Eczema

What is eczema?

Eczema (pronounced ek-sma) is a very common allergic skin condition that affects the skin of people in all age groups. Another name used for eczema is dermatitis. Usually it looks like a pinkish-red scaly rash appearing anywhere on the body.  Dry and scaly looking skin forms over red inflamed areas causing intense burning and itching. The area can feel hot and is usually very itchy and Babies can have eczema when they are young and then grow out of it as they get older and some people don’t get eczema until they are adults. Most people with chronic eczema will get their first patch of eczema occurring before they are school age.

Why do you get eczema?

It is not exactly known why we get eczema, it does have some connection to allergic reactions and the immune system it is not the typical allergic reaction.
Some types of eczema have a genetic link and a family history of allergies, asthma and eczema mean you may be more susceptible.

Some types of eczema happen after the skin comes into contact with a trigger or allergen which may happen immediately or only come after repeated contact. Common allergens are soaps, detergents, wool, animal fur, plants, chemicals and many others so it may be difficult to establish the cause. Sometimes physical stress like an illness or mental and emotional stress can trigger an attack. Although this skin condition often looks as though it might be contagious, it isn’t, you can’t catch eczema from someone else.

What can I do?

• If you are unsure about the diagnosis, consult a skin specialist or a doctor. Allergy testing may be necessary.
• If you are so uncomfortable that your sleep, work, or other daily activities are disrupted, you should also seek medical help.
• Avoid what you know you are allergic to wherever possible.
• Try not to scratch it – fingernails can harbour bacteria and can cause an infection if you scratch and break the skin.
• Try to avoid washing clothes in harsh detergents and soaps.
• Avoid showering or bathing excessively – once a day and only use soap where you really need it. Pat the skin gently dry.
• Avoid hot water as this will only make the itching worse.
• Clothing should be cotton where possible, wool can irritate.
• Keep cool and out of the sun, getting hot and sweaty can make it worse.
• Avoid strenuous exercise when your eczema flares up.
• Avoid physical and mental stress. Eating a well balanced diet, reducing stress and adequate sleep will help you stay healthy, which can help prevent flares.
• Clean the area with a hypoallergenic cleanser every day.
• Gently apply a moisturising cream after washing that has been formulated to be calming and soothing as well as moisturising with no perfumes or colours.

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How to deal with blackheads…

What are blackheads?

A good, basic skin care regime is necessary to have smooth, blemish free skin – however blackheads can be hard to eliminate. Blackheads, or to give them their technical name comedones, start off life in the pores and hair follicles. Blackheads develop when a pore or the opening at the base of the hair follicle slowly fills with sebum which is oil that is naturally produced by the sebaceous glands and keeps our skin supple and smooth. This combines with dirt from the environment, makeup and old skin cells and fills the pore.

The oily mixture in the pores or hair follicle opening mixes with air and reacts chemically with melanin in the skin. The surface or head then turns black, giving rise to the name blackhead. Unlike a pimple, a blackhead does not form above the skin but is flush with the skin’s surface.

What can we do about blackheads?

If you have numerous blackheads or have tried to remove them yourself and have had no success, a beauty therapist or dermatologist may be the best person to manually remove them. A good skincare regime is essential to help treat blackheads and to prevent them from forming again.

Removing blackheads:

• Cleanse the skin thoroughly but gently – you can’t remove blackheads by scrubbing at the skin and it will only damage it.
• Use warm but not hot water or try to remove then after a shower as the pores will open and it will be easier to remove the blackheads.
• Gently exfoliate to again avoid damaging the skin but to remove dead skin cells on the surface – a washcloth will do the job.
• With clean fingers gently squeeze the skin to the sides of the blackhead to allow the head to ‘pop’ and the rest of what is in the blocked poor to be pushed out.
• Pore strips can be bought – these are adhesive strips you can apply to the affected area and when they are quickly pulled off should remove the blackhead with them.
• Large areas of blackheads can be difficult and painful to try to remove yourself – you may need to get some expert help from a beauty therapist or dermatologist.

How to prevent blackheads:

• Gently cleanse the skin daily, preferably morning and night to prevent build up of dirt and sebum. Here is a link to a gentle yet effective cleanser.
• All makeup should be thoroughly removed at the end of the day.
• Sunscreen, especially waterproof should be cleansed from the skin before sleeping.
• Apply the cleanser with a damp facecloth to gently exfoliate skin cells that have been shed.
• Use lukewarm water to rinse away the cleanser.
• Use a moisturiser that is non–comodegenic – that means it is formulated not to block skin pores. Here is a link to skinsaviour’s non-comodegenic moisturiser.

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What do I do about oily skin?

Oily skin is caused by overactive oil glands in the skin that produce sebum that keeps our skin lubricated. If you look in the mirror and see a greasy shiny face looking back you most likely have an overproduction of oil. Sometimes people with excessively oily skin have large pores and the skin can look quite heavy in texture and blemishes occur more frequently. Women may find that makeup doesn’t stay in place and begins to slide. If you are still unsure, wash and gently cleanse your face and leave to dry for 30 mins. Place a clean tissue on the face and pat down gently. If you look at the tissue and see areas of oil on the tissue, you have oily skin.

What do I do?

Oily skin needs to be treated gently. Often people with oily skin will try to scrub the skin with hot water, harsh soaps and exfoliators to try and remove all the excess oil. This often has the reverse effect and can cause the skin to produce even more oil to try and compensate for the oil being removed. We do want some oil on our skin as this is what causes the skin to be lubricated and comfortable and helps to prevent wrinkles forming. Oily skin needs to be gently cleansed and a minimum of moisturiser applied, making sure it is one that is comodegenic, that is, it won’t block the pores and cause blemishes to form.

Following some of these suggestions below should help ease oily skin conditions:

• Cleanse the skin thoroughly but gently, using a cleanser with no harsh soaps or detergents.
• Cleanse the skin morning and night to keep the skin free of built up oil and grime.
• Use lukewarm water and pat dry to avoid stimulating oil production.
• Do not use alcohol based toners and astringents as they can over dry the skin.
• Use a moisturiser that is formulated not to block your pores.
• Use a tissue to blot excess oil during the day rather than over wash your face.
• Avoid fatty foods with a high fat and oil content.
• Use non oil based sunscreens.
• Use non oil based cosmetics.
• Consider visiting a skin specialist or your doctor if these measures don’t help as there may be underlying physical causes.

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What do I do about dry skin?

How do I tell if I have dry skin?

Dry skin is a very common skin condition and is often linked to sensitive skin as well. The medical term for dry skin is xerosis. If our skin is mildly dry we can experience a feeling of tightness and the skin being uncomfortable. Sometimes we will experience dry patches and flakiness that you see and in its extreme form dry skin can crack and bleed. Dry skin often looks dull and lifeless with none of the healthy glow we associate with skin in good condition. It is important to look after dry skin as it often ages more quickly than any other skin type.

What can I do?

Mild dry skin can be easily treated but severe dry skin that has cracked, bled or formed lesions should be seen by a doctor. Dry skin responds well to a skincare regime that includes a gentle, effective cleanser that doesn’t strip away natural oils in the skin and a moisturiser that has emollients and natural moisturising factors such as plant oils and extracts. Dry skin should be treated gently and not subjected to hot and cold winds, too much sun, a central heating and air conditioning. A humidifier and effective skin care products should help in the times you can’t avoid these.

Following some of these suggestions below should help ease dry skin conditions:

• Use lukewarm water to wash your face and pat gently dry.
• Use a cleanser without soaps, sulphates or detergents
• Apply moisturiser immediately after washing the skin to retain the moisture.
• Keep well hydrated throughout the day.
• Use skin care products that are high in moisturising factors and keep the skin moisturised throughout the day.
• Eat a diet high in fresh fruit and vegetables – flaxseeds, avocados, salmon, walnuts, virgin olive oil all help lubricate the skin.
• Reduce alcohol, tea and coffee.
• Invest in a humidifier if you are constantly in heating or air conditioning.
• Avoid the sun if you can and always wear sunscreen.

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Uneven Pigmentation

Uneven pigmentation is a common problem and can have a number of causes sometimes appearing as people age and sometimes people are born with it. Pigmentation can be caused by environmental stress, excessive UV exposure and as a result of an over production of melanin which clumps together in cells. Sometimes there is a continued increase in melanin production and a slowing down in melanin dispersion, which highlights the difference between pigmented and normal skin areas. Vitiligo is the reverse of this, is a disorder in which patches of white skin appear on various parts of the body. The skin is white because the cells responsible for producing brown pigment have disappeared.

What can we do?

The best way of preventing uneven pigmentation is to avoid sun exposure in the middle of the day and use a broad spectrum sun block when we are outdoors. This will also reduce the appearance of age spots that are not really the product of getting older, but appear as a result of accumulative sun damage done in the past. Pigmentation can sometimes be hormonal and appear in pregnancy, when taking oral contraceptives or entering menopause and sometimes we are just genetically disposed to have problems with excessive pigmentation.  Pigmentation can also be caused by certain medications as an unwanted side effect or as a result of damage to the skin such as bites, rashes or acne type blemishes.

What can we do?

• Follow a good basic skin care routine to maintain skin in the best condition.
• Always use a sun block when outdoors not just when the sun is out.
• Use a sun block that has UVA and UVB broad spectrum protection.
• Gentle exfoliation will allow new cells to surface where pigmentation is temporary.
• Ask your doctor if any medications could be contributing to the problem.
• If the pigmentation is severe, medical procedures such as laser and peels could be helpful but be sure to find an experienced and reputable practitioner.
• Including vitamins A and E in the diet will help even out skin tone.
• Use of skin care products high in vitamins A C and E and high in antioxidants can also help even out skin tone.

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Causes of unhealthy skin

Is my skin unhealthy?

Problem skin can have many causes but in general doesn’t have the look of healthy skin.  Healthy skin has clearness about it, a healthy glow with a smooth, unblemished look. Problem skin can look dull, tired and sallow either too greasy and possibly with blemishes or too dry and prematurely wrinkled. Pigmentation does not necessarily mean the skin is unhealthy but can be a problem in how the person feels about it. There is a lot we can do to improve the health and therefore look of our skin and need to look at some of the causes and see what we can identify what could be causing our own unhealthy skin.

What are some of the causes of unhealthy skin?

Although the causes are many, the main culprits are a diet that doesn’t support the heath of the skin, lifestyle factors and a skincare regime that we do not adhere to or the products are not effective.  The skin is the largest organ of our body and needs the same things our body needs to perform its best – adequate sleep, hydration and good nutrition. Excessive lifestyle habits such as overindulgence in alcohol, smoking, late nights and a poor diet will show up on our skin – sooner or later. The good news is our skin will respond to changes we make to support it and while specific skin problems will have specific solutions; these general suggestions below will help improve all skin problems to some degree.

Look at the list below and see how many of the causes of problem skin you can see in your own life:

• Late nights, lack of sleep in general
• Excessive alcohol
• Smoking
• Use of sun beds or tanning
• Lack of fresh fruit and vegetables in the diet
• Fried and greasy foods high in fat
• Dehydration, not drinking adequate water
• Excessive tea and coffee
• Heavy makeup
• Not cleansing the face morning and night
• Not using an effective moisturiser moisturiser
• Use of harsh cleansers with soap or sulphates, not a gentle but effective cleanser

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What can I do to help problem skin?

Can we help problem skin?

There is a lot we can do to help our skin look and feel its best. The good news is all we do to help our skin will also improve our general health as well, so we look and feel better in ourselves.  Some changes can have an immediate effect. However, we may have not been supporting our skin for some time so the changes we make can take a while to show on our skins. If the problem you have with your skin is of a more serious nature such as acne, dry skin that has cracked or bled or eczema or psoriasis, even moles or skin discolouration you may be unsure about it is best to seek professional advice.

What to do to help?

By reading the guidelines below and working out a plan for how you could improve your health and therefore the health of your skin.  If there are a number of changes to be made, start off slowly and make small steps towards changing your lifestyle. Making too big a promises to yourself and taking on too much change at once can set yourself up to fail. For example, if you think alcohol consumption is a problem –rather than saying you’ll never drink again – try having alcohol free days or having a glass of water for every glass of alcohol you drink. Choose mocktails over cocktails, experiment with drinks at the bar that look the part but have no alcohol. Enlist the support of a friend that wants to improve their skin too.

Every small step in the list below will help you on the way to having skin that is less of a problem.

• A well balanced diet with fresh, unrefined foods, plenty of fresh fruits and vegetables.
• Avoid greasy, fried and fatty foods.
• Avoid overly processed and refined foods including sugar.
• Choose water over fizzy drinks and keep well hydrated.
• Avoid excessive alcohol, smoking and drugs.
• Get plenty of sleep at night.
• Avoid sun tanning and use sunscreen to avoid skin damage.
• Avoid heavy makeup.
• Exercise regularly, walking is fine to increase blood circulation.
• Use  effective skin care products with a gentle but effective  cleanser.
• both morning and night to remove daily grime build up that clogs pores.
• Use lukewarm water to rinse the skin and pat gently dry.
• Use an effective moisturiser that will help support skin function with no harmful ingredients.

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