2. • Skin is the body’s largest organ
• Each square centimetre contains:
– 2 million cells
– 1,600 nerve endings
– 5 sebaceous glands
– 40cm blood vessels
Our Skin
Ego Pharmaceuticals Pty Ltd 2006, Common Skin Conditions, Melbourne
• Key functions
– Barrier
– Sensory
– Body temperature regulation
– Waste excretion
– Vitamin D production
3. • When the skin is intact and functioning correctly we don’t think about it.
• When something goes wrong :
• We can usually feel it
• We can usually see it
• Often others can see it too
Maintaining Healthy Skin
• Sebaceous glands secrete sebum to lubricate the skin.
• Sebum has a pH of 5.5-6.5.
• This level of acidity helps protect the skin.
• Sebum also moisturises the skin.
• QV products have a pH range of 4.5-6.5
4. Keeping skin in optimum condition
A breakdown in the barrier function of the
skin :
• Can cause dry skin which may become
flaky, and even cracked.
• Allows for the entry of
irritants/allergens, increasing the
potential for irritation.
Dry skin can also lead to other skin
conditions such as :
• Dermatitis
• Eczema
5. • The products we use:
o Soap
o Perfume
o Laundry & dishwashing detergents
• Environmental factors including wind & sun
• Hot water, Air conditioning
• Dryness is also very common in the elderly as
the skin produces less sebum as we age
Drying Skin – Why?
Keeping skin in optimum
condition
• AVOID SOAP
• MOISTURISE FREQUENTLY
6. • Very common
• Occurs due to environmental and genetic
factors. Can be aggravated by environmental
factors such as hot weather, dust and animal
dander.
• More common in families with a history of
the condition
• Presents as patches of dry, red and itchy skin,
can be blistered or weeping
• Affects 15-20% of children
• Generally occurs after 4 months of age, is
worst between 2-4 years and improves
after that. May reoccur later.
Atopic Eczema
DermNet NZ. Atopic Dermatitis. [Viewed August 02, 2013] Available at:
http://www.dermnetz.org/dermatitis/atopic.html
7. • Often occurs on the hands
• Can be due to skin being exposed to some form
of irritant, such as:
– Perfume, Jewellery, Soap, Detergent
• With irritant contact, skin can become red, itchy,
tender and may even burn or sting
• Usually symptoms will occur only in areas
exposed to the irritant
Irritant Contact Dermatitis
8. • Skin condition that causes inflamed red scaly patches,
often with a silvery appearance
• Elbows and knees commonly affected but can occur
anywhere on the body, including the scalp
• Caused by increase in cell multiplication
& shedding cycle resulting in thickened scaly skin
• Not infectious – thought to be genetic
• Can occur at any stage of life but most frequently in
late teens and young adults
Psoriasis
9. QV Skincare
In the beginning..
Ego Skincare is a true home-grown
success story.
QV was developed for the Queen Victoria
Hospital in 1975
At QV, our values mean everything to us.
They are as key to our reputation as any
ingredient, and we promise to stand by
them, always.
ALL QV Products Are . .
• pH balanced, pH 6 or pH neutral
• Free from:
• Soap
• Fragrance
• Colour
• Lanolin
• Ideal for sensitive skin types
10. QV CLEANSERS
• The simple function of a cleanser is to clean the skin.
• An effective cleanser also leaves the skin biologically intact.
pH intact Skin hydrated
Lipids in place Gentle
What should an effective cleanser do?
11. Glycerin is a humectant moisturiser that draws &
retains water to the skin.
Glycerin has a significant role in:
• Cell proliferation
• Skin hydration
• Skin elasticity
• Barrier recovery
• Lipid synthesis
All QV Cleansers contain Glycerin *
* Excluding QV Bath Oil and QV Flare Up Oil
Brewster B. Aquaporins: Stimulating AQP3
(Review). Cosmetics & Toiletries.
123(6):20-26. 2008.
12. • Formulated with a blend
of 3 x Ceramides,
Niacinamide & 15%
Glycerin.
• Dermatologist
recommended & tested.
• pH balanced.
• Ophthalmologically
tested.
• Non-comedogenic.
• Fragrance & colour free.
• Suitable for use with
sensitive, eczema-prone
and acne-prone skin on
the face and body.
QV
Ceramides
Cleanser
Normal to
Dry
QV Wash
DRY SKIN
•Recommended for cleansing dry
skin.
•Maintains skin’s natural protective
properties.
•Won’t strip away natural oils like
soap can.
•pH balanced, low-irritant
formulation, free from fragrance,
colour, lanolin and propylene glycol.
•Suitable for sensitive skin types,
including infants and the elderly.
•Suitable for sun-damaged skin and
conditions such as dermatitis,
eczema and psoriasis.
QV Intensive
Moisturising
Cleanser
Very Dry
• For chronically dry skin
• Gentle, soap free cleanser
• Lightly foaming
• Enriched with moisturisers,
making it
• ideal for extremely dry skin
• Leaves a protective, moisturising
film on the skin.
• Free from preservatives
Glycerin content – 60%
13. • For dry and sensitive skin
• Gentle soap free cleanser
• Maintains hydration during
cleansing
• Contains a higher
concentration of moisturiser
than QV Wash
• Won’t strip away natural oils
• pH balanced, low irritant
Glycerin content 15%
QV Gentle
Wash
Very DRY
QV DermCare Eczema
daily wash
Eczema affected skin
• Improves the skin barrier function in 4 weeks1.
• Significantly improves skin hydration and
reduces moisture loss paired with QV Dermcare
Eczema Daily Wash1.
• Relief of itch and dryness reported in 92% of
mild to moderate eczema users2.
• 9 out of 10 agree the use of QV Dermcare
Eczema Daily Wash and Cream, together,
improved the symptoms of their mild to moderate
eczema2.
• Contains Ceramides.
• Free from fragrance, colour and preservatives.
• Dermatologically tested.
• Proud supporter of the Eczema Association
Australasia.
14. QV Bar
• Soap alternative for
people that prefer to use a
bar
• Enriched with
moisturisers, leaving the
skin feeling soft and
smooth
• Won’t strip away natural
oils
• pH Balanced
• Low irritant
QV Bath Oil
• Developed for the Queen Victoria Hospital in
1975.
• Non greasy and soap free
• Water dispersible
• Suitable for large areas of dry or sensitive skin.
• Easily absorbed leaving skin feeling soft and
hydrated.
• Helps relieve the associated itch from dry skin
• Particularly suitable for infants and the elderly
Light Liquid Paraffin:
• As an emollient, it
promotes rehydration
and suppleness of the
skin.
• Reduces trans epidermal
water loss from the
stratum corneum (outer
layer of skin) to the
environment.
15. • Dual action formula reduces the level of bacteria and helps
restore moisture.
• Calms irritated skin and reduces roughness and scaling.
• Leaves a thin film of occlusive oil on the skin, which helps to
rehydrate skin.
• Suitable for recurrent eczema where secondary staphylococcus
aureus infection is a problem.
• Helps break the itch-scratch cycle.
• Water dispersible
QV Flare Up Bath Oil
Always read the label and use only as directed. If symptoms persist, consult your healthcare professional.
Not recommended for infants under 6 months.
Bacteria
• Bacterial levels on the skin, particularly S.aureus,
correlates with the incidence and severity of atopic
eczema.
• The combination of benzalkonium chloride and triclosan
reduces s.aureus levels.
Light Liquid Paraffin
• Used as an emollient, leaves a film on the skin which
reduces the loss of water from the stratum corneum to
the environment.
16. QV MOISTURISERS
What is ‘a moisturiser’?
• A moisturiser is any material that helps the skin retain moisture.
• A moisturiser does not add water to the skin, it prevents more from
evaporating.
• A moisturiser enables the skin to rehydrate by preventing or reducing
evaporation.
17. When is a moisturiser needed?
• Relief and prevention of:
• Itchiness related to dry skin
• Dry Flaky Skin
• Protection of:
• Sensitive Skin
• Maintenance of Normal Skin
Designing an Effective Moisturiser
The two most important considerations are:
• The moisturiser must be effective:
- A good moisturiser will contain an effective combination of
moisturising agents
• The product must be cosmetically acceptable
- A good moisturiser is one that the customer / patient will use
19. What is an Emollient?
• Emollients provide an ‘oily’ film over the surface of the skin
• Trap water, swell the stratum corneum and close the cracks.
• Emollients also penetrate into the upper
layers of the stratum corneum
o Mimic the barrier effect of the lamellar
lipids.
o Thus restoring the epidermal barrier.
• Emollients prevent the penetration of
irritants and allergens
• Some commonly known emollients are:
o Liquid paraffin
o Safflower oil
o Alcohols benzoate
o Nut oils
20. What is a Humectant?
• Are hygroscopic substances
• They absorb water from their
environment (the product) and
promote water retention
• Act like biological sponges
• Some commonly known humectants
are:
o Glycerin
o 1,3-butylene glycol
o Sodium PCA
o Propylene glycol
21. What is an Occludent?
• Occludents form a film / barrier on the skin
• Can penetrate into the upper layers of the
stratum corneum
o Mimic the barrier effect of the
lamellar lipids.
o Thus restoring the epidermal
barrier.
• Restricts the escape of water vapour from
the skin
o Trapping water in the skins
uppermost layers
o Protecting against moisture loss
• Some commonly known occludents are:
o soft white paraffin
o lanolin
o waxes
23. Moisturisers Site of Action
Dry Skin
Occludents
Humectants
Emollients
QV Hydration Balance
• The heavier the moisturiser, the better the effect.
• Balance the heaviness against what the customer is
willing to use.
Depends on the level of skin dryness
Heavier, more
moisturising
Lighter, spreads
further
Driest skin Least dry skin
24. QV Skin Lotion
• Helps prevent and soothe dry skin
• Light, and easy to apply
• Ideal for treating extensive areas of dry skin
• Acts as a protective barrier
• pH balanced
• Low irritant formula
• Glycerin – an effective humectant that is
capable of attracting and holding water.
• Soft White Paraffin – an occlusive agent with
excellent emolliency. Is non-toxic and non-
irritating.
• Dimethicone – forms a barrier to help protect
the skin from water, detergents and other
irritants.
Rowe RC, Sheskey PJ, Weller PJ: ‘Handbook of pharmaceutical excipients, 4th edition’,
p422. Pharmaceutical Press, London,
2003
25. QV Cream
• Highly concentrated
• Replenishes and helps relieve dry areas
• Non greasy
• Acts as a protective barrier
• pH balanced
• Low irritant formula
• Glycerin – an effective humectant that is capable of
attracting and holding water.
• Soft White Paraffin – an occlusive agent with excellent
emolliency. Is non-toxic and non-irritating.
• Dimethicone – forms a barrier to help protect the skin
from water, detergents and other irritants.
• Squalane – a naturally occurring component of sebum
which helps leave the skin soft and supple.
26. QV Ceramides Moisturising
QV Ceramides is a deeply hydrating triple Ceramide
(EOP, NP, AP) and triple moisturising cream
formulation with Niacinamide to promote a healthy
skin barrier for hydrated and rejuvenated glowing
skin and up to 24 hour hydration.
• QV Ceramides Cream is a rich and deeply
hydrating triple Ceramide (EOP, NP, AP) and
triple moisturising cream formulation with
Niacinamide to promote a healthy skin barrier for
hydrated and rejuvenated glowing skin and up to
24 hour hydration.
• Highly concentrated
• Replenishes and helps relieve dry areas
• Non greasy
• Acts as a protective barrier
• pH balanced
• Low irritant formula
27. QV Dermcare Eczema Daily
Wash
The dermatologically tested Dermcare moisturising is unlike
most products recommended for eczema affected skin. Most
are cosmetic products that are only designed for normal,
healthy looking skin, QV Dermcare Eczema Daily Cream is
clinically tested specifically for mild to moderate eczema skin1.
Scientifically formulated with a researched blend of
ingredients, including, Glycerin, Lactic Acid, Niacinamide
(Vitamin B3) and a Ceramide blend, together, they create a
protective barrier that helps skin retain moisture and improve
the skin barrier function. This eczema cream for face and
body, when paired with QV Dermcare Eczema Daily Wash
has had 85% of mild to moderate eczema users experience
less flares, itch and irritation1,2.
• Improves the skin barrier function in 4 weeks1.
• Significantly improves skin hydration and reduces
moisture loss paired with QV Dermcare Eczema Daily
Wash1.
• Relief of itch and dryness reported in 92% of mild to
moderate eczema users2.
• 9 out of 10 agree the use of QV Dermcare Eczema Daily
Wash and Cream, together, improved the symptoms of
their mild to moderate eczema2.
• Contains Ceramides.
• Free from fragrance, colour and preservatives.
• Dermatologically tested.
• Proud supporter of the Eczema Association Australasia.
28. • Highly emollient intensive balm
• Soothing moisture for extremely dry and
sensitive skin
• Water free, sting free
• Low irritant
• Contains Dimethicone (barrier)
QV Intensive Body Moisturiser
• Light Liquid paraffin – promotes rehydration and
suppleness of the skin.
• Soft White Paraffin – an occlusive agent with
excellent emolliency. Is non-toxic and non-
irritating.
• Dimethicone – forms a barrier to help protect the
skin from water, detergents and other irritants.
29. QV Skin Lotion
For normal to
occasional dry skin
QV Cream
For dry and sensitive
skin
QV Intensive Moisturiser
For chronically dry skin
Dry Drier Driest
30. • Highly emollient cream for the topical relief of eczema flare ups.
• Quickly absorbed & non-greasy
• Restores skin hydration and relieves associated itching.
• Contains povidone to reduce potential irritation.
• Free from lanolin, fragrance and propylene glycol.
QV Flare Up Cream
Always read the label and use only as directed. If symptoms persist, consult your healthcare professional.
Not recommended for infants under 6 months.
• Glycerin - helps increase skin hydration and elasticity, and aids in barrier recovery.
• Povidone – provides an anti-irritant action. Also promotes emolliency and lubricity
to help relieve inflammation and redness.
• Benzalkonium Chloride – preservative
• Light Liquid Paraffin – promotes rehydration and suppleness of the skin.
31. Recommendations
This can be done by :
• Asking questions to determine the dryness of the skin.
• Observing what the skin looks like.
• Gaining information in regards to the skincare products that
are currently being used.
To provide the most appropriate
skincare regime for your customers, it
is important to gain an understanding
of their skin status.