Skin Care and Treatments of Melbourne Dermatology - Skin Care Procedures, Protocols and Topics

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Skin Care Procedures, Protocols and Topics

Skin Care Procedures, Protocols and Topics


Tuesday, 17 March 2009

"Non-Comedogenic" Skin Care and Skin Care Products

Tuesday, 17 March 2009

"Oil Free" Skin Care and Skin Care Products

Saturday, 2 December 2006

Acne Treatment

Thursday, 26 November 2009

Advanced Glycation End Products (AGEs)

Saturday, 2 December 2006

Alopecia Treatments

Sunday, 9 August 2009

Anhydrous

Saturday, 2 December 2006

Anti-Aging Skin Care

Tuesday, 13 October 2009

Antioxidant Defense

Saturday, 2 December 2006

Antioxidants

Wednesday, 24 June 2009

Ayurvedic

Saturday, 2 December 2006

Blackheads

Sunday, 25 March 2007

Botox

Friday, 26 August 2011

Broken Capillaries

Broken Capillaries on the Face (Severe)


Wednesday, 19 October 2016 — Please note: the preferred sunscreen (and minimum daily treatment) for broken capillaries has been revised and is now the Melbourne Dermatology Broken Capillaries Sunscreen SPF 30+.


Monday, 29 October 2007

Cascades — Inflammatory and Otherwise

Saturday, 2 December 2006

Cellulite

Tuesday, 16 August 2016

Choice vs. Need - Information Asymmetry In Skin Care

The skin care marketplace is one of artificially inflated choice.

Despite the huge number of products on the market, for most people the potential for effective skin therapy is as limited as ever.

Consumers need to choose products carefully if they want to avoid being duped.

Choice vs. Need - Information Asymmetry In Skin Care

If you're interested in seeing measurable improvements in your skin and "anti-aging" that goes beyond the words on a jar, its worth taking some time to understand some of the reasons why so many products and brands can exist in the face of such poor results and such high prices:

  • Large skin care companies, particularly those tied to luxury brands, have more influence over the marketplace than consumers or dermatologists. How do you know the latest cream at the department store/beauty salon is currently the most effective at achieving a particular outcome?

    The bottom line: you don't. There's too many products, too much double-talk, and too much pressure to purchase.

  • Countless old, overpriced or otherwise inferior products remain on the market because they're already ubiquitous. Interest in these products is primarily driven by mass media advertisement.

    The bottom line: most people never get to experience skin treatment with measurable effects. They're left in the dark.

The solution, not surprisingly, is to arm yourself with knowledge.

Superior products are often cheaper due to their comparatively miniscule marketing costs, however a lot of people have already been defrauded by dishonest manufacturers and retailers.

Once bitten, twice shy, they're either unlikely to risk any further experimentation, or continue to willfully waste their skin's future by exposure to gimmicks like oxygen skin care, face bras, chirality and even, for the most part, Paula Begoun.

Sunday, 25 March 2007

Collagen

Tuesday, 16 September 2008

Collagen Production

Saturday, 2 December 2006

Congestion

Tuesday, 23 August 2011

Core Principles of Effective Skin Care and Treatment

Any skin care management and treatment protocol must satisfy a number of criteria if it is to offer the potential for a therapeutic and desirable outcome.

Putting it another way, regimens of skin care which do not pass these basic standards offer only limited and temporary, cosmetic changes in skin's appearance, and over time encourage and secure the overall permanent deterioration commonly referred to as premature skin aging.

Core Principles of Effective Skin Care and Treatment

Managed proactively and with a preference for sound formulas grounded in reality, the skin need not age considerably beyond the age of 25.

Effective Skin Care Criteria

Any skin care management and treatment protocol must provide:

  1. A means of regularly and non-abrasively removing the useless dead skin cells and wastes which are at the root of many everyday skin complaints. Get rid of compacted dead cells the right way and watch your skin start to thrive. Just as regularly mowing a lawn helps prevent irregular grass growth (coarse texture, wrinkles), colour (hyperpigmentation, freckles, age spots), uneven wetting (dry skin, oily skin) and weeds (open pores, blackheads, acne), appropriate, effective exfoliation and cleansing are the opening tenets of all meaningful skin maintenance, treatment or rejuvenation protocols.

  2. A means of enhancing the skin's declined functions, if any. By the time most people seek treatment, they will require skin firming, immunity re-building or otherwise stimulating topicals to help revert their skin to more youthful behaviour. Women now also have the option of topical skin care which replaces declining levels of female hormones.

  3. A means of protecting the skin's functions which are presently trouble-free, and protecting the progress and health of those which are being rebuilt. This refers in the first instance to antioxidant and true broad spectrum sunscreen usage at all times of the year during the day, but also to the avoidance of skin care products not derived from an understanding of cellular functioning. The body seeks to eliminate non-native ingredients because they are at odds with its chemisty and this process is associated with aging and allergic reactions, be they outwardly visible or not.

  4. Twice daily maintenance. Just like brushing teeth only once a day still leads to cavities, skin care and treatment protocols which are haphazardly followed produce extremely limited results. In fact, some anti-aging and skin resurfacing programs will produce adverse results if not followed correctly.

All four elements must be used in concert.

Saturday, 15 August 2009

Differentiation

Sunday, 20 August 2006

Erythema

Saturday, 2 December 2006

Exfoliation

Saturday, 2 December 2006

Facial Augmentation

Saturday, 16 July 2005

Facial Rejuvenation: Use of a Teaching Model in Care Planning

LeRoy L.

Jan Marini Skin Research Inc, San Jose, CA, USA.

Rejuvenation of the aging face is in high demand by baby boomers.

Facial rejuvenation can consist of various treatments, from chemical peeling with Phenol, TCA, Jessner solution, glycolic acid, and CO2 laser resurfacing.

All of these treatments have similar side effects.

Nurses play an important role in the educating patients and in treating these side effects.

This can be accomplished through a Teaching Model in Care Planning.

MeSH Terms:

  • Chemexfoliation/adverse effects
  • Chemexfoliation/nursing
  • Female
  • Humans
  • Laser Surgery/adverse effects
  • Laser Surgery/nursing
  • Male
  • Models, Educational
  • Patient Care Planning
  • Patient Education/methods
  • Skin Aging/drug effects

Friday, 27 March 2009

Facial Volume

Wednesday, 24 June 2009

Fragrance-Free Skin Care References

Monday, 29 October 2007

Free Radical Damage

Saturday, 2 December 2006

Glycolic Acid

Saturday, 2 December 2006

Hormonal Acne

Tuesday, 23 June 2009

Hydrotherapy

Monday, 29 October 2007

Inflammatory Skin Care and Dermatology Reference List

Saturday, 2 December 2006

Injectible Fillers

Tuesday, 29 September 2009

Interleukin-6 (IL-6)

Interleukin-6 (IL-6) is an interleukin that acts as both a pro-inflammatory and anti-inflammatory cytokine produced by injured tissues.

IL-6 is secreted by T cells and macrophages to stimulate immune response to trauma, especially burns or other tissue damage leading to inflammation.

During a fever, IL-6 stimulates energy mobilization which leads to increased body temperature.

Elevated levels of IL-6 are observed in human body fluids during acute and chronic infections, neoplasia, autoimmune diseases, psoriasis and following third-degree burns.

IL-6 is significantly elevated with exercise, and precedes the appearance of other cytokines in the circulation.

Inhibitors of IL-6 (including estrogen) are used to treat post-menopausal osteoporosis.

The therapeutic effect of corticosteroids observed in various inflammatory skin conditions may be partly due to their down-regulating IL-6 production.

Saturday, 2 December 2006

Laser Resurfacing

Saturday, 16 July 2005

Laser Resurfacing: The Nurse's Role.

LeRoy L.

Jan Marini Skin Research, San Jose, CA., USA.

CO2 laser resurfacing is an effective alternative to dermabrasion and chemical peels in the treatment of fine wrinkles, laugh lines, photodamaged, or acne scarred and pitted skin.

Nurses play an important role in educating and treating patients, and in helping them comply with therapy.

Publication Types:

  • Review
  • Review, Tutorial

MeSH Terms:

  • Cosmetics
  • Humans
  • Laser Surgery/nursing
  • Postoperative Care
  • Preoperative Care
  • Rhytidoplasty/nursing
  • Skin Aging
  • Skin Care

Substances:

  • Cosmetics

Tuesday, 25 August 2009

Light-Weight Skin Care References

Saturday, 29 December 2007

Lipoproteins

Saturday, 2 December 2006

Mandelic Acid Peels

Saturday, 2 December 2006

Mature Skin Care

Saturday, 2 December 2006

Menopausal Skin

Wednesday, 24 June 2009

Micellar Skin Care Products

Tuesday, 25 August 2009

Millia/Millium

Millia (tiny cysts filled with dead cells and oils) are a frequent patient concern, caused by two or more of heavy skin care product use, a diet high in cholesterol, inadequate exfoliation, photodamage and genetics.

Millia tend to become most prominent and difficult to treat around the eyes.

To help prevent and reduce millia (cholesterol deposits), reduce your intake of saturated fats and follow a skin care protocol based on comedolytic agents (ingredients which unplug follicles and prevent them from retaining dead cells and oils) and ideal light-weight sunscreen use.

AM (Morning) Protocol for Millia

Use a facial cleanser containing salicylic acid and/or lipohydroxy acid such as Biomedic LHA Cleansing Gel or Glycolix Gly/Sal 10-2 Wash.

Tone the skin with similar ingredients, using a product such as Glycolix 10-2 Toning Pads.

For the face, use an oil-control sunscreen such as La Roche Posay Anthelios 60 Ultra-Light Sunscreen Fluid or Biomedic Facial Shield SPF 30.

In case of extremely oily skin, you can also use OC Eight Professional Mattifying Gel to help prevent the formation of millia. This product is applied underneath sunscreen, and is suitable for use around the eyes, as a means of oil control.

PM (Evening) Protocol for Millia

Cleanse and tone as per AM, and apply a retinol based product to the face and eyes. Start with a lower-strength product such as Biomedic Retinol Cream 15 and increase strength over time, as tolerated, by applying more and shifting to high strength Retinol products such as Biomedic Retinol 30 (0.3% retinol), Biomedic Retinol 60 (0.6% retinol) and Skinceuticals Retinol 1% (1.0% retinol).

Sunday, 20 August 2006

Nasolabial Folds

Friday, 13 March 2009

Nicholas Perricone

Saturday, 15 August 2009

Oil-Free

Sunday, 9 August 2009

On The Winter Solstice - Think Summer Sun Protection

On The Winter Solstice - Think Summer Sun Protection

During the winter solstice, the sun reaches its lowest point in the sky at noon, producing the shortest lit day of the year.

While the light may appear to wane, its potential (in the form of UVA/UVB rays) to cause permanent damage is constant.

UVA rays are of particular concern because they penetrate the dermis with unwavering tenacity year round, irrespective of cloud cover and many assumed barriers (UVA rays readily make it through glass and most fabrics).

By providing UV rays daily access to your dermis, you'll permanently re-train the functioning of your skin by damaging its DNA.

Symptoms of chronic incidental sun exposure include:

  • skin cancer;
  • textural changes;
  • reduced barrier function;
  • discoloration, including hyperpigmentation;
  • fine and deep wrinkles;
  • impairment of the skin's immune function'
  • increased incidence or severity of skin disorders like rosacea.

The outward expression of this damage is optional and first becomes noticeable in your mid to late twenties.

By adopting suitable and daily sun protection (see critical caveats below), you can guard against skin cancer and protect against the loss of those biological factors which encourage:

  • an absence of fine lines and wrinkles;
  • well defined contours and elasticity;
  • refined texture and small follicle size;
  • translucency and radiant light reflective qualities;
  • softness;
  • even skin coloration.

Points to Consider when Choosing/Applying Sun Protection

  • Although they're regulated as over the counter drugs, the legal parameters which allow a sunscreen to be labeled "broad spectrum" do not match the reasonable and widespread interpretation of the phrase. The vast majority of sunscreens labeled "broad spectrum" and even "true broad spectrum" don't protect against the most damaging end of the UV scale.

  • A generous and even application is required to achieve the SPF (Sun Protection Factor) for which the sunscreen has been registered. An SPF 15 applied lightly, once a day, is only going to provide an SPF of 2 to 4, which is near useless.
    • The sunscreen must be non-oily and non-whitening to facilitate this type of application.
    • Some makeup is formulated with sunscreen, but the blanket layer you'd need for it to be useful would be cosmetically unacceptable. The idea that make-up containing sunscreen could be an effective substitute for a dedicated effective sunscreen is a widespread and dangerous farce.

  • Texture and scent must facilitate daily usage. Anything less does not constitute effective protection.

  • Don't use sunscreen around the eyes - its an irritant to mucous membranes. Wear sunglasses instead, but make sure they certified to block 100% of rays.

Sun Protection Recommendations

Jan Marini Antioxidant Daily Face Protectant - The sunscreen we recommend most highly for daily face and neck use.

Lacks a chemical smell, non-whitening, provides an SPF of 30 and retains its tenacity even after 80 minutes of perspiring or water activity. Absorbs excess oil (if any) while also hydrating without shine. Many people comment that this sunscreen is actually a pleasure to use. Additional skin treatment ingredients enhance skin tone and quality.

A regular and tinted version are available.

Formula includes:

Patients allergic to chemical sunscreens may use Jan Marini Bioglycolic Lotion with Sunscreen. This contains no chemical sunscreens. Patients should be aware that it is slightly whitening (this effect can be counteracted by finishing up with one or more of the Jan Marini C-ESTA Foundations), and that it isn't waterproof.

Alternatively, Skinceuticals produce a range of more economical sunscreens which provide high levels of UVA/UVB protection, although they don't provide any significant supplementary skin treatment effects if used without a serum such as C E Ferulic.

For sun protection product and daily treatment information, see the links above or contact Melbourne Dermatology.

Further Reading:

Monday, 17 June 2013

Open Pores


Wednesday, 19 October 2016 — The preferred regular home treatment for visibly open pores is now available online. Visit the page for MD Rx Melbourne Dermatology Open Pores Overnight Solution for information.


Open Pores

Products containing salicylic acid, capryloyl salicylic acid, lipohydroxy acid and retinoids are optimal for visibly open, congested pores (pores which are plugged by oils or wax and dead cells).

These ingredients need to be used on an ongoing basis by those who are prone to congested open pores.

It is important to keep the pores clear of debris — congestion stretches them and can leave them appearing permanently open (even once the retained material has been cleared) if the problem is allowed to persist for too long.

For visibly open pores which are not congested, use products containing high concentrations of Vitamin C (such as IS Clinical Super Serum Advance+ and Skinceuticals Serum 20 AOX+) which help reinforce and tighten the structure of the open pores by stimulating collagen production.

Products which help restore the elasticity of open pores can also help as a refinement to treatment (the only examples of these are Prevage MD, Ethocyn and Elastiderm).

Use antioxidants, sunscreens and retinoids to help prevent against the collagen and elastin breakdown which leads to visibly open pores.

Light-weight, oil-control sunscreens such as La Roche-Posay Anthelios 60 Ultra-Light Sunscreen Fluid are best if the open pores are prone to congestion, or if you have oily skin.

Monday, 29 October 2007

Oxidative Stress

Sunday, 9 August 2009

PABA-Free

Tuesday, 4 December 2007

Peptides in Skin Care Reference List

Sunday, 20 August 2006

Periorbital Area

Tuesday, 2 May 2006

Perlane — Cost per Treatment

1.0 mL $660.00

Friday, 20 April 2007

Phototherapy

Tuesday, 25 August 2009

Product Penetration

Saturday, 13 January 2007

Prostaglandins

Sunday, 15 January 2006

Psychiatric Issues and Effects on Skin Behaviour, Conditions and Treatment

Saturday, 2 December 2006

Radiesse / Nodules — Reference List

Sunday, 25 March 2007

Restylane

Tuesday, 2 May 2006

Restylane — Cost per Treatment

0.5 mL $440.00

1.0 mL $605.00

Saturday, 2 December 2006

Rosacea

Wednesday, 19 December 2007

Sheldon Pinnell References

Sheldon R. Pinnell, M.D. Interests: topical antioxidants, photoprotection, photoaging, ultraviolet light, aging skin.></font></p><p class=Tuesday, 25 August 2009

Silky Skin Care References

Wednesday, 14 November 2007

Skin Burns

Tuesday, 15 August 2006

Skin Care Reference Lists

Skin Care Reference Lists


Bioflavonoids and Rosacea — Reference List

Broken Capillaries on the Nose — Reference List


Wednesday, 19 October 2016 — Please note: the preferred sunscreen (and minimum daily treatment) for broken capillaries has been revised and is now the Melbourne Dermatology Broken Capillaries Sunscreen SPF 30+.


Copper Peptides — Reference List

Enzymes in Skin Care — Reference List

Glycosaminoglycans — Reference List

Idebenol vs Strivectin — Reference List

Idebenone — Reference List

Jan Marini Age Intervention — Reference List

L-Ascorbic Acid / Ferulic Acid — Reference List

Lactic Acid and Zinc Skin Care Reference List

Pentapeptide(s) — Reference List

Polyphenols — Reference List

Rosacea and Vitamin C — Reference List

Skin Structure — Reference List

Skin Texture Reference List

TGF Beta-1 — Reference List

Vitamin K — Reference List

Wednesday, 24 June 2009

Skin Healing Products and Dermatology References

Monday, 29 October 2007

Skin Metabolism

Saturday, 2 December 2006

Skin Resurfacing

Monday, 22 October 2007

Skin's Tensile Strength

Saturday, 2 December 2006

Skinceuticals C E Ferulic Clinical Notes

Tuesday, 25 August 2009

Soothing

Saturday, 2 December 2006

Sun Protection

Saturday, 2 December 2006

TEWL — Trans Epidermal Water Loss

Saturday, 23 February 2008

The Effect of the Internet on Skin Care

The internet represents a great opportunity for the democratization and wider-spread dissemination of dermatological skincare information to cosmetic patients with an ultimate aim of greater health care outcomes facilitated by mindfully enhanced and individualised, self-governed educational materials divorced from immediate commercial concerns.

The latent health care potential of this emerging media is however generally unrealised for the near total dearth of realistic biological and practical knowledge that the beauty industry at large has represented since time immemorial, and which forms the greatest data mass of content available.

Subsequently and with few exceptions, individuals who seek their primary skincare information and practice online experience skin of substantially lesser long-term quality than those removed from the medium because overly simplistic brand evangelists (both stockists and end-users) direct circular promotion and discussion aimed at reinforcing biased, spontaneous and unstudied approaches.

Heavy users of online skin care forums probably embody the greatest degree of willfully "spinning your wheels in the mud" because they imbue themselves in the most intellectually impoverished, unrefined and voluminous means of accruing information.

Although discussion of skin care is worthwhile, the structure and nature of online skin care forums defeats the potential for improvement:

  • the best information never rises to the top, it's perpetually buried by newer and greater volumes of largely unaccountable and anonymous bland text — you'd need to maintain constant vigilance to avoid missing valid knowledge, and the burden of separating "wheat from chaff" rests in the least capable and most easily manipulated place;

  • crowds and mobs are fickle, and the loudest voices drown out reason — online discussions about cosmetics are more or less engaged in digesting polluted ideas manufactured and circulated by mass-media advertising;

    • moreover we know that less than 1% of individuals at large engage anything resembling best-practice individualised skincare, and only around 3% of individuals using brands designated "clinical" online practice anything resembling ideal use — the only form of use which realises the potential of newer and better ingredients, concentrations and formulas;

    • when in-vivo skin care use is generally poor, it seems most inefficient to be directly heeding any source of information which mandates generalisation;

  • unaccountable discussion breeds cowardly arguments — the more heat, the less light, the greater lost healthful skincare potential.

As inadequate as online skin care forum discussions are, large online skin care shopping sites provide even less opportunity for improvement.

Fundamentally, they comprise a growing, composite stack of boiler-plate copy, provided by manufacturers with conflicting interests, organised alphabetically, barely tempered by automated searches which remain inadequate to actual individual needs, tentatively enhanced by skin care reviews submitted by individuals whom, probably having sought most of their information online, more than likely cannot help but provide feedback of inadequate quality.

None of this is new, nor should it be surprising:

  • the beauty industry is fundamentally superficial — it garners the most benefit in the areas of relaxation and styling;

  • it's been two decades since the mortal dangers and permanent aesthetic consequences of tanning were known, yet tanning salons have flourished in recent years — franchise operator Body Bronze even purports to put forward a responsible approach to UV tanning;

  • its been nearly two decades since the role of sunscreens in preventing premature, unnecessary aging were generally understood, yet almost all individuals use outdated sunscreen formulations, or worse still SPF powders and foundations, with questionable photostability against UVA, in a manner which cancels out almost all of their anti-aging potential while reducing their skin's optical elegance on a per-application basis;

  • its been an easy decade since fundamental and largely unchanging cosmetic dermatological principles pertaining to anti-aging were established, yet most interest lays evermore in foolhardy notions of holy-grail topical miracles — yet, at most, topical skincare can only represent somewhere between a quarter and a third of what needs to be accrued for the best appearance possible.

In essence, the vast bulk of skincare information available online mirrors pre-existing skin care failures, increasing choice but not necessarily improvement.

Whatever psycho-social role mass skincare plays, it does little to physically enhance an individual's skin in the real world.

Tuesday, 16 June 2009

Thermal Dermatology

Saturday, 2 December 2006

Varicose Veins

Tuesday, 16 August 2016

Vitamin C and The Skin

From the ABC's Health Report, presenter Norman Swan discusses topical ascorbic acid with Emeritus Professor Sheldon Pinnell, one of the world's foremost authorities on the subjects of skin aging, damage and sun protection.

According to this report, topical Vitamin C is the only ingredient which directly stimulates the skin's fibroblasts, providing the spark that produces living collagen in concert with specific chains of amino acids.

"No Vitamin C = increasingly less firm skin from the age of 25 onwards."

Additional Notes:

  • You cannot stimulate the skin's fibroblasts by increasing your oral intake of Vitamin C.
  • Topical Vitamin C must be stable, active and able to be absorbed, and remain so throughout the life of a product once opened.
  • pH, concentration, production method and the presence of other substances (particularly zinc and bioflavonoids) determine formula efficiency.

Related:

Saturday, 2 December 2006

Whiteheads

Related Skin Care Information, Products and Expert Discussions

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MD Skincare


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New/Notable 2016

Open Pores — Treatment and Prevention

MD Rx Melbourne Dermatology Open Pores Overnight Solution

The Sun

Radiation

Mexoryl

Pentapeptides Ineffective

Asiaticoside vs. Madecassoside for Collagen Synthesis

La Roche-Posay Redermic

Valeant Pharmaceuticals

Rainbow

Telomerase

Azelaic Acid

Bisabolol

Avena Sativa

Panthenol

Aster Family of Plants

Green Tea (Camellia Sinensis) Extract

Polyphenols

Caffeine

Oxofulleram

Salicylic Acid

Capryloyl Salicylic Acid

Open Pores

Phytosphingosine

Glycerin

Idebenone

Ascorbyl Palmitate

Kojic Acid

Algorithm for Optimal Sustained Exfoliation: Glycolic Acid

Comparison of 33 Sunscreens