THE HOTTEST TRENDS IN SKINCARE FOR 2019. SHOULD YOU USE THEM OR LOSE THEM?

Each year brings with it fashion trends, decorating trends, and beauty trends.

The latter covers everything from nails, haircare, makeup and skincare. With the ubiquity of social media, beauty users now can pick up popular trends from anywhere across the world and follow them. Skincare is the biggest segment in the beauty industry with global sales that hover around $130 billion in 2019. There is so much for consumers to digest and decide on. We turned to Dr. Manish Shah, a Denver Board Certified Plastic Surgeon and skin care expert. He takes a microscope to some of the hottest trends in 2019 to give you insight into what’s worth your hard- earned dollars.

CBD In Skincare

Much like it did in 2018, CBD is taking off in the new year. In fact, CBD (short for cannabidiol) has no plans of easing up its reign on the skin-care world in 2019. As a case in point, there are at least two MAJOR skin care brands that now include CBD in their skincare, not to mention the indie companies who have created CBD skincare. Dr. Shah’s take: “As far as it being good for skin, it acts as both an anti-inflammatory agent and an oil reduction agent. Theoretically, its addition to skin care products, especially those tasked to fight acne and other inflammatory skin conditions, is probably legitimate. It is also a good antioxidant that can help protect against free radical damage to skin cells. CBD can be made from hemp which helps skincare companies get around the federal ban on marijuana. Side effects of unregulated use include: Nausea, fatigue and irritability. CBD can increase the level in your blood of the blood thinner coumadin, and it can raise levels of certain other medications in your blood by the exact same mechanism that grapefruit juice does.”

Microneedle Patches

Some beauty editors and bloggers swear by pimple patches. According to experts, those patches are about to get even more advanced by way of a ton of tiny microneedles (or "microstructures").The logic is that you can out put a smaller amount of acne-fighting ingredients into these tiny little cones and apply it to the skin, it's a better, more effective delivery system.

Here's how they are purported to work: The small band-aid-like sticker has spikes coated with hyaluronic acid that are thinner than a hair follicle. Through these teeny painless pricks in the skin, the patch drives the active ingredients deep in to the skin. Dr. Shah’s take:

“There is plenty of good medical literature on the validity of these small patches that are impregnated with various chemicals. The patch gets worn and the needles (either metallic or made out of absorbable polymer) penetrate the skin delivering the chemical treatment. Their design takes advantage of the concept of transcutaneous delivery of drugs. Patches can be custom made to fit various areas of the face and deliver anti-aging or other chemicals while a patient sleeps. The efficiency of delivery is better through the tiny skin punctures than if you only put the chemical directly on the intact skin. In theory, aesthetic practitioners can make custom topical treatments and place them on the patches to deliver customized at home skin treatments for their patients.”

Is a Cryotherapy Facial Is the Best Way to Brighter, Tighter Skin?

Cryotherapy has gained popularity in recent years with spa treatments exposing clients to subzero temperatures to help relieve pain and improve their health. This wellness treatment has recently undergone another adaptation with the cryotherapy facial treatment. The Cryo Facial is a cryogenic treatment that is performed by what is considered a "cryo probe," which beams vaporized liquid nitrogen across the forehead, cheeks, nose and chin. Different from the cryotherapy chambers that can be used for pain relief, the facial targets helping the face look younger. Dr. Shah’s take: “This may be more suspect. There isn't a great deal of study-based evidence that cryotherapy facials actually do what they claim. Typically, cryotherapy uses extremely cold liquid nitrogen to freeze exposed skin cells to kill them, like a wart. The facials use the same liquid nitrogen as a spray, but the aesthetician doesn't stay in one area too long to avoid frostbite to the skin. Some level of cold injury occurs, probably to a very superficial level of the skin, so there may be some exfoliation. But there are safer ways to get exfoliation without risking frostbite or hyperpigmentation.”

ANTI-POLLUTION SKIN CARE

Your skin is exposed to environmental aggressors on a regular basis. Although unseen, these pollutants can wreak havoc on your skin by breaking down collagen and elastin, the fibers that give skin its bounce. To help reduce these unwanted side effects, anti-pollution skin care products are continuing to gain favorability among consumers. Just as SPF is now de rigor in skin care, this seems to be the case with anti-pollution ingredient. Dr. Shah’s take: “I think that this is a new name for old tech. In brief, our skin is exposed to environmental contaminants that create inflammatory conditions. These conditions lead to build up of free radicals in the skin. The ingredients in antipollution skin care are basically strong antioxidants that protect against the free radicals. But the skin is assaulted by more than chemicals. It experiences dehydration, UV exposure, temperature changes, etc. True antipollution skincare should guard against all this. Typical protective and reparative ingredients include vitamin E, vitamin C, retinoids, hyaluronic acid, zinc oxide, vitamin B3, and bisabolol.” 

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RESEARCH SHOWS THAT BEAUTY SLEEP IS A REAL THING! PLASTIC SURGEON EXPLAINS HOW TO MAXIMIZE YOUR ZZZ’s

When it comes to your beauty routine, very few things are free, but sleep costs nothing and may be the closest thing to a fountain of youth. Dr. Manish Shah is a Board-Certified Denver, Colorado plastic surgeon.  A 2017 study found that two days of sleep restriction negatively affected participant’s perceived attractiveness, health, sleepiness, and trustworthiness. Dr. Shah explains that, “Your body repairs itself and recovers while you sleep, and that results in a long list of benefits for anti-aging and appearance.”  Most experts agree that 7-9 hours a night is ideal.  It’s time to maximize your shut eye for anti-aging.

Here are Dr. Manish Shah’s Tips for Beauty Sleep

Sleep on Your Back

“Sleeping on your stomach or on of your sides means there is constant pressure on your face. Over time, this action will produce unwanted sleep lines. You can remedy this by sleeping on your back,” says Dr. Shah. This way you will not apply any pressure to your face. For many people though, this might be uncomfortable, and you can't control your involuntary sleep movement leading you to a side or stomach position. You can practice and can get used to it over time.

Use an overnight product and put a glass of water on your bedside table

Washing your face can dry it out and sleeping can also dehydrate skin, especially if you snooze in a low-humidity environment. While staying hydrated by drinking water can help to some extent, what your skin really needs at night is a topical moisturizer. For a more supercharged product, try an overnight sleeping mask such as the Acai Triple Stem Cell Complex for $59.99.  Potent Açai Triple Stem Cell Complex Mask is an overnight mask application crafted with an innovative, breathable, and nourishing film ingredient that functions as a transdermal penetration medium to facilitate the complete absorption of the “Grams Triple Stem Cell Complex.”

Pillowcases Make A Difference

Dr. Shah explains that, “While facial creasing has a lot to do with sleep positioning, a change in pillowcase might be the answer. There are numerous benefits of silk for good sleep. Silk pillowcases are a great way to wake up creaseless in the morning. The smooth texture of silk is gentler than cotton and may help prevent sleep wrinkles, as well as reduce skin irritation. Its tightly woven fibers also don’t draw out moisture and natural oils as cotton does, leaving your skin better hydrated.”

Stay away from salty foods and alcohol around bedtime.

If you're craving a midnight snack or drink, be mindful. While some foods, a light, carb snack like crackers or an apple, can actually help your sleep, many others can disrupt your sleep and wreak havoc on your appearance. Alcohol and salty food can have a dehydrating effect on the body. To compensate, your body starts collecting natural fluids around the eyes, among other places, leading to that dreaded puffy-eye look. Dehydration is claimed to lead to formation of dark circles under the eyes.

Wear your hair up — but not in a tight bun.

It's a good idea to keep your hair out of your face while you're sleeping to keep its natural oils from wreaking havoc on your complexion. But avoid pulling it into a really tight bun or ponytail because that can cause hair breakage, especially around the hairline. Dr. Shah suggests wrapping it up in a scarf (silk would be ideal).

Keep makeup remover by the bed

“No matter how tired/drunk you are, going to bed with your makeup on will only be worse the morning after (clogged pores, irritated eyes, oily residue etc.). Make it less of a chore by keeping some good-quality face wipes by the bed for a fast, effective cleanse. It's not ideal to rely on convenience cloths every night in place of a deeper clean, but on late nights they're skin saviors, says Dr. Shah.

Wear A Silk Sleep Mask

Avoiding light when you sleep is crucial to getting quality rest. Dr. Shah explains that, “An eye mask completely eliminates vulnerability to light, preventing it from interfering with your sleep. For the best results, use a silk eye mask. Since skin is susceptible to wrinkling, make sure that the material pressing against your face is as soft as possible.”

Keep the Temperature Low

At night, your body’s natural temperature declines. Keeping the temperature in your bedroom low is good for both your metabolism and your blood flow. Dr. Shah explains that, “This is important because improving your blood flow helps oxygenate your skin, keeping it plump and even-toned for the day ahead. Maintaining a cool temperature in your bedroom will also help reduce redness in your skin.” The National Sleep Foundation recommends keeping your bedroom between 60 and 67 degrees Fahrenheit for an optimal night’s sleep.

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COUNTDOWN TO NEW YEAR’S EVE: HOW TO GET GREAT SKIN BEFORE THE BALL DROPS ON 2018

As luck would have it, most women seem to experience skin care problems just when they want to look their best. Every woman can relate to waking up with a huge zit right at the tip of her nose, or huge dark circles under the eyes, and the list goes on. There are pre-emptive measure one can take with less than two weeks until the New Year to ward off these skin care evils. We turned to Dr. Manish Shah, a Denver board certified plastic surgeon for guidance on what to do without breaking the bank or having invasive surgery.  

Facial Extractions by a licensed aesthetician- Dr. Manish Shah says, “When done correctly extraction facials can clear closed comedones (AKA those tiny, flesh-colored bumps that never come to a head, yet never really go away), remove whiteheads and blackheads, and give your skin a newer, fresher foundation for your skincare products to penetrate. Basically, extractions can be the kiss of life for your lifeless broken out skin.”

Drink Alcohol in Moderation

If you plan on ringing into 2019 with a few glasses of bubbly, Dr. Shah recommends moderating your alcohol consumption leading up to the big day. He explains, “Alcohol can dehydrate the skin and cause it to appear less fresh and vibrant, which can certainly hinder your skin care efforts.”

Cleanse your Face Every Night- You have just arrived home at 2 am from a holiday Party. It may be tempting to flop into bed without washing your face. Don’t do it! Dr. Shah says that, “Sun damage isn’t the only environmental factor you have to worry about. Small micro particles from air pollutants might just hurt your skin, too. Play it safe by remembering to take a minute to cleanse your face to remove debris that could be weakening your skin. In addition, that foundation and pressed powder you have been wearing all night can clog your pores and cause breakouts.”

Start Exfoliating

Want brighter, younger-looking skin? It starts with a great at home exfoliator! Dr. Shah explains that, “As your skin replenishes itself, dead skin cells start to build up on the top layer, leaving you looking dull. Exfoliating regularly removes this layer, revealing fresh, healthy skin. Regular exfoliation also allows your moisturizer and other topical products to penetrate more deeply, making them more effective.”

Clean Your Makeup Brushes

You would not eat food on dirty dishes, would you? Applying makeup with dirty brushes is not so different. Not only will dirty brushes give you a spotty application, but they can harbor bacteria, dirt and oil, leading to acne and breakouts which necessitates piling on even more makeup to cover it up.

Don’t Squeeze Your Pimples!

Here's a secret that many a supermodel or actress use: Steroid shots. Dr. Shah explains that, "when we discuss treating acne with cortisone or "steroid" shots, we are referring to the process of gently placing a very dilute quantity of a "glucocorticoid" steroid into the cyst. Glucocorticoids are a class of steroid molecules that are naturally produced by our bodies and have numerous functions including the regulation of human metabolism, immunity, and inflammation. They have very potent anti-inflammatory effects, so they are often used to treat inflammatory diseases in medicine. They can be formulated as creams to treat skin rashes or as pills to treat systemic disease. They can also be injected directly into local areas of inflammation such as in arthritic joints and inflamed acne cysts. Within one or two days of injection into a cyst, the steroid will shrink the inflammation producing relief of pain and almost immediate cosmetic improvement."

Peels

Look for AHA/BHA/PHA peels that will exfoliate the skin and help release the top layers of dead skin cells allowing for a more radiant underlay to come through.

Microdermabrasion

This professional treatment exfoliates at a deeper level (similar to a peel), with a mechanical handheld device that buffs away the upper layers of the skin.

Add vitamin C to your routine.

Dr. Shah suggests applying several drops of vitamin C serum underneath SPF each morning to target free radical damage, help lighten brown spots, and even out your skin tone.

Moisturizer

It may seem obvious, but when it comes to dewy, glowing skin, moisturizing is essential. "When your skin is dry, it looks dull, so hydrating ingredients can help bring back that glow," says Dr.  Shah. For skin types already prone to shine, adding moisture may seem like the last thing you need, but an oil-free hydrator with ingredients like hyaluronic acid could actually help reduce your sebum production and even out slickness into a sleek glow.

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A PLASTIC SURGEON UNVEILS BEAUTY HACKS THAT WILL COST YOU LESS THAN A STARBUCKS COFFEE

We all know that cosmetic-plastic surgeons and dermatologists earn their living by operating or non- invasive procedures. Most of these endeavors are costly for patients. It’s rare that any aesthetic surgeon will let us in on things we can do daily that don’t require us to visit them! We are fortunate to have Dr. Manish Shah, a Denver board -certified plastic surgeon share secrets with us, that in many cases cost nothing or less than a gourmet cup of coffee.

DR. MANISH SHAH’S TOP BEAUTY HACKS

1. Cleaning your phone screens – Dr. Shah offers that, “A great way to avoid blemishes is to routinely clean the makeup and bacteria off of your phone screens. It is easy to spread harmful skin bacteria from the surface of your phone. Washing your hands goes a long way to avoid skin contamination as well.”

2. Make your own exfoliating scrub at home – Dr. Shah shares that, “A woman I consider my second mother taught me how to create my own organic exfoliating scrub. She would dry peeled skins of oranges, lemons, and limes in the sun. She would then finely grate the white inside rind of the peel and then mix it with any facial cleanser or even add it to fine facial oils. Using the scrub would exfoliate the skin, treat it with Vitamin C, and prevent over-drying of the skin because of the fruit oils.”

3. I recommend treating the enlarged pores of the T-zone with over the counter hydrogen peroxide. The bacteria in the pores create inflammation that increases pore size, and this leads to blackheads and whiteheads. Dr. Shah explains that, “These bacteria can’t survive in high oxygen environments. 3% hydrogen peroxide is available over the counter quite inexpensively. Treating only the T-zone at night kills the bacteria, reduces pore size and blemishes. Because it can be quite drying, takes breaks from its use every now and then.”

4. Avoid fake nails. They harbor tons of bacteria that are easily transferred to the face when you touch your face. Instead, focus on growing your own nails with the help of oral vitamin C and any good quality hair, skin, and nails vitamin like Nature’s Bounty Extra Strength Hair, Skin, and Nails.

5. For teens, especially, it is so important to wash their pillow cases routinely. Dr. Shah is the father of three teens. From his first-hand knowledge he says that, “Teens aren’t very compliant when it comes to skincare and they suffer from hormones in a bad way. This 1-2 punch makes acne and blemishes the bane of most teens’ existences. Going to sleep at night on clean pillow cases after washing your face goes a long way to reducing bacterial burden and allows blemishes to heal.”

6. If you suffer from puffiness around the eyes, a quick trick is to use black tea bags. Wet them in ice water and lay them onto the eyes to soothe. The caffeine in the black tea causes blood vessels to constrict, reducing edema or swelling in the delicate, thin eyelid tissues.

7. Add baking soda to your toothpaste to easily polish away stains to keep your teeth white. Instead of bleaching your teeth, baking soda actually breaks the molecules that stain the teeth. It is less irritating to your gums as well, and way cheaper than teeth whitening strips.

8. Eat the rainbow - A white bread-based diet does not for clear skin make. That’s why Dr. Shah makes sure his diet is packed with brightly-colored fruits and vegetables. He says, “Fruits and vegetables are high in antioxidants which give glow to the skin.” Specifically, research suggests that pigments called carotenoids—found in foods like carrots, spinach and other leafy greens, and tomatoes have been linked to good complexions.” Adding fish oil to your diet also improves skin compliance and radiance.

9. Avoid Hot Showers - Disappointing as it may be, Dr. Shah says, “Hot showers remove too much of your natural oils and brings blood circulation to your skin, creating inflammatory reactions that result in rashes and aggravate those with eczema or dry patches.”

10. You may just need a brow wax instead of a lift

“I had a patient who wanted a brow lift because she thought she looked angry all the time. I sent her for a brow wax instead. It took 15 minutes, she looked great, and she saved herself thousands.” Other brow techniques like brow tinting can change how your eyebrows frame the eyes, improving on your looks.

About Dr. Manish Shah

Manish Shah, M.D., F.A.C.S. is board-certified by the American Board of Plastic Surgery and member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery. After completing his formal plastic surgery training in Plastic and Reconstructive Surgery at the Univ. of Tennessee College of Medicine, he moved to New York City and was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery. Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

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