Category Archives: Skin Care

Is my skin dry or dehydrated?

What’s the difference between dry and dehydrated skin?

Dry is a skin type and dehydrated is a skin condition.

Dry skin comes from lack of oil in the skin and is usually genetic or age related since oil production slows with age.

Dehydrated skin comes from lack of water in the skin and can depend on the environment, both inside and outside the body. Dehydrated skin is often a transient condition.

Skin can be any combination of dry or oily and dehydrated or hydrated.

Surface dehydration is very common due to lifestyle factors such as drinking too little water, drinking too much alcohol, extreme weather conditions, or over exfoliation.

What’s the best way to treat dry or dehydrated skin?

Drink half your body weight in ounces of water every day. Stop drinking alcohol. Topical skincare products work to seal moisture in your skin so hydration from within is important.

A hydrating serum should be your first step after cleansing. Apply moisturizer on top of the serum to lock in hydration.

Always wear SPF. Skincare products with SPF form an invisible film on your skin to protect you from the sun, this does double duty to protect you other harsh elements as well.

If your skin is oily yet dehydrated, you will benefit from a lightweight hydrating serum and moisturizer. Keeping your skin properly hydrated will help balance excess oil production.

Hydrated skin is healthy skin!

Should I Use The Same Brand For My Entire Skin Care Routine?

The short answer? You don’t have too.

If a skin care product is formulated correctly, it should work well in a variety of situations.

Any skin care product that is dependent on what comes before or after in the application process should be sold as a kit.

When building your skincare routine, pay attention to the active ingredients in each product instead of the brand.

Your daily routine should include a retinol for evening, a vitamin c serum (or other antioxidant) for day, and a good physical SPF. These can be from the same brand of three different brands that each work well for your skin.

The idea that products need to work as a team was very popular in the 80’s and 90’s, it’s nothing more than a dated sales pitch!

Is Your Skin Suddenly Dry?

After 6+ months of wearing a protective face mask and dealing with breakouts, your skin feels dry and dehydrated. What’s going on?

I’ve heard this complaint from numerous clients over the past week so I’ll share my thoughts.

The skin loses moisture as we transition to fall/winter so part of the change is normal seasonal fluctuations.

Here in the Bay Area, we are experiencing extremely windy weather conditions which saps moisture from the surface of the skin.

Face masks made from cotton will absorb moisture, including from the surface of your skin.

What can I do for my seasonal dry skin?

  1. Switch to a silk face mask.
  2. (If you can safely) remove your mask for 15 minutes every 4 hours to give your skin a break.
  3. Check your water intake. When wearing a protective face mask, we are less inclined to sip water throughout the day. 
  4. Wear your physical SPF! This can help prevent excessive moisture loss and protect the skin from wind and cold.
  5. Add a serum under your moisturizer.
  6. Make sure your diet includes enough healthy fats like nuts and avocados.
  7. Use a gentle exfoliant once a week to remove dead, dry skin and allow moisture to absorb.

Do you have questions about your skincare routine? Have a Virtual Skin Care Consult with Hannah.

How Often Should I Exfoliate?

Your exfoliation routine depends on your skin type, your environment, and the product you are using.

Oily and acne prone skin requires more frequent and aggressive exfoliation but it’s not a step to be skipped if your skin is dry.

The skin cell cycle slows as we age and regular exfoliation is the best way to assistant sluggish cells. Exfoliation allows new skin skin cells to flourish and can encourage collagen production.

Oily and acne prone skin can benefit from daily exfoliation to keep pore buildup to a minimum. Dry skin needs a gentle exfolation 1-2 times a week, depending on external factors like the weather.

What Exfoliating Product Should I Use?

There are three main categories of exfoliating products: physical, chemical, and enzyme.

Physical exfoliants use rough particles and friction to remove dead skin. These products are wonderful to exfoliate skin on the body. They often come in the form of salt, sugar, or pumice scrubs.

Physical exfoliants are not appropriate for most skin types to use on the face. The rough pieces can cause micro tears in the skin and the amount of friction necessary to remove dead skin leaves many skin types unnecessarily red and irritated.

Chemical and enzyme exfoliating products are better suited for the face.

Enzyme exfoliants are appropriate for most skin types. Enzymes are made from fruits acids and work on the surface of the skin. They gently digest dead skin cells and promote glowing skin. Enzyme products require several minutes to do their magic and can be assisted by steam from the shower.

You can safely use an enzyme exfoliant several times a week. It will assist with clogged pores, dry skin, blackheads, and rough patches.

You can use an enzyme exfoliant weekly and a chemical exfoliant nightly, especially if your skin is oily and you are prone to clogged pore.

Chemical exfoliants work below the skins surface to promote new skin cell turnover and collagen production. These products include ingredients like glycolic acid, salicylic acid, retinol, and lactic acid.

Chemical exfoliation is very popular and effective. Start slow and build your tolerance to this type of product, it is possible to compromise your skin barrier with too much chemical exfoliation.

Add one chemical exfoliating product to your night time routine. You may need to begin with every other night to build tolerance. Commit to using the product for 90 days to asses the results. Make sure you are getting enough hydration and sun protection during the day.

Do you have questions about how often you should be exfoliating? Have a Virtual Skin Care Consult with Hannah.

Skin Care For Runners

Distance runners each have a unique skin type, but certain aspects of skin care can apply across the board. Exposure to the elements for long periods of time take a toll on the skin so proper care is important.

Wash your face.

Wash your face morning and night as well as before and after your run.

Yes, I just told you to wash your face 3-4 times on the days you run. And yes, you need to wash your face in the morning before you roll out the door in your running shoes.

Overnight your skin has been busy shedding cells and producing oil. You also (hopefully) have a nice layer of moisturizer or treatment cream on from your evening routine. Start with a clean slate before you get sweaty.

Running in the afternoon? Your skin gets dirty from walking around the city even without makeup. Look at your car windshield after an hour of driving. Or when working from home, look at the windowsill of your open window…

A quick cleanse before you slap on sunscreen and sweat thru a run does a lot to keep your pores clean and your skin healthy.

Find a gentle cleanser that removes dirt and oil but doesn’t over dry your skin. If your cleanser leaves you feeling “squeaky clean”, it’s too aggressive.

Use a physical SPF.

A physical SPF (sometimes labeled “mineral”) is one that contains zinc oxide or titanium dioxide. Every other SPF ingredient in a chemical SPF.

Physical SPF forms an invisible barrier on the skin to reflect the rays of the sun and keep the surface of the skin cool. It helps prevent sun induced pigmentation as well as protect from skin cancer and aging. This layer of protection also helps minimize skin irritation from wind and cold.

Chemical SPF absorbs the rays of the sun which can heat the surface of the skin. It may cause the skin to flush and doesn’t protect against sun induced pigmentation. Chemical SPF is the sunscreen that burns when it gets in your eyes!

The majority of SPF products marketed for “sport” are water resistant for up to 80 minutes. No SPF is waterproof. A general guideline is reapply every hour if you are outdoors and sweating.

Choose an SPF of 30 or higher and check the percentage of active ingredients to determine the strength. The back of the tube will list the active ingredients separate from the full ingredient list, a good SPF will have at least 10% combined zinc and titanium dioxide.

Double your protection with shade elements like a hat or visor when you will be out for longer than an hour. My running buff works as a face mask AND prevents the back of my neck from sunburn!

Schedule a yearly mole check with your dermatologist. This should cover your entire body and scalp, be sure to point out any moles you think may have changed during the year. Be honest about your sun exposure and sunscreen compliance.

Two of my favorite sunscreens for running are:

Neutrogena SheerZinc Face Mineral Sunscreen SPF 50
iS Clinical Eclipse SPF 50+

Use a gentle exfoliant.

In addition to your daily cleansing routine, exfoliating once or twice a week will help keep your pores clean and your complexion healthy. I like an enzyme or clay mask (or both) for active outdoor clients.

Enzyme exfoliation is gentle yet effective. The active ingredients loosen dead cells and soften rough spots without sensitizing the skin to the sun. These products generally can be used several times a week with no adverse effects.

Clay masks are also a good form of gentle exfoliation and balancing for combination or oily skin.

I’m not a fan of physical exfoliation for the face (scrubs or face washes with beads). In order to remove dead skin, you have to be quite aggressive with the product which can irritate sensitive skin and cause redness or even micro tears.

Chemical exfoliation (like glycolic acid or Retin A) is very popular and useful for a variety of conditions but it can sensitize the skin to the elements. If you spend more than a few hours a week outdoors, consult a professional before you incorporate it into your routine.

Hydrate, hydrate, hydrate…

Sweating is a funny thing. Initially it encourages our skin to produce more oil but after an extended period of time the skin will lose moisture.

Your skin may feel oily some days but it you still need a good moisturizer with antioxidants to replace lost hydration and help heal the skin barrier.

Nighttime is the best opportunity to replenish your skin. A heavy moisturizer during the day can mix with sweat and lead to clogged pores. 

Topical skin care works to seal in moisture and heal the skin barrier. No amount of topical product can hydrate your skin of you aren’t getting enough water, replacement electrolytes, and healthy fat in your diet.

Have questions about your skin? Book a Virtual Skin Care Consult with Hannah.

Do I Need To Wash My Face If I Don’t Leave My House?

I paused before applying SPF this morning, about to take my dog for her morning walk. When was the last time I washed my face?

Only three days into a weeks long “shelter in place” mandate for San Francisco county and my skin care routine is already suffering.

How should you care for your skin during this uncertain time?

Continue your normal daily routine whether you are working from home or providing an essential service out in the world. Your skin produces sebum, sheds dead cells, and collects dirt either way.

Are you spending more time in front of a computer, tablet, or phone screen? For most of us working from home, screen time has increased so adjust your topical antioxidants accordingly.

When you return home after being outside for any reason, wash your hands then wash your face. A clean face can help keep germs away from your nose and mouth.

Wash your hands before you apply any product to your face, even if you have been at home all day. If your facial skin becomes dry from extra cleansing, switch to a cream cleanser.

Extra washing will dehydrate the skin on your hands so add a rich hand cream to your routine both morning and night. Apply a protective ointment like Aquaphor to your cuticles.

Make sure your water intake is adequate. Changes to our normal routine make it easy to forget to stay hydrated.

Running low on skin care products? The online store is open for business.

Need a new skincare routine? Have an Online Skin Care Consult with Hannah.

FIVE Simple Anti-Aging Tips

ONE: Clean your face morning and night. Find a cleansing routine that works for your skin type and do it twice a day. Don’t sleep with a dirty face!

TWO: Wear SPF every day. This is no joke. Use a physical SPF year round, no matter the climate. All the fancy night creams won’t save your skin if you don’t use daily SPF.

THREE: Use an antioxidant during the day. Antioxidants reduce inflammation, boost the effectiveness of your SPF, and fight free radical damage. Use an antioxidant serum or lotion under your SPF every day.

FOUR: Use retinol at night. Retinol comes in many strengths and formulas, find one that works for you. It will keep acne and wrinkles at bay.

FIVE: Drink water. Drink half your body weight in ounces every day, more if you have caffeine or alcohol. No skin care product or makeup can help if your system is dehydrated.

The term “anti-aging” conjures thoughts of expensive creams and invasive procedures. The sum of your daily routine also has a profound affect on how you age. Commit to a consistent, daily routine for your best skin now and in the future.

Will Sleeping In Makeup Ruin My Skin?

Dolly Parton famously admits to sleeping with a full face of makeup just in case of a midnight emergency but it’s generally considered a bad idea.

Most dermatologists agree, sleeping in your makeup is one of the worst things you can do for your skin.

Why is it so bad to sleep with makeup on?

Foundation and concealer are occlusive so they can block pores and lead to acne. These products are designed to be worn for a limited amount of time then removed to give the skin a chance to recover.

Bacteria, dirt, and pollution can get trapped under makeup and do serious damage to skin, including cause a possible infection.

Sleeping in makeup (or with dirty skin in general) can also accelerate the aging process. Clean skin has the opportunity to renew itself while you sleep, dirt and bacteria get in the way of this process.

Take the time to wash your face before bed. It’s a simple way to get healthier skin, fewer breakouts, and more youthful skin in the long run.

Is Your Pillowcase Affecting Your Skin?

One third of our lifetime is spent sleeping so it makes sense to consider the surface where we lie our carefully treated skin!

Nighttime skin care routines involve cleansing then carefully applying skin care products, but what happens for the next 8 hours?

How does your sleeping surface affect your skin?

Skin continues to produce oil while you sleep. Cotton fabric absorbs oil. Whatever is on your hair (hair products, oil, dirt etc.) ends up on you pillowcase and eventually on your face.

Change your pillowcase at least once a week.

Do I need a silk pillowcase?

A small clinical trial showed a reduction in breakouts when participants with acne slept on a silk pillowcase. Silk absorbs less oil and dirt than cotton and also reduces friction on your skin and hair.

If you are acne prone, a silk pillowcase could help. The bottom line is, silk or cotton, make sure your sleeping surface is clean for the healthiest skin possible.

Does Drinking Alcohol Impact Your Skin?

There’s always a reason to celebrate with a festive cocktail or a glass of wine but how does drinking alcohol affect your skin?

First, drinking alcohol is a diuretic so it dehydrates your entire system. Your body pulls moisture from every available source, including your skin. The morning after drinking your pores look larger and your wrinkles are more prominent due to lack of moisture.

In addition to dehydration, drinking alcohol causes inflammation and a histamine reaction in the body. The most obvious sign of this reaction is feeling puffy the morning after drinking. A histamine reaction can also lead to an acne flareup, redness, or rash on various parts of the body depending on a persons sensitivity.

Drinking alcohol more than once or twice a week, doesn’t allow the body time to recover between assaults so the inflammation can lead to weakened skin structure and premature aging.

Can I have an alcoholic beverage and not affect my skin?

Think of alcoholic drinks in the same category as dessert; they are for indulging once in awhile, not on a daily basis.

When you decide to indulge, consider a low alcohol option and stay away from sugary mixers.

Drink an extra glass of water for each alcoholic drink. Not only will the extra water soften the blow to your system, alternating beverages slows your alcohol consumption when you are out with friends.

No matter how many alcoholic drinks you consume, do not skip your nighttime skincare routine! Do what you can to fake a full night of sleep the next day.

Pre-Holiday Skin Care

Summer is over and your natural glow is starting to fade, what’s the best way to prepare for the holidays?

First and foremost, it’s time to exfoliate. Chances are, you spent time outside and out of your normal environment in the past three months. Plus, (hopefully) you used more SPF!

Now is a great time to schedule a chemical peel or a Microdermabrasion Facial. Slough off the top layer of dead skin, clean out your pores, and start new for fall.

Take some time to revisit your home care routine, maybe add a brightening product to the mix. Botanical brightening products help bring back your natural glow without using of harsh bleaching ingredients.

Lastly, the temperature outside is cooling and days are getting shorter but daily physical SPF is still as important as ever.

How To Apply Physical SPF

There’s no question, zinc oxide and titanium dioxide provide the best protection for your skin and are healthiest for the environment.

Sunscreen products that contain these ingredients are usually labeled “mineral” or “physical”. Check the active ingredient list on the back of the label, it will contain zinc or titanium (or both).

Here are a few tips for applying physical SPF:

Apply physical SPF on clean skin or over a serum only. Layering too many products can feel uncomfortable. If you need extra moisture, consider an SPF with moisturizer.

Use a nickel sized dollop of SPF to cover your entire face. The length of the top portion of your pinky finger is about the correct amount.

Apply the product to your hands, rub them together to warm the product then spread it all over your face, neck and ears. Use outward feathering strokes to blend it in. Do not dab the product on the face like concealer then attempt to blend it in.

Wait 2-3 minutes after applying. Brush your teeth. Do your hair. Some physical SPF products appear a little white initially but then it disappears.

What Is The Skin Barrier?

And why is the skin barrier important?

The skin barrier is the outermost layer of our skin and has two main functions.

First, it keeps out harmful substances and second, it keeps in necessary elements like water and electrolytes. This layer of skin also produces antimicrobial proteins, lipids, and peptides to create an invisible protective shield.

The skin barrier is largely responsible for the general health of our skin. When the skin barrier is compromised, you may experience inflammation, redness, breakouts, rashes, dryness, tightness, and generally sensitive skin.

How do you fix a compromised skin barrier?

Look at the exfoliating products in your skin care routine. Any product that contains a physical scrub, a chemical exfoliant (retinol, glycolic, AHA, BHA, salicylic acid) or an enzyme exfoliant can compromise your skin barrier.

How often are you exfoliating? Over exfoliation is the number one cause of a compromised skin barrier

Is your cleanser a cream or a gel? Gel cleansers can be more drying, especially if they contain exfoliating ingredients like glycolic acid or AHA’s. If your skin barrier is compromised, use a cream cleanser.

Are you nourishing your skin with antioxidants? Use a serum or cream with calming, nourishing ingredients twice a day to help your skin rebuild the lipid barrier.

A compromised skin barrier is often a temporary condition but you need to identify the cause and change your habits. The right skin care products and treatments will heal the skin barrier and eliminate sensitivity.

How to Care For Your Neck and Decolletage

The skin from your jawline to your collarbone is exposed to the elements for hours every day. Do you include it in your skin care routine?

What is the best way to care for this delicate area?

The skin on the neck and chest has fewer oil glands than the skin on the face which makes it more sensitive. When considering products for this area, focus on hydration and protection.

Cleanse the area with a nourishing cream cleanser. Follow with a hydrating cream with calming ingredients. Focus on anti-aging formulas with ingredients like peptides, niacinamide, and hyaluronic acid.

Do a patch test before using products that contain retinol or glycolic acid on your neck. If your skin responds well, use them 1-2 times per week but follow with a hydrating cream.

Use a physical SPF every day regardless of exposure and time of year. I apply my SPF to my face, neck, and chest before getting dressed ensure maximum coverage.

Professional treatments like chemical peels and microdermabrasion are a great way to treat fine lines and pigmentation on the chest and neck. More intense treatments like Ultherapy are required to treat skin laxity in this area.

Are You Protecting Your Most Sensitive Skin?

Your most sensitive skin, the lips and eyes, are often missed during the sunscreen application process.

When using a physical sunscreen (like you know you should!) the product can feel heavy on delicate areas of the face. If you are still using a chemical sunscreen, it can sting when too close to the eye area.

Sunscreen products made specifically to protect and treat the eyes and lips are worth the extra effort.

Look for high percentages of zinc oxide and titanium dioxide, it can be one active ingredient or a combination of the two. Physical sunscreen ingredients don’t have the “sunscreen” odor and won’t sting if you get them in your eyes on accident.

For lips I love Suntegrity Lip CPR when I want some color and Tizo lip balm for every day use.

Colorscience Total Eye 3-in-1 Renewal Therapy is a great eye product with physical SPF and a little color. Skinceuticals Physical Eye UV Defense is also good. Both are designed to treat the delicate skin around the eye while protecting it from the sun.

Products that contain SPF generally aren’t as moisturizing as those without. If you find the SPF eye cream isn’t giving you enough moisture, consider layering an eye serum underneath.

Take advantage of your evening routine as a time to get some extra moisture and use an eye cream without SPF.

Do I need a Tool for Washing my Face?

There are many tools on the market for face washing; brushes, cloths, even rubber devices that claim to be superior. Are any of these gadgets necessary to get clean skin?

The answer depends on your skin type and what you are trying to cleanse at the end of the day; makeup, excess oil, debris, layers of sunscreen.

If you have normal or combination skin and don’t wear a lot of makeup, your cleanser and your hands will get your skin clean on a daily basis. Add an enzyme mask once or twice a week for happy pores!

If you need an extra boost in your daily cleansing routine, consider your habits. Are you willing to keep a gadget charged (or replace the batteries on a regular basis)? Can you commit to changing brush heads when they wear out? All gadgets require maintenance to work properly so investigate before you invest!

The most basic way to get an extra hand cleansing your face is a simple washcloth. Have a few on hand so you can launder them regularly to keep bacteria from growing.

Be gentle when using any tool. Use soft brush heads and light pressure. Applying too much pressure can lead to broken capillaries and other long term damage.

Most importantly, wash your face twice a day!

The Seasons and Skin Hydration

Does your oily skin feel dry in winter? You are not alone. The seasons affect moisture levels in all skin types.

Seasonal changes are more noticeable in cold climates but warm, humid, climates also have fluctuations in moisture levels.

Trans epidermal water loss (TEWL) is the official name for loss of water through the skin to the surrounding atmosphere via the evaporation process. TEWL is a process which can take us by surprise, substantial dehydration sometimes occurs before a person realizes what is happening.

TEWL is affected by environmental factors such as humidity, temperature, the time of year and the moisture content of the skin. Your first line of defense is to stay properly hydrated internally.

Our skin is most dehydrated from December through March. Seasonal changes during April, May and June help the skin re-hydrate. The cycle of moisture loss begins again in July and continues until our skin is at its most dehydrated in December.

Knowing how the season will affect moisture levels in our skin allows us to plan our skin care accordingly. When the dry months begin, add a hydrating serum under your treatment cream at night.

How Often Should I Change My Skin Care Routine?

How often you swap out your skin care products depends on several factors, mainly the environment and your skin type.

If your city has four distinct seasons, you need two sets of products to get thru the year. A gel cleanser and light serum will control oil on warm and humid days but a cream cleanser and more moisture will be necessary during cold and windy months.

If you spend the majority of your time in a steady climate, you can have one routine for the entire year. So when should we try something new?

There is a common myth that skin gets used to a product and it stops working as well.

Your skin will not build up tolerance to a topical product. You shed the top layer of skin every 28-35 days, the product is interacting with “new” skin on a regular basis.

When we start using a new product, we see the most visible results in the first 30-90 days. Then the results plateau but the product is still doing its job. If you stopped using the product and your old skin conditions returned, you would realize how well it was working.

If you feel like your routine isn’t working as well as it used to or you are developing new skin issues, schedule a consult with a professional.

Most people need an entire range of new skincare products at least once per decade. Your routine from college isn’t going to serve you very well in your 30’s!

How to Fake a Full Night of Sleep

When you don’t get a full 8 hours your skin suffers. During a busy holiday season, lack of sleep will start to show in your skin.

1. Plan in advance. Look at your schedule for the week to see when you have the dreaded combination of late night + early morning commitments. Stay extra hydrated and cut back on salty food the day your sleep will be short. Also, consider skipping the alcohol at your evening event!

2. Wash your face when you get home, no matter how late. Traces of eye makeup will add to puffiness and irritation the following morning.

3. When you wake up, fill a large bowl with cold water, add some ice cubes and submerge your face for a few seconds. This jolt you into reality, get the blood flowing to your face and color in your cheeks.

4. Have 16oz of water before your first cup of coffee. It’s amazing how much better you feel when well hydrated!

5. Chill your jade roller in your bowl of ice water for a few minutes and give yourself a quick facial massage focusing on any puffy areas.

Skin Care Advice For My Younger Self

Looking back a few decades, what skin care advice would I give my 25-year old self?

If I could turn back time, I would:

  1. Be more diligent about sun protection. I lived in Los Angeles for 10 years and applied SPF daily but could have done more to protect my skin. I rarely wore hats or long sleeves when hiking outdoors and, looking back at old photos, my skin was consistently a few shades darker. I’ve reversed most of the visible damage but keep my fingers crossed when my dermatologist is checking my scalp every year!
  2. Start taking care of my neck and chest in my earlier. I recently saw a photo from my 33rd birthday, the skin on my jawline and neck was so taut! At the time I was focused on keeping my acne from flaring up, I didn’t consider much below my chin.
  3. Stop picking my acne. It’s simple. But so tempting. A pimple picked lasts twice as long as a pimple left alone. Not to mention the scars.

And now for the good news!

Here are a few things I’ve been consistent with and feel like it’s paid off:

  1. Start using eye cream at a young age. You don’t need to start as a teenager like I did but ingredients in eye cream do a lot more to prevent than correct. Start before you have visible damage and be diligent to get results.
  2. Commit to Retin A and Retinol…for life. To control my acne as a teenager, I used Retin A when it was new to the market. I suffered thru initial redness and flaking but it helped my acne and the residual marks. When I got into the skin care industry, I learned about the different types of Vitamin A derivatives both prescription and over the counter. This ingredient has proven over time to be the gold standard in both acne management and anti-aging.
  3. Crystal Micrdermabrasion treatments are key. I credit crystal micrdermabrasion with clearing up residual acne scars and getting my large pores under control. I got certified in the treatment in the late 90’s (when it was new to the United States) and had as many sessions as my skin could handle. All these years later, if you want resurfacing with no downtime, it’s still the best option.