Skin Care at Every Age

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Skin is a dynamic organ that requires care and attention. At every stage in the life cycle there are challenges posed, both environmental and genetic, to our skin. This presentation gives an overview of the needs of childhood and adult skin at different stages. Skin care routines, including moisturizers, sunscreens and cosmetic products and techniques covered.

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Skin Care at Every Age

  1. 1. Skin Care at Every Age:Protecting and Preserving a Vital Organ Naheed Abbasi, MD MPH Summit Medical Group April 25, 2012
  2. 2. Skin as a Vital Organ The skin is the body’s first defense against injury, infection. Skin varies in thickness in different areas and provides remarkable protection against outside forces. As we age and face physical stressors, our skin also changes Understanding the skin empowers us to better protect it.
  3. 3. Infancy and Early Childhood• “Baby skin” is both rich in lipids and naïve to the effects of sun• Most children have supple skin and few moles if any• Healthy babies need to be bathed every second or third day, moisturized just after they are bathed, and cared for meticulously in the diaper area• Sunscreens are advised after the age of 6 months and sun avoidance in midday hours is better than frequent reapplication of sunscreen
  4. 4. Moisturizing the Skin• Thicker moisturizers provide greater moisture than thinner ones  Lotions < Creams < Ointments• The best time to moisturize is after a bath• Short, warm baths or showers are better than long, hot ones• Humidifiers provide enhanced moisturize during cold weather and when the skin encounters dry heat
  5. 5. Management of Eczema (Atopic Dermatitis)• Eczema is a common condition of childhood often seen in families with seasonal allergies, food allergies• Management of eczema begins with moisturizers and humidifiers and extends to include topical ointments, light therapy and even oral medication• Babies who suddenly develop skin rashes should be evaluated as possibly having a food-related trigger including cow’s milk, egg, nuts, etc.• There is a marked seasonal variation in eczema severity with winter being the most challenging time for most sufferers
  6. 6. Adolescent and Young Adult Skin• Post-puberty, the effect of sex hormones drives a change toward oilier skin on the face and increased sweat and oil gland activity on the face, groin, underams• Common issues are acne, heavy sweating and the appearance of moles in this age group• Moles increase in number during childhood, adolescence and early adulthood and skin examinations should begin around age 18 to ensure appropriate surveillance against skin cancer• Two major threats to young adult skin: smoking and excessive ultraviolet light. Tanning beds increase melanoma risk dramatically
  7. 7. Acne• A common problem facing the population aged 12-50.• Not just a condition of teenage skin• Link to diet has never been firmly established• Hormones play a definite role• Treatments range from topical creams and gels to pills and even certain laser therapies. Hormone modulation can help in certain situations.
  8. 8. Moles and Skin Examinations• The number of moles increases significantly in teen and early adult years• Since almost ½ of sun exposure occurs before the age of 18, skin exams should begin in the college years• Tanning beds are the single greatest threat to skin cancer prevention in young adults• While non-melanoma skin cancer is not directly linked to moles, routine skin exams screen for these skin cancers as well• As patients, be mindful not just of changing moles but any rough spot or growth that does not heal in a matter of weeks and looks unlike other growths
  9. 9. Sunscreens Unraveled• SPF quantifies UVB protection, not UVA• Physical blockers help to protect against UVA and include zinc oxide and titanium dioxide• SPF 30 is adequate protection in daily life; higher levels afford greater protection during recreation• Re-application of sunscreen every 2-3 hours when sweating or wet is vital
  10. 10. Adult Skin (age 50 and above) Adults post-50 note certain predictable findings in their skin: increased dryness, hair thinning, and potentially the growth of unwanted hair Dryness results in the loss of lipids in the epidermis The appearance of wrinkles and brown spots is a function of direct sun damage and thinning of fat and bone that results in the skin hanging more loosely on its original frame
  11. 11. How to Choose Cosmetic Products Consider the key components and try to understand them  Retinol: anti-fine line, subtle pigmentary improvement, exfoliation  Kojic and azeleic acid: improve pigment, reduce inflammation  Vitamin C (ascorbic acid): collagen synthesis, structural integrity of skin, wound healing and luster; antioxidant  Ceramides: replete lipids in dry skin to restore moisture  Vitamin E: antioxidant, wound healing
  12. 12. In-office Anti-Aging Treatments Botulinum toxins help to reduce wrinkles produced by muscle movement “Fillers” volumize areas of sunken skin to make deep lines less deep and hollow areas less hollow Lasers have a multitude of functions including hair removal, skin tightening, improvement of brown spots Non-invasive skin tightening devices help to redefine areas that sag with time, including jowls and jawline
  13. 13. Conclusions• An understanding of the skin helps to identify predictable changes in skin with aging• An understanding of natural events helps to empower us to counter these events with changes in behavior, selection of skin care products, and in-office procedures• The skin is a vital organ which cannot be neglected
  14. 14. For more information Call (908) 273.4300Visit: summitmedicalgroup.com Connect with us on Facebook/SummitMedicalNJ Twitter: @SummitMedicalNJ

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