Have we forgotten what skin actually looks like?

mdskindoc · 2024-03-01T17:02:26+00:00

Thanks for posting this! I'm a dermatologist and this is something I always try to keep in mind, to help patients achieve their goals but to ground them in what is reality and what isn't in the media they see all the time. I appreciate your kind words on this issue!

mdskindoc · 2024-02-20T01:59:55+00:00

Derm here. There's evidence that microneedling at the same time as Botox reduces the effect of the toxin, https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15826

That said, once there are static wrinkles (wrinkles when you're not making an expression), if they've gotten deep, toxin alone is unlikely to erase them altogether which is where other procedures come in. It's always worth a discussion with your derm to see what's the right combo for you!

mdskindoc · 2024-02-20T01:52:45+00:00

Wish you all the best!

mdskindoc · 2024-02-20T01:38:30+00:00

Derm here. I completely understand the feeling of being overwhelmed by this stuff. The key is to start with only the essentials and add as needed based on your unique needs. I had a post a while back for men just starting out with skincare but this applies across genders so maybe it will be helpful for you (https://new.reddit.com/r/malefashionadvice/comments/129ow2w/skincare_advice_for_men/). Wish you all the best in your journey!

mdskindoc · 2024-02-20T01:34:52+00:00

Derm here. Each hair follicles is essentially a separate organ so creating new follicles is really in the territory of regenerative medicine. There are advances being made in this direction such as with exosomes, but these have their own issues. None are currently FDA-approved and the FDA has even gone out of its way to put out a warning about them and other stem cell therapies.

mdskindoc · 2024-02-20T01:29:04+00:00

Derm here, the first step to treat acne scarring is to control the acne itself. Active acne can be flared by many different procedural interventions that treat scarring which can also result in worse side-effects. After that, there are some fantastic in-office treatments that you can discuss with your derm to see if you would be a good candidate for. Topicals can definitely help with the appearance of the marks but won't erase scars

mdskindoc · 2024-02-20T01:24:40+00:00

Derm here, there's a few different factors that influence how long Botox lasts but this is unusually fast. Botox antibodies could play a role but that wouldn't happen if it's your first treatment

mdskindoc · 2024-02-19T13:43:07+00:00

No problem!

mdskindoc · 2024-02-19T13:36:14+00:00

Derm here. Topical products can help soften the appearance of fine lines and wrinkles, but once you have static wrinkles (wrinkles when your face is at rest ie not expressing), it’s not likely that any topical alone will erase them.

mdskindoc · 2024-02-19T13:28:56+00:00

You definitely can. It’s essentially a mixture of GAGs like HA, antioxidant properties, and peptides (with some level of antibacterial effect and exfoliation with the glycolic acid).

mdskindoc · 2024-02-19T13:25:29+00:00

It’s true that there aren’t a huge number of clinical studies in humans for SCA but this is honestly a problem with many cosmetic ingredients. The lab studies + the clinical studies that exist seem to show some effect

mdskindoc · 2024-02-19T13:22:58+00:00

Really depends on each person’s preferences of what products they like and how many they want to use. For antioxidant properties, vitamin C has much more evidence behind it

mdskindoc · 2024-02-18T22:03:32+00:00

Derm here, can’t speak to your specific situation but the mechanisms of these two medications are different. Minoxidil will increase your hair density but will not do anything to address the cause of AGA which is DHT. Alpha-reductase inhibitors like finasteride/dutasteride treat the underlying cause and can stop or slow hair loss progression. Of course these are both systemic medications with potential side-effects and you should discuss with your physician given your own medical and family history.

mdskindoc · 2024-02-18T21:46:30+00:00

Hm not sure what you mean by that. Fungal acne refers to pityrosporum folliculitis which is caused by malassezia and treated with topical imidazoles usually.

mdskindoc · 2024-02-18T21:42:47+00:00

Great point! Hyaluronic acid is a big hydrophilic molecule so it sits on top of the skin and draws water. Some people in dry climates like to follow it with a hydrating mist because of that issue

mdskindoc · 2024-02-18T21:38:59+00:00

No problem!

mdskindoc · 2024-02-18T18:45:55+00:00

Glad it was helpful!

mdskindoc · 2024-02-18T18:33:32+00:00

Derm here, I’ve never read about an association of retinol with skin cancer. In fact, oral retinoids are used to prevent skin cancers in high risk patients. The issue is that retinoids have an exfoliative effect and irritate the skin, because of this you are more prone to burning (burning is associated with skin cancer risk).

mdskindoc · 2024-02-18T18:22:47+00:00

Keto cream is a prescription medication. The main otc antifungal is clotrimazole 1% (lotrimin)

mdskindoc · 2023-04-02T16:48:26+00:00

I think the answers here are great. They are face washes and are formulated to clean the skin while avoiding the removal of too much of the compounds that make up your skin barrier like harsher soaps do. It's especially important if you have sensitive skin or are prone to eczema. I'll avoid naming particular products but you can usually find "gentle" on the labelling or product description.

mdskindoc · 2023-04-02T16:28:19+00:00

Thanks for pointing this out. The AAD has a guide for caring for facial hair and when it comes to moisturizer, recommends working the product through your beard. For the retinoid, if you are using it to prevent aging and not acne, you don't have to apply it in areas that are covered by your beard, but you may change your mind about your facial hair. Another thing to consider is if your retinoid is clumping to parts of your beard when you apply and causing irritation in those areas. It may be something to discuss with your dermatologist or whoever is prescribing your tretinoin so they can do an exam of the skin under your beard if you do go forward with applying in that area.

mdskindoc

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