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Acne Skin care

How to get rid of acne scars naturally – As studied by AI-powered Proven™ Skincare

Acne Skin care

 Congratulations!  Your pimple is gone. The only problem is that you now have a scar where the acne used to be. You can cover it up with makeup, or a random over-the-counter scar treatment, however the ideal solution is to actually fade the scar. To really understand acne scar removal, we need to look at what causes acne scars.

What causes acne scars?

The technical term for the dark mark left behind an acne lesion once it heals is Post Inflammatory Hyperpigmentation, or PIH. It usually starts off with a red cast and turns dark brown or purple over time. It is most common in dark skin types, and can last longer than 5 years if it’s not treated correctly. Acne scarring is more common when the acne lesion is picked at or “popped”, which triggers an inflammatory cascade that causes more melanin to rise to the surface of your skin. Melanin is the pigment in the skin responsible for dark marks.

Types of Acne Scars

Most acne scars are flat and dark, while others can have a “pitted” appearance, creating an uneven texture. The uneven surface makes them difficult to conceal with regular makeup, making it even more crucial to prevent acne before it starts, and to heal acne scars early on when pimples are first starting to vanish. Other hypertrophic scars, which are more raised and more noticeable, can develop as well. Scarring causes discoloration and will affect skin tone and skin health. Though many may turn to home remedies, this would not be a recommended course of action.

Best Acne Scars Treatment

It’s important to intervene early on during the healing period, when the pimple is just starting to flatten and heal. Use Hydrocortisone, or other anti-inflammatories, to reduce inflammation and speed up the healing process. Using Hydrocortisone, or other treatment options, like Vitamin E that has anti-inflammatory properties, can help acne scars from forming through early intervention. Avoid using AHAs or BHAs like Glycolic acid when the pimple is healing. This will only damage the skin more and increase inflammation, leading to darker pigment formation.

Acne Scar After-Care

Once the skin is completely healed and no longer red, the best ingredient to use is Vitamin C. This potent antioxidant blocks melanogenesis (skin darkening), so it will help to diminish the look of dark spots. It also stimulates collagen synthesis, which is exactly what you need to help even out the look of pitted acne scars. For faster results, pair it with Mandelic Acid! Using Mandelic Acid for pitted scars will hasten the renewal process and help to bring fresh, radiant cells to the surface of your skin.

Best Acne Scar Treatment Ingredients

Another great treatment for acne scars is Azelaic Acid, which is such a gentle yet effective exfoliator that it’s even recommended for Rosacea. For severe acne scars that form keloids (raised scarring), which is more common in dark skin types, the best treatment is a combination of Retinoids and Hydroquinone.  Hydroquinone is only recommended for a short period of time until pigmentation issues improve, after improvement, Mandelic acid and Vitamin C can be used.

Maintaining Acne-Scar Free Skin

The most important way to take care of acne scars is to wear a broad spectrum sunscreen with an SPF, of at least 90, every day and reapply often. Acne scars are extremely sensitive to sunlight, and UV exposure will only make the scar darker. You’ve invested a lot of time in effort in healing and fading your scars, so it’s important to take the final safety measure of protecting your skin from the sun.

Begin a daily skincare routine. And be consistent

A morning and evening skincare routine is key to keeping acne, pimples and random blemishes and breakouts from appearing or reappearing. Find a personalized skincare regimen best suited to your skin. Start each morning and end each day with a gentle cleanser. Excess oil, dirt and sebum sit on skin and can clog pores causing acne breakouts. Cleansing is key.

Follow with a SPF-based moisturizing lotion for daytime use and a richer moisturizer for night use, as skin does replenish itself while you sleep. Exfoliating with a gentle exfoliator (no scrubbing micro-beads) can be used once a week to remove dead skin cells which can leave skin looking dull. Cleansing and exfoliation will help deliver a brightening effect on skin.

Check in yearly with your dermatologist

As acne scarring can linger on skin, a yearly exam with your dermatologist can help. Dermatologists can help with wound healing, examining scarring to see if laser treatments or chemical peels could help with the skin healing process. Your doctor can also recommend courses of treatment if your acne, acne scarring and even the resulting scar tissue is more severe.


Of course, as we’ve always been told, keep your hands off your face, don’t “pick” or “squeeze” blemishes or pimples. Don’t rest your face on your hands and keep your phone off your face (use ear pods!) Prevention is worth a pound of cure and scarring won’t be such a major issue early on.

This article is originally posted on Proven Skincare.

References:

1. Callender, V. D. (2004). Acne in ethnic skin: special considerations for therapy. Dermatologic Therapy17(2), 184-195.

2. Rendon, M. I., Rodriguez, D. A., Kawata, A. K., Degboe, A. N., Wilcox, T. K., Burk, C. T., … & Roberts, W. E. (2015). Acne treatment patterns, expectations, and satisfaction among adult females of different races/ethnicities. Clinical, cosmetic and investigational dermatology8, 231.

3. Linder, J. (2013). Daily Care for Acne, Hyperpigmentation, Aging, and Sensitive Skin. Plastic Surgical Nursing33(4), 172-176.

4. Thiboutot, D. (2000). New treatments and therapeutic strategies for acne. Archives of family Medicine9(2), 179.

5. Del Rosso, J. Q. (2013). The role of skin care as an integral component in the management of acne vulgaris: part 1: the importance of cleanser and moisturizer ingredients, design, and product selection. The Journal of clinical and aesthetic dermatology6(12), 19.

6. Draelos, Z. D., & DiNardo, J. C. (2006). A re-evaluation of the comedogenicity concept. Journal of the American Academy of Dermatology54(3), 507-512.

7. Del Rosso, J. Q., Gold, M., Rueda, M. J., Brandt, S., & Winkelman, W. J. (2015). Efficacy, safety, and subject satisfaction of a specified skin care regimen to cleanse, medicate, moisturize, and protect the skin of patients under treatment for acne vulgaris. The Journal of Clinical and Aesthetic Dermatology8(1), 22.

8. Williams, H. C., Dellavalle, R. P., & Garner, S. (2012). Acne vulgaris. The Lancet379(9813), 361-372.

9. Goulden, V., Clark, S. M., & Cunliffe, W. J. (1997). Post‐adolescent acne: a review of clinical features. British journal of dermatology136(1), 66-70.

10. Katsambas, A., Graupe, K., & Stratigos, J. (1989). Clinical studies of 20% azelaic acid cream in the treatment of acne vulgaris. Comparison with vehicle and topical tretinoin. Acta dermato-venereologica. Supplementum143, 35.

11. Gollnick, H., & Schramm, M. (1998). Topical drug treatment in acne. Dermatology196(1), 119-125.

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Corona Virus – What we have learned so far.

COVID 19 e1590699442400

The CoronaVirus-What we have learn so far.

By now, most people in the world have heard of the Corona Virus.  Information about the virus has been changing rapidly, making it difficult sometimes to decipher and take reasonable actions to stay healthy.  So far, here is what we know to be true about the Corona Virus.

These are the Corona viruses to recently infect humans are also the rarest and are the cause of the following illnesses in humans.  Mers-CoV  (Middle East Respiratory Syndrome), SARS-CoV (Severe Acute Respiratory Syndrome) and SARS-CoV-2 (Covid 19 syndrome).   Bats do harbor Corona Viruses of which there are 4 subtypes.

There is a lab in Wuhan China, that has been studying the Corona Virus however, there is no concrete evidence that the lab was the source of the spread of SARS CoV-2.  The virus spreads through droplets expelled when talking, coughing and sneezing.  Droplets containing the virus are at their highest density when you are within 3 feet of an infected person.

An infected person may not show any symptoms of infection and typically will spread the infection to 2 other people if they are out and about and unaware they are infected.  Isolation, frequent hand washing with soap, using hand sanitizers and wearing a face covering (masks) are good ways to reduce the chances of spreading the virus.

Reducing stress by being mindful of your stress levels is important during this time as stress reduces your body’s ability to fight infections.  There is substantial evidence that stress causes immunosuppression.  Eating foods high in vitamin C, antioxidants and Zinc can strengthen your body and make you better equipped for fight viruses and other infections in general. 

The expected timeline for potential vaccination on a mass scale is about 18 months and there are many companies working towards making an effective vaccine sooner.  Different States are at different stages of quarantine, and phased reopening and access to testing is not universal across the United States.  For information on Corona Virus updates, testing and potential treatments, look to the Centers for Disease Control website, your local health department, hospital or contact your primary care doctor’s office.

Links for helpful resources for updates on Corona Virus, 

Center for Disease Control and Prevention

https://www.cdc.gov/coronavirus/2019-ncov/index.html

WebMD

https://www.webmd.com/lung/coronavirus-strains#1

Testing.com

https://www.testing.com/how-can-you-get-tested-for-coronavirus/

Virginia Health Department

https://www.vdh.virginia.gov/coronavirus/

Maryland Department of Health

https://coronavirus.maryland.gov/

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Diastasis Recti – Getting back in shape after baby.

Diastasis Recti help for abdominal separation

Getting back in shape after pregnancy

If you’ve had a baby, you’ve probably heard of the term mummy tummy.  If you have noticed a persistent bulge especially in your upper belly, beneath the rib cage, there is a good chance you have Diastasis Recti.  This happens due to excessive and persistent increase in abdominal pressure during pregnancy.   The rectus abdominis muscles which are held together by the midline fascia (linea alba) stretches and splits open.  This creates a defect above and below the umbilicus.   While genetics may play a role in how quickly your body recoils back into place after pregnancy,  There are other factors such as hormonal changes, pre-pregnancy abdominal strength, posture and post-pregnancy fitness.  Interestingly, C-section and vaginal delivery can cause or exacerbate this separation in the midline.  

 

During C-section deliveries, the facia between the rectus muscles are deliberately split open to create room for the baby to be delivered.  There are two small muscles called pyramidalis at the base for the rectus muscles, stretching from the pubic bone towards the linea alba.  If these muscles are cut or removed during a C-section, it can further weaken core strength.  Likewise, during vaginal deliveries, the pelvic floor muscles are inevitably stretched and with lacerations during delivery, weakening of the pelvic floor muscles, affect core strength. 

 

Diastasis recti may contribute to other problems women face after having a baby such as urinary incontinence, pelvic and back pain, poor posture and sometimes a conscious self image from what is referred to as the mommy tommy.   Some women wear it as a badge of honor but for some the change in body shape can be a difficult adjustment as it affects general comfort, activity and what to wear.

 

Contrary to popular belief, diastasis recti does not have to be a permanent condition after having a baby.  The rectus abdominis muscles and core can be strengthened to reduce and sometimes eliminate the separation completely with physiotherapy, exercise, muscle stimulation and in severe cases especially when there is also a hernia present, surgery.

 

For a simple, well studied and validated exercise regimen that can help bring you back to shape contact or send us a message

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Pushing through life gracefully with hormone replacement.

Hormone replacement e1585345526775

Hormone Replacement-
Pushing past hot-flashes gracefully

When we think of hormone replacement therapy, we generally picture women in their mid 40s to 50s and women who have reached menopause.  The truth is, there are women in their 20 and 30s who need and benefit from hormone hormone replacement therapy. The topic of hormone imbalance is broad and affects many women at various stages of life.  In the post we will focus on hormone replacement therapy, which stems from declining levels of hormone levels. We will discuss hormone imbalance in a separate post.  

Who needs hormone replacement?

Hormone replacement therapy is specifically for women who have low hormone levels due to premature menopause (menopause before the age of 40).  Menopause is a medical diagnosis that is confirmed by hormonal testing after a woman has missed her menses for 12 months consecutively. There are some younger women with certain medical conditions who require hormone replacement much earlier in life.  These include women diagnosed with conditions that cause the ovaries and or pituitary gland to decrease production of hormones.

Women with low hormone levels tend to have:-

  • Anxiety

  • Hot Flashes

  • Night Sweats

  • Irritability

  • Depression

  • Stress

  • Weight Gain

  • Hair Loss

  • Low Energy

  • Skin Changes

  • Insomnia

  • Bone Loss

  • Brain Fog

  • Memory loss

  • Low Libido

  • Vaginal dryness

  • Sexual Dysfunction

How do I know if I need hormone replacement?

The best way to determine if hormone replacement is a good option for you is to talk to a specialist about your symptoms.  Lab tests will be ordered to determine ovarian and adrenal function as well as thyroid function.

What are my options for hormone replacement?

If you suffer from symptoms from hormone dysfunction, you are not alone and there are good options to relieve and manage symptoms.  First lifestyle modifications may help. At En Santé Clinic and Medical Spa, we recommend yoga, meditation, exercise and diet modification in addition to hormone replacement.  Believe it or not, what you eat daily can significantly affect how well you feel.

 
What foods are better for women with menopausal symptoms?

 

  • Salmon

  • Eggs

  • Berries

  • Peaches

  • Oatmeal

  • Flaxeeed

  • Soybeans

  • Edamame

  • Chickpeas

  • Leafy Greens

  • Broccoli 

  • Yogurt

  • Tempeh

What are the options for Hormone replacement for women with moderate to severe symptoms?

There are two types of bioidentical hormone replacement, the ones made by major pharmaceutical companies that you can get with a prescription, and the type that you get prescribed by a specialist and custom made by a compounding pharmacy.  .

What are some bioidentical hormone brands made by major pharmaceutical companies?

 

  • Evista

  • Climara

  • Menostar

  • Vivelle Dot

  • Estraderm 

  • Fempatce

  • Estrace

  • Prometrium

Why do some use compounded bioidentical hormones?

 

Compounded bioidentical hormones allows for custom formulations of hormones to be made or selected based on laboratory results.  Compounded hormones have the benefit of having the medication placed under the skin and eliminating the need for daily dosing. This gives the freedom from having to remember to take or use your medication daily and also allows for slow and sustained release of the medication.

Interested in hormone replacement?

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Laser versus topical estrogen for treatment of genitourinary syndrome. What does the research say?

Genitourinary syndrome 1

Laser versus topical estrogen for treatment of genitourinary syndrome.  
What does the research say?

Estrogen cream has been used for many years to treat the genitourinary syndrome of menopause for many years with consistently good results.  Some women, however, do not tolerate estrogen hormones well or may have contraindications to hormone therapy. Some women are simply reluctant to use hormones of any kind.

According to the article published in The North American Menopause Society, vaginal laser therapy produces similar results as estrogen therapy with a 70-80% satisfaction rate at 6 months post-treatment.

In this study, 30 women had laser treatment while 32 had estrogen treatment.  At 6 months follow up 85% of patients in the laser treatment group reported feeling much better compared to 70% of patients in the estrogen group.  

Laser treatment for genitourinary syndrome of menopause may be a viable option for some patients but is typically not covered by insurance.  Additional studies in the future may change this.

A randomized clinical trial comparing vaginal laser therapy to vaginal estrogen therapy in women with genitourinary syndrome of menopause: The VeLVET Trial

Author: Marie Fidela Paraiso, Cecile Ferrando, Eric Sokol, et al

Publication: Menopause

Publisher: Wolters Kluwer Health, Inc.

Date: Jan 1, 2020

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Bleeding After Menopause, Why You Should Seek Help

menopause life png

Bleeding after menopause.
when should I get help?

Bleeding after menopause can be due to a myriad of reasons.  Often women find blood on wiping after using the bathroom. Knowing the exact source or cause of the bleeding can get tricky sometimes.  There are several reasons women may see spotting or a pink stain on wipes.  

Urinary tract infection – (UTI).  Often, this is accompanied by an increased urge to urinate, pain with urination, and feeling of incomplete emptying of the bladder after urinating.  

Urethral Curancle – this is a soft tissue that grows at the opening of the urethra and can cause similar symptoms as a urinary tract infection.  This tissue cause bleeding if it gets big enough and often requires removal by a urologist or urogynecologist.

Vaginal dryness – Vaginal dryness after menopause can cause vaginal spotting and even frank bleeding.  This happens when your body starts to produce less estrogen and typically not cause for alarm.

Thickened endometrium – This is the reason why women need to seek help if there is any bleeding after menopause.  Vaginal bleeding after menopause may be a sign of abnormal thickening and overgrowth of the endometrial lining. This can be a sign of endometrial cancer or ovarian cancer.  This is why the prompt evaluation by a gynecologist is recommended if there is any bleeding after menopause.  

Your doctor will perform a pelvic exam, obtain a pelvic ultrasound and recommend and endometrial biopsy.  If you are having any bleeding after menopause, request a consultation with a gynecologist for evaluation. 

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