Category Archives: Skin Care

How do I get rid of dark spots on my face?

Having worked in the skin care industry for over 10 years there is one thing that plagues women about their skin, especially on their face: DARK SPOTS!  DARK SPOTS!!!!! People ask me all the time: How do I get rid of dark spots on my face?

Dark spots, or hyperpigmentation (the medical term) is a skin problem that can affect men and women of all ages, and can be very embarrassing and make people self conscious. It affects how we feel about the way we look.  And how we look affects our entire life.

I understand the difficulties of uneven skin tone and dark areas on your skin very well.  Not only do 95% of my clients come see me to correct uneven skin tone, but I also suffer from an uneven skin tone problem.  I am an olive complected Caucasian, and I have a skin condition called Melasma.

Melasma is a skin condition that affects women more than men, and is caused by our hormones, (great, one more thing to blame our hormones on).  It affects all skin tones (Caucasian, African American, Asian and Hispanic) people.  It can sometimes be easier to see on women with a lighter skin tone (skin tone 1-2) because of the contrast between their regular skin tone and the melasma.  The skin is usually “splotchy”.  The dark areas do not have even borders, and can even appear like “spatters” of dark spots on the face.  As if someone took a paintbrush and dipped in a darker skin tone and then spattered your face with the darker color.

Then there are the dreaded spots from acne.  Clients will call me and say they have “acne scarring”, or “Blemishes” or simply “dark spots” from acne.  These discolorations can occur on the face, neck, chest, shoulders and back.  Anywhere there has been an acne bump.  Acne causes redness and inflammation many times, and in skin of color inflammation or redness commonly leads to a dark spot.  The dark spots will be worse if you “pick” or “squeeze” your acne bumps.

acnemarks

So what can you do to clear up your skin???  Well, the first step is to prevention.  For melasma and sun damage that means 1) SPF 20 (at least) sunscreen on your face EVERY day that you are outside.  2) Try not to be in direct sunlight without covering your face with a hat, visor, umbrella, etc.  I wear a visor ALL summer long.  We went to the beach for our weekly vacation and my body was protected with sunscreen.  My face was protected with a big floppy hat.  I battle melasma all the time, so I protect my face from the sun as much as possible.  HATS and sunscreen are your best friends.

For acne the best prevention is an appointment with a dermatologist to get medication that will prevent you form continuing to get bumps.  I talk more about acne and treatments here.  Truly the key with acne is the proper medication to keep the bumps from coming in the first place.  Second, if you do get bumps, DO NOT PICK, SQUEEZE or otherwise mess with them.  That will help tremendously to avoid dark spots!

The next step is products.  There are prescriptions you can use to help with lightening dark spots.  Specifically the medication is “Hydroquinone”.  It has 4% hydroquinone which is a skin lightener in it, however it can be VERY expensive (most of the time at least $60.00 to sometimes over $100.00).  For comparison, a very nice over the counter product you can use to lighten dark spots is Ambi, or Porcelana fading cream.  They have 2% hydroquinone, so they are less potent than a prescription, but are more affordable.

Melasma on my forehead before Revelage

Melasma on my forehead before Revelage

Melasma on my forehead AFTER three weeks of Revelage

Melasma on my forehead AFTER three weeks of Revelage

However, my FAVORITE product that I have had LOTS of success with (I use it myself and LOVE it),  is Revelage Concentrated Age Spot minimizer.  It is marketed for “age spots”, but works GREAT on all discoloration. I have sold this product to clients, and every single one of them has seen improvement using it. (I use it and it works for me also) As a matter of fact, most of them say it works better than the prescription Hydroquinone.  It should be used two times daily (morning and night) and is botanically based which is why I love it so much.  It has ingredients in there that are botanical: nutmeg oil, ferula root extract, caffeine, and licorice root extract.  This product also has retinyl palmitate which is a form of Vitamin A and causes exfoliation which helps get dark spots off your face more quickly.This product works beautifully, smells great and is quite affordable.  (It is made by Arbonne, and must be purchased from an Arbonne rep.) It normally retails for $47.00 but I offer it to ANYONE for $38.00 which is a 20% discount, AND I will ship it to you for free (in the Cont US)!

 

Revelage spot minimizer

Revelage spot minimizer

The reason I do this is because I have dealt with dark spots for years and have tried many many products.  THIS is the one that has worked the fastest for me, and I GET IT!!  I understand how dark spots affect your self esteem,  how it feels to be unhappy with your skin and have to use makeup even in the summer (which most women HATE), and I am a firm believer in this product because it has worked for me!  See my pictures above.

Now, I am NOT going to tell you that this has been a fast or easy process, but I will tell you that minimizing the dark spots on my face has made me much more comfortable going out without makeup, and when I DO use makeup it is MUCH less than I used to use.

Pictures tell the story and if you decide to use this product I advise you to take a before pic and an after pic three weeks later to see the difference.  Yes, three weeks.  If anyone tells you something works faster than that don’t believe it. It takes time to remove dark spots.  The best prevention in the first place is: sunscreen, hats, and DON’T pick or squeeze your bumps.  If you have acne, see a dermatologist to get medicine to help prevent the acne from coming in the first place.

Please let me know if I can help.  This product worked for me and I know it can work for you too!

 

 

Growing Old Gracefully….Take Care of Your Skin in the Sun……

When I was in my 20’s I always thought about being in my 30’s and 40’s and thought “that is SO old!!”.  I couldn’t really fathom what my life would/could be like at those ages, and to be honest I was truly living in the moment and not thinking about aging too much.

My brother Brian and I.  I was in my early 20's

My brother Brian and I. I was in my early 20’s

In my early 30’s I gave birth to two little boys and most of my 30’s was spent spent being married and raising these little boys.  Then the next thing I knew I was single, retired from the Navy and trying to figure out my next move. I have made MANY mistakes in my years, and some that I even wish I could have a re-do on, but one thing I have always been is resilient and I have ALWAYS had a Plan A, Plan B, and even a Plan C!

So before retirement I started looking for work, and landed a job with a Dermatologist in Hampton Roads within a month after my final Active Duty paycheck!

However, all of those years of sun worshiping at the beach, and working on flight decks, and having fun had taken its toll on my skin and I showed up with my melasma covered face, and in particular I had a melasma induced mustache I was NOT happy with.

While working for the dermatologist I learned about skin care, and started paying more attention to my skin.  I did not want to look like the little old ladies who are sun worshipers and have leather like skin. Too much sun is NOT our friend, and can make our skin leathery, not to mention give us skin cancer!!

NOT attractive...or healthy!!

NOT attractive…or healthy!!

Now don’t get me wrong, I LOVE to be at the beach, the pool, or just outside.  In fact I often comment that I am “solar powered”, and need the sun to keep me happy.  However, I use my sunscreen and wear a hat to keep the sun off of my face!  The key to properly using sunscreen is to apply it 30 minutes before you go out into the sun, and reapply it every couple of hours.

I like to use a “sport” spray because you get great coverage and it isn’t sticky.  SPF 30-45 is fine.  SPF 30 blocks 97% of harmful rays, and SPF 50 blocks about 98%. To be honest anything above SPF 50 is  really about marketing, because you think you are giving your skin more protection, but in reality you aren’t.  Sometimes the higher SPF levels costs more, and we are conned into thinking we need a 70 for super light skin, or our kids.  Don’t fall for the hype.  SPF 50 is FINE! Another downside to SPF higher than 50 is that since we think we are protected “more” we tend to not reapply the sunscreen as often.  This is a mistake.  Reapply every couple of hours, and even more frequently if you are in the water or sweating!

So what is UVA and UVB anyway?  The easiest way to explain it is this:  UVA means aging, and UVB means burning.  UVB is the main rays that cause skin cancer, and UVA are the ones that make your skin look like leather. So you always want UVA and UVB protection in your sun screen.

Now for those of you who deal with Melasma, (which I do as well), the best protection for you in order to keep your skin even toned and not looking splotchy is to wear sunscreen and if you are going to be out in the sun wear a hat, or visor.  Whatever you can do to keep the sun off of your face is what you need to do.

Melasma can occur at any age to any skin tone and any gender, but it primarily affects women over the age of 35.  It can be more obvious in those people with lighter skin tone, but darker toned people can also suffer from melasma.  There are lots of treatments for melasma, but in my opinion (after working for a noted dermatologist for 9 years) I feel that the best treatments are chemical peels (we use a salicylic acid peel) and microdermabrasions.  I have heard many people talk about laser, but that is a very expensive option, and the darker your skin tone the less powerful the laser can be in order to avoid permanent damage.  So medium and darker toned people have to be VERY careful with lasers. I  wear a visor whenever I am in the sun, and give myself a microdermabrasion every 6 weeks or so in the winter and once a month in the summer.

Your skin is the largest organ in your body, and we need to remember that as an organ it needs proper care and nourishment.  Use your sunscreen, drink plenty of water, eat healthy foods.  All of these things contribute to healthy glowing skin.  If you are local to the Hampton Roads area, I give free consultations, and am HAPPY to see you in either our Hampton or Virginia Beach office  Quite often products and proper care can improve your skin, and you can avoid procedures, but those are available if you need them.

If you are NOT in the Hampton Roads area still feel free to make a comment if you have a question and I will do my best to answer or point you in teh right direction for ways to improve your skin, and help your skin “grow old gracefully”.

 

What can I do about my Dark spots? Help for hyperpigmentation.

I know I have shared with you all about the fact that I am a Skin Care specialist for an amazing local dermatologist.  I have been in the medical field for over 25 years.  I have talked to you all about moisturizers, and acne, and today I want to talk some about another issues that are very problematic.  DARK SPOTS!!!!!

Dark spots, or hyperpigmentation (the correct medical term) is a skin problem that can affect men and women of all ages, and can be very embarrassing and make people self conscious. It affects how we feel about the way we look.  Acne is troublesome also, but that can usually be cleared up rather quickly with the correct medication.  Dark spots do not clear up as quickly, and sometimes it can take a combination of preventative measures, corrective products and procedures to keep our skin looking the way we want it to look.  I am going to talk today about Melasma, sun damage, and acne induced dark spots.
I understand the difficulties of uneven skin tone and dark areas on your skin very well.  Not only do 95% of my patients come see me to correct uneven skin tone, but I also suffer from an uneven skin tone problem.  I am an olive complected caucasian, and I have a skin condition called Melasma.  That is where I want to start today.

Melasma is a skin condition that affects women more than men, and is caused by our hormones, (great, one more thing to blame our hormones on).  It affects all skin tones (caucasian, african american, asian and latin) people.  It can sometimes be easier to see on women with a lighter skin tone (skin tone 1-2) because of the contrast between their regular skin tone and the melasma.  The skin is usually “splotchy”.  The dark areas do not have even borders, and can even appear like “spatters” of dark spots on the face.  As if someone took a paintbrush and dipped in a darker skin tone and then spattered your face with the darker color.

Melasma on my forehead

Melasma on my forehead

Those are a few ways it can look on different skin tones.  The skin can look as if you have a mustache on the upper lip.  It is also referred to as the “mask of pregnancy”.  That is because often when women are pregnant and their hormones are all over the place, melasma shows up.  I can tell you though that you DO NOT have to be pregnant to get melasma.

Sun damaged skin can look very similar to Melasma, however, it usually shows up looking more like dark brown circles on the face that have very clear borders, unlike melasma. Sun damage spots are more visible in skin tones that are lighter such as caucasian, asian and latin.  African American and Arabic skin, while it can also get sun damage will have less than lighter skin tones because of the darker skin tones, which offer more protection from sun damage than lighter skin tones.

Then there are the dreaded spots from acne.  Patients will call me and say they have “acne scarring”, or “Blemishes” or simply “dark spots” from acne.  These discolorations can occur on the face, neck, chest, shoulders and back.  Anywhere there has been an acne bump.  Acne causes redness and inflammation many times, and in skin of color inflammation or redness commonly leads to a dark spot.  The dark spots will be worse if you “pick” or “squeeze” your acne bumps.

Dark spots caused by acne.

Dark spots caused by acne.

Okay, so I have told you about a few different kinds of hyperpigmentation.  So now you want to know what you can do to make it GO AWAY!!  Right?  okay, I will talk about that now.

So what can you do to clear up your skin???  Well, the first step is to prevention.  For melasma and sun damage that means 1) SPF 30 (at least) sunscreen on your face EVERY day that you are outside.  2) Try not to be in direct sunlight without covering your face with a hat, visor, umbrella, etc.  I wear a visor ALL summer long.  We went to the beach for our weekly vacation and my body was protected with sunscreen.  My face was protected with a big floppy hat.  If my arms and legs are brown and my face is not I am totally okay with that.  I battle melasma all the time, so I protect my face from the sun as much as possible.  HATS are your best friend.

For acne the best prevention is an appointment with a good dermatologist to get medication that will prevent you form continuing to get bumps.  I talk more about acne and treatments here.  Truly the key with acne is the proper medication to keep the bumps from coming in the first place.  Second, if you do get bumps, DO NOT PICK, SQUEEZE or otherwise mess with them.  That will help tremendously to avoid dark spots!

The next step is products.  There are even prescriptions you can use to help with lightening dark spots.  Specifically the medication is “Hydroquinone”.  It has 4% hydroquinone which is a skin lightener in it, however it can be VERY expensive (most of the time at least $60.00 to sometimes over $100.00).  For comparison, a very nice over the counter product you can use to lighten dark spots is Ambi, or Porcelana fading cream.  They have 2% hydroquinone, so they are less potent than a prescription, but are more affordable.

However, my FAVORITE product that I have had LOTS of success with (I use it myself and LOVE it),  is Genius Ultra Pads by Arbonne. I have sold this product to many patients, and every single one of them has seen improvement using it. (I use it and it works for me also) As a matter of fact, most of them say it works better than the prescription Hydroquinone.  It is used in the evening and is botanically based which is why I love it so much.  It has ingredients in there that are botanical: phytinol (plant retinol), mandelic acid, grain alcohol, and other botanical ingredients.  Those botanics are natural lighteners and it works beautifully, and smells great!!

genius-before-nd-after

genius

Step three is procedures that are done in the doctor’s office or a spa.  Procedures administered in a doctor’s office are generally stronger than the ones at a spa, but not always.  In our office we administer Theraplex and Vitalize peels as well as microdermabrasions (which are for people who cannot tolerate a peel).  While a peel will usually work more quickly on dark spots, not everyone can tolerate a peel, and if a peel is used on a sensitive person the skin can be burned and permanently damaged.  Lower strength Glycolic peels can be purchased online as well, and used at home, but I would caution anyone who is considering doing that to make sure your skin can tolerate a peel.  Truly the best way to know is to make an appointment with a skin care specialist, dermatologist, etc who has been trained to know what questions to ask, and understands the complexities of skin.  Everyone is different and because there is the potential for long term or even permanent damage to ones skin, proceeding with care is important!  The peels we administer are: Theraplex 20% and 30% salicylic acid peels  and Vitalize peels which are Salicylic acid, lactic acid, resorcinol, and retinoic acid.  Obviously the Vitalize peels are stronger, however I have used them on people of all skin tones.

We also administer microdermabrasions for dark spots on people who cannot tolerate chemical peels.  They sometimes take a bit longer to see results, but over time they work well also.  We use the smart peel microdermabrasion system, but there are others that work well also.

Some physicians have also touted laser as the best way to remove dark spots from acne, sun damage and melasma.  I have to admit I have never used a laser on a patient but I can tell you while I have heard very good things about them, please do your research. Lasers can be costly, and it can take many treatments.  In addition laser is not as effective on darker skin tones.  It is best suited for lighter Caucasian skin.  I as a darker toned Caucasian would need to be cautious also.

There are many other treatments, products and peel systems out there.  The best thing I can say is if you have questions do your research, find a good Dermatologist and make an appointment. If they don’t answer your questions to your satisfaction, find another one.  Doctors are vying for business and are affected by the recession just as we all are.  Therefore they WANT your business and should work to keep your business.  And if you live in the Hampton Roads area and have questions, let me know, I give FREE consultations and work on Mon – Sat.   If you don’t live near me, come visit!!!  🙂