with a medical grade peel at home are numerous and can include: extreme pain in the form of stinging, actual burns to the skin, blistering, scarring, changes in skin color, infection.” What’s more, a skin care professional will determine if you are even a candidate for a chemical peel and possibly rule you out if you have taken the acne medication isotretinoin in the past six months, have a dark complexion, have a personal history of ridged areas caused by an overgrowth of scar tissue (keloids), have abnormal skin pigmentation, have a history of frequent or severe outbreaks of cold sores.

Dr. Frieling says that there are worthwhile “skin care hacks,” DIY recipes for the skin, and some at home devices that are safe and effective. Before buying into the latest Instagram sensation, consult with your doctor first to make sure that you are a good candidate and that what you are considering is safe and effective.

 

How to Fix Summer Skin Issues by Board Certified Dermatologist

As we head into the cooler months the weather change impacts our skin. We may notice changes to texture, tone, perhaps some breakouts and over all ruddiness and damage from being outside enjoying the summer. Here are some of the most common post summer skin issues I see in my practice along with some solutions for them.

  1. Sunspots and wrinkles.

Days at the beach or pool can lead to sunspots even if you apply sunscreen. We cannot reach every spot and sometimes we forget to reapply after swimming. Also, even when wearing polarized sunglasses, we may put them on our heads; temporarily squinting leading to crow’s feet.

If you’re noticing some new spots, freckles and wrinkles reach for a retinoid. Your dermatologist can offer prescription strength creams. Deeper wrinkles like the ones between the eyes usually require something like Botox but, you can minimize the appearance with creams that feature glycolic acid or alpha hydroxy acid. These are wonder vitamins for the skin stimulate skin shedding and cellular turn over. A serum used at night will help; but be patient and use it regularly to see a gradual change. Chemical peels and intense light treatments (IPL) can handle any discoloration.

  2. Clogged pores and dullness.

During the summertime, we perspire plus we are exposed to daily pollution in the air. When you combine these factors plus daily use of make-up, pores get clogged. Beneath the skin are our sebaceous glands which secrete an oil called sebum. Sebum sticks to dead skin cells like glue and funnels these dead skin cells through the pores. This is a process that is supposed to help you maintain healthy skin. The problem is when the weather and elements speed up the process pores become clogged. The dead skin cells get trapped along with bacteria and this leads to dull, ruddy skin with breakouts. An exfoliating face wash with glycolic acid or salicylic acid helps tremendously. Your dermatologist can create a skin care regimen based on your specific skin type and issues so you don’t deregulate pH levels in the skin which will only make things worse leading to…

  1. Acne flare ups.

Consistent heat and humidity combined with cell phone use and touching our faces after touching dirty surfaces, leads to a post-summer breakout. These breakouts can be cystic which means bigger, deeper, more painful pimples. It also can lead to a cycle of breakouts that include, treat, pick, peel, scar, and heal only to see another pimple and another. Over the counter acne treatments such as face washes with sulfur, black charcoal masks and soaps, spot treatments with benzoyl peroxide can certainly help. However, when the breakouts are consistent a dermatologist can assess your skin and present solutions that may even involve nutritional changes, vitamins and light therapy for mild or moderate acne.

  1. Dry lips.

We all know about winter time lip chapping. In the summer lips can get incredibly dry. Using a lip balm with SPF is very helpful but unless we are applying it regularly while at the beach, pool, or working out outdoors, one swipe under lip gloss isn’t enough. Drinking water, and keeping alcohol consumption to a minimum helps keep us hydrated. When we are dehydrated, we see it on our lips. Pay close attention to any freckles or discoloration to the lips after prolonged sun exposure. If you see any odd changes, see your dermatologist.

  1. Ashy, flaky, itchy, skin.

If you are often in chlorine or salt water you’ll find your skin to feel rough and dry almost as if it is shedding. Also, going from extreme heat to cool air conditioning leads to skin going from perspiration to goosebumps. This rapid drop in temperature affects skin. Taking luke-warm showers and using a gentle exfoliating skin wash followed by a hydrating moisturizer keeps skin supple. Add a few drops of vitamin E to your lotion for added nourishment.

When it comes to the face, peeling foreheads and noses points to sun damage. Oftentimes people wait until something is visible to them or when an is followed by a dry patch. Dermatologists can look at things with a more discerning eye plus magnifiers that enable them to flag something that could escalate into something more. If everyone put October on their calendars as the month to see a dermatologist for a skin check we would see many skin conditions be solved quicker. This includes melanomas.

About the expert:

Dr. Margarita Lolis, M.D. is a board-certified cosmetic, medical dermatologist and a fellowship-trained Mohs surgeon with over 20 years of experience. In her practice, she addresses common skin concerns such as acne prevention and treatment in both teens and adults, sun-damage, skin discoloration, wrinkles, changes to skin texture and loss of volume. On the medical side, she is a trusted expert in melanoma and over-all skin health. Dr. Lolis prides herself in honoring facial symmetry to deliver a natural look to her clients. She always recommends a healthy skin care regimen plus lifestyle habits that are aligned with her holistic approach to beauty.

As an anti-aging, functional medicine physician, Dr. Lolis masterfully addresses age management, starting with internal issues, such as hormone and gut health, nutrition, and detoxification leading to a vibrant appearance from the inside out.

A graduate of Yale University and Mount Sinai School of Medicine, Dr. Lolis has authored numerous book chapters and medical articles in leading dermatology journals, and completed a melanoma research fellowship prior to residency.

Dr. Lolis is a member of the American Academy of Dermatology, American College of Mohs Surgery, and the American Society of Anti-aging. Her practice, Skin, Laser, and Surgery Specialists is in New York City and Bergen Country, New Jersey.

How To Maintain A Young-Looking Face | Expert Tips

We all want to look as youthful as possible for as long as possible. We spend money on creams, facials, fillers, and even sometimes plastic surgery. To get some tips for how we can maintain a young-looking face, we went to several great beauty professionals including Dr. Kirk Brandow, founder and director of the Brandow Clinic for Cosmetic Surgery in Philadelphia, who has appeared on national programs such as Good Morning America and 20/20. Here’s what they all have to say.

 Featured Photo from Instyle.com

  1. Get rest.

There absolutely is such a thing as beauty sleep. “Women come to my practice thinking they need an eye-job or a facelift when all they need is sleep. Sleep is a time when we rejuvenate ourselves and cellular turnover is at its height. Getting 7-8 hours of sleep nightly will make a huge difference in how youthful a woman appears especially as she approaches age 30 and collagen production decreases,” says Dr. Brandow. “A woman can speed up aging if they are constantly sleep deprived.”

  1. Use an overnight treatment.

If you suffer from breakouts or skin dryness leading to wrinkles or blotches, treating your skin concerns at night, is a way to maintain a youthful glow. “Work closely with your dermatologist or aesthetician who can recommend non-irritating skin treatments specifically addressing your concern,” advises Dr. Brandow. You want to take advantage of overnight options available to boost collagen and heal skin while sleeping.

  1. Hydrate

When it comes to anti-aging and putting your most youthful face forward, water is key. Water flushes your system of toxins which helps skin to glow. “Women spend a lot of money on topical creams formulated to boost moisture and hydrate the skin yet, if they integrated more water, even 4, 8 ounce glasses per day, they would see fewer wrinkles and an overall smoother younger skin texture within a month,” says Dr. Adriane Pompa, Miami based board certified dermatologist who specializes in aging skin.

  1. Be smart about fillers.

Fillers are used to add volume that diminishes as we age but people have taken it to extremes. There have been many advancements with fillers over the past 5 years offering more options and more sophisticated ways to administer them to achieve a youthful look.

According to Dr. Brandow, many patients believe that filling their cheeks will soften their laugh lines, so they push doctors to administer two to four syringes in their cheek bones and cheek area at once. This can result in swelling and doesn’t necessarily lift their face. Fillers are often done as an alternative to a face lift but, if not spread out over several weeks, it just gives the patient an unnatural look that distorts their face and makes them look odd.

“My personal preference is to perform the fillers sequentially. For example, I will use one syringe of filler in multiple locations. Then I’ll have patients return in 4-6 weeks and perhaps do another syringe to the same places, or different places, giving them an overall natural look. This leads to a softer, more natural result. The key to doing fillers well are going with small amounts every 4-6 weeks,” explains Dr. Brandow.

  1. Get facials.

According to Dr. Adriane Pompa, one facial per month does wonders for skin’s clarity, texture, and ability to produce collagen. “There are many at-home facials available one can do weekly. The key is knowing your skin type and ingredients that address your specific skin concern. Also, you can treat different parts of the face differently depending on skin issue. Let’s say you are prone to breakouts on your jawline, have wrinkles on your forehead and dryness on the cheeks, your dermatologist or aesthetician can recommend a facial plan customized for you.”

  1. Consider lasers and light!

Lasers are another tool that blasts away acne scars, evidence of past sun damage and evens out skin giving that flawless, youthful glow. There have been so many advancements with lasers resulting in more immediate results without downtime. Lasers typically cost between $600 – $1200 per treatment depending on the city and type of laser. The advantage with lasers is accuracy. You can treat a specific area without affecting the rest of the surrounding skin.

  1. Tone down your make-up.

One way to immediately take 10 years off your look is to revamp your make-up. Consider hiring a professional make-up artist who can teach you how to enhance and even modernize your look. New York make-up artist, Carlo Geraci, who was protégé to Trish McEvoy and Kevin Aucion, explains that a lot of women are doing their make-up the same way they did 20 years ago. That bronzer that you loved in the 90’s when you were 24 may appear harsh and outdated at 44. “Heavy eye liner and strong lip colors may only accentuate wrinkles and fine lines. As women age, less is more when it comes to make-up. Opt for a great hydrating foundation or a touch of concealer, a pinch of blush, a swipe of mascara or a gray or brown eyeliner and a natural looking lip liner topped with a tinted hydrating balm,” he suggests.

 

About the Experts:

Dr. Kirk Brandow, founder and director of Brandow Clinic for Cosmetic Surgery is a plastic surgeon with 2 locations in the Philadelphia metro area and a 3rd one at the jersey shore. Named a “Top Doc” in Plastic Surgery by Philadelphia Magazine as well as nationally recognized for one of America’s “Best Plastic Surgeons” of this decade, Dr. Brandow is a trusted expert who has developed many innovative, minimally invasive procedures for the face, body and skin. He has been featured on local, national and international television programs including 20/20, CNN’s Headline News, Good Morning America.

Dr. Adriane Pompa is a board-certified dermatologist and Associate Professor of Dermatology at University of Miami, Jackson Memorial Hospital who is highly trained in medical dermatology, dermatologic surgery and cosmetic dermatology. In addition to her general practice, she specializes in anti-aging skin care, skin cancer prevention and treatment, and laser use in dermatology.

Carlo Geraci, New York make-up artist has worked alongside Kevin Aucoin, helped launch the Trish McEvoy brand, and was invited by Barneys New York to became the first Beauty Guru, a position created specifically for him. His work has appeared in print and commercial campaigns, New York Fashion Week runways, red carpets, Broadway stages, television, film, and fashion editorials. He has also appeared on the Style Network, CBS News, and Today on NBC. 

Shiny Health Hair from Dr. Rebecca Kazin: Perfect for All Hair Textures

Harsh winter weather can be hair’s worst enemy. From hat hair to static to dry ends and frizz, dropping temperatures signal seemingly endless hair woes. Ski slope sun exposure, drying indoor heat and high winds all present challenges, often resulting in brittle, tangled strands.

“Just as your skin can look dull and dry during the low humidity months, so can your scalp and hair,” says Rebecca Kazin, MD, FAAD. “Then add in our typical daily heating and styling tools which further stress and dehydrate the hair.”

Rebecca Kazin

As a top dermatologist at the Washington Institute of Dermatologic Laser Surgery and the Johns Hopkins Department of Dermatology, Dr. Kazin has seen her share of hair/scalp complaints. Here she shares her tried and tested favorites to help your readers survive winter with shiny, healthy hair.

HAIR CARE TIPS

Protect – If you must use heated styling tools, it’s essential to use a good heat protectant spray. I like Aquage Beyond Body Thermal Spray because it has ceramic-infused polymers and fortifying proteins to seal hair’s outer layer.

Nourish – To maintain healthy hair, you must add more moisture during the winter months. Apply Oribe Supershine Moisturizing Crème post-shower to calm frizz and satisfy and restore even the thirstiest hair to softness.

Shine – Our hair color fades faster in the winter as we wash our hair more often due to weather conditions. Restore radiance and shine with It’s a 10 Miracle Leave-in Product. It works on all hair types to bring out natural luster and manageability while also maintaining your color.

Frizz– Women with thin, fine hair are hit particularly hard with static. Tame flyaways with Fekkai Brilliant Glossing Crème. It transforms hair’s texture to leave it smooth and glowing with vibrant shine.