So that is the end of the, I guess the treatment paradigm for the solar or Sun effects on the skin and the aging it causes but it can still cause other problems too. Can’t it?
Lisa Rush: Yes…
Dr. James Southwell-Keely: Tell us about those?
Lisa Rush: So obviously, we have got things like your skin cancers.
Dr. James Southwell-Keely: Yeah…
Lisa Rush: Yeah, so your Skin cancers, we obviously need to prevent and yeah… Right over to you…
Dr. James Southwell-Keely: So, everything that we have mentioned before with a prevention , also in terms of preventing the solar aging effect , the photo aging effect, can also work in the prevention of the skin cancers. Be that bloopering hats and sunscreens we have mentioned, avoiding the heat in the middle of the day between 10 and 3, etc. Emm.. The cancer has not always just bring up as a cancer, that often develops from a pre-cancerous contour , patchier, lesions, call it what you will and in some instances you can treat those with creams, you do not need to jump straight into surgery. That could be a JP helping you, advising you on that, that could be your skin specialist or that could be your dermatologist or it could be someone like myself or of course yourself who take these things all the time in their clinic and says that this is something that might need a different sort of treatment.
Lisa Rush: Yeah, absolutely. I guess we use individuals that are really good to get to know your skin and what’s normal for you and you know identifying anything that looks a little abnormal whether if it’s a little bit of dry, rough, scaling on the skin or anything you know that keeps changing.
Dr. James Southwell-Keely: Emm… To be very innocuous. If you have a doubt, take a photo on your phone, just download it on your computer, focus on that skin spot on your shoulder and then take a photo in another 6 months, 12 months and then you will get this collection that you can monitor and then when you can come to a clinician and say – Look I think this is changing. We are only seeing it for the first time but you say look at this file or folder of different photos of that same spot and we can really see that and may be that changes the way we think about the way of treating it.
Lisa Rush: Yeah, absolutely. So the question is, Can we reverse Sun damaging?
Dr. James Southwell-Keely: Absolutely, I think we went do that.
Lisa Rush: I think, yeah…
Dr. James Southwell-Keely: And then I guess, moving on from that very point, the answer is to how you reverse depends on the problem that you have as a result of your sun exposure. We are all a bit different, may be you come over with a patchy pigmentation on your cheek and excess-ivation of your melisma or may be your acne scars have been looking worse because of the surrounding inflammation in the skin which made the skin pump up but you are not plumping up at the point where there is acne scarring. May be we need to address the skin re-surfacing and rehydration, is it a problem with fine wrinkles or there is a problem with coarse wrinkles and where do you go and what do you do? This is a volume issue.
Lisa Rush: Yeah, absolutely. So does anyone have any questions? I can see quite a few people have joined in. Hello everyone.
Dr. James Southwell-Keely: Hey there. What is your favorite treatment for dry skin?
Lisa Rush: Look, I would like to firstly get a great home care routine, so getting all kinds of Ceramides on to the skin, may be introducing some really sort of gentle treatments, you know mild lactic pills, just to put in a little bit of moisture back to the skin and then also booting the skin with some kind of therapies. I also actually am fine even when I do things like micro-needling. It actually does boosts people’s skin to become a lot less dry than it was before. So it does help in making the skin better.
Dr. James Southwell-Keely: Yes, you are really establishing that kind of normal homeostasis instead of it being lost. And essentially the Sun, love it as we do, is a constant source of damage, you know constantly being aggressive towards our skin and any of these treatments just start reversing that process. I mean it might be a beautiful only last treatment, doesn’t it?
Lisa Rush: Yeah, absolutely, it’s fantastic.
Dr. James Southwell-Keely: So, when it comes to fine-wrinkles then, what do you think?
Lisa Rush: Fine wrinkles. Look again, I would like to look at the age of my clients so and also how deep those fine-wrinkles are. So, you know you can get some improvements may be sometimes with things like skin treatments like needling or they may need to go for anti-wrinkle injections. Yeah…
Dr. James Southwell-Keely: And, in terms of anti-wrinkling, what are the products that you use?
Lisa Rush: Yeah, so we tend to use a purified protein that is basically injected into the muscle and it stops the muscle from producing any chemical which usually tells it to move, so essentially that muscle goes into a bit of a sleepy state for approximately 3-4 months which then enables that skin to settle back down. Think of it as a bit of paper, you know, when you are not folding it down. You then, incorporate your other skin treatments to boost and stimulate the collagen and elastin and you know, strengthen that really on top, and ultimately, you can get even better result.
Dr. James Southwell-Keely: Nice, what about coarse wrinkles? Where do they tend to occur?
Lisa Rush: Yeah, absolutely. So, I mean look coarse wrinkles, we tend to see a lot in the upper face area and then obviously if it is quite severely damaged that patients have got them obviously throughout the cheeks, it can happen anywhere essentially . But, you know coarse wrinkles, you know, you may need to do things like needling, laser treatments, as well in combination with other things like the anti-wrinkle injections, dermal filler, and obviously you know the people that do have quite a lot of elasticity loss can again in time get surgical procedures.
A: Timely Surgery. Yeah… I think good cosmeceutical is an important part to all of this discussion, because it is not only continuing the good work that started in the clinic, while you are at home, it’s an ongoing maintenance. Isn’t it?
Lisa Rush: Absolutely.
Dr. James Southwell-Keely: If you just come in and have a treatment, you look great but you have to constantly look into regular treatments and then you know you cannot get the full benefit out of that. But because then if you take a part of that treatment at home , it’s a lighter version of what we are using here at higher concentration, may it be a chemical peel, be it hydraulic acids, etc. But it’s just a constant maintenance that you can do at home; you can do it yourself, in your own time.
Lisa Rush: Yeah, I agree. So we really encourage patients to come in for complimentary consultation. We can then educate you on how to best look after your skin and then we can also look at products and ingredients that are best suited to your skin and then obviously make a recommendation for a treatment with us as well.
Dr. James Southwell-Keely: Back to Prevention then, if no one else has a question. Tell me about the different sun-screens available just in broad terms, not the brands names, but…
Lisa Rush: Yeah, absolutely. So, there are two categories really of sunscreens, you have got what’s called your Physical sunscreens and then also your Chemical sunscreens. Now how do they differ? Your Physical sunscreen tend to use minerals that are purely applied at the very top surface of the skin and then obviously , when the UVA or UVB rays try to penetrate the skin, it causes a deflection of that rays.
Dr. James Southwell-Keely: Just like Zinc, like putting zinc on your nose.
Lisa Rush: Absolutely. Things like your Zinc, your titanium dioxide. The Chemical sunscreens on the other hand, are absorbed into the skin and then when that UVA or UVB rays hits the skin, it actually turns that UV ray into heat and that heat is then dissipated out of the skin surface. Yeah… So you know…
Dr. James Southwell-Keely: So you know, they can be a hugger on a hot summer’s day…
Lisa Rush: No. Basically you know why would we choose one over the other? Well, look general rule of summer say, to the patients is that any sunscreen is better than no sunscreen, Step 1. But you know if I have got a patient who has got a different skin type, say one which is more sensitive than the other or that kind of an issue where they can’t quite handle the chemical sunscreens which can be a little thick and annoying…
Dr. James Southwell-Keely: They bond to the cells, don’t they?, they have to in order to work but sometimes that active chemical bonding is irritating. Well, sometimes it’s one of the purifying agents, something that’s added to the mix.
Lisa Rush: Absolutely, so if you have acne skin or you know rosaceous skin sometimes that might aggravate you a little bit more, so than obviously the physical sunscreens…
Dr. James Southwell-Keely: Are the better ones. And are there any good ones out there or is it just a little Zinc is all?
Lisa Rush: Look, there is some very good ones out there and look it’s all about you know , I say to patients, skin care is often in categories, so you have got a lot of your over the counter products that are designed for anyone to go and pick them up and they won’t put any harm to the skin. You’ve then got your cosmeceutical products which basically are products that you tend to get in practices such as ours that have got ingredients that are much more tailored to not only protect the skin but calm the skin…
Dr. James Southwell-Keely: Which often have high concentrations than things that are over the counters or mixed in a way that you can’t really sell them over the counter, for that very reason. But, when they are combined, they are much more effective.
Lisa Rush: Yeah, Absolutely, absolutely… Any questions, anyone?
Dr. James Southwell-Keely: I think, we have almost reached the end of our time. We have prattled on for quite a few minutes.
Lisa Rush: Well, we will know about that.
Dr. James Southwell-Keely: But, as always, it has been a pleasure. What did we talk about again, today?
Lisa Rush: Sun damage and how do we prevent it, sunscreen
Dr. James Southwell-Keely: Sunscreen ,yup.
Lisa Rush: Sun avoidance.
Dr. James Southwell-Keely: And reversal of the deleterious effects of the Sun.
Lisa Rush: Yeah.
Dr. James Southwell-Keely: And treatment.
Lisa Rush: Absolutely and remembering booking for complimentary consultation, you can find the details on one of our Woollahra Health and Beauty Facebook page, we have also got our Woollahra Health and Beauty website with a link in there, where you can send any questions, any information through and then one of us will get in touch with you about scheduling you in.
Dr. James Southwell-Keely: Fantastic.
Lisa Rush: Don’t forget to like, share and tag and yeah getting this video out there will be great. And I’m sure we will be back next month, with another topic.
Dr. James Southwell-Keely: Absolutely… Alright, thank you so much for tuning in and we look forward to seeing you again at Woollahra Health and Beauty.
Lisa Rush: Ok, Buh-bye.
Dr. James Southwell-Keely: Bye.