O-MEGA Skin!

Photo: @thehealthyhunter

Photo: @thehealthyhunter

At Skindepth, we know that well-being and self-care is the foundation of all healthy skin. During these colder months we get a lot of patients coming in with noticeably dryer skin. The propensity for dryer skin is a bi product of cooler temperatures in winter as the air is drier, but we also tend to be indoors and exposed to artificial heating which exacerbates symptoms.

When considering ways to treat dry skin, we talk about topical applications to hydrate and moisturise the skin. But did you know we can greatly assist dry skin by consuming foods high in Omega 3 and Omega 6?

One of the foods highest in both Omega 3 and 6 is fatty fish. Fatty fish includes salmon, mackerel and herring to name a few. In addition to assisting with dryness, omega-3 fats help to reduce inflammation associated with redness and acne. Fatty fish is also a source of vitamin E, an important antioxidant for the skin. So enjoy that side of smoked salmon with your breakfast or add fatty fish into your weekly dinner menu.

Here is a delicious recipe to get you started!

Baked Salmon

Ingredients

  • 1 1/2 pound salmon fillet, (681g)

  • 2 tablespoons unsalted butter, (30g) melted

  • 1/2 teaspoons salt

  • 1/4 teaspoon black pepper

  • 1 tablespoon minced garlic, (10g)

  • 8 lemon wedges

  • 1 teaspoon chopped parsley

  • 1 teaspoon chopped dill

Instructions

1.    Set oven rack to the centre position. Preheat oven to 190ºC

2.    Line a rimmed baking sheet with foil and lightly grease with vegetable oil or cooking spray.

3.    Place salmon on the sheet, skin side down (if still intact).

4.    Brush half of the melted butter over the salmon fillet. Season salmon with salt and pepper. Drizzle the rest of the butter over the salmon.

5.    Sprinkle the minced garlic evenly over the salmon. Place lemon wedges around the sides of the salmon.

6.    Bake salmon until the thickest part reaches an internal temperature of 52ºC for about 12 minutes.

7.    Change the oven setting to broil on high. Broil the salmon until the surface is a light golden colour and garlic just begins to brown, 3 to 4 minutes. 

8.    Carefully remove the skin from the salmon and transfer fish to a serving platter.

9.    Garnish with parsley and dill, serve with roasted lemon wedges

How can I get enough Vitamin D?

Photo: @port.of.call

Photo: @port.of.call

At Skindepth Dermatology we advocate all things skin health, one important recommendation is being sun smart and wearing broad spectrum 50+ sunscreen daily, rain or shine. But we often get clients asking us about Vitamin D and how they can get enough if they stay out of the sun. As we know Vitamin D is important for supporting and maintaining a healthy skeletal, cardiovascular and immune system. So how can you get enough Vitamin D without compromising our health?  

Track the safest time of day to be outside: The cancer council have an app for your mobile phone where you can track the UV rating and see when the less intense times of UV exposure occurs. This is a great tool to select the safest times of the day to enjoy the sunshine and receive your Vitamin D top up.

Diet: Vitamin D can be sourced through certain foods. Egg yolks are high in Vitamin D, especially if the chickens are free-range. Fatty fish such as salmon, mackerel and tuna are also good options.

Supplements: If your working indoors and are rarely outside, then you might be low in Vitamin D. In this case you may need to introduce a supplement to ensure sufficient Vitamin D.  In fact, some people say taking a Vitamin D supplement during the cooler months is a part of their winter routine. If you are unsure about your levels, a simple blood test with your GP can check how you are tracking. 

The Latest on Eczema

Dr Alice Rudd & Dr Tasos Stavrakoglou

Dr Alice Rudd & Dr Tasos Stavrakoglou

Dr Alice Rudd’s commentary based on her recent attendance at the College of Dermatologist’s 2019 ASM.

For a long time now, eczema management for Dermatologists has been frustrating process as the treatment armamentarium has been steroid creams and small doses of chemotherapy like drugs.  This is problematic as atopic (allergy-based) dermatitis affects 30% of infants in Melbourne. And while some grow out of it, some definitely do not.

A group at Melbourne University is looking at the evidence base for preventing eczema and food allergy development by applying a barrier cream. If is thought that if we intervene early enough (as early as 2 weeks of age), with a good barrier emollient, we may be able to reduce the risk of initiation of the barrier dysfunction and therefore allergy development in atopic dermatitis.  

Studies have looked at omega 3 and breast milk and found these do not help to reduce levels of atopic dermatitis. Similarly, studies have looked at probiotics and prebiotics during the pregnancy and newborn time and found that even though there is some evidence that infants may be protected, currently there is no recommendation for probiotics as an intervention in prevention of infant eczema.

The good news is that Australian studies continue to be done looking at supplementing pregnant women and infants with pre and probiotics, so watch this space. Dr Rudd is always keeping her finger on the pulse of what’s new in the dermatology sector and continues to bring this latest research to her patients.

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.