Posts Tagged ‘best of both worlds’
Rosacea is a vascular disorder that affects facial skin and eyes, causing facial redness, inflammation, broken blood vessels and red bumps known as inflammatory papules. Rosacea is a progressive disorder beginning with mild symptoms, and if left untreated can become severe. Rosacea treatment should begin as soon as possible to slow the progression, with an emphasis on treating the underlying vascular disorder. With continued treatment and avoidance of rosacea triggers, suffers can control their symptoms and slow or prevent further progression.
This post is intended for informational purposes only. Only a Doctor can diagnose rosacea, if you suspect you have rosacea you should consult with a physician, as facial flushing can be a sign of other systemic disorders. If you do have rosacea it is a good idea to begin a rosacea diary to track your specific triggers. Begin treatment as soon as possible to control your rosacea and do your best to avoid triggers.
Rosacea Stages: The progressing of symptoms
Pre-rosacea is characterized by frequent, temporary bouts of flushing and blushing. Facial redness disappears immediately after the trigger is over.
Mild rosacea is characterized by flushing and redness that lasts for an abnormally long time after trigger is over (half hour or more). Broken blood vessels (telangiectasia) may be present and skin may be sensitive to products.
Moderate rosacea is characterized by facial redness that last days or even weeks. The nose and cheeks may have a semi-permanent redness, causing a sunburned appearance. Swelling, burning, broken blood vessels, and inflammatory papules may be present. Some people may experience eye symptoms such as irritation, dryness, crusting, sensitivity to light, swelling of the eyelids, and a feeling of a foreign body in the eye.
Severe rosacea is characterized by severe flushing, inflammation, burning and swelling. Inflammatory papuals, pustules and nodules may develop. Rosacea that progresses to this point can be painful. In some cases rhinophyma may develop, this is a bulbous enlargement of the nose.
Function and Structure of normal blood vessels in facial skin
Blood vessels deliver oxygen and nutrients to the skin, as well as remove waste generated from skin cells. It is important to understand that blood vessels help regulate internal body temperature. When the body internal tempeture is high, blood flow will increase through the vessel to release heat from at the skins surface.
Vessels are made up of several layers, each of which serves a specific purpose. When discussing rosacea, we are most concerned with the middle layer which is composed of vascular smooth muscle cells, and the inner layer which is composed of endothelial cells.
The smooth cells, or the muscular layer of blood vessels serve to control blood flow through dilation and constriction. When the muscular layer contracts the blood vessel will become more narrow and decrease blood flow through the facial skin. The constriction of these vessels will cause the skin to be less red. When the muscle relaxes, the blood vessel dilates or becomes wider which will increase blood flow through the skin. The dilation of facial blood vessels will cause the skin to be more red.
The endothelial cells line the inside wall of blood vessels and release potent dilator substances. When these dilators are released they diffuse to the smooth muscles cells and cause the vascular muscle to relax or dilate. When the vessel dilates, blood flow to the skin increases causing flushing and redness.
Function and Structure of Rosacea Blood Vessels
Rosacea is primarily a facial vascular disorder in which blood vessels are functionally and structurally abnormal.
With rosacea there are functional changes that take place in vessels. The blood vessels in facial skin become hyper-responsive to internal and external stimuli. Vessels may dilate to a substance that normal blood vessels would not respond to. They may also dilate or open more widely than normal blood vessels, and stay open for an abnormally long time.
The structural changes of facial blood vessels, lead to the progression of rosacea.
– Blood vessels may become permantly dilated, this is known as telangiectasia or broken blood vessels
– The muscular layer of the vessels may be thin and damaged.
– The (endothelial cells) inner layer of vessels may be damaged and dysfunctional
– There may be an abnormal growth of new vessels
– Blood vessels may be closer to the surface of the skin
– Vessels may fuse together forming abnormally large vessels that can carry large vollumes of blood to the surface of the skin
Heat will cause blood vessels to dilate, allowing more blood to flow to the surface of the skin and causing facial flushing. Heat from both external and internal factors will cause facial flushing. In rosacea skin this reaction is exaggerated.
Although cold temperatures initially cause blood vessels to constrict, over an extended time the skin cells can become deprived from oxygen and nutrients, which can trigger the release of potent dilators. Flushing caused by cold temperatures are influenced by the how cold and for how long skin is exposed to the cold factor. For example cool air will cause less constriction than cold air and would not deprive skin of oxygen and nutrients in the same way cold air does. Cool air will not cause flushing, but cold air may.
Facial nerves play a major role in rosacea flushing. Many medical experts believe that rosacea is a neuro-vascular disorder, meaning that the facial nerves release dilators onto blood vessels which intern causes flushing.
Sympathetic nerves help regulate thermoregulatory flushing, this type of flushing helps reduce internal body temperature and serves to protect the brain from heat. If the internal body temperature is to high, the brain activates sympathetic nerves, which release neurotransmitter substances on to blood vessels, telling them to dilate and causing flushing.
Consumeing hot beverages and food, as well as exercise can activate sympathetic nerves. Even emotional stress, anger and embarrassment can trigger these nerves.
Parasympathetic nerves are partially responsible for flushing caused by certain foods, crying, facial movement, and even facial pain. It is important to note that even mild foods can cause flushing, and each person may find they respond to different triggers.
Sensory nerves release potent vascular dilators and are responsible for flushing caused by skin irritations, and environmental factors such as wind, heat and sun.
can penetrate the skin and activate sensory nerves, as well as creating heat in the skin causing facial flushing.
Clinical studies suggest that blood vessels are often the first structure encountered by free radicals and can be the hardest hit. Causing structural damage including weakening the vascular walls. In addition to the vascular damage, many free radicals are potent blood vessel dilators.
[ Read more about Free Radicals and Antioxidants]
Intense Pulsed Light (IPL) is used in photo-rejuvenation for the skin and hair removal treatments. Broad Band Light (BBL) is essentially the same thing as IPL and is used in the same way. Intense Pulsed Light (IPL) is not actually a laser. IPL emits a non coherent, broad spectrum light, rather than a monochromatic single wavelength like a laser. Basically lasers have one wavelength ( for example: 800nm) with a very specific target, and IPL uses a wide spectrum of wavelengths at the same time (for example: 500nm — 1200nm) that can target any chromophore in that range. You can think of the laser like a sniper that can precisely hit a single target with one shot, and IPL is like a grenade that hits several targets at once.
IPL uses special filters that block unwanted wavelengths. The filters can be changed to “cut off” the shorter wavelengths. The appropriate filter will depend on the depth of the intended target.
The cut off for the wavelength at the deeper end is predetermined, but can vary with each devise.
For example: Lumenis One has a wavelength of 515 – 1200nm,
and has 7 filters: 515, 560, 590,615, 640,695, and 755.
The 515 filter would block out wavelengths above and below 515nm – 1200nm, while the 560 filter would block out wavelengths above and below 560 -1200nm. The deeper wavelength, in this case 1200nm remains the same, while the “cut-off” filter can be changed to block out specific shorter wavelengths.
Each devises may use different wavelengths.
Sciton BBl: 420 -1400nm
Lumenis One: 515-1200nm
iPulse 1200: 530 – 1200nm
LimeLight: 520 – 1100nm
Cynergy XPL: 560 -950nm
IPL is well absorbed by chromophores that have color such as melanin, hemoglobin. The concentration of a specific chromophore peaks at different depths in the skin. The filter used in treatment is decided based on the depth of a desired target and the color of skin. A deeper cut off filter would be used for hair removal, while a shallow filter would be used when treating vascular issues such as rosacea. It is important to remember that IPL targets color in the skin, so tanning must be avoided before treatment. Patients with darker skin should seek treatment from someone experienced in treating their skin type, to avoid complications. IPL treatments can provide beautiful results, but can also cause serious burns. It is the patients responsibility to choose an experienced professional, be honest about sun exposure and follow all pre and post treatment instructions.
No. 1 Pure Perfume by Clive Christian
You can find Clive Christian Fragrances at Neiman Marcus
Limited Edition Angel Mugler Show Superstar
$3,000. 14.2 fl. Oz. Eau de Parfum
Shown in the deluxe, limited edition bottle, adorned with elegant Swarovski® crystals, created in France by Brosse celebrated glassmakers. Available at Neiman Marcus.
Annick Goutal Perfume EAU D’hadrien
1,500 (3.4 oz bottle).
This fragrance is the creation of Annick Goutal an award-winning pianist. Shown in limited edition bottle. You can find Annick Goutal fragrances at Neiman Marcus.
Joy Baccarat Pure Parfum, Limited Edition
Only 50 limited-edition inscribed Baccarat Pure Parfum bottles are created each year for Jean Patou Joy. Available at Bergdorf Goodman, Neiman Marcus.
Jar Perfumes The Bolt of Lightening
$765 (1 oz).
Created by famous jeweler Joel Arthur Rosenthal, also known as JAR. Rosenthal also designed the bottle. JAR Perfumes can only be found at specific JAR boutiques ( Bergdorf Goodman in NYC and the exclusive JAR boutique is in Paris).
Guerlain 180 Year Collectors Set
18 iconic Guerlain fragrances, from Eau de Cologne Imperiale, composed for Empress Eugenie in 1853, to the House’s newest scent, Cruel Gardenia, created in 2008. Retails at Neiman Marcus
If you are like me, you probably love all the perfumed body products, like the products from Victoria’s Secret and Bath and Body Work. The fragrances are so lovely, especially when you layer the shower gel, lotion and body spray. Unfourtunatly, if you have dry skin, you may need to trade your favorite fragranced shower gel for a body wash better suited for dry skin.
When you are looking for a body wash for dry skin, look at the ingredients listed on the back label. Ingredients are listed from the greatest to least amount contained in the product. If the first two ingredients are water and sodium laurel sulfate, then that is what makes up most of your product. Sulfates are used in many cleansers and shampoos, they are detergents and help products to foam up. Unfortunately, they can dry the skin by stripping the protective lipids from the skins surface. However, products that use sulfates in combination with conditioning agents and emollients will help to prevent the skin from becoming too stripped. If you have dry skin, choose a body wash that has an emollient or moisturizer as the second and/or third ingredient. Look for ingredients like petrolatum, cocoa butter, jojoba butter, and natural oils. Most Cleansers will have some sulfates, the trick is to find a shower gel that has sulfates lower on the list of ingrediants. There are products that have sulfates as the third or fourth ingrediant.
Olay Body Wash plus Body Butter Ribbons
I like Olay Body Wash Plus Ribbons jojoba butter. Jojoba butter is a nice moisturizer and although it is half way through the list of ingredients, Petrolatum and Mineral Oil are in the top three ingredients before any sulfates.
Olay Total Effects 7-in-1 Advanced Anti Aging Body Wash
Water,Petrolatum and Mineral Oil are the top three ingredients before any sulfates. Olay Total effects contains niacinamide which helps to prevent skin from losing water, and also helps to stimulate circulation in the skin. Studies have shown that it also improves the appearance of wrinkles, skin discolorations and reduces redness and improves skin elasticity.
Aveeno Daily Moisturizing Body Wash
Natural oils and emollients, to help replenish skin’s natural moisture. It’s lightly fragranced, soap free, dye-free and hypoallergenic so it’s gentle enough for sensitive skin
Best of Both Worlds Az’s Stephanie and Kristy: by local artist Josh Keating
Josh Keating is a local Arizona artist that has been drawing since he could pick up a pencil to draw. He’s been professionally drawing caricatures for parties and events since 2003 and is still going strong today. He is currently featured in North Scottsdale Times as the artist of the month on page 35. He has three of his Napa Valley murals in the new wine bar at Fry’s Food on the corner of Shea and Tatum blvd. If you want to book Josh Keating to draw caricatures for your next party or event you can contact him at www.personalcartoonist.com or call him at 602.510.3689. Josh can also paint custom murals for your business, office, and childrens’ room.
There are many people that have embraced their freckles and love them, while others would prefer spotless skin.
Freckles are clusters of concentrated melanin, ranging in color from red, tan and brown. Some people have a genetic tendency to develop freckles, however sun exposure is the main cause of freckles. Freckles generally appear on sun-exposed areas, and will appear darker or more prominent after sun exposure. Ephelides is a freckle which is flat, light brown or red, and fades when protected from UV light. Ephelides are more common in those with light complexions. Liver spots (also known as sun spots and Lentigines) are freckles that develop after years of sun exposure, and are more prominent with age.
If You Want To Remove Freckles
The best way to remove freckles is to have a series of photofacial treatments, combined with bleaching creams containing 4% hydroquinone and tretinoin (Retin-A). A good UVA/UVB sunblock is also recommended, because UV exposure will make freckles more prominent.
Photafacial (Fotofacial) uses IPL (Intense Pulse Light) to treat skin discoloration, redness and broken capillaries. There generally isn’t any down time associated with IPL treatments, however pigmented spots will appear darker temporarily. After a photofacial any freckles or pigmented lesions will darken up and flake off. It can take up to two weeks for spots to flake off. The number of treatments needed will vary depending on the skin condition.
If You Like Your Freckles
If you are not concerned with removing freckles you can use lightening and brightening products. These products brighten the skin without removing freckles. Freckles will fade slightly, but will not go away.
OBAGI C-RX System
If you love your freckles, you may want to skip the Therapy Night Cream from this system. The Therapy Night cream has a 4% hydroquinone, which will further fade freckles and pigmentation. The Clarifying Serum also has a 4% hydroquinone, however this C- serum is only used in the morning and is not enough to eliminate freckles. The Clarifying Serum is great for anyone that wants brighten their skin tone, and still keep their freckles.
iS Clinical White Lightening Complex
Brightens and lightens skin with beneficial moisturizing properties. Utilizing an innovative blend of proprietary lightening ingredients and pharmaceutical-grade botanicals, this high performance formula exfoliates, reduces inflammation, and provides strong antioxidant protection.
White Lightening Complex will brighten the skin, and freckles will fade, but not go away completely.
To prevent freckles, you need to use a good sunblock. I recommend a UVA/ UVB sunblock with an SPF 30 or higher. I also recommend sunblocks with Zinc, because it is a broad band physical block. SPF only measure UVB protection, and even if a product is labeled to have UVA protection, it may not protect from the full UVA spectrum. Topical Vitamin C ( L- ascorbic acid) can also help prevent sun damage because it neutralizes UV radiation.