Tips for Treating Large Pores

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We all want satiny smooth skin, unfortunately big pores often stand in the way of having that. Here is The Derm Institute’s Tips on minimizing the appearance of large pores.

Skin Care Tips There are a number of factors that will cause large pores, but of the many, there are three main culprits. The first one is age. As we age we will naturally lose the elasticity in the surrounding skin that supports the pores, causing pores to appear bigger than they actually are. Secondly, men are more likely to have larger pores compared to women from their genetic makeup and increased oil production. And last but not least, our body uses a substance called Sebum, which naturally hydrates our skin to prevent from drying. This substance however is very oily and individuals who produce more than average will find that oily skin causes larger pores.

 

The good news is you can make your large pores appear smaller and here’s some quick how-to’s:

1.  Cleanse:

One of the easiest and quickest ways to reduce large pores is implementing a daily routine of constantly keeping them clean. Use a mild cleanser twice a day and exfoliate so that your skin doesn’t become overly dry.  You can consider a cleanser that contains a gentle lactic or salicylic acid to declog the pores.

2.  Exfoliate:

Removing dead skin cells from the upper skin layer to brighten skin texture and get rid of heaped up cells surrounding and in the pores.  Removing the dull layer of dead skin cells on top of your living skin layer gives you brighter, smoother, more radiant looking skin with a velvety soft texture.  You may want to think about investing in the Clarisonic Mia which uses sonic energy and the vibrations of a brush to pulse your cleanser down into your pores. Oil and clogged pore debris can then be lifted out of the pores.  Empty pores look cleaner and smaller because the black appearance oxidized pore debris make pores look  more obvious.

3.  Treat: 

The use of topical treatments such as retinoids, salicylic acid, alpha hydroxy acid or benzoyl peroxides will not only reduce the size of the pores but will also aid in the destruction of bacteria that cause acne and treat sun damage.

If you still feel like your pores look big with the tricks I’ve mentioned above. You may need a little extra help. There are many dermatological advances in skincare which has led to the development of a number of effective treatments for large pores. If you have large pores, you may benefit from the following treatments:

4.  Chemical Peels:

Our team at The Derm Institute will work with you to transform your complexion into beautiful, healthy-looking skin. Our chemical peels use varying types of prescription-strength acids including salicylic, lactic, retinol, and trichloroacetic acid to remove your outer layers of dead skin – revealing the fresher, healthier, softer skin underneath.

5.  Fractional Non-Ablative Laser Skin Resurfacing: 

Fractional Non-Ablative Laser Skin Resurfacing works beautifully to create micro-zones of collagen boosting to reveal fresher, smooth skin.  It can minimize the appearance of pores as well as acne scars.  Downtime is minimal with some mild redness and flaking.  Typically a series of even 2 treatments is enough for long-lasting results.

Laser Treatments for Large Pores

View our before and after gallery

6.  IPL Photofacial:

Intense Pulsed Light (IPL) treatments are also fantastic for refining the texture and appearance of pores.  Skin feels incredible after even a single treatment.  IPL causes tightening of the pores, gives the skin an overall glow, and addresses any unwanted red or brown spots.

7.  Photodynamic Therapy:

Photodynamic Therapy uses a light activated solution to improve the skin texture by minimizing the size of oil glands on the face.  Typically 1-2 treatments can address pore size significantly, as well as reducing signs of early sun damage.

8.  Smart Makeup:

If you suffer from large pores your first instinct may to immediately reach for that makeup bag to reduce their appearance. But wait! Before you rush into it, double check that you are using the correct products first. What you want is a product that is an oil free formula without a lot of talc, which can actually settle into the pores and make them appear larger.

Dr. Chiu and her medical team are personally involved in every treatment here at The Derm Institute. We are happy to answer any questions you may have about any of the procedures. To learn more about treatments at The Derm Institute or to schedule a free consultation, contact us by phone or email today.

 

. . . Shared by Dr. Chiu and The Derm Institute Team

 

6 Steps to Soft, Smooth Skin!

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Whether you want to fade fine lines, get rid of flaky patches, or just up your overall glow, these six procedures can help. From anti-wrinkle procedures to skin-sloughing treatments, here are six ways to keep your skin smooth starting this New Year.

1. Start with something basic, like moisturizer. Some moisturizers are not very moisturizing. A lotion may smell good and look nice, but if you can’t tell you put it on five minutes after you put it on, it’s not doing much. Dr. Annie Chiu recommends switching to heavier, thicker products that contain humectants, which attract moisture to skin, when the weather gets colder. One of our favorite’s at The Derm Institute is, SkinMedica’s Dermal Repair, it works like a multi-vitamin for the skin by using nourishing ingredients to support the skin’s barrier and improve signs of dry aging skin. SkinMedica’s Dermal Repair Cream offers intense skin hydration and helps replenish firmness and moisture.shaving legs

2. Shaving. In the morning: Many women shave their legs with regular bar soap. But soap plus the calcium in hard water forms a gummy coating and makes skin drier than soap alone. Use a body wash, a soap alternative. *The Derm Institute Tip: Shave every day to every other day, with a body wash or shaving cream, with warm not hot water. A razor removes the protective top layers of your skin, along with hair. When you do de-fuzz, choose a four-blade razor — it offers the closest shave, allowing you to use a gentle hand, which preserves natural moisture — and opt for a hydrating shaving cream, not gel.

3. Chemical Peels, a common cosmetic procedure, works by removing your skin’s outer layer by exfoliating the skin and removing dead cells on the surface. Dr. Chiu’s Physicians Blends allows you to enhance exfoliation to promote a healthy, more radiant layer of skin while boosting collagen production. Most peels can be used on any part of the body, the most popular being the face, neck, décolleté, arms and hands.

4. Intense Pulsed Light (IPL) Photofacial to address any brown spots or broken blood vessels. Dr. Chiu’s IPL Photofacial utilizes Intense Pulsed Light for a gentle treatment that is safe, painless, and requires no significant recovery time. IPL sends light through the skin to target the undesirable tissue, and leaves the surrounding tissue unharmed. The process is gradual and, collagen production is stimulated, rejuvenating the skin, shrinking pores, and giving the skin an overall glow. After about 5 days of very minimal “beauty downtime”, this procedure will reveal new glowing skin with improved texture, pores and decreased wrinkles. The result is healthier, younger looking skin.

5. Photodynamic Therapy. The Derm Institute uses a LED (light-emitting diode) that healthy-skin-winterproduces a narrow spectrum light to boost collagen, which creates plumper, younger-looking skin, or to kill the bacteria that causes acne. LED photo facials are painless, cool and relaxing, and carry no risks. The best results come after a series of photo facial treatments. LED photo facials are a good choice for people who want to boost collagen or treat acne. Their collagen-boosting, facial rejuvenation properties have been proven with medical research. The results won’t be as dramatic as plastic surgery, but it’s a gentler, more natural, less expensive way to go.

6. If you’re not wearing sunscreen: Start now. It won’t get rid of the lines you have, but it will prevent new ones from forming. Begin using a prescription retinoid cream nightly; Dr. Chiu often recommends Renova because patients find it less drying than other formulas. You’ll notice lines softening in two to three months.

 

If you want to be more aggressive, you could try Botox, a favorite here at The Derm Institute. Botox is a botulinum toxin that blocks the nerve impulses that cause muscle activity—and expression lines. Dr. Chiu can inject it around the eyes, between the brows, across the forehead; the lines in those areas then fade away over about a week. Fine lines are generally about 20 percent genetic and 80 percent environmental (in other words, brought on by the sun and smoking). They usually occur in the most expressive areas of your face—like around the eyes and forehead.

 

. . . Shared by Dr. Chiu and The Derm Institute Team

 

 

 

Boost Your Skin A•PEEL!

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What is more a•peel•ing then looking like a more luminous you?

Medical Grade Peels Manhattan BeachGet ready to slough off the summer photodamage with a Physician Grade Chemical Peel  and welcome fall with refreshed, even-toned, glowing, and tighter appearing skin.  Daily assaults on our skin including ultraviolet rays and environmental pollutants degrade molecular structures in the skin resulting in sunspots, wrinkles, blemishes, and other imperfections.  Chemical peels exfoliate the top layer of skin cells that can dull the skin, penetrate the dermis to increase collagen synthesis, shrink oil glands, and makes the skin more receptive to your current skincare regimen.  Although most popular for the face, peels can actually be applied to any part of the body.  In fact, they are AMAZING right before a vacation or spray tan, and can help improve dry, bumpy skin on the arms and legs.

 

Chemical Peels Manhattan BeachWe find most people are nervous about chemical peels, thanks to unforgettable images of Samantha in the infamous episode of Sex in the City.  But at The Derm Institute, Physician-Grade Peels can be customized by Dr. Chiu from light, no downtime, to deeper, more aggressive peels, all depending on your goals. The word “chemical” in Chemical peels is really a misnomer, as most peel solutions are derived from combinations of fruit acids, milk acids, Vitamin A and Vitamin C.  These ingredients essentially loosen the “glue” between the dead cells on the top layers of the skin, promoting improved skin renewal.  The natural cycle of skin renewal slows as we age. Babies shed superficial skin cells every 14 days, teenagers every 21-28 days, middle aged adults every 28-42 days, and after age 50, it takes an average of 50 days for skin rejuvenation.

Get knowledgeable on the Peel Process and some common ingredients of Physician-Grade Peels:

Timeline:

Gentle peels such as our Red Carpet Peel give an immediate result of glowing, dewy skin, often popular amongst our patients for a night out, photoshoots, or even the day before weddings.  This peel smooths and tightens the skin, allowing makeup to go on flawlessly immediately after.  For those who are looking to treat fine lines, discolorations, or unevenness in the skin, deeper peels that have downtimes ranging from a couple days of dry flaky skin, to a week of peeling can be applied.  Typically, the first one to two days post peel reveals tighter, glowing skin.  On days 3, 4, and 5, there can be mild to moderate flaking and dryness of the skin.  By day 7, fresh new, soft and radiant skin is revealed.

Chemical Peels Redondo Beach
TCA PEEL: Day 1, Day 4, Day 7

Alpha hydroxy acid (AHA) peels are light to moderate peels most commonly based on glycolic or lactic acids. Although very popular, higher percentage glycolic peels need to be used with caution as it can cause inflammation, especially in darker skin types.  AHA peels are utilized to minimize fine lines, and to improve tone and texture.

Beta hydroxy acid (BHA) peels are also mild to moderate peels most commonly consisting of Salicylic acid.  Salicylic acid works well to penetrate oil glands and declog pores, making it a popular ingredient for peels that treat acne.

Trichloroacetic acid (TCA) peels are considered moderate grade peels.  They work beautifully to correct fine lines, pigmentation, decrease pore size, and boost collagen production.

Carbolic Acid or Phenol peels are considered the deepest form of chemical peels.  They promote collagen growth by penetrating the deeper layers of the dermis, and the results can rival CO2 ablative laser resurfacing.  These are used for deeper, etched wrinkles, especially those around the eyes or mouth area.

Medical Grade Peels Redondo BeachMost Physician Grade Peels offered at The Derm Institute are customized and blended for each individual client.  Different acids may be layered to achieve the desired depth of peel, and often ingredients such as retinol, Vitamin C, or other botanical extracts are used to boost the radiance of our peels.  Lighter peels are more effective in a series, while deeper peels can be beneficial about once or twice a year.  Weekly Glow Pads are fabulous to maintain the improvements of your newly refreshed skin.    We also offer complimentary hydration masks after deeper peels to promote the sloughing of dull skin.

So come explore the beauty of “aPeeling” skin, our own staff here at TDI are addicted to them!  Oh-and don’t forget to always use a SPF 30 or greater to maintain your refreshed and gorgeous skin.  My personal fav:  Colorescience’s Sunforgettable SPF 50 Brush, available at our skin boutique . . .

 

. . . Shared by Dr. Chiu and The Derm Institute Team

 

*Special thanks to Gabbie Wei for research contributing to this article.  Youtube video of her peel experience coming soon . . .

 

What’s Hiding in Your Makeup Brush?

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Skin Care TipsDoing my hair, using a skincare regimen, picking an outfit, and putting on makeup, does a girl not already have enough to do as part of her beauty routine to worry about cleaning makeup brushes?  Yes, I read magazine articles that tell me to clean my brushes.  But they are the same magazines that say I should get a pedicure every 2 weeks.  Real life just doesn”t allow this kind of time!  But a new study is making me think twice . . .  at least about my makeup brushes.

Skin Care TipsAs we all strive for more perfect skin, the demand for makeup and different tools to apply makeup has exploded on the market.  Professionals, celebrities, and even us everyday folks are covering blemishes, evening skin tone, volumnizing eyelashes, glossing lips—all with a different type of brush.  The average woman who wears subtle makeup uses about 4 different applicators per day.   Most of us have brush kits that we don’t even know what to do with:  shadow brushes, sable brushes, highlighter brushes, kabuki brushes, liner brushes—I get anxiety just looking in my makeup drawer.  72% of us don’t wash our brushes. But now I am even more worried—it turns out all these instruments tend to accumulate bacteria not only from the cosmetic product itself, but from the oils of the the human skin, the dirt off our hands, and depending on how one stores them, the built-up toxins from our surroundings.   Um, don’t most of us have makeup brushes in the bathroom?   I feel eeek factor just writing this.

So what’s living on your makeup brush? A recent SINGLE month study tested the accumulation of bacteria found on makeup brushes*.  By the end of the first week, the brushes had accumulated bacterial growth, but the numbers were not alarming, fairly comparable to normal amounts of bacteria that we all come into contact with on daily surfaces.  But by the end of the second week, the number of bacteria had doubled, and at the end of the one-month study, the bacteria count on the brushes had increased to a number that was too high to be measured!

Skin Care Tips According to the conclusions of this study, the researchers recommend that brushes be cleansed once a week, or at the very least, every two weeks. Brushes that use creamy products like foundation, concealer, lipstick, or cream shadow need cleaning more often than “dry” products like loose powder.  I like the inexpensive Sephora Collection Daily Brush Cleaner ($6), the fast-drying citrus scented Japonesque Parian Spirit Professional Brush Cleaner,  or for those of you with expensive brushes that need protection, Bobbi Brown’s Conditioning Brush Cleanser.

Whatever product you choose, try to be consistent . . . I bet your skin will thank you for it.

 

. . . Shared by Dr. Chiu and The Derm Institute Team

 

*Simonian, A., 2013, The Identification of Bacteria Found on Makeup Brushes, Loyola Marymount University, California.

Top 10 Ways to Cut Down Photo•damage This Summer

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summer-2As the temperature heats up this summer, it’s a perfect time to step up your skincare routine to fight against photo-damage.  Sun exposure over time can not only lead to increased risk of skin cancers, but it can also lead to uneven pigmentation of the skin, wrinkles, and thinning of collagen.

  1. ALWAYS wear a sunscreen SPF 30 or above.  Look for broad-spectrum, yet lightweight products such as Elta MD UV Clear 46 or La Roche Posay’s Ultralight Fluide 45 so it doesn’t feel heavy on the skin as the weather gets warmer.
  2. Talk to your dermatologist about starting a topical retinoid skincare product, as studies shows it can reverse early signs of photoaging, boost collagen production, and diminish fine lines.
  3. Reapply your sunscreen every 2-3 hours.  It sounds tough, but it is easy with a product like the Colorescience Sunforgettable Powder Brush.
  4. Eat a diet rich in antioxidants:  fresh berries, tomatoes, broccoli, and goji berries to reduce oxidative stress induced by UV exposure.
  5. Boost your skincare regimen with a Vitamin C product, which will not only protect against UV damage, but brighten your overall complexion as well.  My favorites include Skinceutical’s C E Ferrulic Serum or Skinmedica’s C and E Complex.
  6. When engaging in heavy outdoor activities, consider an oral supplement like Heliocare, which have concentrated antioxidant activity to boost your “internal SPF” and decrease your risk of getting sunburned.summer skin care tips
  7. If you have little ones younger than six months old, sunscreen is not safe on their delicate skin.  Consider alternatives like sun protective clothing.  K&J Sunprotective Clothing will keep your little ones sun safe and fashionable!
  8. Chill out in the shade.  Avoid doing heavy outdoor activities when the sun is strongest, between the hours of 10-3pm.
  9. Buy a pair of fabulous sunglasses.  They not only look cool, but protect the eyes from UV damage.
  10. Check the expiration date on your sunscreen . . . Last year’s might be expired.  Don’t keep it in the car, as the heat can breakdown the ingredients that are sun-protective.  Apply a golf-ball size amount about 20 minutes before heading outdoors.

 

. . . Shared by Dr. Chiu and The Derm Institute Team

BB Creams: What is All the Hype?

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BB CreamsIf you have picked up a beauty magazine in the last year, you have probably seen the sudden explosion of a group of beauty products called the BB cream.  It’s hard to forget this super catchy name, and patients have been asking me “what are BB creams and should I get some?”

The “BB” in BB cream stands for Beauty Balm or Blemish Balm.  It’s sort of like an amped up version of a tinted moisturizer with slightly denser pigment.  The massive trend started in Asia, where Dermatologists in Korea developed healing balms with tint or coverage to use on patients who had recently undergone procedures such as laser, and needed a moisturizing balm that could also cover up redness and irritation.  The trend was quickly picked up by celebrities in Asia, and has exploded across the globe into European and American markets as well.  BB Cream products are typically formulated with broad cosmetic coverage, sunscreen, and healing ingredients such as grape seed extract, antioxidants, or brightening ingredients such as alpha-arbutin.   BB creams are designed for sensitive skin or skin that needs evening of pigmentation due to redness, acne, or sun spots.

BB Creams So is it worth the hype?  Well, as with all things, it depends on the brand and your unique skin type.  BB Creams are particularly compatible with the increasing demand for simplicity in beauty routines. Because BB creams offer a natural cosmetic coverage with sun protection and anti-aging ingredients, it truly can be an “all-in-one” product.  The key is to find a product that color matches well to your skin, and does not leave a chalky residue.  It should feel light and natural, while offering enough coverage to hide blemishes.  Some of my favorite brands include the Hanskin Premium Magic BB Cream from Korea (wonderful coverage), available on amazon.com, Garnier Skin Renew Miracle Skin Perfector BB Cream (a lighter consistency), and Too Faced Tinted BB Cream Glow (great match for light to medium skin tones).   Most BB creams are very reasonably priced given that they can multi-task as a foundation, moisturizer, and sunscreen.  So I say, treat yourself to a tube and throw it in your bag for those mornings when you find yourself with barely enough time to brush your teeth before heading out  . . .  It’s a beauty secret for those of us on the go!

 

. . . Shared by Dr. Chiu and The Derm Institute Team

Transforming Health and Beauty Everyday

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dr-chiu-thumbDr. Annie Chiu, Board-Certified Dermatologist and Owner of The Derm Institute, welcomes you to her Boutique Style Dermatology practice, where we believe that healthy, beautiful skin should be attainable for every patient.  Serving Manhattan Beach, Hermosa Beach, Redondo Beach and Palos Verdes, our uniquely friendly and compassionate team is committed to delivering superior service and results in an intimate, comfortable, and relaxing setting.  We are dedicated to making our patients feel special, glowing, and happy with their skin every day. At our practice, Dr. Chiu personally consults with every patient, providing physician quality care.

Dr. Chiu specializes in a results-driven approach to skincare and cutting-edge advanced technique cosmetic procedures. Her use of artful, subtle cosmetic rejuvenation with multiple techniques including Botox, fillers, chemical peels, the latest lasers, radiofrequency skin tightening, CoolSculpting for body contouring, and tailored cosmeceuticals, is well known throughout the South Bay and Greater Los Angeles Area. Dr. Chiu is a nationally recognized Master Injector and Advanced Trainer for all your Botox and Filler needs. The Derm Institute also provides the Beach Cities community with a full range of medical dermatology, including a multidisciplinary approach to acne, skin cancer diagnosis, and surgical treatments for benign and malignant growths. Throughout her career, Dr. Chiu has been honored with various top doctor and patients’ choice awards. Read More