September 11, 2019
You may have seen controversial articles in recent magazines regarding the safety of sunscreens. Some beach resorts have promoted limited sunscreen use due to its effects on undersea coral. Other concerns regard sunscreen absorption through the skin and its potential hormonal side effects. There are two types of sunscreens: Physical (mechanical blockers) and chemical (skin filters). The mechanical blockers are zinc oxide and titanium dioxide. They sit on top of the skin and block all harmful skin rays. They are made from natural minerals that are non-allergenic and not harmful to you or the environment. On the other hand, even in the most elegant formulations, they are visible (though they don’t have to be neon colors!). Due to the visibility….
September 13, 2017
How does the Surface Clinical Staff decide on what products to recommend? New products come on the market with great fanfare in popular magazines. So, which hype should you believe, what products actually live up to the descriptions they boast? When Surface Clinical evaluates products, we first group products into functional categories matching the biological mechanisms of skin care. Then, we look at the scientific data to see if there is sufficient evidence that the product(s) has some biologic potential. If the laboratory studies look like the product will be successful, we will conduct small internal clinical trials with our staff and a few willing patients. After that, if the product appears to generate a noticeable clinical benefit, then we….
August 24, 2017
How do skin care, neurotoxins, fillers, and surgery fit together? All four avenues play an important part in achieving beautiful skin, but each has a different role. Skin care – including intense pulse light, peels and lasers – deal with and enhance the surface quality of your skin. Neurotoxins (Botox, Dysport, Xeomin) – weaken overactive muscles of expression to soften animation. Fillers (Juvaderm, Restylane, etc) can serve two purposes. First, they can soften skin creases, particularly around the mouth. Placed deeper, they can add volume to patients with thin faces or who wish to have more prominent cheek bones. But in spite of all the current marketing, fillers do not lift! Finally, the only method to correct skin laxity and….
August 8, 2017
Why does Surface Clinical carry products from many different companies? As opposed to department stores and brand product centers, Surface Clinical is a medical skin care practice. The focus is on individual care of the patient – not retail sales. No doubt companies offer discounts for carrying their entire product lines, but not every company has the best product in each biologic category. At Surface Clinical, we divide products into their biologic activity categories. We constantly review the investigative science for each product and select only those which have credible evidence of benefit. So, patients may notice that from time to time we switch up products and brands we recommend most often. Our commitment is to provide our patients with….
August 2, 2017
How do I deal with unwanted pigment spots? For practical purposes, pigmented skin spots are in two categories: Age spots (lentigines) and melasma. Melasma is caused by the accumulation of pigment deep within the skin – often even in the dermis. It appears to be hormonally stimulated – common in pregnancy or when taking supplemental hormones, like birth control. What’s more, melasma is very resistant to treatment. Age spots (lentigenes) are more superficial. Pigment producing cells (melanocytes) reside in the bottom layer of the epidermis. They produce pigment as a natural sunblock. Each melanocyte normally distributes pigment evenly to approximately 15-25 epidermal cells (keratinocytes). With age the coordination of pigment production and distribution gets out of sync. Pigment tends to….
January 14, 2015
Top 3 Ingredients for Most Effective Moisturizers It’s funny. I am not even a big fan of moisturizers, but i have a few more things I want to tell you about them. The most effective moisturizing agents are: Glycerin, Hyaluronic Acid, and Ceramides. Glycerin is a humectant, which means it pulls water from the atmosphere into your skin. It’s fairly heavy so glycerin is more commonly found in body products. Hyaluronic Acid is an acid, but not an acid acid. Hyaluronic acid occurs naturally in your skin and it can hold up to 1,000 times its weight in water…like glycerin on speed. The most effective moisturizers contain “pricey” dehydrated hyaluronic acid which swells up to retain more water. Several of….