Tag Archive for: Treatment

If you suffer from Acne or are trying to eliminate those stubborn scars from years ago, you’ll want to read this. In the past decade there have been many treatment options developed for acne prone skin. With the popularity and availability of over the counter skin care products, the consumer has become more savvy about how products perform and what to use in order to treat and or prevent acne. We sat down with Dr. Goldfaden to get the 411 on the best and most effective acne treatments on the marketplace.

With the advancements of lasers, many turn to these to help to treat acne and eliminate scarring. There are many different types of lasers and while there is not a tremendous amount of research to suggest they really work against acne, they can help some people. Due to the possible side effects I would sooner suggest trying another treatment first before taking the last road.

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How do you approach treatment of acne? 

When a patient is dealing with Acne, it is always important to do a 360 degree evaluation. This means investigating all the possible things that could be causing the acne. The patients age, diet, exercise routine and overall health. I am more likely to treat acne prone skin with natural yet effective products before prescribing an antibiotic. If there is an infection present then an antibiotic will be suggested. Exfoliation is the main suggestion for fighting acne prone skin. Exfoliation not only clears up existing oil and bacteria, it also removes dead and dry skin cells and inhibits future breakouts. Throughout years of research one ingredient I have found to be beneficial when applied topically is Organic Red Tea extract or Rooibos. Red Tea extract is soothing and fights inflammation, irritation and redness. I will usually prescribe an exfoliation scrub in conjunction with a red tea based serum to Acne sufferers for dead skin and bacteria removal and healing properties.

What about antibiotic treatment and effectiveness, long term use, resistance, ability to tackle the root cause?

Accutane is the most clinically effective drug to fight acne but very strong and has many side effects. Long term use of any antibiotic is not recommended and the natural approach is always the first choice of treatment. Over usage of any antibiotic can result in a resistance, but when used properly and if all avenues have been exhausted prior, this can be a very beneficial and successful approach to combat stubborn acne.

What are your views on of accutane and dosing? Has your view changed over the years?

Accutane will be prescribed as a last option. I have never been a fan of Accutane as it has many unwanted side effects. However it remains the most effective drug for Acne. Natural topical treatments are always recommended first before an antibiotic.

How have lasers impacted treatment?

There are many types of lasers available now, however they can be expensive and can cause unwanted side effects such as pain, burning, peeling, redness and dark spots as well as no results. I recommend older and more mature adults to look at this option as a last resort rather than sending younger men and women to laser treatments simply based on the variety of alternative and successful options that do exist.

Any recent advances that are exciting to you?

Accutane still remains the popular choice for prescription. Lasers and OTC skincare products have become more and more popular in recent years which allows all of our research to become more mainstream and accessible to the general public which is so great.

Can you talk to us about AHA/BHA acids as treatments?

Alpha hydroxy acid-based facial exfoliators are an excellent choice for people with oily skin. In general, beta hydroxy acid is a more effective treatment for acne prone skin. Beta-hydroxy acid (also called salicylic acid), is a synthetic derivative that comes from the same source as aspirin.  Both AHAs and BHA work by combining with the structural lipids in your stratum corneum and dissolving them so that the dead skin cells break away. Since the introduction of OTC skincare products such as the popular wipes and our Fresh A Peel lactic acid wash, peels can be done safely at home with no side effects.

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How does Vitamin A interact with spot prone skin?

Vitamin A or retinoids help repair sun damage, fine lines and wrinkles, overall skin tone,  cell turnover, Acne and overall skin repair. Vitamin A stimulates skin cell renewal by increasing the rate of cell division 1-3. Retinoids or Retinol products can help to unclog pores thus inhibit dead skin cells to clog pores and cause future breakouts. Vitamin A can also help to inhibit acne scars from forming.

With so many anti-aging options on the market, how do you decide what is best for you?

“One of the older yet most effective ingredients, Retinol, is still at the top of my list for anti-aging, says Dr. Gary Goldfaden.” A little bit of Retinol each day goes a long way. There seems to be concern about over using this anti aging wonder ingredient, due to some of the red, thin faces you may see out there. Have no fear, as long as you do not overdo, you will reap the benefits of retinol without the side effects.

Breaking Down Retinol:

Retinoids are a derivative of Vitamin A. Retinol is the non-prescription, more gentle version of a retinoid. Retinoids are prescription-only and you need to obtain a prescription from your dermatologist or plastic surgeon. Retinol and retinoids are the favorite anti aging ingredients because so much research has been conducted. Retinoids work by preventing the rise of an enzyme called collagenase and boosting collagen already present in the skin. Retiniods and Retinol speed up

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cell turnover, which causes skin to look younger, tighter and smoother. They also reverse signs of sun damage, fine lines, wrinkles and even out discoloration from the sun, giving the skin tone an all over even look.

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Results:

You can expect to see the benefits of Retinoids within 4 weeks of starting. Retinol, due to its more gentle makeup takes around 12 weeks to start noticing a difference, but continual long term usage is extremely beneficial for the skin as it works to . If you are just starting out with retinol, try an over the counter product that won’t be too harsh. Many people have side effects when first starting, so ease your skin in. If you are not seeing the desires results, try a prescription retinol product. If you have sensitive type skin or reactive skin stick with a OTC product that contains hydrating and soothing ingredients.

– Clears Acne
– Diminishes Wrinkles
– Lightens Discoloration + Evens Overall Skin Tone
– Shrinks Pore Size

“When choosing an anti-aging lotion that contains retinol consider other ingredients that help boost the effects. Our Wake Up Call contains alpha lipoic acid, DMAE, glucosamine, CoQ10 and avocado oil which all assist retinol in improving the appearance of photo-damaged, wrinkled, loose skin while the avocado oil helps to hydrate.” Dr. Gary Goldfaden reports

When to Start?:

I often get asked “at what age should I start using retinol?”. This is all dependent on how you have treated you skin thus far. If you’re in your late 20’s and have a lot of sun damage and fine line and wrinkles, then it’s time to start. A good rule of thumb is by 30 you should be using anti-aging products and something that contains retinol. The sooner you start restoring and protecting your skin the better.

Two important tips about seeing the benefits of retinol quicker is to use an exfoliator(chemical or physical) and wear an SPF everyday. Exfoliation helps to remove old dead skin cells which make skin brighter and softer. Protecting your skin by wearing an SPF, you will create less damage and be able to see results quicker. The key is everything helps in the fights against aging!

Hud-maske

The thought of an overnight mask or treatment can be daunting for skincare newbies. How will you look in the morning? Will you actually see a visible difference?  And the main question, “I’m supposed to put what on my face?!?” Well fret no more, there are numerous overnight facial treatments, masks and DIY concoctions to choose from.

Overnight treatments are popular and effective because skin rests during sleep and the body performs its biological repair during these wee hours. Being inside your bed, warm and cozy away from environmental stressor such as the sun, wind, high temps or low temps, is also very beneficial. Choosing the correct treatment is important too. The first step is figure out what problem you want to target. Most people have similar concerns, brightening, hydration and anti-aging. Brightening and lightening are good issues to target at night because your skin is not in sunlight, which can stimulate melanin and also causes issues for retinoid users.

When deciding on an overnight cream or treatment look for ingredients like avocado, yogurt, retinol or vitamin c. Avocado(in a DIY mask) or avocado oil are some of the most effective and hydrating natural ingredients around. Retinol, found in WAKE UP CALL is also a favorite ingredient in overnight treatments. Yogurt as an ingredient in a cream or just applied directly on the face is beneficial for lightening and brightening due to it’s high levels of lactic acid. Yogurt is also antibacterial and anti-fungal(both fight acne). Because of the high levels of zinc in yogurt, it offers a cooing effect and is good for sunburns, rashes and some irritation.Then of course there are the anti-aging must haves-Alpha Lipoic Acid, CoQ10 and Glucosamine. When combined these anti-aging powerhouses improve skin’s texture, plump sagging loose skin and help reduce fine lines and wrinkles. Who doesn’t want to wake up looking 10 years younger?

When venturing into DIY, the more natural the better. You always want to do a spot test on your skin when making your treatments and masks just in case there is something that doesn’t agree with your skin. Our favorite DIY masks are the avocado/honey, all over coconut and yogurt and lemon. All over coconut is really an overnight treatment that consists on put raw coconut oil all over your face and sleeping in it. Since coconut oil is anti-microbial, ant-bacterial and anti-viral it will leave your skin clear, supple and hydrated not to mention smelling like a cookie! A yogurt and lemon mask is made to be worn for 10 mins and then removed. Just mix some plain unsweetened greek yogurt with just a tiny squeeze of lemon and mix. The yogurt will brighten and the lemon will help to lighten any existing dark spots or uneven skin tone areas.

The most important thing about overnight treatments and masks is to use them. Ensuring your skin gets enough hydration at night is imperative to waking up with a refreshed glow in the morning.