Do You Have Realistic Skin Goals???

Do You Have Realistic Skin Goals???

This month I’m talking all about skin goals. It’s one thing I try so hard to help my clients with, but I also have to give them realistic expectations on what can actually be achieved with their skin. Every skin is different so goals and expectations will be different with every client too.

We see so many filtered, unrealistic images these days, and as a skin specialist, I see so many people with misconstrued opinions of their own skin, normally exaggerated further by the use of the dreaded magnifying mirror…if you are reading this and you own one, please throw it in the bin!

The important thing to remember is our skin is an organ that is as individual as we are. Here are just some of its functions:

  • Protection
  • Sensation
  • Regulating temperature
  • Waterproof
  • Excretion
  • Reduces harmful effects of UV
  • Produces Vitamin D

So, taking all those functions that the skin constantly performs into account, do you really think getting it to look flawless like a filtered photo is really possible????

Now, don’t get me wrong results I see in the clinic can really blow me as well as my clients away, but it’s never an overnight success.

If you have suffered with a skin concern for many months or even years this is not something that can suddenly be reversed, making real changes in the skin take time and most importantly consistency.

It starts with a professional that knows the skin, takes time to understand your skin, and can support you on your journey to improve your skin’s health and work towards your goals, but also someone who will tell you if you are being realistic with what you want to achieve.

In my next blog, I will talk all about the skin journey and what you can expect.

If you’re ready to start your skin journey and work towards your skin goals, its starts with a consultation. Click here to book yours, I am accepting new clients from September. For any questions you may have please don’t hesitate to get in touch here.

Menopause and The Skin – Part 2 – The Solution

Menopause and The Skin – Part 2 – The Solution

There have always been limited ways in which women who are going through the menopause or experiencing these changes to their skin can access information and treatments available to target this concern.  An with so many clinical treatments such as HRT having undesirable side effects it can sometimes feel like we just have to get on with it and put up with the symptoms.

When it comes to the skin we need a solution where we can benefit from activating the oestrogen receptors in the skin without affecting the oestrogen receptors elsewhere in the body potentially resulting in effects that may be associated with some risks.

Last year I discovered Emepelle and the technology behind this product blew my mind. Finally, there was a product that goes to the root of the cause to help resolve the issue of the effects of lower oestrogen on the skin. This product range contains a breakthrough technology called MEP. This has been clinically proven to effectively and safely stimulates the natural functions of the skin that oestrogen would have done previously. Helping to target the root cause of the menopause accelerated ageing on the skin.

MEP stands for Methyl estradiopropanoate (now you can see why we shorten it) and is the only non-hormonal oestrogen skin receptor stimulator to be included in cosmeceutical skincare. By working only on the skin cells to activate the receptors it makes it clinically safe. When applied topically if it does enter the bloodstream it is converted into an inactive metabolite. This allows Emepelle to produce positive effects in improving dullness, dryness, elasticity levels, skin thinning and the appearance of lines and wrinkles, without any risk of systemic side effects

A study on the effects of MEP technology found that over 14 weeks there was a 54% improvement in skin dryness, 20% improvement in skin thickness, 8% improvement on fine lines, 19% improvement on laxity and 39% improvement in skin dullness. This study was done on challenging subjects that were all post-menopausal for at least 3 years, so they would all have had low oestrogen levels and skin that had already been significantly affected by the menopause

The great thing about the Emepelle range is it consists of just two products, a daytime serum and night cream. The serum contains the MEP but also has other beneficial actives in there to further increase those results; Vitamin C and E, Ferulic acid all powerful antioxidants, niacinamide, peptides and hyaluronic acid to help strengthen and hydrate the skin.

The night cream has an even higher % of the MEP but also contains retinol to encourage collagen and cellular functioning further. Again with the peptides, niacinamide and humectant this really is a powerhouse of actives that will work synergistically to create noticeable improvements to the skin.

The photos below show an improvement over just 8 weeks using the Emepelle Regime.

 

Menopause and the Skin – Part 1

Menopause and the Skin – Part 1

With Oestrogen involved in over 400 functions within the body, no wonder when we reach the menopause and the oestrogen levels decline, do we see so many different symptoms, feelings and changes to our bodies and wellbeing.

When we think about the menopause, we think of the classic symptoms of hot flushes, night sweats and mood swings, but we don’t always realise the significant impact it can have on our skin.

I find when ladies come to see me when they are at the stage of life where their oestrogen levels are starting to decline, they refer to it feeling like their skin has changed overnight. This natural decline in levels of oestrogen can cause our skin to loose up to 30% of collagen in the first 5 years of the menopause. This can have a big impact on the way our skin feels and looks.

How does oestrogen affect our body?

Oestrogen is a collective name for a group of 3 steroid hormones produced by the ovaries; estradiol, estriol, and estrone. They are responsible for the development of our reproductive organs, creating a suitable environment for egg fertilisation and nutrition for the early embryo. Oestrogen of course also controls our menstrual cycle. However, apart from the reproductive side of things, it influences the function of nearly all our major organs.

Oestrogen and the skin

The skin is the largest organ of the body influenced by oestrogen. It produces its effects through oestrogen receptors. These receptors are located within our skin cells and on the outer cell membrane. When oestrogen binds to these receptors a chemical cascade of signals triggers that cell’s function, for example, a fibroblast cell will produce collagen.

These oestrogen receptors are found in numerous types of skin cells, however, they are in higher concentrations over the skin of the face and scalp. The most significant are the fibroblast cells of the dermis, the keratinocyte cells of the epidermis, and the blood vessels.

How oestrogen directly impacts the skin

  • Collagen, elastin and fibrillin production = skin firmness, elasticity and structure
  • Hyaluronic acid production = skin hydration
  • Epidermal thickness = skin hydration and luminosity
  • Angiogenesis = blood supply to the dermis
  • Wound healing = effective recovery from injury
  • Immune response = protection and recovery
  • Free radical defence = protection from environmental aggressors

What happens to our skin when oestrogen declines?

When our oestrogen levels decline we get a reduction in the receptor activation. This can begin to make changes on a cellular level below the surface reducing the structure and health of the skin. This causes visible changes such as dryness, increased wrinkles, and loss of volume, epidermal thinning and dullness. The menopause can last for several years, starting with Peri-menopause, menopause and post-menopause, and all this time our receptors are losing more and more activation.

To be continued…

Look out for Part 2 where I discuss how we can help the skin reduce the effects of the menopause.

If you are feeling the effects of the menopause on your skin and would like help then please get in touch here, or alternatively, you can book in a virtual consultation where we can discuss your skin’s needs and put a plan in place to get you the results you want.

 

Pollution and our Skin

Pollution and our Skin

Research has shown that air pollution is now a major cause of premature ageing and poor skin health, as it has a major impact on the skins barrier, integrity of the skin, pigmentation and wrinkles. 

Each day up to 7 million toxins accumulate on our skin. These are then absorbed through our pores and hair follicles resulting in inflammation and then the formation of free radicals in the deeper layers of our skin. A high level of free radical activity within our skin cells can then result in further inflammation, hyper-pigmentation, premature ageing and a worsening of any pre-existing conditions such as acne or eczema for example. 

After sun damage pollution is the main factor to cause skin disorders and premature ageing. 

Skin affected by high levels of pollution needs little more care, and its certainly something to take into consideration when having rejuvenation treatments as the skin’s healing capacity will be slower than a skin that does not experience high levels of pollution.

If you do live in a area with high pollution levels, there are skincare products and some treatments that can cleverly help to protect against these toxins. 

I have listed a few of my favourites below

 

Alumiers moisturising serum

AlumierMD Alumience A.G.E Serum

Providing the ultimate in daily protection from pollution, this serum hold on to 80% of pollution that enters our skin and when you cleanse in an evening it gets washed away. This products s a state if you are living or working in a high polluted area.

 

 

 

Byonik Concur Anti-Pollution range

BYONIK concur face mist

This range from Byonik has an advanced anti-pollution detoxifying properties. It contains powerful antioxidants such as detoxiquin that helps to reduce DNA damage caused from pollution and detoxify the cells.

It also contains Ectoin another multifunctional protective active that gives a strong anti-inflammatory effect and will wrap around and protect the skin cells from environmental aggressors. 

If you are working or spending time in a high polluted area you can keep the Concur Face Mist in your handbag and spritz though the day for optimal protection. 

 

 

ANP Skin AntioxidantWith pollution affecting our skin within the lower layers we need to try and protect those skin cells within those deeper layers as well. The most effective way to do this would be through supplements. The Advanced Nutrition Programme Antioxidant Supplements are the perfect partner to your antioxidant skincare.

Formulated with plant nutrients and antioxidant botanicals, bilberry, turmeric, green tea, and grapeseed. The Antioxidant supplements safeguard your skin form the inside out, protecting from the free radical activity caused by pollutants.

 

Clinical Treatments

When we are finally back having our clinical treatments the Byonik Pulse Triggered Laser treatment is great for fighting and repairing the skin from the effects of pollution. The low level laser will repair environmental damage, reduce inflammation and has a strong detoxifying action on the skin cells to eliminate toxins from the skin. The Byonik Cellular Rejuvenation Treatment uses powerful antioxidant gels that are infused into the skin cells to then protect the cells from further pollution going forward.

If you feel you need help or advice with your skin then please get in touch, you can email me here or book your online consultation here, we can discuss your current regime and skin concerns and help you improve your skin health and put a plan in place to keep your skin protected from the damaging pollution levels.

Thank you for reading

Rebecca x

What Does a Compromised Barrier Look Like?

What Does a Compromised Barrier Look Like?

When we have a compromised barrier function our skin becomes more vulnerable to external attacks from things such as pollution, pathogens, microorganisms, the weather etc. It also loses the ability to hold onto the natural hydration in the skin. This hydration is vital to keeping our skin healthy, inflammation down, and its ability to fight attacks from those external forces. Our overall cellular functioning throughout the skin also requires moisture, and I always find a more hydrated skin is more tolerant to most things especially active skincare.

So what are the symptoms of a compromised barrier function? I have listed these below, this list is by no means exhaustive but these are the most common signs.

  • Skin tightness (constant/after cleansing)
  • Flaking, dehydrated skin
  • Oiliness combined with flaking/tightness
  • Redness or sensitivity
  • Dullness
  • Breakouts
  • Under the skin bumps/spots
  • Premature ageing
  • Dermatitis

Desquamation

I thought it was important to mention this as this process in the skin can be dramatically reduced due to our barrier being disrupted. The process of desquamation is the natural shedding of those old skin cells on the surface of the skin to allow for the cycle of the epidermal cells to keep going. Our epidermal cells start off at the base layer of the epidermis and move up, as they do this they become hardened and more resilient to allow for the protective ability needed at that top layer. Once they have reached the top, a chemical process dissolves the bonds between these cells to allow them to shed off and become house dust. This chemical reaction requires moisture to happen, and if our barrier is impaired we lose that all-important moisture and the desquamation process is affected. This results in our skin looking dull, flaky, and our whole epidermal skin cycle slowing down.

What can impair your barrier function?

You might have read the list above and thought that your skin is experiencing some of the signs of an impaired barrier, but what might be causing it?

Below I have listed a few factors that can cause the skin to become compromised, again this is not an exhaustive list but if you feel you are currently suffering from the symptoms it is always a good idea to get professional advice.

  • Over-exfoliation
  • Incorrect cleansing products
  • Sun damage
  • Pollution
  • Cold weather/wind
  • Hormones
  • Stress
  • Smoking
  • Diet
  • Dry atmosphere
  • Medication
  • Diet

As you can see there are many elements that can affect the resilience of our skin, and we probably encounter more than one of these on a daily basis. Our skin is designed to cope with a lot and sometimes all that is needed is to maybe just stop using a certain product and leave your skin to repair and rebuild on its own, other times it may need help. I have included a few products below that are my go-to remedies for compromised skin. But remember this is a general recommendation and without a skin assessment you won’t get individual advice.

Dermaviduals DMS Cleansing Milk

I see so many compromised skins due to incorrect cleansing products used, so your cleanser is the foundation of your skincare regime and a big player in the integrity of your barrier. The Dermaviduals cleanser is gentle, effectively removes makeup and impurities without negatively affecting the skin. There is nothing in this cleanser that the skin doesn’t recognize or that can upset the protective element of the skin.

skin omegas skin clinic SheffieldSkin Omegas

Our skins natural lipids are made up of these essential fatty acids, so adding these supplements into your diet will help keep those lipid levels high and your lipid bilayer making up the skins barrier function nice and strong.

 

 

BUYONIK seal skin treatments SheffieldByonik Supreme Seal

This product is a must for repairing barrier disruption. Containing a high content of ceramides, fatty acids and cholesterol that make up our barrier lipids. It reduces that water loss and restructures the skin’s barrier. It’s also a great product for healing conditions such as eczema and dermatitis.

 

 

BYONIK concur cream - facial treatments SheffieldByonik Concur Cream

Another product full of those essential lipids, the Byonik anti-pollution Concur cream Contains repairing, healing, and hydrating actives as well as the powerful anti-ageing peptide Matrixyl Synthe 6 promoting the production of collagen, elastin and the all important Hyaluronic acid for hydration.

 

These are just a few of my recommendations for compromised skin, but my advice is to always see a professional that can give you individual recommendations for your skin and investigate why your skin is behaving the way it is.

To make an appointment to see myself please click here, I offer virtual consultations during lockdown or for anyone that cannot get into clinic to see me. If you are interested in purchasing any of the recommendations above please email me here.

Thank you for reading

Rebecca x

Are those black dots on your nose really blackheads???

Are those black dots on your nose really blackheads???

Are those black dots on your nose really blackheads???

The quick answer is probably not.

A couple of nights ago I posted a photo on my Instagram of a client’s sebaceous filaments on her nose before and after extractions and asked whether people knew that these weren’t blackheads. I got an astounding response asking to know why they weren’t blackheads. This is a familiar confusion I get on a regular basis with clients wanting to “get rid of the blackheads” on their nose.

So let me tell you a little something about those ‘blackheads’ on your nose…they are not blackheads, they are in fact sebaceous filaments.

And here’s the difference:

Sebaceous Filaments

The nose is one of the places on the face that usually produces the highest levels of oil (sebum). Over time these pores become more enlarged due to the constant production of the sebum and the slow degradation of the skin’s structure reducing the ability to keep them tight. For example, if you look at a child’s nose you won’t see a visible pore, this is because their adolescent hormones haven’t kicked in to start producing higher levels of oils and their collagen is probably the best its ever going to be keeping those pores so tight they are invisible!

Our pores produce sebum as part of the protective acid mantle and to help keep the microbiome healthy, this sebum flows out of the pore onto the skin’s surface. When the sebum reaches the opening of the pore it becomes oxidised and changes from creamy colour to dark grey-black. This is where the mistake in thinking they are blackheads happens.

Blackheads

The technical name for blackheads is open comedones. These can be found anywhere on the face but are usually spread out or maybe just a random one here or there. These are a blockage of the pore/follicle and are caused by a build-up of sebum and skin cells within it. The black colour of them again comes from the oxidisation. If you run your finger across a blackhead you can sometimes feel a slight lump under the skin and these are usually bigger than a sebaceous filament.

So that is the difference between the two, but I know what your next question will be…how do I get rid of them?

So blackheads we can extract and hope they don’t return, this will require actives within the skincare such as salicylic acid or mandelic (always seek advice). But sebaceous filaments, like I said are pores that have a constant flow of sebum from them, they are a natural part of a healthy skins functioning. Also, pores are not doors, so you cant open and close them. What can help improve their appearance is using actives to help control sebum production, such as Retinol, and trying to improve the structure of the skin to tighten them a little…but they will never disappear (this is a good thing).

If you need help with any issues regarding large pores, blackheads or any other concern please get in touch. Even if you are not local to me I can still help virtually. To contact me please either email me here or my book online to see me in clinic or a virtual consultation here.

Thanks for reading.

Rebecca x

Treating Dehydration

Treating Dehydration

In my previous post, I discussed that the most common reason for dehydration was a compromised barrier function. So initially this is what we want to focus on and restore. Once the barrier has been restored the skin will be able to hold the moisture within the skin and prevent trans epidermal water loss (TEWL).

Most people will go straight to products containing Hyaluronic acid to solve dehydration but this alone will not be enough.

The first thing to look at is your cleanser. These can be the main culprits, especially in clients with oily or acne skins. I find these clients tend to be after that squeaky clean feeling, but this tight, clean feeling we get after cleansing can be a sign of dehydration. Our cleansers need to be gentle but effective, not stripping, and maintain the skins natural PH. If your cleanser is giving you the tight feeling then its time to change!

Exfoliation is also a biggy. How often, what type, and the strength of your exfoliant is important to get right. Exfoliation and acids are a big thing at the minute with some skincare brands focusing on just that. However, if we go back to the barrier function we don’t want to overdo it and take off those layers that are part of that lipid bilayer within the stratum corneum. Exfoliation advice is as individual as you are so speak to your skincare professional who will advise you on how much your skin needs.

Hyaluronic acid is usually the go-to for dehydrated skin. However, don’t rely solely on this products to solve all your problems. In fact, in some cases, it can make those problems worse. Don’t get me wrong I love HA but under some circumstances, it’s not my immediate go-to active. HA is a humectant, which means it draws moisture in from where it can. This is great if you’re living in a humid environment, but if you’re sat at home or in an office with central heating or air-con, these create a dry environment. In these conditions what HA will do is draw up the moisture from the dermis into the epidermis, and that then maybe evaporated out of the surface with the rest of the moisture.

If we get our barrier function nice and strong and our environment isn’t too dry (turn down that thermostat) Then this active will definitely be on the list as a hydrator. HA can hold up to 1000 times its own weight in water,  so get the above right and your skin will not only thank you but look dewy, fresh and plump all at the same time.

Avoiding occlusive products. Our skin needs a certain level of trans epidermal water loss (but not too much) to allow for more to be produced in the lower layers. If we use creams that are too occlusive this creates a barrier for that TEWL and our skin stop producing its own levels of moisture.

Diet. We can get extra moisture within our diet but this may not necessarily reach your skin. So up your water intake, it’s not the most effective way to hydrate your skin but what it will do is help drain out those toxins from the body and create healthier skin. It is also important to include the essential fatty acids within the diet, oily fish, avocado, nuts etc. all contain these or get extra through supplements. These EFA are components of our lipid bilayer, which makes up our barrier function.

Avoid any foods that will cause inflammation, and this may vary from person to person. But higher levels of inflammation can have an impact on how our body and skin functions. It can impact on barrier function, the natural production of hyaluronic acid, and how each and every cell in the skin functions.

So as you can see automatically reaching for the Hyaluronic acid will not solve all your problems when it comes to dehydration, it’s a case of combining all of the above to get you results.

Are you feeling dehydrated? or not sure what’s happening with your skin, and need help? I am offering FREE online consultations during lockdown so click here to book and we can get you on the track to hydrated, healthy, happy skin

Treating Photodamage

Treating Photodamage

My last couple of blogs I have discussed the impact the sun can have on our skin and how important protecting with sunscreen really is. Today I am going to talk about how we can treat Photodamaged skin.

The treatments that we are looking at when treating this condition are treatments that are going to cause the skin to rejuvenate. So when I talk about rejuvenating treatments, you may be thinking, what are these?

A rejuvenating treatment is a procedure that is going to encourage your skin to increase its cellular turnover, increase the production of collagen, elastin and hyaluronic acid etc. So we are encouraging the normal functioning of your skin to work more to increase the health, structure, and support of the skin to keep it looking, acting and feeling younger and healthier. All these functions will have been impaired or slowed down by the damage from the sun.

My favourite treatments to achieve this are both Chemical Peels and Microneedling.  I would usually opt for Chemical Peels initially if I am working with a skin that has a high level of pigmentation from sun damage or the skin has begun to thicken. This can happen as a protective response to the sun. This will help with any surface pigmentation and encourage that epidermal cell renewal, bringing it back to a normal thickness.

Microneedling offers a deeper rejuvenation, so targeting the dermal layer of the skin that holds your structural elements like collagen and elastin. This treatment causes a controlled wounding to the skin. When the skin has been injured it will go into repair mode where all our functions will kick into action. So the fibroblasts will produce more collagen, elastin and hyaluronic acid, our epidermal cell renewal will speed up, our blood flow to the skin cells will be increased. All those functions that have slowed and aged due to the sun damage will be speeded up and act younger again. With regular treatments of microneedling or Chemical Peels, our skin will start to look and feel younger. We should also see improvements in those ageing signs of sun damage too.

 

The photo here shows an example of results from treating photodamaged skin. Here (top pic) you can see how the skin has thickened and those deep lines that have formed as the structural collagen within the dermis has depleted. These results were achieved with a combination course of Chemical Peels (my level 3 bespoke treatments) and Microneedling (my level 4 bespoke). We are still working on this skin and continue to achieve great results.

So when I am presented with a skin showing signs of photodamage it is really important that I don’t go straight in with the heavy rejuvenating treatments at the beginning.  A skin that has been damaged by the sun will most probably be experiencing a high level of free radical activity. This could mean that the skin is not in the right place or health to then be put under the added pressure of trying to rejuvenate itself.

For our skin to do this effectively it needs to be in its best possible state to achieve good results, and if there is lots of free radical activity going on the skin is going to be fighting against this. Your results just won’t be as good.

So prepping the skin for rejuvenation is vital. This may be done in the form of a good homecare regime. Including a high level of antioxidants, like Vitamin C for example, this is a great active as the vitamin C, not only a powerful antioxidant, but its also needed for collagen synthesis and controlling the production of melanin.

Once the skin is prepped and your ready to go ahead with your treatments it is then important to feed your skin with the right actives whilst on a rejuvenation programme. This will give your skin help along the way as it heals and rejuvenates between treatments. The results from these treatments aren’t necessarily based on the treatment itself, it is based on how well your skin responds and repairs post-treatment, and feeding it with topical actives will help achieve the best results. And don’t forget we need to protect those results from further sun damage by protecting with sunscreen. Click here to read all about sunscreen, how it works and which sunscreens are best to maintain those precious results.

If you want to know any more about treating Photodamaged skin or any other treatments I offer at the clinic please get in touch. During lockdown I am offering my online consultations free of charge (normally £50), you can book appointments here, and we can get you on the road to healthier skin ready for when the clinic is open again and we can get you straight onto your rejuvenation programme.

Frequently Asked Questions…

Frequently Asked Questions…

Frequently Asked Questions…

So we are in self Isolation due to Covid-19 and I thought I’d asked on my Instagram Stories for any questions relating to skin and skincare. If clients can’t come to me then I can still help virtually. Here are some of the questions I got asked:

  1. My skin feels really tight once I have cleansed, why is this?

This is a sign that your skin may be suffering from dehydration. I would normally have a look at the cleanser you are using, as this can be the culprit. Many cleansers can be too harsh for the skin and disrupt the delicate barrier function and acid mantle so resulting in the skin becoming compromised. Once the barrier function is compromised we get something called Trans Epidermal Water Loss, where we lose the natural moisture levels within our skin as they escape through the compromised barrier.

If our skin is dehydrated this has a knock-on effect to all the skins functioning. All cellular functions within the skin need moisture to happen, so if we are lacking then our skin is not functioning to the best of its ability. This can eventually result in issues such as sensitivity, reactive, inflammation, problematic skin and premature ageing.

To remedy this see a skincare professional that can advise on how you can restore your barrier function and hydration levels.

2. I have always thought I am an oily skin type but I get flakey patches too, does this mean I’m dry?

It is really important to know your real skin type to be able to treat and use products correctly, so a skin care professional can help with this. However, if you are an oily skin type but are getting dry, flakey patches on the skin this again can be a result of dehydration. Our skins natural desquamation process (shedding) needs moisture to happen. If our skin is lacking in moisture the chemical reaction that takes place when those top layers of the Stratum Corneum (top layer of the epidermis)are ready to shed will not be able to effectively break those bonds between the skin cells allowing them to come off. A result of this would be old tired skin cells still hanging on to the surface of the stratum corneum causing flakey patches and a dull appearance to the skin.

3. I have always had problematic skin (acne), I have tried everything, will my skin ever get any better?

The majority of acne is caused by hormones, it can usually be managed and improved but it may never completely go. I see many clients with this problem and there are usually underlying issues. A common one is stress, this can increase the level of hormones that are connected to our sebaceous activity. I recently wrote a blog on psychology and the skin which talks about this issue click here to read.

What I do see with clients that have problematic skin is their skincare regime is usually all wrong for their skin type which is exacerbating the acne condition, so once we get them on the right products they start seeing improvements pretty quickly.

4. I get little bumps/spots under my skin what can I do for these?

Without analysing the skin it’s a difficult one but it does sound like the skin is crying out for a little exfoliation. Sometimes when our skin doesn’t desquamate itself very well it needs a little help. There may be a blockage of skin cells within the pores that are causing this bumpy rough texture. Feeding our skin with extra hydrating products also will help keep the skin working and functioning well, including that natural shedding process that has probably become sluggish.

5. Should I exfoliate my skin at home, if so what should I use?

This is a great question at a time when I am seeing so many skins over exfoliated. The frequency that you should exfoliate is individual to your skin type and condition, but there are not many clients that I tell to exfoliate daily, however, I see this happening a lot.

The best types of exfoliators are AHA or BHA exfoliators, my favourite being Lactic Acid or Salicylic for more oily skin types. The way these acids work is by mimicking the chemical reaction that happens in our skin to desquamate our skin cells, this encourages that process and gently removes those old skin cells to reveal younger fresher cells of the Stratum Corneum.

If you are a lipid dry skin then I would recommend Enzyme exfoliators. Unlike AHA’s these do not break those bonds to release the cells, instead, they act like a Pac Man across the skin’s surface munching on any excess skin cells that are past their desquamation date. Lipid dry skins have a tendency to have a compromised barrier function and be quite fine and delicate. So we want to keep that Stratum Corneum intact and with a good thickness to maximise its ability to protect.