A Family, Beauty, Health and Lifestyle Blog
Unless you have been living under a rock, you know that smoking, not wearing sunscreen and going to bed with your makeup on hardly produces the coveted look of Instagram’s “glass skin.” Aside from these three ‘skin sins’ there are many others that are not so obvious. We turned to Denver Board-Certified Plastic Surgeon Dr. Manish Shah who is a big believer in pre-juvenation and a holistic approach to youth.
“Many people think caring for your skin is skin-deep,” quips Dr. Shah. “It is not.“ Inconsistent or inadequate nutrition that has your body mass and weight moving in a yo-yo motion up and down the scale can contribute to ruined elasticity and reduced collagen in the skin. This is part of the reason why specialists will recommend a two-pound maximum weight loss goal per week because your skin needs time to adapt to the loss of mass. Dr. Shah explains that the skin needs to be nourished from the inside as well and many of the trend diets like keto and paleo focus on one group of food and though it can help keep a caloric deficit, it can also create a deficit of the necessary vitamins and minerals you need to keep your skin looking healthy.
Drinking Too Much Coffee
“Excessive amounts of caffeine can increase the levels of insulin and cortisol in the system,” explains Dr. Shah. Insulin increases inflammation and cortisol is known as the stress hormone. This combination could mix up your sleeping habits and contribute to continued stress which can lead to sleep deprivation. “Sleep deprivation prevents that regenerative rest our skin and mind need to stay healthy.”
Neglecting the Skin Around Your Eyes
"The skin around your eyes is the thinnest and has very few oil glands," says Dr. Shah. Pamper your eyes and stave off signs of aging by choosing a daily eye cream that includes peptides. Dr. Shah explains, “They work to stimulate collagen production and prevent fine lines. Be sure to check the label.” Other notable ingredients that reduce puffiness, lines, wrinkles, and under eye circles are caffeine and nicotinic acid (a form of the B vitamin niacin).
Expecting Instant Results from Beauty Treatments
Most of us are guilty of trying a face cream or anti-aging treatment once or twice and then giving up on it before it has had a chance to work. A majority of anti-aging treatments take up to a month to begin showing positive effects. Dr. Shah explains, “This is due to the cycle of your skin, which undergoes a period of cellular structure renewal over a span of 30 days. In our instant gratification mode, we often toss a product before giving it time to work.”
Taking Medications With Side-Effects on the Skin
Certain medications like corticosteroids for asthma and arthritis cause the skin to thin and weakens blood vessels. Medicine to treat seizures can cause heightened sensitivity to sun damage in the skin which is a common perpetrator in premature aging. Blood pressure medications that block calcium channels have been studied in relation to their inhibition of collagen production by obstructing the absorption of vitamin C by the cells. Vitamin C is an important part of collagen production. “If these medications are being prescribed to you by your physician then the benefits outweigh their effect on collagen production. There is no need to stress over this, as long as you take care of your skin in other ways you should be fine,” explains Dr. Shah.
Consuming Excessive Amounts of Salt
“By all measures, an excess of salt in your diet is detrimental to your kidneys, your cardiovascular health and, yes, your skin,” says Dr. Shah. Salt absorbs moisture and it can aid in making your skin look dry and less vibrant. Reducing your sodium intake and sticking to a moisturizing routine should help your skin stay healthy and smooth.
Every time you move that beautiful face, your skin wrinkles a little bit. Most of the time your face bounces back and those little wrinkles disappear once new skin cells grow.
While you may think that soap is your skin’s best friend, this is actually not the case. The reason for this is that your skin has an acid mantle which is a natural protective barrier of the skin. When you wash with soap – which is generally alkaline – it can remove this protective layer of oils and dry out the skin, eventually leading to wrinkles. Dr. Shah says that “While it is not advisable to stop washing entirely, try swapping the soap for a PH-neutral and chemical-free cleanser, and bear in mind that there is such a thing as over-cleansing your skin.”
Tugging on Your Skin While Applying or Removing Makeup
To minimize the damage to the skin around your eyes, follow these quick tips from Dr. Shah:
Use your ring finger to pat on products around your eyes, including serums, oils, moisturizers, and concealers. Your ring finger is the least likely to pull or tug at your skin.
Apply eyeliner and eyeshadow by gently closing your eyelids, rather than by pulling them taut. If you’re struggling to apply without pulling, consider investing in products that are made to apply smoothly, like cream or gel formulas.
Have patience when removing makeup from the eye area. Use cotton or another soft product, coated well with your favorite makeup removing solution. Hold the cotton over your closed eye without wiping, allowing the product to break down the makeup. After a minute or so, wipe gently to remove the makeup.
Picking Your Skin
You're not a dermatologist or licensed aesthetician. You should not be picking at your pimples, ingrown hairs, or anywhere else on your face. It's one of the biggest assaults against your skin and can have permanent effects. "The more people press and manipulate blemishes, the more inflammation they create underneath," explains Dr. Shah. "The result is scars, pockmarks, and discoloration that can become permanent.”
Licking Your Lips Constantly
There's a myth out there that claims people can get addicted to lip balm. "These people just have dry skin and miss the feeling of the balm when it's gone," says Dr. Shah. Lip licking can become a bad habit. But when you moisten your lips that way, you actually wind up making things worse. The water in your saliva evaporates, leaving lips dry and cracked. "Saliva can contain bacteria and irritants, so you can end up with a rash around the lips as well," says Dr. Shah. Try a lip balm such as Burt's Bees 100% Natural Moisturizing Lip Balm, Original Beeswax with Vitamin E & Peppermint Oil.
About Dr. Manish Shah:
Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who has undergone formal post-graduate training in aesthetic surgery. www.drmanishshah.com
Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.
Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!
Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center. He maintains a private practice in Aesthetic Plastic Surgery in the Cherry Creek neighborhood of Denver.
Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery.
Dr. Shah is board-certified by the American Board of Plastic Surgery.
VERY SUPRISING USES FOR BOTOX THAT HAVE NOTHING TO DO WITH FOREHEAD WRINKLES
When most people think of Botox the first thing that usually comes to mind is wrinkle reduction. Indeed, Botox is the world’s most popular treatment for eradicating wrinkles and fine lines. The toxin is specifically FDA approved for treating frown lines between the eyebrows (glabellar lines) and lines around the eyes (crow’s feet). In addition to being the gold standard for wrinkle reduction, Botox can also be used to treat a variety of issues, both cosmetic and non-cosmetic.
Dr. Stanley Poulos is a San Francisco area board certified plastic surgeon. He provides a list of conditions that Botox has been used to treat.
Botox can curb oil production, reducing breakouts. "To totally treat acne, you'd need to use doses of Botox so large they'd prevent you from constricting your facial muscles," says Dr. Poulos. "But tiny amounts of Botox injected very superficially help reduce oil production, and you can still have facial expressions." Though he'd recommend it for almost any patient struggling with acne, Poulos would likely advise trying another dermatologist-prescribed treatment, like spironolactone or birth control pills, first. And though it can technically be used to quell oil production anywhere on the face, he cautions against using it all over because of potential effects on muscular activity (a.k.a. frozen face). The most effective and common area for using Botox to curb oil production, he says, is the forehead.
Gummy smile (not FDA approved)
A "gummy" smile, one that's characterized by a smile that shows too much of the gums, usually results from "excessive lip elevation" when the upper lip rises too far above the upper teeth when smiling. Injecting Botox into the upper lip weakens the upper lip's retractor muscles so that it won't raise as high and your smile will seem better-balanced. It can be done in about five minutes. Usually lasts for four to six months. Costs range from $200-$300. Dr. Poulos says, "This technique is not for the novice Botox injector. Too much, and your lip won’t raise enough, too little and you will need more, or if injected asymmetrically, you might have a funny asymmetrical smile."
Overactive bladder problems affect up to 20% of women over 40. For severe cases where medications do not provide complete relief, Botox injections into the bladder wall may provide relief lasting about 6 months.
Psoriasis Psoriasis is uncomfortable, itchy, and not exactly easy on the eyes. Luckily, this flaky skin condition could be a thing of the past thanks to Botox. Though psoriasis is technically incurable, Botox minimizes the activity of inflammatory cells that bring on outbreaks.
For those who suffer from excessive sweating, however, summer isn’t always the sunniest time of the year. Thankfully, Botox could be a saving grace for those attempting to manage this condition, which is officially known as axillary hyperhidrosis. Studies show that just a handful of injections can reduce underarm sweat for up to TWO years. Um, where do we sign up?
The benefits of Botox® may be more than skin deep; two recent studies suggest that it may help alleviate the symptoms of depression. In a study published in the May 2014 issue of the Journal of Psychiatric Research, more than half of participants who had moderate-to-severe depression showed a substantial improvement in depressive symptoms following one injection of Botox® between the brows. This improvement lasts longer than the cosmetic effects, suggesting that the effect may be more than just feeling better about your appearance. Botox® is not approved to treat depression.
Injections of Botox® were used to control involuntary muscle tension and spasms long before it became the go-to wrinkle buster. Dr. Poulos says that, “these neurotoxin injections may weaken the chewing muscles enough to reduce bruxism (teeth grinding) without affecting your ability to chew, talk and smile. Results last about four months. Botox® is not yet approved to treat bruxism.”
Botox® is approved by the FDA to treat chronic migraine headaches in adults who have 15 or more headache-days a month, each lasting four hours or more. Studies that led to this indication show that BOTOX®® prevents up to nine headache-days a month (vs seven for dummy injections). Other research hints that the neurotoxin may also help with low cerebrospinal fluid headaches and cluster or "suicide" headaches.
Much like lines form over time, your brow may also drop or droop. Botox cosmetic treatments can also be used to improve the appearance of the brow. Dr. Poulos explains that, “weakening muscles that pull the lateral brow down while selectively leaving the brow elevators intact can give a subtle lift and gives the brow more stability. Lifting the brows in this way leaves you with a less tired and younger, fresher appearance.”
Jaw Reduction (off label use)
Botox can be used to perform jaw reduction (commonly called jaw line softening). Injecting Botox into the masseter muscle (the primary muscle used in chewing actions) reduces its overall size; transforming an overly square and masculine appearing jawline into a more feminine oval or heart shape.
About Dr. Stanley Poulos
Dr. Poulos is a Board Certified Plastic Surgeon and Co-Founder with Yngvar Hvistendahl, M.D of Plastic Surgery Specialists recognized as one of the premier aesthetic surgery clinics in Northern California.
Dr. Poulos helped pioneer the quick lift facial rejuvenation surgery in California and has extensive experience in body contour procedures. With over 30-years’ experience in aesthetic procedures, Dr. Poulos has been on the forefront of innovative procedures such as the quick-lift facial rejuvenation, mommy makeover, and vaser lipo-contouring. Dr. Poulos combines his consistent knowledge of new treatment options with his mastery of facial and body symmetry.
His recent focus has been on the gastric balloon, a groundbreaking, non-surgical, medically assisted, outpatient procedure offering weight loss to those seeking to lose between 30 and 75 pounds who may be ineligible for the more invasive gastric bypass surgery. This exciting new procedure allows patients to achieve optimal health and, when combined with exercise and proper nutrition, the results have been exceptional.
A graduate of the University of Texas Medical School, Dr. Poulos completed his internship and residency at UC San Francisco. He completedsurgery and plastic surgery training in San Francisco prior to entering private practice in Marin County where he co-founded PSS (www.psspecialists.com )