Ask Sharmani

Posted by Sharmani on May 19th, 2008

I’m always happy to answer your questions. 

Though you will also receive an emailed response, all answers and questions will be posted on this site. By submitting your comment you are agreeing to this as well as to publication of your question and answer on any material that we may publish in the future. Your email address will remain private; please do not post your full name if your question is of a personal nature.  

Please scroll down to the bottom of the page to post your comment/question.

May you always feel beautiful,

Sharmani

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Prescriptives + Procedures

s s said,

May 28, 2008 @ 9:21 am

Hello, I just recently purchased the Anthelios XL spf 60. However, I do not know whether I need 60 or something lower. I am of Asian-Indian ancestry and my skin is fairly light for an Asian-Indian. It does not burn and it tans moderately. Although, I do want the best protection from UVA rays as possible because my skin is prone to pigmentation problems if exposed to the sun for moderate amounts of time. It may be due to the fact that I use a cleanser with AHA, which makes your skin photosensitive. Therefore, I need something that provides the best UVA protection along with UVB protection.

Shannon Houk said,

June 5, 2008 @ 4:39 pm

Hi.
I have had a rough april and may. On april 10th I wore a brand new shirt to work (didnt wash it before hand). I was off on the Friday and wore it all day. The tues after my neck felt itchy and sure enough I had a couple of rashes. Come the Sunday after it was full force. I had about 23 sores on the back of my neck. It looked like crop circles with red edges. I was tested for the herpes virus, shingles and all bloodwork and swab tests came back negative. I have tried fucidin cream ointment, bactroban cream and ointment, Hydroval..Elocom. Today the dermatolgist gave me cicaplast. All but one of the sores have healed. The derm suggested to apply fucidin ointment with a bandage to cover it up but to apply cicaplast to the rest of my neck. Will this cream help get rid of the scar thanks to the sores. I have never experienced anything like this before in my life but have learnt a valuable lesson. to wash brand new clothes before wearing them. please advise..thanks

Sharmani said,

June 9, 2008 @ 11:23 am

Hi Shannon

Sounds like you’ve been through a rough time. I hope you’re feeling better.

La Roche Posay’s Cicaplast contains madecassoside, an ingredient extracted from the plant Centella asiatica. In clinical studies, madecassoside has been shown to speed wound healing. It also has anti-inflammatory properties. And is included as an anti-aging ingredient for its ability to stimulate the production of collagen. It’s often used to help speed up the healing of skin after dermatological procedures like chemical peels and it sounds like you’ve benefitted from its use.

Cicaplast helps to heal, but will not help to fade scars. For that, you may want to consider a product like MaMa Lotion (https://www.pharmacymix.com/product.aspx?ProductID=4691&) which may be of benefit.

I hope you find the information useful.

Sharmani

Salonge said,

June 18, 2008 @ 11:52 am

Sharmani,

I am struggling with some new and old hyperpigmentaion or acne scarring on the face. My skin is brown. What would you recommend that I use that is easily purchased over the counter?

I would also like to know if there is anything you can recommend to even skin and smoothen. Are facials good?

I would also like to know if you have heard of Rx for Brown Skin, and what your thoughts are about that product.

Regards,

Salonge

Sharmani said,

June 18, 2008 @ 2:27 pm

Hi Salonge

Hyperpigmentation is often best treated in conjunction with a dermatologist who may be able to prescribe medications that aren’t available over the counter if they are necessary. However, there are a number of effective products that can be used without a prescription.

Many skin lightening agents work by inhibiting tyrosinase (the enzyme responsible for the production of melanin, the skin’s pigment). Others work by evening skin tone and still others work to exfoliate skin thus removing pigmented skin. In treating hyperpigmentation, it’s generally useful to use a multi-faceted approach. As with any new skin product always perform a test patch prior to using and it’s best to check with your physician first before combining active ingredients:
1. Hydroquinone is an effective agent that is regarded by many dermatologists as the gold standard in hyperpigmentation disorders. It is safe and effective if used as directed, but can come with side effects if used for very long periods of time at high concentrations. Read more about hydroquinone here http://www.pharmacymix.com/hydroquinone-creams.htm.
2. Vitamin C can brighten and even skin tone at concentrations above 5%. Products like La Roche Posay Active C and Neostrata Skin Brightener are good ones to consider.
3. Botanical skin lighteners contain other effective skin lighteners such as Gigawhite or Rumex extract. View selection here http://www.pharmacymix.com/Department.aspx?DeptID=775& .
4. Kojic acid is derived from mushrooms and has been used effectively to treat hyperpigmentation. Mela D and Mela D Bright are two formulations containing kojic acid to consider.
5. Exfoliating agents such as alpha hydroxy acids and retinoids help to lift off top skin layers thereby brightening skin as well as helping with penetration of lightening ingredients. Two to consider include Mama Lotion and Green Cream .

Hope you find this useful,
Sharmani

takuhi said,

June 27, 2008 @ 5:41 pm

Dear Sharmani

I would like to know what is that ingredient in Lacota Back pain relief, Capsaicin, Can you please let me know.
I could not find any information on it.

Thanks

Sharmani said,

June 27, 2008 @ 6:50 pm

Capsaicin is an active component of chili peppers and is used medicinally in topical preparations to relieve pain.

Teri said,

July 1, 2008 @ 5:14 am

Is LaRoche’s Redermix for Eyes to be used on the lids? I applied completely around my eyes and my lids are slightly swollen today.

Thanks,
Teri

Sharmani said,

July 2, 2008 @ 3:04 pm

Hi Teri

Most eye products are designed to be used in the orbital area (under the eyes) taking care to avoid getting product into the eyes. Redermic’s directions state using under the eye area and extending towards the temples.

Skin around the eye tends to be thinner than elsewhere on the body and as a result may be more sensitive. Try avoiding use on the lids and observe if swelling goes down.

Sharmani

Arlene said,

July 6, 2008 @ 2:12 pm

I am confused with all the Anthelios sunscreen products.
My skin is tanned because I live in So. Florida & play golf 4 days a week (always using sunscreen). What would you recommend in that line for a medium toned caucasian woman?
Thanks….

Hi Arlene

Because you are out in the sun so much I’d recommend using the highest SPF product available. In addition to getting great UVB protection, the higher SPF products (with Mexoryl at least) also deliver higher UVA protection against long term skin damage. Depending on your skin type, these are the products I’d recommend:
Anthelios XL SPF 60 for face and body - heavier, all-purpose sunscreen
Anthelios XL SPF 50+ Fluide Extreme for face - very lightweight formulation designed specifically for oily and sensitive skin types but suitable for everyone
Anthelios XL SPF 50+ Creme - creamier formulation designed for facial use (normal/combination skin)
Anthelios XL SPF 50+ Lait - (formulation between fluide extreme and creme) for face and body.
Anthelios W SPF 40 - most water resistant of the Anthelios formulations (this may be a good choice for you if you find that you perspire a lot). It is alcohol based so may be a bit drying.

Please note that SPF 50+ products offer similar to SPF 60 protection. Labeling requirements in the European Union have forced manufacturers to change from SPF 60 to SPF 50+.

Best
Sharmani

Ruth said,

July 11, 2008 @ 10:24 am

Hi Sharmani,

Just wanted to let you know that I’m extremely happy with the Vichy Micro-Fluide Mat Visage 50+ sunscreen. I have sensitive skin and found that sunscreens (many brands including Anthelios) felt so heavy on my face. Thanks for recommending it. See you at the pool!

Ruth

Sharmani said,

July 14, 2008 @ 9:23 pm

Hi Ruth

So glad that it works for you. Many people say that they like it as much (and some prefer it) as the Anthelios Fluide Extreme SPF 50+. We’ll keep your comments in mind when recommending to others.

Enjoy the summer!

Dianna said,

July 17, 2008 @ 2:39 pm

HI Sharmani.
My husband and I are going on the Herbal D-Tox for 12 days and we’re wondering if we can eat bread with this diet?
I have IBS and diverticulitis is this diet o.k. for me? Would appreciated if you could get back to me on this for, we are going on this diet in about 2 weeks.

Thank you,
Dianna.

Sharmani said,

July 21, 2008 @ 1:51 pm

Hi Dianna

The Herbal D-Tox should come with a plan that lets you know what you can and can’t eat. I’d check with the store that you purchased it from. As well, the cookbook contains some good recipes if you’re stuck on what to eat.

In general, on the diet, it’s recommended that you avoid flour products since the gluten tends to form a glue like consistency in the digestive tract.

Since you have health concerns, I’d check with your physician to see if the diet is suitable for you.

Best
Sharmani

Shannon said,

July 22, 2008 @ 9:26 pm

Hi.
It turns out that all the sores on my neck was caused from an allergic reaction to formaldehyde which was in the starch of the brand new shirt. I have gone for an IPL treatment to help combat the browns and reds and may require a second treatment next month.

Abbie Blair said,

July 23, 2008 @ 5:39 am

Dear Sharani, I have purchased both the anthelios and umbrelle 60spf and both have worked for me. I was reading the ingredients and find that they are different, anthelios contains two kinds of mexoryl and unbrelle only one. Would you tell me which formulation is considered the most effective sunblock? Thank you, Abbie

Raphael said,

July 23, 2008 @ 1:25 pm

Dear Sharmani,

I ordered Brand SPF 45 XL 3.38 oz which is on its way.

Since I have a good supply of Sunscreen Lotion SPF 45, UVA/UVB rated, with Vit. E & aloe.

Would there be any added advantage using this lotion in conjunction with the Mexoril XL that I ordered?

Sincerely,
Raphael

Sharmani said,

July 28, 2008 @ 1:00 pm

Hi Shannon

Thanks for your response re your allergic reaction. I’m glad that your specialist was able to determine the cause of the reaction. Your experience is certainly a lesson to all of us to wash all our clothes prior to wearing them.

Sharmani

Sharmani said,

July 28, 2008 @ 1:08 pm

To Abbie

As you may be aware the combination of Mexoryl SX and Mexoryl XL is patented by L’Oreal for use in their sunscreens. L’Oreal owns both the Ombrelle and Anthelios brands, both which offer a range of formulations.

Some Ombrelle products contain both Mexoryl SX and Mexoryl XL while others contain only Mexoryl SX. This is the same with the Anthelios sunscreens. Mexoryl XL offers both UVB as well as longer range UVA protection; Mexoryl SX offers more mid range UVA protection. Studies have shown the combination of the two Mexoryl molecules is synergistic delivering superior protection than any one of the agents alone.

Check the ingredient label to ensure that the product contains both Mexoryls. Our top selling products that contain both include:
Anthelios XL SPF 60 Cream
Anthelios XL SPF 45 Cream
Anthelios XL SPF 50+ Fluide Extreme
Ombrelle XL Lait SPF 60
Ombrelle Face Cream SPF 30, 45 and 60.

Hope that helps,
Sharmani

Sharmani said,

July 28, 2008 @ 1:11 pm

Dear Raphael

Adding another SPF 45 sunscreen will not double your protection. An SPF 45 will protect against about 98% of UV rays. The addition of Vitamin E to the other sunscreen fights against free radicals and protects skin in a different way to sunscreens. You will notice that Anthelios XL SPF 45 contains tocopherol which is a form of Vitamin E and will be skin beneficial.

Other products that will also protect skin include Vitamin C as found in Active C or Redermic.

Best
Sharmani

Harish Kapur said,

August 7, 2008 @ 5:35 am

I need more information on Cicaplast Cream. Does it help in the acceleration of 2cm wound (without blood) that has resulted due to fall. How often should I apply it.

Magarita said,

August 9, 2008 @ 11:10 am

Hello

1.Can applying 0.5-2% BHA cream twice a day cause the side effects such as hearing loss or problem with kidney or others?
2.How long does sunscreen exactly stay efficient (can still work to prevent UV) on my skin (I’m using Anthelios XL lait SPF50+) , I applied it once on about 9.00 AM and didn’t reapplied anymore until I got back to dome on 17.00 PM.(But I didn’t face sunlight all the time) ?
3.I’m 21 and about to have noticed thin lines around my mouth (frontier between mounth and cheeks). Which ingredient will you recommend me ?
4.People said Vitamin C is the best anti-aging antioxidant ingredient.It caused my acne in vaious forms, can you recommend something to replace it ?

Athene said,

August 12, 2008 @ 3:54 am

I’m looking for a sunscreen with Mexoryl XL and Parson but no Titanium Dioxide. Is there one? Thanks.

Yvonne said,

August 12, 2008 @ 2:52 pm

Dear Sharmi,
I would like to use the Anthelios sport sunbloc, SPF 45 or 60 spray. In the past, however,I have always found that the sprays contain alcohol (as does this one) and have been told that the alcohol tends to dry out the skin.
I not only lifeguard, but also teach swimming all day long in hot and very sunny Sarasota, Florida.
All the sun lotions I have tried do not stay on my skin once I go in the water.
What would you suggest?

Sharmani said,

August 15, 2008 @ 11:25 am

For Harish:

Cicaplast contains madecassoside, an ingredient that is known to stimulate the production of collagen. It is often recommended after surgical procedures to speed healing as it also helps to improve the skin’s barrier function.

It certainly could help to help accelerate the healing of your wound. It’s generally applied lightly to affected area 2 to 3 times per day.

Sharmani

Sharmani said,

August 15, 2008 @ 11:51 am

For Margarita

1.Can applying 0.5-2% BHA cream twice a day cause the side effects such as hearing loss or problem with kidney or others?
I have not come across topical application of Beta Hydroxy Acid (also known as salicylic acid) having side effects such as hearing loss or kidney problems. Salicylic acid is also known as aspirin and aspirin taken at high doses over prolonged periods of time can lead to tinnitus (ringing in the ears) as well as kidney problems. This is possibly where the confusion comes in.

2.How long does sunscreen exactly stay efficient (can still work to prevent UV) on my skin (I’m using Anthelios XL lait SPF50+) , I applied it once on about 9.00 AM and didn’t reapplied anymore until I got back to dome on 17.00 PM.(But I didn’t face sunlight all the time) ?
Mexoryl XL and Mexoryl SX, are two sun filters in Anthelios XL which are highly photostable. Studies have shown that Mexoryl SX still maintains its efficacy 4 to 5 hours after application. However, manufacturers still recommend that you reapply every 2 hours or after exposure to water. You should probably consider reapplying once during the day, but if you are concerned about sun exposure, follow manufacturer directions and apply every 2 hours.
3.I’m 21 and about to have noticed thin lines around my mouth (frontier between mounth and cheeks). Which ingredient will you recommend me ?
There are a number of ingredients that will help. These include antioxidants such as Vitamin C (visit this page for more information http://www.pharmacymix.com/topical-vitamin-c-for-skin.htm). As well a retinoid such as Green Cream is a very useful product to incorporate into your routine at an early age (read more here http://www.pharmacymix.com/green-cream-retinol-cream.htm)
4.People said Vitamin C is the best anti-aging antioxidant ingredient.It caused my acne in vaious forms, can you recommend something to replace it ?
It could be the Vitamin C formulation and not the Vitamin C itself that caused the reaction. Vitamin C tends to be quite well tolerated by most individuals. If you have oily skin you may want to consider a serum based Vitamin C as opposed to a cream or lotion. We will soon be introducing a Vitamin C serum at 20% concentration. Check back.

Sharmani

Dina said,

August 15, 2008 @ 12:58 pm

I am looking for the balm or an ointment for severe hemorrhoids I suffer with.
Do you have anything you can recommend?

Sharmani said,

August 20, 2008 @ 3:38 pm

Hi Dina

We are not really a site that carries a wide range of products for hemorrhoids. However, you mention that they are severe, so it would be wise to contact a physician. This is definitely the case if any bleeding is present.

Sharmani

Sharmani said,

August 20, 2008 @ 3:45 pm

Hi Yvonne

Many water resistant sunscreens do contain alcohol, but that isn’t always the case. The most water resistant sunscreen in the Anthelios line is Anthelios W SPF 40 Gel. It’s rated as highly water resistant (which tends to mean about 80 minutes in the water). The other water resistant sunscreens give you about 40 minutes in the water. Anthelios W does contain alcohol - http://www.pharmacymix.com/product.aspx?ProductID=4633&.

The other option is to with a children’s formula. They are generally formulated to be highly resistant to water but because they are designed for children the formulations are designed for more delicate and sensitive skin. In this case, you can consider Anthelios Dermo Pediatrics Lotion SPF 50+ (http://www.pharmacymix.com/product.aspx?ProductID=4683&) or the Spray SPF 50+ (http://www.pharmacymix.com/product.aspx?ProductID=4730&). Both contain alcohol but you may find them a bit more palatable.

Vichy Capital Soleil SPF 30+ is another good water resistant formulation that our customers like. http://www.pharmacymix.com/product.aspx?ProductID=4746&.

Hope that helps
Sharmani

Sharmani said,

August 20, 2008 @ 3:49 pm

Hi Athene

You are looking for a sunscreen with Mexoryl and Parsol but not Titanium Dioxide. Unfortunately you may not find such a combination as the Mexoryl molecule is patented by L’Oreal. They use a combination of Parsol, Mexoryl, Titanium Dioxide and Avobenzone in their sunscreens. A few omit the Avobenzone (Anthelios Fluide Extreme SPF 50+ for one), but I’m not aware of one without the Titanium Dioxide.

Sharmani

Ruthie said,

August 30, 2008 @ 2:32 pm

I am 20 y.o. with Dark skin. I use to have flawless glowing skin. Over 2 years, I have been plagued with ocassional breakous, which leave post acne marks. My skin texture also got a little courser. It isn’t hormonal acne because I got that checked. SO, 2 QUESIONS: 1. What do you think is causing my breakouts? 2. Do you think MaMa lotion will be a good solution? My concern is my oily skin, post acne marks, brightness and skin texture.

Sharmani said,

September 1, 2008 @ 7:26 pm

Hi Ruthie

Without knowing more specific details about your general health and medical condition it is hard to know exactly what is causing your acne.

What we do know about acne is that it is a result of pores being blocked by excess oil. Acne results when the pore becomes infected with a bacterium known as p. acnes, which loves the conditions provided by the blocked pore and the oil. Excess oil tends to be the result of hormones, however in some individuals food allergies may play a role.

The best treatment for acne is to avoid any potential triggers. Then following these steps can help:
1. Cleanse with a gentle cleanser that won’t strip away natural oils. Try Effaclar Purifying Foaming Face Gel (http://www.pharmacymix.com/product.aspx?ProductID=490&deptid=-1&)which is specifically developed for oily and acneic skin.
2. Exfoliate with a beta hydroxy acid (salicylic acid) as found in Effaclar K or alpha hydroxy acid (mandelic or malic acid as found in MaMa Lotion). These products helps to remove skin top layer. Beta hydroxy acid can help to unclog pores and the mandelic acid in MaMa Lotion is an antibacterial. Don’t use both together as the combination can be irritating.
3. Try and minimize oil by using a product like Clarex Oil Control Gel or Effaclar Matt Moisturizer (http://www.pharmacymix.com/product.aspx?ProductID=493&deptid=-1&). This will help to reduce blemishes to some extent.

The advantage of MaMa Lotion is that it has demonstrated good success in fading scars, especially in individuals with darker skin. Darker skin types are more prone to hyperpigmentation with the use of many beta and alpha hydroxy acids.

Sharmani

Kerry said,

September 7, 2008 @ 1:10 pm

I am 45 and I am looking for a lotion or cream with a spf factor of 40 or above that can be applied over my daily moisturiser which i can then apply make up over the top. I have some pigmentation marks on my face so i need an effective daily sun block, i also have some hormone induced spots at the time of my period. Do you have anything you can recomend?

Sharmani said,

September 8, 2008 @ 11:50 am

Hi Kerry

In applying cosmetics, the rule of thumb is to start with products that are more liquid, working your way up to those with a thicker consistency. This tends to prevent the more liquid product from ‘dissolving’ the thicker one that it’s applied over. As well, it’s probalby a good idea to wait 5 to 10 minutes between each application to ensure that it has a chance to absorb.

Your choice of sunscreen will depend on skin type. In your case, since you have pigmentation marks already, I’d recommend going for the highest SPF possible. And, protection from both UVA and UVB rays is paramount. My choice would be an Anthelios sunscreen (you can read more about Anthelios sunscreens here - https://www.pharmacymix.com/selecting_anthelios_and_mexoryl_sunscreen.htm).

If you have dry skin, opt for Anthelios Creme SPF 50+ (http://www.pharmacymix.com/product.aspx?ProductID=4634&), which is slightly moisturizing and may allow you to skip the moisturizer. If you have oily, combination or sensitive skin, your best bet will be Anthelios Fluide Extreme SPF 50+ (http://www.pharmacymix.com/product.aspx?ProductID=4632&deptid=-1&). Both are water resistant and formulated specifically for the face.

Other Anthelios formulations are also available and a good majority are listed on the Anthelios article page posted above.

Doris said,

September 9, 2008 @ 6:24 am

My 4 years daughter had a surgery done on her arm and she developed keloid on sutures side.
I applied La Roche-Posay Cicaplast twice a day for her for about 3 weeks after her wound healed but not seeing improvement.
Did I use the right product for her or any other recommendation?
How long can I use this for her and when do I able to expect the result?

Tina said,

October 1, 2008 @ 6:41 am

Hi

I have acne and acne scars. I have tried almost everything including Roacutane but my acne returned. it is not so bad except it leaves scars. I tried Black Opal gel with 2% Hydroquinone and it seemed to clear the scars and my skin improved only that they just seemed to be lighter but not go. How much do you know about Zarina Fairtone skin toning cream. Will this work

What could i use to clear the scars,acne and have good complexion. Would any of your products help.

hope to hear from you soon

Tina

Christine said,

October 3, 2008 @ 4:47 am

I have very dry skin and I find that the sunscreens which contain meroxl are not hydrating enough, so I have been using a moisturizer underneath them. I wanted to know if this reduces the potency of the sunscreens, since they are not applied directly to bare skin. Also, if there is a very extemely hydrating forumla of a meroxl xl sunscreen please let me know of that as well.

Thank you!

Sharmani said,

October 3, 2008 @ 8:51 am

Hi Tina

As far as I’m aware, Zarina Fairtone claims that it incorporates an alpha hydroxy acid plus vitamin e complex. However, they don’t list a concentration, so I’m not certain how well it would perform.

Skin lightening tends to be a long term process as it involves a combination of removing exisiting pigmentation plus preventing formation of new. Best results are obtained by using products that complement one another’s action and by using a well formulated UVA and UVB blocking sunscreen to prevent formation of additional pigmentation. In your case, you could try the following:
MaMa Lotion - a high concentration of alpha hydroxy acids that work by exfoliation. It is particularly useful for sensitive and darker skin tones. http://www.pharmacymix.com/Product.aspx?ProductID=4691&&
Green Cream - a retinol based exfoliant which can help to remove exisiting pigmentation by stimulating the production of new, healthy cells and reduce pigmentation (do not use MaMa Lotion and Green Cream together as the combination could be highly irritating)
Mela D or Mela D Bright - Kojic acid derivatives with added ingredients. Kojic acid is an effective skin lightener
http://www.pharmacymix.com/Product.aspx?ProductID=4725&& or http://www.pharmacymix.com/Product.aspx?ProductID=4726&&
Vitamin C - at concentrations above 5% can effectively lighten skin. Vitamin C is well tolerated and can be combined with other treatments.
Hydroquinone - a skin lightener that is highly effective http://www.pharmacymix.com/hydroquinone-creams.htm
Botanical lighteners - work in various ways to reduce pigmentation. http://www.pharmacymix.com/Product.aspx?ProductID=4671&&

I hope these suggestions help.

Sharmani said,

October 3, 2008 @ 9:00 am

Christine

Good question. It’s one I get asked quite frequently.

When layering skin care products, the rule of thumb is to apply the lighter products first, following with those that are heavier in consistency. This should help stop the lighter, more liquid product from diluting the heavier product underneath and resulting in a mess that sits on top of skin.

If your moisturizer is heavier in consistency than your sunscreen, apply it over the sunscreen. If it lighter in consistency then apply before sunscreen.

You’re right that sunscreens are often not hydrating as their job tends to be to deliver sun protection rather than hydrate. It is fine to moisturize plus use sunscreen and if this works for you, then that is perfectly acceptable.

However, if you are seeking a combination moisturizer with sunscreen, then I’d recommend a product like Hydraphase UV SPF 30 http://www.pharmacymix.com/Product.aspx?ProductID=610&&. It’s a lovely non-greasy every day product that is suitable for normal/dry skin types. It contains hyaluronic acid to help retain moisture plus glycerin and other emollients to help soothe dry skin. This product contains Mexoryl SX plus other sun filters and is one of our top sellers.

Xyala said,

October 17, 2008 @ 8:22 am

Hi Sharmani,

I have a freckle in the middle of my lower lip. I developed this a little while back after a trip to the Carribean. I have had it checked out by a dermatologist who confirmed it was benign and simply recommended I wear Anthelios XL 60 stick on my lips everytime I go outside. Her suggestion to get rid of it was to have it removed by a plastic surgeon. I asked if using hydroquinone to get rid of it was an option and she said that this is typically not used for lips but did not offer an explanation as to why. Is it because it might actually remove some of the “pink” pigment from my lips and bleach my lips beyond removing the freckle?

I really want to get rid of it and I am hoping you can recommend treatment that might work

Thanks

Sharmani said,

October 22, 2008 @ 8:52 am

Dear Xyala

Hydroquinone is a depigmenting agent so it will remove pigmentation from any treated area, even if applied unintentionally. Though it tends to be well tolerated, there is the risk of sensitivity and lips tend to be one of the more sensitive parts of our face due to lack of sebum production and a very thin layer of skin. That’s possibly why your dermatologist didn’t want to recommend it for that area.

With regards to other treatment options, use of the Anthelios 60 lipstick should be adhered to. There are other effective skin lightening agents such as Vitamin C (concentrations above 10% tend to be most effective as in UltimaSkin Potent C Serum - http://www.pharmacymix.com/product.aspx?ProductID=4754&), kojic acid (Mela D - http://www.pharmacymix.com/product.aspx?ProductID=4725&deptid=778&, Mela D - http://www.pharmacymix.com/product.aspx?ProductID=4726&deptid=770& Bright). Alpha hydroxy acids may also benefit you and there are several to consider including MaMa Lotion - http://www.pharmacymix.com/product.aspx?ProductID=4691&deptid=770&.

Because you are dealing with a sensitive skin area, please ensure you test first and it may also be a good idea to check with your dermatologist. Skin lightening is a very gradual process so it could take months to resolve.

Hope you find the information useful,
Sharmani

helenmbates said,

November 21, 2008 @ 6:26 am

can Anthelious sunscreen, #60 cream, be used as a moisturizer? If not, when do you apply it, if you are using moisturizer and makeup.

Sharmani said,

November 21, 2008 @ 10:16 am

Hi Helen

Anthelios XL SPF 60 is not a moisturizer, rather a sunscreen. However, it is a richer formulation so you may find that your skin won’t require additional moisturizer with it.

If you find that skin is still dry, the rule of thumb is to apply products in order of lightest to heaviest. Serums first, followed by lotions, then creams. In this way the lighter product won’t ‘dissolve’ the heavier one underneath creating a mess on your skin. Having said that, it is also a good idea to apply sunscreens early on in your routine since Anthelios works by reacting with your top skin layer to deflect UV rays. And, it may be a good idea to wait a few minutes between application of each product. In your case, apply the Anthelios first, followed by a moisturizer. If you are using a serum, use that before anything else.

Hope that helps,
Sharmani

Tina said,

November 23, 2008 @ 7:38 pm

Hello,

I am looking to treat several skin conditions being; skin discolouration (brown pigmentation) from UV exposure and pregnancy. I have also noticed the following since I turned 36, larger pores, dehydration, not a very clean looking complexion. I am looking to incorporate the following products into my regime, please let me know if they would be beneficial, Green Cream (06. or 0.9), Mama lotion and Ultima C Potent C. Is this a good start or overload! I have read about the benefits of retinol, Vitamin C and I like the effects that the Mama lotion has on the before and after photos on your site, lighter and brighter and this what I also need. Your advise would be truly appreciated.
Kind Regards Tina.

Sharmani said,

November 24, 2008 @ 10:50 am

Hi Tina

Thanks for your question. The incorporation of the products you mention would be ideal for your skin type.
Green Cream should be started at Level 6 for 3 to 6 months. It contains high potency retinol and starting at Level 6 (Level 3 if skin is sensitive) minimizes irritation that accompanies its use. Build up to Level 9 and keep on this level for as long as you like. The benefits of Green Cream are numerous and a retinoid, as found in Green Cream, should be a key component of any anti aging skin care regimen.
Mama Lotion is a topical exfoliant and particularly beneficial to darker skin types as it tends to be better tolerated than glycolic acid preparations. It will help to even skin tone as well as resolve hyperpigmentation.
Vitamin C has oodles of clinical research to back up skin benefits. In addition to protecting against free radical damage which can age skin, at this 12% concentration it will also help to brighten skin and assist with lightening skin discolouration.

In terms of incorporating the products, start slowly, performing patch tests:
1. Potent C can be used day and night. During the day it will help to boost the protection afforded by your sunscreen as Vitamin C protects skin cells differently than sunscreens. This product can also be used at night if you wish.
2. Green Cream is best used at night. Build usage gradually until you are using nightly. It can sensitize skin to sunlight so ensure you are wearing broad spectrum UVA/UVB blocking sunscreen like Anthelios (https://www.pharmacymix.com/selecting_anthelios_and_mexoryl_sunscreen.htm) daily.
3. MaMa Lotion can be interchanged with Green Cream. Don’t use both at the same time as the combination would most likely be too irritating. Use the MaMa Lotion nightly 2 to 3 times per week and the Green Cream on the rest of the nights. Or you could use MaMa Lotion during the day and Green Cream at night. See what works best for skin. As with Green Cream, skin can become more sensitive to sunlight so cover up with sunscreen.

The only thing I can add is that you may find you need to use more moisturizer as Green Cream can be drying. Email us if you need a recommendation.

Hope you find the information useful.

Best, Sharmani

CA delecia said,

November 25, 2008 @ 8:52 am

I have been searching for a similar products like neostrata HQ for months and have just come across your website. Its not possible to explain how disappointed I am to learn that you do not ship your product outside the country. I live in the uk. Please please could you advise me of another alternative……just as effective as yours.
Many thanks

stacey said,

November 25, 2008 @ 8:26 pm

How do you feel about the effectiveness of Renova for fine lines and if I wanted to use Credentials for firming and hydroquonine for lightening and vitamin C for free radicals What order should I use these in? Isn’t it too much for my one face to handle??? I am confused on what to use but fine lines and firming are a definate priority. I am 40 and just seeing the signs of aging. Thanks

Sharmani said,

November 27, 2008 @ 12:10 pm

Hi Stacey

Thanks for your question. I definitely appreciate how difficult it is to try and decide what’s right for your skin when we’re constantly being bombarded with new research, new ingredients and new ads claiming sometimes miraculous results.

There are some very important components of good skin care:
1. Protection with a sunscreen that protects from both UVA and UVB rays as in the Anthelios (https://www.pharmacymix.com/selecting_anthelios_and_mexoryl_sunscreen.htm) range. Fallene Cotz (https://www.pharmacymix.com/product.aspx?ProductID=4705&) is another great option if you want to stick with a physical blocker. As long as you aren’t darker skinned, it is pretty unnoticeable.
2. Antioxidants including Vitamin C, Vitamin E and Green tea amongst others. They protect against free radical damage, which can accelerate skin aging.
3. A retinoid – to reverse sun damage and increase cell turnover amongst other benefits.

Moisturizing ingredients can be added as needed. We’re also starting to see some good results with peptides. They can be added to the above or used as an alternative to retinoids if they just can’t be tolerated. Matrixyl is the peptide with most research to back up its claims and that can be found in Credentials Botanical Bio Peptide Concentrate - https://www.pharmacymix.com/product.aspx?ProductID=4762&.

Renova is a retinoid (Vitamin A derivative) with very good evidence to back up its use in reversing sun damage, boosting collagen production, increasing cell turnover, antioxidant ability along with thickening skin and more benefits. The one downside is that Renova (as are all prescription Vitamin A derivatives) can be quite an irritating ingredient and many individuals don’t tolerate it well. The alternative is an over the counter Vitamin A derivative, retinol, which is ultimately converted to retinoic acid and delivers the same benefits as Renova. Retinol can produce skin irritation as well but tends to be much better tolerated. Retinol must be packaged in air tight containers as it will degrade rapidly upon exposure to light and oxygen. Green Cream - https://www.pharmacymix.com/green-cream-retinol-cream.htm - delivers retinol appropriately and my clients really do see benefits with its use.

You ask about Credentials and I’m assuming that you are referring to the Face Firming Complex - https://www.pharmacymix.com/product.aspx?ProductID=4759&. This product will fill your need for antioxidants, moisturize and also deliver DMAE, which has been shown in a small number of studies to help alleviate facial sag by firming and tightening skin. It’s important to note that this is a temporary effect; in order to maintain benefits you’ll have to continue using DMAE.

Hydroquinone - https://www.pharmacymix.com/hydroquinone-creams.htm - is still the gold standard for skin lightening if you have Melasma or other skin discoloration. Skin lightening is a gradual process and best results are obtained by combining it with Vitamin C (higher concentrations as found in UltimaSkin Potent C - https://www.pharmacymix.com/product.aspx?ProductID=4754& ) and a retinoid. The latter two work in different ways to brighten skin and lighten discolorations. Hydroquinone can lighten non discoloured skin so caution is advised. And, with any skin lightening program, strict sun avoidance and diligent use of sun protection is a must. Most dermatologists will recommend a product like Anthelios XL SPF 60 every day.

Glycolic acid used once or twice weekly (use on days you are not using a retinoid or the combination can become highly irritating) can be useful as well to help remove dead skin cells.

Hope I haven’t overloaded you, but these are some of the foundations to a good anti aging skin care regimen.

Best
Sharmani

Steve said,

November 30, 2008 @ 9:45 am

Hi. I have very sensitive skin, and I have this problem where I tend to produce too much oil around the middle of my forehead area and around my nose and above my cheeks. I noticed as well that around my face and on my forehead I have “enlargened pores”. When I try to use creams to get rid of the excess oil my skin then tends to get scaly, dry, and irritated (turns red). I went to a dermatologist and they recommended some kind of expensive ultraviolet treatment. Should I try the retinol 3 treatments to a) stop the excessive oil buildup, b) avoid the dryness afterwards, and c)try to reduce the enlargened pores that are growing in number on my face?

Ana said,

December 1, 2008 @ 8:34 am

Sharmani
I just purchased the Hydraphase XL from La Roche-Posay, because I have very very dry skin, I am pregnany right now and I wanted to know if it was safe to use.
Thank you and I will be expecting your reply
Ana

Bev Squire said,

December 3, 2008 @ 12:01 am

Hello,I have low iron I need a good vitiamin. I work 10 hrs and its grave yard. I also stopped my period so I get extremly tired, also because of the low iron. I would really like to get rid of my dark ness under my eyes. I might think that its heritary.My brothers have it to. We are Hungarians. I see alot of my people with it. I am to cute for circuls LOL! i am 49 yrs of age

Sharmani said,

December 4, 2008 @ 12:04 pm

Hi Steve

Thanks for your question. You ask if you should try retinol to reduce the oiliness and help with enlarged pores.

Retinol may very well be the answer for you. However it is an active ingredient and sometimes individuals with sensitive skin just can’t tolerate it. If you decide to do a trial with retinol, I’d advise starting with the mildest concentration as found in Green Cream Level 3 (http://www.pharmacymix.com/green-cream-retinol-cream.htm). Do a patch test first.

Another product to consider is MaMa Lotion (http://www.pharmacymix.com/product.aspx?ProductID=4691&). It is a combination of malic and mandelic acids - two alpha hydroxy acids that are much gentler on skin than glycolic acid, which tends to be used more widely. The properties of MaMa Lotion enable it to help control oil production and also provide greaseless hydration. Pores appear tighter and less visible. It is suitable for sensitive skin.

Hope this helps,
Sharmani

Sharmani said,

December 4, 2008 @ 12:16 pm

Hi Ana

You ask if Hydraphase XL is safe to use during pregnancy.

To my knowledge, the active ingredients Mexoryl XL, glycerine and octocrylene are not associated with any risks to fetal development. However, I don’t believe that La Roche Posay provides any specific guidelines regarding the use of this product during pregnancy.

You can check Environmental Working Group’s Safety Database regarding the ingredients here - http://www.cosmeticdatabase.com/index.php. Please keep in mind that this is their take on ingredients and doesn’t always agree with safety as determined by other associations including the FDA, The American Academy of Dermatology, etc. If you still have concerns, this is something that would probably best be discussed with your physician.

Best
Sharmani

Sharmani said,

December 4, 2008 @ 12:25 pm

Hi Bev

Thanks for your questions.

Firstly with regards to your question re tiredness and iron. Withouth knowing your medical condition it is very difficult for me to make a recommendation re supplements and what might be causing your symptoms. I do recommend that everyone take a good multivitamin/mineral supplement like my Daily Essentials (http://www.pharmacymix.com/product.aspx?ProductID=4699&).

You mention that you are no longer menstruating. If this is the case, then low iron may not be your issue. Your mention of long work and graveyard shifts makes me suspect that you could have some adrenal/cortisol issues and possibly other hormonal imbalances. However, this is something that would need to be followed up with your physician or another qualified healthcare professional.

Re dark circles, you are right that heredity is one cause. Lack of sleep, allergies is another and you can read the full article here - http://www.pharmacymix.com/under-eye-dark-circles.htm. Studies have shown a combination of Vitamin K and retinol to be effective in helping to reduce dark circles and this combination may be found in Neostrata Dark Circle Serum - http://www.pharmacymix.com/Product.aspx?ProductID=4591&&.

Hope this information is useful,
Sharmani

hi said,

December 19, 2008 @ 3:12 pm

hi dear
i ahve few questions,
i have brown spots like sun damege on my checks and some all over my face,, my doctor suggested this two creams Lusra AF and Retina A Micro an dhe also told me to mic them and apply it all over my face, he said applying it on only the dark spots might jsut give this white spot in the end and its going to be a long process it will take about 8 month.. now i dont knw what to doo,, i dont want to get whiter and i heard this creams pple use o get lighter skin.. so do u think it lightns the skin i mean whiter?? and is there anything else that i canu se to get rid of the sun dameges that doesnt take 8 month,, thanks

Kate said,

December 22, 2008 @ 5:38 am

Hi Sharmani,

Is Anthelios with Mexoryl safe to use during pregnancy?

THANKS!

Ernie said,

December 22, 2008 @ 5:05 pm

Sharmani,

Thank you for taking my question….

Puffy eyes.. I think it might be from sleeping flat for around 2 months.. I had some neck pain so I decided to roll up a towel and sleep flat.. I started to notice puffy eyes in the morning as well as mid-afternoon.. I also drink lots of water before bed and during the night… How much? 20 oz. before bedtime and another 16oz during the night.. not to mention the gallon during the day!! If this is the reason for my puffy eyes how long will it take to go away?

I stop taking my protein drinks.. I eat low sodium as well as 6 small meals per day and workout 5 days a week.. I changed my chicken, spring water company, no oatmeal, peanuts, almonds, walnuts etc.. even stop taking all of my supplements.. Not real happy right now, but trying to find the culprit.. Just had a special filter put into my home this morning!! I’m still waiting for a change?? I’m turning 44 years old in Feb.. Male! Never had this problem before..Going for a full series of blood work in the middle of Jan…

wendy whetstone said,

December 30, 2008 @ 4:33 am

please could you help me i have bad around the eye dark circles i am a female so struggle to wear eye shadow as it just looks like i have got black eyes i have tried lots of cover up products please could you advise me i know its irredatory .what are the best products i have read about so many. thanks w whetstone is vitamin k worth using

Denise Ouellette said,

January 4, 2009 @ 6:29 am

Good morning..
I am spending the winter in Florida.I live in Canada.
Before I left I bought Neostrata skin brightener. I love this product but I only have a little bit left. I checked on the Internet to buy more but they say they can’t mail these products to another country..I see you can buy some skin brightener in the gel forme in the United States. But is is the same product ? I sure wish I could have some sent here….So can you get some answer on that? Thanks
Denise

Sharmani said,

January 5, 2009 @ 11:38 am

Dear “Hi”

Your question re treatment of brown spots…

Skin lightening is a slow process. It can take many months to fade age spots and hyperpigmented areas as you mention.

The creams that your doctor suggests make sense. Lustra AF contains hydroquinone - http://www.pharmacymix.com/hydroquinone-creams.htm (an effective skin lightening agent) plus sunscreen, while Retin A contains tretinoin, a Vitamin A derivative. Hydroquinone and tretinoin are often combined together to achieve good success.

You may want to consider adding Vitamin C in concentrations above 5%. This concentration has been shown to help lighten skin. As well, there are several botanical skin lighteners such as kojic acid - http://blog.pharmacymix.com/kojic-acid-as-a-skin-lightener - , Rumex extract - http://blog.pharmacymix.com/rumex-extract-in-the-treatment-of-hyperpigmentation - and licorice - http://blog.pharmacymix.com/licorice-%e2%80%93-an-active-ingredient-that-can-lighten-skin - that you may want to consider adding to the Lustra and Retin A Micro.

Sharmani

Sharmani said,

January 5, 2009 @ 11:45 am

Dear Kate

Thanks for your question, which several customers have asked before. As far as I’m aware, there isn’t any evidence to suggest that Mexoryl is unsafe for use during pregnancy. And La Roche Posay doesn’t explicitly state that it is safe.

Your best bet may be to use a purely physical blocking sunscreen such as Cotz SPF 58, which contains only titanium dioxide and zinc oxide in ultra micronized form. These work by sitting on top of skin rather than being absorbed by it and are considered safe for use on babies and individuals with sensitive skin.

Sharmani said,

January 5, 2009 @ 11:53 am

Dear Ernie

Re puffy eyes….

As you may be aware, puffy eyes may be caused by a range of factors - http://www.pharmacymix.com/puffyeyes.htm. It sounds like you live a healthy lifestyle so key is to identify and/or rule out possible allergies or underlying health issues. It sounds like you are doing the right thing by going to visit your physician.

Sharmani

Sharmani said,

January 5, 2009 @ 12:01 pm

Dear Wendy

You may know that a number of factors including our genetic make up, lack of sleep and even allergies can cause dark circles under the eyes - http://www.pharmacymix.com/under-eye-dark-circles.htm.

Under eye concealer is a good option, but you may want to consider a product with Vitamin K and retinol as in Neostrata Dark Circle Night Serum - http://www.pharmacymix.com/Product.aspx?ProductID=4591&&. It’s been shown to help some individuals. Apart from that, you may want to consider laser surgery, which you should discuss with a qualified medical practitioner.

Sharmani

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