from a blog by Maggie Kittredge, Medical Aesthetician
Chemical peels often contain safe, organically derived ingredients and are good for most skin types.
Chemical peel treatments are a mainstay of aesthetic skin care. They often are used to combat acne and skin discoloration and to prevent premature aging of the skin. However, the name of the treatment seems scary to some people who envision harsh chemicals being applied to the skin and, therefore, do not consider peels for themselves.
The most widely known peel ingredients are glycolic, lactic and salicylic acid. These substances are derived from sugar, milk and willow tree bark. The acids are proven to be good for dry, mature or oily skin. Other ingredients come from natural sources such as various fruits, flowers, almonds, wheat or mushrooms. The chemicals derived from these sources help dissolve dead skin, promoting the growth of new, healthier skin.
Since the skin is made up of many layers, different peels target and penetrate different levels of the skin. Peels also are chosen depending on the skin’s condition. For instance, if someone has sensitive, highly reactive skin, a very mild peel may be chosen that only removes the top layers of skin. Alternatively, someone with acne or hyperpigmentation may receive a peel that penetrates deeper and contains stronger ingredients.
Most skin types and conditions can be treated with a chemical peel, including skin prone to rosacea, but it is very important that the right peel is chosen. For this reason, a medical aesthetician or physician needs to be consulted before treatment. Physicians may administer all types of peels, including those that penetrate deep into the skin and contain very strong ingredients, while qualified aestheticians can administer mild and mid-depth peels.
Your skin type/condition and the peel chosen will determine how you react to the treatment. Under some circumstances, patients may experience flushing immediately after treatment and feel tightness in the skin for several days, followed by little to no peeling. Others may be very red during the procedure and feel as if they have a mild sunburn with heavier peeling on subsequent days. In summary, chemical peels can be very good for a variety of skin types and conditions. The key is to work with a qualified professional to determine the type of peel that best suits your skin. Our medical aestheticians at Carolina Aesthetics are available to discuss and recommend peels during a free 30-minute consultation.
Hours: Mon./Wed./Fri., 8 a.m.-5 p.m.; Tue./Thurs., 8 a.m.-7 p.m.
920 Woodruff Road, Greenville, SC 29607
For more information, call (864) 233-8088
by Marshall J. Shuler, MD
Tea has been used for thousands of years in traditional
Chinese and Indian medicine. Whether black, green or white,
all types of tea are derived from the plant Camellia sinensis.
Green tea, however, is the richest in antioxidant polyphenols.
These antioxidants neutralize the toxins known as free
radicals that arise from sun damage, smoking and pollution.
Green tea also acts as an anti-inflammatory agent and has
strong anti-redness properties.
For example, we know that retinols are crucial for wrinkle
prevention and reversal. However, these medications often are irritating and
result in skin redness, which can discourage patients from using them. Carolina
Aesthetics, however, offers a retinol line of 3X, 5X, 7.5X and 10X strength, specially
combined with green tea, that reduces redness, improves tolerability and, thus,
leads to better results.
Similarly, we know that many changes we associate with aging are actually related
to sun damage suffered over our lifetime. Several Dermal Resolutions sunscreen
products offer an SPF of 50+ and are formulated with green tea to provide
active sun protection and an antioxidant—and in an easy, convenient, one-step
These sunscreen products are particularly useful for people with rosacea who
cannot tolerate the zinc oxide in most sunscreens. The anti-redness properties of
the green tea in the Dermal Resolutions sunscreens allow those with rosacea to
tolerate zinc oxide, preventing further sun damage in these individuals.
Carolina Aesthetics’ Dermal Resolutions product line offers
products in which the powerful antioxidant, anti-inflammatory
and anti-redness powers of green tea are combined with other
ingredients to achieve superior results.
• Green Tea Retinols (serums and pads)
• Green Tea Complete Sunscreen
• Green Tea Sheer Sunscreen
• Green Tea Power of Three
• Green Tea Foaming Cleanser
• Green Tea Retinol Eye Cream
• Beauty in a Jar
• Clear Moisture (Plus)
• AHA 10% and 15%
• Simple Cleanse
Everyone knows that the heart, lungs, liver and kidneys are organs that are vital to the survival of the human body. But did you know that the largest and most important organ of the body is the skin? We usually think our skin defines our beauty, our age or our nationality. However, this organ consists of almost one sixth of our total body weight and provides critical life support functions.
The two main layers of the skin, the epidermis and the dermis, provide protection, regulate body functions and process sensation. The outermost layer of the skin, the epidermis, acts as a barrier to prevent toxic chemicals, pathogens and other environmental materials from penetrating our body. Similarly, it prevents essential internal fluids from leaving our body. The epidermis is key to our immune system since it helps detect and block foreign substances, guarding our body against infection. Finally, the epidermis allows the body to excrete wastes like urea, water uric acid and ammonia, preventing illness.
The dermis is the thick supporting layer of the skin under the epidermis. Its fibrous and elastic tissue gives skin its flexibility and strength and protects the body by cushioning it from stress and strain. The dermis layer consists of hair, sweat glands and blood vessels which regulate the retention or release of heat in order to maintain body temperature. The blood vessels also play a key role in temperature regulation. Dilated vessels increase blood flow and heat loss while constricted vessels reduce blood flow and conserve heat. Additionally, the dermis regulates the absorption of vitamin D from UVB ultraviolet light, providing nutrients to the body.
The skin is an organ of sensation. It transmits information to the brain about our body’s surroundings. There is an extensive network of nerve cells that detect and relay changes in things such as temperature, pressure and pain.
Skin is an amazing organ that helps protect and regulate important body functions. A greater understanding of its complexity helps us realize how important it is that we keep our skin healthy. With just a few simple steps, you can easily improve, maintain and protect the health of your skin. Ask one of the medical aestheticians at Carolina Aesthetics to help you develop a simple skin care regimen designed specifically for your skin type and lifestyle. All consultations are free of charge.
Carolina Aesthetics will be offering injectible services again starting in December 2015. We are pleased to announce that as part of a new partnership with Carolina Dermatology & Aesthetics, Dr. James Fowler of UMG Plastic Surgery & Aesthetics will be providing these services at our 920 Woodruff Rd. office.
Dr. Fowler is a native of Greenville. He earned his B.S. in biology from Washington and Lee University in Lexington, Virginia and his medical degree from the Medical University of South Carolina in Charleston. Dr. Fowler completed five years of general surgery training at Greenville Hospital System followed by two years of plastic surgery training at the University of Tennessee College of Medicine in Chattanooga. He completed an additional year of fellowship training in hand and microsurgery at the University of South Florida in Tampa.
Dr. Fowler started GHS Plastic Surgery & Aesthetics in 2005 and currently serves as Division Chief. He is board certified in Plastic Surgery and holds professional memberships with the American Society of Plastic Surgeons, Southeastern Society of Plastic and Reconstructive Surgeons, South Carolina Medical Association and Greenville County Medical Society. Dr. Fowler and his wife, Laurel, have two children and enjoy hiking and spending time in the mountains.
Carolina Aesthetics is proud to be the site for this partnership between Greenville Health System’s Dermatology and Plastic Surgery departments. Our goal is always to provide our patients with the best possible care and this partnership will allow both dermatologists and plastic surgeons to be available to oversee patients’ aesthetic concerns. We are very fortunate to have Dr. Fowler here offering Botox, Juvederm and Sculptra injections. To schedule an appointment, please call our office at (864) 233-8088.
As winter and the holiday season are fast approaching, we will start hearing more talk of turtle necks, turkey necks and tight necks; but, it seems we are going to add a new “neck” to the list this year. “Tech Neck,” also known as “Text Neck,” is the buzzword gracing the media everywhere from high fashion and beauty magazines, like Elle and Allure, to top news sources, like ABC News and The Today Show. So what is Tech Neck and what does it mean for you?
Tech Neck is the damage and strain to the spine, skin and muscles of the neck caused by continual downward tilt of our heads as we crane over our smartphones and tablets day after day. The constant use of our favorite devices are causing us both physical injury, as well as, premature aging; thus, causing some neck muscles to shorten and others to be over stretched, as well as, horizontal wrinkling that happens naturally to our neck when we are looking down. When neck muscles in the front of the neck become short, a pull begins to happen on the muscle structure of the face and jaw, essentially creating an appearance of drooping or sagging.
The best way to treat and prevent Tech Neck is to limit your use of these devices and take time to look up. Another good idea is to hold or place your device closer to eye level. For damage or strain that has already occurred to the spinal structure, you will need to see your healthcare provider. For neck muscles, a neck and shoulder massage can be very beneficial and is also a great way to manage the additional stress that often accompanies the holiday season. For skin on the neck, options may include anything from a neck product like Nectifirm by Revision Skincare, to professional treatments like microdermabrasion, chemical peels or laser resurfacing for more dramatic results.
As a licensed aesthetician and massage therapist, I am fortunate to have a unique understanding of how handheld technology is reaking havoc on the health and appearance of our necks. At Carolina Aesthetics, the pathway to wellness begins with client centered evaluation and education. If you are interested in knowing more about how you can prevent or correct the damage caused by Tech Neck, consultations with our licensed and experienced aestheticians are always free of charge.
Salicylic acid and benzoyl peroxide products are the most common over the counter topical acne preparations on the market. You can find either one at your local pharmacy without a prescription. Both can be effective but work better for different types of acne with different side-effect profiles.
Salicylic acid is the most common acne preparation and usually comes in a 1-2% concentration. It works as a keratolytic, meaning it helps remove the outer layer of the skin that often becomes sticky and clogs up the pores. This is best for blackheads and whiteheads but does not work as well for the more inflammatory pimples.
Benzoyl peroxide works primarily by killing the acne causing bacteria P. acnes. It also has mild keratolytic effects like salicylic acid. It can be used by itself and is found in many prescription medications as well. Unlike some prescription antibacterial medications, developing resistance to benzoyl peroxide is not a problem. It can be found in several concentrations from 2.5% to 10%. This works best for inflammatory acne with predominant red lesions. You can start to see results usually much quicker than with salicylic acid.
Both preparations can cause irritation which is usually proportional to the concentration. Benzoyl peroxide tends to cause a little more irritation than salicylic acid and for a minority of people can lead to significant swelling and crusting. Benzoyl peroxide is also known to bleach clothing, towels and pillow cases so I usually recommend white towels and pillow cases. It’s best to start out with a lower concentration and work your way up as tolerated.
For most mild cases of acne these two preparations are sufficient and can even be used in combination with each other. If your acne is not responding to either of these two medications or you have painful or scarring acne, you may need stronger prescription medications. It is always best to confer with your dermatologists to find the right preparation and concentration for your specific skin needs.
Earlier this year, we announced that Dr. Harriet Van Hale will be retiring from her general dermatology practice with GHS Carolina Dermatology of Greenville (CDG). And, as of September 30, it will be time to officially wish her well in her retirement.
Dr. Van Hale partnered with Dr. Patricia Westmoreland early on to establish a dermatology practice that emphasizes excellent patient care and integrity. She has been formative and instrumental in the success of CDG, and will be deeply missed….by her patients, staff and colleagues.
Dr. Van Hale graduated from Greenville Senior High School and obtained her BA from UNC – Chapel Hill. She received her medical degree from MUSC in Charleston, SC, and went on to do a residency in Pathology at the Los Angeles County/University of Southern California Medical Center. She later went on to do Dermatology training at the Mayo Clinic in Rochester, Minnesota. After practicing in Minnesota and California, she joined private practice with Dr. Westmoreland on Mills Avenue in 1992, forming a partnership that would eventually morph into Carolina Dermatology of Greenville.
However, her passion for improving the Upstate extends outside of her dermatology and dermatopathology practice. She has been very active in teaching students and residents and has been actively engaged in improving our community. For example, she has served at the Taylors Free Medical Clinic, and on the NAMI Board (which she chaired 2010 and 2011).
I could go on, but there is really no way to adequately express in words how accomplished Dr. Van Hale is, or how deeply she will be missed. While I was making the transition to “working mother” after having each of my children, Dr. Van Hale was encouraging and empathetic in a way few could (or would take the time to) be. And others agree:
“Dr. Van Hale is one of the most caring and compassionate physicians. She will be dearly missed by her patients and colleagues.” – Dr. John Kuhl
“Dr. Van Hale shared a book with me written by her father of his war-time experiences. She, like her father before her, is an excellent writer and story-teller. She researches her topics with great care, whether she is writing a paper for a shared learning experience with her Thursday Club members, or preparing a PowerPoint presentation for teaching residents and students at the GHS/USC School of Medicine. She writes and speaks with a genteel spirit, and she epitomizes southern etiquette. But as a female business owner, her wise and savvy entrepreneurial skills helped to achieve the successful practice that we have today. And as a physician practitioner, in every decision-making process her first and foremost consideration is ‘what is in the best interest of patients?’ Happy retirement to Dr. Van Hale, and my very best regards.” — JR Rochester
“Dr. Van Hale has always treated me as family, not as an employee, inside and outside of the office, and same for her patients. That’s what makes her so wonderful, each patient is just as special to her as the next.” — Glorie Priest
So, we wish you well, Dr. Van Hale, and will miss you dearly. Thank you for who you are and all you have done for us.
The complete skin exam, or body check, is the most important tool for the detection of skin cancer. It is recommended that people with a history of skin cancer or pre-cancers have a complete skin exam by a dermatologist on a yearly basis. Some people with an especially high risk of skin cancer may need to have exams more often. These exams are also recommended for people with a family history of skin cancer, numerous moles, history of significant sun exposure, or any concerning or non-healing spots. There is no set age at which a body check should be performed. Body checks are performed on children with lots of moles or whose parents have a history of skin cancer such as melanoma.
When you come for a complete skin exam, you will be asked to disrobe, but you can usually keep undergarments on. You will be given a sheet to cover up with prior to the exam. We examine the entire skin, sometimes looking at individual spots under a hand-held magnifier. We will discuss your spots as we proceed through the exam and identify any spots that need to be removed or watched closely.
We also recommend performing self-exams of your skin at home. Especially if you have had a history of skin cancer, it is important to look over your skin once a month after bathing. You should check for any new or changing spots as well as for any sores that do not appear to be healing. Use a mirror to examine your back, scalp and other hard to see areas. If you notice a spot that concerns you, then please call to schedule an appointment for evaluation.
Two of the questions we hear the most about our various skincare products are “Do they really work?” and “Well, what products do you use?”
We thought it would be fun and informative to ask all of the Carolina Aesthetics staff members to name their favorite products and why they like them. The only problem we ran into while researching this was limiting the staff to only 2 products each! See what each person said below.
Vitamin C 30% Lotion – “This product gives me the daily antioxidant protection I need while brightening my skin and reducing fine lines and wrinkles.”
Retinol – “Retinoids continue to be the the go-to ingredient for dermatologists and skin care professionals for the treatment of acne, fine lines, uneven texture& tone, dullness and clogged pores. Our variety of formulations makes it easy for everyone to find the right product for them.”
Even Up – “”I love the way this product fights hyperpigmentation, smoothes my make up and has an SPF of 50 for my daily protection. I then use the Sunforgettable Brush for re-application throughout the day.”
Revision’s Brightening Facial Wash – “It doesn’t matter what cream or treatment you are using if your face isn’t clean! This product cleanses thoroughly without drying me out and it smells great! Since it lathers so well, I keep it in the shower and use it as my shaving cream.”
BioGel – “This product is my favorite because I have sensitive skin and it hydrates and gives me a fresh face feeling!”
Rhonda Allison’s Skin Brightening Cleanser – “Best cleanser – hands down! Refreshing scent. The perfect cleanser for morning and night and it even removes makeup completely.”
Express Tan – “This product is my favorite because I get to choose how tan I want to look. It’s easy to apply and doesn’t streak.”
Bio Serum & DEJ Eye Cream – “I use the Bio Serum around my eyes twice a day underneath my DEJ Eye Cream. The mix of these 2 products provides growth factors both at the surface and deeper into the dermis which definitely helps to reduce fine lines while providing good moisture around the eye.”.
Sunforgettable Brush – “I use it as my powder over Intellishade, then I can re-apply the powder sunscreen several times a day depending on sun exposure. It is also great for the neck, chest and top of hands. A bonus is that it is water resistant and stands up to the “Southern Sweat Test!””
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920 Woodruff Rd,
Greenville, SC 29607
(864) 233-8088Mon & Wed 8:00 a.m. - 6:00 p.m.