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 Beauty Inside & Out  An Interview  Spa Etiquette —
Pamper Yourself


Beauty Inside & Out

By Melanye M. Maclin, MD
Beauty Advisor/Dermatologist

Just imagine, a few days before or even the day of your wedding, you experience one of these common skin or hair problems. Well, hopefully, you will find these quick fixes helpful to make your skin and hair their most radiant.

Infamous ZitNoticeable red or white lesion/bump on the face. — First and foremost, do not pick! This improper manipulation will cause an even more noticeable bump, dark mark and possibly a scar. As dermatologists, we are trained to know the proper technique of decreasing bumps and picking with open comedones (blackheads) or closed comedones (whiteheads).

In addition to thoroughly cleansing with a betahydroxy (salicylic acid) cleanser first (Neutrogena Oil-free acne wash), you may then apply the maximum strength O-T-C (over-the-counter) benzoyl peroxide 2-3 times per day directly to the lesion. Benzoyl peroxide has anti-bacterial, anti-inflammatory and drying qualities to decrease bumps. If sensitive to benzoyl peroxide, another secret is white toothpaste which has drying agents. Apply a dab directly to the area twice per day and again at bedtime.



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There are also some O-T-C combination acne drying solutions that contain multiple ingredients to rapidly dry the area within 24-48 hours. If these do not do the trick, and you have enough time before your wedding day, consult a dermatologist who may inject a low-dose steroid solution directly into the area and prescribe oral antibiotics or combination antibiotic/benzoyl peroxide creams. Otherwise, concealer layered in that area offers the best immediate fix!

Flushed, Red FaceRedness of the forehead, cheeks, nose and chin or medically known as “Acne Rosacea.”If you currently have this condition, immediately watch your diet and stop intake of all caffeinated products (coffee, chocolate, sodas), spicy foods, and alcohol. These all increase blood flow to those areas causing the redness. O-T-C strength Hydrocortisone cream or ointment to face 2-3 times per day will help to temporarily decrease redness. Consult with your dermatologist for a more thorough evaluation as treatment may require oral antibiotics and/or topical medicated creams. There are certain concealers that contain proper pigment for covering red areas on the face. Schedule a make-up consultation prior to your big day to ensure proper coverage.

Flaky Eyebrows or Ears— Dry, flaky, red, itchy skin along eyebrows, side of nose or ears which is medically known as “Seborrheic Dermatitis” (Dandruff of the face).This condition can be exacerbated by stress and is due to the pityrosporum yeast that overgrows in the hair follicles. This condition can be quickly remedied with the use of O-T-C Nizoral (ketoconazole) shampoo to wash your face and ears followed by Hydrocortisone cream twice per day. If this condition is common for you, seek evaluation and treatment by your dermatologist weeks in advance since stress of the wedding can cause flare ups. If this is a new problem for you and persists, consult a dermatologist.

Hormonal Time-of-the-Month Acne — Acne that exacerbates during your period or a week prior.Following an intense acne cleansing routine with beta-hydroxy acid (salicylic acid) or a benzoyl peroxide face wash, apply a benzoyl peroxide 2-3 times per day. Since it is the androgens (male hormones) in the body that cause flaring of acne, there are proven birth control formulations (Ortho Tri-Cyclen) that reduce monthly acne exacerbations. Unfortunately, if not taken a few months prior, there is no quick fix due to the fluctuations of hormones that occur during your period. Therefore, seek treatment months prior to your wedding if you have a history of acne.

Dull, Dry, Ashy FaceNon-radiant, dry complexion.
This may be a sign that your face has lots of old, dead surface skin. Your skin could benefit immediately from a thorough exfoliation which will brighten and decrease roughness of the face. A gentle facial scrub with coarse microbeads (Neutrogena Deep Clean Scrub is my favorite) will help to rapidly exfoliate the old, dead skin surface to a renewed feel and look followed by moisturizer. When used regularly, you will not only find a more radiant complexion, but you will also appreciate how well your make-up goes on and looks. If you are not getting the desired results from your normal cleansing routine or you desire a more intense approach, you may want to visit a spa for a facial or dermatologist for a few sessions of microdermabrasion. Again, this should be done weeks before your big day.

Post Waxing Redness or IrritationWaxing can produce immediate redness following the procedure that will go away within a few minutes to an hour.No waxing on the wedding day! However, if you did wax, immediately apply a cool compress to areas followed by an O-T-C Hydrocortisone cream. Reapply a few hours later. The redness should decrease or even disappear shortly. If not, make-up is the immediate trick!

Dry, Flaky, Itchy ScalpDry flakes, itching and redness of the scalp medically known as “Seborrheic Dermatitis” and commonly referred to as “dandruff.”This condition is commonly occurs in both men and women, but can flare under extreme stress and anxiety such as preparing for your wedding day. Examples of O-T-C medicated shampoos include ketoconazole (Nizoral), selenium sulfide (Selsun Blue or Intensive Head &Shoulders), tar (Neutrogena T-Gel, Pentrax), zinc pyrithione (Head & Shoulders), tea tree oil (Paul Mitchell Tea Tree shampoo) and salicylic acid (Neutrogena T-Sal). Choose two different types so that you will not lose effectiveness of the same shampoo. Massage shampoo into scalp well and leave in for at least 5-10 minutes before washing out thoroughly. You may follow with your favorite shampoo then conditioner. The next time you shampoo, use the other medicated shampoo. Avoid using the tar shampoos on lighter or bleached hair because it may discolor. No one wants to be caught scratching their head when its time to say “I DO” or with white flakes on their black tux!

Melanye M. Maclin, M.D., is the dermatologist and CEO of Innovative Hair Technology, Inc., based in Maryland. Dr. Maclin specifically researches unique, natural ingredients for the development and distribution of innovative hair and skin products. In addition, she is well known in the media as a beauty advisor and columnist of skin and hair issues for several national magazines.

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