Vol. 5, n. 1, January-March 2009 1th International ... - Salute per tutti

20-step skin care routine approach. Which is
better? I am not sure I know the answer. In
Japan, skin care is a complex ritual of multiple
cleansers, toners, and moisturizers. The
Japanese also feel that they have the most sensitive
skin of all races and the incidence of atopic
dermatitis is dramatically rising in their country.
Is this due to the use of extensive skin care
products? I also do not know the answer to this
question. But, there is no doubt that the more
the skin is manipulated, the more opportunity
for problems to arise. Perhaps the old adage of
everything is moderation is the best advice,
even when it comes to skin care.
cne breakouts after the age of 30
A in women are rare and will
benefit from special skin care
Acne after age 30 is actually becoming
more and more common in women. The cause
of this trend is not totally known, but appears
to be related to fluctuating hormones and the
onset of premenopause and perimenopause.
This supposition is based on the observation
that the acne is not characterized by open and
closed comedones, but rather inflammatory
papules and pustules. Since these lesions are
deep seated within the lower epidermis and
dermis, it is not possible for special skin care
routines to have a dramatic effect. Thus, the use
of oral antibiotics and hormonal therapies, such
as birth control pills or estrogen replacement
therapy, are the best options for acne control.
Cosmetics and skin care products have little
effect on this type of acne. Probably many
mature patients mistake this cyclical hormonal
acne for acne related to cosmetic product use.
R eferences
Evaluating acne cosmetica
1. Kligman AM, Mills OH. Acne cosmetica.
Arch Dermatol 1972; 106:843
2 Fulton JE, Pay SR, Fulton JE: Comedogenicity of current
therapeutic products, cosmetics, and ingredients in the rabbit
ear. J Am Acad Dermatol 1984; 10:96-105
Journal of Plastic Dermatology 2009; 5, 1
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