Welcome to Ask A Derm, a new monthly feature where board certified dermatologist Shereene Idriss is available to answer your most pressing skin questions. Although nothing & # 39; s a visit to Dr. Idriss's practice at Union Square Dermatology can't replace it, think of it as your skincare primer before your appointment date arrives. Teach Dr. Idriss & # 39; know a little better through her Top Shelf here, and through her Instagram account, @shereeneidriss. Do you have a question that Dr Idriss wants to answer? Ask away (Email protected).
Dear Dr. Idriss,
After thinking longer with the idea than I want to admit, I'm finally ready to bite the bullet and visit a dermatologist. But not just a "dermatologist," a real woman, "a thirty-year-old woman looking for her best face forward, and smothering a few small lines that are starting to form accept. The problem is that I have no idea how to fix it. My parents recommend their (and my childhood) bowels, and although he was very helpful in ending my dandruff at age 12, I just don't see him as a good fit for injectable drugs. And here I am today, gutless and a little frustrated. Maybe I'm thinking it out. What should anyone look for when trying to get a dermatologist anyway?
Off for a good gut, and not just any gut
First, make sure the person is qualified. People nowadays throw out deserving titles left and right. What you are looking for is a board-certified dermatologist, and if you visit the American Board of Dermatology website, you can look to confirm the status of a board's intestinal certification. There are no other boards for dermatology, so don't be fooled. Finding a dermatologist can feel a lot like going out – you may need to visit several before finding a good fit. Your search can start with & # 39; a simple Google query or orally orally (do your friends see dermatologists and like what you see?) Most insurance companies offer & # 39; a list of available providers, so this is & # 39; a good place to start, too. From there, look at the information they have chosen to spread around the world: their website, their social media channels, or articles in which they quote. All of these things help you get an idea of what they stand for and what they can provide. Just be careful when looking at review sites – I can't stress too much about how unreliable it can be.
Finally, you have to go in. Nothing replaces the value of human interaction, and as in any relationship, you need to make you feel comfortable with that person. And then look around the office. Doctors usually try out new techniques and devices with their staff – do you like the job? What you look for is likely to be the aesthetic your dermatologist offers you. But while you're there, it's important to note that you don't have to do anything just because you've booked the appointment. Listening to yourself if you feel uncomfortable, and if you feel you are trying something, is probably not a good sign. It may take some time to find one, but it will be worth it if you do.
Dear Dr. Idriss,
I keep it short. Every day, I seem to read about a wonderful product or treatment that needs to change my life, which will help my skin prevent any signs of aging. It's so overwhelming! I can't use them all, and it feels like it's impossible for me to say what's better than that. Can you please help me? What are the five or so best products or treatments (or practices) that really work?
Come to my crow's feet
Not to sound like a cliché, but avoid the sun. I so wish I followed this advice when I was younger, especially in my teens when I thought I was invincible and that the sun was my friend. You have to be sunny every day. Start with sunscreen in the morning and apply again, apply again, apply again. If you are someone who is always on the move, consider investing in some UPF protective clothing. Yes – UV blocking fabric works!
Then it's all about getting to know your skin to find a skin care routine that's right for you. There are many gimmicks there – don't be fooled by them, and stick to the tried and tested. Retinols are where dermatologists remain unanimous when it comes to topical treatments that address signs of aging. Next is vitamin C. Aside from the brightening effects, it is also a wonderful antioxidant that helps free radicals accelerate the skin's natural aging process. & # 39; Another ingredient, peptides, also helps support collagen production. Defensins, which are a certain type of peptide, are especially good to look at when building a routine; they not only support collagen production but also reduce the breakdown of collagen.
For most people, the first sign of aging comes in the form of discoloration of the skin. If you notice that your skin is starting to look red or discolored, the IPL is an easy-to-use treatment for the office, which is a light treatment that helps resolve pigmentation and redness. This or a clear + brilliant laser treatment, often called a "baby Fraxel" because it is less intense. These are all easy, smaller treatments that allow you to wet your feet while getting lighter at the same time. And a note about Botox: many people come to my office to ask for it because it has become the gateway. But Botox is not always the best solution. Basically, what you register as fine lines is really a loss of volume, to which fillers (such as Restylane, for example) could be a better treatment. Shocking, I know! But the fact remains that if you understand your skin and the science behind the ingredients you use, you can put together a beautiful routine that is not too hard from a younger age you will only help overtime.
Dear Dr. Idriss,
I would describe my skincare knowledge as a reasonable means of the road. I know all about the most popular dermatological treatments – Botox, fillers, Retin-A and lasers – but I know that there is so much more to it. Are there any treatments you would like to see becoming more popular? Or another way of looking at what, in your opinion, is the most underrated dermatological treatment?
Looking for hidden gems
I'm so glad you asked! I love setting up treatments under the radar and products that I think deserve more love. One is Ultherapy, an ultrasound heat device that helps sharpen your skin. You can do this every few years to maintain the elasticity and firmness of the skin. I understand why it is not as popular as other treatments – it has a bad rape on rating sites – but as I read it, I seriously question where the disgruntled patients received treatment. Again, it is so important to be treated by a board certified dermatologist! For example, there was a problem in California where unqualified suppliers bought parts for the device from unauthorized retailers, and in turn, the Ulthera failed and some people sustained serious burns. It doesn't have to be that way! I've done thousands of Ulthera procedures, and I've never had a complication. And if you treat yourself, I think you will love the stuff.
Photo via ITG.