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advanced skin care


vitamin insights


Plastic surgeon Dr Des Fernandes recently presented a series of inspiring seminars to beauty therapists at the Royal Society ofMedicine.Here we highlight some of his insights into advanced skin care topics.


“Vitamin A is not a fashionable ingredient, it’s not temporarily the best that we have,” says Dr Fernandes.


“It is fundamentally the most important molecule in sun damage and ageing. It was built into our metabolic system millions of years ago and will remain the most dominant molecule controlling growth, differentiation and maturation of cells for as long as we live.


“Themetabolismand adequate supply of vitaminA is vital to the DNA and you will never be able to replace vitaminA in treating photo-ageing.When we combine skin needling with the use of vitaminA we have found the longer someone is on vitaminA the better and themore extensively you needle the better the result.


penetration-boosting technology


“In 1996, researchers reported something special: 4,000%enhancement of penetration fromlow frequency sonophoresis.This was superior to ultrasound, which was only achieving 200%increase, you can get that with just topical vitaminA and cling film. VitaminA is a great stimulant of hyaluronic acid, so you get great ‘line filling’ effects with this type of soundwave, without needingmesotherapy vitamin injections.


children and vitamin A


“Sun damage is the same nomatter how old you are.The loss ofmolecules like vitamin A and the free radicals generated will be exactly the same.Therefore, a four year old or a forty year old’s skin both need the same attention and replenishment.


“Sun damage destroys the ‘gates’ that allow vitaminA into the skin.When we are older, it takes high levels of vitaminA to stimulate us tomake new receptors to tolerate it.


Children, who have not had chronic exposure to light like adults have, can easily use a vitaminA-based cosmetic and tolerate quite high levels without worrying about a retinoid reaction.They have themechanisms tometabolise it easily.


supporting players


“Somemolecules have seemed to come close to vitaminA.Vitamin C has been proposed but it has a relatively confined role to play and stimulates only a handful of genes whereas vitaminA stimulates about 1,000 genes. Peptides come close because they can tighten skin andmake it smoother looking. However, they don’t havemost of themetabolic functions of rejuvenation that vitaminA has; that’s the closest that we have found so far. Of course the synergy between vitaminA, C and peptides is enormous.


sun protection v vitamin D


“Only a small percentage of people die from skin cancer; protection fromcancers related to vitamin D deficiency is farmore important.The University of Geneva found that if you use retinyl palmitate at sufficient concentration, you’ve got an SPF of 20.The advantage is vitaminA doesn’t block the formation of vitamin D in the way conventional sunscreens do.


SPF confusion


“SPF actually only refers to the power of treating UVB rays, not to the power as a total sunscreen.There is no UVB in daylight in the UK for about sixmonths of the year starting inAutumn through to Spring.The SPF component of the sunscreen is totally


Dr Des Fernandes is founder of Environ Skin Care. For more information, telephone 0208 450 2020 quoting Guild News or visit www.iiaa.eu


inactive and the question is whether one needs any SPF at that time.We get irradiated by UVA all year fromfairly early in themorning right through until just before evening. Generally UVA protection is poor even fromdedicated UVA sunscreens. Therefore we need to address the problems created by UVA all year round.


dealing with free radicals


“Generally, UVA expresses its damage by creating free radicals.That's why your skin needs to be rich in free radical scavengers all the time. University of Illinois researcher, Kerry Hanson, points out that whatever rays are not absorbing by UV filters in sunscreens become free radicals and we need vitamin C and E tominimise their effects.


Dr Fernandes concludes: “We need all types of antioxidants in our skin to deal with the free radicals created by UVA rays.There will be lipid-based free radicals as well as water-soluble free radicals. Free radicals will occur in different areas and free radical scavengers often work best only in certain conditions.That is why we need asmany free radical scavengers as possible.There are some 7,000 chemicals involved in ourmake- up and there aremore than 2,000 antioxidantmolecules!”


GUILD NEWS 113


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