Skin Care and Treatments of Melbourne Dermatology - Dermatologist Questions and Answers

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Perennial / Wisdoms

UV Exposure
Aging Skin and Mature Skin
Theories of Aging

Selected Skin Care

Kinerase PhotoFacials
Kinerase Pro+
La Roche Posay
OlosPrevage MD
Ti-Silc / Z-Silc
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Facial Skin Condition Treatments

Adult Acne
Dark Circles
Deep Wrinkles
Open Pores
Puffy Eyes

Body Skin Condition Treatments

Keratosis Pilaris

Skin Care Ingredients

Alpha Lipoic Acid
Arginine + Serine
Asiatic Acid
Capryloyl Salicylic Acid
Chlorogenic Acid
Coffee Berry
Hydrolyzed Hyaluronic Acid
Sodium Laureth Sulfate/Sulphate
Browse more ingredients.

Clinical Procedures and Topics

Aging Skin
French Skin Care
Klein Becker
Oxidative Stress
Skin Structure
Stem Cells
Healthy Skin Barrier Function
Sun Protection
Topical Vitamin C/Firming
Choices and Needs

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Dermatologist Questions and Answers

Dermatologist Questions and Answers

Monday, 9 November 2009

Jan Marini vs. Skinceuticals

Could you please tell me whether Jan Marini is better than Skinceuticals or the other way around? I have been doing research for hours and cannot make head nor tail of them.

Skinceuticals     Jan Marini

Skinceuticals provides superior photoprotective antioxidants and sunscreens, however these have been problematic among patients with extremely sensitive skin.

There are many grounds on which to consider the many skin care brands available.

I do not believe you will ever find a product range which is "best" — I suggest you use more than one brand for greater benefit and reduced cost.

At minimum, use a good sunscreen during the day and an effective retinoid in the evening, and forego the brand concern.

Tuesday, 22 September 2009

Skinceuticals CE Ferulic for Stretch Marks

I've heard that Vitamin C serums can help reduce new stretch marks. Is this true, and would Skinceuticals CE Ferulic help?

Skinceuticals CE Ferulic for Stretch Marks

Vitamin C serums can stimulate collagen production which may help reduce the appearance of stretch marks, however high concentration, low pH glycolic acid and retinoic acid are likely more effective topical options. Therefore you would only use a Vitamin C serum in addition to these options.

Because stretch marks occur in the dermis, the deepest portion of your skin, you will need the deepest-penetrating Vitamin C to get the most optimal effect, should you wish to try this. A low concentration Vitamin C serum is most likely to be an expensive waste of time.

The most potent Vitamin C serums are Obagi C-Clarifying Serum, IS Clinical Pro-Heal Serum Advance+ and Obagi Professional C Serum 20%, the former being available on prescription only.

Obagi Professional C Serum 20% contains zinc chloride, which helps break down damaged collagen, and other ingredients which drive Vitamin C in further, factors absent from Skinceuticals CE Ferulic. The concentration of Vitamin C is also 5% higher and the product is more stable.

Alyria Exfoliating Cream Level 3 (30% glycolic acid) and Glytone Body Lotion (17.5% glycolic acid) are glycolic acid options.

If you notice stretch marks, begin treatment at home immediately and schedule a visit with a laser dermatologist — once the stretch marks have changed colour from red/purple/pink to white, there is far less which can be done.

Tuesday, 22 September 2009

SkinMedica TNS Recovery Complex for Plumping Up Lips

SkinMedica TNS Recovery Complex for Plumping Up Lips

I am impressed with the plumping effect of SkinMedica TNS on my face. Is it safe and appropriate to use SkinMedica TNS Recovery Complex to help plump up the lips?

You may prefer to use the SkinMedica TNS Lip Plump System, which contains the same major active ingredient (human fibroblast conditioned media) as SkinMedica TNS Recovery Complex, in addition to niacin, which increases blood flow with the effect of increasing lip fullness, however yes — it is safe to use the facial product on the lips. The product leaves no residue.

For further information and a video about the ingredients in SkinMedica TNS, refer Human Fibroblast Conditioned Media.

Remember to use a Lip Sunscreen, as the lips are the most vulnerable to photodamage and skin cancer.

Sunday, 19 July 2009

Ascorbyl Palmitate vs Tetrahexyldecyl Ascorbate

Can you tell me whether Tetrahexyldecyl Ascorbate is better than Ascorbyl Palmitate?

There is no longer any question that Tetrahexyldecyl Ascorbate is superior to Ascorbyl Palmitate.

Moreover ascorbyl palmitate does not appear to be significantly effective against photodamage and some research dermatologists have questioned its safety.

Tetrahexyldecyl Ascorbate has replaced Ascorbyl Palmitate in N.V. Perricone "Ester-C" products.

Ascorbyl palmitate is only found in considerable concentrations in Jan Marini C-ESTA.

Higher concentrations of Tetrahexyldecyl Ascorbate are found primarily in SkinMedica skin care products.

SkinMedica Dermal Repair Cream contains 10% Tetrahexyldecyl Ascorbate.

The most potent form of Vitamin C is ascorbic acid, however it has a tendency to be irritating.

Tuesday, 22 September 2009

Bakel Collagen Firming Formula

Is Bakel Collagen Firming Formula effective?

Unfortunately this is just an expensive moisturizer (containing only glycerin, natto gum, panthenol). It would provide no bona-fide biological firming effect. I do not have a problem with products being expensive if they function as described, however nothing in this product is actually firming. To achieve actual firming your skin (rather than a superficial "tensor" effect on its surface) use products containing retinol, ascorbic acid and centella asiatica — all these are among the options which are vastly less expensive and are actually effective.

Effective retinol options include Biomedic Retinol and Skinceuticals Retinol. These are used at night.

Effective ascorbic acid (Vitamin C) products for firming are the serums made by Citrix, Skinceuticals, IS Clinical, Cellex-C and Obagi. Obagi is the most potent. These are used during the day underneath a anti-aging sunscreen such as Anthelios.

Good centella asiatica products are harder to find — I recommend Skinceuticals Skin Firming Cream and La Roche-Posay Redermic. These can be used as moisturizers.

La Roche-Posay Redermic UV combines sunscreen with Vitamin C and an extract of centella asiatica.

Saturday, 18 July 2009

Biomedic Cleansing Gel for Acne

Which of the Biomedic Cleansing Gels are suitable for acne?

Biomedic Cleansing Gel for Acne

There are several which help — Biomedic LHA Cleansing Gel, Biomedic Purifying Cleanser and Biomedic Anti-Bac Acne Wash.

Biomedic Anti-Bac Acne Wash is the one most useful if you have very active acne.

If your acne is only very mild, Biomedic LHA Cleansing Gel is a better option.

Thursday, 23 July 2009

Cellex-C vs. Skinceuticals

What is the difference between Cellex-C and Skinceuticals? Which one is better?



Cellex-C and Skinceuticals were created by some of the same co-operative research dermatologists and chemists (Drs. Sheldon Pinnell, Omar Mostafa, Steven S. Traikovich, Jan Zielinski), with Cellex-C being the original creation.

Skinceuticals C and E

In the past, the Cellex-C formulations may have provided superior antioxidant protection compared with those of Skinceuticals because they contained more diverse antioxidant combinations, however both manufacturers now feature "broad-spectrum" antioxidants.

Skinceuticals claim their most photoprotective antioxidants are Skinceuticals CE Ferulic and Phloretin CF.

Cellex-C claim their superior antioxidant is Advanced-C Serum.

Further complicating matters, IS Clinical holds that IS Super Serum Advance+ is superior, and Obagi that even one of their 10% Vitamin C serums readily outperforms Skinceuticals' 20% serum.

Cellex-C use tyrosine, zinc and bioflavonoids in all their Vitamin C Serums whereas no Skinceuticals Serums contain tyrosine and only some contain zinc.

The use of tyrosine is protected by a Cellex-C patent.

Medical literature states that when tyrosine is combined with ascorbic acid (Vitamin C) it helps to promote regeneration of new connective tissue through the stimulation of fibroblasts enabling them to make more collagen.

A study co-authored by Skinceuticals' Dr. Sheldon Pinnell holds that zinc is an important and neglected antioxidant for skin.

Interestingly, zinc sulphate was a part of the original Skinceuticals C+E formula but was removed from the "new and improved" Skinceuticals CE Ferulic.

Zinc has been shown to help support increased collagen turnover stimulated by ascorbic acid — it is an essential component of collagenase, which is required to dismantle old, defective and stiffened collagen in order for new collagen to be constructed.


If more types of antioxidants are better than less, it could be that Cellex-C Advanced C Serum is the most optimal antioxidant — it contains five diverse antioxidants (l-ascorbic acid, zinc, resveratrol, pycnogenol and L-ergothioneine) and contains tyrosine, as opposed to Skinceuticals CE Ferulic's three (ascorbic acid, ferulic acid and Vitamin E) without tyrosine or zinc.

My general impression is that Skinceuticals CE Ferulic is less firming and gentler than the original Skinceuticals C+E formula, and also less firming than the current Cellex-C High-Potency Serum or Cellex-C Advanced-C Serum.

However it is not possible to know without comparative studies which is the superior antioxidant.

Skinceuticals CE Ferulic has been shown to provide a remarkable 8x endogenous photoprotection — no studies into the photoprotection offered by Cellex-C Vitamin C Serums have been published.

There are many grounds on which to consider the many skin care brands available.

I do not believe you will ever find a brand which is "best" — I suggest you use more than one brand for greater benefit and reduced cost.

You can also do your own comparative study by using Cellex-C Advanced-C Serum for at least 4 months and then switching to Skinceuticals CE Ferulic for another 4 months.

At minimum, use a good sunscreen during the day and an effective retinoid in the evening, and forego the brand concern.

If you do try either or both, please let us know at Derm Net Discussions — reviews from genuine and informed users would be helpful to all concerned and are lacking despite the heavy use of these products.

Saturday, 18 July 2009

How to Get Rid of Tide Mark on Neck

How can I get rid of the tide marks on my neck?! I hate them.

You can try generous applications of a high-concentration and emollient retinol product each evening, however make sure you start with only a small application every other night and build up your use slowly. Biomedic Retinol 60 is a good option. Make sure you use a sunscreen during the day. La Roche-Posay Redermic UV is a good sunscreen product for neck use and contains some worthwhile skin-firming and smoothing ingredients which will help protect and build on what you gain from the retinol.

For a faster but more temporary reduction in their appearance try an at-home peel such as Biomedic Pure Enzyme or Kinerase Instant Radiance Peel in the evening, and follow up with one of the more substantial moisturizers.

Moisturizers containing Pro-Xylane such as La Roche-Posay Substiane, Niacin such as Nia24 Skin Strengthening Complex and the Kinerase Pro+ products designated "ultra rich" all work well.

Saturday, 18 July 2009

Non Surgical Treatment for Eye Bags

Are there any non-surgical options for the treatment of eye-bags?

No, there's no product that replaces a scalpel.

If the eye bags are "puffy" and the result of skin which isn't firm, among the most potent options is a Vitamin C Eye Gel such as Skinceuticals Eye Gel AOX+ applied underneath a caffeine-based product such as RevaleSkin Replenishing Eye Therapy, Skinceuticals A.G.E. Eye Complex or Replenix Intensive Eye Lightening Serum. You'll need to use a combination such as this twice daily for 4 months to see the best result possible.

Saturday, 18 July 2009

Obagi C Serum vs Skin Ceuticals

Which of Obagi C Professional or Skin Ceuticals are better?

Obagi C Serum vs Skin Ceuticals

The Obagi Professional C Serums appear to deliver more Vitamin C to the skin and are more firming.

Obagi holds that their products provide greater antioxidant protection, however this has not been established as fact.

If you use the Obagi Professional C Serums, combine them with an additional antioxidant product such as RevaleSkin, Replenix or Glytone Vitaceutical Serum, to help broaden their antioxidant protection — antioxidant combinations are thought to work best and the Obagi Professional C Serums contain Vitamin C alone.

Sunday, 9 August 2009

How to Prevent Aging Hands

How can I prevent aging hands?

How to Prevent Aging Hands

All the advice for aging skin applies.

At minimum, apply a retinoid product at night. As hands tend to be dry, an emollient product like Biomedic Retinol 60 applied nightly is best. You can jump straight to the highest strength because the hands are not prone to great sensitivity from retinol.

During the day, use a long-lasting sunscreen which protects optimally against UVA (Anthelios SX).

For enhanced protection, you can apply an antioxidant to the hands during the day, underneath sunscreen.

Citrix CRS and Alyria Antioxidant Capsules are good options which will not discolor your nails.

All these steps help even out skin tone and texture and reduce any hyperpigmentation (age spots) with time.

Keep hands super-moisturized by applying hand cream, even if only a small amount, or sunscreen, after hand-washing.

Nia24 Sun-Damage Repair for Decolletage and Hands and Cellex-C Hydra Hand Cream are good hand creams which helps fade age spots and prevent further photodamage.

To help "plump" the skin, you can optionally spray them with SkinMedica TNS Body Mist before sunscreen or retinol use.

The mist may also be used in place of applying hand cream if you find it a hassle.

Tuesday, 14 July 2009

Dry, Mature Skin with Breakouts

My mature skin is dry and I have acne on my forehead! What can I use to bring this under control?

Dry, Mature Skin with Breakouts

If the problem is ongoing and limited to the forehead, you are most likely using a facial cleanser, moisturizer or sunscreen which is too rich (too emollient) for your skin.

Kinerase Clear Skin is a complete solution tailored to dry, mature skin with breakouts (adult acne) which works by both intensely hydrating, purifying and protecting skin.

You can also spot-treat the acne with a product like Skinceuticals Blemish Control Gel or use a deep-purifying mask with alpha-hydroxy acids such as Cellex-C Betaplex Clear Complexion Mask, 2-3 times a week.

Products containing lipohydroxy acid are also great at purifying (and rejuvenating) mature skin with breakouts because they are non-drying.

Keep in mind that if you continue to use skin care which is too rich for you, the breakouts will inevitably recur.

Saturday, 18 July 2009

Silymarin Creams

Which creams contain silymarin?

Silymarin Creams

Silymarin (an extract of milk thistle) is a photoprotective agent which has been shown to reduce rosacea symptoms.

The highest concentrations are available in Replenix Anti-Photoaging Sunscreen, Skinceuticals Face Cream, Skinceuticals Eye Balm and Rosacure.

Please note that silymarin is a supplementary treatment for rosacea and photoaging treatment and prevention — not an effective monotherapy.

Saturday, 18 July 2009

Ti-Silc GT Sunblock — Antioxidants

Does Ti-Silc GT Sunblock contain any worthwhile antioxidants?

Ti-Silc GT Sunblock — Antioxidants

Ti-Silc GT Sunblock SPF 60 contains a substantial concentration of green tea (what the "GT" stands for) [ingredients] which has been shown to be photoprotective (helps prevent photoaging).

Replenix Anti-Photoaging Sunscreen is similar.

The green tea in both these sunscreens confers a light beige tint which largely vanishes on the skin.

If you have very dark skin the tint may be obvious, otherwise they will be fine.

Tuesday, 22 September 2009

Neova Creme De La Copper

What are some treatments for sagging skin which people with sensitive skin can use? I have been unable to use any of the Vitamin C or retinoid products.

Neova Creme De La Copper

Neova Creme De La Copper and SkinMedica TNS Recovery Complex are excellent options for sagging extremely sensitive and sensitive skin.

Tuesday, 14 July 2009

Skinceuticals CE Ferulic vs. Skinceuticals C+AHA

Can I combine Skinceuticals Serums? I am already using Skinceuticals CE Ferulic but would like to use glycolic acid which I notice is found in Skinceuticals C+AHA.

Skinceuticals CE Ferulic versus     Skinceuticals C+AHA

There is merit in using these two Skinceuticals antioxidant serums together or in alternation, particularly if you have combination skin or a tendency toward uneven skin texture.

Skinceuticals C+AHA contains zinc sulfate and bioflavonoids which are useful antioxidants absent from Skinceuticals CE Ferulic.

The glycolic and lactic acid in Skinceuticals C+AHA are skin-resurfacing agents which also increase the penetration of the Vitamin C for greater antioxidant protection.

Therefore I do not believe Skinceuticals CE Ferulic can be presumed more beneficial than Skinceuticals C+AHA.

If you would like to use both, apply the Skinceuticals C+AHA underneath the Skinceuticals CE Ferulic and reduce your use of Skinceuticals CE Ferulic by half.

To judge the difference in performance accurately, make sure you persist with any skin care changes you make for at least 4 months.

Sunday, 19 July 2009

Kinerase vs. Retin-A / Renova

Is Kinerase really as effective as Retin-A?

Kinerase is gentler than any prescription retinoid yet still has a considerable beneficial effect on the appearance of wrinkles (also see the Kinerase Results Chart) however it is not a replacement for prescription retinoids if you are able to use them.

Kinerase and Retin-A are compatible whereas some skin care products cannot be used at the same time as retinoids like Renova, therefore you can consider using both to greater effect than either alone.

Kinerase assists healthy barrier function and skin barrier repair, which is compromised by retinoid use.

Monday, 17 May 2010

Heliocare Supplement

How much Heliocare does one need to take?

The Heliocare Supplement is an optional photoprotective antioxidant. The recommended dose is one capsule daily or two capsules for protection against prolonged direct sun exposure (in which case, take one in the morning and another by noon). It is not a replacement for sunscreen, it is an additional measure.

Thursday, 23 July 2009

Jan Marini Age Intervention Cream/Serum

Is Jan Marini Age Intervention Serum or Age Intervention Cream better for broken capillaries?

Jan Marini Age Intervention Cream/Serum

Neither are likely to help with broken capillaries.

Products containing a combination of ascorbic acid and bioflavonoids such as IS Clinical Pro-Heal Serum can help reduce redness more effectively.

Thursday, 23 July 2009

Best Treatment for Stubborn Hyperpigmentation

What is the best treatment for stubborn hyperpigmentation?

Best Treatment for Stubborn Hyperpigmentation

Use products containing hydroquinone together with an optimal sunscreen such as Anthelios.

Example excellent hydroquinone products are La Roche-Posay Mela-D, Biomedic Conditioning Gel and PCA pHaze 1 Pigment Gel.

Adding a strong Vitamin C product such as Skinceuticals Serum 20 AOX+ in the morning and a strong Vitamin A products in the evening such as Avene Retrinal 0.1% can speed and enhance results, although irritation is more likely to be a concern.

Tuesday, 22 September 2009

Relying on Sunscreens in Makeup

Can I use my makeup as sunscreen to prevent my skin from aging?

No, studies show that under typical conditions, the sunscreen in makeup yields an SPF of less than 4 (due to the relatively small amount applied) and wears away within a few hours to leave your skin fundamentally unprotected.

Use a dedicated sunscreen product as a moisturizer and forget the notion that SPF in makeup is photoprotective under real-world conditions — it can only provide a small amount of benefit supplementary to sunscreen only.

Thursday, 4 February 2010

Skinceuticals Eye Cream

Can you recommend an alternative to Skinceuticals Eye Cream? I like this product but it is too expensive for me at the moment.

Skinceuticals Eye Cream    Skinceuticals Eye Cream

La Roche-Posay Redermic Eyes is similar — it also contains an extract of centella asiatica called madecassoside, and also contains Vitamin C, so if you have been using Skinceuticals Eye Gel AOX+ underneath the Skinceuticals Eye Cream, you may also trial discontinuing it, although in this case less firming and protection of the under-eye area will occur. La Roche-Posay Redermic Eyes is compatible with Skinceuticals Eye Gel AOX+.

Sunday, 19 July 2009

Obagi Blue Peel Safety

Is the Obagi Blue Peel safe for all skin types?

Obagi Blue Peel Safety

Obagi's Blue Peel TCA (tri-chloro-acetic acid) method gives physicians greater control over the chemical peeling process, however all TCA peels carry risks.

Your practitioner can advise you as to your individual risk of adverse effects.

Sunday, 19 July 2009

Skinceuticals Epidermal Repair On Scars

Can I use Skinceuticals Epidermal Repair on scars?

Skinceuticals Epidermal Repair On Scars

Skinceuticals Epidermal Repair can be used to help prevent scarring.

For pre-existing scars, use Scarguard or Dermatix. The most effective version of Dermatix is Dermatix Ultra.

Sunday, 19 July 2009

Alternative to Avobenzone

Is there an alternative to using avobenzone in sunscreen?

You can use a zinc and encapsulated octinoxate sunscreen combination such as SkinMedica Environmental Defense Sunscreen SPF 30.

Saturday, 18 July 2009

Skinceuticals Active UV Defense

Is it true that Skinceuticals Active UV Defense is identical to Anthelios?

Skinceuticals Active UV Defense

Yes, Skinceuticals Active UV Defense and La Roche-Posay Anthelios 15 are actually the same formula, and are priced identically. Pro-Xylane is also found in formulas from both these brands. As far as I am aware, that is the extent of the duplication.

Saturday, 18 July 2009

Alternative to Skinceuticals AGE Interrupter

Is there a less expensive alternative to Skinceuticals AGE Interrupter?

Alternative to Skinceuticals AGE Interrupter

The main ingredients in Skinceuticals A.G.E. Interrupter are Pro-Xylane, Phytosphingosine and Blueberry Extract, which is an antioxidant claimed to be especially effective against glycation. This product also contains bismuth oxychloride which lends the skin a diffuse, radiant look.

The closest product would be La Roche-Posay Substiane, which also contains Pro-Xylane, albeit less, however this product has an emollient texture whereas Skinceuticals A.G.E. Interrupter has a unique "powdery" texture.

Worthwhile concentrations of Blueberry Extract can be found in all Obagi Elastiderm products and several IS Clinical formulas (such as IS Clinical Youth Complex, IS Clinical Active Serum and IS Clinical Poly-Vitamin Serum).

Tuesday, 22 September 2009

Does Topical Vitamin C and E Improve Melasma?

Does topical Vitamin C and E improve Melasma?

Does Topical Vitamin C and E Improve Melasma?

Yes, combinations of Vitamin C and E as you find in Skinceuticals CE Ferulic and IS Clinical C&E Serum Advance+ improve melasma, however not as quickly or as effectively as the hydroquinone you find in products such as Biomedic Conditioning Gel, La Roche-Posay Mela-D or DCL AHA Lightening Gel.

If you are prone to melasma, a product such as Skinceuticals CE Ferulic or IS Clinical C&E Serum Advance+ underneath sunscreen helps prevent recurrence better than sunscreen alone.

Saturday, 18 July 2009

Aggressive Antioxidant Serums for Face

Which are the most aggressive antioxidant serums for the face?

You don't want an antioxidant to irritate your skin as beneficial antioxidants work against inflammation therefore "aggressive" is undesirable if it equates with prolonged irritation.

If your skin is not sensitive, Prevage MD (containing 1% idebenone) has published data showing deep penetration into skin. For information on usage and adjustment to sensitive skin, see the Prevage MD Instructions for Use.

Saturday, 18 July 2009

Sunscreen for Oily Skin

Can you recommend a good sunscreen for oily skin? I've tried many and they all suffocate my skin. I am sick of looking shiny so my skin can be protected from aging.

Sunscreen for Oily Skin

La Roche-Posay Anthelios Ultra-Light Sunscreen Fluid has been a revelation for patients with oily skin.

Finally they have not just an optimal sunscreen solution, but one which includes antioxidants (Cell-Ox Shield), is reasonably priced and a pleasure to use.

Despite providing the highest UVA (PFA 26) and UVB (SPF 60) protection, La Roche-Posay Anthelios Ultra-Light Sunscreen Fluid has a fresh, tonic and "airy" after-finish.

It leaves the skin both matte and radiant.

The Senna Alata extract in this product may contribute to the sunscreen's skin-brightening effect.

According to La Roche-Posay, one Anthelios Ultra-Light Sunscreen Fluid is sold every 15 seconds.

Sunday, 19 July 2009

What is Octyl Salicylate?

What is Octyl Salicylate?

Octyl Salicylate is a chemical sunscreen bearing semblance to aspirin (acetylsalicylic acid).

Sunday, 19 July 2009

Skinceuticals Serum 20

Is Skinceuticals Serum 20 the most effective Skinceuticals Serum?

Skinceuticals Serum 20

The original Skinceuticals Serum 20 has been discontinued and replaced with Skinceuticals Serum 20 AOX+ which also contains ferulic acid. It delivers the most Vitamin C to the skin of all the Skinceuticals Serums however Skinceuticals CE Ferulic is said to be more protective. Obagi Professional C, IS Clinical Advance+ and Citrix CRS are also alternatives. To determine which is best you can run a trial of each on your skin for at least four months at a time.

Sunday, 19 July 2009

Skinceuticals Mexoryl

Which Skinceuticals Sunscreen contains Mexoryl?

Skinceuticals Mexoryl

Skinceuticals Active UV Defense contains Mexoryl and is identical to La Roche-Posay Anthelios 15.

Tuesday, 22 September 2009

Skinceuticals Ferulic Acid

Are there any other products which contain ferulic acid other than the Skinceuticals options? I have sensitive skin which burns easily and Skinceuticals burns my skin.

There is a comparable amount of ferulic acid in Revaleskin products, which are generally more suitable for sensitive skin than Skinceuticals.

Sunday, 19 July 2009

Revaleskin for Melasma

Can Revaleskin be used for melasma?

Revaleskin for Melasma

Revaleskin Day Cream and Revaleskin Night Cream can help reduce melasma. For faster results, use a serum containing hydroquinone underneath Revaleskin Day Cream and Revaleskin Night Cream. Biomedic Conditioning Gel and DCL AHA Lightening Gel are effective options.

Sunday, 19 July 2009

Highest Strength Glycolic Acid

What is the highest strength of glycolic acid available?

Highest Strength Glycolic Acid

Dermatologists use up to 70% glycolic acid when performing chemical peels.

You can obtain up to 30% glycolic acid in products for use at home, although these do not function as the same way as peels.

Alyria Exfoliating Cream Level 3 contains 30% glycolic acid.

Sunday, 19 July 2009

Revaleskin for Oily Skin

Is Revaleskin suitable for oily skin?

Revaleskin for Oily Skin

This range is not suited to predominantly oily skin. If you would like to use an antioxidant product for oily skin, I suggest trying Citrix CRS, IS Clinical or Skinceuticals Phloretin CF.

Sunday, 19 July 2009

Skinceuticals Antioxidant Lip Repair

Can you recommend a product which will help smooth out my lips?

Skinceuticals Antioxidant Lip Repair

Skinceuticals Antioxidant Lip Repair and Kinerase Lip Treatment exfoliate the lips to smooth their texture.

Sunday, 9 August 2009

Moisturizer for Firming Sagging Skin

Which moisturizers would help firm up sagging skin?

Moisturizer for Firming Sagging Skin

I recommend IS Clinical Firming Complex, Skinceuticals Skin Firming Cream and La Roche-Posay Redermic.

Monday, 22 August 2011

Alyria Availability in Milan Italy

Is Alyria available in Milan, Italy?

Alyria Availability in Milan Italy

Not as far as I am aware however you can purchase it online with complimentary delivery for overs over $55.00.

Sunday, 19 July 2009

Counterfeit Skinceuticals

Is it true that there are counterfeit Skinceuticals products available?

Reception has dealt with individuals seeking large, regular quantities of identical samples, which we suspect are intended for resale on auction sites such as Ebay, either as-is, or repurposed by pouring/squeezing out into used genuine containers to make up a normally sized product. It is important to only use fresh antioxidant products and not oxidized vitamin c.

Wednesday, 19 August 2009

Skinceuticals Hydrating B5

I have been using Skinceuticals Hydrating B5 for the last two years. Are there any similar products? I feel like a change.

Skinceuticals Hydrating B5

There are many products containing sodium hyaluronate and panthenol (the main ingredients in Skinceuticals Hydrating B5 Gel).

Products with similarly high concentrations are SkinMedica Hydrating Complex, containing both hydrolyzed hyaluronic acid and sodium hyaluronate, and three forms of healing, humectant panthenol (calcium pantothenate, pantethine and panthenol).

IS Clinical Hydra-Cool Serum contains sodium hyaluronate, panthenol and additional skin firming and antioxidant agents.

Friday, 26 August 2011

Topical Solutions for Broken Capillaries on The Nose

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+.

Broken Capillaries on the Face (Severe)

I need to find a topical solution to eliminate broken capillaries on the nose. Which product can I use for this problem?

A vascular laser is the only reliable means by which to treat broken capillaries on the nose.

You can use products containing a combination of ascorbic acid and bioflavonoids such as IS Clinical Pro-Heal Serum and/or products containing caffeine such as RevaleSkin with Coffeeberry, Replenix Serum Caffeine Fortified or La Roche Posay Rosaliac to help reduce redness and, together with sunscreen, to reduce the likelihood of continued breakage.

Monday, 16 January 2012

Large Pores Getting Larger Over Time

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.

My pores are already large and seem to be getting larger over time. I have oily skin which still breaks out even though I am 46. Is there anything relatively easy I can do to make my open pores smaller?

The visibility of facial "open pores" can be attributed to genetics, unsuitable skin care, environmental factors and stress.

Visibly large open pores are one of the most recalcitrant aesthetic concerns to treat, often requiring a combination of modalities.

I recommend using a facial cleanser or toner containing salicylic acid or lipohydroxy acid once or twice daily, such as Glycolix Gly/Sal 5-2 Cleanser or La Roche-Posay Effaclar Toner Astringent Lotion and a retinoid such as Biomedic Retinol or Skinceuticals Retinol in the evening.

Always use an oil-control sunscreen such as La Roche-Posay Anthelios 60 Ultra-Light Sunscreen Fluid during the day when using products containing salicylic acid, lipohydroxy acid or retinol as part of a solution to reduce the increasing appearance of large pores.

Pleasingly, all these options also reduce and prevent photodamage symptoms.

Sunday, 19 July 2009

Epidermal Growth Factor in Skin Care

Which products contain Epidermal Growth Factor?

Please refer to the EGF (Epidermal Growth Factor) List.

The main products are Jan Marini Age Intervention Regeneration Booster and ReVivé Peau Magnifique.

There is little good reason to use this ingredient at this stage in time, although products containing it may have other merits.

Sunday, 21 June 2009

Little Bumps on The Hand/Between Fingers

I get bumps on my hands which cover my palms and the spaces between my fingers. They are filled with clear liquid and eventually become dry and scaly.

You will need to consult with a dermatologist — the condition you describe gives the impression of being dyshidrotic eczema, a recurrent dermatitis.

Sunday, 19 July 2009

Dry Hands in Winter

What can I do about dry hands in winter?

Dry Hands in Winter

Please refer the advice for dry and aging hands and how to prevent aging hands. If your hands are painfully dry, use a petrolatum or ceramide-based product. I recommend Skinceuticals Hydra-Balm and SkinMedica Ceratopic.

Sunday, 21 June 2009

Make-Up for Very Red Skin

My skin becomes red at the drop of the hat. What sort of makeup can I use to cover the redness without irritating my skin even more or making it heavy with camouflage?

You may have allergic skin or rosacea.

If the underlying condition(s) causing your redness have been addressed, you can use a moisturizer containing green tint and caffeine to optically counteract redness and reduce irritation.

Two good options include La Roche Posay Rosaliac (which contains added green tint) or Replenix Caffeine-Fortified Serum or Cream (which are naturally green due to their high — c. 90% — concentration of Green Tea).

Apply a mineral make up such as Colorescience or Jane Iredale and set with a soothing/protective thermal spring water spray such as Avene Thermal Spring Water Spray or La Roche Posay Thermal Spring Water.

This combination will allow you to both mask redness and reduce irritation without thick makeup.

Sunday, 21 June 2009

Starting to Manage Extremely Oily Skin

I have extremely oily skin. I can barely go a few hours before looking incredibly shiny. Makeup practically slips off my face. Summer or winter, makes next to no difference.

Avoid products which aren't intended especially for oily skin — products for combination skin are going to be generally unsuitable.

There are an increasing number of products available for extremely oily skin.

If your skin isn't sensitive, use skin care products containing glycolic acid, salicylic acid and retinol to help reduce excess oiliness.

Obviously you don't want to use a moisturizer.

Add OC Eight Professional Mattifying Gel to your daily skin care.

You can also dust the skin with a sunscreen brush such as Colorescience Sunforgettable or Colorescience Invisibly Matte Finishing Powder to mattify your skin and refresh its sun protection.

Related Skin Care Information, Products and Expert Discussions

Sea & Ski

La Mer




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New/Notable 2016

Open Pores — Treatment and Prevention

MD Rx Melbourne Dermatology Open Pores Overnight Solution

The Sun



Pentapeptides Ineffective

Asiaticoside vs. Madecassoside for Collagen Synthesis

La Roche-Posay Redermic

Valeant Pharmaceuticals



Azelaic Acid


Avena Sativa


Aster Family of Plants

Green Tea (Camellia Sinensis) Extract




Salicylic Acid

Capryloyl Salicylic Acid

Open Pores




Ascorbyl Palmitate

Kojic Acid

Algorithm for Optimal Sustained Exfoliation: Glycolic Acid

Comparison of 33 Sunscreens