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Robert Tornambe, M.D.

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Best Skin Care: What's in That Cream You're Putting on Your Face?

Posted: 01/24/11 06:50 AM ET

Whether you are living in the northern part of the country where the winter has been cold and fierce, or in warmer southern climates, the necessity of identifying a good skin care regimen is vital to the health of your largest organ -- your skin. The choice of products is enormous and can be confusing. The price range for these skin creams vary significantly, and more often than not, the more expensive item may not necessarily be better!

The following is a primer about the numerous and perplexing world of skin care products.

The majority of over-the-counter products available are moisturizers with added ingredients to support marketing claims. The merchandise offered, includes moisturizers alone (to be used day and night), anti-aging night creams, sunscreens, anti-wrinkle/antioxidant creams, facial foundations or skin lightening serums. The common denominator is that the formulation is basically a moisturizer. Let's examine the basic ingredients in the majority of moisturizers and other facial creams.

The most commonly used active agent in many skin care products, after water, is the occlusive substance petrolatum or petrolatum by-products! That's right, good old Vaseline! It is the most effective moisturizing ingredient on the market today because it reduces water loss through the skin by 99 percent by producing an oily barrier. This barrier prevents water from evaporating from the skin allowing the skin's water content to rise. It actually decreases the appearance of fine lines on the face and body caused by dehydration. While petrolatum has received some bad press recently, the bottom line is that it is hypoallergenic, noncomedogenic (does not clog pores) and nonacnegenic (does not cause acne). Its major drawback is its inherent greasiness. Other options do exist, however, and some manufacturers have substituted other ingredients to replace it.

Another basic ingredient is something called Dimethicone. It is from the silicone family, which originates from silica, which is found in granite, quartz and sand. Different types of silicones are used in many skin care and household products and to date, there is no report of toxicity from the use of topical silicone. This ingredient is an astringent/moisturizer and is used to decrease or dilute the concentration of petrolatum and thus cut down the greasy nature of the product. It also adds glide and smooth properties to the mixture. It is the second most common active ingredient in moisturizers today, as it dilutes petrolatum and is also hypoallergenic, noncomedogenic and nonacnegenic.

The next most common ingredient is something called Glycerin. It is also a moisturizer and acts as a humectant, which means that it attracts water from the upper layers of the skin down into the deeper layers to restore the water levels to your skin.

In summary, Petrolatum, Dimethicone and Glycerin, or similar closely related ingredients, form the primary foundation of most skin care products to which other compatible agents are added to perform different functions. Think of them as a vehicle to deliver other products to the skin. For example, almost all sunscreens contain these same three basic ingredients.

This "skin care vehicle" also carries other products used in the battle against aging and wrinkling skin. "Antioxidants" have been proven to protect skin against photo damage and premature aging. They neutralize "free radicals" which are found in the atmosphere and cause skin damage. Think of free radicals as disruptive invaders, which are known to cause premature aging and wrinkling of the skin. Antioxidants are the weapons of defense.

Certain Botanicals are used for their antioxidant properties. Botanical antioxidants include Rutin, found in apples and blueberries, Lutein, found in tomatoes and Carotenoids, which are chemically related to vitamin A. There are many other botanical antioxidants or combinations thereof, found in different facial creams, which are also effective.

Soybeans are a rich source of another antioxidant family, Flavonoids. Some of the cutaneous effects of soy have been linked to its estrogenic effect in postmenopausal women. Topical estrogens have been shown to increase skin thickness and promote collagen synthesis and skin elasticity. However, there is no solid scientific evidence that topical use of soybean products will correct hormone imbalances of a woman's body and will not combat mood swings and hot flashes!

Other ingredients which contain antioxidant capabilities include Silymarin, an extract from the milk thistle plant, green tea, a very popular ingredient in many skin care creams, and Retinol. Retinol, found in many fruits and vegetables, contains high concentrations of vitamin A.

Remember, most facial creams and skin care products contain many similar basic ingredients, no matter how expensive the item. Be smart and read the label and find a product that has the ingredients that fit your needs and more importantly fit your budget! Do not be impressed by elaborate bottles or famous and beautiful celebrities who tout their product for a very high fee! Choose a moisturizer, for example, that complements your skin type, and use it religiously to combat dry skin and premature aging. Do not be seduced by a product that is advertised to contain a sexy antioxidant not found in any other cream. Practically speaking, all antioxidants act the same way, to the same degree of effectiveness. Apply moisturizers right after bathing for maximum effectiveness and improve your skin care regimen immensely by simply drinking lots of water daily.

 
 
 

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Whether you are living in the northern part of the country where the winter has been cold and fierce, or in warmer southern climates, the necessity of identifying a good skin care regimen is vital to ...
Whether you are living in the northern part of the country where the winter has been cold and fierce, or in warmer southern climates, the necessity of identifying a good skin care regimen is vital to ...
 
 
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babybecks
"because I am involved in Mankind;"
12:05 AM on 01/27/2011
Agree with Dr. Rob- Mostly. I have had eczema, severe in the winter my entire life. I have done elimination diets, lived in different climates, tried to do all natural as possible, and I have finally found what works for me.

Since my income has grown I have been fortunate to be able to try absolutely everything under the sun, under and over the counter. Price does not equal results in the least. The only thing that has ever kept my skin baby soft on my face in the winter is CeraVe before my makeup in the morning, and Vanicream at night (both about 15 bucks each but last the whole season). The weather is brutal here, so I usually moisturize more than once a day when I need to. (My derm does help in fairness) but without a good moisturizer, nothing will work. And I skip the retin-a in the winter. But I never leave the house without a dab of Eucerin protection spf, it gives a good glow and barrier. I don't need to spend a small fortune, but vaseline makes me incredibly itchy, I don't think this is a good remedy for people with skin issues.
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Katbird
05:23 PM on 01/26/2011
What about argan oil? There's been a lot of talk about its benefits lately. More companies launching argan oil products as well.
11:52 AM on 01/29/2011
Argan Oil is the perfect ingredient... it's a pure moisturizing and balancing antioxidant which nourishes and protects the skin. You can use it alone or you can add it to anything to give it an antioxidant boost. Try Soelle Beauty's Organic Argan Oil... you can also get it at Whole Foods depending where you live.
10:01 AM on 01/26/2011
cannabis oil has incredible properties as an anti-oxidant, anti-fungal and analgesic. We're sure to see that in products in the near future as long as it falls below federal THC levels.
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planetjeffy
On the other hand, you have different fingers.
06:28 PM on 01/25/2011
I worked for a bath and body company, in product development for 10 yrs. Shea butter is the best moisturizer, period. I goes deep into your skin and heals most all dry skin problems - lips, elbows, heels, frequently washed hands... Buy the pure stuff. If it is too thick, apply it on wet skin. It is water soluble. Also has a natural SPF of 4.
02:49 PM on 01/25/2011
I have dry skin from low thyroid functions and all the creams on the market bothered me more then doing any good, so I found a recipe to make my own. I soak chickweed in light olive oil for a day then decant it to get the sticks out of the oil, then heat it gently with alittle beeswax to firm it up. This is the only thing that works on my skin. The dermatoligist gave me an over the counter cream that actually made my condition worse. When I went to him my rash was about the size of a quarter and after his medicine it covered a quarter the size OF my body. Its under control now but it was touch and go for awhile.
12:59 PM on 01/25/2011
Re Petrolatum - Allergy to petrolatum is more common than most people realize and it's in nearly everything. My daughter suffered for years before a dermatoligist through testing discovered it.
07:57 AM on 03/05/2011
What did you find she could use instead?
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purenergy
05:42 AM on 01/25/2011
Coconut oil. Natures natural dry skin remedy. Not only does it keep you skin subtle it help reduce acne and acts as an antibacterial. Also good for diaper rash as it kills the yeast that causes them. Oh and it also has a natural SPF of 8.
10:59 PM on 01/24/2011
This article says retinol "contains high concentrations of vitamin A." This is not an accurate description because retinol IS vitamin A. In addition, retinol comes from animal sources, such as eggs and milk, not vegetables and fruits. Beta-carotene, a precursor of vitamin A, comes from vegetables and fruits.
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HUFFPOST SUPER USER
Guitarsandmore
devoted father, community activist, musician, reti
10:54 PM on 01/24/2011
I thought a discussion about skin cream would surely acknowledge the attempts being made to use stem cell therapy as a way to restore skin to its original condition.
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HUFFPOST BLOGGER
Robert Tornambe, M.D.
10:04 AM on 01/25/2011
The premise of the story was to try to make readers aware of what ingredients are in many over-the-counter skin care products and to stress awareness. Due to constraints with regard to length of blogs, I could not explore the many alternatives out there, including recent advances in stem cell therapy. You offer an excellent idea for future articles!
08:53 PM on 01/24/2011
How can petroleum based, vaseline be good for you? It's petroleum. It isn't natural. Whatever is not direct from nature is not good for the skin. Same goes for food so whether it's topical or ingested, if it isn't natural it ain't good.
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steve12
12:39 AM on 01/25/2011
Petroleum is as natural as it gets. Oil comes from living matter that existed many millions of years ago, which includes dinosaurs, but not exclusively. Volcanos are also natural and it is believed may have been responsible for the greatest extinction event in the history of earth over 250 million years ago. Natural is neither good nor bad. It merely comes from nature and natural processes.
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purenergy
05:45 AM on 01/25/2011
petroleum jelly is a bi-product of oil refinement. It is a highly processed substance and is not found "in nature". Meaning, you can not go out and find petroleum, you have to process it.
05:20 AM on 01/26/2011
The greatest extinction event was 60 millions years ago. But whatever.
This user has chosen to opt out of the Badges program
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HUFFPOST BLOGGER
Nalini Chilkov
04:13 PM on 01/24/2011
A fabulous resource to find out what is in your cosmetic and body care products can be found at www.cosmeticsdatabase.com a website of environmental working group www.ewg.org. See my HuffPo article Is Your Makeup Safe http://www.huffingtonpost.com/nalini-chilkov/cancer-causing-cosmetics-_b_783412.html
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RMankovitz
Researcher, inventor, entrepreneur, author
03:39 PM on 01/24/2011
I prefer to use nature as a guide when it comes to matters of health. In the skin arena, fruit, coconut and palm fruit oils were arguably the first cosmetic ingredients to be used by primates, including humans. Although the article claims that retinol, a form of vitamin A, is found in fruits and vegetables, it is an animal product. What is found are carotenoids, which are vitamin-A precursors and, in some people, they can be turned into useful amounts of Vitamin A if certain enzymes are present.

Regarding fruit, it brings to mind some upcoming good news regarding recent developments in sunscreen technology. Known as Berrynol, it is totally plant-based, and non-toxic to the user and the environment. It is so safe it is edible. This patented breakthrough is based on how nature protects plants from UV damage. It relies on cyanins, which make blueberries blue and raspberries red.

The remarkable advantage of the Berrynol technology is that it not only filters UV, but also stops the reproduction of cancerous skin cells, while not harming healthy cells. Hopefully, ingredients like this will be designed into future sunscreen products. The technology is still in the formulation stage and I am the inventor. For research details, see:

www.berrynol.com

For a video presentation of Berrynol at the 2010 WBT (World's Best Technology) Showcase, see:

http://www.youtube.com/watch?v=lg7CqxTF42U

Roy Mankovitz, Director
http://www.MontecitoWellness.com
A research organization
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etiennemacchias
Thinking is anathema to religion.
02:02 PM on 01/24/2011
I read some time ago that glycerin actually saps moisture from the inner dermis to keep the outer layers hydrated, meaning it essentially dries your skin from inside out. Is this true?
07:53 PM on 01/24/2011
If you put straight glycerin on your skin and there is not enough humidity in the air it will dry your skin. However, if it is mixed with the right porportion of water and oils it seems to work fine. For people who don't like using lotions with glycerin, just a little bit of grape seed oil works well to keep moisture in the skin.
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etiennemacchias
Thinking is anathema to religion.
06:56 PM on 01/26/2011
Thanks for the info!
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eilish
Life ain't like a box of chocolates
01:54 PM on 01/24/2011
When my hair started thinning due to lupus I investigated what's in shampoos, which started a quest for organic hair products.

That led to organic skins products, and although I have no clue why, my 57 year old skin has improved greatly with reduced wrinkles, better color, lost the weird shadows underneath my eyes, etc.

I've discovered recently that my fav, Aubrey Organics, also does makeup so it might be goodbye Bare Escentuals.
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wakeupyouall
01:50 PM on 01/24/2011
Someone once said to me don't put anything on your skin you wouldn't eat. I uselemon flavored olive oil at night. Works great.
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purenergy
05:46 AM on 01/25/2011
Great advice. I use coconut oil :)