Fountain of youth

fountain_of_youth_3sfw

Ok, ok, so maybe it’s not the actual “fountain of youth”, but recent research has highlighted that daily sunscreen use can slow the signs of aging. For reals. The recent Annals of Internal Medicine study demonstrated that study participants (adults younger than 55) who used sunscreen daily showed no detectable increase in skin aging after 4.5 years. As another plug for daily sunscreen use, the study showed that skin aging from baseline to the end of the trial was 24% less in the daily sunscreen group compared to a group of adults using sunscreen at their discretion. As with most data, additional research should be done to further investigate results, but in the meantime if you are looking to maintain those youthful good looks, try adding sunscreen or moisturizer with sunscreen into your daily routine and make it a habit.
See you in the shade!

Pamper your skin on Mother’s Day

photo credit: thewell.spafinder.com

photo credit: thewell.spafinder.com

Today is a day to celebrate women: those that are mothers, grandmothers, great-grandmothers, soon to be mothers, someday mothers and mother-figures as you are all amazing. What better way to celebrate yourselves than to pamper your skin. Here are some tips that will help you regain or maintain that youthful glow and keep you looking your best.
1. Simplify: Skin care routines don’t need to complicated. A gentle cleanser, a daily moisturizer with zinc oxide and/or titanium dioxide and a topical retinoid applied nightly is a great way to keep it simple. Sure you can add moisturizers with anti-oxidants, under eye creams, toners, and a clarisonic for good measure, but simple is easier, cheaper and will get the job done.
2. Sleep: Now I admit, my sleep hygiene is no role model, but the “do what I say, not what I do” is what will get you better results in this scenario. Sleep does the body and your skin a lot of good. During sleep, beta-endorphins are at their peak. Research has shown that beta-endorphins increase water content and barrier function in the skin, accelerates skin cell turn over, and inhibits the aging process. Bottom line, good sleep will help improve the texture and appearance of your skin. Sweet dreams!
3. Exercise: A good sweat will not only clear your mind, shed the pounds, reduce risk of heart disease, improve sleep quality, and decrease the risk of certain cancers, it will also improve the quality of your skin. Exercise increases circulation and will give your skin a radiant and healthy glow. As an added bonus, it has been shown that the skin of people who exercise regularly exhibit a greater abundance of collagen, the fibers that give the skin its strength, flexibility and youthful appearance. So put on your sneakers and get moving!
4. Shade: I know I harp on this a lot, but avoiding excessive sun exposure is important for so many reasons. Yes, it is true we need to get some sun exposure to absorb Vitamin D, but excessive sun exposure will do you more harm than good including: loss of skin elasticity, premature wrinkles, dry,leathery skin, freckles, brown spots (“liver spots”), broken blood vessels and skin cancer. So put on that cute hat I know you are stowing away in your closet, put on those movie star sunglasses, rub in that sunscreen and lounge under that shady tree or umbrella that’s calling your name.
5. Relax: This is your day ladies, seize it! Now is the time to cast aside all that stress you have been carrying around. It’s not only good for your soul it’s good for your skin! Stress causes the release of the hormone cortisol and large amounts of cortisol circulating in our systems for extended periods of time causes thinning of the skin. Thin skin accelerates skin wrinkling, makes blood vessels under the skin more prominent as well as more prone to leakage with resultant bruising. So go get a massage, go for a walk, meditate, do yoga, read a good book or snuggle up with your special someone..whatever it takes to make that stress go away, your skin will thank you.
6. Purify: You have heard it all before, but what’s one more time right? Cleaning out all the processed, artificial, synthetic ingredients in your diet is good for the whole body including your skin. In order to generate the necessary building blocks for collagen production, wrinkle prevention and moisture, not to mention that healthy glow, your body needs good nutrition. When you eat whole and nutrient-rich foods, you provide your skin with the foundation it needs to fight both the signs of aging and disease so you can look and feel your best. So go ahead, dive into that bowl of veggies, throw in some legumes and fish and make your skin glow!

Ladies, today is your day! You are amazing and fabulous and not to mention sun-savvy (wink, wink: grab that sunscreen, hat and shades) so enjoy the day and pamper your skin! See you in the shade.

What you didn’t expect when you’re expecting

Aah, the joys of pregnancy. You are basking in the glory of carrying your bundle of love. Your hair is more lush and plentiful, you have that “glow”, you can indulge your every craving guilt free, and you can finally fill out that low-cut top you’ve coveted without any er, um…supplemental padding. But alas, you discover that the “Girlfriend’s guide to pregnancy” left out a few significant details about what could happen to your skin over the course of those nine months. Well, girlfriend, I’m here to tell you ugly truth. Your skin is your window to what’s happening on the inside. With a baby growing inside of you, your body is functioning in overdrive and all that growth and change happening for the baby translates into a lot of growths and changes with your skin, hair and nails. Having gone through this process a few times myself, I have had the unfortunate pleasure of experiencing a few of these lovelies and the good news is that most of the changes I’ll detail below do go away after pregnancy, and those that linger can be “taken care of” shall we say, by your local dermatologist. So even though you didn’t expect these things when you found out you were expecting, don’t worry, I’m here to guide you through it.

Lumps, bumps and tags oh my!

photo credit: skincare-service.com

photo credit: skincare-service.com


a.Common benign growths during pregnancy include skin tags also known as acrochordons or fibroepithelial polyps which love to occur in all the inconvenient places like crevices and skin folds for example around your neck, in your armpits, along your bra line and groin. They also like the face, especially around the eyes. Skin tags are typically skin colored or hyperpigmented(darker)lesions 2-5mm in size that may be smooth or irregular in appearance and are often raised from the surface of the skin on a fleshy stalk. They are usually asymptomatic unless they get irritated or itchy from being rubbed by clothing or jewelry. Other than being seen during pregnancy, skin tags may have a causal genetic link as well as a link to metabolic syndromes such as diabetes. These lesions can easily be removed if desired or warranted via cauterization, cryosurgery, excision or surgical ligation.

b. Seborrheic keratoses:

photo credit: finantempleton.com

photo credit: finantempleton.com


These benign lesions are raised thickenings of the skin that typically appear as variable shades of brown and can appear black at times raising concern for a differential diagnosis of melanoma and therefore are likely to be biopsied for confirmation. Some refer to seborrheic keratosis as “barnacles on the ship of life” as they typically appear later in adult life. I personally refer to them as “gifts of maturity”. Now granted, it’s like the gift from your Aunt Minny, you really don’t want the gift, you have no need for it and it’s downright ugly, but you can’t give it back and you can’t exchange it, so you might as well make the most of it and give it a nice name right? Just like tags, they don’t need to be removed, but if they become irritated or bothersome the same methods of removal for tags can be used for seborrheic keratoses.

c. Pyogenic granuloma:

photo credit: procedureclinic.com

photo credit: procedureclinic.com


These lesions are also referred to as granuloma gravidarum, eruptive hemangioma, granulation tissue-type hemangioma, lobular capillary hemangioma, and tumor of pregnancy. I had the distinct displeasure of having one of these in my mouth during pregnancy, a common location, and in this location it is coined an “epulis of pregnancy”. A pyogenic granuloma or epulis is essentially granulation tissue which appears as an overgrowth of tissue due to irritation, physical trauma or hormonal factors. Because they are composed of groups of blood vessels they are extremely friable and can bleed significantly with minor trauma. The good news is that they often resolve spontaneously. The caveat is that if a lesion doesn’t resolve on it’s own and removal is performed but incompletely so, the lesion can recur with “friends” i.e. multiple lesions can occur. Again, being a benign lesion this is not a long term concern, but acutely it can raise false alarm for more concerning skin conditions including malignancy if you don’t inform your doctor of your prior procedure.

d. Cherry angiomas:

photo credit: byebyedoctor.com

photo credit: byebyedoctor.com


Who doesn’t like a cherry on top? Well, when it comes to having them all over your body you may not. Cherry angiomas are another vascular benign neoplasm that can occur at all stages of life from childhood to adulthood, but it seems that during pregnancy they like show up even more. These lesions range from 2-5mm and may be flat or raised. The larger the lesion, the more likely that it may bleed with minor trauma. An important thing to know about these lesions that if they do become traumatized they take on a blue/black appearance which similar to seborrheic keratoses, can mimic melanoma and prompt a biopsy to rule out this possibility. Unlike pyogenic granulomas and skin tags, cherry angiomas linger long after pregnancy and in most cases become a permanent fixture on your body. Like most other lesions though they can be removed via excision, cauterization or laser therapy.

e.Nevi/moles:

photo credit: hawaiidermatology.com

photo credit: hawaiidermatology.com

These are benign lesions comprised of melanocytes which are your pigment producing cells. They range in color from flesh-colored to shades of brown. Melanocytes are also the cells which give rise to melanoma, the deadliest form of skin cancer. Melanoma can arise de novo, meaning the lesion originates as a cancer, or it can evolve from a pre-existing nevus/mole that undergoes changes in terms of its size, shape and color. During pregnancy it is not uncommon that pre-existing nevi/moles become darker than they were at their onset due to an increase in a hormone called melanocyte stimulating hormone. This darkening effect can be seen in other areas where melanocytes are found including genital skin, breast areolar tissue and that line from your belly button to your pubic area which is referred to as the linea nigra. Following pregnancy, the affected lesions and skin may return to their previous state, though more commonly they remain slightly darker than they were originally. The concern for melanoma is low in these situations unless it is noted that a pre-existing lesion has significantly changed in size, shape as well as color or a new lesion has appeared during pregnancy that stands out from all the other lesions a patient has, both of these scenarios may prompt a biopsy for further evaluation.

There are a host of other issues that may arise during pregnancy including: soft, brittle nails that grow at warp speed; outbreaks of acne; spider veins; stretch marks; melasma (patchy darkening of facial skin: the key is sun protection); new rashes that itch as well as exacerbation and new manifestations of underlying skin conditions like psoriasis and immuno-bullous disease. And if that weren’t enough, that luscious head of hair you acquired during pregnancy is going to start to shed starting around 3 months postpartum and last for about 3 months known as telogen effluvium. Sounds awful doesn’t it? Don’t worry, most women experience a few of these things but not all of them, and most of these issues resolve spontaneously. For all other issues and any lesions that concern you, consult your local dermatologist.

Pregnancy may not be all rainbows and butterflies, but at least now you know what to expect right? Good luck and enjoy the journey!

Mirror, mirror on the wall

photo credit: oocities.com

photo credit: oocities.com

Who’s the fairest of them all?  Fair, pale, au natural…..even fairy tales love sun-protected skin. I know, I know, that’s not what the Queen had in mind, but this is my story now so indulge me. What was the Queen longing to see when she looked in the mirror? She desired a youthful appearance, like that of Snow White, with a face free of wrinkles, brown spots, dilated pores and blood vessels. I know that’s what I long to see when I look in the mirror, how about you?

Unfortunately, despite my career choice to nurture and protect skin as a dermatologist, as a kid and teenager I was not a skin nurturer, in fact, I was a down-right skin-abuser. I burned, fried and tanned my skin any chance I could get. My sister and I would have contests to see how long we could lay out in the sun before we nearly passed out from heat exhaustion or play the game of “how low can you go” with the SPF factor on our “suntan oil.” Yes, oiling our hide to tan it was the object of the game. Thankfully we quit playing before our hide became leather…. but barely. Instead of leather, I got lots of freckles and moles (a direct correlation of sun-damage), many of which have been biopsied and been proven to be atypical histopathologically. In essence, I am my own skin nightmare with scars all over my body as a constant reminder that I’m not dreaming.

Premature wrinkling, sagging skin, freckles, dilated facial blood vessels and brown spots are manifestations of sun-damage which is referred to as photo-aging or if you want to be fancy, dermatoheliosis. Compared to physiologic (chronologic) aging, the changes seen with photo-aging are accelerated with the end result of having you looking significantly older than your stated age. Sure, as teenagers some of us wanted to look older so we could get into establishments with age restrictions, but as adults I think many of us are thrilled when someone mistakes you for someone’s “younger sibling.” Maintaining a youthful appearance is the reason the cosmetic/aesthetic procedure industries have exploded in recent years with new products and innovations.

The good news is that you don’t have to spend a fortune to maintain your youthful looks! Just a few minor adjustments to your daily routine will help you minimize the damaging effects of the sun on your skin. Daily use of sunscreen, either in your moisturizer, after-shave cream or make-up is a simple way to layer on your sun protection on all your exposed skin. It’s the UVA rays which are the “aging” rays, so make sure the products you buy are labeled “broad-spectrum” so that you get coverage for both UVA and UVB (the burning rays). Remember, UVA rays can penetrate window glass, so while you are driving in your car and sitting by your office window you are still get “sun.” If you have ever noticed that the left side of your face and left arm have more spots and lines on them, this is one of the big reasons as your left side gets bombarded by UVA rays while you are driving. The recommendation is to use products that are SPF (sun protection factor) 15 or higher and I like to use SPF 30 in my daily moisturizer. Choosing products that have zinc oxide and titanium dioxide will minimize irritation for those of you with sensitive skin. There has been much controversy over nano-sized particles of these ingredients, although the research is still ongoing, there are plenty of fantastic products currently on the market that do not use nano-sized particles. Remember, whichever products you choose to use, sunscreens regardless of SPF or active ingredient will break down approximately 2 hours after application, so if you are planning on being outdoors for an extended period of time you need to reapply. There’s no reason you can’t look good while maintaining your youthful appearance right? So wear some fashionable sun-protective clothing (check back with me soon for a preview), a broad-brimmed hat, and don some shades to protect those eyes because ocular melanoma is challenge to treat so prevention is key.

Mirror, mirror on the wall who’s the fairest and most youthful looking of all? My sun-protected shaded bliss fans of course! See you in the shade!

Like a fine wine…..

photo credit: www.trialx.com photo credit: http://www.trialx.com
We have heard the cliché countless times, “Aged like a fine wine.” But what does that really mean? What makes a wine so fine (aside from my rhyming ability)? As with many things, success is achieved through collaboration of multiple factors to produce a better end product. The same principle applies to winemaking. The creation of a fine wine rests upon factors including the varietal of grapes used, the light, temperature and soil conditions affecting the grapes and vines respectively, the length of the fermentation process and yes, you guessed it (this is a dermatology blog after all) the skin. Wine grapes, compared to table grapes, have a thicker skin; a desirable quality as the skin imparts the aroma to wine. Grape skin also contain tannins which produce the color of the wine. These tannins found in the skin help to preserve the wine for a longer period. Recently, it has been found that the skin of black grapes (used to make red wine, a personal favorite) contain a chemical called resveratrol; which is what provides the cardio and chemo-protective health benefits of red wine.

For those of you who love wine, these tidbits are good fodder to keep drinking, yes? Salut! But the point of all this information is not really about wine of course. It’s about skin. Your skin. Like the creation of a fine wine, the health of your skin is a significant contributing factor to the end product of your overall well-being.

Your skin is the largest organ of your body. As such, it is constantly exposed to the elements just like wine grapes, and light, in the form of UV-rays have a significant impact on the quality and appearance of your skin and your health. With regards to appearance, prolonged exposure to UV-radiation directly affects the color and texture of your skin. The acute changes may be a sunburn, followed by a tanned appearance. But what about the chronic changes? Those brown spots on your arms and hands that folks refer to as “liver spots” or “age spots” are in actuality the manifestations of chronic sun exposure and resultant sun-damage. They are irreversible.

For a grape, dried by the sun, the texture and quality of the skin transforms to a wrinkled, flaccid and shriveled form which we call a raisin. Our skin is very similar to the grape. Premature wrinkling, loss of elasticity and leathery feel to the skin (think Magda from “There’s something about Mary”) are direct by-products of extensive sun-exposure. So which would you rather be, a grape or a raisin? In a society where people are paying a premium for a youthful appearance with products like Botox, dermal fillers and plastic surgery, why not save money and be pro-active: protect your skin from the sun everyday!

With regards to health, it is known that UV-radiation suppresses the immune system. Suppression of the immune system leads to cancer. It has been reported that 90% of skin cancers are induced by UV-radiation exposure. 90%! This statistic is a vital reason that I encourage you to seek shade (where your bliss awaits), wear sunscreen and protective clothing on a daily basis.

Now some of you may be thinking, what? How can that be? Maybe Dr. Barr (that’s me) has been drinking too much of that red wine, because I know that phototherapy (delivery of UVB rays in a very controlled and time limited setting) make my psoriasis better! Psoriasis (a chronic skin condition +/- joint involvement) is known to be driven by an up-regulation of aspects of the immune system…so suppression of these “jazzed up” factors so to speak, is the desired end result. This principle applies to several conditions in dermatology, but these are the exceptions not the rule, and most importantly, the exposure to UV-radiation administered in a dermatologist’s office is tightly regulated and controlled to minimize adverse effects of said exposure.

Like a fine wine, your skin will age, but there’s a big difference between chronologic aging and physiologic aging. The latter of which is accelerated significantly by extensive sun-exposure. So the choice is yours, grape or raisin…which would you rather be?

Still smelling like a rose ……

“Happiness radiates like the fragrance from a flower, and draws all good things toward you.” -Maharishi Mahesh Yogi

While I am pretty sure that this quote is not referring to my homemade deodorant experiment (day 11), the happiness radiating from my armpits, which literally do smell like a flower, is at least not driving anyone away from me (can I get woot! woot!).

Over the last week and a half, I have been pretty physically active so I can really put my concoction to the test. As I mentioned in an earlier post I have kick-boxed, kettle-belled, and added in some cycling to see how this stuff works.  Despite not being an anti-perspirant per se, I haven’t experienced being more sweaty than usual. A side note is in order here: I am a serious sweater when I work out. Those gals you see whose hair is in place at the end of a workout who look amazing and rejuvenated at the end of a work-out….yeah, I’m the other one. Hair barely contained by the ponytail, all wild and unruly and looking like I need to be rejuvenated, that’s me. So now that we have that established, you can imagine that I have literally given my deodorant a workout.

So now to down to business. I have read lots of recipes online and I applaud, appreciate and thank everyone out there who has shared their versions of homemade deodorant. Many people use coconut oil accompanied by baking soda, cornstarch or arrowroot powder, plus or minus essential oils. Great sites to check for a recipe using coconut oil are: Passionate homemaking and A Sonoma Garden.

Although I enjoy the smell and taste of coconut, my husband is not a big fan, so if I want to draw him towards me with my fragrance,  I need to use another base ingredient.  I have made 2 different versions of deodorant using shea butter accompanied by a variety of other butters. The first version is on the drier side and has a tendency to be more lumpy or crumbly upon application. Of course being my first attempt making the stuff, I didn’t write down the exact ingredients but here are the basics:

1st recipe

1st recipe


3 Tbsp organic Shea butter

1  Tbsp Kokum butter

1 Tbsp Illipe butter

3 Tbsp Pure baking soda (you don’t want any aluminum in it)

2 Tbsp Arrowroot powder or cornstarch

1 1/2 Tbsp beeswax granules

Essential oils (optional): lavender,rosemary, peppermint, lemon, tea tree oil: these are examples of oils with stronger scents for odor control and tea tree oil is also proposed to have anti-bacterial properties. The exact amounts can vary depending on your preference but to overcome the stronger natural scent of shea butter 25-40 drops is recommended.

  1. Melt the beeswax in a double boiler (glass bowl in pot of boiling water) or microwave
  2. Add butters and powders, followed by your essential oils and mix it all together
  3. While mixture still warm pour into your container (as this version is a little drier in consistency, I put it in a glass jar and apply with my fingers)
  4. Let mixture cool and it will firm up

The second recipe results in a softer more spreadable product and I used a traditional deodorant container to pour the mixture in at the end. You can either purchase these containers online or empty out and clean one that you already have.

This recipe is an adaptation of one I found at Our life simplified (great site, check it out)

2nd recipe

2nd recipe


2 Tbsp Shea butter

1 Tbsp Pumpkin butter

1 Tbsp Beeswax granules

2 Tbsp Arrowroot powder or cornstarch

2 Tbsp pure Baking soda

2 Tbsp Sweet almond oil

1/8 tsp (1 capsule) Vitamin E oil

Essential oils (optional): again I forgot to measure how much I used, but I combined lavender, sandalwood, sweet orange, and a smidge of eucalyptus

  1. Melt beeswax as above
  2. Add butters, sweet almond oil and Vitamin E oil (puncture hole in capsule and squeeze oil out)
  3. Add arrowroot powder or cornstarch and baking soda and essential oils and mix all together
  4. While mixture warm pour into your container and then let it cool and firm up

May you all radiate happiness with your ambrosial smelling underarms and draw all good things toward you! Enjoy!

By the hair of my chinny chin chin….

My dog Beaudi. He graciously agreed to be the model.

My dog Beaudi. He graciously agreed to be the model.

As a kid, hearing about  hair on your chinny chin chin was an amusing part of a fairy tale. As an adult female, having hair on your chinny chin chin is no laughing matter, right ladies? And not to leave the guys out …..having rogue earlobe hairs and feeling like a sasquatch may not be your thing, so the good news is that over the last few decades the options for hair removal have expanded and improved.

There are numerous methods available for hair removal, some of which are very temporary and some of which have the potential to permanently reduce hair growth. Notice I didn’t say permanently remove hair. I am a New Yorker to my core, despite living on the West Coast for many years,  I’m gonna tell it like it is…if it sounds too good to be true, it most likely is…so I’m not going to try to convince you otherwise.  As a dermatologist it is my job to provide facts, details and opinions so that my patients can make informed decisions. So even though this site is not intended to treat, diagnose or cure any disease or ailment, and as readers you are not patients, I am committed to providing clear, concise (well maybe not that concise, I am known to ramble a bit) explanations of issues in hopes of being helpful.

So let’s start with the basics of hair. I am sure many of you have tweezed, shaved, waxed, threaded,  sugared or “been lasered” only to be befuddled by the fact that some hairs stay gone and others rear their wiry heads way too soon. This is due to the fact that hair grows in three phases: the actively growing phase (anagen), which comprises about 80-90% of hairs. On the scalp this phase lasts about 2-6 years, whereas on the arms, legs, eyelashes, and eyebrows the phase is only about 30-45 days which helps explain why hair in these areas is much shorter than the scalp. The next phase or  transitional phase known as catagen comprises 3% of all hairs at any time. This phase lasts for about 2-3 weeks. The last phase is the resting  phase (telogen) which comprises 10-15% of hairs and last approximately 100 days. It is during the telogen phase when “shedding” occurs and about 25-100 telogen hairs are shed each day. The kicker is that hairs are not in sync with each other and while some hairs are growing, others are transitioning or falling out.  Moreover, it’s only when hairs are in anagen (growing hairs) that they are responsive to removal modalities (i.e. electrolysis, laser).

Now that we have the basics down, how do you choose the best hair removal method? There are several factors to consider: convenience, pain threshold (a very subjective factor), cost, goal for temporary vs. more long-lasting results and anatomic location. Most of these factors are intimately intertwined.

For instance, shaving is very convenient as you can do it yourself, in your home, cost is lower (although the cost of razor blades these days is nutty), pain is minimal but the results are very temporary as you have to shave every few days because you are only trimming the hair not removing it.

Waxing/threading/sugaring: convenient as the service is readily available and it’s quick, cost is relatively low, can be done on most if not all external anatomic locations. The downside is that it can be painful and the results usually only last about 3-6 weeks. With repeated treatments the hair follicles may be disrupted/ damaged  which may lead to permanent hair loss (but most likely patchy at best).

Electrolysis: So how does it work? An electric current is applied with a very fine needle-shaped electrode, or metal probe into each hair follicle to destroy the root. The pros are that this method has a good track record for permanent hair reduction and in some cases permanent removal. Since it targets the follicle itself, this method can be used on most skin types. The cons are that it can be painful, requires many treatments (can be upwards of 15-30)  and can be expensive. Also operator dependent so results can vary.

Laser: Laser hair removal is one of the most commonly performed cosmetic procedures in the U.S. A beam of  highly concentrated light penetrates into hair follicles. It is the pigment in the follicles that absorbs the light and this destroys the hair.  The technology of lasers has advanced so that patients of color can safely have laser performed without damaging skin tone. As with other methods, only the anagen follicles are targeted so treatments need to be repeated every 6-8 weeks to capture more and more of the anagen follicles until the desired level of hair reduction is achieved.

The pros are that laser can be done relatively quickly depending on the site treated and the results are long-lasting. Treatments literally can take as little as 5 minutes! The cons are cost, number of treatments required (usually 6-12) depending on body part treated and pain. I can attest to the fact that current lasers are way less painful than lasers used in 2008 even, and that is saying a lot because I am a big wimp. Risks of treatment other than pain , include swelling at treatment site, burns (go to someone with expertise and experience, and have a test spot done first: settings can be adjusted to avoid this). Although with the advances in technology this does not happen as often, but lightening or darkening of the skin in the treated area can occur.  The other issue with lasers are that they are best used on course hair: legs, back, bikini, underarm, men’s beards. Although they are used for women’s facial hair, the light colored, peach fuzz found on women’s cheeks, chins and lips is unlikely to respond as well. Lasers target a color and the lighter the hair the less there is to target.

Topical therapy: A serendipitous discovery of hair loss was noted when using an anti-malarial drug (eflornithine). The medicine is formulated under the trade name Vaniqua which is a prescription cream used to reduce facial hair growth in women. The mode of action is to block the enzyme that leads to hair growth. This ” blockage” is gradual and can take up to six months to take effect, during which time other hair removal methods would need to be continued. It’s a twice daily application and the downside is that once you stop using it…the hair growth is no longer blocked and hair will eventually return.

So as you can see there are many options…this is a good thing. The best expected outcome is permanent hair reduction and in some cases permanent hair removal may occur. Now don’t get me wrong, I’m a glass half full kind of a girl (and if the wine is really good, fill her up’) but when it comes to issues in medicine I am a realist, and I hope armed with this information you will be too so that you can decide which if any of these modalities might work for you and you will not be disappointed with the result. If none of these float your boat, au natural is beautiful too!