Vitamin A aka Retinoids

retinoids

What are Retinoids? 

Most of us have heard of Retinol and Retin-A, but do you know that ALL retinoids and retinols are simply forms or derivitives of VITAMIN A?!

This often surprises clients when I tell them this, as Retinoids and Retinols have been vilified by some people in the skincare industry. A lot of skincare companies are making their money off of using the words “clean” and “chemical free” these days. All this does is scare the consumer. As we all know everything is a chemical, water, air, vitamins, everything. So this holds no truth and can be very unbeneficial for your skin. Vitamin A derivatives have been used for decades and have been studied since the early 20th century when the structure of Vitamin A was discovered.

Vitamin A

Our bodies can’t make vitamins, so we must get them externally. We can get vitamin A either through topical application or through the ingestion of beta-carotene-rich foods like carrots, sweet potatoes, and spinach. When broken down, vitamin A and its metabolites are very beneficial. They can affect everything from vision to inflammation to the proliferation of cells.

Proliferation means growth. Retinoids increase cellular turnover in the skin, meaning they grow faster, which is going to make the skin a little bit thicker. They also make the outermost cells shed, which is why some people think it’s exfoliating, even though that’s really a secondary effect. This makes the stratum corneum (the outermost layer of skin) more compact, which gives a nice anti-aging benefit.

Unfortunatly some skincare companies such as Beauty Counter are dragging them through the mud claiming they cause cancer. This is the furthest thing from the truth and they have no clinical studies to back up their claims. We actually use retinoids to treat and prevent cancerous and pre-cancerous cells. And the clinical papers on it are never ending. Just another reason to get your skincare advice from professionals.

What does this do for me? 

Retinoids also aid in the moisturization of skin by stimulating the productions of compounds that have sugars in them (glycosaminoglycans).

Most importantly they help PREVENT collagen loss and SUPPORT collagen production!

Finally, retinoids are antioxidants, so they help prevent a lot of oxidative stress. Retinoids are truly amazing and do so many great things for the skin!

 

What Melasma Looks Like

melasma

What is Melasma?

A skin condition presenting as brown patches on the face of adults. Both sides of the face are usually affected. The most common sites of involvment are the cheeks, bridge of nose, forehead and upper lip.

Who gets Melasma?

It mostly occurs in women, with only 10% of men being affected. Dark skinned races, particularly Hispanic, Asian, Indian and African American tend to experience it more than others due to the increase of melanin or pigment cells.

What causes Melasma?

The precise cause is unknown. People with a family history of melasma are more likely to develop it themselves. A change in hormonal status may trigger the condition. Melasma is commonly associated with pregnancy and also called chloasma or the “mask of pregnancy.” Birth control pills may also contribute or cause melasma, however, hormone replacement therapy used after menopause has not been shown to cause the condition.

Sun exposure is also a contributor. Ultraviolet light from the sun, and even very strong light from light bulbs, can stimulate pigment producing cells, or melanocytes, in the skin. People with skin of color have more active melanocytes than those with light skin. These melanocytes produce a large amount of pigment under normal conditions, but this production increases even further when stimulated by light exposure or an increase in hormone levels. Incidental exposure to the sun is mainly the reason for recurrences of the skin condition.

Any irritation or trauma to the skin may cause an increase in pigmentation in dark skinned individuals, which may also worsen melasma. It’s not associated with any internal diseasesor organ malfunction.

How is melasma treated?

While there is no cure, many treatments have been developed. Melasma may disappear after pregnancy, it may remain for many years or a lifetime.

Sunscreen is essential in the treatment of process. They should be broad spectrum, protecting against UVA and UVB rays from the sun. A SPF of 30 or higher should be selected. In addition, physical sunblock lotions and creams such as zinc oxide and titanium oxide are preferred as they do not protect the skin in a chemical way which may cause inflammation and exacerbate the condition. SPF should be worn daily, whether or not it is sunny outside or if you are outdoors or indoors. A significant amount of ultraviolet rays is received while walking down the street, driving in cars, and sitting next to windows.

A variety of lightening creams are available for treatment. These creams do not “bleach” the skin but rather decrease the activity of melanocytes, pigment producing cells.

Other medications which have been found to help are azelic acid, kojic acid, niacinimide and Vitamin C. You will have to talk to your Dermatologist or Aesthetician to know what is right for your condition.

Chemical peels, microdermabrasion and various laser treatments may help melasma. They should only be used by a medical skincare professional and in conjuction with a proper regimen for melasma specifically.

 

Breaking down the trending “Skin-Cycling”

skin cycling

I will admit, I am a Gen X-er and not often up to date on the ever changing Instagram and Tiktok trends. But within the last few months we have been inundated with questions and comments about a recent Tik Tok trend called “skin cycling.” So of course we had to dive in and gather all of the opinions around here from the Physician’s Assistants, Dermatologists, Aestheticians and Medical Assistants. Specializing in Dermatology we found some strong, educated opinions.

This term was coined by Whitney Bowe, a New York based Dermatologist. The term is new but the concept is not. 

Skin Cycling Steps: 

Night 1: Use a chemical based exfoliant such as glycolic acid or salicylic acid to “prep” the skin.

Night 2: Use a retinoid, a form a vitamin A.

Night 3/4: Do not use any actives or correctives, simply moisturize.

Repeat weekly.

“This could be helpful if you have sensitive skin but you will get better results using a retinol as many nights as possible versus just a few nights a week. This will create more cell turnover giving better and faster results for scarring, hyperpigmentation and anti-aging.” –Allison Clark, MA at Accent Dermatology and Laser Institute

Advice From the Pros

Now as a skincare professional, I don’t hate this. But also as a skincare professional, this is nothing new and certainly not ground breaking. But I suppose to a young Tik Tok viewer, this would be “news.” This would be a very simple and easy regimen one might do if they are just dipping their toe into skincare, if they are very young, OR if they are very sensitive to active ingredients. The concept is that using active ingredients only on certain days and then having rest days helps to prevent the skin barrier from being compromised due to overuse of overly aggressive ingredients.

Many clients come to us wanting to know where to start, they are perhaps doing nothing or only cleansing and moisturizing, wanting to take it up a notch to see more result. On the flip side, we see SO many people, especially younger skincare fanatics that use WAY too much product and buy into every new social media or celebrity inspired product claiming to be amazing. Both of these two types of clients would benefit from skin cycling. The first client to get a foot in the door and start using corrective, active ingredients to start seeing results and the second to stop overusing way too many trendy, aggressive products which are most often causing more issues.

Overuse of aggressive ingredients breaks down the skin’s barrier, causing redness, dryness, irritation and even more acne sometimes as the skin’s pH is not balanced.

Using too many ingredients such as 1-2 serums, then an antioxidant, then an exfoliant, then a moisturizer, then an SPF for example is often times just a waste as many of those ingredients cannot get through all of the layers of product to the skin.

With that being said, I don’t love the idea of skin cycling for someone wanting results and as a skincare professional I would recommend someone use less concentrated or aggressive active ingredients, more often. Consistency is key when it comes to skincare. Just like going to the gym! 1-2 nights of product such as retinol and AHA/BHA are not enough to see good results. These products are going to be more effective when used regularly than sporatically.

“To get the most out of a retinol or any tretinoin product you need to use it consistently. It’s best to use something that your skin will tolerate on a nightly basis because it’s trying to regulate the skin.”  –Dr. Stephen Huang, MD, FAAD

I think the reason some people are having so much irritation from their actives is because their provider doesn’t explain how to use it so it doesn’t fry the skin or the person is buying and using something that is not from a skincare professional and they have no guidance. skin cycling skin cycling

 

 

Crank Up the Collagen!

ultherapy
ultherapy

Collagen has now become the single most googled word, replacing “Botox”!

Collagen is everywhere: powders, pills, drinks, shakes, bars, you name it. And people are counting on some pretty miraculous results from these ingestable products. Don’t get me wrong, I like a good collagen peptide powder every morning in my coffee ( See post from 8/11/2020 ) but ingesting it can only do so much and may simply be a clean source of protein.

For those of us who are ready to really crank the collagen production into high gear and see changes in our skin, there’s Ultherapy treatment.

What is Ultherapy?

Ultherapy has been around since 2004 and continues to show impressive results. People often compare it to treatments such as Radio Frequency, Thermage and a multitude of different lasers.

While most of these treatments work by creating heat in the skin to stimulate collagen production, Ultherapy is the only device that allows us to see EXACTLY where we are placing the heat. It is also the only technology to get to the deepest depths of the dermis, a depth which can only be replicated in a surgical face lift.

Radio Frequency gets results by creating bulk heating, which we love but often times only stimulates certain types of collagen and some elastin and in a more superficial layer in the skin.

What makes Ultherapy so powerful is that it places very high heat at an extremly deep layer in the skin, a medium depth and a more superficial depth, depending on where the protein is needed most. Ultrasound technology allows us to see all of this and create a very specific, customized treatment for the individual.

Results do take 3-4 months to see but with little to no downtime, this treatment is worth the wait!

ultherapy
ultherapy

Exciting New Product Alert!

PCA Skin Vitamin b3 Brightening Serum - 1 fl oz

I’m certain we here at Accent Dermatology and Accent Aesthetics will always have our favorite, can’t live without skin-care products. So when something new comes along that we LOVE, it’s news worthy!

PCA Skin just came out with their Vitamin B3 Brightening Serum and we can’t keep it on the shelves!

This heavy hitter uses a 6% Niacinimide (A type of B Vitamin). Typically this ingredient has been used to reduce reds in the skin and help with acne. At a higher concentration of 6%, we are seeing not only a reduction in the reds caused by rosacea, acne, etc but also an excellent reduction in brown spots, photodamage and especially melasma!

This is an exciting new tool to add to anyone’s toolbox, especially those looking to reduce BOTH reds and browns and definitly breakout. It leaves the skin very hydrated and calm by strengthening it’s barrier function.

PCA SKIN Vitamin b3 Brightening Serum | LovelySkin