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July 25 2014

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5 posts tagged "Dr. Macrene Alexiades"

Navigational Tools For Your Next Acid Trip

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This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. To submit a question, e-mail celia_ellenberg@condenast.com.

I’m interested in exploring chemical peels but am wondering how to go about choosing one that is best for my skin. Are all acids created equal?

I’ve been doing peels forever, and there really is a science and an art to it. I was trained by the inventor of the chemical peel, a guy named Dr. Marinos Petratos, who actually worked with Neostrata to develop peel formulas. There is not one acid that I haven’t used, but I do a different peel depending entirely on what the patient’s issues are. If you’re broken out, there are certain peeling agents like mandelic acid or salicylic acid—some of the more beta-hydroxies—that are very effective. If it’s pigment that’s the issue, you want to go with amino acid derivatives like citric acid, arginine, and arbutin to get a glow and get rid of the dark spots. If it’s really just anti-wrinkle-focused, then I’d opt for a trichloroacetic acid peel.

Then there’s the ultimate all-in-one, glycolic acid, which is always a great first layer, but I usually combine it with one of these other ingredients. The only time I do a glycolic peel alone is if I have someone who doesn’t really have any issues and is just doing maintenance, or if somebody has a lot of plugged pores, not acne per se, but just clogging, because it will take off all of the dead skin.

Dr. Macrene Alexiades is a Harvard-educated dermatologist and scientist with a research center and private practice in New York that focuses on laser and aesthetic dermatology. She is the creator of the cult favorite antiaging skincare line 37 Extreme Actives, which will release a new product in September at Neiman Marcus.

Photo: FPG / Archive Photos / Getty Images

Face Brushes, Yay or Nay? Our Doctor In Residence Weighs In

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This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. To submit a question, e-mail celia_ellenberg@condenast.com.

I’ve been reading a lot about skin brushes that exfoliate for a better overall cleansing experience. Is this actually a better, more effective way of washing your face or is it just hype?

There is nothing like fingertips! Any time you use a pad or a brush to apply something to the skin and then reuse such an object, it can become contaminated with bacteria that will feed on the leftover keratin that remains. Clean fingertips, or an applicator that is easily cleaned—like a spatula—are best.

Dr. Macrene Alexiades is a Harvard-educated dermatologist and scientist with a research center and private practice in New York that focuses on laser and aesthetic dermatology. She is the creator of the cult favorite antiaging skincare line 37 Extreme Actives, which will release a new product in September at Neiman Marcus.

Photo: Courtesy of www.beautychoice.com

The Sun And Scent: What You Need To Know

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This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. To submit a question, e-mail celia_ ellenberg@condenast.com.

I’ve heard that sun and fragrance can create a reaction on the skin. Any truth to that?
Photodermatitis is due to sun exposure plus an allergen that's activated while in the sun. This can happen with many different allergens, including fragrance, and you really need to avoid any perfume that causes this type of reaction no matter how much you like the scent. Sunscreen will certainly help block the rays that provoke the rash, but if you put on the fragrance and then sunscreen, it's still not a guarantee that you won't have a reaction. Each time, the reaction will worsen, so it's best to avoid these situations entirely and even get tested to know for sure whether you are truly allergic to your signature scent.


There are other treatments and products that will increase sun sensitivity, too. With microdermabrasion or a peel you have to be very careful when you go out into the sun. A lot of antibiotics will increase sun sensitivity as well—even a painkiller like Motrin or supplements like St. John’s wort! Any products with lightening agents like kojic acid, and, of course, retinoids will also make you extremely sensitive. The other thing to be hyperaware of is lasers. After getting a [laser] treatment, being exposed to the sun will cause your skin to darken. So the rule of thumb with any type of laser procedure is to avoid sun for at least a month and vice versa (if you’ve gotten sun, than avoid a laser treatment).

Dr. Macrene Alexiades is a Harvard-educated dermatologist and scientist with a research center and private practice in New York that focuses on laser and aesthetic dermatology. She is the creator of the cult favorite antiaging skincare line, 37 Extreme Actives, which will release a new product in September at Neiman Marcus.

Photo: Greg Kadel for Vogue Italia, June 2011

Zap Your Dark Circles Into Oblivion

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This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. To submit a question, e-mail celia_ellenberg@condenast.com.

I feel like I’ve got permanent shadows under my eyes. Makeup helps, but is there a more long-lasting solution to help get rid of them?

“From a skin product perspective, look for products containing caffeine, coffee seed extract, tea extract, and cacao extract. These ingredients serve to shrink the capillaries [in the area] therefore eliminating that blue discoloration. I have two key laser treatments I offer in my practice for under-eye dark circles, too. One targets the blue blood vessels using a pulsed dye laser that shrinks these abnormally dilated microscopic cells back to their normal size. It takes three treatments, a month apart, to see a dramatic improvement, but the effect will last for years. Sometimes dark circles are from pigment, though, and if that’s the case, I would use a pigment-removing Q-Switched laser, matching the appropriate wavelength to skin type over two monthly sessions.”

Dr. Macrene Alexiades is a Harvard-educated dermatologist and scientist with a research center and private practice in New York that focuses on laser and aesthetic dermatology. She is the creator of the cult favorite antiaging skincare line 37 Extreme Actives.

Photo: Luca Cannonieri / GoRunway.com

Talking Sunspots With Dr. Macrene Alexiades

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This column features weekly tips and advice from a revolving cast of industry leaders, on hand to discuss your beauty dilemmas, from blemishes to Botox. To submit a question, e-mail celia_ellenberg@condenast.com.

Every time I go out in the sun, I get what I have dubbed a “solar mustache,” a constellation of brown spots right above my upper lip. Why is this happening and what can I do to avoid it?

“This is because perspiration accumulates on the upper lip, beneath the nose, and washes away the sunscreen there more quickly than on other parts of the face. You need to go with a heavy-duty sunscreen, like even an SPF 100, there and reapply frequently. Hats help but do not really adequately cover this area.

Once it happens, especially if it’s really dark, you need to move quickly. I recommend visiting your dermatologist for a laser zapping or chemical peel to get rid of the brown color first. Then, at home, you can try a topical product with a lightening agent like Tri-Luma, which is available by prescription. If you want to do something that is hydroquinone-free, Olay Pro-X Discoloration Fighting Concentrate with glucosamine is great, or there is also Clinique Even Better Clinical Dark Spot Corrector. A similar product from [my line] 37 Extreme Actives is coming out in a few months.”

Dr. Macrene Alexiades is a Harvard-educated dermatologist and scientist with a research center and private practice in New York that focuses on laser and aesthetic dermatology. She is the creator of the cult favorite antiaging skincare line 37 Extreme Actives, which will release a new product in September at Neiman Marcus.