skin fitness: exfoliate - resurface - protect kimberly cockerham, md associate professor stanford...
TRANSCRIPT
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Skin Fitness: Exfoliate - Resurface - Protect
Kimberly Cockerham, MD
Associate Professor
Stanford University
Plastics-Orbit- Adult Strabismus
Zeiter Eye Medical Group, Inc.
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The EYES ARE the FOCUS of tHE FACE
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Three Steps to Skin Fitness
Exfoliate– Fruit or Glycolic wash– Clarisonic brush– Mud or Papaya masks
Resurface and regenerate– Increase collagen production– Topicals, peels, fillers, lasers
Protect– Sunblock: Zinc Powder
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Indications for Skin Fitness
Very effective when used dailyPaired with Botox and/or FillersExcellent preparation for IPL or
fractionated CO2 laserPost-operative facial rejuvenation
surgery
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Skin Products Do Work!! The Core Non-prescriptives
Glycolic washClarisonic brushVitamins C and EHyaluronic acidPhysical sunblock
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The Core Prescriptives
– Retin-A (0.05% and 0.1%)– Hydroquinone (4%)– Hydrocortisone (2.5%)
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Glycolic Wash
Glycolic acid for daily exfoliation Indications:
– Daily exfoliation– Anti-aging– Acne prevention– Pre- and post-procedure regimen
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Glycolic Wash
Apply to dry skin for 30 seconds, rinse use clarisonic brush
May experience dryness, redness, light flaking, and possible scabbing
Caution: not for people with red skin (e.g. rosacea)
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Clarisonic Brush
Uses a sonic frequency of more than 300 movements per second
Indications:– Loosens dirt and oil– Eliminates pollution– Cleans pores– Removes make-up
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Clarisonic Brush
Works with any non-abrasive cleanser Use for 60 seconds everyday Cleans more than twice as effective as
manual cleansing Waterproof and rechargeable
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Indications:– Anti-aging– Anti-inflammatory– Reduces fine lines and wrinkles– Protects and inhibits DNA damage
Vitamins: C and E
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Topical Hyaluronic Acid
Indications: Smoothes wrinkles Moisturizes skin Anti-aging
Apply topically Inject subdermally (fillers)
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Sunblock
SPF 30 refers only to UVB (the burning rays – need to also have broad UVA coverage)
Apply on a daily basis Multiple applications are necessary Most of us get our UV damage while driving
in our cars
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Sunblock
Chemical:– E.g. Parasol
Physical:– Zinc Oxide– Titanium Oxide
Advanced skin protection– UVA and UVB Windshield coating – Micronized zinc clothing– Micronized zinc topical (Colorscience)
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Micronized Zinc
Indications: Protection from sun damage Result of 30 years of R&D Easy-to-use retractable brush for:
– Eyelids– Ears– Balding heads– Hands– Applying over make-up
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Micronized Zinc Brush
Works best on skin that is moisturized No greasy mess / No thick, white goop Doesn’t burn eyes – great for eyelids! FDA approved for infants > six months old Refillable powder
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Eye Spa
Skin protection – zinc brush Skin rejuvenation
– Vitamin C– Retin-A– Hyluronic Acid
Eyelash preservation– Blinc primer and mascara
Eyelash and eyebrow growth– Latisse – newly FDA approved - LiLash – same ingredients “generic”
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Retin-A:
Form of Vitamin A Indications:
– Treatment of acne– Reduces fine wrinkles and
hyperpigmentation– Renews skin
Should be applied topically to the skin
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Retin-A:Patient Counseling
Can cause skin sensitivity Avoid getting in eyes or on lips If using to treat acne, conditions may worsen
before improving Avoid exposure to sunlight and UV rays Wear sunscreen and protective clothing
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Hydroquinone
Indications: Lightening of hyper-pigmented skin, such as:– Acne spots– Freckles– Age spots
Should be applied topically to the skin once or twice daily
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Hydroquinone:Patient Counseling
Contains sodium metabisulfite, which can cause allergic-type reactions
Sunblock is recommended to prevent melanin production
Avoid contact with eyes and mucous membranes
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Retin A – Hydroquinone - Steroid
Indications: Lightening Melasma, Apply to clean, dry skin at least
minutes before bedtime Excellent adjunct to IPL Photofacial
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Latisse (LiLash)
Indications: Prescription solution for eyelash hypotrichosis
First FDA-approved treatment to grow longer, thicker, darker eyelashes
Produced by Allergan With a sterile applicator, apply one drop
per eye along the base of the
upper eyelash each evening
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Latisse Patient Counseling
Users may experience itching, dryness, or redness of the eye, or hyperpigmentation of the skin along the lash line
Slight risk of brown iris pigmentation Users should start seeing results around 8
weeks with full results at 12-16 weeks
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The Future
Cosmion mask (ActivaTek) – combats hyperpigmentation with ionophoresis mask
Lipothera – working on injectable and topical agent that dissolves fat
Juvista (Renova) – working on injectable for use at time of surgery to make scars invisible faster – topical natural follow-on
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Questions ?
Resurface - Protect