Friday, December 16, 2005

Healthy Bride: Facing Facts About Skin (Part 3)

If you've got the glow, great. But for most, beauty may actually be skin-deep! Michael I. Jacobs, M.D., a Manhattan specialist and clinical assistant professor of dermatology, Cornell Medical School-New York Hospital, tells why.

Q. I have two huge scars on my face left over from when I had chicken pox as a kid. I'd like to do something about them in time for my wedding. Can this be corrected with chemical peels?

Chemical peels, like glycolic acid peels, are better for fighting off aging. There are three ways a chicken pox scar can be handled. One would be to have it excised-a tiny excision-then sutured by a plastic surgeon. The second would be to inject it with collagen if the scar is not very big. The third would be to use a carbon dioxide laser. This is a new technique to smooth out a lot of scarring. There is also Retin-A if you have more superficial scars, but lasers really are the new thing in the area.

Q. I have huge pores, which I'm afraid are going to show up in my wedding pictures. Have you got any pointers?

You should use a topical antibiotic in an alcohol base, which slowly shrinks the pores. This is something that has to be prescribed. Stay away from moisturizers that tend to clog the pores. And don't use toners and astringents instead of soap cleaners because they can't remove bacteria as well.

Q. Is there a way to "wash out" blackheads? I was always told not to pick at my face or I'd get permanent scars.

That's true. The best way to deal with blackheads is with a topical antibiotic or Retin-A, both of which have to be prescribed by a doctor. Oral antibiotics can be given for more severe cases and for acute breakouts that you want to get over quickly. But I don't recommend them on a long-term basis because they can cause yeast infections and other side effects.

Q. I'm the proverbial jittery bride, who will probably be up the whole night before our wedding. What can I do about circles under my eyes?

Makeup! There's nothing else.

Q. Is that how you get the bride's radiant glow? By using makeup? Or does it come from lots of moisturizers? Or is it all really a myth?

I'm not sure about the famous "glow" but it may not have anything to do with skin at all. It may have to do with happiness…

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