The skin around the eye is different from other facial skin, and often appears to age faster than the rest of the face. In particular, the skin around the eye has fewer sebaceous (oil) glands, is thinner than other facial skin and is subject to frequent eye movement and squinting. These factors contribute to making this skin prone to dryness and wrinkling (including Crow’s feet). Also, there is a dense capillary network and different patterns of fat padding around the eye, which can make the eye area prone to puffiness, bags and dark circles.
These general steps may improve the skin around the eyes:
For specific issues which require professional treatment (such as Crow’s feet and skin laxity), you should consult with your physician and/or medical aesthetician to help formulate a plan addressing your specific concerns. This may include products specially formulated for eyelid skin, Botox (to decrease deep Crow’s feet), skin tightening procedures or recommendations for surgical evaluation.
Dr. Angela Hutcheson is a physician at Carolina Dermatology of Greenville. She is a fellowship trained Mohs surgeon, and board-certified Dermatologist with a specialization in Cosmetic Dermatology.
Recent advances in topical products and wavelengths of light in lasers and IPL have greatly improved our chances of returning the skin in this area to a more youthful look. IPL treatments get rid of small red vessels and eradicate the brown spots.
Nectifirm with antioxidants, retinols, and growth factors are used topically in combination to repair this sun damage. Botox into the muscles of the neck can also smooth away the fibrous bands.
Let us customize a program to show off your new neckline and décolletage.
Doctor’s Recommendations: Microderm and/ or moisturizing treatment of the area; possible IPL treatment for sun damaged areas; regular use of a light retinol product and moisturizer.
The terms “free radicals” and “antioxidants” are buzz words used frequently which refer to chemical reactions that occur in the body and that relate to skin and overall health. Free radicals are groups of highly charged atoms that are formed when oxygen reacts with certain molecules. These highly charged atoms have the potential to interact with and damage cellular components, such as DNA or cell membranes. Many free radicals are formed in the process of the body’s normal metabolism, and some are purposely created by the body’s immune system to neutralize infectious agents, such as bacteria and viruses. Environmental factors, such as pollution, cigarette smoke and ultraviolet light can also generate free radicals in the human body.
Antioxidants are molecules that interact with and block the damaging effects of free radicals. Many are compounds that we know as vitamins such as vitamins A, C and E, and others are elements found in nature in plants and minerals. In addition to helping protect cells from free radical damage, most of these antioxidants also are necessary for normal cell growth, maturation, and repair from other types of damage. We get most of these necessary antioxidants from a diet containing fruits and vegetables, or from topical products applied to the skin which contain these antioxidants. Some, which are vitamins (vitamins C and E, and beta carotene, which is a precursor to vitamin A) can be taken as oral supplements.
Skin injury from free radicals is primarily caused by ultraviolet radiation in sunlight. Repeated sunburns or chronic long-term sun exposure generates these damaging free radicals which cause cellular damage and breakdown of collagen and elastic tissue. To help prevent these changes, we strongly recommend daily topical application of products that contain antioxidants in addition to judicious application of sunscreen. At Carolina Aesthetics, we carry several creams and lotions with high concentrations of vitamins C, A and E, which are tailored to different skin types. Our aestheticians are well trained to help determine the correct formulation for each skin type.
May is Melanoma Awareness month. Accordingly, we wanted to help educate you on the facts about melanoma in an effort to raise your awareness about the seriousness of this disease and to help you know if you might be at risk for melanoma. If you have any question about whether or not you may have melanoma, please contact your dermatologist immediately.
The following Question and Answer article was taken from the American Academy of Dermatology website.
Q: What is melanoma?
A: Melanoma, the most serious form of skin cancer, is characterized by the uncontrolled growth of pigment-producing cells. Melanomas might appear on the skin suddenly, but they also can develop on an existing mole. The overall number of melanoma cases continues to rise.
Q: Is melanoma a serious disease?
A: Approximately 75 percent of all skin cancer deaths are from melanoma.1 Advanced melanoma spreads to lymph nodes and internal organs and may result in death. One American dies from melanoma almost every hour.1 Melanoma is the most common form of cancer for young adults 25-29 years old and the second most common cancer in adolescents and young adults 15-29 years old.2 If detected and treated before it reaches the lymph nodes, melanoma patients have a 98 percent five-year survival rate.1 Five-year survival rates for regional- (lymph nodes) and distant- (other organs/lymph nodes) stage melanomas are 62 percent and 15
Q: What causes melanoma?
A: Excessive exposure to the ultraviolet radiation of the sun is the most important preventable cause of all skin cancers, including melanoma. People who live close to the equator where the sunlight is more intense are more likely to develop melanoma than those in other regions. Not all melanomas are exclusively sun-related — other possible influences include genetic factors and immune system deficiencies.
Q: Who gets melanoma?
A: Melanoma can strike anyone. Caucasians are more likely to be diagnosed with melanoma than other races. However, even among Caucasians, certain individuals are at higher risk than others.1 For example:
Q: What are atypical moles?
A: Most people have moles (also known as nevi). Atypical moles are unusual moles that are generally larger than normal moles, are variable in color, often have irregular borders and might occur in far greater number than regular moles. Atypical moles occur most often on the upper back, torso, lower legs, head and neck. It is important to recognize that atypical moles are not limited to any specific body area — they can occur anywhere. The presence of atypical moles is an important clinical risk factor for melanoma developing in a mole or on apparently normal skin.
Q: What does melanoma look like?
A: Recognition of changes in the skin is the best way to detect early melanoma. They most frequently appear on the upper back, torso, lower legs, head and neck.3 In females 15-29 years old, the torso is the most common location for developing melanoma, which might be due to high-risk tanning behaviors.3 If you have a changing mole, a new mole, or a mole that is different, see a dermatologist as soon as possible.
If you notice a mole on your skin, you should follow the simple ABCDE rule, which outlines the warning signs of melanoma:
The American Academy of Dermatology urges everyone to examine their skin regularly. This means looking over your entire body including your back, your scalp, your palms, your soles and between your toes. If you notice a mole that is different from others, or that changes, itches, or bleeds even if it is smaller than 6mm, you should make an appointment to see a dermatologist as soon as possible.
Q: Can melanoma be prevented?
A: Sun exposure is the most preventable risk factor for all skin cancers, including melanoma.1,13 You can have fun in the sun and decrease your risk of skin cancer. Here’s how to Be Sun Smart®:
1American Cancer Society. Cancer Facts and Figures 2010.
2 Cancer Epidemiology in Older Adolescents & Young Adults. SEER AYA Monograph Pages 53-57.2007.
3 World Health Organization, Solar ultraviolet radiation: Global burden of disease from solar ultraviolet radiation. Environmental Burden of Disease Series, N.13. 2006.
4 The Society for Investigative Dermatology and the American Academy of Dermatology Association, The Burden of Skin Diseases 2004. Copyright 2006.
5 Bower CP, Lear JT, Bygrave S, Etherington D, Harvey I, Archer CB. Basal cell carcinoma and risk of subsequent malignancies: a cancer registry-based study in southwest England. J Am Acad Dermatol 2000;42:988-91.
6 Hemminki K, Dong C. Subsequent cancers after in situ and invasive squamous cell carcinoma of the skin. Arch Dermatol 2000;136:647-51.
7 Rosenberg CA, Greenland P, Khandekar J, Loar A, Ascensao J, Lopez AM. Association of nonmelanoma skin cancer with second malignancy. Cancer 2004;49:81-5.
8 Grenader T, Goldberg A, Shavit L. Second cancers in patients with male breast cancer: a literature review. J Cancer Surviv. 2008;2(2):73-78.
9 Satram-Hoang S, Ziogas A, Anton-Culver H. Risk of second primary cancer in men with breast cancer. Breast Cancer Res. 2007;9(1):R10.
10 Auvinen A, Curtis R, Ron E. Risk of subsequent cancer following breast cancer in men. J Natl Cancer Inst. 2002;94(17):1330-1332.
11 Canchola A, Horn-Ross P, Purdie D. Risk of secondary primary malignancies in women with papillary thyroid cancer. Am J Epidemiol. 2006;163(6):521-527.
12 Berg, A. US Preventive Services Task Force. Screening for skin cancer. www.ahrq.gov/clinic/ajpmsuppl/skcarr.htm.
13 Robinson, JK. Sun Exposure, Sun Protection and Vitamin D. JAMA 2005; 294: 1541-43.
Although the facial skin care market is dominated by products and advertising directed at women, facial skin care is equally important for men.
A good regimen begins with a gentle cleanser to remove dirt and oil. For men, cleansing is often followed by shaving. Use of a soothing shave gel or cream minimizes the irritation of shaving. The process of shaving not only trims facial hair, it also promotes exfoliation of the top skin cells that build up on the surface prior to sloughing off. Removal of these cells gives the face a smooth texture and a renewed appearance in much the same way as exfoliating therapies like microdermabrasion or mild chemical peeling. After shaving, it is best to apply a moisturizing cream or lotion to hydrate the face. Using a facial moisturizer with sunscreen at least SPF 15 provides the additional benefit of sun protection.
Many facial skin conditions are the same in both men and women. However, one condition that is primarily a problem for men is pseudofolliculitis barbae (PFB). This condition involves ingrown facial hairs which irritate the skin. The resulting inflammation causes small red bumps centered on hair follicles. Treatment of PFB involves correction of shaving techniques and topical medications. To minimize PFB, shaving should only occur in the direction of hair growth, not against the grain. Although shaving against the grain yields a closer shave, it promotes the ingrowing of hairs. Leaving a small amount of stubble trains the hairs to grow straight instead of curling back into the skin. Benzoyl peroxide cleansers and topical antibiotic lotions are also helpful.
Time and sun also take a toll on the male face leading to the appearance of aging. The same products and procedures that many women take advantage of for anti-aging effects are also beneficial for men. These include creams containing retinols, antioxidants, hydroxy acids, and growth factors. Procedures including facials, peels, Botox, fillers, and laser therapies are also good options for men. Although men tend to be minimalists when it comes to facial skin care, a little exploration and effort can help them keep a youthful glow.
Fractional laser resurfacing, also known as fractional thermolysis, is a relatively new method of skin rejuvenation that was introduced in 2003. It works by tightening skin to improve various defects such as acne scars, wrinkles, sun damage, stretch marks and dark spots. The fractional resurfacing method works by treating only a fraction of the skin, leaving surrounding areas alone. The fractional laser delivers small, closely spaced micro beams of light energy through the epidermis into the dermis where collagen, elastic fibers and other supporting structures of the skin are located. These separated micro-beams cause heat damage to the tiny areas of dermis which, in turn, results in new collagen synthesis during healing and thus skin tightening. Since treated areas are surrounded by non heat damaged dermal tissue, skin heals much faster. Visible improvement is usually seen in about 2-3 months since this is the time it takes for collagen to be formed. The overall skin tightening and textural changes are often much greater than those changes induced by more superficial procedures.
Two to three fractional laser treatments are usually recommended for optimal results. The procedure itself takes 30 to 60 minutes depending on the area of the skin to be treated. Most people experience some discomfort during the procedure which is minimized by prior topical anesthetic application and cold packs immediately after treatment. Swelling and redness can be expected post treatment but usually resolve in one to two days.
There are very few therapeutic options for stretch marks however fractional therapy has shown remarkable improvement in most cases. Fractional laser resurfacing of facial skin has been shown to deliver in most cases, dramatic improvement in skin texture, tone and in minimizing of fine lines and wrinkles without the long recovery period of most ablative laser procedures.
Tea has been used for thousands of years in traditional Chinese and Indian medicine and 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 are vital molecules that neutralize the toxins known as free radicals which arise from sun-damage, smoking and pollution. Green tea also acts as an anti-inflammatory agent and consequently has strong anti-redness properties. Carolina Aesthetics offers a Green Tea based product line in which the powerful antioxidant and anti-redness powers of Green Tea have been combined with other products to achieve superior results.
For example, we know that retinols are crucial for wrinkle prevention and reversal; however, these medications are frequently too irritating and result in redness which reduces client’s ability to use the medication. Therefore, Carolina Aesthetics offers a line of 3X, 5X and 10X strength Retinols specially combined with Green Tea to reduce the redness, improve tolerability, and get better results.
Similarly, we know that many of the changes we associate with aging are in fact related to sun-damage suffered over our lifetime. Therefore, Carolina Aesthetics Green Tea Complete and Green Tea Sheer offer a SPF 50 sunblock specially formulated with Green Tea in an effort to provide active sun-protection and an antioxidant in a one-step product application. This product line is particularly useful for those who suffer from Rosacea, as the anti-redness properties of the Green Tea help combat the natural redness of this disease and the sunscreen helps prevent further sun-damage in these sensitive individuals.
Other products in the Carolina Aesthetics Green T product line are:
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