Kombucha and your skin

Photo: @remedydrinks

Photo: @remedydrinks

Unless you have been living under a rock you would have heard of kombucha. But what exactly is it? Kombucha is a fermented drink that has been around for thousands of years. It is made from bacteria and yeast and is mixed with black or green tea. It’s bacteria and yeast-fuelled fermentation process that means it is packed with probiotics as well as B vitamins, enzymes, and organic acids.

Like other fermented foods such as kimchi and sauerkraut, kombucha contains probiotics, the beneficial bacterial that have been linked to gut health. Having the right balance of microbes in your gut has been known to improve immunity, digestion and balance blood sugar.

So how does this benefit our skin?

A healthy gut and digestive system can help improve the way the body absorbs and retains nutrients, minerals and antioxidants which are essential to our overall well-being. It is also these essential nutrients that help support bright and healthy skin. Additionally Kombucha is packed with antioxidants which help to quench free radicals reducing visible signs of ageing and inflammation.

Kombucha is a great alternative to soft drinks and a great energy boost when you experience that afternoon dip. Find a great recipe to brew your own at Remedy Drinks (www.remedydrinks.com).

For more info on creating the healthiest version of your skin, book a skin consultation with Lily, Amelia or Steph.

The Dos and Don'ts of Autumn Skincare

RATIONALE Catalyst Serum

RATIONALE Catalyst Serum

When it comes to the cooler weather there are some simple things we can do to create brighter healthier skin.

1.    Avoid too much indoor heating; when possible as moisture is zapped from the air and in turn from your skin. If you naturally have dry skin or work in an office environment where heating is unavoidable, you may need a little extra TLC in the form of Vitamin B5. This is a water loving molecule that deeply replenishes the skin’s water levels, essentially filling the gaps between skin cells for a stronger barrier and creating more hydrated supple skin. We recommend Medik8 Hydr8 B5 serum morning and night followed by your daily moisturisers and daily SPF protection. 

2.    Stay hydrated; once your body becomes thirsty the first place it draws moisture from is the skin. If you don’t like plain water herbal tea also counts as a great way to hydrate.

3.    Exfoliate; skin is a natural barrier and the less you exfoliate the tougher it becomes. Think of your skin as a garden with skin cells acting like mulch. Over time the mulch acts like a barrier and every time you try to water it, the water simply runs off. Your skin is no different. To keep all these essential vitamins reaching their destination you need to create a path for them to follow. Exfoliating will also stimulate cell renewal firming the skin from within. However you also don't want to use anything too harsh as this can strip your skin’s natural oil leading to further dehydration. Chemical exfoliators are superior for this, they keep your skin's pH in check and work with the skin's natural exfoliating function, strengthening rather than damaging. We recommend RATIONALE's Catalyst Serum as an excellent option. 

4.    SPF Protection; The UVB index in Australia is high almost all year round and excessive exposure leads to cell damage, ageing and in worst cases, skin cancer. So slip, slop, slap all year round – UV exposure does not discriminate between seasons.


THE ABC of skin care for the cooler weather

Pic @ lucybrownless

Pic @ lucybrownless

With daylight savings well and truly done, it is fair to say the cooler weather is certainly upon us. So in order to help your skin weather the storm, here are our ABC’s of skincare to ensure your skin survival kit is up to date to maintain that enviable supple glow all year round. 

Vitamin B3 is our number one skincare must have for a reason. This go getter ticks all the boxes. Not only does it prevent moisture loss during the persistent indoor heating of the cooler months, it is highly anti-inflammatory, calming and fortifying the skin barrier.  

Another important ingredient to keep your glow going is Vitamin C. We all know it’s a powerful antioxidant but what does that actually mean? Antioxidants neutralise free radicals in the skin (which are known to cause cell damage and eventually age the skin). Vitamin C is also a key component in the synthesis of collagen, keeping your skin firm and youthful but also acting as a preventative of pigmentation all year round. 

Lastly, treat your skin with an overnight rejuvenation in the form of Vitamin A. As the weather cools everything slows down, so to ensure your skin is charged up and working at its optimal rate, Vitamin A is an essential skin booster. Vitamin A plays a key role is tissue development via the stimulation of your skin’s fibroblast cells, keeping your skin firm, healthy and resilient. As one can expect, not getting enough of this essential vitamin leads to weakened skin, causing problems such as dryness and irritation. 

For more information on the best skincare for you, come in for a consultation and skincare plan with Lily, Amelia or Steph. Skin consults are $75 and include a complimentary LED Healite which is suitable for all skin types.

Skincare for teenagers

Biretix Cleanser

Biretix Cleanser

Teenagers should start a simple skincare regime once they start high school. At this age their hormones begin changing which results in increased oil (sebum) production. Due to increased oil flow and cell turnover, blockages can occur which result in breakouts.

A simple regime to get started includes cleansing the skin with a gentle cleanser each night. This keeps the skin hydrated whilst removing excess oil, sweat and other debris. We recommend the Biretix Cleanser as it removes excess oils, debris and spot-causing bacteria leaving skin feeling soothed, refreshed and clean.

To assist with balancing oil flow, calming and strengthening the skin, we recommend using Vitamin B3 morning and night followed by a daily moisturiser. Vitamin B3 is anti-inflammatory in nature and perfect for even the most reactive skin. It also prevents moisture loss throughout the day which is especially important in keeping the skin strong.  

Finally never underestimate the importance of wearing SPF daily. Teen skin that is suffering with breakouts and or congestion can be impeded from excess sun exposure which can interrupt the healing processes in the skin, resulting in post inflammatory hyperpigmentation.  Therefore sunscreen is a must. We recommend La Roche-Posay Ultra-light SPF 50+ which is a light sunscreen option that does not clog the skin.

We understand that sometimes teen skin can get out of control and breakouts may become more severe. In this instance topical solution are not effective and visiting Skindepth’s Acne Clinic for an individual consultation and acne plan may be required.

Skindepth’s Acne Clinic runs on Monday evenings as well as during the School Holidays. The next Acne Clinic during the School Holidays will be running Monday 8th-Friday 12th April.

Managing Keratosis Pilaris

Example of Keratosis Pilaris on the upper arm

Example of Keratosis Pilaris on the upper arm

Keratosis Pilaris is a common skin complaint that can be notoriously difficult to treat. So what is it? This skin condition is commonly seen on the upper arms, buttocks and thighs. It is a harmless condition and presents as small, tiny hard bumps that feels rough like sand paper. It is usually accompanied by some redness and swelling. Although occasionally it may be itchy, it is not painful. While it doesn’t get worse or cause any grave affect, many patients find it annoying.

What causes Keratosis Pilaris?

Keratosis Pilaris is caused by a build-up of keratin. This is the protein that protects the skin from potential dangers and infections. When this build-up blocks the hair follicle and essentially causes a plug, we see small red bumps arise. It is more common in dryer skin and is also tends to be worse in winter when there is less moisture in the air. Some may even notice it clears up in summer. It can also worsen during pregnancy or after child birth.

Keratosis pilaris is particularly common in teenagers. It may occur in babies where it tends to be most obvious on the cheeks. If a parent suffers from this condition, their children will be more susceptible to experiencing the condition also. 

What can I do to treat it?

Many people live with Keratosis Pilaris without seeking treatment, especially if they have had it since they were a child and have become ‘used to it’ over the years. But there are some treatment options available for sufferers who are frustrated or bothered by the condition. There is no known cure but some steps that can help manage symptoms:

- Symptoms are exacerbated when the skin is dehydrated. Therefore stick with non-soap cleanser that won’t dry out the skin

-Integrate gentle exfoliation with the use of a loofah whilst in the shower or bath (ensure the skin is wet)

-Moisturise, moisturise and moisturise. Keeping the skin hydrated is imperative. Moisturising post shower is a time when the skin is more susceptible to moisture

-Choose moisturisers containing salicylic acid or lactic acid

-If you find that none of the above options are not having a significant effect, topical ointments can be prescribed by a good Dermatologist. They will be prescribed on consultation once a diagnosis has been confirmed

-In-clinic treatments such as IPL and hair removal can assist with reducing pore blockages and therefore the severity of the condition.

How do I know if I have it?

There is no specific test for Keratosis Pilaris, but a good dermatologist will recognise it by sight immediately. Rarely a biopsy will need to be taken.

If you are experiencing symptoms and want to get a treatment plan, both Dr Alice Rudd and Dr Tasos Stavrakoglou are available for medical assessment. Don’t forget your GP referral.

The best pre and post injectables care with Brooke Iriks

Skindepth Cosmetic Nurse: Brooke Iriks

Skindepth Cosmetic Nurse: Brooke Iriks

Skindepth’s cosmetic nurse Brooke is a key part of the team and comes with over 5 years injectables experience. “The way you prepare for treatment and care for your skin post-treatment will highly influence the results you see” says Brooke. Join Brooke for her must dos for achieving the best results from your treatment.   

Before treatment

  •  The best results are based around a healthy skincare routine at home including cleaners, moisturisers, SPF 50+ sunscreen and active ingredients. This will ensure the canvas is in peak condition before starting treatments. The best skincare can be advised by our dermal clinician who will assess your skin and provide recommendations for a glowing complexion that will compliment what you are trying to achieve with your treatments.

  • Please avoid aspirin, non-steroidal anti-inflammatory medications such as ibuprofen or mobic and some herbal supplements like St John’s Wart for two weeks prior to injections.  This will decrease your chances of bruising and promote recovery.  If you have any questions about your medication don’t hesitate to ask.  If these medications are prescribed by a doctor please don’t stop them.

  • If you are concerned about discomfort or bruising, please use ice before the treatment. Additionally a numbing cream can be used prior to your treatment, however most people find it tolerable.

  • Talk to your cosmetic nurse or doctor about the results you want to achieve. Having a clear outcome in mind will assist to determine how the treatment is administer

After your treatment

  • Don't touch your skin where you have been injected. Avoid rubbing and massaging the treated area for at least 24 hours as you don't want to spread the injected substance to other unintended locations.

  • Icing the affected area post treatment will reduce any potential signs of bruising or inflammation. Ice on and off in 10 minute intervals for up to 4 hours. Refreeze your ice in between.

  • Avoid strenuous physical activity for 12-24 hours.

  • Avoid consuming alcohol for 24-48 hours.

  • Avoid getting facials, chemical peels, microdermabrasion and other skin treatments for 2 weeks post treatment.  Again, discuss this with your practitioner.

  • Paracetamol is a safe for headaches or pain relief.

  • If you get bruising from your injections, topical treatments such as Vitamin K and Arnica can help. Alternatively you can get Vbeam, pulsed-dye, or KTP laser treatments to make the bruising reduce faster. Green or yellow concealers can also help cover up any bruising. 

  • Continue your recommended skincare routine post treatment and enjoy the results by using in conjunction with your injectable treatment.

  • Enjoy the results!

If you are thinking about injectables and unsure about the best option for you, Brooke is available for consultation. Consultations can determine the type of treatment you are after and what you want to achieve. Brooke is dedicated to ensuring her clients leave feeling like the best version of themselves. For more information email at reception@skindepth.com.au or call us.

Treating rosacea in summer

Rosacea flare up.jpg

Rosacea is a skin condition that affects the face and can worsen with time if left untreated. It is considered a chronic inflammatory skin condition and should be cared for with appropriate skincare products and treatments.

Summer is a time of year when we often see symptoms of rosacea worsen due to key triggers in the warmer weather. These triggers can exacerbate the appearance of rosacea and cause flare ups even though treatment options are a little more limited. Studies have found that UV exposure and heat heighten the inflammatory nature of the condition. Additionally, those suffering from rosacea are far more likely to get sunburnt. Therefore it is sensical that sufferers must use adequate sun care, and in fact be even more diligent than non-sufferers. Using a physical sunscreen containing zinc and titanium dioxide is the best option for those with the condition or reactionary skin types. It is also important to try to keep out of direct sun light by always sitting in the shade and wearing a hat, no matter how short the exposure.

Another proven trigger that exacerbates rosacea is alcohol. In summer the beautiful weather and longer days tend to encourage more social events which often leads to an increase in alcohol consumption. If you are noticing increased symptoms, minimising the number of drinks during this time can also help.

In winter one of the best treatment options for rosacea is Vbeam laser. It is the gold-standard option and delivers extremely effective results. However this treatment is best done in winter as it can lead to hyperpigmentation in summer (which is a condition in itself which is very hard to treat). When considering in-clinic treatment alternatives, LED wavelengths are an ideal solution for individuals that want to calm the redness and irritation or reduce the small pustular breakouts that might be present on the skin. LED Healite delivers concentrated energy deep into the tissue treating the skin on a cellular level, promoting healing and reducing inflammation. It also has the added benefit of being completely painless and only takes between 15-20 minutes. In fact, many of our clients find this treatment very relaxing.  Your Dermal Clinician will assess your skin and choose the appropriate wavelength.

When looking at topical skincare such as cleansers, serums, moisturisers and sunscreens, remember to always choose options that are calming, hydrating and most importantly non-irritating.  Certain active ingredients such as Vitamin B3 (Niacinamide) will help to assist in reducing inflammation of the skin and building the skin’s immunity.

Diet is another element to be considered when managing rosacea. As it is an inflammatory condition, it stands to reason that anti-inflammatory foods will assist with flare ups. Some key foods to avoid include dairy, chilli, alcohol, sugar and high amounts of red meat whilst encouraging a diet filled with fresh fruit and veg, nuts, seeds and oily fish such as salmon.

As we know everyone’s skin is unique and it is important to ensure it is being treated appropriately. Skindepth offer one-one-one skin consultations including a full skin assessment and complimentary LED Healite for $75. If you are concerned about your skin or are experiencing flare ups, come in for a consultation with Amelia or Lily.

Medicinal Australian Natives with Dr Alice Rudd

Skindepth’s Native Medicinal Garden

Skindepth’s Native Medicinal Garden

Having just spent a few days in the Hunter Valley amid eucalypts and Australian bush, I am reminded of an amazing meal I had at Matilda on Domain road recently. With flavours of Australia, saltbush, lemon myrtle and admittedly surrounded by luscious lamb and fish, I now find myself devouring Golden Door Health Retreat’s non-alcoholic delicacies such as their signature tea containing licorice root, lemon myrtle, siberian ginseng, red rose petals, sage, mistletoe. It’s a world away from the swanky wine list of South Yarra, yet just as pleasing. As you may know, Skindepth has a medicinal garden that surrounds the clinic full of ginseng, lavender, rosemary, gingo and other such medicinal delicacies. So what exactly are the health benefits of these favourite Australian natives?

Salt bush is a grey blue (and quite beautiful) shrub found in arid, and salty areas. It was once used to treat burns and cuts of the skin, and is now commonly found in culinary arenas. It contains a range of minerals, including calcium and magnesium, antioxidants, Vitamin E and is high in protein. A great seasoner for meat, tofu, or grilled vegetables. Sadly this is not a scrub that that can be grown in a suburban veggie patch, but is a delight to forage for in a seaside bush setting.

 Lemon Myrtle contains about 90-98% citral (similar to citrus and hence its antimicrobial effect). It is often found in tea (think ‘lemon and hot water’). It also contains minerals like calcium, zinc which support the immune system and is why it is used to help fend off common colds and viruses. It may also assist in other dermatologic virus such as mollusucm contagiosum (a harmless viral skin infection that appears as small raised spots of the skin).  It may also help with tinea infection of the feet when applied topically. Because of its high vitamin A and E content there are reports of it helping with acne also. It is now commonly used in the cosmetic industry to give that tangy citrus vibe to skin and hair care products.

Tea tree is another Australian native that we all know and love and is antibacterial in nature. It is fantastic for acne sufferers to help bacterial acne and to dry up oil glands. While synthetic acne treatments like benzyl peroxide tend to make you scaly and dry or chemical exfoliants can irritate sensitive skin, tea tree, which is natural and gentle on the skin, can work wonders.

I am a big believer in supporting local and incorporating Australian ingredients into your skin, medical or culinary care seems to me a good way to start.

 Dr Alice Rudd is passionate about a holistic approach when it comes to skincare, treatments and wellness. When prescribing treatment, it often involves a multi-disciplinary approach of natural products and diet to support skin on both the inside and the outside.

Get sun smart this summer

Photo: @lucybrownless

Photo: @lucybrownless

UV radiation is linked to more cancers worldwide than any other carcinogen. Skin cancer accounts for 80% of all new cancer diagnosed in Australia. Therefore we can say with confidence that we must protect ourselves from the sun.

Sunburn causes 95% of melanoma according to Cancer Council Victoria. So it makes sense to protect yourself against something you know will do damage. Sunscreen is something that everyone should be wearing all day, every day and re-applying throughout the day.

So how do you stay safe?

 Avoid direct sun exposure where possible. When you are outdoors and exposed to the sun, always use a sunscreen with a high SPF. UVB is responsible for most of the skin damage. We recommend always choosing a sunscreen with both UVA and UVB. When considering SPF (Sun Protection Factor) always go for the highest number possible. The SPF number is a system devised to designate topical preparations and their ability to protect the skin from UV exposure.

Most of us don’t apply enough sunscreen. Light Spray on formulas like Neutrogena Ultrasheer may be easy to apply and perfect for a child on the run, but it’s often difficult to get enough coverage and therefore the sun protection you need. Stick to a thicker spray formula like Avene’s Very High Protection SPF 50 Spray where you can see the application and ensure a better coverage. Remember to apply your sunscreen at least 20 minutes before you head outdoors.

Another problem is not applying sunscreen frequently enough. Sunscreen needs to be re-applied generally every 2hrs, especially if you have UV sensitive condition such as melasma. It is particularly important to re-apply after swimming. Even a high SPF like 50+ in the morning will wear off throughout the day. High coverage still requires re-application.

For those that wear makeup during the day, Dr Rudd recommends the Peter Roth Thomson SPF 45 powder brush for re-applying over your make up. It’s like a mineral make up that can be brushed over your existing makeup without causing a fluid sunscreen look.

So what’s in the SPF number?

The SPF number is the length of time your skin can be exposed to UV before it becomes red and sunburnt. For example, an SPF of 15 means you can stay out 15 times longer in the sun before going red than without sunscreen. Therefore an SPF of 50+ means 50 times longer. When you break it down like that it makes sense to give yourself the highest level of protection – SPF 50+ always.

It’s also important to remember that all skin types are susceptible to skin damage including skin cancer and melanoma. Therefore no matter how light or dark the skin, sunscreen is important for everyone.

 When it comes to clothing choose sensible options that cover your skin if you are in direct sun exposure and hats add an additional layer of protection for the face.

Make sense?

As a practicing Dermatologist with many years experience and advocate for sun safety, Dr Alice Rudd says that there is no reason to NOT wear sunscreen. We know it can reduce your risk of burning. And we know burning causes skin cancer. So you see it is pretty simple.

 Stay smart this summer and keep safe. If you have noticed any changes to either your skin or moles please make sure you get them checked by a medical professional. Dr Alice Rudd and Dr Tasos Stavrakoglou are available for full body skin checks in clinic. Don’t forget your GP referral.

Managing pigmentation in summer

Pic @ victoriamartinmakeup

Pic @ victoriamartinmakeup

In summer, pigmentation is a reality for many of us. Despite our best efforts and religious sunscreen application, for some skin types, pigmentation will still form. For those that have a tendency to suffer from pigmentation or discolouration including freckling and melasma, a tyrosinase inhibitor or pigment blocker may be needed as part of your daily skincare routine. In basic terms pigment blockers are used to help prevent the future production of pigment by inhibiting melanin. This product can be applied topically in the morning after you have cleansed the skin, but before sunscreen is applied to the face and neck.

At Skindepth we have a highly effective pigment laser that we use to treat pigmentation. However to maintain these results, particularly throughout the summer months when there is greater sun exposure, a tyrosinase inhibitor can be an essential skincare product.

 A pigment blocker may also be used to help prepare the skin for a treatment where there is risk of hyperpigmentation forming after strong treatments when there is increased sensitivity to the sun. Treatments include laser, peels, micro- needling and diathermy (to name a few). This sensitivity can lead to dark patches on the treated area. Generally darker skin types are at higher risk of hyperpigmentation and these risks need to be taken into consideration when treatment options are discussed with your Dermal Clinician.

How do Tyrosinase inhibitors work?

Tyrosinase is an enzyme which activates melanin synthesis (melanin being the chromophore or colour in our skin). Hence these products are called tyrosinase inhibitors because they inhibit melanin production. Ingredients found in tyrosinase inhibitors include:

- Kojic acid
- Hydoquinone
- Arbutin
- Liquorice root extract
- Niacinamide
- Oligopeptide-34
- Ascorbic acid
- Rumex occidentalis extract

At Skindepth our 2 favourite Tyrosinase inhibitors are Propaira lightening cream  and Dr Rudd’s personal favourite, Mela Cream. Both can be purchased at Skindepth (no appointment is necessary).

If you are suffering from pigmentation or discolouration then a skin consultation is a great opportunity to discuss concerns and get a full assessment to find out the best treatment and skincare options. All consultations include a complimentary LED Healite which is safe for all skin types, even the most sensitive skin.