{"id":345097,"date":"2014-05-21T10:11:43","date_gmt":"2014-05-21T02:11:43","guid":{"rendered":"http:\/\/www.mariefranceasia.com\/uncategorized-hk\/15-questions-ask-dermatologist-40-345097.html"},"modified":"2014-05-21T10:11:43","modified_gmt":"2014-05-21T02:11:43","slug":"15-questions-ask-dermatologist-40","status":"publish","type":"post","link":"https:\/\/www.mariefranceasia.com\/hk\/beauty-hk\/beauty-sos-hk\/15-questions-ask-dermatologist-40-345097.html","title":{"rendered":"15 questions to ask a dermatologist after 40!"},"content":{"rendered":"

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At 40, our skin is the reflection of our experiences, especially its repeated assaults by the sun<\/a>, responsible for photo-ageing.\u00a0Of course, some skin types (darker skin) are less at risk than others, but they are at risk nonetheless.<\/p>

It is enough to look at an unexposed area our skin (a square inch of the butt, miraculously spared, for example) to get an idea of \u200b\u200bthe treasure we would have possessed had we never put it under the sun.\u00a0Tobacco and alcohol<\/a> also exert their harmful influence, as well as certain medications or disease.<\/p>

When internal hormonal factors are superimposed on this the long history of your skin journey, it becomes urgent to establish \u201can intermediary\u201d.\u00a0Otherwise, you risk spending a lot of money in cosmetic or inappropriate and unnecessary aesthetic techniques.<\/p>

Do not forget either that the skin, protective and beneficial against external aggressions, is also a mirror to what is happening inside.\u00a0\u201cDermatology is just as much a form of internal medicine,\u201d says Dr Dutouquet.\u00a0That is why, to take good care of it, it is important to first consult with a dermatologist.<\/p>

MY SKIN IS LOSING ITS LUSTRE, HOW CAN I REGAIN IT?<\/span> <\/h2>

\u201cA sallow complexion occurs mainly due to the action of sunlight and tobacco,\u201d says Dr Dutouquet.\u00a0\u201cThe enormous progress in sunscreens suitable for all skin types allows us to limit the damage, provided they are put on frequently and in sufficient quantity.\u00a0Moreover, a decrease or quitting of cigarettes can be beneficial.\u201d Otherwise, days off from smoking can be multiplied by thalassotherapy.<\/p>

MY CHEEKS FLUSH RED FREQUENTLY.\u00a0SHOULD I TREAT THAT?<\/span> <\/h2>

Rosacea is an inflammatory disease of vascular origin which particularly affects fair-skinned people between 40 and 50 years.\u00a0It can manifest as transient redness (flushes) or permanently at the nose and cheekbones, small dilated vessels (of \u00e9rythrocouperose stage) or inflammatory pimples<\/a>.\u00a0The disease is triggered by surges, for some, of too much spicy food or alcohol, a sudden change in temperature, too intense exercise, etc.<\/p>

Only a dermatologist can diagnose rosacea and propose, at each stage, the most appropriate solution. \u201cThe treatment is effective.\u00a0It is based on the prescription of antibiotic drugs to be applied locally (emulsion, cream or gel) or taken orally,\u201d says Dr. Jean-Luc Schmutz, chief of dermatology at the University Hospital of Nancy in France.\u00a0\u201cIt may be supplemented by a few sessions of vascular laser treatment, very useful for this purpose.\u201d<\/p>

With this condition, the skin is generally sensitive, so it is better to use cleansers without soap, and instead use moisturizers with fluid creams, getting rid of all products which are too greasy and occlusive.\u00a0Irritating cosmetics (containing alcohol or fruit acids) are not recommended.\u00a0Also avoid scrubs that irritate the skin and cause redness.<\/p>

For sun protection, opt for an SPF30<\/a> solution with a fluid texture.<\/p>

HERE I AM WITH PIMPLES LIKE A TEEN, IS THIS NORMAL?<\/span> <\/h2>

It may be acne around the mouth occurring in adult women during menstruation;\u00a0acne rosacea that was mentioned above;\u00a0or the type that re-emerges when you stop taking the pill.\u00a0\u201cDiane (brand of pill), for example, limits the acne phenomena,\u201d says gynaecologist Sylvain Mimoun.<\/p>

So if we cease consumption of the pill, acne reappears because the anti-pimple action no longer exists.\u00a0On the contrary, it is sometimes just taking a pill or progesterone with too androgenic effects that stimulates the appearance of pimples, oily skin, hair, etc.\u00a0The gynaecologist prescribes them as they very effectively relieve pain in the breast, but sometimes at the cost of some side effects.\u201d<\/p>

\u201cThere may also be external factors favouring occasional breakouts (dental infections, sinusitis, or infection in the digestive tract),\u201d said Dr Claude Dutouquet.\u00a0\u201cCauses of the appearance of these pimples are different, thus the treatments prescribed by the doctor will be too.\u00a0The dermatologist refines them based on skin type and sensitivity of each individual.\u201d<\/p>

MY BODY IS COVERED WITH BROWN SPOTS, HOW TO REMOVE THEM?<\/span> <\/h2>

The most common forms, formerly called \"cemetery flowers\" or \"age spots\" are due to excessive and repeated sun exposure.\u00a0They are unsightly, but harmless.<\/p>

\u201cThe most common de-pigmenting creams are little or not at all effective in this case,\u201d said Dr. Claude Dutouquet.\u00a0\u201cIn contrast, dermatological therapies actually give results: cryotherapy (cold therapy);\u00a0certain peelings (application of various chemicals to destroy the superficial layers of the skin);\u00a0some lasers and pulsed light technology.\u00a0These have been recently made huge advancements and really revolutionized the treatment of brown spots.\u201d<\/p>

We can treat the face, neck, cleavage, hands and possibly arms and legs.\u00a0It often takes a few sessions, depending on the severity of skin lesions.\u00a0Their prices vary substantially depending on the technique used by the dermatologist.\u00a0It is obviously necessary to continue to protect oneself with sunscreen to avoid too rapid a recurrence of these imperfections.<\/p>

Moreover, it is highly recommended to show one\u2019s skin to a specialist at least once, some brown spots may actually be, or become, melanoma.<\/p>

I SWEAT MORE THAN BEFORE, ARE THERE ANY SOLUTIONS?<\/span> <\/h2>

Stress is a great amplifier to sweating.\u00a0It is not for nothing that it is called \u201ccold sweat\u201d.\u00a0In fact, some stressed women<\/a> put on antidepressants or neuroleptics see in their sweating reduce significantly.\u00a0Menopause may also be a cause, what with the famous flushes.<\/p>

Hormone replacement therapy (HRT) prescribed by the gynaecologist (in the absence of counter-indications) may play a beneficial role in many patients.\u00a0\u201cBotulinum toxin is a good way to significantly reduce sweating (especially under the armpits),\u201d adds Dr Dutouquet.\u00a0The effect lasts for about seven to twelve months depending on the case, after which you can repeat injections.<\/p>

MY HAIR is becoming SPARSE, IS IT INEVITABLE?<\/span> <\/h2>

If you have abundant mane, menopause or otherwise, celebrate your achievements.\u00a0Your hair may be a little dry, but all it takes is a simple hair mask<\/a> to restore shine and flexibility.\u00a0However, if you got the short end of the stick in terms of your hair genes, as a result of menopause, your hair will be much less tonic, thus may suffer from excess sebum and fall further.\u00a0\u201cIn this case, the HRT is able to limit this phenomenon,\u201d assures Claude Dutouquet.<\/p>

If you do not want to, or cannot take this treatment, minoxidil-based products can result in a slight improvement.\u201d Some (bad) habits accelerate hair damage.\u00a0Hairdressers keep repeating that you must massage the scalp to better nourish and stimulate root growth.\u00a0\u201cBut if you have a sensitivity (genetics) at your pillar receivers and you massage your scalp with force, you enable the passage of circulating male hormones and instead of improving things, you accentuate rather than decrease the effects of shedding hair,\u201d warns the dermatologist.<\/p>

Be careful also not to repeat dye-jobs \u2013 be\u00a0content with just retouching the roots.\u00a0Beware of brushing too hard as well \u2013 your hair has a limited life.\u00a0Opt for natural bristle brushes, which are softer.\u00a0Let your hair dry in the open air often without brushing (the more we pull, the more we loosen the hair roots) or, at least, let them breathe a bit before using the hair dryer.\u00a0Banish stick-on hair extensions.\u00a0Wash your hair every day if necessary, with a mild shampoo for frequent use.\u00a0Seborrhea aggravates hair fall<\/a>, so be wary of shampoos claiming to be meant for \u201cgreasy hair\u201d.\u00a0They are sometimes too strong and may cause a reactionary sebum secretion.<\/p>

Advice to smokers: decreased nutrient intake and production of smoking-related free radicals causes accelerated capillary genome (genetic code of the hair) aging.\u00a0The hair becomes duller, more brittle and falls faster. When it comes to hair, genetics is not involved.\u00a0When hormones decline, the hair fades.\u00a0With HRT, we take the problem from the root.<\/p>

I AM BOMBARDED WITH STRANGE HAIRS.\u00a0IS LASER TREATMENT EFFECTIVE?<\/span> <\/h2>

Laser hair removal is often more effective on light skin and black hair.\u00a0\u201cFor facial hair (above the upper lip, for example), it is rarely advisable to try it out there at the beginning, as lasers could lead to early stimulation of the follicles,\u201d warns Dr Claude Dutouquet.<\/p>

We recommend waiting until the hairs are more visible and stronger.\u00a0In the meantime, you can lighten with bleaching solutions and oxygenated water.\u00a0Moreover, those who do not have the ability or do not wish to have laser sessions can apply Vaniqa cream (Lab. Shire, by prescription only) which inhibits hair growth.\u201d<\/p>

It is used quite widely in Asia, but be careful not to spread over too large and indefinite an area.\u00a0The laser removal of body hair is generally very effective and sustainable over time (except in the case of special medical problems).\u00a0However, for facial hair, being more pronounced under hormonal influence, the new hairs will probably remain apparent.\u00a0It is then necessary to undergo a new round of laser therapy sessions.<\/p>

MY HANDS ARE LESS BEAUTIFUL, HOW do i give them a little youthful boost?<\/span> <\/h2>

In order not to weaken your hands, \u201cfinish\u201d them with the same protective day and night creams that you apply on your face.\u00a0Rubber gloves will also relieve you of all things wet and traumatic.\u00a0Think about it if you always do gardening, wash dishes or even pottery.<\/p>

Also note that hormonal decline will have an impact on your nails<\/a>.\u00a0They will be thinner and more brittle.\u00a0HRT, again, it is able to strengthen then.\u00a0Dietary supplements labelled for \u201cskin, nails, hair\u201d can be beneficial because they are rich in B vitamins and sulphurous amino acids which play a part in the formation of keratin.\u00a0Their action is balancing and toning.\u00a0Be careful not to use too much solvent (it weakens and dries the nail).<\/p>

You should also exercise caution with allergies caused by nail varnishes, for the nail plate can become brittle and yellow.<\/p>

MY FACE DRIES AT THE SPEED OF LIGHT, DOES ANY MAGIC MOISTURIZING TREATMENT EXIST?<\/span> <\/h2>

Hormone dips, the sun and the wind\u2026all these internal and external factors will cause or accelerate skin dryness<\/a>.\u00a0HRT can reduce the phenomenon thanks to the contribution of oestrogen build-up.\u00a0Gynaecologist and endocrinologist Juliane Berdah reported this very instructive study, performed on 100 women aged 30 to 55.<\/p>

These women presented themselves, and investigators conducting the study estimated their age.\u00a0Then they measured their estradiol levels.\u00a0Women who had the highest female hormone levels could appear up to eight years younger than their age, and vice versa.\u00a0On the external front, \u201cthe solution is not through skin hydration as one would imagine, but the fight against dryness,\u201d said Dr Claude Dutouquet.\u00a0\u201cDepending on age and skin condition, you should choose a cream containing more or less fat.\u201d The basic Nivea cream (in its famous little blue box) is certainly one of the best among non-dermatological products on the market.<\/p>

MY WRINKLES ARE GOING ON THE OFFENSIVE.\u00a0SHOULD I GO FOR ANTI-WRINKLE CREAMS OR FILLERs?<\/span> <\/h2>

After 40, all factors work together - sun, tobacco, hormonal aging.\u00a0Deep wrinkles become deeper, rosacea is more common, bags under the eyes (genetic) increase in volume.\u00a0We must therefore be vigilant with sunscreen, avoiding smoking, and anti-drying treatments.<\/p>

\u201cBesides that, we can stimulate the reproduction of skin cells using acid-based preparations,\u201d notes Dr. Claude Dutouquet and adds, \u201caccording to the case and the possibilities, you can go for lasers, pulsed light, radiofrequency... If you want tackle the wrinkles yourself, there are fillers based on hyaluronic acid injections.\u00a0Some practitioners also use collagen.\u00a0\"<\/p>

AND NOW, HOW SHOULD I BEHAVE WITH THE SUN?<\/span> <\/h2>

After 40 years, you can expose yourself wherever you want, be it in the mountains or at sea, but keeping in mind that you should always be well equipped with your hat, sunglasses, and stay ultra-protected with regular applications of high protection sunblock and creams.<\/p>

ARE PHYTOESTROGENS (SOY) GOOD FOR MY SKIN?<\/span> <\/h2>

They seem to have very little effect on the skin, and certainly less than HTR does.<\/p>

ARE SCRUBS BENEFICIAL?<\/span> <\/h2>

On the body, they are useful, for example if you want to spread on tanning lotion for the perfect result.\u00a0On the face, their usefulness is less obvious.\u00a0For brightness, opt instead for peeling masks (available in cosmetic section of department stores).\u00a0\u201cBut if you want a real improvement in the texture, tightness, and colour, it is best to choose deeper peels performed by specialists,\u201d said Dr. Claude Dutouquet.<\/p>

CAN SPORT IMPROVE THE QUALITY OF MY SKIN?<\/span> <\/h2>

\u201cRegular physical activity<\/a> or sport is good for everything, including the skin, says physiotherapist Paul Daniel.\u00a0It builds up the strength of the bone structures, the muscles that support the skin, and the blood supply that feeds the body.\u201d So, yes three times yes to sports, provided our skin is protected against the cold or the sun, using creams suitably adapted to the conditions we are in.<\/p>

SHOULD WE NOW stop using\u00a0SAUNAs, STEAM ROOMs AND HOT TUBs?<\/span> <\/h2>

Avoid excessive temperatures and limit exposure to moisture or steam during bath time.\u00a0The more the skin is exposed to moisture, the more it dries out.\u00a0After each session, apply a nourishing cream<\/a> or milk to make the skin more flexible and keep it better protected.<\/p>

Read the sequel of our report: \u201c15 questions to ask your dermatologist after 40\u201d<\/strong>
Skin: Which skincare routine should I adopt for maximum efficiency?<\/a>
Skin: What happens after 40? And 50?<\/a><\/p>

Rica\u00a0<\/span>ETIENNE<\/em><\/p> ","protected":false},"excerpt":{"rendered":"

Our skin, the symbol of youth and health, deserves the best treatment possible. Dr. Claude Dutouquet, dermatologist, and other specialists explain how our skin changes with age and how we should care for it after 40.<\/p>\n","protected":false},"author":65,"featured_media":21768,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_metadesc":"From sweating, sun spots, acne, ageing-skin, wrinkles and hair fall- Here are the 15 important questions you should be asking your dermatologist after hitting 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