Vitamin B6 50mg daily has shown benefit for teenagers with acne and for female patients with a flare of acne before their menstrual cycle begins. More than 50mg daily is not healthy for nerves and other B vitamins can cause acne breakouts so just B6 and no more than 50mg daily is recommended.
Studies have show benefit for vitiligo patients taking B12 1000 micrograms daily, Vitamin C 500mg twice daily and folic acid 2mg twice daily.
For Actinic Keratosis and Skin Cancers
A recent study showed a reduction in these lesions for patients taking nicotinamide (same as niacinamide) 500mg twice daily.
Prevention of Sun Damage
The best sunscreens are Neutragena or Aveeno with “Helioplex” or Anthelios by Laroche Posey. Their UVA protection lasts much longer than any other product. Usually SPF 15 or higher is recommended for daily use and SPF 30 or higher is suggested for outdoor activities. For patients trying to fade dark spots or patches with fading creams, the highest protection such as Neutragena SPF 110 is recommended.
Heliocare has been shown to decrease redness after sun exposure and under the microscope the number of damaged skin cells is reduced. It is not a substitute for sunscreen but an adjunct in addition to sunscreen,
For Stretch Marks (Striae)
There are no extremely effective treatment for stretch marks, however at a dermatology meeting some research was presented using oral and topically applied green tea extracts. In the study, those patients who took oral supplements and applied the extract to the skin showed repair and replacement of damaged elastic fibers in their skin upon biopsy. At least in theory, use of green tea extracts for stretch marks may be effective. Replenix offers a skin lotion with green tea extract.
Anti-Aging Anti-Wrinkle Products
Dermasensa markets cutting edge anti-aging products at a fraction of the cost of the more famous nationally advertised brands. Go to www.dermasensa.com to order and remember to simply type in “DrGoodless10” at checkout for a 10% discount! The basic foundation of Dermasensa’s program includes the UP wrinkle serum, one of the two Vitamin C products they offer and their Tri Effect eye treatment cream.
Patients with very sensitive or rosacea prone skin sometimes have difficulty tolerating the usual over the counter anti-aging products. Ingredients which may flare rosacea include:
Vitamins A (retinol) and C (ascorbic acid), alpha hydroxy acids (AHAs) such as fruit acid and glycolic acid, and beta hydroxy acids such as salicylic acid. Instead, Dr. Goodless recommends green tea extract products for patients with rosacea who wish to reduce wrinkling because these products actually sooth sensitive skin rather than irritate it. The following Replenix products are useful: