13
June
2010

Austin Dermatologist recommended Creams for Dry Skin, Eczema, Burns0

Part 2: Specific creams and how they can help Dry Skin, Eczema, burns, and more:

Other skin barriers try to mimic what was on your own skin before it got damaged.    These creams have phospholipids and ceramides that trap water and hold it to your skin by binding it osmotically, and they also mimic the kind and concentrations of lipids (fats) normally found on your skin surface.   In addition, they recreate the skin pH.
All of these creams will improve your dry winter skin, but what about eczema?   Some of these creams also  have mild anti-inflammatory activity, and yet they are not steroids.    They are safe for constant every day use.   By preventing your skin from getting dry, then fissured, then subsequently infected, these creams serve a valuable purpose. Once your skin gets infected, then that triggers eczema and eczema triggers more infection – you have a vicious cycle.  Listed below are the basic creams we recommend:
For Skin Care Dr. Coverman, Austin Dermatologist, recommends:
Biosafe – This is the invisible glove that we use composed mostly of dimethicone.   We  put it on first thing every morning and each time after we wash our hands.
Elta – This is a Swiss product made of just three simple ingredients and nothing else!  No color; no fragrance; no preservative.
EpiCeram, Eletone, Mimyx, Atopiclair, Bionect, and CeraVe – These are all very nice creams with some non-steroidal anti-inflammatory activity.  They are great if you have  eczema because you can use them indefinitely, enjoy the actual steroid-like effect but   have no long term steroid dangers because they aren’t.
Biafine – This is a very unique product that helps wounds heal and is great for burns, dry skin, cracked skin, or otherwise inflamed skin.
Silvadene – Silver sulfadiazine.  We use this liberally on inflamed eczematous skin because it is the same cream used for burns.   If it can heal and soothe a burn, it can  certainly heal and soothe your dry winter eczema.  Often, this product used alone is virtually miraculous.   Patients love it, we never get complaints, and it is instantly          soothing.   You may use this even if you are allergic to sulfa!
Well,  thanks for reading all of that, and next month we are going to talk about the proper use and application of sunscreens.

Other skin barriers try to mimic what was on your own skin before it got damaged.    These creams have phospholipids and ceramides that trap water and hold it to your skin by binding it osmotically, and they also mimic the kind and concentrations of lipids (fats) normally found on your skin surface.   In addition, they recreate the skin pH.

All of these creams will improve your dry winter skin, but what about eczema?   Some of these creams also  have mild anti-inflammatory activity, and yet they are not steroids.    They are safe for constant every day use.   By preventing your skin from getting dry, then fissured, then subsequently infected, these creams serve a valuable purpose. Once your skin gets infected, then that triggers eczema and eczema triggers more infection – you have a vicious cycle.  Listed below are the basic creams we recommend:

For Skin Care Dr. Coverman, Austin Dermatologist, recommends:

Biosafe – This is the invisible glove that we use composed mostly of dimethicone.   We  put it on first thing every morning and each time after we wash our hands.

Elta – This is a Swiss product made of just three simple ingredients and nothing else!  No color; no fragrance; no preservative.

EpiCeram, Eletone, Mimyx, Atopiclair, Bionect, and CeraVe – These are all very nice creams with some non-steroidal anti-inflammatory activity.  They are great if you have  eczema because you can use them indefinitely, enjoy the actual steroid-like effect but   have no long term steroid dangers because they aren’t.

Biafine – This is a very unique product that helps wounds heal and is great for burns, dry skin, cracked skin, or otherwise inflamed skin.

Silvadene – Silver sulfadiazine.  We use this liberally on inflamed eczematous skin because it is the same cream used for burns.   If it can heal and soothe a burn, it can  certainly heal and soothe your dry winter eczema.  Often, this product used alone is virtually miraculous.   Patients love it, we never get complaints, and it is instantly          soothing.   You may use this even if you are allergic to sulfa!

Well,  thanks for reading all of that, and next month we are going to talk about the proper use and application of sunscreens.

21
May
2010

How Important are Oils and Moisturizers for Dry Skin?1

Dear Readers:

This will be the first of monthly blogs that you will be able to read on my website and on my Facebook page. Most of the time I will addressing general dermatologic issues pertinent to the season, but I will occasionally diverge into other general medical issues (how much vitamin D should you really have?). Although winter is almost over, I am going to speak about dry skin.

Reason for Dry Skin, Wrinkles? Understanding: Oils, Creams, Moisturizers and Water…

Wrinkle Reasons

Dry skin is that way because of the lack of water, not because of the lack of oil or creams! Soft plump skin feels that way because there is plenty of water in and between cells. The reason oils, creams, or skin barriers are necessary is to prevent the evaporation of that water. Once that water is lost, the skin will indeed feel dry and become parched and cracked. Dry skin doesn’t cause wrinkles, so moisturizers won’t fix wrinkles. Moisturizers may fix the “appearance” of wrinkles, and there is nothing wrong with that, but long term there are better things you can do for wrinkles that truly work. (To be discussed on another blog issue.)

Dimethicone–Professional Moisturizer

Any emollient will prevent evaporative water loss: olive oil, vaseline, and so forth. The problem with some of these is they are simply not elegant: too greasy, too smelly, too hard to apply or too hard to get off. That is when the elegance factor comes into play. You want a barrier that smells good, looks good, feels good, and actually works. One of the best and simplest to use, is dimethicone. This is a neutral bland emollient that not only traps water in your skin, but protects your skin from the outside environment. It is often wonderful for people who work with their hands: apply just before going to work. This is best used by chefs, cooks, auto mechanics, construction workers and even teachers who handle a lot of art products and so forth. In fact, we use these products in our own office because we wash our hands so often. The dimethicone almost never stings or burns, there are absolutely no unneeded chemicals or fragrances added, and it really works as intended. We call it the “invisible glove.” Once it is applied, it melts into your skin and you can use your hands freely. The brand that we carry in our Austin clinic is called Biosafe. I will continue with more specific brand names and products next month.