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Greenwich, CT
(203) 637-0662

Scarsdale, NY
(914) 722-6869

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(860) 657-1064

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(203) 557-6334

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(551) 202-7399

Pre & Post Care – Acne

Conveniently located to serve Connecticut, New York & New Jersey

Pre And Post-Care Treatment Instructions for Optimal Results

NOT RECOMMENDED FOR THE FOLLOWING PATIENTS:

Greenwich Med Spa
✔ Pregnant or breastfeeding women.

✔ Those with active disease states, a hemorrhagic disorder or are on anticoagulant treatments.

✔ Patients with diabetes, epilepsy or bell’s palsy.

✔ Someone experiencing an active or local skin disease that may alter wound healing or someone who has an autoimmune disease.

✔ Patients who have had a Covid-19 or flu shot within 2 weeks

WHAT IS ACNE?

Acne is an inherited disorder of the pores – pores that shed dead skin cells much faster than normal. Normal pores shed about one layer of dead skin cells per day inside the pore. The acne prone pore sheds up to five layers of dead skin cells per day and the body just can’t keep up. This forms the microcomedone, the beginning of all acne. Taking up to 90 days, it turns into blackheads or congestion under the skin; or if bacteria is present (which just loves to feed on the dead skin cells and oil), it turns into inflamed pimples or pustules and maybe even cysts.

HOW LONG WILL IT TAKE TO GET CLEAR?

Because it takes up to 90 days for acne to form, you may still have 90 days of acne that will surface. Our acne products and protocol will keep the new acne from forming that would surface 90 days from now. The Face Reality Acne System will have your acne under control in about three to six months (in most cases) depending on your type of acne. Some types of acne take longer to clear. Your Acne Specialist will customize a home care regimen that takes at least fi ve things into consideration – your type of acne, your skin type, your skin color, your skin sensitivity and your environment. The biggest part of getting your skin clear will be your commitment to doing your home care regimen as instructed and following lifestyle guidelines.

WHAT YOU MUST DO

  • Your custom home care regimen twice daily
  • Treatments and/or assessment from your esthetician every two weeks
  • Home Care Adjustments – consistent adjustments to boost your home care regimen
  • Lifestyle Adjustments – foods, medications, cosmetics, stress, and pore-clogging ingredients in skin and hair products

Your progress will be closely monitored by a Face Reality Certifi ed Acne Specialist who will make sure you have the best regimen
for your skin – making adjustments, if necessary, to get your skin
healthy and clear in the fastest way possible.

WHAT ARE ADJUSTMENTS TO HOME CARE?

We assess your skin every two weeks to see if we can make your regimen a bit stronger. We do not want your skin to get used to products, but also not make the regimen so strong that your skin gets dry and irritated. This method will keep your skin clearing up. It’s important to know that if adjustments are not made, your progress may stall. If, for some reason, you cannot make it in for a treatment, you must contact your Acne Specialist to get your next set of instructions for home care adjustment.

TREATMENTS

Very mild corrective peels are used to boost the home care along with extractions of existing acne. If your skin is dry or irritated, we will opt for an enzyme/steam with extractions.

LIFESTYLE CHOICES AFFECTING ACNE

LAUNDRY

Fabric Softener

Do not use this in the washer and/or the dryer (no dryer sheets). The waxy residue gets on your pillowcases, towels, wash cloths, and sheets that have direct contact with the skin. The residue will clog pores of acne-prone individuals. If you want something to stop static cling in your dryer, you can get antistatic balls at Bed Bath and Beyond, Target, or online.

Detergent

Detergents with fragrance can cause skin irritation. Best to use fragrance-free such as Cheer Free, All Free & Clear, Tide Free, and Arm & Hammer Free.

NO WATER SOFTENERS

There is some evidence that water softeners can lead to acne, especially those containing high amounts of potassium chloride

SWIMMERS

Swimming pool disinfectants contain iodides and chlorine which can remain in the water, causing skin problems for frequent swimmers. We advise applying a thin layer of Vaseline before you get in the pool.

SUN EXPOSURE AND ACNE

Although sun exposure causes desirable scaling and drying, it also damages the follicle, exacerbates dark spots, and causes skin cancer as well as premature aging. Always wear your sunscreen, even if it’s overcast and/or raining.

BEWARE OF HAND LOTIONS

If you are using a comedogenic hand lotion and then leaning your face on your hands (many do this in front of the computer) or sleeping on your hands, this could contribute to your acne.

BREAKOUTS AROUND YOUR MOUTH AREA?

Many lip balms, toothpastes, and even facial tissues have comedogenic ingredients in them. So, if you see breakouts around your mouth area, this is possibly why. We recommend Vaseline or Aquaphor for a lip balm and toothpaste without SLS (sodium lauryl sulfate). Many well-known tissue brands are infused with things like coconut oil, isopropyl myristate, and SLS, all of which will clog the pores.

NO PICKING OR SQUEEZING!

Instead, rub ice on pustules and pimples for a couple of minutes, twice a day. IMPORTANT: if you pick, squeeze, and break the skin, that scab will leave a red or dark mark that will be there for months, making your skin look WAY worse than if you left it alone.

BIRTH CONTROL AND HORMONE REPLACEMENT

Avoid low estrogen birth control pills. “Lo” dose pills are higher in androgen hormones that can make acne prone skin worse (see our handout on birth control pills). Norplant, Provera, Depo-Provera shots, most IUDs like Mirena, Skyla and Liletta can be a problem. Also, the Nuvo Ring can cause breakouts. Progesterone hormone replacement Premarin can be problematic. If you have polycystic ovaries, they will cause hormonal changes and breakouts.

RECREATIONAL AND PRESCRIPTION DRUGS RECREATIONAL DRUGS

Marijuana, cocaine, speed, and steroids used by bodybuilders Prescription drugs – topical and oral steroids, anticonvulsants, Lithium, thyroid meds, Quinine, Isoniazid, Immuran, Danazol, Gonadotrophin, Cyclosporin, Disulfuram, Phentermine, ADD/ADHD drugs. See handout if you want more information.

CHEMICALS

Coal tars (roofers), grease (mechanics, cooks, waiters), chlorinated industrial chemicals, dioxin.

FOOD AND SUPPLEMENTS AFFECTING ACNE

FOODS

This is a guideline only—We are not asking you to eliminate foods or food groups completely; we do suggest you cut back and moderate some food types. The “Try to Reduce” group has been proven to be a problem for most acne sufferers. We also know that some people have trigger foods such as citrus, but this is not across the board.

TRY TO REDUCE

ACCEPTABLE SUBSTITUTE

Iodides
Iodized SaltSea Salt, Uniodized Salt, Celtic Salt
Milk (including organic and especially nonfat)Almond Milk, Coconut Milk, Rice Milk
CheeseNut cheese
Whey or Soy Protein Shakes and Protein BarsPea Protein, Egg White Powder, Hemp – still check for iodides and biotin before buying (Vega Sport Performance Protein & Perfect Fit are a few safe ones.)
Soy – e.g., tofu, soy milk, tempeh, edamame, soy sauce
Seafood, Shellfi sh e.g., cod, scallopsFresh Water Fish – lake trout, bass, catfi sh
Spirulina, Chlorella, Blue-Green Algae
Kelp, Miso Soup, Seaweed, Seaweed Supplements
Vitamins with iodides, iodine, kelp, potassium iodide
(also avoid Biotin and B12)
Foods High in Androgens
Peanuts, Peanut ButterAlmond Butter or other nut butters
Peanut Oil, Corn Oil, Canola OilOlive Oil, Coconut Oil
Shellfi sh
Organ Meats including patè

SUPPORTIVE FOODS/BEVERAGES

Foods/Beverages
Ceylon Cinnamon
Apple Cider Vinegar
Green Tea especially Matcha

Antioxidant “Helper” – Foods High in Selenium

  • Brazil Nuts
  • Pinto Beans
  • Halibut
  • Wild – caught salmon
  • Oats
  • Navy beans
  • Chicken
  • Spinach

 

 FOODS/BEVERAGES

Anti-Inflammatory Support

  • Turmeric
  • Ginger
  • Green Tea (especially Matcha)
  • Ceylon Cinnamon
  • Foods High in Vitamin B3
    • Crimini Mushrooms
    • Tuna
    • Chicken Breast
    • Fish (Halibut, Salmon, Sardines)
    • Leafy Greens
    • Asparagus

 

 FOODS/BEVERAGES

More Anti-Inflammatory Support

  • Foods High in Omega-3
  • Fatty Fish
  • Salmon
  • Sardines
  • Atlantic Mackerel
  • Anchovies
  • Herring
  • White Fish
  • Omega-3 Enriched Eggs
  • Walnuts
  • Deep Leafy Greens – Spinach, Kale, Watercress
  • Blueberries
  • Hemp Seeds
  • Mustard Seed
  • Brussel Sprouts Winter Squash
  • Navy Beans

 

 

FOODS TO AVOID

Foods That Cause Inflammation:
Trans Fats

 

      • Cakes, pies and cookies
      • Biscuits
      • Breakfast sandwiches
      • Margarine (stick and tub)
      • Crackers
      • Microwave popcorn
      • Cream-filled candies
      • Doughnut
      • Overheated fats – baked foods/ fried at high temperatures
      • Excess Sugar
      • Omega-6 oils (most vegetable oils) and not enough Omega-3s
      • Known Food sensitivities (examples – fruit, gluten)

 

A well-balanced low-glycemic diet can support all aspects of health, including your skin.

SUPPLEMENTS

Acne is an inherited disorder of the pores – pores that shed dead skin cells much faster than normal. Normal pores shed about one layer of dead skin cells per day inside the pore. The acne-prone pore sheds up to five layers of dead skin cells per day and the body just can’t keep up. This forms the microcomedone, the beginning of all acne. Taking up to 90 days, it turns into blackheads or congestion under the skin; or if bacteria is present (which just loves to feed on the dead skin cells and oil), it turns into inflamed pimples or pustules and maybe even cysts.

ANTI-INFLAMMATORY SUPPLEMENTS

Zinc Monomethionine

This form of zinc is the most bio-available form that acts directly as an anti-inflammatory. Many people with acne have low levels of zinc in their body. Supplementing with zinc has been shown to reduce the severity of cysts and inflamed lesions. It has also been shown to be beneficial for helping improve many of the dermatological symptoms in women with PCOS
(Polycystic Ovary Syndrome).

Omega 3 Fish Oils

Fish oil is a great anti-inflammatory and helps to alter sebum production; HOWEVER, only if it’s molecularly distilled or pharmaceutical grade. Unfortunately, many fish oil supplements are oxidized which actually creates more inflammation. So, only take it if you are sure about your source. Read our handout for more information.

SKIN ACCUMAX®

The Single Pack contains 60 capsules. A nutritional supplement for problem skin made with a patented formula of Vitamins A, C & E plus diindolylmethand (DIM). Uniquely designed to promote healthy skin in order to help clear non-cystic acne and improve problem skin in general. Suitable for all skin types, it works from the inside to improve the quality of skin throughout the body. Scientists have blended a specifi c combination of vitamins with diindolylmethane (DIM), a phytonutrient identifi ed in cruciferous vegetables.

This precise concentration of active ingredients has a powerful effect on the health and look of the skin. For maximum benefits, two capsules twice a day with food, recommended for a minimum of 14 weeks. Not Suitable for:

  • Women who are pregnant
  • Anyone planning pregnancy
  • Breastfeeding mothers
  • People under 16 years of age
  • Those under medical supervision. It is
    important to consult a doctor before use.

VITAMIN A

An antioxidant found in brightly colored vegetables.

  • Balances sebum so skin is less oily
  • Reduces hyperkeratinization (thickening of the skin)
  • Stimulates blood circulation to the skin
  • Promotes cell turnover to aid skin healing

VITAMIN C

An antioxidant found in citrus fruits and several vegetables.

  • Stimulates collagen production
  • Reduces redness
  • Boosts the immune system
  • Helps iron absorption

DIM (DIINDOLYLMETHANE)

A natural plant nutrient found in cruciferous vegetables.

  • Supports detoxification, reduces oxidative stress & improves metabolism

SKIN OMEGAS

The Single Pack contains 60 capsules.

Skin Omegas – Omega-3 fatty acids are known as the “good fat” and are a vital part of a balanced diet.

Made from premium, highly purified omega-3 fish oil and omega-6 from evening primrose oil. Skin Omegas help maintain skin integrity and a healthy lipid layer for a smooth, luminous complexion.

They play a crucial role in cell renewal throughout the body, including the skin. Because omega-3 is anti inflammatory, all skin types can benefit from it, including dry, sensitive and acneic skin. Omega-3 also helps to increase hydration and overall smoothness.

Skin Omegas are a perfect companion to any skincare regimen. Easy to digest with no aftertaste.

Recommended: Two capsules a day with food

Not Suitable for:

  • Anyone using anticoagulant medication such as heparin, warfarin (Coumadin®) must consult a doctor before taking Skin Omegas.

Omega-3 fatty acids

An essential fatty acid found in fish oils.

  • Reduces inflammation
  • Enhances protection barrier
  • Increases hydration and smoothness

Omega-6 fatty acids

An essential fatty acid found in nuts and oils.

  • Reduces inflammation
  • Helps to calm irritation

GUT HEALTH

Probiotics

These are good bacteria that colonize the digestive tract and the skin. They can help people who have been on long term antibiotics (both oral and topical). These good bacteria
compete with the pathogenic bacteria and can help improve the incidence of breakouts.

ANTIOXIDANT SUPPORT

The Single Pack contains 60 capsules.

The acne-prone are generally lower in antioxidants than the general population. We recommend getting your antioxidants from fresh food sources, but here is the RDA for them.

  • Vitamin A – 700 mcg – women; 900 mcg – men
  • Vitamin C – 75 mcg – women; 90 mg – men
  • Vitamin E – 15 mg
  • Zinc – 30 mg
  • N-Acetylcysteine – 1000 to 1500 mg
  • Selenium – 55 mcg (antioxidant assistant)

INSULIN SUPPORT

Elevated insulin stimulates androgen production which stimulates more oil and increased sensitivity to androgen’s effects on the skin. It’s best to get insulin support by wise food choices, but here is the RDA.

  • Berberine – 500-1000 mg
  • Chromium – 150 mcg
  • Vitamin D – 400-800 IU

CHOOSING A HIGH-QUALITY OMEGA-3 FISH OIL

Omega-3 fatty acids are found in high concentrations in cold water ocean fish such as sardines, anchovies, herring, salmon and mackerel. Research indicates that Omega-3 fish oil promotes an anti-inflammatory response in the body, preventing and improving symptoms of common diseases and ailments. Studies have shown that people who suffer from chronic inflammatory acne may benefit from taking therapeutic doses (1000-1700 mg) of purified omega-3 oils daily. With recent scares regarding the purity of ocean fish, and thereby the safety and efficacy of supplements derived from them, it is a good time to revisit how to go about choosing a high-quality fish oil supplement. Use the checklist on the next page to help you select a superior and effective fish oil supplement.

The label is important, so read it. The vital ingredients in fish oil supplements are omega-3 fatty acids, or EPA and DHA. These two fatty acids are the only ones that matter in reducing inflammation and chronic breakouts. The amount of each should be shown separately and should total between 1,0001,700 mg per serving. There should be a higher ratio of EPA to DHA, about 2:1 or thereabouts. Many labels simply mention the total count of omega-3 fatty acids. This information is not helpful because you don’t know the actual amount of EPA and DHA. Similarly, if the EPA and DHA is stated on the bottle, but in lower amounts, be sure you will be able to take all the capsules necessary to get your daily dosage of 1,000-1,700 mg. Some popular drugstore and health food brands have such a low amount of EPA and DHA that one would have to take 12 capsules just to get the adequate daily amount!

Look for molecularly distilled or pharmaceutical grade fish oil.

This should be mentioned on the label. This is the highest-grade fish oil because it is molecularly distilled, avoiding oxidation of the fish oil. This is also the only process that successfully removes impurities and contaminants (mercury, dioxins, PCBs, etc.). Lastly, it produces a more concentrated form of fish oil with higher potencies of EPA and DHA, so less capsules to swallow!

Find out some information about the manufacturer. Check out some other products they produce. Do some research to see how long they have been in business and if they have a good reputation. Here is a great website for comparing brand:

http://www.ifosprogram.com/consumer-reports.aspx

Look for capsules that have enteric coating. This coating ensures that the capsules will break down lower in your digestive tract, not in the stomach, minimizing those unpleasant fishy burps that many people experience after taking fish oil supplements.

Look for Vitamin E. Vitamin E helps to prevent oxidation during storage, keeping the oils from turning rancid. Vitamin E will usually be listed under “Other Ingredients” as tocopherols or mixed tocopherols.

By carefully choosing the right fish oil supplement, you optimize the potential benefits that Omega-3 fatty acids can impart to you. Many health practitioners agree there are many benefits to taking a quality fish oil supplement, especially for the immune system, heart, brain and joints. Of special interest to acne sufferers, they may help regulate hormones, minimizing the intensity and duration of inflammatory breakouts.

*Please note: Although there is no known toxicity associated with using fish oils over long term, you should check with your physician particularly if you have a chronic underlying illness or are pregnant. According to the FDA, you should not take more than 2,500 mg of Omega-3s daily unless under the recommendation of a physician.

Zinc Supplements

These supplements can upset your stomach. To prevent nausea, always take OptiZinc with food. Zinc is an essential trace element for humans and there is evidence that it is similar to antibiotics in improving the condition of inflamed acne. The effective dosage is not clear. However, most studies indicate 50-100mg (The OptiZinc tablet that we sell are 30MG). We advise you to not take any more than 100mg because excessive zinc may lead to deficiencies in other vitamins and minerals. One of the reasons that we like OptiZinc is that it contains copper and copper is one of the minerals that canbe depleted by taking zinc supplements.

We also recommend discontinuing daily use of zinc once your skin is completely clear. We are not recommending this as a preventative. If you would like more information to help you make decisions about the benefits, proper dosage and best formulation of zinc supplements, we highly recommend doing further research and consulting with your doctor.

PORE CLOGGING INGREDIENTS IN SKIN CARE

Below is a list of ingredients to avoid in all skin care, acne care, makeup, and hair products. Do not ever put anything on your skin or your hair without checking the ingredients first, even if it says “Won’t Clog Pores” or “Non-Comedogenic” on the bottle.

Warnings

Natural oils can be some of the worst offenders, like cocoa butter and coconut oil which are found in many “organic” skincare lines. Other oils such as jojoba, olive, and lanolin are mildly comedogenic and can be a problem if formulated with other comedogenic ingredients. Some prescription products like the cream form of Retin-A have pore cloggers. Many over-the-counter acne medications also have pore clogging ingredients. “Oil-free” products can be comedogenic.

Makeup

Loose powder, mineral make-up tends to be the safest choice, but still should be checked. Bare Minerals Original Formula loose powder foundation is a safe choice; however, the newer Bare Minerals Matte is NOT a safe choice—it contains soil minerals. We do not recommend any of the pressed Bare Minerals blushes, bronzers, or veils. Any pressed or liquid products should also be checked for pore-clogging ingredients.

  • Acetylated Lanolin
  • Acetylated Lanolin Alcohol
  • Algae Extract
  • Algin
  • Butyl Stearate
  • Carrageenan
  • Cetearyl Alcohol + Ceteareth 20
  • Chondrus Crispus (aka Irish Moss or Carageenan Moss)
  • Chlorella
  • Coal Tar
  • Cocoa Butter
  • Coconut Alkanes
  • Coconut Butter
  • Coconut Oil
  • Colloidal Sulfur
  • Cotton Awws Oil
  • Cotton Seed Oil
  • D & C Red # 17
  • Ethylhexyl Palmitate
  • Glyceryl Stearate SE
  • Glyceryl-3 Diisostearate
  • Hexadecyl Alcohol
  • Hydrogenated Vegetable Oil
  • Isocetyl Alcohol
  • Isocetyl Stearate
  • Isodecyl Oleate
  • Isopropyl Isostearate
  • Isopropyl Linolate
  • Isopropyl Myristate
  • Isopropyl Palmitate
  • Isostearyl Isostearate
  • Isostearyl Neopentanoate
  • Kelp
  • Laminaria Digitata Extract
  • Laminaria Saccharina Extract
  • Laminaria Saccharine
  • Laureth-23 Laureth-4
  • PEG 16 Lanolin
  • PEG 200 Dilaurate
  • PEG 8 Stearate
  • PG Monostearate
  • PPG 2 Myristyl Propionate
  • Plankton
  • Polyglyceryl-3 Diisostearate
  • Potassium Chloride
  • Propylene Glycol
  • Monostearate
  • Red Algae
  • Seaweed
  • Shark Liver Oil (Squalene)
  • Shea Butter
  • Sodium Laureth Sulfate
  • Sodium Lauryl Sulfate
  • Solulan 16
  • Sorbitan Oleate
  • Soybean Oil (Glycine Soya)
  • D & C Red # 21
  • D & C Red # 3
  • D & C Red # 30
  • D & C Red # 36
  • Decyl Oleate
  • Dioctyl Succinate
  • Disodium Monooleamido
  • PEG 2-Sulfosuccinate
  • Ethoxylated Lanolin
  • Lauric Acid
  • Mink Oil
  • Myristic Acid
  • Myristyl Lactate
  • Myristyl Myristate
  • Octyl Palmitate
  • Octyl Stearate
  • Oleth-3
  • Oleyl Alcohol
  • Spirulina
  • Steareth 10
  • Stearic Acid Tea
  • Stearyl Heptanoate
  • Sulfated Castor Oil
  • Sulfated Jojoba Oil
  • Wheat Germ Glyceride
  • Wheat Germ Oil
  • Xylene

MEDICATIONS THAT CAN CAUSE ACNE

MEDICATION

ISSUE

AntibioticNeed to take a probiotic to balance gut flora
AccutaneMust wait at least one month after stopping medication
Benzoyl PeroxideAsk if it was in a cleanser or if they spot treated only with it. If so, must do timed schedule
Retin A Cream/GelMust wait two weeks after stopping use. Cream is comedogenic.
TazoracRetinoid – Must wait two weeks
after stopping use.
DifferinRetinoid- Must wait two weeks after stopping use
AzelexRetinoid- Must wait two weeks after stopping use.
AvitaRetinoid- Must wait two weeks after stopping use
Cleocin-TAntibacterial – Must wait two weeks after stopping use
Cleocin-TAntibacterial – Must wait two weeks after stopping use.
E-mycin-TTreats MS. Can cause skin rashes
Corticosteroids(Prednisone) Treats asthma/lung diseases. Stimulates sebum production
QuininePrevents/treats malaria. Acne is a side effect
Cocaine/SpeedRaises cortisol levels which can aggravate acne

MEDICATION

ISSUE

Antibiotic AndrostendioneHormonal medication that aggravates acne – will take longer to clear.
TestosteroneHormonal medication that aggravates acne- will take longer to clear.
ProgesteroneHormonal medication that aggravates
acne – will take longer to clear.
Thyroid MedicationsHigh levels of iodides – will aggravate acne.
GonadotrophinHormonal med for pituitary
disorder – stimulates testosterone
DanzolAndrogen that treats endometriosis. Causes acne
CyclosporinDrug to reduce transplant rejection. Aggravates acne.
LithiumFor bipolar disorder. Can cause
acne – will be hard to clear.
Isoniazid (INH)Treats TB. Has side effect of acne. Immunosuppressant for organ transplant. Suppresses body’s ability to fight bacteria
Immuran(Antabuse) For enforced sobriety
of alcoholics. Can cause acne
Dilantin/TegretolAnticonvulsant. Acne is a side effect
Sterioids – Topical products & supplementsCan cause monomorphic acne
MarijuanaRaises, then lowers testosterone levels.
Tough to clear users

BIRTH CONTROL FOR
ACNE SIMPLIFIED

Birth control pills, IUDs, implants and shots are widely used today and prescribed often as a means to control acne. Most forms of birth control can have the potential to cause acne and weight gain in those susceptible. Typically birth control is divided up as estrogen or progestin dominant and have varying degrees of androgenic (testosterone like) effects. As a general rule of thumb, those with the potential for higher androgenic symptoms should be avoided for people prone to acne because they promote breakouts. As an acne sufferer it is important to speak with your doctor about selecting a form of birth control that is higher in estrogen and lower in androgen potency. The most commonly prescribed in this category are

  • Brevicon Necon Tri-Nessa
  • Demulan Ortho Tricyclen Tri-Previferm
  • Femcon Ortho-Novum Tri-Sprintec
  • Kelnor Ovcon Zovia
  • Modicon Previferm
  • MonoNessa Sprintec

It is best to avoid the following that are high in androgen activity and low in estrogen, which are some of the following:

  • Alesse Kariva Nexplanon
  • Amethyst Lessina Nordette
  • Apri Levora/Levonest Norplant
  • Azurette Linessa NuvaRing
  • Caziant Loestrin Ogestrel
  • Cryselle Lo-Feminol Ortho Tricyclen Lo Cyclessa Lo-Ogestrel Ovral
  • Depo-Provera Lo-Ovral Paragard Copper IUD Desogen Lutera Portia
  • Emoquette Marvelon Reclipsen
  • Estrostep Fe Microgestin Seasonale/Seasonique Implanon Mircette Sronyx
  • Jolessa Mirena or Skyla IUD Triphasil/Trivora

BOTTOM LINE ON BIRTH

Choose a birth control pill that contains BOTH:

  1. A higher dose of Ethinyl Estradiol (at least 35 mcg)
  2. A progestin with a low androgenic effect

HOW DO I CHECK TO SEE IF A PILL IS SAFE?

Go to rxlist.com or google.com and search for the name of the pill. Find the drug information.

Example: Lutera

Each active, white tablet (21) contains 0.1 mg of levonorgestrel, d(-)-13β-ethyl-17β-ethinyl-17β hydroxygon-4-en-3-one, a totally synthetic progestogen, and 0.02 mg of ethinyl estradiol, 17β ethinyl 1,3,5(10)-estratriene-3, 17β-diol

THIS PILL IS NOT OK – 0.02 mg is 20 mcg
Example: Ortho Tri-Cyclen Lo

Each active, white tablet (21) contains 0.180 mg of norgestimate (+)-13-Ethyl-17-hydroxy-18, 19-dinor 17β-pregn-4-en-20-yn-3-one oxime acetate (ester) and 0.025 mg of the estrogenic compound, ethinyl estradiol (19-nor-17β-pregna,1,3,5(10)-trien-20-yne-3,17-diol)

THIS PILL IS NOT OK – 0.025 mg is 25 mcg
Example: Ortho Tri-Cyclen

Each gray tablet contains 0.180 mg of norgestimate (18, 19-Dinor17-pregn-4-en-20-yn-3 one,17- (acetyloxy)-13-ethyl-oxime, (17β)-(+)-) and 0.035 mg of the estrogenic compound, ethinyl estradiol

THIS PILL IS OK – 0.035 mg is 35 mcg

QUICK REFERENCE CHART

ProgestinNot OKOK
NorethindroneX ( if paired with at least 35 mcg of EE)
Norethindrone AcetateX ( if paired with at least 35 mcg of EE)
Ethynodiol DiacetateX ( if paired with at least 35 mcg of EE)
LevonorgestrelxDoesn’t matter
NorgestrelxDoesn’t matter
DesogestrelX ( if paired with at least 35 mcg of EE)
NorgestimateX ( if paired with at least 35 mcg of EE)
DrospirenoneX (even if paired with < 35 mcg of EE)

SHAVING TIPS

DON’T

Don’t use disposable blades more than once or twice. Soak in alcohol for 2 – 3 minutes before use.

DON’T

Don’t attempt to use twin or triple blade “closer-shaving” razors. The first blade stretches the skin; the second (and third) shaves too close, cutting hair off below the skin line. When the skin
bounces back, those hairs are set up to be trapped repeatedly under the skin every time you shave.

DON’T

Don’t tweeze ingrown hairs. When tweezed hairs grow back (in two to three weeks), they are trapped under the skin line. Those areas become chronic ingrown.

DON’T

Don’t use a rotary shaver. Circular blade motion cuts the hair in every imaginable direction which can cause more ingrown hairs.

DON’T

Don’t shave upward, against the grain, or shave back and forth over the same place repeatedly in an attempt to get a closer shave.

DON’T

Don’t forget to spray disinfectant on razors, clipper and/or T-edger blades, guards and attachments before and after shaving. Clippercide is available at beauty supply stores. Don’t forget to take some with you to the barbershop. Do watch for barbershop sanitation (or lack of it).

Attention athletes: Don’t wipe off sweat; blot dry instead!

DO

Do use a single edge, disposable razor with our Acne Wash as directed, or a sanitized non rotary electric shaver, T edger or clippers. Mandelic Wash or Ultra Gentle Cleanser can be used as well.

DO

Do change your clipper or T-edger blades every six months and don’t share yours with anyone.

DO

Do scrub very gently (with recommended product only) for no more than 30 seconds. Blot your face dry (no rubbing) with a soft towel.

HOME CARE INSTRUCTIONS

WEEKS 1 & 2

Morning Routine

Cleanse Ice Tone Serum Hydrate/Moisturize. Sunscreen Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance Elta Clear SPF 46 Mandelic Wash Cups or Calming Facial

  • Mandelic Clearderma
  • Acne Wash Soothie Q Sal-C Glycolic Cran-Peptide
  • Antioxidant Scrub Ice Roller Glycolic-Lactic Vitamin A
  • Mandelic Scrub
  • Acne Scrub
  1. Cleanse: using your cleanser and a little warm water, cleanse your face gently with your fingertips, avoiding the eye area. Rinse thoroughly with water.
  2. Ice: use Dixie Cup with frozen water on inflamed breakouts using slow circular motion for 1-2 minutes. Pat dry.
  3. Tone: pour a small amount on a cotton round (flat) and apply to face.
  4. Serum: apply ____ pumps onto palm and apply with fingers to entire face (and/or back, chest). Apply every other day.
  5. Hydrate and/or Moisturize: this is an optional step to add if you are dry. Apply for added moisture.
  6. Apply Sunscreen: apply a small amount on face and/or neck. Re-apply hourly when in direct sun or after swimming/perspiring. Apply your noncomedogenic makeup, if desired.

Evening Routine

Ultra Gentle Cleanser Dixie Cups Acne Med 2.5% Moisture Balance Clearderma Mandelic Wash Soothie Q Acne Med 5% Calming Facial Cran-Peptide Acne Wash Ice

  • Roller Acne Med 10% Sal-C
  • Antioxidant Scrub Glycolic-Lactic
  • Mandelic Scrub
  • Acne Scrub
  1. Cleanse: using your cleanser and little warm water, cleanse gently with your fingertips, avoiding the eye area. Rinse thoroughly with water.
  2. Ice: use Dixie Cup with frozen water on inflamed breakouts using a slow circular motion without stopping for 1-2 minutes. Pat dry.
  3. Apply Acne Med: apply dime to nickel size amount to entire area avoiding eye and neck. Follow the below timed schedule for Week 1-2:

    Days 1-3 apply 15 minutes
    Days 4–7 apply 30 minutes
    Days 8 –10 apply 1 hour
    Days 11–13 apply 2 hours

  4. Cleanse: using your cleanser and a little warm water, wash gently with your fingertips, avoiding the eye area. Rinse thoroughly with water.
  5. Tone: pour a small amount on a cotton round (flat) and apply to face.
  6. Moisturize: Apply moisturizer all over face and neck, avoiding eye area.

Day 14 Instructions:

Cleanse, Tone and use Acne Med all night (in the absence of dryness and irritation).

**Always check in with us before you start a new routine. We want to make sure your skin in ready for a new home care routine

WEEKS 3 & 4

Morning Routine

Cleanse Ice (2 mins) Tone Serum Hydrate/Moisturize. Sunscreen Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance Elta Clear SPF 46 Mandelic Wash Cups or Calming Facial

  • Mandelic Clearderma
  • Acne Wash Soothie Q Sal-C Glycolic Cran-Peptide Antioxidant
  • Scrub Ice Roller Glycolic-Lactic Vitamin A
  • Mandelic Scrub
  • Acne Scrub

You will now wear your serum every morning instead of every other morning (in the absence of irritation or severe dryness)

Evening Routine

Cleanse Ice Toner Hydrator Acne Med Spot Tx. Ultra Gentle Cleanser Dixie Cups Moisture Balance Hydrabalance Acne Med 2.5% Sulfur Mandelic Wash Soothie Q Calming Facial Acne Med 5%

  • Acne Wash Ice Roller Sal-C Acne Med 10%
  • Antioxidant Scrub Glycolic-Lactic
  • Mandelic Scrub
  • Acne Scrub

WEEKS 5 & 6

Morning Routine

Cleanse Ice (2 mins) Tone Serum Hydrate/Moisturize. Sunscreen Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance Elta Clear SPF 46 Mandelic Wash Cups or Calming Facial Mandelic Clearderma Acne Wash Soothie Q Sal-C Glycolic Cran-Peptide Antioxidant Scrub Ice Roller Glycolic-Lactic

  • Vitamin A
  • Mandelic Scrub
  • Acne Scrub

You will now wear your serum twice daily (in the absence of irritation or severe dryness)

Evening Routine

Cleanse Ice (2 mins) Tone Serum Hydrate/Moisturize. Acne Med. Spot Tx Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance AM 2.5% Sulfur Mandelic Wash Cups or Calming Facial Mandelic Clearderma AM 5% Acne Wash Soothie Q Sal-C Glycolic Cran Peptide AM 10% Antioxidant Scrub Ice Roller Glycolic-Lactic

  • Vitamin A
  • Mandelic Scrub
  • Acne Scrub

WEEKS 7& 8

Morning Routine

Cleanse Ice (2 mins) Tone Serum Hydrate/Moisturize. Acne Med Sunscreen Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance AM 2.5% Elta Clear SPF 46 Mandelic Wash Cups or Calming Facial Mandelic Clearderma AM 5% Acne Wash Soothie Q Sal-C Glycolic Cran-Peptide AM 10% Antioxidant Scrub Ice Roller Glycolic-Lactic

  • Vitamin A
  • Mandelic Scrub
  • Acne Scrub

**Allow Acne Med to absorb for 15-30 minutes before applying sunscreen We may ask you to wear your Acne Med in the morning at this point (in the absence of irritation or severe dryness

Evening Routine

Cleanse Ice (2 mins) Tone Serum Hydrate/Moisturize. Acne Med. Spot Tx Ultra Gentle Cleanser Dixie Moisture Balance Salicylic Hydrabalance AM 2.5% Sulfur Mandelic Wash Cups or Calming Facial Mandelic Clearderma AM 5% Acne Wash Soothie Q Sal-C Glycolic Cran Peptide AM 10% Antioxidant Scrub Ice Roller Glycolic-Lactic

  • Vitamin A
  • Mandelic Scrub
  • Acne Scrub

ACNE MED PRECAUTIONS

*Apply a dime to nickel-size amount for Acne Med *

Not on Eye or Lower Neck

Do not use Acne Med on your neck or eye area. The tissue is too delicate and it will irritate the skin too much.

No Eye Cream

Do not use eye cream or moisturizer around the eyes or neck because the acne Med will migrate through the cream and cause irritation and possible swelling.

Eye Irritation

Allow your Acne Med to dry before going to bed. If your eyelids get irritated, try changing your pillowcase more often. When you are wearing acne med all night, it will get on the pillowcase.

Smile Lines

This area tends to be the most sensitive area on the face and will be the first place you see irritation and dryness. You can put a very thin layer of Vaseline on this area to occlude it for a few days and then resume product use there.

Not When Working Out

Do not wear Acne Med when you expect to perspire, as in exercising, physical labor or getting hot in the sun. If you are wearing it, wash it off or it will irritate your skin.

Will Bleach Fabric

Acne Med will bleach fabric, so we suggest wearing a white shirt or T-shirt when using it. Use white pillowcases when you start wearing it overnight. Make sure and wash your hands with soap after using it to avoid bleaching towels.

Allergic Reaction

Allergies to benzoyl peroxide are rare but do occur occasionally. Dry skin does not constitute an allergic reaction; rather an allergy is characterized by itching, swelling or burning associated with a rash (similar to a mild case of poison ivy dermatitis). If an allergic reaction occurs, stop using Acne Med and contact us immediately.

Use Religiously!

If you skip a day or two, or only spot treat, it gives a chance for acne to form. You will never get clear if you skip your home care.

Expect Some Dryness

Expect your skin to get a bit dry while getting used to the Acne Med. This is normal; however, if your skin gets uncomfortably dry, please contact us so we can adjust your home care regimen. Do NOT just stop using your Acne Med until the next time you have an appointment.

Remember!

  • If anything tingles more than a “2” or stings/burns, do NOT use that product. Wash it off and contact us.
  • Apply sunscreen every day whether you are going outdoors or not.
  • You can use Ultra Gentle Cleanser to remove your makeup, or you can find a non comedogenic micellar water.
  • Avoid perfumed or medicated shaving creams and aftershave lotions. See handout if you get shaving irritation. See handout for Shaving Instructions.

NORMAL PRODUCT USAGE TIMETABLE

PRODUCT

USAGE 1X DAILY

USAGE X DAILY

1 oz Acne Med *dime to nickel
2 oz Acne Med *dime to nickel
4 -6 weeks
8-12 weeks
2-3 weeks
4-6 weeks
1 oz Mandelic Serums * 3 pumps18 weeks9 weeks
1 oz Glycolic Serums *2 pumps
1 oz Salicylic Serum *2 pumps
20 weeks
20 weeks
10 weeks
10 weeks
1 oz Vitamin A Corrective Serum
1 oz Vitamin A Corrective II Serum
*2 pumps
12 weeks
12 weeks
6 weeks
6 weeks
6 oz CleanserMust use 2x daily8-10 weeks
6 oz TonerMust use 2x daily8-10 weeks
2 oz Sunscreen or Moisturizer12-15 weeks6-8 weeks

HOW DOES LED LIGHT THERAPY WORK?

Like photosynthesis, whereby plants convert sunlight into energy needed to grow and thrive, human skin and body tissue work the same way to absorb therapeutic light energy emitted by LEDs. The body uses this energy to stimulate its natural restorative processes. LightStim emits benefi cial light rays that can help reduce and eliminate fi ne lines and wrinkles

LED blue light therapy helps to kill the acne causing bacteria, reduce infl ammation and provide a general rejuvenation effect on the skin. Usually, in the case of infl amed acne, topical products will bring down the infl ammation rather quickly. However, there are times when the skin needs a little more help in bringing down infl ammation. This is where the LED can help.

The combination of blue, red and infrared lights in the LightStim Acne Light get down to the core of the acne causing bacteria. The red lights help to reduce infl ammation while at the same time, the blue lights help to kill the acne causing bacteria.

Acne Professional Hand-Held Light $175

 

HOW TO USE?

  1. Use on clean dry skin OR apply treatment serums, transparent mask
  2. Hold LED gently on skin (no pressure) for 3 minutes per area
  3. When you have fi nished, continue with the rest of your skincare routine. This is not a substitute for products; nor is it a substitute for your scheduled appointments with us.