Does sunscreen provide complete protection?

The Sun Protection Factor (SPF) of a sunscreen formula states the effectiveness of this cream when applied at an even layer of 2 milligrams per square centimeter, for blocking the effect of UV sunrays that cause sunburns. The SPF level is defined by comparing the effect of exposure to the sun causing burns to a body area with the evaluated sunscreen compared to the burns to a non coated area. SPF 15 means that compared to a body area without sunscreen, the area with sunscreen will require 15 times more UV to be equally burned compared to the same area without sunscreen.
SPF is evaluated per 2 milligrams of sunscreen per square centimeter, unfortunately most people apply less sunscreen than needed. This causes the SPF value to be reduced dramatically hence the person thinks he/she is protected but in reality the effectiveness of the sunscreen is reduced. Thinking that you are protected when in reality you are not is very dangerous as you might linger in the sun for longer.
Another problem with sunscreens is the fact that many of them protect mostly against skin burning, caused by UV-B.  There are three types of UV rays emitted from the sun, the skin cancer foundation has a good explanation about UV classification on their web site. The different types of UV are: UV-A, UV-B and UV-C. Both UV-A and UV-B pass the ozone layer and reach the earth, most of the UV-C is absorbed by the ozone layer and does not reach us.
UV-A is the most dominant UV radiation reaching us from the sun. It is present throughout the year and during all day light hours. UV-A penetrates glass and clouds and has a deeper penetration depth into the skin than does UV-B. UV-A is a main inducer of skin ageing, wrinkles and skin cancer. It is the main contributor to tanning, it does so by inducing changes in the cell’s DNA, the skin darkens due to synthesis of melanin to protect the skin from further damage form the UV exposure. Tanning salons use mostly UV-A as the tanning source, the intensity in the salons can be 12 times higher than the natural UV-A levels from the sun.
UV-B penetration depth to the skin is superficial and it plays a major role in skin burning. As apposed to UV-A, UV-B is present in lower levels during different hours of the day, different seasons and various locations on earth and it does not penetrate glass. Similar to UV-A, UV-B contributes to skin cancer, and skin ageing.
Sunscreens were created originally to prevent skin burning and to block mainly UV-B. In recent years manufactures of sunscreens have added UV-A protection too, however the level of protection from UV-A is not included in the SPF classification. It is important to verify, when purchasing a sun block, if the formula claims to protect from UV-A and UV-B. If not specified it is probably UV-B protection only.
The problem with sunscreen is that people feel protected from the damaging rays of the sun while they really are not safe. Most people will assume that if they apply sunscreen on exposed areas, they can allow themselves to walk freely in the sun during the extreme UV hours (10AM-4PM). This is a very dangerous assumption as applying the sunscreen needs to be in the correct amount and the sunscreen needs to be of good protection values. In addition, no sunscreen provides complete protection and it is wise to always stay away from exposure during the extreme hours mentioned above.
Another misconception is that after about 4PM and in early morning hours (6AM-10AM) there is no need for sunscreen as the UV radiation is lower. Very wrong assumption! As mentioned above, UV-A is present most hours of the day, so be ware!
Most people are not aware that they need to apply sunscreen when driving or sitting in a car, or if sitting in front of a sunny window at home, the windows will not protect you, (unless they are coated with a UV protection film).
Below are the Prevention Guidelines of the Skin Cancer Foundation for wise protection from the sun:

“Prevention Guidelines
•    Seek the shade, especially between 10 AM and 4 PM.
•    Do not burn.
•    Avoid tanning and UV tanning booths.
•    Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
•    Use a sunscreen with a SPF of 15 or higher every day.
•    Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours, or immediately after swimming or excessive sweating.
•    Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
•    Examine your skin head-to-toe every month.
•    See your physician every year for a professional skin exam.”

If your skin has been damaged by years of exposure to the sun’s damaging rays you might be happy to learn that you can help reduce the damage by treatments offered by various technologies. Sun spots (liver spots) can be removed by skin resurfacing technologies and photo-rejuvenation technologies. In addition, a RF technology exists, that targets reduction of wrinkles, collagen regeneration, skin tightening that improves skin texture and lessens the ill affects caused by UV radiation.  For example, TriPollar RF treatments, have been proven to effectivly reduce wrinkles and tighten the skin.  TriPollar based products are maufactured exclusively by Pollogen Ltd.    You do not have to wait till you are in your forties or later to begin treatments; the earlier you begin the better.
To finalize this write up, it would be nice if we adopted the fashion of un-tanned skin as our ancestors admired during the renaissance and earlier periods. Of course this should not include the discrimination against darker color skin that accompanied the earlier age admiration of non tanned skin.
And finally, if you do spend significant time in the sun, make sure to follow the guidelines mentioned above and minimize the damage to your skin.

I have been grey since my late thirties and have not had the urge to cover the grey. I believe you are as young as you feel or as old as you see yourself. To be honest, it has not been easy to withstand the pressure from society,  friends try to refer me to their favorite hairdresser or even better, say kind words like ”you look very young but you will look much younger if you dye your hair”. The hardest hit was when I came to pick up my son from kindergarten and heard the kids yelling “Your grandma is here to pick you up”!!!! But still I did not fall into the hair dying loop (once you start, it is hard to stop).

Ageing is a state of mind

Fortunately, grey hair has become accepted in some western countries. Images of graying models are accepted and are considered sexy and fashionable. It is not about the hair color, it is about how you carry your body, your skin complexion, what you wear and the energy levels you portray.

Ageing is a state of mind, rather than dyeing hair to conceal gray, I prefer dancing, going to rock concerts and staying young at heart. I think that if you feel younger when you dye your hair, than go ahead and do it, feeling younger makes you younger.

Declaring emancipation from hair dyes does not mean letting age take its toll and leaving all to nature. Personally, I use anti-ageing moisturizing creams every day and try to maintain a rigid exercise program to keep my body and spirit in high energy levels. I am fortunate to work in the aesthetic industry so I have accesses to variable technologies that target the ageing skin. I have found Radio Frequency (RF), particularly TriPollar RF face treatments to be to be very pleasant, relaxing and effective from the very first treatment. What I like about these treatments is the fact that the results are not so drastic so I do not look like I had a face lift. Don’t get me wrong, the results are noticeable, acquaintances that had not seen me for a while have all commented on my fresh looking skin and fine complexion. The wonderful thing about it is that it looks natural and is indeed a natural skin rejuvenation process triggered by the treatment; the skin creates new collagen during a few weeks causing the results to improve over time.

So, if you are in the early graying phase and have been pulling the gray out (ouch!), first, pulling them out will not induce growth of more gray than you pulled out so if you want to continue pulling, go ahead. However, you will have to pull out many more hairs as you progress in age, so let it be and learn to accept the random gray hairs and view it as exotic. Later when your hair is mostly silver it can help to adopt the positive attitude towards your hard earned silver crown and learn to enjoy the respect and beauty earned with silver hair. So, go wild – go gray and enjoy a youthful approach to life with a silver crown on your head.

With proper attention and treatment, ageing signs of the hands can be reduced

Most women and some men (metrosexual men…) apply facial creams, eye creams and other anti-ageing treatments to reduce the signs of ageing of the face and body. However, hands, that are also an important age indicator, are failed to be addressed by many. Hands are the most exposed body part to ageing elements like water, house-hold chemicals and the sun, major skin ageing inducers that can be dealt with through proper measures. When dealing with ageing of hands, the symptoms include: ageing spots, thinning of the skin, general thinning of hands and protruding veins. The skin in general, including skin of the hands, produces less collagen as we age hence causing thinning of the skin, thus causing the veins to protrude and the hands to look bonier.

With proper attention and treatment, ageing signs of the hands can be reduced and the hands can look a few years younger. For those of you still young with beautiful hands, make sure to take measures to postpone ageing of hands by applying sunscreen to your hands twice a day. It is also important to wear gloves when washing dishes or if handling house hold chemicals. This will protect your hands from dryness and from the harsh effects of cleaners, detergents etc’.

To help with dry skin, apply cream at night and wear cotton mittens over the cream to enhance absorption.
A few technologies and some invasive methods have been introduced to address the different aspects of ageing hands. Combination of technologies will enable a full spectrum of treatment, however it is important to understand these options in order to ensure the correct sequence of treatment protocol as one technology can interfere with the effectiveness of other technologies if performed in an inappropriate order, timing etc’.
Photorejuvination technologies ( IPL and fractional laser) are well established methods for skin rejuvenation. These methods can help with the reduction of age spots and general improvement of skin appearance of the hands due to induction of new collagen growth and removal of age spots. Healing from photo rejuvenation treatments can take a few weeks because the skin is purposefully damaged to cause superficial skin injury, that induces scabbing, peeling and healing.
Dermal fillers, which are normally deployed for facial wrinkles, can be used for the hands too (for example Restylane) in order to restore “plumpness” and improve the general appearance. If you decide to combine dermal fillers with photorejuvination technologies, it is important to undergo the photorejuvination treatment prior to the use of dermal fillers to ensure that you do not interfere with the dermal filler’s action. It is also important to allow the hands to completely heal before undergoing the next type of treatment.
For treatment of protruding veins on the hands, an invasive cosmetic surgery is available where the veins are removed (of course the doctor will asses the blood vessels on the hands to ensure that the surgery does not damage the blood supply). This surgery requires a long healing duration (a few months) and is usually performed on one hand at a time.
A non invasive safe technology for the improvement of hand appearance is TriPollar RF (Radio Frequency). TriPollar RF treatments can be performed during lunch break short  office visits with no down time and with no need for healing. These treatments induce formation of new collagen in the dermis, hence improving skin texture and resulting with smoother, younger looking hands. TriPollar RF treatments can be combined with photorejuvination treatments to enable removal of age spots along with improvements of skin texture. If combining these two technologies, make sure that the hands have completely healed after the photorejuvination treatments before starting the Tripollar treatment protocol.

Voss Andreae sculptures are inspired by his scientific knowledge

The exhibition “Bodies”, that has been circling the planet, takes the integration between science and art a step further and turns science into the art pieces.
However, art and science are further linked by art work that is inspired by biological and physiological structures. Julian Voss-Andreae is an artist that combines his scientific background with his creations. He studied physics at the universities of Berlin, Edinburgh and Vienna and focused on Quantum physics for his graduate research. Voss Andreae has created large sculptures that are inspired by his scientific knowledge. Among his sculptures is the installation Unraveling Collagen.  According to Voss Andreae: “Unraveling Collagen is based on the structure of collagen, the most abundant protein in humans. In this sculpture I placed the initial emphasis on the structural role collagen plays in our bodies. The triangular cut-outs reveal the dominant force lines, reminiscent of contemporary steel construction. Collagen is mostly known for its role in aging: It is responsible for skin elasticity, and its degradation leads to wrinkles that accompany aging. During the creation of the piece, I departed from the actual molecular structure and opened up the intertwining helices towards the top which connects the piece metaphorically with aging.”
It is quite fascinating and symbolic that Voss Andreae chose to create the unraveling collagen rather than “healthy young collagen”, it is the natural process of nature and is actually a truer symbol of life and time line of the living body rather than a perfect intact triple helix collagen fiber.
“Fighting” the aging process of the collagen is the target of technologies in the beauty and aesthetic industry. It is the desire of most ageing women and men too, to slow down the signs of ageing and to repair the damage already done; this is achieved by stimulation of new collagen growth and tightening of the existing collagen hence mending of the “unraveling” collagen.

Collagen is mostly known for its role in aging

Slyle-M Clinic staff. Ms. Muraki Hiroe second from LEFT

Ms. Muraki  Hiroe, of Style-M and the Matsukura clinic in the fashionable Omotesando Hills district in Tokyo Japan, has been voted as the No1 aesthetician 2 years in a row by a few magazines in Japan.
Being voted as the No 1 Aesthetician in Japan is not a trivial or minor honor, taking into account the high value the Japanese culture places on beauty, body care, aesthetics of appearance, generally talking the art of beautifying the body to its highest level.Ms Muraki Hiroe studied in Tokyo and is still in the process of studying while working as an aesthetician for the past 15 years. Ms Hiroe does not see herself as a master, she acknowledges that her wide and diversified knowledge along with her constant search for methods and technologies that obtain results in an effective and efficient way, are what placed her on top of the ladder. According to Ms. Hiroe, many aestheticians are into general healing and treatments that will be pleasurable for the minute, while her focus is on the obtaining lasting results.
Ms. Hiroe’s advice to beginning aestheticians is to invest in education and strive to achieve higher levels of knowledge. The more one knows, they will understand what they are doing and how to combine the best methods to obtain the best treatment protocols. Ms. Hiroe wants to focus on different good treatment methods and combine them to obtain the best results.

Ms. Hiroe treating with the apollo device

To a question regarding her favorite present treatment, Ms. Hiroe answered without hesitation “The apollo is my favorite now”. (I stressed while I presented the question to Ms. Hiroe that she does not have to answer ” the apollo” just to please me…). Ms. Hiroe loves working with the apollo because she sees wonderful results, it is very pleasant for the client being treated and there is no pressure and stress while treating.
At present, Ms Hiroe is studying a method that works through adjustment and very specific alignment of the bones and muscular structure to improve structure and facial contour (This is very different than chiropractic work). She works mainly on the facial structure and is just about to take examinations.  We wish you luck Ms Muraki Hiroe, we are sure you will do very well.

RF is also used as a treatment for uncontrolled bowel movements, uncontrolled passage of urine or esophageal reflux syndrome. In these cases the treatment includes microscopic RF targeting of the collagen in the organ wall. The creation of such focal, microscopic treatment within the cavity wall, results in reduced dynamic tissue compliance, and improvement in the pathologic conditions.

RF energy is also deployed in orthopedics for gentle ablation of tendons and ligaments, it is also used to coagulate and decompress disc material, healing tears or fissures. Pain management is also a vast branch of medicine that deploys RF. The default treatment of pain is usually by prescribed pain killers; these can be problematic as they are addictive and do have side effects. RF is used for pain management via a few different methods. The first method is by identifying the problematic muscle and healing it by heating the muscle by targeting it with RF. Other methods involve targeting the nerve tissue directly: a process called Radio Frequency Lesioning (RFL).  In this process continuous radiofrequency current is transmitted to a small volume of nerve tissue hence inducing heat generation, this causes disruption of pain signals from that specific area. This procedure has a selective effect on specific nerve fibers, reducing pain in target areas, but without affecting other sensory capabilities of the specific nerve.

Radio Frequency has been established in aesthetic medicine as a means to induce skin tightening and reduction of wrinkles, improvement of cellulite and body contouring. RF current is transmitted into the skin and heat is generated due to the resistance of the skin to the RF current. The heat induces shrinkage of existing collagen and stimulation of the fibroblast to generate new collagen. In addition, heat generated in the hypodermis adipose tissue (fat layer in the hypodermis) causes  release of liquid fat from the fat cells, thus inducing shrinkage of the fat cells in the adipose tissue which leads to circumference reduction and  improvement in  the appearance of cellulite.

Thermage were the first to introduce the first generation of mono polar RF for the purpose of body contouring and skin tightening in 1997. In mono polar RF one electrode is used to transmit the RF energy to the skin and a return pad is placed on the body to close the circuit. Mono polar RF devices use very high power (250-300W) as the treatment is not focused and the electrical current aimed at the dermis will actually dissipate throughout the body. The treatment is painful due to the high power it requires and a topical anesthesia is needed to tolerate the treatment.

Bi polar RF technology is the second generation of RF aesthetic devices; it uses 2 electrodes to transmit the RF current and does not require a return pad. The penetration depth is about half the distance between the 2 electrodes.  Most Mono and Bi polar devices require surface cooling in order to protect the epidermis during treatment.

TriPollar technology is the 3^rd generation of RF aesthetic devices. It uses 3 electrodes to transmit the RF current into the dermal and fat layers while protecting the outer most skin layer. The energy field created using this method is very condense and requires substantially less energy to achieve the desired heating of the treated area, hence enabling a safe pleasant treatment with the positive immediate and long term results of RF aesthetic treatments.

“An atom or molecule having at least one unpaired electron: free radicals are usually very reactive and unstable, and can damage healthy body cells “.

One group of free radicals which is a byproduct of mitochondrial oxygen metabolism processes is Reactive Oxygen Species (ROS).  The ROS group always contains Oxygen or Per Oxides and is highly unstable. ROS can also be generated as a result of ionizing radiation such as UV radiation.

Free radicals are constantly created in the body during normal metabolism, ROS play a major role in inter cell communication that govern basic cell activities and coordinates the cell’s reactions to its micro environment, for example, initiating the tissue healing process in cases of injury. They are also deployed by the immune system as a way to attack and kill harmful bacteria such as Acne bacteria, the reactive oxygen – O₂^- molecule is highly toxic and is actually deployed to destroy these bacteria and it is also an important component of “cell suicide” needed to remove cancerous cell, damaged cells or cells whose life span had reached its end.

The body deals with the free radicals, more specifically ROS, via specific enzymes that break them down or neutralize them or through Antioxidants such as vitamins C and E, Uric acid and more.  Antioxidants prevent oxidative reactions, often by scavenging ROS before they can damage cells.

Normally, the body can handle ROS, but if antioxidants are unavailable, or if the ROS production becomes excessive, damage can occur which is labeled “Oxidative Stress”. Of particular importance is that ROS damage accumulates with age. This can be as a result of increased ROS production combined with a decrease in cellular Anti Oxidant activity.

The market is flooded with antioxidants for anti aging in all forms, from specific juices, extracts and pills. It is a heavily used term when it comes to food advertising and of course in anti aging cosmetics.

But are antioxidents always good for you? Analysis of data from many studies demonstrated that use of large quantities of anti oxidants can actually cause harm and shorten life span. It can also interfere with cancer treatment and prevent the recovery process after strenuous exercise as the ROS actually remove damaged and cancerous cells.

Free Radicals do cause acceleration of skin aging. Exposure to UV, stress, smoking and alcohol can increase ROS levels in the skin. The free radicals will altar the structure of our proteins, therefore damaging the collagen and weakening cellular structure. Unfortunately research has not demonstrated that ingestion or topical use of Antioxidants can prevent or eliminate wrinkles or other effects of aging skin. Merely taking antioxidant supplements will not correct the loss of skin elasticity or make the facial skin look younger.

So what can be done to reduce the affect of free radicals on the aging skin?

First, avoid UV damage by avoiding exposure to sunlight during dangerous hours in addition always apply a sunscreen when out in daylight.  Avoid smoking and large quantities of alcohol. Consume a diet with abundant quantities of vegetables and some fruit (too much sugar is also not beneficial to skin), and find ways to reduce your stress levels.

One way of repairing the damage to the skin and to induce collagen regeneration is via treatments using the TriPollar RF technology. This treatment will stimulate the fibroblast to generate new collagen fibers and to produce a thicker and denser dermal layer therefore reducing the visible signs of aging skin caused by the aging process and by exposure to free radicals.

Acording to EnDouceur, Dermolissage can be used effectively for the treatment of dry skin, Acne, Hyperpigmentation, Rosacea, Telangiectasias (broken blood vessels) and rough skin.

A very effective treatment for aging skin rejuvenation and tightening would be to combine the Dermolissage, which treats the superficial skin layer, with a device that targets the aging skin from deep from inside, for example the TriPollar RF treatment.

A good combination treatment will include a 10 minutes facial anti aging treatment with the TriPollar RF technology. TriPollar will induce immediate results of tightening the existing collagen and will also induce a long term anti wrinkle process by building of new collagen due to stimulation of the fibroblasts. Following TriPollar treatment, performing a Dermolissage diamond microdermabrasion session will be very beneficial as the TriPollar will ‘prepare’ the skin for the Dermolissage treatment and enable an enhanced penetration of the treatment solutions used during the diamond microdermabrasion. This combination treatment is great for targeting the skin’s most superficial layer while also affecting its inner layer and inducing long term anti aging effects of collagen growth.

One way for preventing sleep wrinkles is to sleep on your back; Chinese women recognized this fact ages ago and always slept on their backs using concave porcelain pillows.
Another option is using a pillow (not a special anti wrinkle pillow) that minimizes facial sleep wrinkling, pillows with natural fill, such as duck down and feathers. This kind of pillow supports the head while providing softness, eliminating pressure on the skin, thus reducing sleep wrinkles. There are also anti wrinkle pillows available made in particular for preventing sleep wrinkles. An anti wrinkle pillow supports the head while keeping the face and eye tissue away from the pillow.
There are claims that silk rather than cotton pillow cases will also minimize the formation of sleep wrinkles. In the UK, this claim has recently been targeted by Britain’s Advertising Standards Agency which forced the advertiser to remove the claim that silk pillows have anti aging benefits, as there are no clinical studies proving that cotton pillow cases will induce more wrinkles or that using silk pillows will reduce them.
Another product targeting sleep wrinkles is a special pillowcase that is imbedded with copper micro fibers which according to the manufacture, serve to correct the skin during sleep due to copper’s ability to stimulate collagen production thus reducing the presence of lines and wrinkles.
Unfortunately, if you have developed sleep wrinkles, they may be difficult to treat with just the use of an anti wrinkle pillow. As we age, our skin loses its flexibility, skin that becomes wrinkled while sleeping will no longer readily recover after sleep, as it did when we were younger. Since sleep wrinkles aren’t the results of muscle contractions, products like Botox will not remove them. To treat them, the existing collagen needs to tighten and new collagen needs to form in the dermis in order to smooth the skin. A gold standard method for treating wrinkles is via TriPollar® RF, a clinically proven method with significant data of treatment safety and results. Visit the site www.pollogen.com for more information.