Lifestyle Choices

Unlike sunscreen (which everyone absolutely needs), not everyone needs a moisturizer, especially on the face. If you have oily skin, you are often better off without. As a dermatologist, I see many problems stemming from excessive or inappropriate use of moisturizers on the face. If you have an oily complexion but feel you need a moisturizer for non-oily parts of your face, use an oil-free formulation. Everyone should beware of exotic oils, fragrances, protein extracts, or enzymes; rarely useful, they are often irritating. (more…)

When you take the time to ask “Why?” science will always answer “How”. In the case of wrinkles, as you learn why they appear, you can also learn how to prevent or postpone their appearance, plus how to eliminate many of the wrinkles you already have. It’s never too late to care for your skin, to prevent more wrinkles from appearing, and to soften those already present. It’s never too late to look and feel younger! (more…)

Some wrinkles are superficial; some can be deeper. The good news is that, as a scientist and a dermatologist, I can assure you that almost all wrinkles can be either prevented, or at least successfully treated!

How do you make your skin, and therefore yourself, look better and younger without expending a great deal of time and effort? Of course you can prevent new wrinkles from forming, starting today! (more…)

As you now realize, most of our larger wrinkles are caused by repeated facial expressions: frowning, squinting, smiling, grimacing or raising our eyebrows, or sometimes by moving one side of our face more than the other. With time, our facial wrinkles begin to show our facial habits. (more…)

Acne usually starts as a few blackheads on the nose and forehead and a few inflamed papules also appear often on a greasy skin. Often the spots come in crops so that there are times in between without any spots. Many girls have a bout of acne around the time of their period.

Cosmetics

Very greasy or oily cosmetics are best avoided because they can block up the follicles and make acne worse. This may happen under a fringe when the hair may prevent the grease escaping. Disagreement about the best advice partly stems from the fact that in America they used to have a lot of trouble with greasy make-up causing acne. In Britain most doctors are happy to allow the use of noncomedogenic foundation, moisturizers etc. Some people gain much confidence if they can hide their spots. (more…)

It is difficult to understand why one person may have bad acne covering most of the back or chest but none on the face whilst another individual may have severe facial acne but little elsewhere. We presume that it is only the sebaceous glands and follicles in the affected areas that are responding to the hormone changes in the blood. Whichever area is affected, the changes are of larger papules and pustules which last longer and some of them may leave small scars. Blackheads will almost certainly be seen as well and they can be very extensive. When a flare-up occurs it may be very uncomfortable and an occasional cyst may appear. (more…)

Pigment

The pigment in our skin is called melanin and this same substance gives color to our hair and eyes. Fair -skinned people have only a little melanin while those with dark skins have a lot. The main function of melanin is to protect the skin from ultraviolet in the sun’s rays.

Vitiligo

Intensive research, around the world, has so far failed to reveal the trigger for vitiligo or the mechanism. We know that antibodies against the melanocyte are found in the blood, that antibodies against the thyroid gland are also present but that they seem to do no harm. (more…)

Birthmarks

It would be logical if all birthmarks were present at birth. This is not always the case. Some marks appear in the first few days of life but others can be delayed by months or years. In these cases it is thought that the fault resides in the skin from birth but only reveals itself when some other factor acts as a trigger. An example of this is the unusual problem called Becker’s nevus. It has the appearance, usually on the shoulder, of a large light brown patch, often with some coarse dark hair in it. It is first seen at puberty and is triggered by rising hormone levels. Salmon patches or stork bites derive their name from the old fable about babies being delivered down the chimney by a friendly stork whose beak has clasped the human bundle by the nape of the neck. These marks are seen in about a quarter of the population. Sometimes they are thought to have appeared in adult life but it is only that some new hair style or hair disease has revealed a patch that has really been present since birth. (more…)

Treatment of skin lumps

Cryotherapy

The destruction of skin tumors by bringing the temperature well below freezing point is called cryosurgery. Liquid nitrogen is the most popular refrigerant (temperature in the flask -196°C). It is applied to the skin either on a cotton swab or as a spray through a nozzle from a flask. The use of liquid nitrogen for the treatment of warts is described elsewhere. Other uses are treating seborrheic warts, actinic keratoses (see under sun-induced skin changes) and occasionally small basal cell cancers. (more…)

Skin cancers

Skin cancer is already a common disease but we are seeing it more and more. There may be several reasons for this but an important one is that more fair-skinned people are being exposed to sunlight, either on holiday or having emigrated to a hot country. The problem is so great in subtropical Australia that almost every adult has at least one skin cancer in their life. Much more will be said about the damaging effect of sunlight on skin but it is such an important subject that there is no harm in mentioning it twice. (more…)

The medical meaning of the word tumor is simply a swelling or lump raised above the skin surface. Although some tumors are cancers, most are not and the word can be applied to something as harmless as a wart.

Harmless skin lumps of one type or another are exceedingly common: in fact everyone has one or more at some time in their life. Although moles, which are raised, could also be considered here they are dealt with in detail in the section on birthmarks and pigment. This section deals with both harmless or benign lumps as well as true cancers or malignant lumps. (more…)

The Aniline or Oxidation Hair Colorants

The most permanent (and the most successful), these dyes are included in a number of products for colouring hair such as tinting shampoos, highlighting shampoos, and the single-step and double-step permanent colourants you can buy in packages at the chemist. They are permanent dyes, because the artificial pigment is made to penetrate into the cortex of the hair shaft. There it stays. How this happens is most interesting. (more…)

Holidays and sun

Many people find their psoriasis improves in the summer, particularly when on holiday. The beneficial side effects of ultraviolet light contribute to this improvement as do relaxation, exercise and decreased stress. Take all the holidays you are allowed.

General skin care

It may help to use a bath oil to get a film of oil onto your skin. Moisturizers help - E45, emulsifying ointment, aqueous creams are all good. Something stickier like Vaseline may be useful on plaques at times.

Scalp involvement is a nuisance and frequent hair-washing may be necessary - a short style makes this easier to cope with. (more…)

Long-term effects of UV

These can be divided into photoaging, potentially malignant and frankly malignant tumors. The changes result from a cumulative dose of UVB over many years. At present the worst affected are fair-skinned Britons who have been brought up in tropical or subtropical climates, e.g. Northern Australia or the southern states of the USA. Other groups include men who spent years in the desert in World War Two. The victims of the future are today’s young men and women who roast themselves on sunny beaches every summer and who then try to maintain the tan by using sunbeds through the winter months. (more…)

This is a topic close to everyone’s heart. Many Western people are on the one hand increasingly conscious of their appearance and on the other hand doing irreversible damage to their skin by excessive sunbathing. Even sun- protected skin will age. Sunlight creates its own effect called photoaging, and the two processes together eventually lead to the typical changes of wrinkling, color variation and prominent blood vessels seen in old people who have spent much of their lives outdoors. We are now seeing this in younger individuals. Ultraviolet light and the changes it can effect will be discussed in detail, and then some of the theory behind skin aging and how to avoid it. (more…)

A tycoon millionairess once told me that she found a business easier to run than a home. I’m sure she’s right. I’ve never yet been able to make the housekeeping show a profit, but my system is to run it in the same way as I run an office, with a planned budget, purchasing and filing department (all me). This is not nearly as clever or complicated as it sounds. Any sane woman in a perfect world wouldn’t bother, but if like me you’ve lost two vacuum cleaners and £140 worth of laundry in one year you’ll know it’s worthwhile.

The equipment: All you need to get organized is a writing surface, a chair, a kitchen drawer, a large cardboard box or a bit of shelf space on which to store two wire office trays or a couple of shopping bags (IN and OUT), eight double-sided envelope files with which to start a filing system, a duplicate book, two notebooks, envelopes and writing paper, a handbag diary and notebook, an address book — and some pretty postcards. (more…)

First, take a good look at yourself (body, soul and inside skull). Decide what areas could stand a little pleasant improvement. Decide what your life lacks. New friends? Less weight? More fun? Once you’ve decided what you want, stand up, take a deep breath, and S TART.

What you can do inside your home

Make yourself more beautiful: This is basically taking better care of yourself, encouraging healthy narcissism, learning to love and take care of your body, condition your skin and hair. Learn to relax. Take care of yourclothes. (more…)

Feet not only affect the condition of the rest of your body, they also reflect it. A good reflexologist or zone therapist will be able to tell you just by taking your feet in his hands and pushing them what is the state of your liver, the muscles of your back, or your pituitary gland. Originally an ancient Chinese form of therapy, foot reflexology has recently become a popular form of alternative medicine products. It was first developed and charted in the beginning of the century by an eminent American doctor named Fitzgerald, who described the ten specific zones of the body that are regulated by different nerve complexes. Through these zones, which go from the top of the head to the tips of the fingers and toes, so the theory goes, runs a network of nerves connecting the important muscles, glands, and organs to specific tiny points on the feet. (more…)

When it comes to treating skin, everyone is looking for the fountain of eternal youth. At one time it is thought to be vitamins, at other times plant essences, minerals, fetal or placental extracts. In recent years all of these somewhat exotic substances have been frowned on not only by many dermatologists but also by the so-called hard-hitting journalists who insist that nothing external can be done to keep skin looking beautiful and to protect it from premature aging other than to follow the three basic steps in the craft of skin care outlined in the previous chapter: cleansing, protection from moisture loss, and screening from ultraviolet light. (more…)

Every now and then (how often depends on whether your skin tends to be dry or oily and whether you live in the polluted air of cities or the clearer, fresh air of the country) skin needs more than everyday cleaning. It needs deep cleansing, and one of the most effective ways of getting it is from a facial sauna. In fact, the only skin condition that doesn’t benefit from facial steams, or saunas, is that in which broken capillaries appear in the cheeks and nose, in which case the warm steam could aggravate the condition. (more…)