How to Prevent Wrinkles While You Still Can
Medical review by Denise Guevara, DO
If your face is still as smooth as a baby’s bottom, you probably aren’t thinking about wrinkles. Unfortunately, everyone gets them eventually, partly because as the body ages, it produces less collagen and elastin, proteins that keep the skin firm and elastic.
But if you act now, you can delay the development of wrinkles and enjoy young-looking skin longer. Here, Denise Guevara, DO, a board-certified dermatologist at Water’s Edge Dermatology, shares her best tips for staving off these telltale signs of aging.
Use sunscreen daily
You probably know this, but it bears repeating: Wearing sunscreen is one of the best ways to prevent wrinkles.
“Exposure to the sun’s ultraviolet rays is one of the main causes of premature wrinkles because they damage collagen and elastin, among other harmful effects,” said Dr. Guevara.
Sunscreen plays a particularly large role in preventing wrinkles in people with fair skin. A study published in Clinical, Cosmetic, and Investigational Dermatology concluded that UV rays appeared to be responsible for 80% of signs of aging facial skin in Caucasian women. (The sun takes less of a toll on dark skin because the skin contains more melanin, which provides some natural protection.)
Regardless of skin color, everyone should wear a broad-spectrum sunscreen with an SPF of at least 30 every day, both to prevent wrinkles and to reduce the risk of skin cancer, Dr. Guevara noted.
RELATED: A Melanoma Warning for Millennials and Gen Z
Wear sunglasses
Wearing sunglasses protects the skin around your eyes from UV rays and guards against wrinkles by making you less likely to squint.
“Crow’s feet, which are the wrinkles that form at the outer corners of your eye, are dynamic wrinkles, meaning they develop as a result of repetitive facial movements such as squinting,” Dr. Guevara explained.
If you need regular prescription glasses, it’s important to wear those too in order to limit squinting. Be sure to get regular eye exams as well. You may not realize right away that your vision has gotten worse and that you’ve been squinting more than usual.
Quit smoking
Smoking and vaping cause premature facial wrinkling in several ways. They interfere with the body’s ability to produce collagen and cause blood vessels to narrow, which prevents nutrients from being delivered to the skin. Smoking is also a major contributor to dynamic wrinkles.
“When you smoke, you make repetitive facial movements, such as pursing your lips and squinting,” Dr. Guevara said. “Over time, this creates wrinkles around the mouth and eyes.”
Quitting smoking won’t reduce wrinkles that have already appeared, but it can prevent them from deepening.
Sleep on your back
If you regularly sleep on your side or stomach, you may develop more wrinkles than someone who sleeps on their back.
“Resting your face on a pillow creates compression, which reduces blood flow to the areas of your skin and neck that are in contact with the pillow, depriving them of nutrients,” said Dr. Guevara. “This causes wrinkles to develop on the affected areas as time goes by.”
Can’t sleep on your back? You can minimize compression by sleeping on a softer, bouncier pillow.
Use retinoids
These vitamins A derivatives are commonly used to reduce and prevent wrinkles by increasing collagen production.
“Retinoids are like insurance against future wrinkling,” Dr. Guevara said. “You can start using them in your 20s to prevent wrinkles, though some people begin applying them in their teens because retinoids are also an effective treatment for acne.”
Your dermatologist can prescribe a retinoid, or you can use an over-the-counter retinol product. Retinols are weaker versions of retinoids. The option you choose comes down to what your skin can tolerate. Retinoids are very exfoliating, so you may prefer retinol — and lower-concentration retinol at that — if you have sensitive skin.
Apply a moisturizer that contains hyaluronic acid
Almost any moisturizer can temporarily plump the skin and diminish the appearance of fine lines, but using a moisturizer that contains hyaluronic acid can also help prevent wrinkles. Not only is hyaluronic acid particularly effective at drawing moisture into your skin, but it also helps maintain the integrity of the outer layers of skin, but Dr. Guevara also explained. These layers referred to as the skin barrier, provide protection from external factors that contribute to premature aging, such as pollution.
You can start using a moisturizer with hyaluronic acid at any age, but it becomes increasingly important as you get older, as the hyaluronic acid that is naturally present in the skin decreases over time.
Neutrogena’s Hydro Boost products contain hyaluronic acid, as does wederm Pure Hydration hyaluronic acid serum.
Add vitamin C serum to your skincare routine
Vitamin C serum helps prevent wrinkles by protecting skin from damage caused by unstable molecules called free radicals. These are generated when skin is exposed to harmful elements, such as UV rays and pollution.
“Free radicals cause premature aging because they break down collagen and elastin in your skin,” Dr. Guevara said. “This leads to wrinkles as well as other signs of aging, such as sagging skin.”
Ideally, you should start using vitamin C serum when you’re in your early 20s. But if you’re older and have wrinkles already, vitamin C serum is recommended to help diminish their appearance.
Eat a well-balanced diet
Eating fruits and vegetables rich in vitamin C and other antioxidants can help stave off wrinkles.
“In addition to neutralizing free radicals, fruit and vegetables also have a high water content, and hydration plays a key role in making the skin look firm,” Dr. Guevara said.
Limit foods that contribute to premature aging, such as those high in sugar. When sugar combines with fats or protein in the blood, harmful compounds called advanced glycation end products, or AGEs can form. AGEs can accumulate in the skin’s collagen and elastin and interfere with their functioning.
Consider “preventive” Botox
Botox injections treat wrinkles by temporarily paralyzing certain muscles. That effect also helps prevent dynamic wrinkles such as crow’s feet and worry lines on the forehead.
“Even if your skin is still smooth and firm, you may want to consider getting Botox injections by the time you’re in your late 20s in order to start minimizing facial movements that contribute to dynamic wrinkles, such as grimacing and frowning,” Dr. Guevara said.
Written by Jessica Brown, a health and science writer/editor based in Brooklyn, New York. She has written for Prevention magazine, jnj.com, BCRF.org and many other outlets.
How to Heal Dry, Cracked Hands
Medical review by Ted Schiff, MD
Frequent hand-washing may be key to staying healthy, especially now and during cold and flu season, but it can really take a toll on your skin. That goes double in winter when colder temps and drier air conspire to zap skin of the natural oils that maintain moisture and provide a protective barrier. This can lead to dry, cracked hands.
"People think water is moisturizing, but it's actually drying — when it evaporates, it reduces skin’s natural oils," said Dr. Alissa O’Brien, a dermatologist at Water’s Edge Dermatology. "And if you're using hot water and harsh soap over and over throughout the day, it’s the perfect storm for drying out your skin."
Soap doesn’t discriminate between germs and the skin’s protective oils; neither does the alcohol in hand sanitizer. With frequent use, both can lead to dryness, irritation, and rash-like dermatitis or eczema. They can also lead to cracks in the skin which allow for the entry of germs like staph that make you more susceptible to skin infections.
To curb dry, cracked hands while practicing good hand hygiene, Dr. O’Brien offered this advice:
Wash your hands correctly
- Steer clear of harsh soap. A gentle moisturizing soap (Dr. O’Brien recommends Dove) will get the job done just as well as antibacterial soap, which is more drying and hasn’t proven to do a better job at preventing illness than regular soap. Of course, if your dermatologist has prescribed an anti-bacterial soap due to recurrent infections or other special circumstances, keep using it.
- Wash with lukewarm water. Lukewarm water is as effective as boiling water is at reducing germs. That’s because the goal of hand-washing isn’t to kill germs. "When you wash your hands, the germs get washed off," Dr. O’Brien explained. "They go down the drain." After washing, pat your skin dry. No need for vigorous rubbing, which can disrupt your skin barrier, lead to irritation and cause dry, cracked skin.
Moisturize regularly
"The best thing is literally to moisturize, moisturize, moisturize," said Dr. O’Brien. Moisture after every hand-washing. This will lock in moisture that got into your skin while washing and prevent evaporation that dries out the skin even more. For extra dry skin, apply an ointment at bedtime and then wear a pair of cotton gloves to help seal it in. Ointments can work extra well overnight when skin naturally loses more water.
Opt for ointment or cream moisturizer
Ointments work better than other types of moisturizers because they penetrate the skin better, according to Dr. O’Brien. "That’s why, when we prescribe topicals, we usually pick ointment forms — more medicine gets in that way." She recommends a product like Aquaphor Healing Ointment or a thin layer of petroleum jelly. "It sounds messy, but it’s extremely moisturizing and your hands are going to love it."
If an ointment is messier than you prefer, choose a cream moisturizer, which contains more oil than water-based lotions. Cream moisturizers are also more effective at trapping water in the skin and repairing its barrier function. Here are a few brands to try: Cetaphil, CeraVe, Eucerin, Gold Bond and Aveeno. Ingredients to search out include petrolatum and ceramides. Petrolatum helps block water loss from your skin; Ceramides are a type of lipid (fat) that helps form your skin’s barrier and increase hydration. Ceramides are a key ingredient in CeraVe products.
Be sure to stay away from lotions and moisturizers with fragrances and dyes. "Some dyes can irritate dry skin, so generally, I wouldn’t get the pink frilly one," said Dr. O’Brien.
Choose the right-hand sanitizer
Washing your hands is your best bet at removing all types of germs — even better than hand sanitizer. For instance, according to the Centers for Disease Control and Prevention, hand sanitizers don’t kill the stomach bug or a type of parasite that causes severe diarrhea. However, hand sanitizer is far better than nothing when you don’t have access to soap and water. If using a hand sanitizer, choose one that contains at least 60 percent alcohol and is enriched with an emollient like glycerin or vitamin E to help counteract the drying effect.
Wear gloves
If your hands are frequently immersed in water, such as when washing dishes or washing your car, wearing rubber or latex gloves can prevent the water from stripping away your skin’s oils. Gloves lined in cotton may be more comfortable on dry skin and are easier to put on and take off. Gloves are also recommended if you work with chemicals or plants, especially if you have sensitive skin that is prone to dryness.
Remember the sunscreen
It won’t be your main line of defense against dry, cracked hands, but because the sun can dry out your skin, sunscreen can help prevent further parching. "The sun not only makes dermatitis worse, but skin will be more prone to burning if it’s already irritated," said Dr. O’Brien. She likes CeraVe AM, a moisturizer with an SPF 30.
Written by Karyn Repinski is a Brooklyn, NY-based award-winning health and beauty writer.
How to Choose a Sunscreen
Sun and fun. They go together, particularly in the sunshine state. But sun can go with other things that aren’t so fun at all, such as pre-mature aging of your skin and even dangerous skin cancers.
Fortunately, there is a not-so-secret weapon that is easily available and known by just about everyone. It’s called sunscreen but using the wrong sunscreen in the wrong ways is a waste of your time and money, and most importantly can put your health at risk.
With so many options available, choosing the right sunscreen can be overwhelming, which is why we developed the Water's Edge Dermatology guide to selecting the best sprays and creams to protect your skin from harmful UV rays.
What to Look For in a Sunscreen
Water’s Edge Dermatology recommends following these rules for choosing a sunscreen:
- Broad spectrum – Broad spectrum sunscreen protects the skin from both ultraviolet A (also know as UVA) and ultraviolet B (also known as UVB) rays. Both of these rays can cause skin cancer.
- SPF 30 or higher – The sun protection factor (SPF) rating indicates how well a sunscreen protects you from the sun by blocking harmful UVB rays. Choose a sunscreen with SPF 30 or higher to make sure you are protected.
- Key ingredients – Look for active ingredients like ecamsule, avobenzone, titanium dioxide, sulisobenzone or zinc oxide. Beware of products that include oxybenzone or octinoxate which are harmful to the environment. Some areas of Florida have plans to ban the sale of sunscreen with oxybenzone and octinoxate because these chemicals can damage coral reefs.
- Avoid tanning oils – They generally do not provide enough protection against the harmful effects of the sun.
How to Apply Sunscreen & How Often
If choosing the best sunscreen is half the battle, the other half is using it correctly so you get the maximum protection. Here are a few tips to help:
- One ounce of sunscreen is considered the right amount. Cover all exposed areas of the body thoroughly. Don’t skimp. Many people don’t use enough sunscreen.
- Apply sunscreen 15 to 30 minutes before going in the sun. Don’t forget the tips of the ears, feet, back of the legs and bald spot (if you have one). Reapply sunscreen every two hours and use a UV-protective lip balm to protect your lips.
- If you are exercising or are in the water, it’s a good idea to get a sunscreen that is resistant to water and sweat. The FDA defines water resistant to mean that the SPF level stays effective after 40 minutes in the water. Very water resistant means it is effective after 80 minutes of swimming. These sunscreens are not waterproof, so reapply regularly.
Additional Protection
It’s important to wear sunscreen whenever you are outside during the day. Even on an overcast day, 80 percent of the dangerous UV rays make it through. Though vitally important, sunscreen does not fully protect your skin from the sun’s rays, so also consider these additional precautions to protect your skin from sun damage:
- Stay in the shade when you can.
- Wear sunglasses to protect your eyes, preferably with polarized lenses.
- Stay inside between 10am and 4pm when the UV levels are the highest.
- Wear a hat and sun-protective clothing.
Skin is the largest barrier against infection that we have. Keeping your skin healthy and shielding it from harmful rays of the sun can help you look younger and prevent skin cancer. Also, be sure to get a skin cancer screening every year so if you do have skin cancer, it can be detected and treated early.
Play it safe and smart – sunscreen up and get a skin cancer screening!
Shop our favorite EltaMD sunscreens.
Schedule a skin cancer screening at your nearest Water’s Edge Dermatology office.
Eating for Fabulous, Healthy Skin
Spring is officially here! If you haven’t already, you will soon start seeing lots of colorful, fresh fruits and vegetables at local farmer’s markets and grocery stores. Did you know that what you eat affects your skin health and appearance? It does! To help restore or maintain healthy skin and a more youthful appearance, start with small steps. Here are three easy tips to follow.
Tip 1: Add more fish to your diet
Fatty fish (such as salmon, mackerel and herring) are excellent for supporting healthy skin. Rich in omega-3 fatty acids, these fish help keep your skin thick, supple and moisturized. Omega-3 fats in fish also help reduce inflammation and can even make your skin less sensitive to the harmful UV rays of the sun. Dry skin can be one sign that your body is not getting enough omega-3 fats.
Fatty fish also contain vitamin E – an important antioxidant that helps protect skin against damage from free radicals and inflammation. By incorporating more fatty fish into your diet, you get the benefit of high-quality protein that helps maintain skin’s strength and integrity.
Tip 2: Eat a rainbow of fruits & vegetables
Fruits and vegetables contain an array of powerful antioxidants that help protect skin from damage caused by free radicals. Free radicals from pollution and sunlight can cause wrinkles and other signs of early aging. Antioxidants neutralize free radicals we encounter in our everyday lives.
To get the biggest benefit, choose a colorful rainbow of fruits and vegetables, and aim for five portions a day. Vary your choices, and get as much color on your plate as possible. Berries (including blueberries, black berries and raspberries) are particularly rich in antioxidants. Carrots, sweet potatoes and pumpkin contain beta carotene, a powerful antioxidant. Kale, papaya and spinach are excellent sources of lutein, another potent antioxidant that is also good for maintaining eye health.
When you fill your plate, cover half of the plate with fruits and vegetables; one fourth with lean protein and one fourth with complex, healthy carbs (such as brown rice or whole grain pasta).
Tip 3: Indulge in dark chocolate
Yes, we saved the best for last, and the news is great! Cocoa is phenomenally beneficial to skin health.
A study reported by the National Institute of Health tells us that consuming cocoa powder on a daily basis for six to 12 weeks can result in thicker, more hydrated skin that is less sensitive to sunburn. Other studies have shown improvements in the appearance of wrinkles.
Specifically, you need to select dark chocolate with at least 70% cocoa in order to maximize the benefits to your skin and keep added sugar to a minimum.
Your Water’s Edge Cosmetics team is here to support your best appearance. Our skilled aestheticians can help you look as young as you feel. Click here to request an appointment or call 877.533.8214.
What Are Warts?
Warts are caused by viruses and are passed from person to person, sometimes indirectly through touching an object someone with a wart has touched. While they are cosmetically unappealing, they are non-cancerous and not dangerous, but they can cause discomfort if they become irritated.
What Causes Warts?
Warts are caused by a viral infection in the top layer of the skin. Viruses that cause warts are called human papillomavirus or HPV. Warts are usually skin-colored and feel rough to the touch, but they can appear dark, flat, and smooth. The appearance of a wart depends on where it is growing.
Some people get warts depending on how often they are exposed to the virus. Wart viruses occur more easily if the skin has been damaged in some way, which explains the high frequency of warts in children who bite or pick at hangnails. Some people are just more likely to catch the wart virus than others, just as some people catch colds more easily. Patients with a weakened immune system also are more prone to a wart virus infection.
Types of Warts
Common warts usually grow on the fingers, around the nails, and on the backs of the hands. They are more common where skin has been broken or where fingernails are bitten or hangnails picked. These are often called “seed” warts because the blood vessels to the wart produce black dots that look like seeds.
Foot or plantar warts are usually on the soles, or plantar area, of the feet. When plantar warts grow in clusters, they are known as mosaic warts. Most plantar warts do not stick up above the surface like common warts because the pressure of walking flattens them and pushes them back into the skin. Like common warts, these warts may have black dots. Plantar warts can be painful, feeling like a stone in a shoe.
Flat warts are smaller and smoother than other warts. They tend to grow in large numbers, 20 to 100 at a time. They can occur anywhere, but in children they are most common on the face. In adults, they are often found in the beard area in men and on the legs in women. Irritation from shaving probably accounts for this.
Treatment
In children, warts can disappear without treatment over a period of several months to years. However, warts that are bothersome, painful, or rapidly multiplying should be treated. Warts in adults often do not disappear as easily or as quickly as they do in children. Water’s Edge Dermatology practitioners are trained to use a variety of treatments for warts, depending on the age of the patient and the type of wart.
Common warts typically are treated by applying salicylic acid gel, “painting” with cantharidin, cryotherapy (freezing), electrosurgery, or laser treatment. Foot warts are often treated using salicylic acid plasters, applying other chemicals to the wart, or with laser surgery, electrosurgery, or cutting to remove the wart. Flat warts are treated using “peeling” methods with daily applications of salicylic acid, tretinoin, glycolic acid, or other surface peeling preparations.
Tips for Preventing Warts
Though there is no foolproof way to avoid getting warts, there are some steps that can reduce the chances of getting or spreading warts:
- Avoid biting or chewing fingernails and cuticles.
- Wash your hands often.
- Moisturize skin, especially skin that is dry and cracked.
- Always wear sandals or flip flops in public showers, locker rooms, and pools.
- Clean cuts and scratches with soap and water.
- Never share razors, towels, or socks with other people.
- Keep hands and feet dry and wear extra-absorbent socks if your feet tend to sweat a lot.
- Avoid touching other people’s warts.
Your Water’s Edge Dermatology practitioner can make a proper diagnosis and discuss the best way to treat a wart. Request an appointment now for you or your child or other family member to have warts evaluated and treated correctly.
Study Shows Tretinoin Top Choice for Anti-aging
March 8 is International Women’s Day, and since 1911, it has been a day to celebrate women around the world. We want to encourage everyone to make a positive difference for all of the women and girls in your life every day. Your Water’s Edge team is committed to celebrating you and delivering the latest news in skin health so you can enjoy a lifetime of looking as young as you feel.
Our number one recommendation for skin protection is to be sure you and your family are using sunscreen to protect skin from the damaging rays of the sun. Regular use of sunscreen is also the number one anti-aging recommendation. Be sure you begin using sunscreen as early in life as possible. To prevent visible signs of aging that already exist, dermatologists recommend a retinol product to stimulate skin cell turnover and collagen production while exfoliating the top layers of skin to reveal fresher, younger-looking skin underneath.
Unlike many retinol skincare products on the market, Tretinoin is approved by the FDA for anti-aging and has become the gold standard for anti-aging skincare. Studies have shown that Tretinoin increases collagen and reduces fine lines and wrinkles by speeding cell turnover. These studies have also confirmed that Tretinoin brightens skin and smooths skin’s texture. It is also effective in reducing hyperpigmentation, skin discoloration and the formation of acne.
When compared with over-the-counter retinoid products, Tretinoin works faster and delivers more powerful results because it contains 20 times the retinol concentration allowed by the FDA for non-prescription, over-the-counter formulations. It is considered a medical grade prescription topical treatment that supports skin becoming stronger with a tighter and firmer appearance.
A recent study of the comparative effects of retinol and retinoic acid in the Journal of Cosmetic Dermatology looked at the efficacy of a retinol formulation for improving skin’s appearance. Four weeks of retinol treatments showed an increase in epidermal thickness, collagen production and a significant reduction in facial wrinkles.
The study results also demonstrate that topical application of retinol affects both cellular and molecular properties in the epidermis and dermis.
Tretinoin is Water’s Edge Dermatology’s most recommended product because it delivers results. Water’s Edge Tretinoin is available by prescription in three strengths with 0.025% retinoic acid; 0.05% retinoic acid and 0.1% retinoic acid.
Many dermatologists recommend that anyone over 30 begin using Tretinoin in order to prevent the visible signs of aging. Our Water’s Edge clients love Tretinoin because they are seeing positive results in healthier and more youthful looking skin. You may notice results in a few as four weeks, and when using Tretinoin, remember to always wear sunscreen to get the full benefit and protect your skin from the sun.
Click here to make an appointment today at Water’s Edge Dermatology and learn more about how Tretinoin can help you look as young as you feel. Also, please share this blog with a friend and refer them to Water’s Edge Dermatology.
National Health Education Week
National Health Education Week is observed every year during the third full week of October. At Water’s Edge Dermatology, we strive to educate our patients about keeping skin healthy every day of the year. One of our goals is to share innovative products that help heal your skin. One of those innovative products is Dermaka, developed by our very own Dr. Ronald Bush.
Dermaka is an all-natural plant-based cream, enriched with vitamins, that can be used on all types of skin disorders, including post phlebectomy, sclerotherapy, chemical, and laser peels. Dermaka has anti-inflammatory, antimicrobial, and antioxidant properties that help heal the skin and decrease bruising, redness, and irritation after procedures that disrupt the skin’s natural barrier.
Dr. Bush is responsible for the development and clinical applications of this powerful healing cream. Dermaka is formulated from natural plant extracts with added vitamins essential for skin health, which include:
- Arnica Montana, Bromelain, and Glycrrhiza Glabra – reduces redness, inflammation, and bruising
- Chamonilla Recutita – which has both anti-inflammatory and antiseptic properties
- Camellia Sinensis – a powerful antioxidant, anti-inflammatory, and stimulator of skin microcirculation
- Vitamin A and E – two powerful antioxidants that promote cell regeneration
- A base of Cetearyl Olivate and Sorbitan Olivate (olive oil) – to soften and moisturize the skin
“Though I developed Dermaka to help patients heal their skin, because it is formulated from all-natural ingredients, it is safe to use as a daily moisturizer,” said Dr. Ronald Bush. “Dermaka is showing excellent results for our patients, and no side effects have been reported.”
Dermaka can be purchased at shop.wederm.com without a prescription. For best results, Dermaka should be applied three times daily or as instructed by a health care professional. Make an appointment today at one of our 17 Vein Center locations.
Hot Tips for Buying Skincare Products
Water’s Edge Dermatology is celebrating 20 years as Florida’s premiere skincare provider, and if we’ve learned anything over the years when it comes to skincare products, it’s how to help our valued patients buy what’s best for them and what to consider regarding skincare products on the internet. So, the Water’s Edge team has compiled a tips list based on our two decades of experience. Here’s to taking great care of your birthday suit!
Tip #1: Don’t purchase skincare products on the internet from off-brand sites
Quality skincare products can be damaged if they are not stored and shipped properly. Exposure to heat or cold can negatively affect the chemical ingredients, such as delicate antioxidants, that were developed to help your skin look and feel more youthful. Even if they have a top name-brand label on them, products sold on the internet could be past their expiration date. You’ll have no way of knowing that when you shell out your hard-earned cash. Once you receive your product, if you find that you are not happy with it, making a return and getting your money back can be a big challenge.
Tip #2: Beware of counterfeit products
The fake skincare product market is alive and well, just like fake designer handbags and clothing. Because these products often contain cheaper, less effective and sometimes dangerous ingredients, counterfeit products can damage your skin. Price often will tell you if a product is counterfeit. Many fake skincare products are offered at a very low price, enticing buyers who want deep discounts on brand cosmetic products. The truth is that quality skincare products rarely go on sale for more than 20 percent below their retail price. To ensure that you are getting the authentic product, purchase directly from the brand retailer, and look for legitimate sales from that retailer.
Tip #3: Get recommendations from a dermatologist, not retail store clerks
Sales associates at a department store cosmetics counter are paid to sell you their product line. Your dermatologist is committed to helping you get the right product that will deliver the results you want. With years of medical training and experience in skin science, your dermatologist can guide you to the best skincare products for your skin and your goals.
You’ll be able to test a product at your dermatology office before you purchase it, saving you money in the long run. It’s important to remember that not all skincare products – in spite of their great reviews – are right for every individual and skin type. Those with oily skin may fare better with serums rather than heavy moisturizers. People with dry skin typically need added moisture in their skincare products. Making an appointment with your dermatologist is the best place to start.
Your skin is an important asset. It’s one of the first things people notice about you. When you take the time to get the right information and advice backed by medicine and science, your skin will know it and show it. It’s why we practice the Art, Heart and Science of skincare.
Click here to learn more about Water’s Edge MediSpa & Aesthetic Skin Care Services.
New Skin Cancer Research & Treatment: Mid-2018 Update
For millions of Americans living with basal and squamous cell carcinoma, or melanoma, each new breakthrough in skin cancer research & treatment matters deeply.
For some, it can mean the difference between life and death.
Thankfully, there’s a wealth of productive skin cancer research & treatment activity occurring worldwide in 2018. There’s also more effort than ever to educate the public about prevention. More than ever, people understand that un/under-protected sun (or tanning bed) exposure damages the skin, and causes skin cancer.
But while more people are taking preventive measures, skin cancer rates keep rising. And to nobody’s great surprise, Florida leads the nation in annual diagnosed skin cancer cases.
Given these troubling truths, here’s to raising hopes as well. Let’s take a look at some of 2018’s brighter prospects in skin cancer research & treatment.
Breakthrough in Basal Cell Carcinoma Drug Resistance
With about 2 million new cases yearly, basal cell carcinoma is the most common skin cancer in America – and the most common cancer, period. If caught early enough, it can be treated successfully with surgical removal or targeted radiation treatment. If not, it can spread throughout the body. And, it can become notoriously drug-resistant.
That’s why the early-year announcement from Stanford University researchers was so potentially important. They’ve identified the protein behind the drug resistance and have had initial success blocking it. This has “significantly slowed the growth of drug-resistant basal cell carcinoma in mice”. More research and ultimately clinical trials on humans will be needed, but for now, hopeful news.
New Treatment for Advanced Squamous Cell Carcinoma
Cutaneous squamous cell carcinoma is the second most common skin cancer with a million or so new cases a year. As with basal cell carcinoma, most cases can be treated successfully with surgery and/or radiation. But what if the disease progresses, what then?
For these advanced cases, there’s cause for new hope. The University of Texas MD Anderson Cancer Center announced the breakthrough in early June. A relatively new “immunotherapy” (more on that in a moment) drug called cemiplimab successfully shrank the tumors of almost half the patients in the study, by at least 30 percent.
Those are impressive numbers in the world of skin cancer research & treatment. Impressive enough for the FDA to grant “breakthrough therapy” status to the proposed new treatment, fast-tracking approval – and raising the hopes of many.
Focus of Melanoma & Skin Cancer Research & Treatment Shifting to Immunotherapy
The deadliest form of skin cancer, melanoma, kills another American every hour. More than 175,000 new cases will be diagnosed in 2018… and about ten thousand people will lose their lives.
If caught early and surgically removed, treatment is overwhelmingly successful. At more advanced stages, chemotherapy can be used, while newer targeted therapy and also combination therapy drug treatments are showing increasing success.
In recent years though, much of the focus in skin cancer research and treatment of malignant melanoma has shifted to immunotherapy. These are drug therapies intended to stimulate the patient’s own immune system to detect and kill cancer cells.
Immunotherapy can be systemic, traveling the bloodstream through the entire body. Or it can be local, targeted to particular areas of the body, to specific tumors and lesions.
New targeted and combination treatments using different immunotherapy drugs have gained approval in recent years. Still other new drug therapies are in development. Results are promising.
For individuals and their families coping with advanced stage skin cancer, this can be life-changing or life-saving news. It’s especially worth noting that immunotherapy and other clinical trial opportunities are abundant, and available.
Good Bacteria May Help Treat Skin Cancer
You may have heard increasing evidence in recent years, that “good” bacteria (think probiotics) are critical to our intestinal and overall health. In February, new research from the University of California San Diego School of Medicine showed that the same principle may also apply to skin cancer research and treatment.
Initial tests on mice were intended to show whether common, usually harmless Staph bacteria from our skin could kill dangerous group A strep bacteria (strep throat, etc.). What they report finding instead, is big news:
"This unique strain of skin bacteria produces a chemical that kills several types of cancer cells but does not appear to be toxic to normal cell. We showed activity against melanoma, squamous cell carcinoma and ultraviolet-induced precancerous lesions."
Needless to say, there’s much more research and testing to come. But for now, another exciting 2018 development in skin cancer research.
Significant Weight Loss = Significant Skin Cancer Risk Reduction?
Maybe it’s not so surprising, given the role obesity plays in other diseases and cancers. But the world of skin cancer research and treatment was caught a bit off guard recently when Swedish researchers released their report.
The large-scale study examined 2,000+ patients who’d had bariatric surgery for obesity, studying their overall health outcomes for nearly 20 years following the surgery. The results unexpectedly uncovered a skin cancer risk reduction of more than 40 percent. The risk of developing melanoma? Reduced by more than 60 percent.
Much more study is needed to assess all other factors and cement the seemingly causal link. But for now, more reason for optimism.
In general, 2018 is shaping up as a dynamic year for promising and successful new developments in skin cancer research and treatment. We can only hope for the same, and then some, for 2019 and beyond.
Finding the Right Partner in Skin Cancer Prevention, Detection & Treatment
All the best research in the world can't help people who remain beyond the healing reach of professional dermatological education, detection and treatment. Developing an ongoing partnership with a great dermatologist in Arcadia, Jensen Beach, Lighthouse Point, West Palm Beach or any other Florida locality, really is vitally important.
Having an already-established relationship with a top skin care team specializing in skin cancer can be a huge advantage. There’s simply no better way to understand, prevent, detect, and if necessary, treat skin cancer at the very earliest possible stage – when success rates are extremely high.
From comprehensive annual skin cancer screenings and preventive education to raise skin cancer awareness, to state-of-the-art diagnosis and treatment, to the latest word on the newest skin cancer research and treatment therapies… we’re here, all across the Sunshine State, to unite and work with all Floridians in the fight against skin cancer.
Is Blue Light from Screens Bad for Your Skin?
Updated June 3, 2020
Medical review by Ted Schiff, M.D.
Americans are inseparable from their screens, and it’s not just teens staying up late into the night on YouTube and Snapchat. A Nielsen survey found that adults over age 65 spend nearly 10 hours a day watching TV and using computers, smartphones and tablets. The blue light those screens emit can rob us of sleep if we don’t power down a few hours before bed. (Blue light suppresses the release of melatonin, which induces sleep.) But lately, some people have been wondering: Is blue light bad for your skin?
Researchers have begun to investigate whether too much screen time might accelerate skin aging and even cause dark patches to form.
As you read this article in the glow of a digital device, you’ll discover what scientists know and don’t know, and what you can do to protect your skin if you’re concerned about blue light damage.
What is blue light?
Visible light from the sun is made up of rays from all the colors in the rainbow — red, orange, yellow, green, blue, indigo and violet. Light in the blue/violet range, also called high energy visible (HEV) light, has a short wavelength and more energy than other colors. It’s the scattering of these rays that makes the sky look blue in the daytime.
Your home is probably awash in artificial sources of blue light, including screens and also LED lights, compact fluorescent light bulbs (the coil-shaped variety) and any fluorescent lights you may have.
What are the concerns about blue light and skin damage?
A small amount of research suggests that exposure to blue light from digital devices could potentially damage the skin, causing premature aging and hyperpigmentation, or dark patches. (There’s no evidence that blue light causes cancer.)
In one experiment, scientists exposed skin cells that make collagen (the main building block of skin) to light from two models of iPhones and an iPad. After just one hour, the cells experienced oxidative stress, which is thought to contribute to skin aging and wrinkles. However, the screens were positioned just one centimeter from the skin cells — a whole lot closer than you hold your smartphone or tablet to your body.
Other research suggests that too much exposure to blue light may cause hyperpigmentation in certain people. In one study, exposing skin to blue-violet light caused dark patches to form in those with a medium or dark skin tone (not fair-skinned people), and the patches lasted for three months. Red light had no such effect. In a later study, skin cells that produce melanin, the dark pigment responsible for skin tanning, seemed to respond to blue light by making more pigment. Dark skin is rich in melanin.
What we don’t know
These studies raise interesting questions, but much more research is needed to know what harm to the skin, if any, artificial blue light causes.
Some studies have found no evidence that exposure to blue light from devices causes skin problems. A report published in the Journal of the American Academy of Dermatology in 202o found that exposure to light filtered to contain the same color as device by screens for eight hours on five consecutive days didn’t worsen melasma, a condition that causes dark patches on the skin. Blue light from the sun does cause melasma to flare up.
“We don’t need to be overly worried about this at this point,” said Dr. Ted Schiff, founder and chief medical officer at Water’s Edge Dermatology. “All of the research that has been done in the past 50 years has been about ultraviolet light, first UVB and now UVA. It’s only recently that people have considered visible light on the skin. That’s all being researched now. The main focus of skin protection is always going to be ultraviolet rays — they are much more powerful and damaging than any visible wavelengths.”
What can you do if you’re worried?
If you’re concerned about blue light from screens, some fairly simple steps can lower your exposure. In most cases, you can reduce the amount of blue light your computer, tablet or smartphone emits by switching the display settings to “dark mode.” (You can find instructions online.) You can also purchase clear screen coverings designed to filter blue light or download apps that do so.
Some skin care products are said to block blue light (regular sunscreen doesn’t). But be prepared to pay a high price for questionable benefits. Only sunscreens that contain the minerals titanium dioxide, zinc oxide or iron oxide block blue light. In the first two cases, only products that look white on your skin do the job.
“Very little research has been done on these products,” said Dr. Schiff. “Current sunscreens have been tested only for UV, but not any other wavelengths.”
You can also find skin care products containing antioxidants such as vitamin C and vitamin E, which in theory help prevent or repair damage from oxidative stress. In addition, some “sun supplements” claim to protect you from free radicals and UV rays from inside the body. But eating colorful foods and using sunscreen are likely the best bets.
“A healthy diet and lifestyle and use of sunscreens have proven to be effective, compared with supplements that have not been rigorously studied or approved by the FDA,” said Dr. Schiff. “The best way to avoid free radical damage is by wearing sunscreen.”
Finally, to cut down on blue light exposure from screens, consider a digital diet — maybe take a walk after dinner instead of binge-watching Netflix. Unlike the effects of screens on skin, the (positive) effects of walking are well known.
Written by Timothy Gower, an award-winning journalist who writes about medicine and health. His work has appeared in more than two dozen national magazines.









