Vitamin C For Healthy Skin

Portrait of teenage girl holding lemonVitamin C is essential for maintaining healthy and resilient skin.  As we age, we naturally lose this nutrient; other factors such as exposure to pollutants, UV light and cigarette smoke can also cause a loss of vitamin C.

Vitamin C plays an important role in the formation of collagen, a protein that gives your skin its elasticity.  Optimizing your skin’s level of vitamin C can help to counteract wrinkle formation by increasing collagen production amounts.

Another common skin concern that can be corrected with vitamin C is age spots caused by sun damage.  Vitamin C is a powerful antioxidant; it can reduce the amount of sunburned cells and reduce age-related damage to cells.  Although vitamin C does not replace sunscreen, it may protect against further sun damage and repair discoloration and fine lines.

Topical vitamin C is the best formulation (rather than supplement or food sources) to target signs of aging.  When purchasing vitamin C, look for products that contain between 3%-10% of the active ingredient ascorbic acid or L-ascorbic acid.  Apply topical vitamin C once a day, ideally after exfoliation in the morning.  You can expect to see a noticeable difference in your skin within 4-8 weeks of beginning topical vitamin C.  Maximum benefits are achieved with 6 months of use.

Dr. Anne Hermann, a holistic internal medicine physician, offers full aesthetic services and numerous skin care treatment regimens to her patients.  Offices are maintained in Tampa and Saint Petersburg Beach, Florida.  Please contact the office at (813) 902-9559 for more information or to schedule an appointment.

 

The Best Skin Care for Acne in Tampa and St Pete

Posted by Anne Hermann on Thu, Jun 07, 2012 @ 08:36 PM

We treat acne with a combination of hormone evaluation, dietary changes and skin care.  We blog about diet changes and hormone treatment on separate blogs.http://www.doctorhermann.com/blog/bid/142718/How-Hormone-Evaluation-Can-Solve-Acne-in-Tampa-and-St-Pete-Acne-Care-Part-1

http://www.doctorhermann.com/blog/bid/142737/How-to-Treat-Acne-with-Diet-From-Tampa-and-St-Pete-s-Nutrition-Doctor-Acne-Part-2

The main things to know about skin care are:

Cleanser and toner:  All people with acne should wash with cleanser and use toner after washing twice a day.  For people who are not doing this, it makes a huge difference!

Exfoliate daily (Men, this means you too):  The exfoliant clears away oils and dead skin.  This allows any medicated cream to be better absorbed and more effective.  We prescribe Obagi exfoliant cream, which is applied daily.  Another way to exfoliate is with microdermabrasion or a Clarisonic brush.

Medicated Creams:  Topical antibiotics, Retinoic Acid, Benzoil peroxide and even oral antibiotics all work better when the skin is cleaned properly and exfoliated prior to application.  Our physician would prescribe the treatment based on which choice is right for you.

Non-acne causing sunscreen:  Many people undervalue the importance that sunscreen plays in clogging pores.

Oral Medication such as antibiotics are typically reserved as a last resort, but can also make a big difference when other options are not effective.

Anne Hermann, MD is double board certified in Internal Medicine and as a Physician Nutrition Specialist. To schedule your appointment, please call (813) 902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

How Hormone Evaluation Can Solve Acne in Tampa and St Pete: Acne Care Part 1

Posted by Anne Hermann on Thu, Jun 07, 2012 @ 08:40 PM

Our comprehensive approach to acne includes hormone evaluation, nutritional and dietary evaluation and prescription skin care treatments.  As an internal medicine physician, nutritionist and cosmetic specialist, Dr. Hermann often treats people whose acne has not resolved despite receiving standard treatments from dermatologists and aestheticians.  Below is an outline of how hormone evaluation can improve acne.  For information on nutrition or skin care for acne, see these links:

http://www.doctorhermann.com/blog/bid/142737/How-to-Treat-Acne-with-Diet-From-Tampa-and-St-Pete-s-Nutrition-Doctor-Acne-Part-2

http://www.doctorhermann.com/Default.aspx?app=bizblogger&tabid=486197&subctrl=post&bid=142704&mid=970165

Check hormone levels:  If you think that hormones contribute to your acne, you can have your hormone levels checks through blood work or saliva.  Insurance will often cover blood work.

If hormone levels are abnormal:   If testosterone and DHEA are high, we can correct levels with supplements or sometimes medication.

Just because hormone levels are normal, does not mean that hormones are not causing the problem.  For example, many female patients know that their acne gets worse before their period.  While their hormone levels on blood work are normal, they have skin that is very sensitive to hormone changes even when the changes are within the normal range.  We can prescribe herbals, bio-identical hormone treatments or birth control to help this.

What if the acne is not caused by hormones?  Often the cause is diet or something else, we evaluate that too.  Often, we get the best results by treating acne with a combination of hormones, diet and skin care.

Anne Hermann, MD is double board certified in Internal Medicine and as a Physician Nutrition Specialist. To schedule your appointment, please call (813) 902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Peels vs. Lasers for Dark Spots and Melasma in Tampa and St Petersburg

Posted by Anne Hermann on Thu, Jun 07, 2012 @ 08:44 PM

Dark spots are typically caused by sun damage (pigmented lesions) or hormones (melasma).  Melasma appears as large areas of darkened skin often above the lip, over the cheeks and forehead.  Sun spots (lentigo) are small dark spots that usually occur where people get the most sun.  Lasers do not help melisma, while peels and prescription skin care make a big difference in melisma.  Lasers, peels and prescription skin care all work to treat sun spots. http://www.doctorhermann.com/blog/bid/142630/How-Obagi-Treats-Brown-Spots-and-Melasma-from-Tampa-and-St-Pete-s-Holistic-Skin-Care-Doctor

Chemical Peels that are effective are the deeper peels such as Jessner, Obagi Blue Peel, Cosmelan peel and Vitalize peel. Typically, patients will peel for a week after these treatments. We often do the peel on a Thursday, so the maximum peeling occurs over the weekend. For severe sun spots or melasma, we may perform a second peel 2 to 4 weeks after the first peel. Once peeling is complete, we prescribe a bleaching cream and retinoic acid to enhance results and prevent dark pigmentation from returning. Pricing on these deep peels range from $300 to $700 depending on how dark the pigmentation is.

Lasers are mainly effective on sun spots, but not melasma.  The doctor or nurse will “zap” or burn the layer of skin that has pigment. For a week to two weeks after a laser treatment, the skin will be darker over the sun spot.  Then, as that skin exfoliates off, the new skin underneath will be lighter and closer to the normal skin tone.  Often people will need a second laser treatment 2 to 4 weeks after the first.  Typically the spots will return in several years and people will need to repeat the procedure.  Average laser for sun spots costs around $250 to $300 per treatment.

The medical offices of Dr. Anne Hermann are conveniently located in Tampa and St. Petersburg, FL. To schedule your appointment with Dr. Hermann, call (813) 902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

How to Treat Acne with Diet From Tampa and St Pete’s Nutrition Doctor: Acne Part 2

Typically acne is caused by a combination of hormones, diet, bacteria and skin oils.  We discuss hormone treatment and skin care for bacteria and oils on other blogs:

http://www.doctorhermann.com/blog/bid/142718/How-Hormone-Evaluation-Can-Solve-Acne-in-Tampa-and-St-Pete-Acne-Care-Part-1

http://www.doctorhermann.com/blog/bid/142704/The-Best-Skin-Care-for-Acne-in-Tampa-and-St-Pete

Diet makes a big difference in acne treatment.  Anyone who is distressed enough by their acne to see a doctor, owes it to themselves to eliminate foods that may be causing their problem for one month.  If after a month, their skin is better, then they will be motivated to continue to avoid the foods that cause acne.  If after a month, the acne has not improved then, food is not contributing to the acne, and the patient should return to normal diet.  When acne is not affected by diet, we focus on hormone and bacterial treatments.

The key dietary changes that can improve acne are listed below.

Eliminate Milk:  All dairy, which includes cheese, yogurt, milk and ice cream, make acne worse. Believe it or not, skim milk is as bad for acne as whole milk.  When you are not drinking milk, you should take 1000 mg of Calcium per day to keep your bones strong.

Food Sensitivity Testing:  If you are allergic to a food, it can cause acne and other rashes.  You can get blood work to determine whether you have food sensitivities.  If you test allergic to any foods, then avoid the food and your acne should improve.  Since insurance often does not cover this type of testing, you can also do an elimination diet.

Elimination Diet.  If you do not get tested for food sensitivity, the other way is to determine if foods are causing your acne is to do a special diet that is free of foods people tend to be allergic to.  If, after being on the diet for three weeks, the acne is improved, then, you add back one food at a time to see which foods you react to.  This takes more time, but does not cost anything.

We educate patients on elimination diets, test hormone levels and food sensitivities and use prescription skin care to give optimum results for acne treatment.

Anne Hermann, MD is double board certified in Internal Medicine and as a Physician Nutrition Specialist. To schedule your appointment, please call (813) 902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.