All Dr Elaine’s Skin Care
20-30% Off + Free Shipping

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all skin care 20-30 off

Patient Appreciation Week Sale

All Dr Elaine’s Skin Care 20-30% Off
+ Free Shipping

So don’t miss out on our Patient Appreciation Week Sale. All Dr. Elaine’s skin care is 20-30% off, and of course, our everyday free USPS Priority Mail shipping. The sale ends Sunday July 17th at midnight CST.

If you have never tried our fabulous skin care, now is the time. And if you are already a fan, thank you.

Dr Elaines’s Advanced Skin Treatment is a dermatologist (and guess who that might be?) developed clinical skin care line that combines anti-aging cosmeceuticals with proven natural botanicals. Cosmeceuticals are cosmetics that have effects on the skin. The main groups are the peptides, antioxidants, growth factors, and vitamins. They improve fine lines, roughness, blotchy pigment, loss of elasticity, dullness, acne, and stimulate collagen production. Our botanicals are plant derived compounds that are used for their antioxidant, anti-inflammatory, exfoliant, moisture balancing, and collagen stimulating properties.

We offer specialized skin care products for acne, anti-aging, skin pigment lightening, sensitive skin, rosacea and hair and body. Clinical skin care is both a preventative anti-aging strategy and a repair strategy for skin that needs help. It is your everyday health program for your skin, and the foundation of an anti-aging program. Your skin is smoother with a healthy glow, reduction in appearance of lines, wrinkles, acne blemishes and brown discoloration.

If you have never been to our web site SkinTreatment.com here is where you can find what you need: Patient Appreciation Sale Dr Elaine’s Skin Care on Sale 20-30% Off including all skin care on sale through Sunday July 17th, midnight CST. If you know what you need, or are shopping for skin care after our Patient Appreciation Week Sale, these sections are always available, which show our current special offers: All Acne Skin Care on Sale– all of the special offers for our acne skin care, including sets at a discount All Anti-Aging Skin Care on Sale–all of the special offers for our anti-aging, and lightening skin care including sets at a discount All Skin Care Sets on Sale–all discounts on skin care sets or kits All Skin Care on Sale–everything–all skin care that is on sale

If you already use Dr. Elaine’s skin care, take advantage of this great sale to stock up. If you are considering trying it, this is a great opportunity.

Dr Elaine’s Latest
Cosmetic Dermatology Newsletter

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Cosmetic Dermatology Newsletter Summer 2011

Just out–our Summer 2011 Cosmetic Dermatology Newsletter

Hot off the presses, the Summer 2011 edition of our famed SkinTreatment.com Cosmetic Dermatology Newsletter. This time we discuss CoolSculpting, Thermage, Botox price shopping, what’s new at ASTC, our social media, and the ever-popular Thoughts from Dr Elaine.

Also gives information about our upcoming Patient Appreciation Week Sale. During week of July 11-15 get 20% Off Botox, Juvederm, Thermage, CoolSculpting, and all Dr Elaine’s Skin Care. Online skin care sale runs July 11-17 on SkinTreatment.com

Click the text link below for the newsletter
Summer 2011 Newsletter.pdf

Dr Elaine’s quick, cheap and natural makeup routine

Posted by: Dr Elaine

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dermatologists quick, cheap and natural makeup routine

How I look natural, polished and beautiful every day with cheap, quick, and natural makeup

I really, really hate to get up in the morning so I am usually running late. I definitely prefer a natural look for my skin, and as I have said many times before, it is much better to have good skin and wear less foundation so that is what I do. I can’t wear eye shadow. Ever. I have sensitive skin, called atopic– which means that many things irritate it like brushes, strong fragrance etc and I live in extremely dry climates. No matter what I do, no matter what kind of shadow or brush I use, my eyelids get irritated, red, and rashy if I ever wear eye shadow for even one day, and they stay that way for months after even one application of eye shadow. Also, I use a retinoid (currently Refissa) and of course daily sunscreen on my eyelids and have for years. So the lids are actually pretty good and tight for 57. So I haven’t worn eye shadow or eyeliner for years. Again this fits with my philosophy that I would rather have good skin on my eyelids, than wear cosmetics on them. They actually look better without shadow or liner.

Since I am always running behind in the morning, I want my cosmetic application to be quick. I want them to stay on all day. I rarely touch them up during the day, except that I sometimes reapply lip color once during the day. Once is my limit. And I hate to shop so I want something I can either buy online, or pick up when I absolutely have to go to the drug store or grocery store. There is absolutely no way I am going to drive to the mall and shop at the cosmetic counter. It is fine if you like to do it. I don’t.

My goodness the list of things I hate is getting pretty long….hate to get up, hate to shop, hate to reapply makeup, hate to style my hair, hate to dress up. Oh, well.

So I use, in order of application:

1. Clarins Self Tanning Instant Gel to my face and neck about 3 times a week. It gives me a natural color, isn’t sticky, dries quickly, and I can also apply to my body if I want. Since I use our Correcting Serum, Antioxidant Exfoliant, and Refissa my skin is nicely exfoliated so the tanner goes on smoothly. Applying self-tanner to exfoliated skin is the key to getting a natural look. I buy it online at Sephora.com (4.4 oz $33)

2. Then I apply Dr Elaine’s Antioxidant Mineral Powder in Tan with applied with one of our sponges that we supply free with the powder. It gives a great, natural finished look that I love. I never use a brush to apply mineral powder. I go get it from the storage room, but you can buy it on our web site or in the office. (.32 oz $32.99)

I blend it down my neck and be sure that I pat it on the eyelids and the inside corners of my eyes. Then I take a 100% cotton ball and blend it into the hairline, and wipe the excess of my eyebrows.

3. I do need lip color and I have a great find that I have been using for about 5 years. It is Cover Girl Outlast All-day Lipcolor in #556 Berry Preserve. The box comes with 2 lip products–a color and a moisturizing topcoat. The color is called All-Day Colorcoat and the topcoat is called, appropriately, Moisturizing Topcoat.

It really does stay on all day! This color is great for me and looks very natural. I load the applicator, but then wipe the excess off against the rim. If you apply too much it does flake later in the day. Then I apply the topcoat. I have tried many of the other “all-day” lipsticks, many expensive lipsticks, over the years. This one is by far the best for me. About half the time I will apply it once again after lunch, if I am work.

I get it at Walgreen’s. (2.3 ml and the set is $9.99 but fairly often you can get 2 for price of one at Walgreen’s and then I stock up) But note: you are not allowed to go to the two Walgreen’s I frequent–on Georgia in Amarillo, Texas or on Tatum and Shea in Phoenix Arizona–and buy it all up! Use your own Walgreen’s, or another drug store or the grocery store. I don’t go to those places.

4. Then I curl my eyelashes before I apply mascara. If you curl them after, like you are often told to, you get more lash breakage. But I heat the eyelash curler and it curls the lashes just like a hair curling iron. I use a Shu Emura eyelash curler heated with a hair dryer on hot but tested for temperature on my wrist just like a baby’s bottle. It makes the curl last all day. You do have to be careful because the metal heats up quickly, and if you apply it too close to the skin you could burn yourself.

My lawyer wants me to remind you not to heat it up like a hot poker and stab yourself in the eye and then blame me. He says you should do this at your own risk.

But it works.

Shu Emura really is the best eyelash curler, I order mine online from Sephora.com ($16.00).

5.Maybelline Great Lash Mascara Classic Volume Brush #100 Blackest Black. I use the straight brushes, I don’t like the curved ones, and don’t need them because my eyelashes are already curled. Sometimes I will splurge on Maybelline The Colossal Volum’ Express (sic, weird name, I wouldn’t have chosen it) straight (non-curved brush). Occasionally I will use the waterproof if needed, like for graduations, funerals or swimming, but for daily I use the non-waterproof. The waterproof ones do dry the lashes a little more.

You really don’t need expensive mascara. If you want to pay $40 for a tube, go ahead, but it is not any better than Maybelline. Really.

I buy mine at Walgreen’s ($5.49)

6. Recently I got a little carried away with eyebrow tweezing. I know, I am always going on about my pet peeve, tweezing too much. Guilty as charged. So when I do, I use Smashbox Brow Tech – Taupe/Soft Brown eyebrow powder and apply it with Smashbox Angle Brow Brush #12.

I order it online from Sephora, and for confidentiality it comes in a plain brown wrapper ;)

Smashbox Brow Tech ($34.00), Smashbox Angle Brow Brush 12 ($20.00)

7. For special occasions I apply our Mineral Glow in Blushing Shimmer for a subtle glow. .32 oz ($32.99)

So that is it. I timed myself this morning and it takes me 3 minutes, start to finish. Quick, reasonably priced, reliable, products easily obtainable, and lasts all day. Mission accomplished. Natural, polished and beautiful every day.

 

 

 

 

Ten Rules for Wearing Cosmetics

Posted by: Dr Elaine

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dermatologist top 10 cosmetic tips

A little paint and spackle can work wonders, but all the makeup in the world can’t make bad skin look good.

It is by far and away better to have good skin, than good makeup. With that in mind here are Dr Elaine’s top 10 rules for wearing cosmetics:

1. Heavy foundation may cover a pimple, but it makes you look older, and harder. A million times better to have good skin, and wear little or no foundation. So I put my time, energy and money on my skin.

2. There should be evidence to the naked eye that there is live human skin under your foundation. Ditto for blush.

3.  Concealer on pimples or marks plug up pores and cause breakouts later. Don’t just kick the can down the road.

4. Most women need some lip color, either their natural color if they are lucky, or with a lip color product if they are not. But lip color should always approximate a color that is seen, somewhere, in live humans. Bubblegum Pink and Bright Maroon are not in that group.

5. Corollary–blush color, if used, should also approximate a color that actually occurs in live humans. Fuchsia and Burnt Orange are not in that group.

5. If you use lip liner, it should be subtle enough that you don’t look like you are playing dress up with Mommy’s lipstick.

6. For everyday, eye shadow should not include the color family robin’s egg blue. For nights and special occasions eye shadow and eye cosmetics can be more dramatic and artificial. That is because in those situations eye shadow is subconsciously classified as “decoration” closer to jewelry, while lip color, cheek color, and foundation remain subconsciously classified as “natural beauty.”

7. Foundation on oily skin often turns more orange as the day progresses. Choose accordingly.

8. Don’t buy cosmetics based on friendship with the company rep, unless the cosmetics are really right for you.

9. Spend the most money on getting the perfect, natural looking foundation. That is the trickiest for cosmetic companies to do right. Mascara absolutely, lip color often, and eye shadow a fair amount of the time are just as good from the drug store as the expensive brands.

10. Try very hard to find the “sweet spot” with your makeup and cosmetics. The sweet spot is in between wearing no makeup at all and looking like you just got out of the hospital but are still ill, and wearing so much makeup that you could make some extra money while waiting at the bus stop to pick up the kids. The “sweet spot” is where you look natural, polished and beautiful.

Next: How I look natural, polished and beautiful every day.

 

Where in the world is Dr Elaine?

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Where in the world is Dr Elaine

Where in the world is Dr Elaine?

If you have been wondering where I have been, I have been “on holiday” in Australia for the past 3 weeks. And having a wonderful time, except for the fact that my laptop has been having a mid life crisis, which kept me from posting on the blog.  Why it is having a mid-life crisis I don’t know because it is not even really its mid life yet. It did, however, have an unfortunate electrical “accident” on the flight to Australia. Since then it has been alternating between not turning on at all, refusing to load Windows, wanting to “restore” to original factory settings, and being just fine. I suspect that zombie aliens have turned it into a forward outpost since they contacted it on the plane. Either that or the lithium-ion battery needs more lithium.

Additionally, my experience with Australian internet access can be summed up in two words– “it sucks.” Slow, very expensive charges for a small amount of data/time, and prone to technical problems. I am sorry if I hurt your feelings Australia, but you know it’s true. So true in fact, that an ad for a beach condo rental states “Fast internet… well, fast for Australia.” Unless you were hiding the fast, cheap internet from me just like you hid the coffee. Note to Australia: when an American orders “a large, black coffee, no room” this is what they mean–they would like a large cup, containing hot water that has been brewed with ground coffee beans, and filled to just under the rim rather than 3 inches below it. If we say “with an extra shot” that means to add 1-2 oz of concentrated coffee containing caffeine to the mixture so that it approximates the strength of a cup of regular American coffee. Looking at me as if the words “large, black coffee” are in some obscure dialect (unless you consider Texas to be “obscure”) will not move the line along any faster, or keep tourists away.

I did get the impression that a lot of Australians don’t really like Americans, and was surprised that the societal structure is closer to western Europe than I had thought. But even with that I think we have a lot in common and it is a beautiful country that I want to visit again. As soon as they get the coffee and the internet thing straightened out.

Anyway, the laptop debacle made me realize several things:

1.  I am dependent on the data in my laptop
2.  Backing up data on a regular basis is important (yes, I already do it routinely)
        a.  But, when your backup is in another country it is not a great deal of help
3.  An emergency boot disc really is a good idea
        a.  Less so if it is across the international date line from your malfunctioning computer
4.  Fast, reliable, cheap internet access is a gift for which I should be thankful

I know, all of this seems totally unrelated to the topic–what kind of cosmetics this cosmetic dermatologist uses. And to some degree it is, but I am on a 13 hour flight back to LAX and the experience brings to mind my philosophy about cosmetics–that I want the same thing in my cosmetics that I want in my digital life–fast, reliable, reproducible results; good value for the expense expended; readily available when I need it; mainstream enough that it is not an ordeal to find, buy, and replenish it. Basically I want to set up a system and not have to put a bunch of thought into it on a day to day basis. Keeping up with trends and advances, yes, but on an upgrade schedule that I determine, not a hasty, emergency response to a catastrophic system failure.

So here goes: Dr Elaine’s top 10 rules for wearing cosmetics

Your skin can’t take a joke–
so don’t tell it one

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Your skin can’t take a joke–so don’t tell it one

Hair and nails forgive and forget. But skin is something else again. It doesn’t forgive and it doesn’t forget. So, I do take care of my skin, and pretty well too. And I have for a long time. That is because skin holds a grudge. If you don’t take care of it , it goes bad on you, and at least some of the damage is irreversible. You can fry your hair, color it blue, lose it from going off birth control pills or after pregnancy and it recovers. Hair just says “whatever, and it grows out just fine. And the kind of hair problems that are really frustrating are not from anything that you do, they just happen, like alopecia areata, and the scarring hair loss diseases.  You can have chipped and damaged nails from working in the garden, you can abuse your nails from wearing acrylics and, within reason, they can recover. Unless you damage the matrix or the nail bed, then you gotta pay. But your skin remembers every unkind thing you ever said about it, did to it, or didn’t do to it (like protect it from sun damage). It really can’t take a joke.

So here is what I do. And I do it every day and every night, without fail. And yes, I use my own line of skin care products, Dr Elaine’s Advanced Skin Treatment, almost exclusively. After all, I developed them, and they are full of both high quality botanicals, marine actives, other natural actives with specific purpose, and various cosmeceuticals including alpha and beta hydroxy-acids, peptides, antioxidants, and vitamins. Since I developed them exactly the way I wanted them, this should  be no surprise to anyone.

My morning routine–First I get up, reluctantly, then:

  1. Three days a week I use Dr Elaine’s Antioxidant Enzyme Peel (1 oz 38.99). You have to use it when your skin is completely dry. So I do it the very first thing, I don’t wash my hands or face, and I apply it in a very thin layer. Key word is “very thin” and then I let it sit 30 seconds with my hands in the air, without rinsing them, until the peel liquefies. Next I rub in a circular motion and exfoliate the dead skin. Then I rinse with clear water. I love this product because the papaya, grape seed, and willow extracts in it gently exfoliate without granular particles with the end result that my face reflects light well and glows, but it still allows me to use the retinoid Refissa without the increased irritation of a granular exfoliant.
  2. Since I have normal-dry skin, I wash with our Facial Cleansing Lotion (6.7 oz $26.99), using my fingers only, never a washcloth. I love this cleanser–it has glycolic acid to exfoliate, it cleanses well, removes make up and the combined group of natural botanical oils leaves my skin soft and smooth rather than uncomfortably tight.
  3. Then I follow with our Gentle Toner (6.7 oz $26.99) applied with a 100% cotton ball. Since I have a tendency to get eczema, and use a fairly potent retinoid every night, I need to reduce the tiny microscopic abrasions that I would get from a synthetic “cotton” pad. I don’t need a drying type of toner, so I use this one that is not drying.
  4. Then Dr Elaine’s Correcting Serum (1 oz  $59.99) 2-3 pumps for my entire face and neck. The two things that I feel should be used every day as a basic program, other than sunscreen, is either an alpha hydroxy acid or fruit acid, and a retinoid. Our Correcting Serum has both 8% glycolic acid and a multiple fruit acid complex to exfoliate and promote collagen production, and hyaluronic acid to plump wrinkles and balance moisture.
  5. Next I apply Dr Elaine’s Line Diminisher (1 oz $89.99). The peptides Acetyl Hexapeptide-3 and Palmitoyl-Pentapeptide 3 combined with hyaluronic acid help minimize fine lines, and antioxidant green tea calms irritation.
  6. Then our Facial Moisturizing Cream ($41.99) in the winter or when I am extra dry or my skin is irritated, or our Hydrating Cream ($39.99) if it is summer or less dry weather. Moisturizers like the Facial Moisturizing Cream that are fragrance free are best if your skin has a tendency to irritation and you are using retinoids like Refissa.
  7. Then I apply our Total Eye Renewal (0.5 oz $65.99) to my entire face. Yes, I know it says eyes, and I do use it on eyes,  but also on my face,  because the 3 peptides are very good, it has active Vitamin C, bunches of active botanical antioxidants and I really like the silky smooth effect from the shea butter and silicone base.
  8. Then I apply DCL Super Sheer Sunscreen SPF 50 (2.5 oz $24.99) to  my face, neck, chest, forearms and backs of my hands every single day, year round, without fail. I really like this sunscreen because it covers a really broad spectrum of UV, and it is so light weight you don’t even know you have it on.

At  night, no matter how tired I am:

  1. Dr Elaine’s Facial Cleansing Lotion
  2. Refissa (by prescription $145) to face, neck, upper chest. I apply Refissa to back of hands and forearms every other or every third night.
  3. Dr Elaine’s Total Eye Renewal ($65.99) around my eyes after Refissa.
  4. Brush on Latisse to the base of the eyelashes (by Allergan–prescription $120 a 3 ml bottle) to grow eyelashes and make them darker–but I only apply it every other night or the lashes get too long and thick. That also cuts the cost, as a bottle will then go 2-3 months.
  5. Dr Elaine’s Lip Therapy ($5.99) right before bed so my lips don’t get too dried out.

For Body:

  1. Dr Elaine’s Calming Body Wash (12 oz $15.99) in shower which helps my dry skin.
  2. Dr Elaine’s Smoothing Body Moisturizer (12 oz $37.99) every night. I am atopic, so my skin is sensitive and rashes easily. That means if I don’t apply moisturizer to my entire body I will itch all night and since I don’t want to do that I just go ahead and use body moisturizer every night. I love the scent, and also the powdery smooth feeling.
  3. Then I put our Perfecting Hand and Body Moisturizer (12 oz $36.99) on my feet and heels right before bed. The glycolic acid and fruit oils, soften and repair thickened skin and cracks, and the Evening Primrose oil reduces irritation.
  4. If I have been lazy and my heels are really bad I will use Ureacin-20 (4 oz $26.99)on them for a couple of nights. It works really well for thickened calloused heels, but leaves a thin white film on them, so I don’t do it in the daytime.
  5. For a little color, in the summer or if I am going on vacation I will use Jergen’s Sunless Tanner ($7.99) for medium to tan skin (just means it has more DHA in it and I get color quicker) or Clarins Self Tanning Instant Gel (4.4 oz)

And that’s how I do my own skin care. I take care of my skin, and I don’t tell it any jokes.

Next: how I do cosmetics

 

How girl dermatologists do skin care

Posted by: Dr Elaine

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female dermatologist skin care

How girl dermatologists do skin care

Female dermatologists are often thought of as the experts on effective, scientific skin care. And that’s because we are. So how does this girl dermatologist, and I use the word “girl” loosely, do skin care? I want to be the best I can realistically be, and that includes my skin. The key to doing the best you can with what you’ve got, it to know what you’ve got. To some degree, you inherit the skin you’ve got. But skin you’ve got is also the result of what you have done, and what you are doing.

Before I became a dermatologist, I always just took my skin for granted and didn’t think much about it. I have moderately sensitive skin, and am “atopic.” Atopic tendencies are genetic, and people who are atopic have skin that is more sensitive than others, gets rashes easier, itches at things others don’t, have little bumps on the upper arms, and often have a family history of asthma or hay fever. If you cut the tags out of all of your clothing, been told you were “allergic” to grass, or wool, or whatever, you are atopic.

Very luckily for me, as a child, adolescent and young woman, I didn’t ruin my skin in the sun. Although I would have loved growing up on the beach, I didn’t.  In Oklahoma City, beaches are hard to find. I wasn’t on the swim or tennis team. We didn’t belong to the country club. Many of my friends would lay out in the backyard and tan. However, sticking to the webbed straps of a wobbly chaise lounge, sweating in the hot humid air, swatting the flies that would continually swarm around was not my idea of fun. So I didn’t do it. Later I was too busy with pre-med and medical school to have any fun outside. So I escaped the early sun exposure that shows up as damage twenty or thirty years later.

I never really had acne as a teen or young woman. Only in middle age, which is not fair and I plan to sue someone, as soon as I figure out who to sue. I pigment moderately easily, and had a decade or so dealing with melasma. Caused by a combination of hormones, either birth control pills or devices, pregnancy or just the hormones made by the body, melasma is a brown pigmentation on the face, especially cheeks and above the upper lip. It is often in a pattern, and I had a delightful set of horns above my eyebrows and a brown pigment moustache.  Melasma drives women crazy, and is incredibly frustrating. I was no exception. Usually it finally burns out, and mine did.

I always ask patients “where is your family from, the old country?” It not because I am just nosy, it is because it makes a difference. The tendency to make abnormal pigment, to get wrinkling with sun damage, to get broken blood vessels and redness, to have sensitive skin all have a genetic basis and that genetic basis is tied to ethnic background. People who have ancestors that had more natural pigment, Hispanic, Asian, American Indian, Black, Middle Eastern etc, respond to anything that happens to the skin, such as pimples, rashes, procedures, treatments, with increased pigmentation. It is hard to fix, so you want to avoid it. If you have light skin, like most Northern Europeans, especially Irish and Scots, and you get a lot of sun exposure over the years, your skin will get thickened bumpy elastosis, wrinkling, loss of elasticity and skin cancer, and you won’t like that either. The list goes on. My family background is German, Dutch, and a little American Indian, so I don’t get sun damage easily, but can make abnormal pigment.

There are 3 components to coming up with your own skin care plan–quiz–soul searching–reality. Kind of like coming up with a life plan.

  1. Quiz–What kind of skin do I have?
  2. Soul searching–What kind of results do I want?
  3. Reality–How much time and money am I willing to spend?

Dr E takes the Dr E  Skin Care Quiz:

  • Is your skin very dry, dry, combination, normal, oily, very oily?Dry
  • Do you get breakouts?Yes, 3-4 per month, painful medium sized pustules and small cysts, and I don’t like it one bit.
  • Is your skin sensitive?–get rashy or itchy easily? Yes, didn’t I just say I was atopic?
  • If you are out in mid-day sun without sunscreen do you get some immediate darkening of your skin? Yes, a moderate amount
  • How much sun do you get daily? Noooooooooooooooooooooooo
  • Do you wear sunscreen every day? Duh, yea
  • Are you a “soap and water and nothing else”, “I will do 3-4 steps in the morning and same in the evening”, or “as much as it takes” kind of woman? I am a “as much as it takes kind of woman.”
  • Are you using any prescription surface treatments like Retin-A, Refissa or for Rosacea? Yes, I have used retinoids in one form or another continuously for the past 30 years.
  • Which of the following are a problem
    • Brown spots–No, see 5 and 6
    • Broken blood vessels–Yes
    • Fine wrinkles–No, see 5 and 6
    • Deeper wrinkles—No, see 5 and 6
    • White “beads” under the skin–Yes, a few
    • Flaking or peeling–Occasionally, from retinoids

Dr E does some soul searching

  • What kind of results do I want? Here is what I want–I want have the very best skin I can have.
  • I want smooth, uniformly pigmented skin with small pores, minimal wrinkles, no broken blood vessels, no gross brown crusty things, no pimples, and no reddish brown spots after pimples have gone. I want my skin to be approximately in the same place on my face that it was twenty years ago. When I stretch it, I want it to bounce back in less than 10 seconds. And it should not be oily, not be dry, but just right, like Goldilocks porridge.

What am I willing to do to get it?

  • No, I am not willing to do a great deal for hair care and nail care. But I am for skin care. Why you ask? All three are visible to the world. All three can make you look worse, or hopefully, better. But, a very important difference. Taking care of your hair and nails make them look better today, but in general don’t influence the appearance tomorrow. I can fry my hair with bleach, color it blue, get split ends and it will still grow it out fine. I can get fungus under my nails, warts around the cuticles, and significant deformity of the nails after acrylics, etc  Although treatment of warts and fungus is difficult and often recurrent, to at least some degree they can be prevented or treated. Preventing nail damage is basically avoiding sharing nail care instruments, whirlpool tubs etc that are contaminated by other customers in nail salons, and not wearing fake nails continuously.
  • But skin care is a different story. I can prevent undesirable skin changes, I can improve the ones that are there, and I can change the nature of my skin. In contrast to hair and nails, which are completely replaced when they grow out, skin cells are turned over on the very surface, with lesser turnover under the top layers. That’s why destroyed collagen and elastic fibers, elastosis, scars, pre-cancer, and skin cancer, pigment, broken blood vessels, and brown growths are permanent and don’t “grow out”. Taking care of your skin today makes it look better today and tomorrow. If I don’t take care of it today, it will look worse tomorrow, and some of those changes aren’t fixable.

We all make mistakes in life. It’s just that the consequences of some are worse than others, and some are easier to fix. So the answer to the question “How much time and money am I willing to spend?” Whatever it takes.

Next: what it takes for this dermatologist, every day, to take care of her skin

 

 

 

 

 

 

 

How a lazy dermatologist does hair care

Posted by: Dr Elaine

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dermatologist hair care

How to do hair care, if you don’t really care

So now you know that I am not good with my hair care. But I do make some effort. Of course, I am good at giving advice, it’s just that I don’t always take it myself. As I always say, “there are rules for other people, and then there are rules for me.” I do take my hair stylists advice, especially about color, cut and to a certain degree, hair care products. It is important to have a stylist who works within the boundaries of reality. At a certain point in life, you should just say to yourself–”this is me, this is the way I am, this is not a major life issue, deal with it.” I, myself, always try to work within the boundaries of reality, and so should they. The reality is that I am not going to spend time in the morning on my hair doing anything more than  washing my bangs, brushing, putting it in a ponytail and maybe slicking some product in it. End of story, so work with it.

So what does this lazy cosmetic dermatologist use on her hair?

1. Cut hair every 6 weeks. When you have fine, thin hair, you need all the help you can get to make it look fuller.  In general shorter styles are usually better when your  hair is thin, ideally a slightly layered cut that falls between your shoulders and your jaw line.  Fine thin hair shouldn’t have too much layering, or it looks even thinner.  Some layering around the face is fine. Thicker, or curly hair can afford more layers. Since I always pull mine back, I don’t layer it, but for those who wear their hair down, layers around the face, starting below the ears, helps disguise a sagging jaw line. Ever notice how most actresses of “a certain age” wear this style? Of course it also disguises facelift scars so that is helpful for them too.

I always ask my hair stylist if this or that cut would look good on me and if it would work with my hair. But then I always back out and leave it at my shoulders, with no layers and pull it back. You might want to actually listen to your stylist.

But please don’t commit my pet peeve #7–aging ex hippie boomers with a long ponytail consisting of 3 hairs. Doesn’t look good on men or women.

Stylists–please don’t try to tell me cutting your hair makes it grow faster. It doesn’t. But it does make it look thicker when they ends are trimmed.

2. I do both highlights and lowlights every 6 weeks, and I have it done professionally. Hair color is important. The biggest mistakes I see are women who go too light or too dark as they age, hair getting too uniformly blonde, brassy hair, and hair color that clashes with skin tone.

You always want to make sure that your hair color complements your complexion, and doesn’t fight with your skin tone. As a general rule of thumb, if your skin tone is cool, your hair color should be as well; and if your skin tone is warm, hair color should be warm too. There are certainly exceptions to the rule, but you have to start out with some basis for decision to find a hair color that doesn’t fight your skin tone.

To determine whether your skin tone is warm or cool, look at the veins in your arms in good light. If they have a green tint,  your skin tone is warm; if they’re more blue or purple then your skin tone is more cool. Warm skin tones have yellow or gold undertones, and blue veins plus yellow toned skin gives you  green veins. Cool skin tones have pink or blue undertones.   Blue veins plus blue toned skin results in blue veins,  and blue veins plus red skin gives purple veins. Not everyone falls strictly into one category. Some people have skin tones that are a combination and fall on the border, which is why they can pull off warm or cool hair colors, or neutral hair color that allows the skin tone to remain both rosy and gold.

When hair is lightened too much or is too yellow and brassy, it makes you look washed out or sallow, ages you, and usually requires more makeup than normal to create contrast.  When that happens a violet or purple toner helps to tone it down.

If you highlight your hair, lowlights will help keep it looking natural and keep it from becoming too uniformly blonde.

So that is what I do, and I don’t try to do it myself. That is not part of my current skill set.

3. Of course I do wash my hair. I use our Clarifying Shampoo which uses silk amino acids, wheat protein  and panthenol to give body and shine. I love the fragrance, China Green, and the fact that it rinses clean.

4. I always use conditioner. My favorite is Sebastian Collectives Moisture Base. It provides smoothness to the hair cuticle so that it is shiny and glossy, without weighing down my hair. Unfortunately Sebastian discontinued it. Why I have no idea, because it is both my daughters and my favorite conditioner. So I have to search around the internet to find someone who still has a stock of it, and I always wonder if it is counterfeit or gray market. So Sebastian–bring it back!

5. Then I dry my hair with Aquis Microfiber Long Lisse Hair Towel (18 x 44 inches). These towels “wick” the moisture from the hair so I don’t have to rub it dry. Rubbing the hair shaft roughs up the outside layer of the hair, the cuticle. When the cuticle is roughed up, the hair is more difficult to manage, and less shiny. This is the larger of their hair drying towels, and is wide and long enough that I can make a turban, tuck it in, and it stays tucked. I leave it on about 10 minutes and my hair is still damp but not soaked and that cuts drying time.

5. I always use a styling product to reduce waviness and smooth the style. I use Paul Mitchell Super Sculpt Styling Glaze.

6. Then I comb with a large, widely spaced comb that has tiny nylon balls at the tips to reduce breakage.

7. I try to mainly air dry my hair so it is smoother, and finish with a hair dryer. I really should use it on medium heat and use a brush to smooth it, but I hate drying my hair so I usually blast it on high which then makes it less glossy and smooth. I don’t dry it around a brush because I don’t pay attention and the brush gets all tangled in the hair and then I get frustrated and rip it out. Oh well.

8. Once a year or so I will straighten it with a straightener and it looks great.  But again, I am too lazy to do it every day. Oh well, again.

9. I have a Mason-Pearson Pure Boar Bristle Brush. This English company has been making brushes since 1885 and Mason-Pearson brushes are considered the best. Their boar bristle brush is best for fine hair, their boar bristle and nylon brush is best for medium hair, and their nylon brush is best for thick hair. They last forever, I have had mine at least 15 years. That is good because it costs $170. It distributes the sebum (oil) from your scalp to the end of the hair which increases shine, and it doesn’t break off hair.

10. Then I spray a gloss product on top to give a little extra shine. You can use either a spray or rub in, but the spray doesn’t weigh hair down. I use different ones, usually whatever I find at a beauty supply or Sally’s.

11. Then I pull it back into a ponytail. And here is where the scavenger hunt comes into play. I can only use Goody Gentle Ponytailers. They are the terry ponytail holders that 6 year old girls wear. Not the tiny ones for pigtails, but for ponytails. I used to be able to find them but now I can’t and I am down to red and orange, my two least favorite colors. I need black for work. I have tried hundreds of other styles, ordered the cheap ones off EBay, but they all give me a headache within 10 minutes. They have to be Goody Gentle Ponytailers. So if you find them, let me know. Don’t buy them, just let me know. If they are the kind I need, you will win your choice of a free Dr Elaine’s skin care product. And if you see me wearing one with My Little Pony attached, don’t make fun of me.

So that is how this lazy cosmetic dermatologist takes care of her hair. Kind of.

A big issue for a lot of women, and for me personally, is thinning hair over time. There are multiple causes of hair loss in women, and the cause is often complex. For men, most hair loss is male pattern baldness and a less complex issue. That is a big topic, and we will talk about the causes and treatment of hair loss another day.

Next: something I do care about and actually do pretty well–skin care !!

 

 

 

 

I don’t have bad hair days,
I have a bad hair life

Posted by: Dr Elaine

(4)comments

dermatologist bad hair

I don’t have bad hair days, I have a bad hair life

I need to say upfront–I have horrible hair. My hair is thin, and fine and as I get older, it gets thinner. Now if only the rest of me would too. And I hate to spend time taking care of my hair, because it doesn’t seem to help, and then the next day, I have to do it all over again. But most of all, I can’t stand to have it down around my face, it bugs me to death. So every day, for the past many years, I put it in a ponytail to get it off my face and quit bugging me. Except when I get disgusted and cut it all off short. Which I like, but then I have to do something to it in the morning, like wash and dry it so it doesn’t just lay there smushed around my head like a damp dishrag. Of course, very short hair looks best when you have a very thin body underneath it, so you don’t look like a pinhead. So I wear it a little below my shoulders and pull it back. And I am very, very, very picky about which ponytail holders I use. Because there is only one kind that doesn’t give me a headache.

Also, in my mind, I think I am a blonde. When I was a child, I was a toe head–very blonde. Like every woman I know who was blonde as a child, I think I am a blonde now. Except that I am not. In junior high, as my hair darkened, I started lightening it. First with “Sun-In”. Some of you of a certain age may remember Sun-In. You sprayed it on and went outside and miracle of miracles, your hair lightened. Lemon juice you say? No, lemon juice did nothing for me. Anyway my hair got blonder and blonder. Then I started with some sort of bleach that my wonderful mother would apply to my roots every two weeks. No, it was not her idea. She did it because that is what her little angel asked her to do. She would section my hair all over in about 20 pigtails crimped with aluminum foil and apply the bleach to the roots. I looked like a low rent alien girl, not at all like Barbarella. My hair got lighter and lighter because we were bleaching over previously bleached hair. By the end of high school, I was a platinum blonde, with long hair down to my waist. And I loved it. I was smokin’ hot. Of course, I was 5′ 9″ and 115 pounds back then. The downside of that is that I was also a 32 AAA, and that is being generous.

That was the late sixties, early seventies. Every single girl I knew (we were girls back then, not “young women”) had long hair, parted in the center. Everyone else was sleeping on juice cans, or those horrible, horrible, brush rollers. And drying their hair with a portable hair dryer with a plastic cap or hard hemispherical hood. There were no blow dryers, curling irons, or flat irons. Hot rollers came later. But not me. I refused. Sleeping on a bunch of juice cans, or those rollers with brush bristles and those ghastly little plastic picks holding them in place? No. Although I am certain my hair would have looked much better if I had sucked it up and rolled it.

Over the years I have had it very long and white blonde, long and natural brown, shoulder length brown with Cleopatra style bangs, permed and highlighted (it was the 80′s so cut me some slack) and very short and bleached almost white. But at no time, would I do much in the way of curling or styling it. I just don’t have the patience. I read about women, and have had friends who would spend 40 minutes in the morning with hot rollers, or a curling iron fixing their hair. And I am sure they look lovely. But again, no. I would rather sleep in.

What I really want, and will never have, is that beautiful silver white hair that people who start with blue black hair gray to over time. The only people who get that are people who start out with black hair. Dishwater blonde-brown hair just grays to an unattractive yellowish brown. Oh well.

Also, unfortunately, male pattern baldness runs very heavily in my family. My paternal grandfather, maternal uncle, and my brother (sorry Neal, I love you but it’s true) were all completely bald by 30. Male pattern baldness is often genetically determined, and females in families with male pattern baldness are often at risk. I have always thought it very strange, and wonder why, when on the rest of the body, male hormone causes hair growth, but in men with male pattern baldness, exactly the opposite occurs, male hormone causes a pattern of hair loss specifically patterned on the scalp. But wonder though I may, this means that genetically, I am at risk for female pattern baldness. Luckily for us, female pattern baldness is almost never as severe as male pattern baldness, because there is less hormonal effect. In women it usually starts later, and the precipitating factor is often a male hormone predominant birth control method, loss of estrogen around menopause, or women taking testosterone supplements for libido. Say what you will about estrogen, it does help protect against female pattern hair loss. So I have always been careful with choice of birth control, and have mixed feelings about the estrogen-testosterone supplements that women my age often take to increase libido. It is harder for a women to feel sexy if she is bald, and growing a beard.

So I have bad hair, and I am too lazy to do much about it. But next I will tell you what hair care products this cosmetic dermatologist does use. And I have a scavenger hunt for you–with a special prize if you win.

 

A baker’s dozen: care for your nails like a female skin doctor

Posted by: Dr Elaine

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care for your nails like a female skin doctor

A Baker’s Dozen–Care for your nails like a female skin doctor

This is my list of the favorite things a cosmetic dermatologist uses on her nails, hands and feet. I get the nail products at a beauty supply store, the rest at either Walgreen’s, online, or from my own skin care line.

1. Antoine de Paris #515 Nail Pusher (#5 pusher and #15 scoop combo tool) $25.00–the rounded end pushes the cuticles back and the scoop (looks like a tiny spoon) cleans under the free edge of the nails. I like the #15 scoop because the edges of the scoop are sharp enough to actually scrape the debris free so it can be removed. One (of many) of my pet peeves is dirt under fingernails.

2. Cobalt-Inox #12 Stainless Steel Box Joint Cuticle Nippers 1/4″ jaw (3 mm)–$25.00 One area where you need to buy more expensive, quality products is nail clippers and cuticle nippers. I always buy all my nail instruments from Antoine de Paris. They are high quality stainless steel, the hinge mechanism is crisp, the edges are sharp and remain sharp so cuticles can be clipped close, and cleanly. Too many other cuticle nippers just basically pull the cuticle off and then it gets inflamed. Since I pick at my cuticles if they are even the tiniest bit ragged, I want them clipped cleanly. And they last forever so I think their instruments are fairly priced.

No, I don’t get any compensation from them for recommendations. No one pays me anything for my online opinions and why is that I want to know?

3. Diamond Deb Nail File–$who knows? I have had mine for at least 15 years. They last forever, and have a medium and smooth side. It is very important to not use an emery board, or metal file that is coarse. Many of them are, and they fray the edge of the nail. Yes, they are quicker if you want to really shorten a nail, but you are better off clipping it then filing it smooth with a fine file.

Caveat: I have heard rumors on the internet that the new Diamond Deb files are a lower quality and more coarse, though you will be shocked to hear you can’t always believe everything you hear on the internet.

4. SFT Foam File–Fine and X-fine–$1.98 ea–I also use foam files, usually to smooth the free edge. But here is my pet peeve #2–Stop putting your brand name in embossed smooth, non-filing letters all the way down the file! I want to file my nails not have to try to find an area that actually has a filing surface

5. STN Foam Block–Blue-Fine and Extra Fine–$0.94 each–To smooth the longitudinal ridges and the free edge. As we age, we invariably get some ridging. To smooth it, buff the top of the nail side to side and lengthwise. Be careful, if you start to see white streaks and white areas at the end of the nail right before the free white tip, you are doing it too much and the heat from friction is separating the nail from the nail bed. You will get white discoloration and the thinner nail will split and crack more easily.

6. Pedi Egg–$9.99 The sides and bottom of the feet, and the heels often get thickened, scaly, split and gross. The biggest culprit causing this is wearing sandals, flip-flops, thongs (the mentionable kind), slip-ons and shoes with a heel strap rather than a full back. All of these repeatedly slap the bottom of the foot, the heels particularly. A callus-like reaction occurs to protect the skin, and you get those ghastly heels just when you want to have pretty feet. The sharp scraping blade side of the Pedi-Egg removes the bulk of the dead skin, and the sandpaper side smoothes the rest. Be sure to buy replacement blades and the sandpaper as they do get dull pretty easily. Don’t use this if you are diabetic.

7. Stickey Base Coat–by Creative Nail Designs (now CND)–$8.00 This green base coat really holds the polish to the nail plate. And while I am at it, if you go to a salon for a manicure, make sure they let you scrub your nails with a brush, soap and water after they do the lotion massage and that they wipe any lotion/soap residue off the nail with alcohol before they apply the base coat. Pet peeve # 3 (of the day, I have more) is when the nail tech, especially at the more expensive salons, tries to tell me that I don’t need to scrub the nails to remove the lotion, she will just wipe them with alcohol or acetone. Uh, no–the polish then starts peeling off before morning.

8. Essie Nail Polish–Walk Down the Aisle (a sheer white) $8.00 Essie polish is my favorite, it stays on the best and resists chips. I like a semi-opaque light polish with blue undertones to disguise the yellow discoloration of my nails. The more intense the color, the longer it takes to dry and my patience for protecting the polish as it dries is extremely limited. Light polish dries a lot quicker, chips don’t show as quickly, and it looks professional in a medical setting.

9. Essie Good to Go Top Coat–$9.98 Same as above, dries quickly, resists chips, doesn’t yellow.

10. Oops! Made by some company with the last name “Professional”–$??? Because my patience with polish drying time is very poor, I often smudge or crease the polish before it dries. I use this product, which comes with a brush just like polish, run a streak down the nail, and it miraculously becomes perfect again. Unfortunately I can’t find this anymore, whatever is in it has eaten the brand name right off the bottle. If anyone can find this, let me know. No, it is not Oops!J by Jolin Tsai which looks interesting for a shattered nail polish effect. I can chip my polish all by myself,  thank you.

11. Seche Base Ridge Filling Base Coat $9.98 When I don’t have time for polish to dry but want to cover the discoloration, and look a little more finished, I use this. I usually use one or two coats, no base or top coat. It is a sheer translucent pearly white and lasts pretty well.

12. Dr Elaine’s Restore Hands and Feet  $20.99 My orthopedic surgeon husband complains that his hands are always chapped, dry and cracking because of the surgical scrub. So to stop hearing about it, I developed Restore Hands and Feet cream. The cold-filleted Aloe Vera base, Comfrey and Cucumber reduce irritation and allow healing,  antioxidants Rosemary, Calendula and Chamomile protect skin cells from environmental free radical damage. Jojoba and Beeswax relieve dryness by repairing skin’s natural moisture barrier. It is not sticky, and it smells divine, something my husband does not complain about. I use this on my hands and feet every night.

13. Dr Elaine’s Perfecting Hand and Body Moisturizer–$36.99 12 oz I also use this every night on my feet. The Glycolic Acid really helps prevent and treat the ghastly heel syndrome and Aloe Vera, Jojoba, Glycerin, Comfrey and Evening Primrose Oil, soften and naturally repair extra dry skin. It soaks in and doesn’t feel sticky and you can put Perfecting Hand and Body Moisturizer on, put your sandals on and go out.

Bonus 14. Ureacin-20 Crème $26.99 When I have been lazy and not used my Perfecting Hand and Body Moisturizer, and my heels are really horrible, I use Ureacin-20 Crème. It has 20% Urea to dissolve calloused skin, glycerin to restore moisture, mineral oil and lactic acid to restore softness. It works, but it leaves a white, sometimes flaky residue on the skin so use it at night before bed, not when you actually want your feet to look pretty.

If you find the original Oops! or have feedback on the new Diamond Deb nail file–please post it.

Next: Care for your hair like a female skin doctor