Skin care

A Paediatrician’s guide: Are we making our kids more allergic?

Our favourite allergy specialist/paediatrician Dr Sarah Karabus weighs in on the allergy question…

‘We all know someone with a child who has an allergy. Many of us suffer from allergies ourselves.

But why does it seem that allergic diseases such as asthma, eczema, allergic rhinitis and food allergies are increasing all the time?

And if they are indeed increasing, why is this happening?’

Allergies are on the rise in South Africa as well as across the world. Apart from affecting every aspect of daily life – including sleep, learning and play – allergies may also be life-threatening in certain circumstances.

The common allergic conditions in very young children include eczema and food allergies. As children get older, asthma and allergic rhinitis become more prominent.

 

food allergies

Food allergies

The most common food allergies in children are to cow’s milk, eggs, peanuts, tree nuts, soy, wheat and sesame. In older children and adults, fish, shellfish, fruit and vegetable allergies are also common.

There are a couple of factors that we know influence the prevalence of allergies, including things we can’t change, like our genetic susceptibility to allergies, but also a few things that we might be able to influence, such as our environment and our diets.

 

Genetics

If one parent has an allergy, your child has around a 50% chance of developing an allergy of some kind, but not necessarily the same one. If both parents have an allergy, that possibility can be as high as 75%.

Your child will inherit the allergic tendency, but not the allergy itself. For instance, if you have pollen allergy causing hay fever, your child might have eczema or a cow’s milk allergy.

Allergic parents and children

 

“If one parent has an allergy, your child has around a 50% chance of developing an allergy…
If both parents have an allergy, that possibility can be as high as 75%”

 

Diet

The bacteria in our gut are vital organisms that partner with our immune system to keep us healthy. We’re only just beginning to realise the effect that our resident microorganisms have on our entire being. They can influence our immune system, cardiac health, mental health, to name a few.

Unfortunately, modern diets have changed dramatically over the past few decades. Most of us now eat food that has been highly processed, with additives and preservatives that all affect these bacteria in different ways. This means our gut bacteria are no longer ideal, and it is believed this may play an important role in the development of allergies, especially food allergy.

We’ve also recently discovered that introducing certain foods such as egg and peanut early on in baby weaning process can reduce the risk of them developing allergies to these foods (if they are at high risk of becoming allergic). So it may well be that the old, outdated advice on delaying the introduction of allergic foods during weaning may have also inadvertently to this ever increasing food allergy “epidemic”.

 

Environment

The environment where we live can also promote the development of allergies, and make pre-existing allergies worse. Modern lifestyles are more urban – we no longer live on farms, and we no longer play outside for most of our childhood.

We’re also exposed to many more chemicals, irritants and pollutants than our grandparents were. Air pollution from cars irritates our lungs, noses and skin and makes asthma symptoms even worse.

Climate change has resulted in warmer temperatures globally, which means longer flowering seasons for plants and increased fungal growth and spores in the air.

We insulate our homes to conserve energy and keep cool in summer and warm in winter – this leads to increased growth of house dust mites and fungal spores.

 

Hygiene

It has been shown that children who grow up on farms and rural areas have a much lower rate of allergic condition than urban-born children. We’re not 100% sure why this happens, but it is believed that rural children are exposed to greater levels of “good” bacteria when they are growing up which somehow prevents their immune systems from tending to develop allergic symptoms.

hygiene hypothesis and allergy
We are only just starting to understand how our modern lifestyle, despite its many advantages, might also have contributed to the ‘allergy epidemic’

 

If you are concerned that your child is developing an allergy to certain foods, eczema or any other kind of allergy, speak to your GP and ask them to refer you to a paediatrician/allergologist for a proper diagnosis and action plan.

 

Yours in parenting,

Dr. Sarah
XOXO
Paediatrician Dr Sarah Karabus

Le Beauty Club recommends:

Any one who has a family member with atopic eczema knows that how you look after their skin is vital in helping to prevent flare-ups, especially in winter.

Keep the skin moisturised and comfortable with cleansing and moisturising products developed specifically to treat eczema-prone skin – the ingredients left out are as important as the ingredients put in.

We have a selection of the best dermatologist developed and recommended products available for use from baby to adulthood: Bioderma Atoderm Intensive range, Mustela Stelatopia and Noreva Xerodiane ranges.

A Derm’s Guide: The Do’s and Don’ts for Acne

Our favourite dermatologist Dr. Levashni Naidoo gives us her 9 steps to a clear skin

I’ve been an acne sufferer since adolescence and, before I became a dermatologist, managing my skin was frustrating. I wished I could speak to someone who had successfully navigated the break-out chapter of their life.

My experience as an acne-prone teenager was fairly typical:

My skin felt oily and I thought it would help if I cleansed more frequently and vigorously. I was wary of moisturiser, as it made the oiliness of my T-zone worse. I had a phobia of sunscreen – I could almost feel the onset of a new acne flare-up when I was forced to apply the tacky substance to my face.

In desperation, I tried a number of natural home remedies one after the other and then together. As I stood despondently in front of my bathroom mirror watching my spots change from a strawberry tone to fire-engine red, I wished I could speak to someone who could give me good advice.

Now, as an adult woman who is still acne-prone, I wish I could tell my younger self to breathe, stop picking, step away from the mirror and follow these simple steps…

Step 1: Always be gentle

Cleanse gently twice daily. Aggressive scrubbing may seem like the right thing to do and may feel comforting psychologically, but an aggressive cleansing routine stimulates your sebum (oil-producing) glands to produce more oil.

Le Beauty Club recommends:
For teen acne: Bioderma Sébium Foaming Gel, Noreva Exfoliac Cleansing Gel
For adult acne and sensitive skin types: Noreva Actipur Dermo-Cleansing Foam, Bioderma Sébium H2O

Acne and oily skin cleansers

 

Step 2: Treat your acne

Acne is a complex inflammatory process. It is not only about overproduction of sebum (skin oil); the composition of that sebum is also the cause of blackheads and whiteheads – the building blocks for pimples and acne nodules. You need to use a skin treatment with ingredients that regulate the amount of sebum produced as well as the quality of the sebum. This helps prevent pores becoming blocked – the cause of the vicious cycle of blackheads, whiteheads and pimples.

I recommend treatment like Bioderma’s Sébium Global. Ingredients like zinc gluconate regulate sebum production, and patented SeboRestore Complex improves the quality of sebum, preventing it becoming thicker and clogging up your pores. Salicylic acid and alpha-hydroxy acids chemically exfoliate the skin gently, improving skin texture and clarity.

Le Beauty Club also recommends:
For moderate to moderate acne: Noreva Exfoliac Acnomega 100
For sensitive skin prone to acne: Noreva Actipur 3in1 Corrective Anti-Imperfection Care, Bioderma Sébium Sensitive Soothing Anti-Blemish Care

Acne treatment & moisturiser

 

Step 3: Yes, you can (and must) moisturise acne-prone skin

I’ve found in my practice that people with acne commonly fear moisturiser. My aim is to get my patients to change their mindset. Instead of trying to dry out their skin by every means possible, they need to become comfortable with using a moisturiser.

Oily skin can become very dehydrated, especially if you strip away its protective barrier film, which prevents water loss. This can cause the skin to produce more oil to stop this water loss. So the answer is to use an oil-free moisturiser. This keeps skin comfortable and helps with skin hydration.

Le Beauty Club recommends:
Bioderma Sébium Mat Control

 

‘Remember acne is an inflammatory process. The skin needs to be rehabilitated… time is necessary for improvement.

Realistically, it will take up to two to three months to see a marked improvement’

 

Step 4: Sun Protection is essential!

Sun protection is an important part of your acne care. You may notice that when your acne heals, there is darker pigmentation on the area. And this post-inflammatory hyperpigmentation may last a great deal longer than the acne itself.

Protection from ultraviolet, infrared and visible light helps prevent this pigmentation becoming worse. And on affected skin, it will help with a speedier return to your original complexion.
It’s important to remember that most treatment options for acne increase the skin’s sensitivity to sunlight – another reason sunscreen is a vital component of any complete skin care regime if you are serious about improving the appearance of your acne.

Newer sunscreens are formulated with microparticle technology so they do not have a thick and greasy texture, they are absorbed rapidly and leave a nice matte finish.
Sunscreens I love from the Bioderma range for acne-prone skin include Bioderma’s Photoderm Aquafluide with a dry-touch finish, which has beautiful mattifying properties, and Bioderma’s Photoderm Nude Touch – a mineral-based sunscreen for those sensitive to chemical filters. Photoderm Nude Touch has an evolutionary liquid-to-powder finish, leaving your skin with an elegant finish.

Le Beauty Club also recommends:
Noreva Exfoliac Matifying Suncare Fluid SPF 50+

Sunscreens with ingredients that help treat dark marks: Institut Esthederm Photo Reverse, Bioderma Photoderm M SPF 50+, Bioderma Photoderm Spot SPF 50+, Noreva Iklen Anti Brown Spot SPF 50+

Acne sun protection

 

Step 5: Don’t pick at your pimples

Despite what you may see on social media or television, there isn’t a right way to pop a pimple. Popping, pinching or squeezing carries the risk of driving the inflammatory process deeper into your skin and leaving scarring of a permanent nature. Try to resist the temptation. Use a treatment instead.

Step 6: Avoid heavy make-up

In the myriad-filtered world we live in, asking someone with acne to leave home without a long-lasting foundation seems like stripping them of a layer that shelters them from enquiring glances.

The truth is, as comforting as a heavier make-up cover may feel, occlusion (pore-blocking) of any sort may make your acne worse. Rather use a concealer on areas that bother you more, and use a lighter, breathable foundation over the rest of your face.

Le Beauty Club tip: Using clean hands or brush, pat on the concealer and build up the coverage where you want it.

Le Beauty Club recommends:
Noreva Exfoliac Tinted Anti-Imperfections CareLight and Golden – a tinted treatment for oily and acne-prone skin

Step 7: Watch Your Diet

Numerous studies have been conducted on diet and acne, and while there isn’t an association with any particular food group, the association between a high gylcaemic index diet and acne has been confirmed. So, as with most things in life, an exercise in moderation does show benefits.

 

Step 8: There Is No Quick Fix!

In moments of desperation, we are more prone to trying or believing any remedy that is shared with us or that we read about, no matter how weird (applying toothpaste to your acne is never a good idea).

Remember, acne is an inflammatory process. The skin needs to be rehabilitated medically – either topically (with a treatment cream) and or orally, depending on its severity.
And, as the term rehabilitation implies, time is necessary for improvement. Realistically, it will take up to two to three months to see a marked improvement in any safe, effective acne programme.

Step 9: There is always hope – even for the most challenging acne cases

I frequently see challenging acne cases. Whether you’re a teenager anxious about the departure from smooth skin or an adult frustrated by breakouts you have come to feel is your lot, don’t despair!
There is always something that may be altered in terms of the actual ingredient or delivery of ingredients that may help you on your path to smoother skin!

 

Here’s wishing you happy skin days,

Dr. Lev
Dr Levashni Naidoo
If you struggle with severe acne issues, keep a look out for our April blog post: A derm’s advice on severe acne.
XOXO

Introducing Institut Esthederm

 

Le Beauty Club is very proud to bring you a new brand… not just any brand, mind you. We’re delighted to introduce the renowned French aesthetic skin care brand, Institut Esthederm.

We deliver to your doorstep so you don’t have to travel the world to find the love your skin deserves.

What is Institut Esthederm?

Ecobiology is at the heart of NAOS and Institut Esthederm’s approach…
Rather than looking for external, temporary treatment solutions, they strive to better preserve the skin ecosystem and to strengthen its natural mechanisms.

Heritage of innovation

It is a NAOS brand, pioneered in 1978 by forward-thinking pharmacist-biologist, Jean-Noël Thorel. More than 36 years of research and over 80 proven patented formulas help to fulfil its promise of ‘ecobiology at the service of aesthetics’.

Heritage of care

Institut Esthederm aesthetic skin-care ranges are created to support skin throughout the cycles of life. They address skin ageing, external stressors and the impact of modern living in a very sunny country (you know, wrinkles, dehydration, dryness and pigmentation).

Harmonious skin care

The products are biologically active. They work in total harmony with your skin’s biology, with a lasting effect.

A winning formula

Every Institut Esthederm product (except oily formulas, such as Intensive Retinol Serum) has the award-winning Cellular Water Formula patent. This is as close as it gets to skin’s own physiological water content. It consists of ingredients that recreate an optimal environment. Blending perfectly with the skin, Cellular Water optimises skin cell metabolism, so they are hydrated, thrive and regain energy. In this way, youthfulness is preserved.

Esthederm Cellular Water Mist

Now choose the perfect routine for your skin’s needs

Essential cleansing

Start your skin care the right way with the best Esthederm Osmoclean cleansing routine. Choose between Cleansing Milk (for drier skin types) and Pure Cleansing Foam (for normal to oily skin) to will cleanse your skin while respecting its delicate nature.

Then add the must-have dynamite combo:
1: Gentle Deep Pore Cleanser acts as a ‘vacuum’ to remove impurities.
2: Lightening Buffing Mask uses gentle chemical exfoliators (no scrub granules). It has a brightening effect and is safe to use under eyes – perfect for dark circles.
Both give your skin a professional double cleanse for a brighter, softer and super-smooth complexion.

Essential for everyone

Planning a healthier you? Skin health starts with hydration and energy. So make sure you keep it hydrated and energised with Institut Esthederm Eau Cellulaire rangewith Spray and moisturising Cream.

The new Eau Cellulaire Cellular Water Mist (100ml and 200ml) is your go-to product every day – no matter what your skin concern. The Cellular Water formula is almost identical to the water found in your skin, so skin just drinks it up. Now enriched with antioxidants and hyaluronic acid, this water mist is as powerful as a serum. It’s a great radiance and moisture booster/make-up setting spray. Carry it with you to top up skin freshness all day.  Highly recommended by experts to boost hydration.

The entire Institut Esthederm range is suited to both men and women.

Institut Esthederm Cellular Water

Fight signs of ageing

Sagging features? Thanks, gravity! Institut Esthederm’s Lift & Repair range is ideal. It offers instant and long-term anti-ageing benefits. The firming and lifting effect give facial features more definition.
Pair Lift & Repair Absolute Smoothing Cream with Lift & Repair Eye Contour Smoothing Care Cream

Derm Repair Restructuring Serum is highly concentrated in regenerating active ingredients, stimulating the production of dermal fibres and helping to correct wrinkles before they appear.

Anti-ageing warriors

The Intensive Collection is your custom range to target specific skin concerns. It harnesses specific molecules well-proven in dermatology and aesthetic skin care for their intensive and proven efficacy. These are used in ideal amounts for maximum efficacy and results on skin imbalances and the effects of ageing:

Target severely dehydrated skin and plump up lines and wrinkles with the multiple award-winning Intensive Hyaluronic range. Institut Esthederm Intensive Hyaluronic Serum recently won the Best Moisturiser category in the prestigious Elle South Africa Beauty Awards 2018. Even if you suffer from oily skin, this serum helps balance out the skin’s natural oils.

• When you need extra help in the fight against deep wrinkles, uneven texture and photo ageing, try Intensive Retinol range. Both Intensive Retinol Serum  and Intensive Retinol Cream are designed to use as short, sharp intensive treatments twice a year, for a two month period.

Intensive AHA Peel range (with Alpha and Beta Hydroxy Acids as well as hydrating and exfoliating agents) refines the skin’s surface, combats dullness and reduces the appearance of pores, leaving skin looking like new. It comes in two different strengths, so your skin can build up tolerance.

• If you and your skin are tired after a long summer, treat yourself to an intensive revitalising, energising treatment with Intensive Spiruline Serum and Cream.

Fight environmental damage and soothe sensitivity, inflammation or reactivity with the soothing Intensive Vitamin E² Serum.

• Intensive Vitamin C Cream targets wrinkles, dark spots and radiance loss. It stimulates collagen production for skin firmness, and fights against the harmful effects of free radicals.

 

Esthederm Intensive range

A brightened future

Battling with excess pigmentation? Dark marks affect women of all ages and skin tones. Esthe-White brightening/anti-dark spots range helps fade existing marks and prevent hyperpigmentation damage caused by environmental stressors. It also prevents new dark marks forming. The comprehensive Esthe-White range covers all the bases, from Cleanser to Day and Night Cream, Serum and fabulous Eye Care that targets dark pigmentation on the eye area – brilliant!

Bonus: the range also helps fight signs of ageing, making the skin look firm and brighter, for a younger and more even complexion.

 

We are proud to be authorised Institut Esthederm suppliers.

Not sure which product would suit your needs? We’re on hand to recommend a skincare routine that works for you. Contact Us at info@lebeautyclub.co.za. We look forward to hearing from you.

XOXO

 

 

 

 

 

Time for romance… Valentine beauty gets real

Love is in the air, in your eyes… and on your skin. Make a special effort to look and feel fantastic for your love object – that includes yourself…

In an ideal world, we’d show our partners care and consideration every day, but juggling life’s demands can be so hectic that couple time is often not as frequent as it should be. Use Valentine’s Day as a gentle reminder to stop and smell the delicious bouquet of roses and why not make space for romance?

Radiant face

A smooth skin is a radiant skin. Slough off old skin cells with Bioderma Sébium Pore Refiner or Noreva Exfoliac Facial Scrub.

Next, give it a drink of moisture and softness:  Try Noreva Aquareva Light or Rich or Bioderma Hydrabio Perfecteur SPF 30.

radiant moisturised skin

Soft, caressable skin for both of you

The skin on your body, hands and feet should feel like velvet. You don’t want to feel any roughness or snagging.

Gentle cleansing

Couple time gets even more alluring when you have smooth body skin and smooth, soft feet. In the shower, get soft and moisturised skin with Bioderma Atoderm Shower Gel, then buff it with a gentle body scrub or loofah to leave the skin clear of blemishes and rosy with health.

Close shave

Few things are more off-putting than stubble prickling your partner. Make sure you’re as smooth as baby.

For her For lasting smoothness, have your legs waxed, or DIY by shaving or using a depilatory cream. The latter lasts longer, but first do a skin-sensitivity patch test if you‘ve never done it before.

For him Please shave your face. Five o’clock shadow will give your partner’s delicate skin carpet burn. Afterwards, apply a post-shaving balm to soften your skin and beard hairs. Try Bioderma Sensibio Forte.

Moisture must

For both of you Don’t dry your skin completely when you step out of the bath or shower. If you leave it slightly damp when you apply lashings of body lotion, it will be doubly moisturised. Use a neutral body lotion (we like Bioderma Atoderm Milk), then spray your chosen fragrance in the air and walk through the mist for an overall fragrance kiss.

 

Show-off tips

Get pretty fingertips and tootsies with a rich, jewel shade are eye catching. Pair your signature shade with a stunning outfit or your favourite slinky negligee and you’re sure to have a great night.

Be nice to be near

The feel of your skin and the scent of your favourite fragrance can be addictive to the object of your desire, as sense of smell is directly connected to our limbic brains, the seat of our emotions so, when they smell your trademark scent, it will affect them instantly.

Application rules: Certain areas on your body are hot spots for scent. The heat they generate makes fragrance come alive and linger. Apply it behind your ears, between your breasts, on elbow creases, behind knees and on inner wrists.

Hint: if you decide to try something new, make sure you know it’s something he or she will love. On your way out the door, spritz on a fragrance to finish off the ultimate love package.

Who wants to kiss and make up?

We fall in love by gazing into each other’s faces and our brains register our mood continually with what they reveal. So you want to send the right message…

Valentine beauty foundation and blush

First contact

If you’re stepping out with your beau or besties, a glowing skin is needed for any and all occasions. Reflect your radiance from the inside out with Bourjois City Radiance Foundation. The formula contains radiance-boosting pigments to even out skin tone – all for a more natural, fresh, radiant complexion. The SPF30 allows you to take a romantic stroll on the beach, carefree! If, on the other hand, you have an oilier complexion, you’ll love Bourjois 123 Perfect CC Cream, which evens out skin tone as well.

Next, add a tinge of blush to soften the mood, the Bourjois Little Round Pot makes it easy to swipe on and slip it into your bag for a sneaky touch-up.

Come-hither eyes

The eyes are the most important tool of seduction – after all, how can you fall in love without eye contact? Make sure your eyes look beautifully relaxed by erasing all signs of tiredness with an instant pep-up eye cream. Try Noreva Noveane 3D Rollon Anti-ageing Eye and Lip Cream.

Make your eyes speak volumes with either of these two beauties: Bourjois’s lashious Volume Glamour Push Up Mascara or Bourjois Volume Reveal Mascara.  

A soft, smoky look is super easy with Bourjois Smoky Eyes Trio Eyeshadow.

Kiss-me lips

For both of you: Lips should be soft and smooth for kissing, so eliminate dry, rough skin and give them a rosy glow by brushing them gently with a wet toothbrush.

Apply a nourishing lip balm Bioderma Atoderm Restorative Lip Balm and let it soak in for a while.

Breath should be sweet, so brush and floss well and keep some Xylitol mints handy if you’re having a spicy meal.

Finally, pucker up in high definition with Bourjois’ iconic Rouge Edition Velvet Lipstick, which has serious staying power and looks ultra-plush.

At the end of the night, don’t forget to take it all off with micellar water – Bioderma H2O or Noreva Universal Cleansing Lotion.

Happy Valentine!
XOXO

Dr Levashni Naidoo: Treating pigmentation in summer

I have a complicated relationship with summer: I love feeling the warmth of the sun on my skin, but I don’t love the unevenness with which it marks my complexion.

With summer’s seasonal return, I’ve learned that the sun usually kisses and tells. This can be concerning to those affected by pigmentation problems, so let us look at common factors that may worsen your excess pigmentation and follow our tips to help you with this challenging condition.

Why treat pigmentation?

I’ve treated many patients with pigmentary disturbance. I’ve seen their frustration at having to cover up a condition they wish they could rather spend time improving medically. I’ve witnessed the anxiety they face at the idea of going make-up free. I’ve come to understand the difficulties they face in terms of lowered self-esteem and how self-conscious they feel following the onset of unexpected pigmentary alterations.

Pigmentary disturbance remains a challenging condition to treat. There are over 152 genes that regulate pigment production! This has an impact on how individuals respond to topical treatments, and finding the correct treatment is a process.  It is important to understand that there is no quick fix. I do, however, believe that if dermatologists work closely with our patients, we may embark on a pathway to improvement.

The skin complexion we inherit is influenced by

External Factors

Sunny Days

South Africa is amongst the sunniest countries in the world and sun-induced pigmentation ranks first as both cause and aggravator of many pigmentary disturbances. We all understand that ultraviolet UVA and UVB rays cause photoaging (sun-induced ageing) and increased pigment production. But we also realise now that the visible light spectrum and infrared radiation play a significant role in contributing to skin damage and uneven skin tone through generation of reactive oxygen species (free radicals) within the skin.

Sun exposure may lead to a general increase in pigmentation where skin is exposed, as well as a darkening of pre-existing freckles and the appearance of sun spots.

Heat Waves and Close Shaves

Heat itself from any external source or trauma to the skin may stimulate increased activity of melanocytes (pigment-producing cells in the skin.)

Internal Factors

Heavy-handed hormones

Melasma (hormonal hyperpigmentation) is a common form of pigmentary disturbance. It frequently occurs during pregnancy or when a susceptible person starts using a combined oral contraceptive pill. The increase in oestrogen concentration stimulates melanocyte activity, increasing the production of melanin. This increased pigmentation is commonly found on cheekbones, forehead, nose and occasionally around the mouth.

The aftermath of inflammation

During the active phase of many inflammatory skin disorders – such as acne, eczema and lichen planus – inflammation in the skin may activate pigment production pathways. When the skin is healed, there may be an increase in pigmentation, called post-inflammatory hyperpigmentation (PIH).

Popping pills

Certain types of medication may lead to pigmentary disturbance. These include non-steroidal anti-inflammatories used for pain relief, the combined oral contraceptive pill, antihypertensive (blood pressure), antimalarial, antibiotic and anti-epileptic medications. Telltale signs that you may have drug-induced pigmentation include darkening of your nails and mucosa (lining of the mouth, etc.).

Should you treat pigmentation in summer? Yes!

Treatment of pigmentation has two arms:

One: use one or a combination of treatment agents that effectively decrease pigment production and,

Two: prevent further worsening of pigmentation from continued sun exposure.

The most important aspect of treating pigmentation over sun-exposed sites is to ensure that you protect vigilantly from the sun.

  • This includes avoiding peak-intensity sunlight hours between 10 am and 3pm outdoors.
  • When you’re outdoors, wear protective clothing in the form of sun hats, scarves and long sleeves,
  • Always remember to apply a broad-spectrum sunscreen with both UV, visible light and infrared radiation protection, such as Bioderma Photoderm range

 

What treatment should you use?

Here are your A, B, Cs for treatment of excess pigmentation in the summer months:

A

Always use sun-protection. A broad-spectrum sunscreen should be applied daily in appropriate quantities (a R5 coin amount for your face alone). Re-apply every couple of hours if you are spending time outdoors. Remember, no sunscreen lasts the entire day.

Always remove pigmentation-stimulating agents, such as exacerbating drugs. Speak to your doctor about changing medication, if possible.

B

Brightening agents

Dermatologists may use the following in-clinic treatments to reduce pigmentation:

Chemical peels containing alpha-hydroxy acids like glycolic acid. The strength of the peel will depend on what is clinically suitable for your skin type to minimise inflammation, especially in those with darker skin types. Peels should gently encourage exfoliation of the uppermost layer of the skin, lifting epidermal pigmentation and helping active brightening ingredients from skin care products to penetrate the skin.

Dermafrac is a newer treatment combining microdermabrasion, micro-needling, simultaneous deep tissue serum infusion, and light emitting diode (LED) therapy. In addition to stimulating skin rejuvenation, the procedure also helps with uneven skin tone and hyperpigmentation through delivery of select ingredients into the dermal layer to damp down pigment-producing pathways. This procedure is particularly recommended for those with darker skin types. where stimulation of inflammation through more aggressive treatments may actually worsen pre-existing pigmentary disturbances.

Laser therapy should only be carried out under the care of trained medical professionals. The selection of laser is dependent on the cause of the pigmentation, with careful consideration given to the skin type of the patient.

C

Care at home

In cases of chronic hyperpigmentation, a more intense acute phase of therapy is often followed by a tailored, safe long-term management programme. Treatment in the acute phase may include ingredients like hydroquinone that are prescribed for a short period under supervision of your dermatologist.

Due to side-effects with continued hydroquinone use, a switch to a non-hydroquinone- based ingredient or combination of ingredients is advised.

Skin brightening agents work on various different pigment activities:

  • they may block the formation of melanin,
  • inhibit the transfer of melanin from the melanocyte to other skin cells,
  • suppress melanocyte activity
  • limit inflammation and
  • enhance skin cell turnover

Caution!

Systemic skin-lightening agents have become increasingly popular in recent years. Fernbloc has proven safety and efficacy, but we strongly advise against using other agents such as intravenous glutathione because of severe side-effects, which include renal and liver impairment as well as documented life-threatening adverse drug reactions including Steven Johnson Syndrome.

My recommendations for home care treatment of pigmentation and sun protection

  1. Essential: Sunscreen with a broad- spectrum UVA and UVB cover, as well as cover for visible light. I recommend Bioderma’s Photoderm M  if you have been diagnosed with hormonal melasma as it effectively extends cover to this visible spectrum range. Sun protection is especially important if you have had in-clinic treatments and are using active ingredients such as hydroquinone, retinol, AHA, etc.
  1. Noreva Trio White depigmenting range  is a combination of reductol (a phytonutrient that protects keratinocytes), as well as vitamin C and arbutane that limit melanin production
  2. Esthederm’s Esthewhite range: a combination of murine exopolysaccharise that enhances skin cell turnover, glucosamine and glabridine that regulate melanin production, and vitamin C with added anti-oxidant benefit.
  3. Topical retinoid at night: For first-time retinoid (vitamin A) users, I start with Esthederm’s Intense Retinol Serum – a 0.3% retinol preparation combined with papyrus and apricot oils rich in omega 3, 6 and 9, which improve tolerance of the retinoid. As you develop tolerance, and should added strength be required, I upscale treatment to a prescription-grade retinoid.

Find out more about the Esthederm range here.

Here’s wishing you happy summer days,      

Lev

Dermatologist Dr Levashni Naidoo

 

XOXO

 

 

Meet Dr. Sarah Karabus

Our paediatrician expert Sarah Karabus gives us her insights on children, parenting and skin care

AGE: really?

Do you have children? How old are they? 

Noah, age 11, budding engineer, voracious reader and thoughtful kind soul. Ella age 8, funny, capable and a delightful young lady.

Why did you become a paediatrician? 

Children are so pure and honest. When they are hurt you know they hurt, when they are better, they smile. There is no pretence nor exaggeration.

What are the most common issues you see in your practice? 

Being an allergy specialist, the most common conditions I see are eczema, food allergy, asthma and allergic rhinitis (“hayfever”). But I also deal with all the regular issues that parents have with their children including general health, developmental issues, nutrition, emotional issues as well as serious illnesses.

The most useful parenting advice you’ve ever been given From my father, himself a paediatrician, whenever I was worried that one of my children was ill or behaving in a way that did not fit my expectations or follow the textbook… “Read your baby, not the textbook”. It might sound flippant, but it helped me relax and enjoy my children and get to know them, rather than expecting them to be exactly as the textbook described.

The best skin-care advice you’ve been given

There can be only one answer to this…..wear sunscreen every day.

The skin-care advice you give your family, friends and patients 

Again, sunscreen! Every day, even in winter, Reapply it frequently, every few hours. 

Your skin is… 

the largest organ in your body. Treat it with respect.

My skin care must-haves… 

It must be as simple as possible in order to incorporate it into my hectic schedule. Sunscreen, a good moisturiser, a serum containing antioxidants like vitamin C and a night treatment containing Vitamin A.

 

XOXO

 

All new Mustela must-haves

There are a bunch of new kids on the Mustela block.

And they’re just what you’ve been looking for

Cradle cap woes?

Still struggling to get rid of cradle cap? Not for very much longer. Mustela’s legendary Stelaker’s had an upgrade. Now called Cradle Cap Cream, it contains Mustela’s avocado Perseose patent to help improve the appearance of your baby’s scalp, as well as borage oil to moisturise and keep the scalp smooth and clean. This product has high skin and eye tolerance, is hypoallergenic and fragrance-, paraben-, phthalate- and phenoxyethanol-free. Leave on overnight and rinse off in the morning with Foam Shampoo for Newborns and voila!

Mustela-Cradle-Cap-Very-Sensitive-Skin

Sensitive skin – surely all babies have sensitive skin?

Weeeell… yes, but no. All babies have an immature skin barrier at birth, but 1 in 3 babies are born with sensitive skin. This skin tends to over-react to stresses tolerated by other babies: temperature changes, wind, detergents, even rubbing of their clothing. It reddens easily, and babies may have feelings of tightness and tingling, which will probably make them cranky!

How you cleanse sensitive skin is important, as using harsh soaps and cleansers can cause more irritation. Your favourite Mustela No-Rinse Cleansing Water is now also available for Very Sensitive Skin: No-Rinse Soothing Cleansing Water contains patented avocado Perseose to protect the skin barrier, preserve the cellular richness of the skin and moisturise, as well as schizandra berry extract to soothe and improve the appearance and sensations of very sensitive skin. It cleans ultra-gently, soothes and strengthens face, body and nappy area – with no rinsing required.

Also for sensitive skin, Soothing Cleansing Gel has all the effective cleansing properties you’ve come to expect from Mustela, while soothing even the most fragile and immature skin. It contains 98% ingredients of natural origin, including avocado Perseose and Schizandra. Importantly, very mild surfactants of natural origin clean gently while respecting very sensitive skin.

 

Moms, we haven’t forgotten you!

The legendary Mustela Stretch Marks Prevention Cream now comes in a Fragrance-Free version, so women with even the most sensitive skin may use it. Formulated for expectant and new moms, this luxurious cream helps prevent stretch marks with its unique combination of active ingredients (most of natural origin).

Mustela-Stretch-Mark-Prevention-Cream

 

Snotty nose getting you down?

All little ones get snotty noses every now and then, and that’s almost guaranteed to disrupt everyone’s sleep!

Mustela’s new Soothing Chest Rub, while not a medication, contains refreshing pine scents to help your baby relax and promote sleep. On top of that it contains shea butter and honey to soften and moisturise the skin, as well as Mustela’s patented avocado Perseose to help reinforce your baby’s skin barrier. This lovely rub is perfectly safe to use from day 1, and can be gently massaged onto baby’s chest twice a day before sleep. Its melting texture makes it ideal for massage, leaving no sticky residue. Nighty night!

Mustela-Chest-Rub-Wet-Wipes

All wipes are the same – or are they?

Mustela has taken its popular Dermo-Soothing Wipes and improved the formula. Now simply called Cleansing Wipes, these delicately scented and ultra-soft wipes are perfect for baby and child’s face, hands, nappy area and body from birth on.

These gorgeously fluffy, alcohol-free wipes contain 97% ingredients of natural origin, including: avocado Perseose to help reinforce your baby’s skin barrier; plant-based glycerine to moisturise the skin and protect it from water evaporation; Saponaria Leaf extract to cleanse and Allantoin to soften. Use them at every nappy  change or keep them with you for on-the-go clean ups.

And did you know you can also use them to remove your make-up, moms? Mustela Cleansing Wipes won the Allure Best of Beauty awards last year – voted for by moms in the know.

 

We’ve saved the best (cutest!) for last…

For a very Limited Time Only, 3 of Mustela’s favourite products are available in oh-so-fun packaging!

Say Hello to the adorable Abigail the Whale Gentle Shampoo, Phillipe the Sheep HydraBebe Body Lotion and Vincent the Elephant Gentle Cleansing Gel – three bath time friends who have a very important message – to remind your little ones (and you!) that it’s important to protect the natural habitat of their animal friends. Great for making every bath time an opportunity to learn and play. You absolutely do NOT want to miss out on this one…

 

XOXO

Meet Dr. Levashni Naidoo

 

Our resident dermatologist, Dr. Levashni Naidoo is under the spotlight this month. We get her take on skin care and beauty…

 

Why did you become a dermatologist?

As a teenager, I had quite severe nodulocystic acne, which made me feel incredibly self-conscious. As the condition progressed, I became increasingly reserved. When I looked in the mirror I couldn’t see beyond the blemishes, and I thought this was what others I encountered focused on.

I was fortunate to have been treated by an incredibly gentle, understanding dermatologist who prescribed a course of medication that quietened down my acne activity and prevented me from developing any permanent scarring. I cannot describe how the improvement in my skin helped my self- esteem.

A diagnosis of a skin condition differs from diagnoses in other medical disciplines. It is often a diagnosis a person wears for the world to see. I’m sensitive to this – I understand it from my own experience.  One of my greatest blessings is being in a position to help others as I was once helped. I love seeing my patients return looking and feeling more comfortable in their skin. What I love most of all is hearing their stories – how the improvement in their condition helps return their self-confidence and how this filters into and helps improve other aspects of their lives, both personal and professional.

What are the most common skin issues you see in your practice?

Skin changes can occur at any time in a person’s life. As a dermatologist, care for our patients may start from their first day. I love treating little ones. Commonly, I see infants with cradle cap, heat rash or a nappy rash. Children usually have inflammatory skin conditions like atopic eczema or skin infections. Both teens and adults often come for consultation regarding their acne.

Given our sunny climate in South Africa, disturbances in pigmentation form a significant portion of my patients’ concerns. Increased pigmentation includes photoageing, melasma and drug-induced hyperpigmentation. Other sun-exacerbated disorders range from rosacea to the more concerning end of the spectrum including skin cancers.

I also see many patients with alopecia (hair loss). This is a condition I am particularly sensitive to as many of my family members have a history of early onset alopecia.

Le Beauty Club recommends:

For acne: Noreva Exfoliac (teen acne) and Actipur (adult acne and sensitive skin), Bioderma Sébium range. These comprehensive ranges have products to treat mild to moderately severe acne, including product that complements medical treatment

For cradle cap: Mustela Cradle Cap Cream + Mustela Foam Shampoo for Newborns 

First aid in a bottle (heat rash, insect bites, irritated folds): Bioderma Cicabio Crème (non-oozing wounds), Bioderma Cicabio Lotion (oozing wounds), Mustela Stelatria

Nappy rash prevention and repair: Mustela 123 Vitamin Barrier Cream

Atopic eczema: Bioderma Atoderm Intensive range, Noreva Xerodiane AP+ Relipidant Balm, Mustela Stelatopia range

 

 

Bioderma Sebium Foaming Gel, Noreva Xerodiane AP+ RElipidant, Noreva Actipur, Bioderma Cicabio Creme, Mustela Cradle Cap, Mustela 123 VBC

 

The best skin-care advice you’ve been given

Skin care is an important aspect of self-care, and self-care is an integral component of self-respect.

 

 The skin-care advice you give your family, friends and patients

Choose your skin care as you would your friends: quality over quantity, gentle rather than agitating, substance before packaging.

 

At what age should you start using a skin-care routine? 

It’s never too early and it’s never too late to start a good quality skin-care routine.

 

What should you use? 

Sunscreen, always sunscreen! This is a mantra many have openly and thankfully embraced. Sunscreen is just one side of the coin.

The flipside includes the use of antioxidants. Effective antioxidants for the skin include vitamin C, vitamin E and selenium. Antioxidant delivery to the skin is superior when applied on the skin as opposed to taking it orally. Antioxidants are essential ingredients that combat reactive oxidative species generated by environmental toxins like pollution, smoke and radiation. Additionally, vitamin C has added benefit of improving collagen synthesis and regulating melanin (pigment) production. Antioxidants are commonly prepared as serums. I prefer my antioxidant delivered in my moisturiser. I’m a firm believer in a minimal-step-easy- to-commit to skin-care routine.

Le Beauty Club recommends:

Our comprehensive selection of leading dermatologically created and EU-approved sunscreens for all skin concerns and all ages.

 

 

At what age should you start considering treatment against environmental damage?

We’re blessed with a beautiful sunny climate for most of the year in South Africa. A disregard for moderation in sun exposure can carry significant consequences, ranging from premature skin ageing to skin cancers.

Protection from excessive ultraviolet, visible and infrared light exposure should start from infancy – with appropriate protective clothing and keeping to shaded areas when you and your loved ones do have to be outdoors.

Sunscreen use in little ones used to be recommended from 6 months onwards. Currently the recommendation has been altered to allow for earlier use of sunscreens where protection may not be completely afforded by the use of protective clothing and where keeping in the shade is not possible.

Le Beauty Club recommends these child sunscreens: Mustela Very High Protection Sun Lotion SPF50+, Bioderma Photoderm Kid SPF 50+

 

Your skin is… a complete reflection of how you feel from day to day and the space you find yourself in. In embryology, we learn that the skin cells develop from the same space as the brain cells – the neuroectoderm – and so there exist these amazing channels between how we feel and the way our skin presents itself. This is an association that must be respected and appreciated when trying to care for the skin holistically. 

 

My make-up reflects how I feel or what I want to project. Most often I’m drawn to soft, neutral elegant shades, but there are days when I love the glamour of a powerful bright red lip.

 

XOXO

Skin Care Gets Serious: Our Top 5 for Late Winter

 

September may be here, but the chilly temperatures mean your skin needs extra care. Warm up your routine with some of our favourite picks.

Skin Care on Le Beauty Club

1. CC Cream news

CC creams are your skin’s favourite slashie: moisturiser/anti-ager/SPF/colour corrector all-in-one, making it a seamless base for your daily routine or your one-stop cream if you’re in a rush. Our top pick: We love Noreva’s new IKLEN+ CC Crème Anti-Ageing & Anti-Dark Spot Unifying Day Cream (phew!), which adds yet another string to its bow: it’s the first tinted CC cream specifically formulated for skin with pigmentation issues, evening out your skin tone, for an even better day 😉 Read more about its fabulous properties by clicking here.

 

2. Sunscreen

‘Whaaat? It’s winter, why do I need sunscreen’, you say. Well, it’s nearly spring, and sun protection is a must – throughout the year – especially where we live. And if your sunscreen has other skin benefits, you’ve got a real winner on your hands! Our choice is the Bioderma Photoderm MAX Aquafluide SPF 50+. It offers optimal protection against the harmful effects of UV rays, protects your skin cell DNA, and its light, non-greasy texture leaves skin moisturised with a velvety dry-touch finish (tinted, too, if you prefer). It’s great for barefaced weekends.

3. Day Treatment

As work ramps up for the final big push for the year, or maybe final exams are approaching like an express train, stress hormones can give our face unwelcome visitors. We need a product that will keep skin clear without drying it out or irritating it (especially for those of us who have adult acne). We recommend Noreva Actipur Anti-imperfections Day treatment – with one application a day, it restores your skin’s equilibrium and leaves it feeling moisturised, silky, with a matte finish.

 

4. Coming clean

After a long day, we like to double cleanse, while still leaving our skin comfortable and hydrated. First sweep: remove eye make-up and cleanse with our favourite micellar cleansing waters – Bioderma Sensibio or Hydrabio H2O. Step 2: Use Bioderma Sensibio Gel Moussant Mild Foaming Gel, which clears remaining residue, soothes and cleanses, leaving skin clean and comfortable and ready for your night prep. In the morning, just wipe the night away with your favourite H2O, and you’re set.

 

5. Baby boon

Any baby expert will tell you that the best way to give you and your baby a good night’s sleep is through baby’s bedtime bath ritual. The bonding time, warm water, massaging action plus the drop in body temperature after the bath all make for sleepy bubs. Mustela has you covered with Gentle Cleansing Gel for hair and body, and Baby Massage Oil.

XOXO

Skin Care on Le Beauty Club

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