Monthly Archives: November 2011

Don’t Let Adult Acne Give You the Holiday Blues

A reader recently asked us the following question: I just turned 40 and I am still breaking out! How can I fight both acne and wrinkles?

Answer: Isn’t that the worst? Not only are you dealing with fine lines and wrinkles, but also acne on top of it? Unfortunately, adult acne is a very common problem. According to the Journal of American Academy of Dermatology, 54 percent of women older than age 25 have some facial acne.

Adult acne is different from typical teenage acne. After the age of 30, our skin cells do not turn over as quickly as they did when we were younger. Not only can this contribute to dull looking skin, but it also means our pores can become blocked and the acne may last longer.

What is the leading cause of adult acne? Stress. Our lives are so busy and full of stress, which in turn raises our hormones. According to The International Dermal Institute, “Chronic, continual stress increases hormone levels, which can lead to an increase in oil production.” Adult acne is commonly seen along the jaw line and neck. Other causes of acne include bacterial infections and inflammation.

Reducing your stress level is always a good idea not just for your skin, but for your health. Eating a balanced diet, staying hydrated and getting enough sleep will all help with your skin’s appearance. Be sure to limit your caffeine and alcohol consumption and quit smoking, which can all throw off your skin’s balance and contribute to breakouts. Try to not sleep with your makeup on as nighttime is when your skin repairs itself. Also, try not to wear makeup when you workout and wash your face immediately afterwards.

The good news in all this is that many of the products used to fight adult acne will also help with fine lines and wrinkles. It’s best to look for products containing salcylic acid, glycolic acid and retinol. These chemicals will not only help to clear up your skin, but will also help exfoliate your skin giving you a heathier glow, lighten pigmentation the acne leaves behind and soften fine lines. Be sure you are using medical-grade (prescription) skin care instead of over-the-counter products. Medical skin care products are more effective, work in deeper levels of the skin and produce better results.

Start by washing your face twice a day with a cleanser with salcylic acid (Obagi’s Clenziderm Daily Care Foaming Cleanser). Exfoliation is also vital for adult acne. Not only will it keep the pores clean, but it will also slough off the old skin that can lead to breakouts and dull skin (Obagi’s Exfoderm Forte). Be careful not to use an aggressive scrub as that can aggrevate the acne. You just can’t scrub the acne off. Also, don’t forget to moisturize. There are moisturizers which contain sunscreen, which can be a nice option for acneic skin (PCA’s Weightless Protection 45). At night, you will want to include a retinol in your routine as prescribed by your medical skin care professional (Obagi’s Tretinoin). This is true whether you suffer from acne or not. Finally, if you need to conceal a blemish until it heals, look for non-comedogenic makeup products containing anti-inflammatory properties that will actually help heal your skin (jane iredale’s PurePressed Foundation and Disappear).

Before you start any skin care regime, it’s a good idea to talk to your medical skin care professional to ensure you’re treating the problem with the right products for your skin type. Don’t get discouraged if your skin gets worse before it gets better. That’s normal as your skin is purging itself of all of the trapped oil and bacteria. Unfortunately, it’s a marathon not a sprint when dealing with acne treatments. However, by the new year, in about four to six weeks, you should see marked improvement in your skin.

Jennifer Kauffman is a Board Certified Nurse Practitioner. She is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on medical cosmetic procedures.

Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at http://www.veinmedicalspa.com

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Eat Your Way to Beautiful Skin This Thanksgiving

When you eat your traditional Thanksgiving dinner this year, you can take comfort in knowing that many of the Thanksgiving staples provide great benefits for your skin! While eating a balanced diet is the best way to ensure your skin is getting all of the vitamins, nutrients and antioxidants it needs to keep it healthy, these Thanksgiving favorites are sure to help your skin on its way to a holiday glow.

  • Sweet Potatoes: Sweet potatoes are a Thanksgiving dinner staple, but have you also considered them as part of your skin care regimen? Not only are they delicious, but sweet potatoes also provide some great benefits for your skin! According to Obagi, They are rich in two key antioxidants that help achieve smoother, younger-looking skin including beta carotene and vitamin C. Beta carotene promotes skin cell turnover to produce new, healthy skin cells while vitamin C helps fight the signs of aging and dryness. So whether it’s in the form of a casserole, mashed, or pie, be sure to eat lots of sweet potatoes this Thanksgiving!
  • TurkeyBesides being low in fat and high in protein, turkey contains the mineral selenium, which studies have shown impacts the skin’s health including protecting it from the sun’s damaging rays. According to a study published in the British Journal of Dermatology, “When levels of selenium were high, skin cells were less likely to suffer the kind of oxidative damage that can increase the risk of cancer.”
  • Pumpkin: A Thanksgiving meal wouldn’t be complete without a piece of pumpkin pie! The good news is pumpkin is full of vitamins A, C, E, alpha-carotene, zinc and beta carotene. Pumpkin has also been proven to boost collagen production in the skin, which helps to reduce the appearance of fine lines and wrinkles.

Just remember to keep your portions in moderation and your diet balanced and you will start your skin on its way to a glowing holiday season! If napping is a favorite post-Thanksgiving tradition, don’t fret; beauty sleep is great for your skin too! If you have any questions about achieving healthy skin during the holidays or all year round, be sure to talk to your medical skin care professional.

Jennifer Kauffman is a Board Certified Nurse Practitioner. She is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on medical cosmetic procedures.

Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at http://www.veinmedicalspa.com

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Ways to erase puffy eyes, dark circles and fine lines

A reader recently asked us the following question: I struggle with both puffy eyes and dark circles and have fine lines as well. What can I do to treat these concerns?

Our experts each address the question below:

Jennifer Kauffman, NP-C: Those are all common complaints that fortunately are easily manageable. There are several different treatment options including skin care, injectables, lasers and makeup to combat those pesky peeper problems.

Let’s start with puffiness and dark circles under the eyes. Whether due to allergies, genetics or not getting enough sleep, puffy eyes and dark circles are annoying. You can tackle them both by looking for an eye cream that contains ingredients such as: vitamin K, vitamin E, vitamin C, green tea extract, kojic and arbutin. For dark circles, my favorite eye cream is the No. 1 eye cream on the market for dark circles called Teamine by Revision Skincare. It’s also great for puffiness. 

At home, you can also try applying a cold compress to your eyes to reduce the puffiness just as you would apply ice to reduce swelling. Also try sleeping on your back and with your head elevated to prevent fluid from accumulating under your eyes.

If it’s fine lines around the eyes that bother you most, and you want to address the problem with skin care, look for eye creams containing anti-aging peptides to stimulate new collagen filling in those lines. Obagi’s Elastiderm is a clinically-proven eye treatment to reduce the appearance of fine lines and wrinkles. Apply it twice a day by using a tapping motion with your ring finger all the way around your eye and eye bone.

If you’re looking for faster results, the injectable medications Botox® and Dysport® are great options to soften and smooth out the expression lines around your eyes. Botox is one of the most popular non-surgical cosmetic procedures performed in the United States today. It is also one of the safest and most studied drugs by the FDA. The entire procedure takes approximately 10 minutes and there is no downtime afterward. Many patients have it done over their lunch hour and return to work immediately after.

Sarah Hill, Laser Technician: A second treatment option for the fine lines around the eyes is a laser procedure called Pearl Fractional ®. Pearl Fractional is designed to treat fine lines and deep wrinkles associated with photo damage as opposed to wrinkles caused from frowning or smiling. This laser treatment stimulates the body’s own natural process for creating new collagen, plumping the skin from below and reversing photo aging and other imperfections. Removing only a small portion, or a “fraction,” of the skin ensures a safe treatment with a rapid recovery unlike the traditional CO2 lasers of the past.

Jamie Plack, Makeup Artist: You can also battle some of the same eye concerns with your makeup. Look for an under-eye concealer that contains ingredients such as cucumber and buckwheat wax to reduce puffiness such as jane iredale’s Active Light ®. A concealer will also help camouflage the darkness until your skin care products lighten it up. If you find your concealer tends to crease, you are probably using too much.

Talk to your medical skin care professional before starting any treatment to ensure the best plan for you and your skin concerns. In no time, your eyes will be smiling and free of dark circles, puffiness and fine lines!

Jennifer Kauffman is a Board Certified Nurse Practitioner. She is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. Jennifer is a clinical instructor nationally to physicians and nurses on medical cosmetic procedures.

Sarah Hill has received specialized training with the Cutera laser technology. Sarah specializes in laser facials, laser hair removal, brown spot diffusion and skin tightening which are all performed with advanced Cutera laser technology.


Jamie Plack is a nationally trained and jane iredale certified makeup artist. She is also a part-time model and former wedding photographer, so she understands from both sides of the camera how to skillfully apply your makeup to photograph your best.

Do you have a question about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future blogs or simply leave a comment on our blog.

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Filed under Face, Injectables, Laser, Makeup