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Anne Lemons
www.annelemonswellness.com
Anytime I hear people say that they are using birth control pills, antibiotics, or medications such as Accutane to control acne, it causes me concern. The customary treatment for acne is to apply a topical product and/or use an oral medication, but is this the best solution? A better approach that addresses the root cause without the side effects of medications may be worth exploring. This article will discuss some of the lesser known causes of acne and better, safer treatments that consider the root cause; in addition, we’ll look at some complementary therapies. The process of acne development includes heightened levels of inflammation, increased sebum (oil) production, colonization on the skin by Propionibacterium acnes (P. acne), and abnormal keratinization (buildup of skin cells). (1) These issues can lead to inflammatory acne (cysts, papules, nodules, and pustules) and the presence of comedones (white heads or black heads), which can get infected and have encouraged a widespread use of antibiotics, both orally and topically, to treat them. In addition, physicians may prescribe drugs such as Accutane (Isotretinion), which address excess oil from the sebaceous glands. Drugs like Accutane, however, can have serious side effects such as birth defects and liver or DNA damage. (15, 16, 17)
So, what causes acne to happen in the first place?
The more important, deeper issues may be related
to problems with diet, inflammation, hormone imbalance,
digestion, gut bacteria, and stress.
Acne can be caused any of the following:
It is often said that diet has no effect on skin conditions or acne, but more recent studies have found that this is simply not the case. A cross sectional study comparing diets between adults with and without moderate/severe acne found that participants with acne were consuming a diet with a greater amount of carbohydrates and higher glycemic (sugar) load and that they had greater insulin resistance. (2) There are some studies that link dairy consumption with acne, as dairy contains anabolic steroids that promote the increased production of androgens (male hormones) and the subsequent development of acne. (2, 3) A Western diet, in general, which often consists of a high calorie intake, high glycemic load, high fat and meat intake, and significant consumption of dairy proteins, increases androgen hormone secretion and over stimulates sebaceous glands. (5) In addition, for cases of inflammatory acne, high levels of Omega 6’s have been associated with an increase in acne in contrast to Omega 3’s, which decrease inflammation. (6)
Hormone imbalance appears to be a factor in acne. In a study that followed 120 women with acne for 12 months on a birth control pill, which contains chemical hormones, it was found that acne was significantly reduced in 94% of the women. (8) Birth control pills help regulate female hormones, an indicator that addressing the cause of the hormone imbalance would be a better way to control acne—without all the side effects of a birth control pill. There are many risks and side effects associated with the use of the birth control pill, such as Melasma (7), a skin disorder causing skin hyper pigmentation, blood clots and stroke (18), and the possible risk of breast cancer. (4) More information on birth control risks and side effects for a future blog.
We eliminate toxins in the body from the skin, digestive, and urinary systems by stool, urine, and sweat. If the digestive system isn’t running smoothly, then toxins may exit by an alternative route, such as the skin. A study done on 13,000 adolescents with acne found an increased prevalence of halitosis (bad breath), GERD (heartburn), bloating, and constipation in the participants. (9) Systemic and topical antibiotics have long played a central role in acne therapy. (1) Antibiotic use has been linked to rising rates of antimicrobial resistance, disruption of the gut micro-biome leading to overgrowth of harmful bacteria and development of allergies. (12) The use of probiotics may be beneficial in treating acne—in a study using probiotics for the gut, marked improvement in acne was shown. (10) Long-term use of antibiotics can also disrupt the delicate balance of bacteria on and below the skin surface. In a review of the literature about the gut-brain- skin connection in acne, it was surmised that there is enough evidence to suggest that the gut microbes and the integrity of the gut lining are contributing factors in the acne development process. (11)
Lifestyle factors such as stress and sleep may also play a role in acne development. A cross-sectional study of 144 sixth-year female medical students showed that stress severity strongly correlated with an increase in acne severity. (13) In addition, there is growing research to connect lack of sleep with acne. (14) Sleep has an impact on hormone and immune regulation so getting your Zzzz’s is an important factor in keeping hormones balanced and your immune system working strong to control acne.
As we’ve seen, many factors can affect the development of acne,
so here are some key things you can do to help prevent or treat it:
• Eat a low-glycemic diet – Fruits (berries are best) and vegetables (especially leafy greens), clean proteins like organic, pasture raised meats, poultry and eggs, and wild fish
• Healthy fats- eliminate trans fats and reduce Omega 6 fats (seed and vegetable oils like soybean and canola) and eat plenty of Omega 3 rich fats like wild caught salmon and ground flax seed
• Eat zinc-rich foods – Oysters, lamb, chicken, ginger, pecans, and pumpkin seeds
• Eat high fiber foods – Vegetables, fruits, nuts, and seeds that help support the good bacteria in your gut and encourage elimination of toxins
• Drink plenty of clean water throughout the day, ideally half your body weight in ounces to help flush toxins out
• Eat vitamin A rich foods – Spinach, carrots, yams, eggs, ghee, fish
• Take probiotics – They balance gut bacteria, which has an effect on the skin
• Address stress management – Meditation, Heart Math, yoga, acupuncture and massage can all help to reduce stress
• Sleep – Get good quality sleep, preferably between the hours of 10 P.M. and 6 A.M., when your body is in sync with its circadian rhythm and does the most repair work.
• Sugar – It feeds yeast and candida, which creates inflammation and imbalance in the gut and shows up on the skin
• Gluten and wheat – Causes inflammation in the gut, which shows up on the skin
• Dairy – Promotes androgen production and acne
• Processed and refined foods – Breads, cookies, cakes, and crackers that break down into sugar and may contain gluten
• Hydrogenated oils – Found in fried or processed foods and can cause inflammation
While working on the root cause of acne, there are also several wonderful physical approaches to treating acne. These can be especially useful for patients with moderate to severe acne. Two of these treatments are phototherapy and chemical peels. It’s best to work with a dermatologist or an aesthetician who can address your concerns and customize a facial for you using professional strength enzymes, exfoliators, corrective peels, serums, and masks along with LED light therapy. LED light helps stimulate collagen and elastin production (great for anti-aging too), kill bacteria, and heal acne. Regular facials can keep your skin looking its best while you work at a deeper level. In conclusion, instead of taking medications that have associated risks and side effects, it may be safer and more effective to approach acne from its root cause while incorporating some physical therapies. In addition to the dietary and lifestyle changes suggested above, it may also be helpful to work with a functional medicine or functional nutrition practitioner to help you balance your hormones and blood sugar levels as well as improve your gut micro-biome, sleep quality, and stress levels. Finally, working on digestion and the integrity of the gut lining, and utilizing healing foods, probiotics, and supplements may all help substantially to bring acne under control and give you the clearer skin you are seeking.
1. Canavan, T. N. et al. (2016) Optimizing Non-Antibiotic Treatments for Patients with Acne: A Review. Dermatologic Therapy. Dec; 6(4): 555–578.
Published online 2016 Aug 19. doi: 10.1007/s13555-016-0138-1
2. Burris, J et al. (2017) Differences in Dietary Glycemic Load and Hormones in New York City Adults with No and Moderate/Severe Acne. Journal of the Academy of Nutrition and Dietetics. Sep;117(9):1375-1383. doi: 10.1016/j.jand.2017.03.024. Epub 2017 Jun 9.
3. Danby, F.W. (2010). Nutrition and acne. Clinics in Dermatology. 28(6), 598-604. doi: 10.1016/j.clindermatol.2010.03.017
4. Morch, LS et al. (2017) Contemporary Hormonal Contraception and the Risk of Breast Cancer. The New England Journal of Medicine. Dec 7;377(23):2228- 2239. doi: 10.1056/NEJMoa1700732
5. Melnik, BC, (2012) Dietary intervention in acne attenuation of increased mTORC1 signaling promoted by Western diet. Dermato-Endocrinology. Jan 1; 4(1): 20–32. doi: 10.4161/derm.19828
6. Ozdarska K et al. (2017) Diet in pathogenesis of acne vulgaris. Polski Merkuriusz Lekarski. Oct 23;43(256):186-189
7. Kang, H. Y., & Ortonne, J. P. (2010) What should be considered in treatment of melasma. Annals of Dermatology. 22(4), 373-378
8. Palacio, C et al. (2017). Clinical behavior of a cohort of adult women with facial acne treated with combined oral contraceptive: ethinylestradiol 20 μg/dienogest 2 mg. Journal of Women’s Health. Nov 16;9:835-842. doi: 10.2147/IJWH.S139289. eCollection
9. Zhang H et al. (2008) Risk factors for sebaceous gland diseases and their relationship to gastrointestinal dysfunction in Han adolescents. Journal of
Dermatology. 35:555‐ 6110. Fabbrocini G et al.(2016) Supplementation with Lactobacillus rhamnosus SP1 normalises skin expression of genes implicated in insulin signalling and improves adult acne. Beneficial Microbes. 30;625‐630
11. Bowe, W. P. et al. (2011) Acne vulgaris, probiotics and the gut-brain-skin axis – back to the future? Gut Pathology. 3: 1.Published online 2011 Jan 31. doi: 10.1186/1757-4749-3-1
12. Fiore, D.C. et al. (2017) Antibiotic overprescribing: Still a major concern. Journal of Family Practice. Dec;66(12):730-736.
13. Zari, S. et al. (2017) The association between stress and acne among female medical students in Jeddah, Saudi Arabia. Clinical Cosmetic and Investigational Dermatology. Dec 5;10:503-506. doi: 10.2147/CCID.S148499. eCollection 2017.
14 Albuquerque, R.G. et al. (2014) Could adult female acne be associated with modern life? Archives of Dermatological Research. Oct;306(8):683-8. doi: 10.1007/s00403-014-1482-6. Epub 2014 Jun 21.
15. Mondal D. et al. (2017) Retinoic Acid Embryopathy. International Journal of Applied Basic Medical Research.Oct-Dec;7(4):264-265. doi: 10.4103/ijabmr.IJABMR_469_16. 16. Georgala S. et al. (2005) Isotretinoin therapy induces DNA oxidative damage. Clinical Chemical Laboratory Medicine.;43(11):1178-82.
17. Kapp P. et al. (2004) Ultrastructural findings in the liver due to long-term retinol (isotretinoin) treatment. Significance of the perisinusoidal (Ito) cells. Orvosi Hetilap. Jan 25;145(4):173-9.
18. Dulicek P. et al. (2017) Analysis of Risk Factors of Stroke and Venous Thromboembolism in Females With Oral Contraceptives Use Clin Appl Thromb Hemost. Jan 1:1076029617727857. doi: 10.1177/1076029617727857.
Want to know more?
Contact Anne Lemons
www.annelemonswellness.com
Skin Studio is conveniently located in Brighton, MA
Surrounding area to Boston, Allston, West Roxbury, Somerville, Jamaica Plain, Belmont, Watertown, Newton,
Chestnut Hill, Brookline, Cambridge, Natick, Wellesley, Weston, Wayland, Waltham.
Check us out at www.SkinStudioBoston.com
697 Cambridge St. Suite 206
Brighton, MA
This award-winning LED device is clinically proven for the treatment of wrinkles & acne! It works safely & effectively, without abrasive chemicals. This light energy can also help to increase circulation, accelerate tissue repair, and kill acne-causing bacteria. LED Light Therapy can even decrease inflammation, improve skin tone and wrinkles, texture, and clarity. Using NASA research, these blue, red, and near-infrared lights help to safely treat acne and wrinkles. At Skin Studio, we offer various options of treatment to LED Light Therapy. This FDA Approved treatment is sensitive enough for all skin types!
This new treatment at Skin Studio uses light therapy to work effectively and safely without chemicals, harmful UV rays, or side effects. As a result, it destroys acne-causing bacteria and helps to prevent future breakouts. Series of treatments recommended. Typical Acne LED treatments recommend 2-3 times weekly for 4-6 weeks. Results vary.
Therapy will also help to reduce the appearance of fine lines and wrinkles by rejuvenating the skin and increasing microcirculation. Typical Anti-Aging LED treatments recommend 2-3 times weekly for 12-16 weeks; results vary.
A customized deep pore cleaning, designed with professional strength enzyme, serums, mask and appropriate LED therapy for your skin. Your esthetician will cleanse and prep your skin for this LED Light Therapy Facial according to your skin type. Our estheticians at Skin Studio are certified and trained in LED Light Therapy. Your skin will be glowing after this awesome LED Light Therapy Facial Treatment.
**LED Therapy cannot be used if pregnant, history of epilepsy or seizures, or if using photosensitive medication**
Check out our LED Light Therapy Treatments!
Click Here!
Skin Studio is conveniently located in Brighton, MA
Surrounding area to Boston, Allston, West Roxbury, Somerville, Jamaica Plain, Belmont, Watertown, Newton,
Chestnut Hill, Brookline, Cambridge, Natick, Wellesley, Weston, Wayland, Waltham.
Check us out at www.SkinStudioBoston.com
697 Cambridge St. Suite 206
Brighton, MA
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Dr. Stavitsky is available by appointment
only on Friday & Saturday mornings
10am-12pm.
Do you know about our referral program?
Skin Studio is conveniently located in Brighton, MA
Surrounding area to Boston, Allston, West Roxbury, Somerville, Jamaica Plain, Belmont, Watertown, Newton,
Chestnut Hill, Brookline, Cambridge, Natick, Wellesley, Weston, Wayland, Waltham.
Check us out at www.SkinStudioBoston.com
697 Cambridge St. Suite 206
Brighton, MA
Our skin is the largest organ & is constantly changing!
It consists of three main layers:
epidermis, dermis, and subcutaneous
These layers are made up of various inner appendages that contribute to your skins overall function. Healthy and beautiful skin begins deep within these layers and it is crucial for you to take care of your skin through the use of wholesome products and proper maintenance. When the natural skin barrier is disturbed, its protective functions and appearance are compromised.
Understanding our body’s inner workings is fundamental to learning what is best for our skin!
Liquid Luffa is an Eco-Friendly scrub! This scrub does not contain any plastic particles. It’s the perfect scrub to buff off dead skin and for post-waxed skin! Skin Studio is so excited to offer this scrub so that you can continue to have smooth skin at home!
Click Here to schedule your visit today!
This customized professional facial treatment includes:
Ultrasonic exfoliation, professional level chemical peel, IPL Skin tightening or LED Light Therapy, and Diamond Microdermabrasion.
The Ultimate Facial exfoliates deep into the pores, while brightening and tightening the skin’s surface and stimulating the collagen and elasticity in the skin. You will also receive total relaxation, along with a facial and shoulder massage. In addition, Irina customizes this treatment specifically for your skin type, incorporating the use of peptides, serums, & hydrating masks. Most importantly, Skin Studio is here to help you with your skin needs and this is the perfect facial to help cover all areas of concern. Let’s start 2018 off with only the best, just for you!
Interested in Non-Invasive Cosmetic Treatments?
Dr. Stavitsky is available by appointment
only on Friday & Saturday mornings 10am-12pm.
Diamond Microdermabrasion is a technique that removes the topmost layer of skin, while leaving it more supple and vibrant. Our microdermabrasion system removes this layer by gently polishing the skin with natural diamond chips bonded to the tip of the wand. It also vacuums the exfoliated skin cells away in a controlled manner.
Learn about our other facials.
This exhilarating facial polish awakens tired, sluggish skin while working to clear pores and remove dead skin cells and debris for a smoother looking complexion.
SPF Vitamins Hydration Exercise Don’t Smoke Healthy Diet Cleanse 2x See an Esthetician
Here at Skin Studio in Brighton, we’re using the cutting-edge ultrasonic technology that utilizes low-frequency sound waves (ultrasound). Ultrasonic treatment deep cleanses, repairs and stimulates the skin at a cellular level. The ultrasonic facial at Skin Studio is absolutely perfect treatment for all skin types and conditions. Combat aging skin, manage rosacea, reduce wrinkles, clear acne, reduce pore size and reduce hyperpigmentation.
The Dermasound “spins” water molecules across the skin in vibration 28,000 times per second, loosening the upper portion of the skin, whirling away dead skin cells, and unleashing the skin’s power of cell turnover and the inner cellular layers of the skin. After deep cleaning your pores with distilled water and ulrasonic we perform, sonophoresis (sono). It creates a temporary microscopic pathways through the lipid portion of the stratum corneum. While molecules in topical preparation are small enough to penetrate, some are too large and require a pathway. With the proper frequency and power density, antioxidants and hydrating topical products can go where they are needed and not simply lie on the top of the skin where they provide no benefit. Sono also heats the skin which stimulates collagen production to help reduce fine lines.
At Skin Studio in Brighton we recommend Ultrasonic Facial Treatment for all skin types, but especially for those with skin problems or acne bec
ause it deeply cleanses the skin without irritation. Ultrasonic Treatment stimulates blood circulation, aids in lymphatic drainage, gently exfoliates away dead skin cells, cleanses away toxins, enhances skin care product performance, refines large pores, improves skin texture and tone, clarifies acne and blemishes.
“I have been going to Skin Studio for several years. Very professional ladies work in the studio. Amazing service and the products they use is the Best!”
“Irina and her staff are amazing!! Great quality products and lots of client attention. They are The Best.”
“The best facial, IPL and highly professional staff! Everything about Skin Studio is the best! I highly recommend this place to everyone.”
“I had my first facial with these ladies and they are not only professional but honestly, they might just be the best. They show through their work how much they like making people feel good in their skin. Highly recommend. :)”
“Irina is amazing!!! Even on a super busy Saturday, she took her time to make sure I had a calming and relaxing facial. Beyond the facial, she took the time to give a sin are and make up consultation tailored to my needs. She even emailed the next day to check in on how my skin was feeling and to offer follow-up tips. I’m a tough customer to please. Highly recommended!!!!!”
“If I need to describe Skin Studio in few words it would be “Heaven for women”. Amazing place, knowledgeable team and great atmosphere. I love Skin Studio because they offer many different treatments for your skin depend on the age, type of skin and budget! Besides high level of professionalism, they always make you feel very special!”
“Attention to detail! These ladies really care about your skin. I love every moment with them.”