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Vitamin C and the Skin

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:51:00

Vitamin C and the Skin

“If forgiveness is medicine for the soul, then gratitude is vitamins”. SteveMaraboli. DIY-Vitamin-C-Mask

Vitamin C is well known for its boost in colds and keeping colds at bay by stimulating our immune system. It is amazing for stress, certainly, and keeping our adrenals in good function. It is a powerful anti-oxidant and is not produced by the body.

As it pertains to skin, it is highly effective in treating skin damage and compromised skin. Skin regimens should be supplemented with vitamin C topically.

Some of the cheaper brands will have vitamin C listed in its ingredients, but it is not in a form that can be absorbed by the skin. This is actually the case with a lot of vitamins we take even orally. It is imperative to be knowledgeable about how available the product is to your body when you take it orally. Sometimes this may come at a higher price.

L-ascorbic acid is the only form of vitamin C that can be absorbed by the skin, and it can be difficult to guarantee that it is stable and available for skin penetration so be careful with your brands! Because of the lack of penetration and stability of the product, incorrect formulations can even cause irritation and damage to the skin.

L-ascorbic acid is a scavenger for free-radicals. Free radicals are created by sunlight, pesticides, smoking, heat, pollution, cold- basically modern day life. The effects that the vitamin C will have on your skin are seen as – a reduction in wrinkling, increased hydration and collagen production. The skin becomes more plump, brown spots diminish. Studies have shown an 84.2% improvement in photodamaged skin over skin not including this in the regimen.

Finding a suitable product:

Here is how you evaluate your skin care products for vitamin C.

Is the vitamin C in the form of ascorbic acid? We just talked about that above.
Is there enough L-ascorbic acid to produce an effect? This should be at 10-20% to produce the desired effect.
Is the preparation stable? Know your brands and do your research.There are a litany of reviews online about the different products.
Remember, beauty is in the eye of the beholder, and that beholder is you.

The Power of Caffeine

Published by DR, M.D. Simone Van Horne in Health · 22/9/2015 19:50:00

The Power of Caffeine

“You don’t even really need a place. But you feel like you’re doing something. This is what coffee is. And that is one of the geniuses of the new coffee culture”. Jerry Seinfeld.

The pendulum swings back and forth regarding the good and bad effects of caffeine taken by mouth. What has been quite fascinating is the amazing benefits that topical caffeine is having on anti-cancer, sun protection regimens.

Skin cancer is a devastating and avoidable disease. More details are emerging about how to prevent it and how to keep skin as healthy and beautiful as we can. Caffeine is relatively new to the skin health industry.

Caffeine has the proven ability to reduce the production of sunburn cells because it absorbs UVB radiation. Whether we put caffeine on the skin, or drink it, studies have shown that free radicals caused by sun exposure are dramatically reduced.

Even more exciting is caffeine’s contribution to ridding the skin of damaged cells. We develop damaged cells every day, some of them cancerous. We have a very complex system, however which recognizes damaged cells and causes them to be removed. This process involves a cell called the killer T-cells. Caffeine increases these cells, and studies have shown unequivocally that more damaged cells are purged before they have the chance to develop into a tumor.

As it pertains to the skin, its all about prevention so look for caffeine in your sun-protective product. It adds a new line of defense against UV exposure, and hence against skin cancers.

Remember, beauty is in the eye of the beholder, and that beholder is you.

Smoking and the skin…

Published by DR, M.D. Simone Van Horne in Health · 22/9/2015 19:48:00

Smoking and the skin…

“Nature give you the face you have at twenty. It’s up to you to merit the face you have at fifty.”Coco Chanel.

Smoking is one of the most preventable causes of disesase and death today. We know about the links between heart attacks, strokes, all cancers, COPD. But many skin conditions such as premature skin aging, poor wound healing, deep wrinkling, skin disclorations are very visible effects. The former medical issues may not be visible, but the latter skin issues are very visible on most smokers.

Oxygen is needed for all of our cells to work the way they should. The nicotine in cigarette smoke causes the blood vessels to close and the carbon monoxide binds onto the oxgen and creates a lock on it and the oxygen even though it is in the blood stream cannot get into the cells. One cigarette can restrict blood flow for up to 90 minutes. Eventually, small blood vessels will form on the surface of the skin, because the body reacts by making more blood vessels to get more oxygen to the skin surface. If a smoker is fair skinned, the nictotine also deposits a grey or yellow tone onto the skin.


The International Journal of Dermatology published a study in the mid 90’s identifying that men who smoke wrinkle two times. Women wrinkle three times more.

Wound Healing

Slow wound healing is another known complication which is one of the reasons why we always ask if you smoke as part of the medical hostory when you go for surgery. The incision needs to be checked for proper healing more closely.

Smoking is linked to cancer because usually, if an abnormal cell is made, scavenger cells will be activated to remove the cell. Because all of this is slowed, that abnormal cell may be left to take root, and it is in this way that cancer cells form and proliferate.

The ugly truth about smoking is that the fingers get yellow, they constantly smell like smoke, your breath is also unpleasant. The skin all over gets more lax, the complexion sallow, and a lot of this is only partially correctable.

Detoxifying and oxygenating procedures can help the skin cells and dramatically improve skin tone.

Ingredients like Vitamin C, retinol, and certain peptides will help collagen formation and strengthen the integrity of the skin and decrease wrinkling. Caper bud extract and algae help support the capillaries that may be closer to surface of the skin. You can look for these ingredients in your moisturizers. Chemical Peels can imporve the skins surface texture and allow for a unified complexion. Peels also can decrease fine lines and wrinkles. Dermal fillers replace the hyaluronic acid and stimulate collagen formation and recruits water to fill the area. The lip lines can be instilled and filled out . Botulinum (Botox/Dysport/Xeomin) can also help with the wrinkling and may even by used for smokers lips.

Nothing, however, can beat the effects of simply stopping smoking.

Men, Hormones and Skin…

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:46:00

Men, Hormones and Skin…
“You can’t help getting older, but you don’t have to get old.” George Burns.


Men age much more slowly than women. They tend to get on the anti-aging bandwagon later than women, and when they do they are HIGHLY secretive. They share their secrets with NO ONE!! Men are however more prone to skin cancer, acne, folliculitis in their beard areas, and with shaving, they can have a lot of inflammation generally. Men have thicker skin, more acidic skin environs, and testosterone causes more sweat production. So they require appreciation of those differences.

With this in mind, it is essential for men to be mindful of prevention when it comes to their skin. Daily use of sunscreen is imperative. To protect against both UVA and UVB radiation the following ingedients should be in the product:

Zinc oxide, titanium dioxie, cinnamates, salicylates, avobenzone, ecamsule.

Acne and the folliculitis both have blocking of the follicles and inflammation. Salicylic acid helps to release trapped bacteria, oil or hair shafts. The salicylic acid also provides anti-inflammatory benefits. Men who have these issues should have this included in their facial regimen daily, and peels including these agents are also highly beneficial.

Retinoids accelerate skin turnover and therefore the build up in the follicles is less. Acne and folliculitis both benefit in this regard. They also reduce the amount of sebum produced (the yellow stuff that comes out of bumps on the face). Retinoids are essential in every anti-aging regimen whether male or female.

Liquorice also has anti-bacterial and anti-inflammatory effects, and so a skin formulation containing this will also be highly beneficial.

Aloe vera is amazing for after shave products. It accelerates wound healing, and decreases inflammation. Vitamin A, C and E are excellent anti-oxidants and further boosts the protection in a man’s skin.

Gel cleansers which are pH balanced for a man is key because their skin is a bit more acidic, and toners help to remove the build up on the skin which men tend to have more of.

So, when you pass skin products made just for men – now you know the thought process behind the formulations!

And, of course, always have sun block!

So remember, beauty is in the eye of the beholder, and that beholder is you.


Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:43:00

“Imperfection is beauty, madness is genius, and it is better to be absolutely ridiculous than absolutely boring.” Marilyn Monroe.

Melasma is hormonally induced hyperpigmentation. It is also called the “pregnancy mask” as it tends to occur in pregnancy with the hormonal fluctuations.

(before treatment)

New science has been unfolding each year leading to more dramatic results. There are many treatment options for mealsma, but the exact etiology has not been completely determined so it can be quite challenging to treat.

Melasma tends to appear in large dense patches with lines of demarcation. It can also affect other sun-exposed areas such as the forearms. It is more prevalent in women, and is more common in darker skin, but can really affect any gender, or ethnicity .

The depth of the pigment can be determined by the clinician, and that really determines how long the process will take.

Combination therapy with different kinds of peels tailored to the skin type, depth have been proven to be efective in my expereince. Superficial peels with a combination of acids provide gentle exfoliation without inducing unwanted trauma.

Daily care products should also be used with daily care products which prevent melanin overproduction, and who decrease inflammation and oxidation.

Pigment reducing Ingredients


This is a bleaching agent, and it decreases melanin formationbut should be used in low percentages to avoid inflammation

Kojic Acid

This decreases melanin formation as well in the same was that Hydroquinone does


This decreases melanin formation and also increases cell turn over to give one that glow. It accelerates the pigment lifting process. It can also be quite irritating, however.

Ascorbic acid

The bioavailable form of vitamin c affects the formation of melanin as well but by a different action from hydroquinone, and kofic acid.

Lactic acid

This is an alpha-hydroxy acid that increases exfoliation of early melanin filled cells.


decreases melanin formation


decreases melanin formation

Skin care products and chemical peels with these ingredients will be benficial.

Mechanical Exfoliation

Microdermabrasion – this has been used with some results. When using this, however, or scrubs generally,over aggressive exfoliation has to be watched, and treatment induced discolorations can occur.

Laser therapy

Studies have shown that while this method is beneficial for sun induced hyperpigmentation, it will frequently worsen hormonally induced melasma(post 3 sessions of combination chemical peels)

In recent years, breakthrough ingredients have enabled us to deal significantly with melasma. UV radiation education has to be emphasized as the most important step we have made to controlling melasma. It is imperative as the uv radiation increases inflammation.

So remember ….beauty is in the eye of the beholder, and that beholder is you!

Melanoma and sunscreen

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:41:00

Melanoma and sunscreen

“Health is not valued until sickness comes.” Thomas Fuller.

What to watch for?

For people with moles, learning to identify clues that indicate melanoma is vital. These markings are generally harmless, but occasionally can become cancerous. However, with proper education and a quick self-check a few times a year, it’s easy to call out changes and identify any potential cancers before they become life threatening. Below, we’ve listed what is referred to as the “ABCDEs of Melanoma,” a guide to help you remember what to look out for.

A – Asymmetry: Symmetrical moles are generally benign and nothing to worry about. If you notice asymmetry in a mole, get in touch with your doctor.
B – Border: Smooth and even borders are a sign of a benign mole. Melanomas are often uneven with jagged edges.
C – Color: If your mole is a uniform shade, you likely have nothing to worry about. If your mole develops different shades or already has them, contact your doctor to get it checked out.
D – Diameter: If your mole grows in size, it’s important to let your doctor know.
E – Evolving: In general, moles that are benign look the same over many years. It’s important to take note if they change in any way, as it could be a sign of melanoma.

Always remember to wear your sunscreen every day. Even if darker in complexion don’t be complacent. Bob Marley died from a type melanoma, and our ozone layer was much more generous at that time. Wearing a broad spectrum sunscreen daily can reduce your risk of developing melanoma by 50%. SPF means Sun Protection Factor. It refers to the theoretical time you can stay in the sun without getting burned. Therefore, if your skin begins to get red in 20 minutes without sunblock, a SPF of 15 would allow you to stay in the sun 15 times as long; so 5 hours. A product of 15 SPF will filter out 93 % of UVB rays, and one of 30 will filter 97% of these rays. A SPF which is 50 or higher really does not offer more than 98% protection, so do not fooled into buying a higher SPF and have a false sense of protection. Of course life cannot be that simple!!!

UVA rays are the culprits that accelerate aging, and the SPF only gives information on the UVB protection. Other ingredients like titanium dioxide and zinc oxide will give additional protection against UVA. So it is important to choose products that have all these ingredients. Most people will actually have one side of the face that has more wrinkling than the other because of the exposure when we drive. So even when driving, use sunblock. It is better to have tinted windows for this reason as well.

For the best results

  • Lotion up liberally and every two hours
  • If you swim or are sweating, reapply before the two hours
  • Wear hats
  • Wear sun-protective clothing. How do you know? Hold up the clothing. If light passes through it, UV radiation can too.

Skin markings are different for everyone, so it’s best to get any moles you have checked on an annual basis. This is especially the case if you are over forty, fair-skinned, or you have a history of multiple sunburns. If you have any concerns or questions about a mole, visit a dermatologist.

Dermal Roller…

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:39:00
“My greatest beauty secret is being happy with myself. I don’t use special creams or treatment – I’ll use a little bit of everything.” Tina Turner

There are many ways for us to enhance our beauty and to stimulate the production of the skin constituents that give the skin a glow. We have not all been endowed with Tina Turner’s ability to remain “uncracked” from sunlight and gravity, but indeed, dermarolling with a good skin regimen can be quite useful. See a physician before deciding to use, as it is not useful for everyone, or for all skin issues.

Derma Roller skin therapy, is an all-natural cosmetic procedure which can be done in your own home, but a physician who is familiar with the process should be contacted for directions in this regard. This is also known as “micro needle therapy”, “non-surgical face lift” and “skin needle therapy”.
It also helps ingredients and nutrients to be quickly absorbed through the skin, enhancing their efficacy so it can also be used for transdermal medication delivery.

It is very effective for:

• Stretch marks from any origin or body part

• Acne hard to heal scars and light Acne scars

• surgical scars

• Scars or any origin

• Wrinkles Improval

• Anti-ageing effects

• Chickenpox scars and Ice pick

• Cellulite reduction

• Large Black or not black pores

• Sagging (Lack of firmness on face or body)

• Age brown spots & sun burns damage

• Under-eye puffy bags

• Hair loss (Alopecia)*

• Hyper pigmentation

Most of the latter are due to a lack of collagen. By the micro trauma, the skin is confused into thinking that it has been traumatized. With this collagen, free-radicals scavengers, and a small amount of stem cells will rush to the area. The skin will renew and repair itself to a cosmetic level. Laser therapy does the same thing, and is much better than dermarolling, but if one is unable to afford laser therapy, significant gains in skin health can be achieved

The roller head should have a large number of needles. This gives a quick, less invasive, and more painless with a shorter healing time.

Microneedling is a simple office-based procedure. The physician can then show you how to continue doing this at home on your own. Topical anaesthesia can be put on prior to the procedure, this needs to be done for45 minutes to1 hour before. The area is washed properly, and toning may be done as usual. Rolling is done 15-20 times in horizontal, vertical, and oblique directions on the different areas of the face.

Sometimes pin-point bleeding may occur, but it is very mild and is controlled by wiping it off with a sterile gauze. After treatment, the area should be wetted with sterile saline serum pads, cold pads . The entire procedure should lasts for 15 to 20 minutes, depending on the extent of the area to be treated. A minimum of six weeks is recommended between two treatments as it takes that long for new natural collagen to form. Three to four treatments may be needed for moderate acne scars. The facial cream may be used at this point. For wrinkles and age spots, for example, retinol and vitamin A and E are excellent for this. These can be placed on the skin at this point, and will be absorbed quite nicely into the deeper aspects of the dermis.

Contraindications of Derma Roller System Therapy:

Anyactive infections
• Chronic skin disorders
• Blood clotting problems
• Poor healing
• Skin malignancies
• Active acne
• Eczema
• Rosacea
• Psoriasis
• Severe solar keratosis
• Raised moles or warts

Cleaning the Derma roller
The dermaroller unit needs to be washed right after using. Soap and water can be used, chlorhexidine containing solution is best. Brush away any residual debris after using it. Then soak about 5-8 minutes with 90% alcohol, or use ultraviolet radiation (sunlight) to disinfect for about 45 minutes. You can also use a cold sterilizer like Clorexhidine solution. Chlorine, autoclaves, steam and high temperature sterilization methods, should not be used.

Even with all this, “happiness is the greatest beauty secret.” Tina Turner said that too!

*(best used with PRP therapy)

Dermal Filler Part 1...

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:38:00
Dermal Filler Part 1

Harry Winston once famously stated, “People will stare, make it worth their while” “Imperfection is beauty, ” said Marilyn Monroe. Most of us just want to just look like our more youthful selves, imperfections and all.

Volume loss occurs as we age because of collagen loss, fat loss &/or redistribution and bone loss. As the skin ages the middle layer of skin thins due to collagen loss reducing the skin’s ability to retain elasticity and moisture. A youthful look depends on having the right amount of facial fat in the proper places. Facial volume loss results from redistribution, accumulation, and atrophy of fat. Fat begins to “space out”, so to speak, and different fat pads begin to appear as separate structures. A significant loss of facial bone also occurs as we age and without its structural support, there are noticeable changes to our looks. Multiple fad diets can take a toll on the fat in our faces, and stress, also plays a significant role if one loses weight, does not drink enough water.

A treatment with dermal fillers provides an easy way to enhance your looks. The aim is to “fill” the areas where fat has been lost esentially. The result of a single treatment can be seen instantly and lasts around one year for facial treatments and around six months for the lips. The dermal fillers will also achieve a natural looking result that does not affect facial expression. The face changes over time, and they allow you to control your looks subtly as you age.

What is hyaluronic acid?
Hyaluronic acid is a naturally occurring substance found in the body that helps to hydrate and add volume to our skin. Natural hyaluronic acid is broken down by the body in one or two days so is constantly replaced. As we age, however this replacement mechanism slows down so the moisturising and plumping effects of hyaluronic acid decrease. Hyaluronic acid is used for aesthetic treatments, and has also been used for injection into arthritic joints to aid movement as well as eye surgery. It is present all over our body to provide support and structuure.

What are dermal fillers?
Dermal fillers are injectable hyaluronic acid. Some products are full natural and some have incoporated synthetic material. They have been in use and have a decent track record, as now, over 30 million people across the world have been successfully treated. The main type of dermal fillers in the market, are a soft gel consisting of stabilized, non-animal hyaluronic acid. It is long-lasting but just like the one that we make naturally, it is not permanent. It will also add volume to your skin by attracting water to the hyaluronic acid molecules which make them more plump.

What areas can be treated with dermal fillers?
Dermal fillers can be used to smooth away facial lines and wrinkles, create fuller lips, shape facial contours and revitalise the skin. The most common areas treated are:

The nose to mouth lines (Nasolabialfold).
• Lines around the mouth (Perioral lines and Oral Commissures).
• Natural lip enhancement and definition of the border.
• Natural cheek augmentation.
• Also can be used for replacing soft tissue volume loss and scar corrections.
How long is an appointment?
The injection process takes a mere 15-30 minutes, you’ll also need to allow time to discuss what you are hoping to achieve with our practitioner before treatment. It is certainly a procedure one can easily do in their lunch time.

How painful is the procedure?
Many of the products are made with lidocaine included, and hence have anaesthesia after the first injection. Generally, pain relief is not necessary when injecting into the skin to correct lines and wrinkles. Some people may experience the treatment as a mild discomfort. A local anaesthetic cream can be applied to the area for a more comfortable treatment experience.
The lips are a highly sensitive part of the body and, therefore, anaesthesia is usually recommended before lip enhancement. This is achieved most effectively by using a local anaesthetic.

When will the change be visible?
The aesthetic results are immediate. You’ll see the results as soon as your appointment is over, and the gift will keep on givng! There will be even more plumping as the months go on as it atracts water into the area.

Until next time, remember….beauty is in the eye of the beholder, and that beholder is you!

What are the Different kinds of Dermal Fillers?

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:30:00

What are the Different kinds of Dermal Fillers?

“A girl should be two things: who and what she wants.” Coco Chanel.

The type of dermal filler chosen will ultimately depend on the results you wish to achieve. To make sure the right filler is chosen for your treatment, your issues that you want to reverse should be discussed in advance in detail because though they all have hyaluronic acid, some have additional qualities which cause them to not be suitable for injection in certain areas. Also, all fillers are not created equally, and differ in terms of price. Some of the price difference is attributed to how long the fillers last. It is also important to ensure the clinician is only using FDA-approved products and is properly trained to apply them. This will not only give you peace of mind but minimise any potential risks of side-effects.

The majority of dermal fillers are temporary, and last around six to nine months. Some of the newer, more expensive ones will last one to two years. The temporary fillers are suitable to treat fine lines, volume loss and wrinkles, and they are also a popular choice of treatment for improving the lips. Temporary fillers may have synthetic additions to the hyaluronic acid, which is natural. Synthetic materials include poly-l-lactic acid and calcium hydroxylapatite. Repeated injections may help stimulate the body’s own natural production of collagen. That will help reduce the number of lines and wrinkles.. There is also some evidence that less filler is needed over time to achieve the same look.

Hyaluronic acid fillers are widely used as they have a well established history of safety and reliability. Hyaluronic acid is a natural substance which can be found in every living organism. As a result it is biocompatible and side-effects are very rare. Around thirty million individuals have benefited from treatment with hyaluronic acid fillers. Products which use hyaluronic acid include Perlane, Restylane, Belotero, Radiesse, and Juvéderm. Hyaluronic acid fillers come in varying levels of thickness and so they are a flexible option to improve different sections of the face. Thinner fillers are more suitable for wrinkles and fine lines, or enrichment of the lips, while thicker fillers are able to address very deep wrinkles and volume loss, lasting between six and twelve months.

Calcium hydroxylapatite has maintained a safe standard of treatment in the cosmetic industry for many years and is the main adition to the hyaluronic acid in Radiesse. This is a temporary but longer-lasting type of dermal filler which works wonders for facial sculpting. It has a lot of volume, and therefore it is used in deep nose to mouth lines, though it also works for reshaping of the nose. It is never to be applied to the lips.

Collagen stimulators are injectable and encourage the body’s own collagen to form and provide beneficial effects. The product is composed from poly-l-lactic acid and can address lines and wrinkles, add volume and improve skin texture. Such products include Sculptra and can improve skin thickness and last for around two years, with the results gradually improving over several months for a subtle improvement. This is an excellent choice of filler if you do not want to show obvious signs that you have had treatment.

Permanent fillers are not used as much as temporary ones due to the fact that they can last for more than ten years. However, if you would rather have longer-lasting effects then they are the way to go. Patients are advised to choose an experienced clinician to ensure the correct application of such long-lasting fillers, as complications usually result from sub-standard treatment and are less likely to occur in the hands of an experienced professional. It might also be best to try a temporary product before taking the step and choosing one that is permanent. This is so you can get an idea of what kind of results fillers can provide, and then choose whether you want longer-lasting results. Though permanent fillers will last much longer, you will have to live with the results for some time, while temporary fillers will wear off in due time and you can decide whether or not to renew your injections in the future.

So remember ….beauty is in the eye of the beholder, and that beholder is you!

Ten Tips to Prevent and Repair Aging

Published by DR, M.D. Simone Van Horne in SKIN · 22/9/2015 19:29:00

Ten Tips to Prevent and Repair Aging 

“Every one of us can find the two minutes… it takes to look good.” Estee Lauder

When we age, the skin turnover slows down ….hence the dullness. The cell do not renew as they did and this results in moisture loss, thinning, jowls and eye bags. Sun damage from being in a car in traffic with the sun exposure beaming in, all those years of tanning or running around as a kid without sunscreen begin to take its toll. Maninting facial expressions, and strengthening our facial muscles making them bulky (frowning, smiling) leave lines. Our lifestyle catches up with us (smoking, drinking, dieting).

We have to age, but age is really just a number, and Estee Lauder left us at age 97, but she is wise – there are things you can do to slow down the aging process and repair some of the damage already done. And here are some non surgical tips for doing just that. I have listed them in order of price, and you will see there is a lot you can do with a small budget.

[1]Living a happy, healthy lifestyle.

Hands down, this the absolute best thing you can do to slow down the aging process.

Creams, procedures and lasers do help and have their place a little, but healthy lifestyles not only keep you looking young and feeling great, but they also keep you living (preferably longer), which I’m sure no cream can do.

Internal antioxidants are a must have . Colorful vegetables and fruit is a safe way to tell that a lot of anti-oxidants are in a meal. Color is synonymous with rich antioxidants. Noni juice is an excellent anti-aging preventative sources. But berries, pomegranates, watermelons, apples, oranges, guineps, june plums will also be amazing for your skin.

Eating a well-balanced diet , drinking plenty of water, not smoking, not drinking too much alcohol, laughing, and not stressing out too much are all good anti-aging habits. Do not get so wrapped up in physical anti-aging treatments that you forget about internal health, relaxation, and emotional well-being. This is the rock upon which topical anti-aging treatments build on, everything else is sand.

[2]A basic skin routine. A daily no frills routine with a simple cleanser, toner and moisturizer will be better than doing nothing at all. You don’t need the latest breakthrough skin care product to prevent aging, as long as you take good basic care of your skin, remove makeup, or buildup of the day. Your hands, neck, and eyes (maybe the lips for some people) can show the aging first. Whatever you do to care for your face, do the same for the rest of your body. The eyes are very delicate and the skin around it gets thinner as we age, so be very gentle and careful in that area.

[3] Sunscreen. This is the number one way to slow down aging. In skin that is prone to hyperpigmentation, it will block the UV rays effect on blemishes to become darker.

[4] Chemical Peels and Exfoliants. People say men tend to age slower (or look younger, however you want to think of it) because they shave, frequently exfoliating their face. For both women and men, exfoliating is definitely an easy way to keep your skin fresh. Any beauty magazine you look in will recommend exfoliating your skin at least once a week.

A facial scrub or washcloth can be used, but more effective is chemically,with peels by using topical acids and or retinoids. Exfoliating helps keep your skin looking young by shedding dead skin cells and pushing newer ones to form. Alpha hydroxy acids can minimize the appearance of wrinkles over time. Scientific evidence is emerging that long-term AHA use encourages collagen regeneration, repairing the effects of aging. Skin is left more even and brighter which is what more youthful, healthy skin is.

[5] Anti-oxidants

Antioxidants like Vitamin C, Q10, alpha-lipoic acid, and green/white tea prevent free radicals from damaging your skin. Free radicals are partially responsible for wrinkles, non-gravity defying eye bags, etc. Topically, vitamin C is probably the most powerful antioxidant for your skin, scientifically proven to stimulate collagen production and brighten overall skin tone. Green tea is another popular antioxidant, but studies have indicated that the prticles are large and not reliably absorbed.

[6] Retinol

Retinol is a MUST HAVE for aging skin. It promotes the skin cells to regenerate and decreases wrinkles by stimulating collagen. Some people cannot tolerate it, however, but it is not the end of the world ……

[7] .Topical Stem Cells and Growth Factors

Products with EGF (epidermal growth factor) and plant and human stem cells are gaining ground as increasingly popular anti-aging treatments. The science is simply there. So retinol non- tolerators – here is your thing. Stem cells and growth factors are amazing when injected. But it can also be absorbed through the largest organ of the body – the skin. They stimulate production of collagen, elastin and anything else that is needed.

[8] Dermarollers are pretty cheap on their own. Instead of PRP, dermarollers can be kinder to the wallet. With their microneedles, they provide deeper penetration of topical stem cells, vitamin C, retinoids, vitamin C down to the deeper levels of the skin. This way you get more bang for your buck from your skin care products. It is best to see a physician familiar with them to teach you how to use this at home, what pressure to use, and how often to use it. Remember you do not want to use this when you have an infection on the face, or an acne breakout.

[9] Dermal Fillers, Botox use actually helps minimize the appearance deep-set wrinkles. Fat grafting can plump up skin and distribute nutrients to previously depleted regions of your face. Facials which include microdermabrasion and chemical peels can aggressively help prevent and repair the appearance of aging by rapidly exfoliating surface layers of the skin and minimizing fine wrinkles. Laser skin treatments can also stimulate deeper layers of your skin to encourage collagen production for better skin elasticity. The downside is, with these procedures, one treatment session usually does not accomplish much as far as anti-aging goes.

[10] PRP and fat grafting – Stem cells are re-injected into the areas that require help, and these cells have the potential to become any cell. The environment you inject the stem cells in gives them the signal about what is lacking in that area. More invasive, more expensive.

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