How Do I Choose an Eye Cream?

With the plethora of eye products available on the market, it can be confusing and difficult to choose the right eye cream for you. Devising a systematic approach to choosing your eye cream will help optimize your results and minimize adverse effects. There are three main issues you need to consider:

1.Do I have sensitive skin or can I tolerate stronger products?

This is a very important question to consider as eyelid skin is Continue reading

Chemical Peels for Melasma Explained

Melasma is a condition characterized by patches of hyperpigmentation usually located on the face. It is believed to be caused by an interplay of hormones or medications and sun exposure. Melasma is more common in women and may be associated with oral contraceptive use and can occur in pregnancy. Although less common, melasma can also be seen in men. Continue reading

What make-up should I use, Doctor?

This is an exceedingly common question among my female patients. Most women know to use only non-comedogenic and oil free products to avoid clogging pores and producing acne but still have questions regarding the ideal make-up to use. Along with many other dermatologists, my resounding response is to utilize a mineral based make-up usually in a loose powder form. These products provide excellent coverage and camouflage, are generally non-irritating, and are well tolerated by acne prone skin. A number of mineral based make up products are currently available including the following brands:  Bare Minerals, Bare Escentuals, Glo Minerals, and Jane Iredale just to name a few. Continue reading

Red bumps after waxing or threading?

Many of my patients are concerned about little red bumps that develop after their waxing, threading, and even shaving procedures.

Do not worry, these red bumps are very common and due to inflammed hair follicles after the hair removal.

In most cases, the red bumps are only temporary and calm down after a day or so. The bumps typically do not signify that you are allergic to the wax or that the Continue reading

Can topical Clindamycin help my acne?

Clindamycin is a type of antibiotic that  been used for decades as a topical acne treatment. Oral clindamycin is rarely used for acne as it does not effectively reach skin cells. Topical clindamycin, however, is a prescription favorite. Let’s explore if topical Clindamycin (Clinda) is right for you.

Why is topical Clinda used for acne treatment?

Clinda is a potent antibiotic that is part of a class of antibiotics called Lincosamides.  Clinda is particularly effective topically as it is active Continue reading

The benefits of Azelaic Acid for acne in pigmented skin

We will continue our Tuesday acne series with Azelaic Acid (AA) — a topical prescription medication. AA is approved for acne and rosacea and can also help with discoloration and anti-aging – making it a great treatment to add to your daily regimen!

How does Azelaic Acid work?

AA is a weak acid naturally found in whole grain cereals and animal products.  For topical prescription purposes AA is now formulated safely in a laboratory.  AA works in 3 ways:

  1. AA helps slow the growth and eventually helps kill the 2 bacteria that can reside on the skin surface and lead to acne (Propionibacteria acnes and Staphylococcus epidermis).
  2.  AA also helps to improve blocked pores by decreasing the production of dead skin cells (keratin).
  3.  AA helps slow the production of abnormal melanocytes (the pigment producing cells), thus helping to minimize unwanted discoloration. Continue reading

The ABC’s of Nutrition: Understanding Vitamin B

Vitamin B is actually a complex of eight distinct vitamins: thiamine, riboflavin, niacin, pantothenic acid, pyridoxine,  biotin, folic acid and cobalamin (B12). Several of the Vitamin B’s are important in skin nutrition. While overt deficiencies of the vitamin B’ are rare, we can deduce the importance of these vitamins in skin health by looking at the symptoms of deficiencies of these vitamins: Continue reading

What is Salicylic Acid and how can it help my skin?

Salicylic acid (sal acid) is a beta-hydroxy acid chemically related to aspirin that has been used topically for a wide variety of purposes for decades. Today, we will explore the benefits of this over-the-counter acne favorite:

Why is Sal Acid used for acne treatment?

  • The main reason sal acid is used for acne is because it is a ‘keratolytic.’ This means it breaks down and exfoliates dead skin cells.  Sal acid is particularly good for the blocked pore (comedonal) type of acne because it penetrates the hair follicle and helps keep the pores from getting clogged.  Typically for acne, sal acid is used in 0.5 – 2% strengths.
  • To a much lesser degree then benzoyl peroxide, sal acid is also anti-inflammatory – meaning it minimizes the redness associated with acne breakouts. In addition, sal acid has some anti-bacterial effects, helping to reduce the number of acne causing bacteria on the skin.

Continue reading

What Causes Under-Eye Circles?

Dark circles may be associated with a variety of causes. Typically, the main culprits are a combination of pigmentation and age-related skin thinning that allows a shadow to occur.

Dark circles may also be associated with allergies (constant rubbing of the eyes causes the skin to inappropriately thicken and discolor) as well as dilated superficial arteries and veins. Continue reading