Aesthetic Anti-Aging

Anti-Wrinkle Skin Care by Dr. Tomasello

An anti wrinkle skin care ingredient is one that helps reverse the aging process. Hence, these anti-aging ingredients are, in effect, anti wrinkle agents. Let’s face it (no pun intended), when people buy skin care products, the most common reasons are to help their skin to look clearer and younger. Anti wrinkle skin care and anti-aging also means preventing wrinkles from showing up in the first place.

Anti-Oxidants are Anti Wrinkle

 

Free Radicals are atoms or groups of atoms with an odd (unpaired) number of electrons.  This happens when oxygen interacts with certain molecules causing oxidation. Once formed these highly reactive radicals can start a chain reaction, like dominoes. The reactive oxygen will go around seeking another electron. In its search it causes chaos and damage.  It attacks the cells around it; cell proteins, membranes, the outside of the cell (cytoskeleton), the inside of the cell, even the cell’s DNA is at risk. Free radicals form in your skin in response to a multitude of environmental factors including UV rays, heat, cold, smoking, pollution, dust, dietary factors, and allergens to name a few. Antioxidants are anti wrinkle vitamins. They neutralize free radicals AND stimulate collagen production, repair cells and fade redness. Our skin makes its own antioxidants and tries desperately to keep up and clear away all the free radicals but commonly falls short of neutralizing them.

There are countless products available that contain antioxidants.  What is important to remember is certain ingredients are excellent antioxidants. These products are anti wrinkle and are of paramount importance in anti-aging skin care. Look for them in your skin care products and don’t just trust a label that says “anti-oxidant.” These ingredients prevent damage now resulting in more beautiful skin today … and tomorrow.

My Go-To Anti Wrinkle AntiOxidants

Vitamin A (Retinol) – A high power antioxidant and an anti-aging gem.

Vitamin C –  Vitamin C cream needs to be Lipid Soluble (vs. Water Soluble) so it can penetrate the skin to do its multitude of good deeds. First it rids our skin of free radicals, next it stimulates collagen (anti wrinkle), reduces skin discolorations, strengthens the skin’s barrier and reduces inflammation. It also helps the skin withstand UV exposure whether sunscreen is being used or not. Vitamin C breaks down on UV and air exposure so should come in a closed container such as a pump.

Vitamin E (Alpha-tocopherol) –  Found in our body’s membranes and tissues. The alcohol based Alpha tocopherol penetrates the skin best (vs. alpha-tocopherol-acetate). So make sure you read the label and get alcohol based Vitamin E. The attributes to Vitamin E are many. It boosts collagen to reduce fine lines and wrinkles, helps fade age spots and has been shown to decrease sunburn damage and dryness if used prior to UVB exposure. Offering antioxidant properties coupled with less swelling, redness, inflammation and wrinkles makes Vitamin E one of my favorites.

Green Tea – Green tea has polyphenols. The best anti wrinkle polyphenol is CATECHIN, which green tea has. Here is your antioxidant powerhouse. Through this it clears free radicals, prevents cell damage, repairs wrinkles and reduces inflammation.

Resveratrol – This antioxidant is found primarily in grapes, nuts, fruits and red wine. When resveratrol is applied to the skin it protects against damaging UVB rays. Similar to Green Tea, Resveratrol has polyphenols which are strong antioxidants.

Lycopene – Found primarily in red fruits and vegetables, this powerful antioxidant clears free radicals, promotes collagen production thereby reducing fine lines. Lycopene exerts strong anti wrinkle power.

Kojic Acid  Kojic acid is a powerful antioxidant as well as an inhibitor of melanin production. Hence, in addition to clearing free radicals, it helps fade age spots, freckles and melasma.

Anti Wrinkle effects of Alpha and Beta Hydroxy Acids

Alpha and Beta Hydroxy acids have become increasingly popular due to the many ways in which they help to improve our skin. Alpha and Beta Hydroxy acids are used for anti-aging, reversal of sun damage and treatment of acne.  The primary difference in the uses of these two types of acids is related to their solubility (what they dissolve in). Alpha hydroxy acids are soluble in water (water soluble) while Beta Hydroxy acids are soluble in oil (lipid soluble). These differences dictate which one to choose to treat certain skin conditions.

Anti wrinkle
Lactic Acid

ALPHA HYDROXY ACIDS (AHAs)

Common Alpha Hydroxy Acids include Glycolic (from sugar cane), Lactic (from milk), Malic (from apples), Citric (from citrus fruit), and Tartaric (from grape wine). Glycolic acid is the smallest molecule and its small size allows for deeper skin penetration. Hence Glycolic Acid is the AHA used most widely.

AHAs work in several ways to improve the appearance of the skin. Their most important role is skin exfoliation. The term ‘exfoliation’ is defined as removal of the surface. The normal life span of skin cells is 2-4 weeks. Once the skin cells have died they are sloughed to the outer skin surface. The AHAs clear these dead cells from the underlying healthy living cells by basically removing the glue that is holding these dead skin cells to the epidermis (the upper skin layer). Removal of this dead skin layer helps the new, vibrant skin beneath grow and flourish.

Since AHAs (particularly Glycolic Acid) penetrate deeply, they also stimulate the growth of deeper supporting components of the skin (Collagen and Elastin). Glycolic, Lactic and Citric acids work particularly well at increasing collagen and skin thickness. Continued use of these AHAs will therefore help to ‘fill in’ wrinkles making the skin smooth and even. AHAs clearly play a role in reducing unwanted or uneven skin pigment as well.

With AHAs we have newer and more vibrant skin with a boost of the ‘architecture’ supporting it.

Anti Wrinkle
Salicylic Acid

BETA HYDROXY ACIDS (BHA)

Salicylic Acid is the primary Beta Hydroxy Acid (BHA) used in skin care. Salicylic Acid is a derivative of Aspirin giving it anti-inflammatory properties. Salicylic Acid also brings anti-irritant, anti-redness, and anti-microbial properties. Unlike AHAs, BHAs are soluble in oil (lipid), resulting in deep penetration into the sebum-containing pore. Thus, BHAs clear sebum and dead skin cells built up inside the pore. This makes BHAs an excellent choice for use on oily skin or skin with blackheads or whiteheads (acne).  Deep penetration into the pore and clearing of sebum and dead skin cells is what it does best. BHAs seem to work best at lower concentrations (around 2%). Use of BHA has been shown to reduce wrinkles and pigment caused by sun damage if used for six months.

SIMILARITIES

AHAs and BHAs both do a beautiful job of exfoliating the skin (clearing away dead skin cells). AHAs can be more irritating and it is best to start using them every other day initially, while BHAs are effective at lower concentrations and tend to be preferred by dermatologists as they are less irritating.

Both AHAs and BHAs, through clearing dead skin cells and increasing cell turnover, can improve the thickness of the skin, improve the skins barrier properties as well as stimulate growth of the supporting components of the skin (collagen and elastin). More collagen and elastin = less wrinkles.

Regardless, when using AHAs or BHAs you need to wear sun block. These acids, through lowering the skin PH, clearing away dead skin cells and removing protective oils, make you up to 50 % more likely to sunburn. Make sure to use a sun block to protect against both UVA and UVB when using products containing AHAs and BHAs.

Fighting wrinkles is going to take time and consistency in your skin care regimen. Remember, fighting wrinkles starts with prevention … then treatment if they occur. Your two big guns at fighting wrinkles as defined here are antioxidants and chemical exfoliation agents. I can not stress the importance enough of incorporating these anti wrinkle factors into your skin care regimen. As always consistency is key.

Author: Dean M. Tomasello, MD

Source: www.clearskinmd.net

Anti-Aging and your Eyes by Dr. Tomasello

Are your eyes giving your age away? Or even worse – making you look older than you actually are? Without a doubt, the area around your eyes is one of the very first areas of your face to succumb to aging. Studies have shown that upon meeting someone, people look first at a person’s eyes … then nose and mouth. Having dark circles, bags or wrinkles is not the first impression you want to give. The subcutaneous fat (beneath the epidermis and dermis) serves as a type of cushion and support to these upper layers. The skin around the eye is very thin and delicate, containing very little of this subcutaneous fat. This fragile skin becomes even thinner as we age and hence more vulnerable to signs of aging. These changes commonly arrive as unwelcome dark circles, puffiness, fine lines and wrinkles. Let’s take a look at some aging changes around the eyes and how we can reverse or prevent them, keeping your eyes youthful, clear and vibrant.

Eyes: Dark Circles Causes : Genetics / Poor Sleep / Allergies / Eye Irritation / UV Rays

Genetics can play a role in literally any aging seen around the eyes. Dark circles are no exception. People with very fair skin tend to have even thinner than average skin around their eyes. When blood in tiny capillaries pools in this area under the eye it is much more noticeable in those with fair skin. When these capillaries are dilated it gives off a bluish hue. With poor sleep or stress, the problem is exacerbated. Fatigue causes the blood flow to become even more sluggish.

Seasonal allergies (and other allergies including food allergies) and chronic eye irritation cause the body to release a substance called histamine. Although the body is releasing histamine in an attempt to protect itself, around the eyes it simply causes further swelling of the blood vessels and even darker circles. People with chronic eye irritation from allergies or contact lenses make matters worse by rubbing that thin, delicate skin around the eye. UV rays contribute to the problem through an increase in the presence of free radicals and melanin secretion. This makes the circles even darker.

Dark Circle Treatments:

Wear sunglasses – A great way to block those UV rays. Sunblock – In terms of sunblock around the eye, it should contain zinc or titanium oxide which will fully block the UV rays. These ingredients are also less likely to cause eye irritation. Use a moisturizer with a humectant (like hyaluronic acid or glycerin) which will attract moisture to the area, plumping it up slightly so the capillaries are less visible. Take an anti-histamine medication. Speak with your doctor first, but note that Claritin is over the counter and is probably one of the ‘cleanest’ medications out there in terms of good results with rare side effects. I have recommended it for years. Use creams with brightening agents. My favorites include Niacinamide (vitamin B3), Vitamin C, Vitamin C-Ester and Hydroxyquinone. These have been shown to fade excess melanin in the tissues. Have a medical aesthetic treatment. Dermal fillers to the tear tough area (under the eye) with fillers like Belotero or Restylane can be very helpful as can LED treatments. In terms of cosmetic lasers, the use of a Q-Switched 1,064nm laser has been shown to be effective in the treatment of these dark circles.

 

Eyes:Puffy or Baggy Causes: Genetics, Diet (salt), Allergies, Alcohol, UV Rays

Some individuals have puffy eyes based on their genetics. They have larger fat pads around the eyes which can become more visible as they age. The skin around the eye is thin and delicate and is quick to show excess fluid in the body (i.e. puffiness). Alcohol consumption and salty food are two main culprits causing fluid retention and puffy eyes. Stress and/or lack of sleep make matters worse.

Allergies and eye irritation can also exacerbate eye puffiness due to histamine release. UV rays cause more free radicals which can make eyes even more puffy and irritated. In some cases hormonal changes seen with menopause or hypothyroidism may be the cause.

In some fortunate people, gravity itself will help the puffiness resolve once their head is elevated in the morning. This is not always the case.

Puffy or Baggy Eye Treatments/Preventions

Diet: Avoiding alcohol and salty food is a start. Dietary choices can help even more. Foods that are high in anti-oxidants/anti-inflammatory ingredients like green leafy vegetables and vitamin A and C-rich fruits can be very beneficial as can seafood high in omega 3 fatty acids such as salmon and tuna. Allergies or Contact Lens Irritation: As noted above, in some people these allergies/irritations can cause dark circles. In others, the release of histamine results in swelling around the eye. Over the counter histamines can be very helpful in this regard, as can anti-histamine eye drops. Make sure you are following the optometrist’s recommendation regarding cleaning and storing your contact lenses. Sleep with your head elevated: Gravity is not the friend of those with puffy eyes. Some find sleeping on their back on two pillows to be helpful. Provided you can sleep comfortably in this position, it may be worth a try. Hypothyroidism or Hormonal Changes: There indeed are more serious medical conditions with ‘puffy eyes’ showing up as a first symptom. It warrants investigation if your eyes have become puffy and remain so despite dietary changes. See your doctor. A simple blood test can determine if there are hormonal issues behind those puffy eyes. Wash your makeup off before bed. Makeup around your eyes can cause eye irritation resulting in excessive puffiness in the morning.

Eye creams and serums: The use of creams and serums twice a day may be very helpful indeed. Choose one with ingredients such as aloe, vitamin E, and retinol. Cool your eyes down: We are all familiar with the cucumber slice over the eye for eye swelling. Whether it’s a cucumber, tea bag or cold spoon, it is the cold that is helping the puffiness, not anything else. I am not a fan of tea bags or cucumbers due to potential infection. If you want to cool your eyes down, I prefer reusable gel eye masks that can be chilled and disinfected between uses. Wear sunglasses and/or sunblock around the eye. Sunblock should contain zinc or titanium oxide which will fully block the UV rays. Surgical Options: If 1-8 above are not effective (which commonly is the case in those who have genetically large fat pads) speak to a cosmetic surgeon about blepharoplasty. This is a way to surgically correct droopy eyelids or bags under the eyes.

EYES Fine Lines and Wrinkles Causes: UV Rays, Genetics, Eye Strain

Every time you smile, laugh, squint, frown or yawn the small muscles around your eyes contract. In doing so, they are repeatedly scrunching the skin and collagen between them. Over the years, fine lines form and later become deep wrinkles. These creases fan out from the corner of your eye, hence the well-known title “crow’s feet.” Normal movement of the muscles around our eyes can be exacerbated by eye strain/squinting. UV rays and the free radicals they form make matters worse.

Fine Line and Wrinkle Treatment: Block UV rays in the form of sunglasses or sunblock containing zinc or titanium oxide. I prefer SPF of 30+. Many people are very judicious about putting sunblock on their face and neck but miss the area around their eyes. Don’t skip it. Anti-oxidants – The use of alpha and beta hydoxy acids help remove dead skin cells and stimulate the growth of the supporting structures of collagen and elastin. Vitamin A (retinol) creams work similarly while speeding up cell turnover bringing fresher cells more quickly to the surface. Don’t forget antioxidants in the diet in the form of green leafy vegetables, vitamin A and C-rich fruits and omega 3 fatty acid rich seafood. Medical Aesthetic Treatments: Botox Cosmetic has been the gold standard for treatment of crow’s feet for 15 years. Through reversibly blocking nerve impulses the muscles around the eye do not contract and the area smoothens. Dysport and Xeomin work similarly. Other options include the injection of dermal fillers. For fine areas such as these. , the use of Belotero and Restylane has been successful. Other treatments such as microdermabrasion, chemical peels and microneedling can also improve the appearance of fine lines and wrinkles around the eye. Talk to your doctor or aesthetician about which medical aesthetic treatment may be best for you.

 

Author: Dr. Dean Tomacello

Resource:  https://www.clearskinmd.net

RealSelf Review – Dr. Kohli Aesthetic Surgery

Gurmander Kohli

From time to time we receive glowing testimonials from our satisfied patients. The following review found on RealSelf.com, was posted by a young woman who is extremely satisfied with her results following aesthetic enhancement surgery done by our own Dr. Gurmander Kohli.

“Words cannot begin to describe the specialness of Dr. Kohli. If you select him as your doctor you have just made a new life long relationship, but I will get back to this in a minute. I am a 30 yr old female who was post gastric bypass – 130 lbs and after five years of maintaining my weight loss I was finally ready to make some permanent skin changes so I started researching doctors…“

Read the whole story here