how to correct and prevent sun damaged skin

an

correct & prevent sun-damaged skin

active approach to

Dr. Kenneth Dickie

Royal Centre of Plastic Surgery

Obagi System—correct & prevent sun-damaged skin 2

Welcome to Salute to Summer!

Objective:

– Learn how to correct and prevent sun damaged skin

– Have fun!

Agenda:

– Sun Health Knowledge Quiz

– Sun Damage Basics

– Correcting Existing Sun Damage

– Preventing Future Sun Damage


Sun Health Knowledge Quiz

The primary cause of skin aging is:

– Smoking

– Bad diet

– Sun Exposure

The effects of sun damage can be seen as early as ones:

– Teens -- 20s

– 30s -- 40s

80% of a person’s sun exposure is acquired before age:

– 18 -- 25 -- 37

Cosmetic procedures like microdermabrasion, laser resurfacing and chemical peels can

make one more susceptive to sun exposure.

– True -- False

If you “temper” your skin by giving yourself a light tan before summer starts, you will be

less likely to cause sun damage to yourself throughout the summer.

– True -- False


Sun Damage Basics

Intrinsic vs. Extrinsic Aging

Intrinsic Aging

– Inevitably occurs as a human or any organism gets older.

Extrinsic Aging

– Results from environmental effects such as Results from environmental effects such as sun exposure.sun exposure.


Sun Damage Basics

FACT:FACT:Up to 90% of the visible Up to 90% of the visible skin changes attributed to skin changes attributed to aging are caused by sun aging are caused by sun exposure.exposure.


Sun Damage Basics

Ultraviolet (UV) Radiation: The Damage Within

Sun Damage is caused by frequent exposure to two types of harmful UV rays:

– UVA Rays - penetrate deep within the skin and contribute heavily to sun damage and melanoma.

– UVB Rays – primarily affects the skins surface, but also contributes to cancers like basal cell carcinoma and squamous cell carcinoma.

• UVB Rays are also the main cause of sunburns


Sun Damage Basics

15 years sun exposure through glass – UVA damage on left cheek15 years sun exposure through glass – UVA damage on left cheek


Sun Damage Basics

Sun Damage Revealed

So how do you know if your skin has been sun damaged? Ask yourself these questions:

– Do you get freckles when you go out in the sun? Do they go away during cooler months when you are more covered-up?

– Have you been sunburned three or more times in your life?

– Before the age of 18, did you sunbathe often or regularly?

– Do you spend long hours outdoors for weekend activities or work?

If you answered “Yes” to 3 or more of these questions, chances are you have sun damage.


The Sun Damage Continuum

The Sun Damage Continuum can help you understand the sun damage you currently have and how serious it may be.

– Mild to Moderate Sun Damage: These are usually the first signs of sun damage to show up. These can include:

• Freckles

• Mild Pigmentation or Sun Spots (a.k.a. Age spots or Liver Spots)

• Fine lines and wrinkles


The Sun Damage Continuum

– Moderate to Severe Sun Damage: With prolonged or excessive exposure to the sun, you begin to see more noticeable signs. These can include:

• Moderate to heavy pigmentation

• Coarse wrinkles

• Leathery skin

• Signs of Cancer

– Severe Sun Damage: Cancers

• Yearly check-ups with a doctor

• Monthly self-examination

• If you suspect any skin irregularities, consult a physician right away


“What Age is Your Skin?” Quiz

1. On a sheet of paper, write down your age.

2. Do you have any permanent facial brown spots or broken blood vessels? (If yes, add 2)

3. Are there noticeable lines around your eyes or lips? (If yes, add 3)

4. Do you have deep creases on your forehead or cheeks? (If yes, add 5)

5. Do you still tan – indoors or outdoors – at least twice a week? (If yes with sunscreen, add 5. If yes without sunscreen, add 10)

6. Has your face suffered at least 3 severe sunburns, complete with peeling? (If yes, add 5)

7. Do you smoke? (If yes, add 3)

8. Do you drink five or more beers, glasses or wine or cocktails a week? (If yes, add 2)

9. Do you work out at least 3 times a week? (If yes, subtract 1)

10. Do you munch on fruits and vegetables three or more times a day? (If yes, subtract 1)


“What Age is Your Skin?” Quiz

11. Do you use an SPF 15 or more sunscreen each morning? (If yes, subtract 4)

12. Do you use antioxidants (Vitamin C, Vitamin E, etc.) as part of your daily routine? (If yes, subtract 1)

13. Do you use prescription lotions (such as tretinoin or hydroquinone) once or more than once per week? (If yes, subtract 3)

14. Total your score.

How did you do?


Correcting Existing Sun Damage

How Damaged Skin Looks and Acts

There is abnormal skin cell production deep within the skin

Skin cell turnover significantly slows leaving more dead skin on the surface.

Overproduction and uneven distribution of melanin (skin pigment)

Collagen and elastin are damaged causing sagging, stretching and loss of bounce-back resilience.



How Healthy Skin Looks and Acts

Skin produces normal, healthy skin cells.

Healthy new cells are pushed to the surface faster.

Pigment cells distribute melanin more evenly.

Collagen and elastin is strong and healthy, maintaining skin’s firmness and elasticity.



Obagi-C™ Rx System: For Mild to Moderate Sun Damage

The only prescription-based system combining the benefits of physician-strength Vitamin C and a proven prescription lightener.

Corrects dull, tired-looking skin, so you can have the brighter, more Photolumines™ skin you want.

This simple system penetrates deep below the skin’s surface to:

– Correct color and tone

– Diminish the appearance of fine lines and wrinkles

– Protect the skin from future sun damage



Obagi Nu-Derm® System: For Moderate to Severe Sun Damage

Clinically proven to be the best prescription-based skin care System for the treatment of sun-damaged, pigmented and aging skin.

Penetrates skin to work at the cellular level.

Obagi Nu-Derm System uses a specific dosage and frequency to:

– Accelerate cellular turnover

– Repair damage to all skin layers

– Protect newer, healthier skin


Correct Existing Sun Damage

Obagi Blue Peel ® : For Moderate to Severe Sun Damage

A light chemical peel designed for all skin types

Safe and medically proven

Helps accelerate your transformation by:

– Reducing or eliminating sun-induced pre-cancerous skin cells and age spots

– Rejuvenating and rebuilding collagen


Preventing Future Sun Damage

Antioxidants: The antidote to sun damage

What are they?

– Antioxidants are naturally occurring substances that help maintain health by slowing the destructive aging process of cellular molecules

– Common antioxidants are vitamins A, C, D and E and certain compounds called carotenoids (like lutein and beta-carotene).

How do they work?

– To understand how antioxidants work, we must first understand the role that free radicals play in cell destruction



Antioxidants: The antidote to sun damage

The role of the free radical

– As cells function normally in the body, they produce damaged molecules — free radicals.

– Free radicals – oxygen particles that have unpaired electrons – attach to healthy cells and steal the positive electron in an effort to heal themselves

– This damage continues in a chain reaction, and entire cells soon become damaged and die – a process called oxidation

– When skin absorbs sunlight, oxidation occurs

– As the body ages and is repeatedly exposed to harmful UV rays, it loses its own ability to produce natural antioxidants to combat this process

– The result: skin looks old before its time



Antioxidants: the antidote to sun damage

How antioxidants combat free radicals

– Antioxidants help prevent widespread cellular destruction by willingly donating positive electrons to the free radical

– This activity helps to stabilize free radical before it can affect healthy cells

To the rescue: topical antioxidants

– When used with a sunscreen, topical antioxidants such as vitamin C provide exceptional protection against UV radiation and free radical damage

– L-ascorbic acid is the most stable form of topical vitamin C

– L-ascorbic acid strengthens collagen and elastin damaged by free radicals

– Stable, topical L-ascorbic acid delivers more vitamin C into the skin than diet



Sunscreen: As important as your daily vitamin

Use it EVERY day, no matter how long you’ll be out in the sun

– 1 to 2 teaspoons-full for face

– 1 ounce for body – enough to fill a shot glass

Use a product with a Sun Protection Factor (SPF) of 15 or higher

– SPF is a factor that helps understand how much longer we can be in the sun before burning, relative to our tendency to burn without sunscreen

• For example, if you are a fair skinned person who normally burns after 20 minutes in

the sun, a sunscreen with SPF 15 would allow you to remain in the sun for 300

minutes before burning. (20 x 15 = 300)

Look for The Skin Cancer Foundation Seal of Recommendation

– Products with this seal are recommended as effective UV sunscreens

– Obagi-C Rx System C-SunGuard SPF 30

– Obagi Nu-Derm System Healthy Skin Protection SPF 35



Sunscreen: Choose your ingredients wisely

What you should look for: A good broad-spectrum sunscreen should contain both physical and chemical sunscreens for significant UVA protection.

Physical Sunscreens reflect and/or scatter UV rays and radiation

– Provides the broadest spectrum sun protection, blocking both

UVA and UVB rays

– Micronized Zinc Oxide – Z-Cote

• Preferred ingredient to combat skin aging from long UVA rays

• Recommended for daily use and on compromised skin

– Titanium Dioxide

– The Skin Cancer Foundation Seal of Recommendation



SUNSCREEN: Choose your ingredients wisely

Chemical Sunscreens absorb UV rays and radiation

– Avobenzone

• Chemical sunscreen for those with concerns for irritation

– PABA esters (glyceryl, padimate A and padimate O)

• These newer preparations have fewer side effects than the original PABA.

– Salicylates (homosalate, octyl salicylate)

– Cinnamates (cinoxate, octyl methoxycinnamate or octocrylene)

• Octocylene is a cinnamate with both UVA and UVB absorbing properties.

– Benzophenones

• These can absorb both UVA and UVB rays



Sunscreen: Make it work while you play

Winter, Spring, Summer or Fall…

– You need sunscreen in all seasons, every day

“Water-resistant” sunscreens

– should retain their protective ability for at least 40 minutes in water

“Waterproof” sunscreens

– should protect the skin for 80 minutes in water

No sunscreen can be effective unless it is properly and frequently applied!



Protective Clothing: what’s in your closet?

Keep yourself covered

– Heavier fabrics like denim offer more protection than lightweight fabrics like lace and linen

– Specially designed sun-protective clothing has a tighter weave than typical summer fabrics and are usually darker in color

– Hats are a must! Look for wide rims ( 2 to 3 inches) that go all the way around the hat for the best UV protection

See how much protection your clothes provide

– Hold an article of clothing up to a light bulb. If you can see through it, its SPF value is probably less than 15

– If light gets through but you can’t see through, its SPF value is probably 15 – 50.


It’s Never Too Late to Change One’s Fate!

We can’t completely undo sun damage. But with the right help, the skin can correct itself. Start protecting your skin and correcting sun damage today.

And enjoy a longer lifetime of fun in the sun!

Obagi System—correct & prevent sun-damaged skin

If you have any questions, feel free to contact Dr. Kenneth Dickie at royalcentreofplasticsurgery.com

Stay In Touch

Twitter: @RCPSurgery

Twitter Personal: @DrKennethDickie

Google+: plus.google.com/+RoyalcentreofplasticsurgeryinBarrie/

Google+ Personal: plus.google.com/+DrKennethDickieBarrie

or Call Us at 705-726-2800

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how to correct and prevent sun damaged skin

Health & Medicine

skin skin cell turnover

dead skin

skin irregularities

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damaged skin active

damage basics intrinsic

damage basics fact

damage continuum moderate