QUESTION 1: What helps with acne scarring?
ANSWER: When it comes to acne scarring, there are many options that can smooth out those scars, but they usually work best when used as part of a personalized treatment plan. Topical retinoids are key to use at home, as they help to rebuild the collagen especially in atrophic scars (ones that appear depressed or have a shadow). If scars are raised (so called hypertrophic scars), then cortisone shots can make a huge difference. For ice pick scars, and many types of rolling scars, I usually combine lasers with microneedling and fillers. I use lasers like the Fraxel laser to resurface the skin. Microneedling is amazing for acne scars as well. I can combine microneedling with your own plasma (the so-called Vampire Facial), or I can combine microneedling with radiofrequency energy (the Endymed Intensif). Last, chemical peels can also help to slowly even out the tone and textural changes associated with acne sequelae. (more…)
QUESTION 1: What helps with acne scarring?
All summer long, we eat blueberries. We even go blueberry picking as one of our favorite family traditions! Blueberries are loaded with antioxidants which fight free radicals to help protect your skin from premature aging! Plus, I have a serious sweet tooth, so fresh blueberries and a dash of toasted coconut really satisfy my sweet tooth without spiking my blood sugar.
Oatmeal, almond milk and coconut milk are all low in glycemic index, so they won’t trigger inflammation in your skin. It’s easy to find a blend of almond and coconut milk, just make sure it’s unsweetened! Some of these brands pack in the sugar, so you have a mistaken belief that you are drinking something very healthy. Check your labels, guys.
Chia seeds are rich in skin-healthy omega-3’s,and fiber to keep you full. Although chia seeds have some protein, I like to add a scoop of plant-based protein powder to ensure my skin, hair and nails are getting the building blocks they need.
I make a big batch of these on Sunday night and portion them into jars. That way, my family has grab-and-go breakfasts for the week. My daughter and I can’t get enough of them and I hope you love them too!
Blueberry Coconut Overnight Oats
1 cup rolled oats
1 tablespoon chia seeds
2 teaspoons maple syrup
¾ cup unsweetened almond milk
¼ cup coconut milk (you can also use an almond/coconut milk blend instead of separating them)
½ cup fresh or frozen blueberries, plus more for serving
1 scoop plant-based protein powder (vanilla or unflavored)
2 tablespoons unsweetened coconut, toasted
Mix all ingredients – except toasted coconut – in a small bowl. Portion into smaller mason jars and allow to sit overnight in the refrigerator. In the morning, stir everything together to make nice and creamy. Sprinkle each portion with toasted coconut, a pinch of cinnamon, and a handful of fresh blueberries.
There are so many popular myths about Melasma! I am here to help you get the FACTS you need to keep your Melasma under control.
FIRST, no lemon juice. If you google “home remedies for Melasma” you will find pages of home remedies listing lemon juice as one of the key ingredients. this is a MYTH!!! Do NOT use lemon juice on your Melasma! Citrus fruits can irritate the skin, which can make Melasma worse. AND lemons in particular actually make your skin much more vulnerable to the sun. I’ve seen these remedies make Melasma 10x worse in just 24 hours.
SECOND, no heat! Anything that causes too much heat or irritation in the skin can make Melasma worse! When it comes to Melasma, your doctor has to be gentle and you have to be patient. Trying to rush that process will only set you back. This means:
- NO Hot yoga
- NO saunas
- NO steam rooms
- NO sunbathing
- NO tanning salons
THIRD, what should you look for: look for serums, lotions and creams that contain Vitamin C, kojic acid, licorice, or soy. Those are brightening ingredients that have been shown to gently lighten Melasma patches over time.
FOURTH, sun protection!! This is critical to your Melasma treatment!
FIFTH: I wanted to share the regimen that I provided to Ginger to treat her Melasma for your ready reference:
- cleanse with a gentle cleanser (Purpose, Dove, Cetaphil all good) fingertips only
- pat dry using a clean towel
- put a few drops of SkinCeuticals CE Ferulic antioxidant serum into La Roche Posay sunscreen
- rub all over face and neck. CE ferulic has Vit C (skin brightener) AND acts as an antioxidant, neutralizing free radicals that are thought to trigger Melasma.
HAT– wear a hat when outside!!! I’m serious
I mixed a Melasma Emulsion for Ginger. Less is more to start. I recommended that she use it every other night for the dark areas ONLY. Key ingredients here are Hydroquinone (which acts to block the enzyme that makes melanin and is the MOST powerful depigmenting topical ingredient for Melasma) and Tretinoin (prescription strength vit A) which increases skin cell turnover, bringing the stained cells to the surface where they ultimately slough off.
Alternate nights: dr. brandt DNA Night Cream (loaded with antioxidants) or a gentle moisturizer like Cetaphil or CeraVe.
4 nights before each PEEL: STOP the Melasma emulsion.
Check out the segment right here:
Share your thoughts and questions about Melasma with me on social media! My handle is @drwhitneybowe on FB, TW, and IG!
I am so excited to share some of my favorite products with you! Several of the products I discuss below will be included in my giveaway to ONE lucky winner! Contest details below!!
At Home Chemical Peels:
As I discussed on Good Morning America, at home chemical peels – although less potent than in-office treatments – can still be very effective.
Two of the at home peels that I often recommend to my patients are NeoStrada’s Exuviance Performance Peel AP25 and Korres Wild Rose Vitamin C Petal Peel.
NeoStrada’s Exuviance Performance Peel AP25: this peel is at a 25% professional level and includes glycolic acid, mandelic acid, and gluconolactone which work to exfoliate and resurface the skin while preserving the skin’s elasticity. I find that this peel delivers smooth, healthy skin without causing irritation.
Where to Buy: http://www.neostrata.com
Korres Wild Rose Vitamin C Petal Peel: I like this peel as a more natural alternative to chemical peels. The first step is an aloe-based gel which cleanses and exfoliates the skin while soothing the skin. The second step is a brightening peel mask which contains natural pomegranate enzymes for additional exfoliation and resurfacing alongside wild rose oil which contains Vitamin C to brighten skin.
Where to Buy: http://www.sephora.com
Diet and the Skin
As I discussed on air this morning, it is scientifically proven that the food you eat has an impact upon your skin. In addition to the skin friendly food swaps that I discussed on Good Morning America, I also regularly recommend dr. brandt’s detoxifying anti-oxidant water booster goji-maqui.
Dr. Brandt Detoxifying Anti-Oxidant Water Booster Goji-Maqui: One dropper full of this antioxidant blend of superfoods Goji berry and Maqui berry contains 90% polyphenols equal to 15 cups of green tea but is decaffeinated, calorie free, and sugar free. I use a drop in my water in the morning as one way that I nourish my skin through diet.
Where to buy: http://www.drbrandtskincare.com
To enter for a chance to WIN the Korres Rose Petal Peel and dr. brandt’s Detoxifying Anti-Oxidant Water Booster Goji-Maqui, (1) tell me your favorite summer food and (2) tag a friend!
BE SURE TO COMMENT UNDER THIS POST on either my IG (@drwhitneybowe) OR on my professional FB page, starting at NOON EST on Wednesday, May 11, 2016. I will announce the winner on THURSDAY, May 12, 2016 at NOON EST.
**This giveaway is open to US Residents age 18 or older (or nineteen (19) years of age or older in Alabama and Nebraska). Winners will be selected via random draw, and will be announced on my FB, Instagram, and Twitter pages and notified via FB Message or Instagram Message. The winner will have 2 business days to respond; otherwise a new winner will be selected.
I was game when my friend Carolyn (an instructor at CoreLab) suggested the Lagree Fitness Workout which is performed on a Megaformer.
This workout is a modified version of Pilates which fatigues your muscles, but is still low impact. It helps to build your core and has a West Coast vibe.
I’ve been loving my body’s response. I used to gravitate toward high intensity workouts like extreme boot camp and kick boxing. When I started mixing in lower impact workouts like the Megaformer, I wasn’t dripping with sweat and totally worn out at the end of each workout, but I started seeing more muscle definition and I FELT stronger and more focused throughout the day.
Now, I alternate this kind of low impact workout with my higher intensity cardio workouts (spinning/running) and aim for about two Megaformer or Pilates-type workouts per week.
If you want results, my motto is surprise your body and keep mixing it up to get the best results!