Health Archives - Reskin Clinic

Skin Diagnostics – A Balanced Perspective

In the ever evolving world of skincare, staying ahead with innovative solutions is crucial. Boots, a leading pharmacy chain, has recently launched a skin condition diagnostic app that promises to revolutionise how we approach skin health. Although this app offers some advantages in terms of ease and accessibility, it also comes with some drawbacks.

Our founder Rebecca explores both sides to give a balanced perspective on whether this is right for you and your skin concerns.

Benefits

Quick and convenient. This first thing that does stand out about the app is its efficiency. Users can quickly assess their skin condition with convenience, great for those with busy schedules.

User-Friendly. Deigned with simplicity in mind, it is user friendly and easy to navigate.

Affordable. Cost can very often be a barrier to seeking professional advice. This is a cheap alternative to traditional dermatological consultations making it accessible to everyone.

Professional collaboration. A strong point is its partnership with medical professionals. This ensures the advice and guidance is based on medical knowledge and protocols.

Discreet and private. For many discussing their skin conditions can be an uncomfortable experience. The app offers a discreet way to seek advice, which can be beneficial for those that feel embarrassed about their skin issues.

The Drawbacks

A lack of comprehensive questioning. While the app provides quick assessments, it falls short of gathering detailed information about the users family history, diet, and lifestyle factors. These elements are all crucial in understanding and diagnosing skin conditions accurately, and this omission can lead to incomplete assessments that can be the key to treating a condition successfully.

A focus on medication. Another significant limitation is the app’s apparent focus on prescriptive medication as the primary treatment option. While medication can be effective, it’ not suitable for everyone and for all conditions. Not all individuals want to go down the medical route, by not offering a broader range of treatment suggestions the app may alienate users would would rather seek alternatives.

Conclusion

Here at re/skin our consultations last around 1 hour, this allows a comprehensive approach, taking into account all factors that can impact the skin. By spending this time with our clients at the beginning allows us to not only get to know our clients and how they feel about their skin, but to build a trusting relationship that really is the foundation of getting great results.

In the world of skincare, no single solution works for everyone, it’s not a one size fits all. We need the time to navigate the whole picture when it comes to skin health, this can’t be done with just a photo and a few generalised questions.

It’s about finding the right tools and resources that suit your individual needs, and yes, this app will be right for some people that are seeking a quick, convenient and affordable way to get professional advice. However, it is important to be aware of its limitations and seek other professional services when necessary, especially as the evidence for a holistic approach to skin health becomes more and more apparent in this fast paced industry.

As always, re/skin is here to support you in navigating these options to achieving the healthiest skin possible. If you would like to explore our options or book your skin health consultation then please either give the clinic a call on 0114 236 2393 or book online here.

Is Beauty Sleep Really a Thing?

Good sleeping habits are essential to maintain skin health. Our skin is a renewing organ so it needs the time and rest for this to be done effectively. Lots of cellular functions happen at night and it’s a time when our skin repairs the damage that has occurred throughout the day. Lack of sleep will cause the skin to become sluggish, increase in inflammation and a decrease in collagen, elastin and hyaluronic acid production eventually resulting in lines appearing and a loss of tone and volume.

It's important to maintain a good, consistent sleep pattern of around 8 hours per night, this will benefit overall health and in turn your skin too. Avoiding caffeine or alcohol before bed as these can interrupt sleep patterns.

Always remove your makeup before bed and change your pillowcase regularly, this reduces the chances of bacteria or blocked pores causing congestion. A silk pillow case can really benefit the skin reducing the friction and pressure reducing the risk of lines appearing. Side sleeping can also lead to lines and wrinkles forming so where possible sleep on your back.

Avoid having the heating or air conditioning on too high as this can cause a dry atmosphere reducing hydration levels within the skin, sleeping with a humidifier in the bedroom is great for ensuring you wake up with hydrated, plump skin.

Ready to take the next step towards healthier, radiant skin? Schedule your personalised consultation today and let's embark on your journey to skin confidence together. Don't wait any longer to love the skin you are in - contact us today!

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

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.

The Barrier Function- Our Very Own Coat of Armour

My focus this month is on skin health and keeping the skin youthful. I wouldn’t be the professional that I am if I don’t start this off with the Natural Barrier Function. Yes, I hear you…” here she goes again” but there’s a very good reason I talk non-stop about this incredible function of the skin.

So let me start by asking you, why when you jump into a swimming pool does your body not flood with water???

Well, that would be because of the amazing ability of our skin to protect our entire body, our vital organs, bones, muscles, everything inside! Waterproofing is just one of the many, many functions our skin is designed to do. Pretty impressive for something that is just 0.5-1.5mm thick!!

And what makes the skin have this protective ability is the barrier function.

The barrier function is made up of 3 main elements:

The lipid bilayer

The corneocyte cells in the top layer of the epidermis (stratum corneum) are flattened and hardened to give them a protective ability. Between these cells we have the epidermal lipids, if you imagine a brick wall, the cells are the bricks and the lipids are the cement. These cells also have a water-retaining mechanism called the Natural Moisturising Factor compromising of humectants enabling the cells to hold large amounts of water.

This combination of essential oil and water elements creates a complete barrier to prevent anything from getting in and also water loss from within the skin. All cellular and enzyme activity that takes place in the skin does so in solution with water so keeping the water content high is vital to skin health.

The Acid Mantle

The acid mantle is an invisible film that covers the surface of the skin. It creates the PH level, a healthy skin’s PH level is more towards the acidic end of the PH scale, normally sitting between 4.7-5.5. This acidic environment works to repel and inhibit any pathogenic bacteria or micro-organisms that may try and get into the skin. It also provides the ecosystem for the resident natural bacteria that lives on the skin.

Microbiome

Just like the gut, we have living active cultures on the surface of the skin (good bacteria) that fight off any bad bacteria, viruses or pathogens that may try to attack or invade our skin. As mentioned above this bacteria feeds off our sebaceous secretions.

As you can see there is a lot that goes into building and fortifying both the physical resistance and chemical shield. So you can imagine if one element goes out of kilter it can have a knock-on effect, not just to the other elements of the barrier but to the deeper layers of the skin that the barrier is designed to protect.

The formation of these components of the barrier function starts from within the lower layers of the skin. So the quality of the barrier ultimately relies on the quality of the cells, and the cells rely on what they receive nutritionally and topically to be at the top of their game.

In my next blog, I will be discussing what can happen when the barrier is compromised and the ways in which we can keep it from becoming impaired.

If you do feel you have issues with your barrier function or any other aspect of your skin please get in touch, you can contact me by email here or book an appointment with me here. During lockdown, I am offering online consultations free of charge.

The Skin and Psychology

If you follow me on social media you will have seen that last weekend I attended Aesthetic Medicine Live Clinical Conference in London. One of the subjects talked about which really resonated with me was Skin and Psychology. The psychological impact of skin conditions really cannot be underestimated and in my clinic I often find myself on the front line of this.

Dr Raj Thethi, an aesthetic doctor from Leeds talked about a new concept ‘psychodermatology’ which refers to skin conditions that are linked to psychological health.

From very early on in our lives, in fact from just 2 weeks into conception there is a link between our brain and skin. The Ectoderm in the embryo forms the epidermal skin cells along with the nervous brain tissue.

This link with the brain means that our skin really can shows signs of what is going on in someone’s head. Psychodermatology looks at the links between skin problems that may be affected by stress or emotional states of mind, or psychological problems that have been caused by having a skin disorder.

In my consultations I will always ask the client about their stress levels or any factors that may contribute to stress, this is one of the main psychological factors that can have a big effect on the skin. If we have high stress levels we will get a rise in the Cortisol hormone within our body, this increases our Testosterone levels and results in more sebum being produced which in turn can cause spots and breakouts. This can then become a vicious cycle as the skin condition that has now manifested on the skin can have an effect on our moods and behaviour.

An example, if we have a look at the statistics for acne; 80-95% of adolescents suffer from acne. Acne and acne scarring have been directly linked to issues such as depression, suicide, anxiety, low academic performance, and even unemployment.

Dr Raj presented a case he had worked on recently, a client who had suffered with acne and eczema since the death of her brother. She had tried everything in terms of clinical treatments, dermatology, and medicine but to no avail. Dr Raj took on this client and gave her a combined treatment plan that not only included homecare products and clinical treatments but also psychological help. The result was clear skin!! Her conditions had completely cleared up! Not only that, you could almost see the improvement in the clients state of mind by just looking at the expression on her face in the after photo compared to the before.

“In a vicious circle, stress, depression, and other kinds of psychological problems can exacerbate the skin problems. The common dermatological issues that have been documented to be made worse by stress include acne, rosacea, psoriasis, itching, eczema, pain and hives, just to name a few.”

American Psychological Association

I often say the skin is the window to what’s going on inside and this couldn’t be more apparent after listening to Dr Raj on Sunday. I always take a holistic view when treating skin conditions, which not only includes lifestyle, diet, health, environment, but stress and wellbeing are big factors too.

Looking at peoples past and present is the key to getting the skin they want for the future. And once we start getting those results they begin to fall in love with their skin again and we break that vicious cycle.

If you are having issues with a skin condition please get in touch today, and lets get you started on your journey to your future skin.