Men's Skin Care Routine 2019

Men's Skin Care Routine 2019

Being a dermatologist concerned about esthetics a lot, I’ll share with you my best advice on Men’s Skin Care Routine 2019.
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First, let’s talk Prevention. I always tell patients in order to slow skin aging, one should avoid smoking, the sun’s UV radiation and getting older.
But since we all want to live as long as possible, this third thing is just a joke.
And this sums up prevention quite well: don’t smoke and practice efficient sun protection.

Next, we have to talk about the 4 basic types of healthy skin: normal, dry, oily and combination skin. 
And we can keep the advise for each type rather simple.
Normal skin is well-balanced a does not require extra moisturizing, with exception for sun protection of course.
Dry skin produces less sebum than normal skin, and lacks the lipids that it needs to retain moisture and build a protective shield against external influences. That’s why dry skin needs extra moisturizing, next to sun protection.
Oily skin has heightened sebum production, also known as seborrhea. It needs less or no moisturizing, even extra cleaning with extra purifying soaps, and non-oily sun protection.
Combination skin is characterized by an oily T-zone (forehead, chin and nose) with normal to dry cheeks.

Then, let’s talk treatment options for aging skin.
As daily anti-aging skin care I always recommend prescription tretinoin cream.
Tretinoin (also known as all-trans retinoic acid) is a pharmaceutical derivative of vitamin A. Retinoic acid is a necessary component of human biology that facilitates growth and development.
Tretinoin is considered one of the most powerful retinoids available. It requires a doctor’s prescription. However, weaker retinoids can be found over the counter and will be listed as retinyl palmitate, retinol, or retinaldehyde in a product’s ingredient list.
Tretinoin is considered the gold standard anti-aging ingredient in dermatology. Tretinoin works by tightening the skin and increasing collagen production, which leads to epidermal thickness. Collagen being a structural protein that provides strength, flexibility, and resilience to the skin.
Tretinoin also reverses photodamage (the adverse effects of sun exposure), and increases hyaluronic acid production in the epidermis.  
Tretinoin works gradually over time. Don’t expect to see results quickly; this medication requires patience, time, and persistence.

Are there any side effects?
Tretinoin is pretty irritating. Especially dry skin types tend to get irritated by tretinoin rather quickly. The oilier your skin type, the higher concentrations you can tolerate without irritation.

Tretinoin can be compounded in different cream basis and gels. This must be chosen by your dermatologist, based on your skin type.
Concentrations can vary from 0.010% to 0.1% tretinoin, 0.1% tretinoin obviously being more irritating.

How to use prescription tretinoin cream?
Make sure that your skin is absolutely dry before applying it. Ideally, you should wait 20 minutes after washing your face to use it. Damp skin increases it’s topical permeability, which will make it more irritating.
Use it before your moisturizer, if you need one. You only need to apply a pea-sized amount for the whole face. Less is more here. Using too much could lead to inflammation, cause redness, and make hyperpigmentation worse.
To reduce the side effects, simply begin incorporating it into your skincare routine more slowly. You can start using it once or twice a week and work your way up.
Tretinoin degrades in sunlight, and it will increase your sensitivity to the sun. That’s why you have to make sure to apply it in the evening as a night time cream.

Of course, your dermatologist can perform more invasive techniques if wanted and indicated, such as botox injections for expression wrinkles, hyaluronic acid filler injections for more volume in the face, microneedling and/or meso therapy to fight skin laxity, fruit acid peels to treat pitting post-acne, chemical peels to treat hyperpigmentations, laser treatments for skin resurfacing or to target blood vessels and help treat acne scars. 
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