Why suffering through a retinoid reaction just isn't worth it.

If you've tried your fair share of skin care products over the years you've probably tried out some sort of vitamin A during that time. Most people are familiar with vitamin A as retinol, even though retinol is only one of the many different forms of vitamin A.

If you've tried a high dose vitamin A from your doctor, you likely would've been given a 1% Tretonoin cream which is retinoic acid.
If you've gone the medical grade route and have used vitamin A products from clinics you've likely tried 1% retinol creams, and if you've gone to stores like Shoppers or Sephora it's likely been a lower dose such as .25-.5% retinol product.

No matter where you've got your vitamin A product in the past, you've likely been given the same instructions...start using it at night a couple times a week and slowly increase the frequency of use while pushing through any irritation it may cause such as peeling, flaking, dryness, burning and inflammation. Why? Because if you can tolerate this uncomfortable reaction for several weeks...perfect skin is waiting at the end!! Or so they say.

Once again I'm here to burst that bubble!!! What can I say? It's sort of like a hobby of mine.

So here's the problem with that concept....
Skin cell walls are not easily penetrated. Only certain chemicals with distinct shapes can enter through different receptors on the wall. Retinoid receptors are responsible for allowing vitamin A to enter into a cell. Since there are many forms of vitamin A, not all the receptors are meant for retinol.
Some receptors will only allow retinoic acid, or retinyl palmitate, retinyl acetate...you get the idea.

Another problem here is that as we age we naturally lose vitamin A from our skin and things like smoking or UV exposure quicken this process. As our skin becomes depleted in vitamin A, it also becomes depleted in retinoid receptors.

Suddenly the skin is flooded with an incredibly high dose of retinol and it simply can't use it all. The skin cells absorb what it can but seeing as how retinol only makes up 3% of the vitamin A in the skin, the majority of it sits around the cells and causes massive irritation. The skin reacts by purging and results in the peeling, burning and dryness....a retinoid reaction!

The most unnecessary, pointless, painful and embarrassing thing to go through that I've ever come across in this industry. Yet everyone believes this is the way to perfect skin, but usually because they're only regurgitating information that was given to them by the sales rep of companies who make products like these. Not because they know how the skin actually functions and how it is affected by different chemical substances.

The end result if someone can actually tolerate an on going retinoid reaction for that long until the skin acclimatizes is usually sensitive skin that is thinner than before, and likely more dehydrated too.
The constant inflammation and peeling caused from a retinoid reaction opens the skin up to more environmental damage such as dehydration, pollution, bacteria and can leave the skin hyper sensitive and prone to redness.
More often than not however, the ongoing reaction is not tolerated long enough for the skin to acclimatize and the use of the product is discontinued with the final impression being that vitamin A is awful and doesn't work.

There are so many vitamin A products on the market and sadly few of them are sophisticated enough    to work with the skin instead of against it. This is why vitamin A has acquired such a bad name over the years and is now thought of as a very harsh product to use.

The truth is vitamin A is vital for the skin and has many positive benefits such as anti-aging, normalizing the function of the skin and even repairing DNA damage caused from UV exposure.
So why is something as important as vitamin A not being formulated in a smarter way?
Well it is, but like I said it can be hard to find amongst the sea of 1% rip your face off strength retinol creams.

Environ makes all their vitamin A products in a step-up system and use a complex of several different forms of vitamin A to utilize all the different receptors on the skin cells. This means more of the vitamin A is actually used by the skin, is tolerated much better and makes the skin stronger.
By starting on a low dose and moving on to the higher doses, the skin can acclimatize to levels normally by making more retinoid receptors over time and therefor use the vitamin A properly and in a way that does not cause severe reactions.

Who would've thought that formulating a product according to how the skin functions would be a good idea?!

This is the main reason I swear by Environ products. They're smart, high quality, high concentrated products that are made from a company that actually has respect for the skin.


To book a consultation with me...
Call LAB11 Advanced Medical Aesthetics ‭(403) 283-0764‬

Popular Misconceptions About Skin Care

It can shrink your pores!!


Nope. Our skin type is determined by our genes and the size of our pores, oil glands and amount of hair follicles we have is something we're born with.

No skin care out there can change any of these things. However, people will often notice their pores appearing larger than normal because they're skin is congested. This is usually caused by oil impactions in the pore which essentially cause them to widen and "stretch".

What skin care CAN do for this is help dissolve that oil so the pore can relax and return to it's normal size. Things like acids and enzymes work best as they gently dissolve surface debris such as dead skin cells which makes it easier for the oil to come out. When used regularly debris on the surface is kept to a minimum and so the acids or enzymes can get to work on the oil inside the pores too.

I never recommend any kind of "quick fix" such as extractions for example. Yes, the process will help to purge the skin but when not done correctly it can actually be very damaging for the skin.
Also when improper products are being used at home, the problem will just come right back.

Regular use of a chemical exfoliant will treat the congestion but also prevent it from happening in the future.


A facial cleanser should leave you "squeaky clean".

No!! This is probably the most common mistake people make with their skin care. A cleanser should not leave you feeling tight, dry or squeaky clean.
All that means is you've removed your natural oil barrier called your acid mantle from the surface. This barrier is created by the skin and is an oil/water film. It's purpose is to keep the skin clean, protected and hydrated.
When removed, the oil glands in the skin kick into hyper drive and produce far more oil than normal to replace what was lost.

Ever experienced that gradual oil build up during the day that leaves you feeling super greasy and itching to go home and cleanse again? Yup. You're stripping your skin and it's a vicious cycle!
In the long term this can lead to premature aging, dehydration and more.

It can easily be fixed however by switching to a gentle cleanser, possibly even a lotion/milk cleanser that does not foam. A cleanser does not have to foam up to clean your skin, by the way.
The job of a cleanser is to change the pH of the skin, allowing impurities to come out. That's it, and you don't need foam for that!


All natural/organic skin care that doesn't contain any preservatives is the best.

In this day and age when everything is full of weird chemicals, hormones or grown with pesticides it's very easy to understand why people tend to gravitate to the seemingly most healthy and clean products.
When it comes to skin care formulation however it's a bit of a different story. A lot goes in to making products for the skin that are effective, active, stable, long lasting and healthy.

Even the containers that hold the products are extremely important! For example....
Lets say you have an all natural preservative free vitamin C lotion that is packaged in a twist off lid style jar.

The first problem with this is vitamin C is actually a very difficult vitamin to keep stable in a formulation. Second the fact that the jar is opened up each and every time the product is used is only exposing the vitamin to oxygen and light, causing it to break down at a very fast rate.

At the most basic level, oxidation is the loss of electrons. Some elements are more easily oxidized than others, which is what I'm referring to when I say vitamin C is a particularly difficult vitamin to keep stable. A stable molecule would have an equal number of electrons, so when oxidation occurs and the balance of electrons is changed and becomes unbalance...you now have a free radical.


So that all natural, preservative free jar of vitamin C cream that you think is so healthy, quickly turns to a jar of free radicals especially when it's constantly exposed to light and oxygen. This process actually happens very quickly and may only take a couple days before most of the vitamin C is destroyed.

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What is Glycation?

Glycation is the process of a glucose (sugar) molecule binding with a protein (collagen and elastin) molecule in the body, causing the protein to become stiff and eventually break.

These damaged structures are known as advanced glycation end products, or appropriately abbreviated as “AGE’s”.

 

Collagen and elastin are the fibers that keep the skin plump, taught and youthful. These fibers, once damaged are not easily replaced by the body.

Scientists have proven that a rise in blood sugar levels causes inflammation on a cellular level throughout the entire body. This means when we eat processed or even natural sugary foods, that this will cause glycation in the skin, and this process helps to speed up aging and its negative effects.

Inflammation from this also causes free radicals to form which attack healthy compounds in the body. As if glycation alone wasn’t bad enough…

 

So what can you do about it? Cutting down on sugar intake will prevent glycation damage. To combat free radicals you need antioxidants. Antioxidants neutralize free radicals, causing them to become inactive.

 

Antioxidants should be taken in orally and can be found in foods like berries, pomegranate, oranges , black plum, gala apples, sweet cherries, prunes, raisins, tomatoes, ginger, green vegetables like spinach, kale, broccoli and artichokes, nuts like pecans, walnuts, almonds, steel cut oats , quinoa, black beans, kidney beans and even chocolate (should be unprocessed dark and high in cacao content.)

 

Antioxidants can, and should also be applied topically to the skin with high quality professional skin care products.

 

Products containing vitamin A, C, E and certain extracts and enzymes that can be properly absorbed by the skin are best. This will help combat free radicals and even help to reverse their negative effects on the skin, inside and out.

Menopause and The Skin

Most people associate this condition with hot flashes, loss of menstruation and mood swings, but all of these symptoms are caused by hormone changes and hormones have a direct impact on the skin. The adrenal glands and ovaries of post-menopausal women secrete increased androgens (male hormones) and in the absence of estrogens (female hormones), this has a major impact on changing the physiology of the skin in new and different ways.

 

Dryness: During the reproductive years female hormones stimulate a more fluid, smooth sebaceous gland (oil gland) secretion; this oil along with other substances being secreted and excreted by the skin protects, moistens, cleans and maintains the pH balance of the skin. During menopause as female hormone levels decrease so do oil levels and this causes the skin to become dry, dull, delicate and more susceptible to damage and premature aging.

 

Elasticity: Protein synthesis, like that of collagen and elastin are partially controlled by estrogens. During menopause, the lowered estrogen levels result in less production and repair of collagen and elastin in the dermis of the skin. This lack of repair is particularly pronounced if the skin is exposed or has a history of long term exposure to ultra violet rays. UV rays actually break down these important proteins, and if we lose our repair mechanism then we lose our skin's resiliency. This results in elastosis.

 

Volume: Estrogens stimulate fat deposits in the female body; as estrogen levels drop during menopause, fat deposits tend to become redistributed and often concentrated over the abdomen and/or on the thighs and buttocks. The result is a loss of supportive fat tissue below the skin in areas like the face, neck, hands and arms; this causes sagging and wrinkling due to loss of volume.

 

Renewal: The growth and maintenance of blood capillaries in the dermis are partially under the control of estrogens as well. Thus, blood flow through the dermal capillaries is reduced during menopause and less nutrients and oxygen are available to the Stratum Germinativum (the bottom layer) of the epidermis. This contributes to the thinning of the epidermis and a slower cell turnover rate or cell renewal factor (“CRF” for short.) CRF is the rate of cell mitosis and migration from the lowest layer of the Epidermis to the top layer, where it is eventually shed off. This process slows down dramatically with age and factors like diet, smoking, drinking and sun exposure all have a huge influence.

 

CRF by age

Babies: 14 days

Teenagers: 21 – 28 days

Adults: 28 – 42 days

50 and up: 42 – 84 days 

 

Pigment: The maintenance of Melanocytes (cells that manufacture the pigment Melanin) is under the control of estrogens. Melanin protects us from the sun by being released from the melanocytes after long periods of sun exposure, ultimately darkening the skin. The darker the skin, the longer it takes to absorb heat, light and energy. This is our body’s defense mechanism to try and slow the absorption of damaging UV rays. As menopause progresses, the number of melanocytes in the skin is reduced (they degenerate). With less melanocytes, we produce less of the protective melanin and skin appears lighter. Therefore, menopausal skin is more prone to sun damage, making it even more important to protect the skin with a proper sunblock.

 

So what can you do to help prevent and correct these problems? The most important thing anyone can do for their skin is have proper home care. You can go to all the fancy salons all you want but at the end of the day if you’re using harsh, incorrect and low quality products at home every day, you’ll be fighting (and most likely losing) an up-hill battle. Any skin, but especially mature, delicate and/or post-menopausal skin needs high quality, high concentrated and active ingredients.

 

-Vitamin A to correct sun damage and protect against future damage.

-Vitamin B3 for uneven skin tone, and increasing hydration.

-Vitamin B12 for healthy cell function.

-Vitamin C to address dullness, pigmentation and fight free radicals.

-Vitamin E for all of the above vitamin synergy and free radical protection.

 

The skin is the largest organ of the body but the last to receive any nutrients from the foods we eat. These vitamins are just the basics of what our skin needs every day.

Moisturizers VS Hydrators

Moisturizers are products that contain things like oils, silicones, glycerin, or petroleum that coat the surface of the skin, giving a feeling of relief from dryness.

The problem is the sense of relief is temporary and often these products can initially feel good after application, but as the day goes on there can be a buildup of oil on the surface and the tight uncomfortable feeling can return underneath.

 

Once the product has been removed after cleansing, the skin returns to feel parched and tight.

To really correct moisture levels in the skin requires a product that can penetrate and draw moisture inside. This is what separates moisturizers from hydrators. Hydrators contain things like Hyaluronic Acid, which is famous for its water holding capabilities. A single molecule of HA can hold 1,000x its weight in water!

 

When formulated correctly with the appropriate molecular weight, the HA should be able to penetrate the skin deeply, attract water and hold it there. Correcting dryness, and not just masking it. This means the skin will feel better hydrated even when the product is not being used.

Those who struggle with dryness may be those who live in a dry climate (hello Calgary!) and even those on Accutane which sucks the skin dry of any natural oils and moisture, resulting in severe dryness and even cracked, sore skin.

 

For a proper hydrator that’s up for the job, we recommend Teoxane products. Teoxane was first developed in Switzerland and is formulated with a low molecular weight, high quality HA capable of sufficient penetration and correction.