Embed Size (px)
Citation preview
SKIN HEALTH
Ph
oto
: Ste
ve
n L
iPP
ma
n Baring it allSupermodel mom Marisa Miller’s beauty has been turning heads
for years, but when it comes to her skin, sun safety always trumps style.
An Independent supplement by medIAplAnet to usA todAy
summer safetyeveryday tips for protecting your skin
eczema awarenessFighting the chronic itch
Wound careseek a specialist
June 2013
2 · june 2013 An independent supplement by mediAplAnet to usA todAy
CHALLENGESThe summer months bring beach vacations, barbeques and ballgames… and hopefully a great deal of sunscreen.
Healthy skin goes deeper than the surface
With so much outdoor activ-ity in summer months, it is also the per-
fect time to focus on simple yet powerful steps to reduce your risk for skin cancer and prevent premature skin aging.
Basal and squamous cell carcinomaSkin cancer is typically classified as non-melanoma or melanoma. Basal cell carcinoma and squa-mous cell carcinoma originate in the deepest and top layers of the skin, respectively. These non-melanoma cancers occur more frequently in the population, but do not typically spread beyond the skin.
MelanomaMelanoma is a different story. It is the most dangerous and aggres-sive form of skin cancer, affecting one person every eight minutes and taking the life of one person every hour. Over the past 30 years, melanoma incidence has tripled
remains grim for most patients. Exposure to UV radiation
increases the risk of developing melanoma, and those same dam-aging rays are also responsible for aging the skin. Genetics do factor into a person’s risk of developing
Dr. PiaseckiHealthy skin for a healthy you.
We recommend
pAge 4
Skin heaLth, 3rd edition, june 2013
Publisher: kate [email protected] Developer: jourdan [email protected] Director: Luciana [email protected] Manager: Sara [email protected] Designer: alana [email protected]: caroline Park
Contributors: julie Block, Landon donovan, nicole Gray, marisa miller, dr. justin Piasecki, rena revivo, Wendy k.d. Selig, dr. Susan Weinkle, joshua Zeichner md
Distributed within: uSa today, june 2013this section was created by mediaplanet and did not involve uSa today or its editorial departments.
mediaplanet’s business is to create new customers for our advertisers by providing readers with high-quality editorial content that motivates them to act.
FoLLoW uS on FaceBook & tWitter! facebook.com/MediaplanetUSAtwitter.com/MediaplanetUSA
Wendy K.d. Selig
melanoma, but everyone, no mat-ter their skin color, is at risk for melanoma and other skin cancers.
Reduce your riskFollow these simple steps to reduce your risk for melanoma and guard against sun damage and premature aging:
1 Protect yourself from the sun’s damaging rays: Use a
broad-spectrum sunscreen of at least SPF 30 every day. Hats, sun-glasses and UPF protective cloth-ing also help.
2 Avoid indoor tanning: Indoor tanning exposes you
to the same dangerous rays and has been shown to increase the risk of developing melanoma by up to 75 percent.
3 Check your skin regularly and visit a dermatologist if
you see any of the ABCDE’s of mel-anoma or other changes in your skin.
ThE ABCDE’S of MELAnoMA WHAt to look out For In moles/lesIon
Asymmetry unusually shaped moles (one half does not look like the other)Border Irregular or jagged bordersColor multiple colors in the same lesionDiameter greater in diameter than pencil eraserEvolve Changing in size or thicknessThere have been great strides in melanoma research recently; two newly-approved therapies
have given patients and doc-tors more weapons in their arsenal than ever before. But, critical research in melanoma and other skin cancers must continue, and the message of prevention must be shared. Enjoy yourself this summer; get outside; be active. Remember to practice sun safe behaviors and encourage friends and family to do the same.
in the U.S., and it is the second most common cancer diagnosed in people 15–29 years old. The good news is that melanoma is almost always curable when caught early. However, once it spreads through-out the body, the prognosis
Find excluSive online content at SiteS.mediaplanet.com/ SKin-healthWendy
K.D. Selig president & Ceo of the melanoma research Alliance (mrA), the largest private funder of melanoma research.
4 · june 2013 An independent supplement by mediAplAnet to usA todAy
INSIGHT
■ the skin is the largest organ in the body and one of the most important. keeping it healthy means a longer, happier and more youthful glow. the health of your skin is largely in your control.
In general, a simple regimen for skin care is best. Washing your skin in the morning and night with lukewarm water and a gentle cleanser is appropriate to remove dead skin, makeup and dirt. Avoid bar soap or cleansers that tend to dry your skin. A daytime mois-turizer after the morning wash is necessary, since most human
skin after the age of 30 loses some of its ability to keep moisture in. A broad spectrum sunscreen with an SPF of 30 or greater is also essential to protect your skin from harmful UV rays that cause cancer and premature aging.
Take your vitaminsThere are countless products on the market for use after an eve-ning facial skin wash. Ingredi-ents to look for to keep your skin healthy: Vitamin E — one of the most powerful antioxidants we have but our body does not make it, Vitamin D — without it skin becomes fragile and saggy and
with age loses up to 75 percent of its ability to synthesize it; Vitamin A—decreases pore size, improves texture, decreases breakouts and the appearance of fine lines; lastly, Vitamin C is a powerful anti-oxidant that decreases blotchy appearance of irregular brown pigments in the skin.
also important: Folate (spinach) is important in DNA repair and may decrease the development of skin cancer; Omega 3 fatty acids (flaxseed oil, salmon) increase moisture of skin and decrease fine lines; lycopenes (cooked toma-toes) are powerful antioxidants; Flavanols (present in dark choco-late) help protect the skin from the effects of UV radiation; and selenium (tuna) decreases elastin loss in the skin and thus slows down the appearance of saggy aging skin. Don’t forget hydration which is very important for skin health and 6-8 glasses per day are optimal.
Follow this advice to keep your skin looking refreshed, rejuve-nated and as young as you feel!
tHe skInny on skIn HeAltHhoW To KEEP A yoUThfUL gLoW
dr. JuStin piaSecKi
ThE foUnTAin of yoUThDr. Justin
Piasecki dishes on how to keep
your skin healthy with his natural
remedies. Photo:
BoBBy Quillard
(www.Quillardinc.
com), ali levine
(StyliSt), marine
marudyan (mua)
Eat rightMany of these same ingredients are important to have in your diet: carrots contain Vitamin A; sweet potatoes and apricots are very high in Vitamin C; fish, eggs and soy all are high in Vitamin D; and almonds are chock full of Vita-min E. Other dietary additives are
june 2013 · 5An independent supplement by mediAplAnet to usA todAy
NEWS
nicole gray
rena revivo, Founder Spa de [email protected]
■ Why is it important to use anti-aging products?
When people see the phrase “anti-aging” many think these products are for men and women 45 and older. Adults in their twenties should consider using a natural anti-aging cleanser and moisturizer to help protect the skin from premature aging.
■■ What are the best ways to pre-vent wrinkles?
1. A skin care routine of cleans-ing every evening, moisturizing, and exfoliating in the morning twice a week. 2. Stop smoking. Heavy smokers are almost five times more likely to show excess wrinkling. 3. Maintain a healthy and vitamin rich diet.
Q&a
Damage from the sun can lead to dark spots, changes in collagen, wrinkles and dilated blood vessels.
While these concerns are cos-metic, according to Joshua Zeich-ner, MD, Director of Cosmetic and Clinical Surgery at Mt. Sinai Medi-cal Center in New York City, “A lot of the negative cosmetic changes in the skin indicate an underly-ing medical, and possibly pre-cancerous, condition. Therefore, many medical skin treatments, such as photodynamic therapy (PDT) and Fraxel laser treatment, also enhance appearance.”
SchlerotherapyThis is also true of schlerotherapy, a treatment for varicose and spi-der veins, which affect 50 percent of the population by age 50 and 80 percent by age 80. Dermatologists perform this procedure by inject-ing medications into the affected
DERMAToLogiC SURgERyWhere medical and cosmetic concerns intersect
logic Surgery, Moh’s surgery is the ideal way to surgically remove skin cancer when there’s doubt about how extensive the can-cerous site it. She explains, “You excise the cancer with the patient under local anesthesia. While the patient waits, you examine the tissue microscopically to see if the margins are clean. Many times you get it the first time, though sometimes you have to go back. This approach is less dis-figuring and there is a 98 percent cure rate.”
“A lot of the negative cosmetic changes in the skin indicate
an underlying medical, and
possibly precancer-possibly precancer-possibly precancerous, condition.”
veins. Mitchel Goldman, MD, President-Elect, American Soci-ety for Dermatologic Surgery, a vein-treatment specialist, points out the medical connection. He says, “Fifty percent of people with varicose veins have a lifetime risk of pulmonary emboli, leg ulcers and blood clots. Treatment improves appearance, patients’ well-being, and it also signifi-cantly reduces medical risk.”
Moh’s surgeryWhen it comes to skin can-cer, there are different surgical options. According to Dr. Wein-kle, Immediate Past President, American Society for Dermato-
6 · june 2013 An independent supplement by mediAplAnet to usA todAy
PERSPECTIVE
nicole gray
As humans, we are hardwired to love the sun, to crave its light and bask in its warmth. Solar deities are a universal part of cultural history. The ancient greeks had Apollo, the olympian god of light, just as the hindus celebrated the sun god, Ravi, and the Chinese paid hom-age to the sun goddess, Xihe. Ancient Egyptians had at least five distinct sun-related deities. The sun has always been celebrated for its power and as a source of life. So it is especially ironic that our universal fascination with the sun has become a source of disease—and even death.
Skin cancer, which is caused by the sun’s carcinogenic ultraviolet (UV) radiation is the most com-mon form of cancer in the United States, with more than 3.5 million cases diagnosed in 2 million peo-ple each year. Every 57 minutes, someone in the United States dies from melanoma, the most fatal skin cancer. Meanwhile, the prevalence of all skin cancers has increased: Between 1992 and 2005, treatment of non-melanoma skin cancer increased by 77 percent, while overall prevalence of mela-noma increased by 800 percent in women and 400 percent in men between 1970 and 2009.
Risks of sun exposureAccording to Susan Weinkle, M.D., Immediate Past President, Ameri-can Society for Dermatologic Surgery, skin cancer prevalence
Enjoy summer and stay safe with these sun-protection tips
is increasing not only because people want to look tan, but also because of changes in the ozone layer that allow UVA and UVB rays (the most dangerous form of UV) to penetrate more intensely. The result: more sunburns, damaged skin cell DNA, visible signs of rapid aging and an unprecedented increase in skin cancer.
Practicing sun-protective behaviorDr. Weinkle says, “People should practice sun-protective behavior on a daily basis—just like brush-ing your teeth.” Sun-protective behavior means wearing sun-screen (reapply every 2 hours), avoiding sun exposure between the peak hours of 10 am and 4 pm, and wearing a wide-brimmed hat and UV-protective sunglasses.” She cautions that sun protection
is a year-round necessity. Even on cloudy, overcast days, 80 percent of the sun’s UV rays penetrate. This advice applies to everyone regardless of ethnicity.
As people begin to accept that the freewheeling days of unpro-tected sun exposure are over, they are looking for guidance. The Skin Cancer Foundation has compiled a list of products that come with its Seal of Recommendation, including sunscreens, cosmetics, UV-protective fabrics and cloth-ing, and UV-protective sunglasses and glass. A few examples include Coppertone, Banana Boat, Rite Aid, Avon, RIO Brands umbrellas, Columbia Sportswear and Cop-pertone Lenses sunglasses.
hE SAiD, ShE SAiD Landon Donovan and Marisa Miller talk skin care
Mediaplanet: Do you believe men are more reckless when it comes to skin care than women are? Why or why not?Landon Donovan: Absolutely. In 2012 The Skin Cancer Founda-tion issued a survey evaluating sun education awareness, finding that nearly half of men don’t wear sunscreen. That’s why I partnered with the Foundation to launch an awareness campaign to educate men on this issue.
MP: What is one simple step men can take this summer to start a healthy skin regime?LD: It’s as simple as making sure you slather on that sunscreen every time you head outdoors or put on a hat to protect your face from the sun. Also, take time once a month to examine your skin from head-to-toe, and see a physician once a year for a professional skin exam.
A MAn’S WoRLDU.S olympic Soccer Player Landon Donovan empowers men to be proactive towards their skin health.
june 2013 · 7An independent supplement by mediAplAnet to usA todAy
PERSPECTIVE
hE SAiD, ShE SAiD Landon Donovan and Marisa Miller talk skin care
MP: Are there any major differences between men’s skin care requirements and women’s?LD: Nope—anyone and everyone needs to take the same precau-tions when it comes to the sun and protecting yourself outdoors from dangerous UV rays.
MP: As an athlete you spend a lot of time outdoors. What tips do you have for other athletes in regards to skin safety?LD: It’s easy to forget how strong the sun is when you’re on the field; but anyone spending time out-doors, especially those of us who make a career of it, should spend a few minutes applying sunscreen before heading out or seek shade whenever you can. It could make a difference, and ultimately may save your life.
Mediaplanet: Do women have to choose between time in the sun or healthy skin? how can they find a balance?Marisa Miller: You need to be smart about sun protection but it would be unhealthy to not get some sunshine. Sunscreen is really important and you should find one that isn’t loaded with chemicals. Diet can play a role in your skin health as well. Omega 3’s and lyco-pene, found in tomato paste, can help protect you from burning.
MP: how important are regular checkups with a dermatologist for women?MM: It is very important to get checked by your dermatologist once a year. We all know early detection is key in fighting cancer. My uncle got stage 3 Melanoma and it was a huge wake up call for me. I went to the dermatologist that week and I had a mole removed on my [email protected]
MP: how do you still maintain a healthy glow without exposing yourself to harmful UV rays?MM: There are so many wonder-ful products out there to give you the color you want. If you want to look tan, using self-tanner or bronzer is smart way to do that. Baking yourself in the sun makes your skin dehydrated looking as well, so it just isn’t worth it.
MP: What steps do you plan to take to ensure your baby boy’s skin health?MM: First it starts with diet and since I’m nursing, I make sure I’m getting enough healthy fats, omega 3’s and dark leafy greens. For skin care, after his bath, I use organic coconut oil on his body. I also make sure he’s getting some short amount of sun exposure as getting Vitamin D is important.
fUn in ThE SUnMarisa Miller stresses the importance of sun safety and skin nutrition. Photo: Steven liPPman [email protected]
A MAn’S WoRLDU.S olympic Soccer Player Landon Donovan empowers men to be proactive towards their skin health.
8 · june 2013 An independent supplement by mediAplAnet to usA todAy
ThE EXiLE of ECzEMAthere is hope for a relief
NEWSEczema, also known as dermatitis, is an equal opportunity inflammatory skin disease that affects men and women equally, as well as individuals from every ethnic group. it affects 17 to 20 percent of children, and 7 percent of the overall population.
Though there are different types of eczema, common symptoms include itching, redness, peeling, rough patches, and blistering. During flare-ups, the skin may become “weepy.”
Eczema is widely misunder-stood. According to Julie Block, Chief Executive Officer, National Eczema Association, “There is
a lack of appreciation for the immense burden of this disease—the loss of sleep, itching, constant use of products, and ongoing search for relief. Many people are embarrassed about it. In fact, eczema is a chronic condition that does not always respond to cur-rent treatments.”
Living with eczemaAddressing the itch treatments for eczema include topical corti-costeroids and topical calcineurin inhibitors, which reduce inflam-mation, as well as antibiotics and
photodynamic therapy for more severe cases. Block also recom-mends wet-wrap therapy and using a humidifier.
Joshua Zeichner, MD, Director of Cosmetic and Clinical Research, Mt. Sinai Medical Center, says, “Eczema may wax and wane over time. Typically it flares up in win-ter, when the weather is dry and cold.” Dr. Zeichner emphasizes how important it is to moisturize and avoid allergens. In addition, Susan Weinkle, MD, Immediate Past President, American Society for Dermatologic Surgery, says,
“Eczema is aggravated by surface bacteria on the skin. A rigorous regimen of washing and drying is important.”
A promising futureNow for the good news: Accord-ing to Dr. Weinkle, most children with eczema resolve by the age of five. Dr. Block emphasizes that research is ongoing—there are two promising therapies in the pipeline. Also, the National Insti-tutes of Health conducted itch research, highlighting one of the major burdens faced by individu-als with eczema. “There is hope,” she says. “Never give up.”
nicole gray
pAId by AdvertIser
10 · june 2013 An independent supplement by mediAplAnet to usA todAy
Good foot care keeps minor wounds minor
Staying on your feet with diabetes
it starts with something minor, maybe a blister. But if not cared for promptly and carefully, it can eventually become very serious.
A small cut or blister on the foot that might a minor issue for most people can become a potentially life-threatening problem for the 26 million Americans who have diabetes. Elevated glucose leads to neuropathy, which causes loss of sensation in the extremities. “When sensation is limited, small wounds, such as blisters from poorly fitting shoes, cause no pain, so you aren’t aware of them until they become serious,” explains Jaime Carbonell, DPM, foot sur-geon in Miami. If untreated, a blister or small cut can become a diabetic foot ulcer (DFU), which is the biggest risk factor for amputa-tion,” explains Lee C. Rogers, DPM, co-director of the amputation prevention center at Valley Pres-byterian Hospital in Los Angeles.
“Diabetes is a chronic problem
■■diabetic foot ulcers are wounds that can develop on the feet of people with diabe-tes. they are often difficult to heal and may become chronic in nature.
■■ Among people with diabetes, up to 25 percent experience a dFu in their lifetime.
■■ A diabetic foot sore present for more than 30 days may be 4-5 times more likely to develop an infec-tion.
■■ good foot care and proper footwear may help to prevent dFus.
■■ A wound care specialist is a health-care provider who focuses on evaluating and treating non- healing wounds. these specialists can help patients deter-mine the best treat-ment for their dFu.
Call in the teamDaily foot care and glucose control are essential, but proper foot care requires teamwork, especially once you have a wound. According to Dr. Rogers, no single medical specialty is capable of providing the care necessary to prevent and manage foot ulcers. Regular visits
to a podiatrist are essential. But once you have a DFU, the team will consist of, at minimum, a vascular surgeon and a diabetic podiatrist, but may well require an infectious disease specialist, a wound specialist, and others as well.
While diabetic neuropathy is the most common cause of DFU, poor blood supply caused by peripheral artery disease is another contributing factor. Wounds heal more slowly when there is poor blood supply to the area, explains William Marston, MD, vascular surgeon at The University of North Carolina’s Wound Healing and Podiatry Cen-ter. “Those with poor blood supply are at highest risk of limb loss,” says Marston.
If you have diabetes, good glu-cose control and daily foot care are crucial. Once you have a wound, a dedicated team of can keep you on your feet.
that requires daily care,” says Dr. Carbonell. In addition to glucose control daily care means checking your feet for any signs of trouble. Dr. Rogers recommends watching for changes in the color of calluses and monitoring your feet for red-ness or warmth, which are signs of inflammation.
knoW the FactS
NEWS
“If untreated, a blister or
small cut can become a
diabetic foot ulcer (DFU), which is the biggest risk factor for
amputation.”Lee C. Rogersd.p.m., Co-director; Amputation prevention Center at valley presbyterian Hospital
avery hurt
june 2013 · 11An independent supplement by mediAplAnet to usA todAy
