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Archive for the ‘Uncategorized’ Category

Do Sunscreens Accelerate Cancer?

Wednesday, May 26th, 2010

This week, the Environment Working Group (EWG) released their annual report, and found that only 39 of 500 sunscreen products examined were considered safe and effective to use. The report cites several problems with sunscreens, namely:

  1. High SPF sunscreen products are often meaningless and dangerous.
  2. The chemical sunscreen, Oxybenzone, can penetrate the skin and may disrupt the body’s hormone systems.
  3. Vitamin A (retinol) and retinyl palmitate in sunscreen products may accelerate skin cancer

Higher SPFs Do Not Necessarily Mean Better Protection

This is a statement I have been explaining to patients for the past 25 years. However, it seems every summer, I see higher and higher SPF products on drugstore shelves, and I constantly have to educate patients that higher SPF numbers, such as SPF 45, 80 and 100, are often meaningless and dangerous because it gives people a false sense of security, or a license to stay out longer in the sun.

The new EWG report states, “People don’t get the high SPF they pay for. We apply about a quarter of the recommended amount. So in everyday practice, a product labeled SPF 100 really performs like SPF 3.2, an SPF 30 rating equates to a 2.3 and an SPF 15 translates to 2.”

In 2007, the FDA published proposed regulations that would prohibit manufacturers from labeling sunscreens with high SPFs because it would be “inherently misleading,” given that “there is no assurance that the specific values themselves are in fact truthful.”

In the end, stick with the basics: At least 30 minutes before going outdoors, apply sunscreen. The correct amount to use is approximately 1 oz (a shot glass full) of sunscreen for your face, neck, chest and arms. Apply more sunscreen for if other parts of your body are exposed, such as your back, legs and stomach. Also wear a wide brim hat and sunglasses that cover your entire orbital region. Remember to reapply sunscreen every 2 to 3 hours.

Oxybenzone Can Disrupt Body’s Hormone Systems

There are two groups of sunscreens: Chemical and Physical. Ingredients such as Oxybenzone and Avobenzone are chemical sunscreens, while Titanium Dioxide and Zinc Oxide are physical sunscreens.

Researchers have found that Oxybenzone (from the Benzophenone group of chemical sunscreens) can penetrate the skin and may disrupt the body’s hormone systems.  Physical sunscreens have proven to be more effective in blocking UVA and UVB rays, namely because they are actually physical particles that sit on the surface of your skin and deflect light away.  However, there is new cosmetic trend which tries to incorporate nanotechnology in skincare formulas.  A growing number of researchers believe that in particular, “nanosized” titanium dioxide may have serious health implications.

IMPORTANT NOTE: There is NO Oxybenzone in the kaplanMD Day Cream SPF 15 or LIP 20 Treatment.

The kaplanMD Day Cream SPF 15 contains 4.7% Titanium Dioxide, which is micronized (Not Nano-Sized) to give you optimal protection without leaving a messy white residue.

In addition, the kaplanMD LIP 20 Treatment with SPF 20 uses sunscreens: Octinoxate, Octisalate, and Octocrylene.

Vitamin A In Sunscreen Formulations Can Accelerate Skin Cancer Tumors

There are numerous sunscreen products that include Vitamin A, otherwise known as Retinol or Retinyl Palmitate, in their products for anti-aging benefits. However, EWG researchers found the initial findings of an FDA study of vitamin A’s photocarcinogenic properties, meaning the possibility that it results in cancerous tumors when used on skin exposed to sunlight.

“In that yearlong study, tumors and lesions developed up to 21 percent faster in lab animals coated in a vitamin A-laced cream than animals treated with a vitamin-free cream,” the report said.

The conclusion came from EWG’s analysis of initial findings released last fall by the FDA and the National Toxicology Program, the federal government’s principle evaluator of substances that raise public health concerns.

There is currently controversy on why the FDA did not caution consumers against the use of Vitamin A in sunscreens when it appears there was enough evidence 10 years ago.

IMPORTANT NOTE: There is NO Vitamin A (retinol or retinyl palmitate) in the kaplanMD Day Cream SPF 15 or kaplanMD LIP 20 Treatment.

A Guide to Cosmetic Ingredients - Part 1

Monday, April 19th, 2010

It seems a hot new skincare ingredient is touted in the news almost daily. This is overwhelming for both the public and medical and esthetic professionals. We are literally surrounded by a sea of literature, and we need to educate ourselves so we can best separate the substance from the hype. As more and more of my patients bring in bags of different products to ask my advice on which ones they should use, I wanted to write a series of articles here to help people understand cosmetic ingredients.

Defining Cosmetic Chemistry

Cosmetic ingredients can be divided into categories of activity: cleanse, repair, protect and nourish. Ingredients are then evaluated by how well they perform these tasks, and what level of performance they achieve.

Cleanse
In the cleansing category, you have your Cleansers and Toners. Cleansing is a critical step in a skin care routine. The function of a cleanser is to remove surface debris and makeup without causing any destruction to the delicate acid mantle of the skin. Harsh surfactants that rest at a pH of alkaline (8 to 9+) used daily will disrupt the acid mantle. It is best to use an acidic cleanser so the skin can rebalance itself to a normal pH, between 4.5 and 5.5. Reputable cleansers are in the acid range and can be easily tested by putting a drop on the forearm and dipping a simple pH pencil or litmus paper into the product.

I recommend non-foaming cleansing lotions, as the ingredients make maximum contact with the skin and gently, yet effectively, remove dirt and build up. Foaming cleansers tend to overstrip the skin of its natural oils, causing excess sebum production or irritation. However, if you must use a foaming cleanser, use one with low-foaming surfactants.

Toners work to refine skin texture, lift off any residual impurities, and in some cases, tighten pores. Avoid ones that contain high concentrations of alcohol as they will unnecessarily dry and irritate the skin. Instead, look for bases of witch hazel or purified water.

Proper cleansing and toning of the skin leaves your face clean, pH-balanced and receptive to the next step of your routine, and depending on the time of day, it could be Protecting, Moisturizing or Repairing.

Protect
Always, always, always wear sunscreen. Even on overcast days, 80% of ultraviolet light still filter thru the clouds. An SPF 15 is adequate for normal everyday wear. However, look for higher SPFs if you will be outdoors for longer periods of time playing sports, spending time at the beach, exercising, etc. Physical sunscreens, such as titanium dioxide and zinc oxide work far better in protecting against UVA and UVB rays than chemical sunscreens. Also, a great ingredient to look for in your daily moisturizer is SmartVector UV. This is a patented ingredient that activates the sunscreen once you are exposed to UV light. Since sunscreens begin to decompose the second they touch your skin, SmartVector UV keeps the product intact until you are physically exposed to sunlight. For many of my patients, they start their skincare routine early morning, but don’t go outside until the afternoon to grab lunch or run errands. For SPF moisturizers that contain SmartVector UV (try kaplanMD Day Cream SPF 15), they activate once you go outside, giving you longer- lasting sun protection.

In addition to an SPF moisturizer, also wear wide brim hats, long sleeve shirts, and sunglasses that cover the entire orbital region. Remember to apply SPF on the tops of your ears, back of your neck, back of your hands and décolleté. I see too much sun damage, and non-melanoma skin cancers, in these areas.

Repair
In the repair category, you find your antioxidants, vitamins and peptides. The best vehicle to deliver reparative ingredients is the Serum. Unlike creams, serums come in a variety of viscous, semi-clear liquids. The best serums have a sodium hyaluronate (hyaluronic acid) base, which can more effectively disburse peptides* and antioxidants into the skin (See kaplanMD Perfecting Serum). Whether incorporating a serum into a day or night time regimen, allow 30 to 60 seconds for absorption before applying another cream or makeup foundation.

Also, since the skin loses the most water during the night, evening is the best time for intense hydration, skin repair and rejuvenation. Night creams usually contain the most variety of anti-aging ingredients because the cream stays on your skin for the maximum amount of uninterrupted time. Good night creams at a minimum should contain reparative agents such as vitamin A (retinol), Vitamin C, and at least 1 peptide to promote cell repair and turnover.

*Part 2 of this series will list critical peptides, antioxidant and moisturizers.

Nourish
Ingredients in the repair category work to replace nutrients, boost cell renewal, or fight free-radical damage. Nourishing ingredients on the other hand work to hydrate and lubricate the skin. Obviously, the more categories each of your skincare products can fit into, the better for your skin. In other words, look for products that have an all-in-one approach where they combine multiple categories into each product. For example, a Day Cream that moisturizes, protects AND has anti-wrinkle ingredients. This allows more active ingredients to effectively penetrate your skin without a lot of filler material blocking their path.

Nourishing, moisturizing ingredients* range from simple oils like Shea Butter, Coconut Oil and Squalane to more exotic and complex ingredients, such as Acai, Seabuckthorn, Marine Collagen Spheres and Hawaiian Algae. It is hard to suggest the best moisturizer because you need to factor in how dry a person’s skin is and what other categories are being included in the moisturizer. The best suggestion in finding the right moisturizer is to try the product first. This will help ensure there is no irritation, and there is adequate hydration without a heavy, greasy after feel.

*Part 2 of this series will list critical peptides, antioxidant and moisturizers.

Defining Your Skincare Regimen

Monday, April 5th, 2010
skincare regimen

First, decide your skincare goal ~ whether you are looking to prevent acne, balance skin tone, or start a preventative regimen to fight skin aging, it is important to define what type of results you want.

Second, select skincare products that contain ingredients designed to help treat your specific skincare goal. Remember, ingredients alone do not make a good skin care cream. Formulation and concentration of those ingredients are key in providing results.

As an aside, keep in mind that one “star” ingredient cannot make a quality skin care product. The most effective formulations combine multiple patented ingredients so you get widespread benefits with minimal side effects. Quality skincare formulations should meet 4 criteria for competence:

  1. The careful selection of the right ingredients
  2. Key ingredients are in the effective concentration
  3. Formula is blended into a stable, physiologically compatible formulation (texture and absorption)
  4. Contains a delivery system that gets functional actives to the right place at the right time.

And the third step in defining your skincare regimen is establishing a skincare routine. Don’t make it too difficult or inconvenient. Choose products that fit into a routine that mirrors your lifestyle. For example, if you barely have enough time in the morning to wash your face, don’t pick a product line that has 2-3 steps for cleansing.

 
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