MEDIA HONORS & MENTIONS

And we turn now to our new series looking at the clean beauty trend with the focus on ecofriendly products and sustainability taking center stage for consumers, we are diving into what it really means to have a clean beauty routine. Becky Whirly do tell Good morning – morning TJ. From words like clean to organic to natural there are a variety of different labels on products in the beauty isle but figuring out what those labels actually say about each product is not quite as clear take a look. I am going to put on an organic face oil – it is a beauty movement that has taken consumers by storm known as the clean beauty trend. Companies that say that they are attempting to use pure chemicals and more eco friendly ingredients in their products. The idea behind clean beauty is something that is not going to be toxic, that won’t harm your skin that will help your skin. But what does clean beauty really mean? With labels like clean natural and organic it can be pretty confusing. The biggest difference between organic natural and clean products – the organic products need to be certified to be organic so you have to go through rigorous testing. The USDA certifies different products that are labeled organic and have strict production requirement, ensuring all items meet their standards. Clean products are natural products are not actually looked at by the FDA – the FDA only regulates drugs and tings that it can influence the structure and function of the skin and those things are actually medications. Resulting in limited regulations, across the beauty industry right now the FDA bans 11 ingredients in cosmetics stating that it is against the law to use any ingredients in the cosmetic that is harmful when used as intended, but the EU bans up to 1300 chemicals and this industry has become a money maker it is expected to be worth up to 48 billion dollars by 2025. Celebrity’s holistic nutritionalist Mary Morales said that he thinks the trend is here to stay. In the last 5 years the trend has become even more powerful and I believe that people us simply want to be well you can deliver the same type of results in a more natural way probably what has also shifted the industry towards this powerful trend but the bottom line – I personally suggest you seek the attention of a board certified dermatologist that knows what cosmeceuticals are and what you shod be doing and you know can give you a skin care regiment that you can follow that will meet your skin care needs. Good advice because not every product worse the Sam way for every person so paying attention to how your skin responds to certain things is important if using more natural ingredients is really what is on your agenda you probably should talk to your dermatologist to narrow down a routine of best products for your needs TJ - I am going to talk to my dermatologist right now Becky thank you so much bringing a board certified dermatologist Dr. Linda thank you so much of being here you want to go down this path where do you even start if you want to do a clean beauty routine? Good morning TJ so I thin switching your entire skin care routine to clean beauty without the help of a board certified dermatologist can spell trouble – whenever I see allergic reactions the first piece of advice I like to give out is throw out that product that is giving you issues go back to something benign that your skin trusts and whenever starting a new skin care product test it out on the inside of your wrist for a few days in a row make sure you are not allergic to it before your start using it across your face or body. A lot of these companies are pop out who are they going after – what is the target audience consumer right now? For some of these companies? Great question so I think the beauty marketing is targeting people who are looking for a more organic life style that includes women who are trying to conceive pregnant women or women shopping for their little babies, and in general all these demographics have sensitive skin or anything in particular you could tell us in terms of ingredients you need to look out for so there is someone to be said about looking to avoid products that will have metals dies fragrances and preservatives in general – the other lean beauty known is essential oils when used across the face they can make cystic acid a lot worse they can even create fungal reactions across the face wash well so that is an imprint one to try an avoid. Dr. Linda we heard back when we wanted to talk about this but what are we supposed to do about these terms – this one is organic this one is natural this one is nontoxic this one is – what are we supposed o do with all that? So unfortunately the FDA does not define exactly what makes something clean or natural so as aboard certified dermatologist I like to spend time educating my patients on what skin care really means – what ingredients to look for what to avoid and by making my patients savvier consumers they are definitely getting their information from an expert rather than from social media where you have celebrities and influencers doling out that information. You are a board certified dermatologist just quickly is clean the way to go? Would you recommend it? I think there is something to be said about simplifying skin care routines women in general can interact with 200 skin care ingredients in a day so editing out the fluff sticking with those staples and by that I mean cleansers moisturizer and sunscreen that makes a world of a difference. Alright – Dr. Linda thank you so much – we got a lot in on a short time thank you so very much.

Live from AARP – embrace your health, beauty and sex life during Menopause - “love the skin you are in” with your host Barbara Hannah Grufferman and Dr Margaret Nachtingall.
Hello everyone I am Barbara Hannah Grufferman I am the author of Love your age and the founder of Menopause Cheat Sheet – a weekly newsletter. Thank you so much for joining us for the 4th episode in our 5 part series focusing on all things menopause! March is women’s history month and we thought hey that is a really good time to talk about something that happens to more than half the world’s population – don’t you think? Yep – AARP is presenting this series of virtual events to open up the conversation about a topic that way too many people still think is taboo – so we know that you are learning a lot form this series at least we hope you are, but there are a few things we really hope you take away from every show. 1. You are not alone, 2. Your menopause journey is unique to you because you are unique. 3. Oh so many of these symptoms can be addressed but it is up to you to go out and get the information and seek the help that you need and serve and 4. Oh everyone this is not the end of your life! Oh no! It is the beginning of the new stage of your journey! So this is a 5 part series and alas next wake is the last episode in the series and please mark it on your calendars because we are going to be covering some every serious topics we are going to be talk about how menopause can impact the health of your bones, your heart and your brain! Now we will have some incredible medical experts to guide us and give us the bet tips on what we can do right now to make sure that we age as successfully as we can. It will be March 31st 7 pm Eastern Time right here. But today we are going got be focusing on how menopause can really wreak havoc with our skin and our hair and oh golly doe it never! I think we all know that we have an incredible dermatologist who will be joining us – momentarily to hold our hands albeit dry hand sand talk us through what we can do and just so you know real good news here, yes there are a lot of good symptoms but most of the have some really great solutions so we will be getting to those really soon. Before we do that, before we open up that conversation I came across a quote from the wonderful Diane Von Rosenberg today that I wanted to share with you – there is a saying that with age how you look outside is what you are inside, if you are someone who never smiles, your face can get saggy – if you are a person who smiles a lot you will have more smile lines and leave you with crow’s feet like me. Your wrinkles reflect the road you have taken they form the map of your life so keep that in mind as we forge ahead in this discussing day. Now this is a very interactive show – what we would like you to do- 2 things, 1 I know you are going to have a lot of questions so please send them to us – so if you are zooming in as a lot of you are – go to the chat function and then if you are looking at the live stream on Facebook – just leave it in the comment section but please send us your questions for our incredible medical experts. And then the other thing we want you to do is I will be asking you questions during the show and that is our poll question and we really want to hear from you because we want to know what you are thinking and we want to know where you are on your own personal menopause journey so here is what you do – so just like I will be looking won at my phone, take your phone right now go to messages – the text function – type in 22333 than in the txt box put in AARP hit send and you will get a reply and then you will be all set and so the poll questions I have, I may repeat this in case we have some people coming in a little bit late but please do participate because we really want to hear from you – so and again I may be looking down periodically but it is not because I am getting dinner for later on, No! because I am fielding your questions and I really want to get to as many as I can – so for now let’s start out before we kind of get into this conversation on hair and skin, let’s do a poll question – so here it is get your phones out angina – 22333 type in AARP hit send you will get a response and reply to my poll which is what bothers you the most about your skin since going through menopause or even if you are still in menopause, peri menopause your skin is changing – what bothers you the most about your skin so while you are inputting your answers, lets introduce my regular cohost the remarkable Dr Margaret Nachtingall who is – oh we see some words coming up now! Which is so great? It is like a little cheat sheet here! So Dr Margaret Nachtingall hello! She is a reproductive endocrinologist and a clinical associate professor at NYU. Margaret has been in practice for over 25 years and she was also the medical director of menopause cheat sheets I worked very close to her hello again Dr Margaret Nachtingall. Hi Barbara! I am really excited to be here tonight I think this is going to be really fun to talk about – skin and hair! So it should be really great. Absolutely these are really 2 of the biggest challenges that I think that women have when they go through menopause because we all want to look good we want to feel good we want to look good then this is all part of that – but as i know you have some statistics you want to show us – I do absolutely because as women are getting older they actually will lose, 30 percent of collagen after going through menopause after within 5 years, so you know being exposed to the elements and getting older that allows for some dryness and lack of elasticity of the skin. But Estrogen has a protective effect and so the loss of Estrogen results in these dramatic decrees in collagen. Wait in collagen? And the lack thereof can really – create so many issues like kind of the sagging skin that we often see especially around the jowl area, but as Diane Von Rosenberg says the more we smile the higher everything is – which is really nice, but we know that our medical expert coming on shortly is going to explain a lot of that and give us some solutions, but also we do know that it is not just skin, it is also hair I mean there are women I know who will not go on a date – but pre-Covid lets see or even call in sick for work if they are having a bad hair day – right? Absolutely a bad hair day I mean this is a mysterious issue that many patients that come to see me experience and a real drastic statistic that I was actually surprised to find came from the Cleveland clinic that says 50% of post-menopausal women will experience some noticeable hair loss.so we are really getting into this later on in the conversation. Yeah it seem that hair loss is one of the biggest issues that women have and but we will be getting to that and then again with all these symptoms everyone good news there are solutions and so I think that we should get the conversation going and bring on our guest but however I must tell you that originally we did have 2 guest experts – 2 wonderful dermatologist joining us however Dr Dorsday who was supposed to be here is right now as we speak flying around circling around New York city – her flight was terribly delayed and she still has not landed. So she will not be joining us this evening she is wonderful and you can follow her on all social media platforms, Instagram twitter Facebook and also check out her books – forget he Facebook which I love the title of that book, and beyond beautiful but for now les introduce Dermatologist who is not on the plain who is actually with use! Thank you so much Dr. Jeanine Downie let me please introduce the audience to you – Dr. Jeanine Downie is the founder of image Dermatology ® P.C. based in Mount Clair New Jersey, we see that beautiful background Dr. Jeanine and is an assistant attending at Mountain Side and overlooks hospitals and she is also the author of beautiful skin of colour – a comprehensive guide for Asian, Olive and dark skin – it is a wonderful book and she is also a board certified dermatologist and specialized in cosmetic dermatology – you will see her frequently on good morning America, the today show, Dr. Oz and so many other morning shows I mean she really is out there and a true celebrity dermatologist, she has also published over 75 scientific papers, she lectures worldwide on cosmetic and medical dermatology and along with Dr. Dorsday who is flying around in an air place right now she is the cohost of the Gist – a terrific show you can watch on YouTube and of course you can follow Dr, Jeanine Downie on all social medica platforms as well. Dr. Jeanine welcomes to the show – we have a lot to talk about! Hi Barbara great to be here, hi Dr Margaret Nachtingall nice to see you nice to be here! Great to see you so before we get started we have questions for you, the audience has questions for you – before we get started with that, let’s take a look at that poll. We were listening in when we asked the audience. Okay - what is, I am not too surprised here. What are or what is your biggest complaint about your skin since going through menopause so let’s read out a few – Doctors would you like to read out a few – yeah sure I think it is incredible the key things dryness, sagging right wrinkles spots, these are all the things that I would have expected. Mhmm absolutely and I see acne is there too. This is really interesting because I hear a lot of women say I had the most perfect skin I had beautiful skin when I was younger and then as soon as i went through menopause boom I started getting acne which is really – of course a lot of women are getting what they are calling maskne or because of the manetomy – a whole different thing ok let’s get started with the questions – Dr. Jeanine we saw from the word cloud form our audience that one of the biggest issues is dryness I mean we know that menopause creates what I like to say dryness inside and out – head to toe, it jus does. So what are some of the best ways that women can combat that dryness – give us some tips. Ok so you start off by thinking what can I do to hydrate myself so I tell my patients that you want to use a light weight moisturizer during the day – something like Center dermal repair really well and helps to keep you skin tone more even, as you start aging you can get age spots, you can get blotchiness and menopause can exacerbate that – there is a product specific formulated for pot menopausal and peri menopausal skin and that is called Emopill and Doris loves that product also they have the serum and they have a cream, and those are formulated to try to hydrate your skin. It is very true that we lose at one of collagen within the first 5 years after menopause which is totally depressing, but quite frankly we lose a tea spoon of collagen every year form the time we are 30 so you know by the time you are 50 you have already lost 20 tea spoons of collagen one tea spoon equals 5 syringes of filler. So just to kind of put that in perspective so I tell everybody with hydrating you want to make sure you moisturize kind of with a lighter moisturizer during the day – I do like Eveno and Neutrogena for over the counter because I want to give omnes over the counter solutions also and then the evening you want to use a more rich moisturizer that you are putting on for overnight and you are laying on your face and you now that might be something like the Skin Medica a dermal repair product that my patients love or a lot of them love the T n S advanced plus serums and then they layer that with skin Medica replenishing hydrating cream. Now if you are breaking to form acne – when you are in your menopause period, people think I don’t deserve acne anymore I have been through this as a teenager or you know they think they have never been through this before because they have it. I have had bad acne since I was 11 years old so 11 to 27 was the worst period in my life, but till now I break out and especially with this Mask-ne that Barbara was just talking about it is real and so those people have to use hydrating on that is oil free – they can use oil based hydration because that can be a problem. So they have to moisturize and then they put the sunblock on top of that and then they are putting their mask on top of that so they have to make sure they use oil free everything and if their acne is really bad they might need to get a prescription medication to help manage or possibly even an oral antibiotic it really depends on kind of the breath of their acne and then obviously we need to hydrate at all times so I brought along my prop which my patients laugh at me every day this is my daughters water bottle that I stole form her – I drink easily 7 of those a day. So I drink nothing but water which is really boring and I am a little bit of a nerd, so no coffee no tea no alcohol and I hydrate the heck out of myself but when you are peri menopause and you are talking through a mask all the time like i am – you have to hydrate yourself because your patients need to understand what you are saying so those are some tips. Oh love all of those tips and I am asking for a friend, does coconut oil – is it really a good thing to use as a moisturizer or does it just clog up your pores? Coconut oil breaks me out! So I don’t recommend it to anyone that has acne like I do – I have got acne whole life but some of my patients that are super dry that have no history of acne and all that love coconut oil and they love it in their hair and they love it beaker we use too much hand sanitizer now with Covid so they love it on their hands, what I tell my patients is overnight put the coconut oil on Barbara then put something simple like Vaseline or petroleum jelly or like Aqua 40 over that and then put just old sock on over that and go to sleep. It is not you sexiest look ever but it will really super hydrate your hands – so that is a use for coconut oil that I really like and you can do the same thing with really dry feet but right now the hand sanitizer is beating up our hands and so that is one thing I recommend and then a lot of my patients will use the coconut oil after they put on after an anti-aging compound like the T n S advanced plus that I talked about – another one that build collagen in 3 different ways that I have not me toned yet is called Elasterderm and so one of my favorite patients puts the Elasterderm all over her face, all over her neck and then she puts coconut oil over that – she kinds of – she calls it a double salient layer and she says that she has never been more hydrated with her skin in her life and then obviously our have to use a humidifier you have to sleep with a humidifier because that is going to add moisture to your skin your hair and your nails and in the cooler whether climates I tell people from October through to about the begging of any obviously not in to summer – here in the East coast where it is going to be more humid anyway – you know that type of thing. Right – thank you for those tis and thank you for explaining the coconut oil to me – so it has its uses, but ok! Dr Margaret Nachtingall lets ask you a question – so all of his that is happening there are thing that we can do where we can live a healthier lifestyle to improve our skin! What can we do? Well I think the key things are not smoking, having just a little or moderate amount of alcohol as possible and really staying away from the sun which clearly I have not practiced what I am preaching – but you know avoiding that sun damage is really imprint. I really appreciated all the tips that we just got I definitely learn a lot about it – I want to add one more thing about the acne is that sometimes the acne is actually hormonally based, and it might not be a bad idea not necessarily the mask acne that people get but other acne that odes come around at menopause to get an evaluation and make sure that there is not something hormonal that could be in play here. Oh absolutely – a 100% and I tell my patients no smoking, no vaping and no smoking weed. It is almost like you have to say it 3 different ways to get them to really understand that vaping is smoking and smoking weed is smoking and all of those will dry the heck out of your skin so thank you for saying that. Thank you both! Yes smoking has a bad effect on the skin and I really really emphasize that. Mhmm and the I want to add to that sleep I see the difference in my skin when I have not had a good amount of sleep but we do need to move on to something that I am really looking forward to sharing – you saw all the statistics you heard our 2 doctors talking about what happens to our skin but now I would like you all to hear from one of our viewers who wanted to share with all of you her own experience as she was going through menopause and what happened to her skin lets lite. What I have noticed as I go through menopause is that where i previously had skin that was oily that would get kind of monthly acne break outs based on my cycle that now I am seeing an increase in crape-ness and fine lines, it is upsetting! You two I have had good skin my whole life and now I feel like I am the crypt keeper like it is slowly I am drying out on the vine. I always thought with ageing I would get slightly wrinkled and tile everything else would be the same and everything is changing – nothing is staying the same and I would love what to know what to sue, to keep my skin as good as it can be as I go through menopause and after work. So Doctor Jeanine ere we have Anne she is really taking directly to you if she was right there in your office what would you advise her? What tips would you give her for her specific skin issues which I think really the majority of us have? Mhmm – use a toner make sure that she is exerting because what that does it actually modulates everything it modulates your hormone and it helps with your whole work life balance in terms of your skin. Inters of specific products I like the Restorecy Cleanser was just looking at her skin whilst she was talking and I think she has great skin she might be drying out on the vine but you still look good to me so I like the Restorecy Cleansers it is formulated by a skin of colour Asian, a Harvard business school woman called Restorecy Cleansers – it is fabulous it is very light weight and it lightly exfoliates and it is very natural but it is not organic and then I like the sentay dermal contour press serum for her because that is something that helps to decrease sagging, and my patients love it – some people want to jump n and do filler and that is fine, I tell my patients all the time that if you see those faces, that never changed like some of our Hollywood celebrities a lot of them admit they do filler and some people are not ready but quite frankly for her I would say the Sentry dermal contour press serum, I would say the laser derm and there is a product that patients really like a lot by Isden called Melatonin, and that is an eastern product it is a German company and it has a really fabulous – it is a retinoid like substance that also helps to control acne and it is a retinae formulation in an oil that is great for menopausal skin so I think she would like that a lot and you know quite frankly a lot of patient that see me on TV call my office and get products from around the country because you don’t have to be my patient because that is not a prescription so you can just call in we take your credit card and we send it to you and we also give instructions on how to use it – so I think those things for her – and no toner for her at all! Toner is a big gimmick and it dries out your skin too much especially in peri menopause and menopause so absolutely no toner for her. Thank you so much for that! We were getting so many audience questions and I hope to get to a lot of the, I am going to pull a few together because we have a lot of people who are asking this very specific question about sagging skin! They don’t want surety, but they want to fix the other than the smiling! Like Rosenberg said – what can they do? Okay! So just simple things – everybody can afford to not sleep on their face – that is not going to cost you any money – to not sleep on your face, so when you sleep on one side of your face more than the other side of your face, you actually decrease your facial symmetry after a while – so I did a thing on the today show several years ago now where i was guessing – which side this is when Matt was still on, so which side Matt slept on, which side Al slept on, which side Jenna Bush slept on! And they were like No! and they were running from me because I can actually tell – looking at them, so I tell people if you want to age more symmetrically – you will sleep right on your back and that way, you are not smashing on side of the face over the other because we can actually start to shift our bones after about the age of 35. So that is an easy easy way to kind of slow down your ageing and slow down your facial sagging. Some people want to do filler and that would be Voluma – I really lie that one a lot and that one works well in a majority of my patients, sometimes Sculptra – I tell may patients this is my normal cheek bone right here and this is a bit of filler right here, a lite in my upper lip because it started going flat and then I have some holding me up back here, and you know it is not a bad thing, a lot of people look in the mirror and they kind of go like this all the time, so sometimes it is about filler and sometimes it is not, and I tell my patients I exercise 7 days a week I do cardio and I do weights and on the weekends I tend to run for a longer period of time and then I’ll do crunches sit ups pushups all of that, and I exercise all the time because that helps with your sagging skin also – obviously I don t smoke and smoking as we already said doctor Margaret and I say it is super bad for you and I tried to eat a healthy balanced diet so all of those things, some cost money and some are free – but those are some of the things that you can do and whatever you do if you do choose to use filler keep it natural go to a doctor that look natural because you don’t want to look fake so please that is really important. Oh wonderful! Wonderful tips really thank you f that! Dr. Jeanine you did right this incredible book – beautiful skin of colour and it’s geared specifically to women of colour do women of colour have specific or different skin needs or challenges? And if so what are the most common ones and also tell us what are the best treatments for those and solons. So one of the most common issues that women of skin of colour deal with would be hyperpigmentation. I get a mosquitoes bit and it leave a dark spot everything leaves a dark spot on me and on any of my skin of colour patients. So whenever anyone walks into my office, one of the first questions I ask them is how old are you and the second question I ask them is what is your background – and a lot of my patient that I think are Irish are Irish and native American, a lot of my patients that I think are white are Cuban and Mexican you just don’t know unless you ask people the question and that way you can figure out what laser to use on them, what one thing might work better than another thing ad how their skin is going to heal after certain procedures, so hyper pigmentation is real – for me I have been suffering with it my whole life I am an Ex life guard and I baked myself in the sun, from the ages of 16 to 20 and my mother who is a doctor told me to wear sunscreen but I thought I knew everything and I didn’t and I started getting these irregular brown patches called Melasma that most people don’t see until they are literally in peri menopause and so with a lot of my skin of colour patients, if I have to treat the dark spots so they don’t have to wear foundation that is a big win. And I tell a lot of them that are lighter that a lot to her ed patches they have originally because I had rosacea when I was younger, and people think that only white people can get rosacea, that is a race based Fallacy – anybody can get rosacea and the red as you get older in brown people, turns brown and people really hate it so that is part of you know one of the issues, and then another issue for my skin of colour appoints, that is the same for my white patient, is that anybody that has curly hair once peri-menopause kicks in you can start getting hair in here and when there are indents in here wherever they can get hair bumps and that is not fun, that is not good and laser only targets the pigment an the hair follicle. So I tell people and I told one of my appoints just now before I came down here to speak with you all this evening, that she is in a race against time because once you have the hair being grey laser is only targeting the pigment and the hair fall. So for my skin of colour patients they have darker hair bumps but for my lighter patient, they have like pink hair bumps. Everybody hates if you have a hair bum and you are a woman you are hating that already so laser is also something that we do for my skin of colour patients, we use different lasers that are targeted with long wave lengths so that they don’t burn your skin and I tell my patients to ask questions and make sure and just like your audience should ask questions and make sure have you done chemical peels on my skin type they need to ask their medical doctor, have you done laser on my skin type – what else can I do for my skin type if you walk in the office and nobody looks like you that is okay. But as long as the doctor has experience with your skin type if they don’t have experience with your skin type ask them who does. Right wonderful – wonderful tips that really everyone listening, women of colour you should definitely read this book. It is a wonderful book and will give you even more tips than we even have time for right now. We are getting so many questions we already answered one of the fillers for sagging skin but people really want to know what are some of the best procedures that you do that you recommend that are out there that are not surgical? If products just really are not cutting it – okay! That is fine. So the Fraxel is one of my favorite laser procedures because it actually builds collages, it decreases fine lines and wrinkles and a lot of my paints that don’t want to do anything with a needle, love the Fraxel and will come every month every other month, for 6 treatment session and then a couple of times a year for malignance of that they can keep their collagen looking good so what the Fraxel laser does it is good for all skin types the ones that I have which is a Fraxel restore I think that a lot of my friends around the area something called the Fraxel dual the Fraxel repair is only for lighter skin that would be Irish skin, or Scandinavian skin so you want to make sure it is the right Fraxel once you get on the right Fraxel then you start literally lasering and we put on a numbing paste for about an hour and then we wipe the numbing paste off and then we laser away and then it decreases your pore size even! It decreases your freckles it decreases your Melasma and it really helps in terms of the texture of your skin. So it is really nice and smooth and patients love that and it build collagen – so that is the way to decrease sagging with the Fraxel there is a lighter laser that works differently but is just as importantly called the Lase MD and that is one that I use as well – and that can help with the red and the dark together depending on the patient, so they need a consult for that, but it really does help a lot even with preconcert lesions that one because a lot of my patients will come in and they will have something – oh doctor this has no healed for 6 months what is that and I am like 6 months I don’t want that to be a skin cancer and a lot of people, if we find out that it is precancerous with a small biopsy then we can go ahead and laser it with the Lase MD and get the rest of it off so that they won’t have a big scar in the middle of their cheek because who wants that if you can avoid it – you know that type of thing so you can build collagen with those 2 lasers, there are the topical products that some people feel like are not cutting it and then there are always the injectable and I explained to people I love Doris’s book Forget the Face Lift because I tell people all the time if you have your face lifted up sharply on both sides, you are still going to need volume – so a little bit of filer can go a long way, and that is one of my main anti-ageing recommendations and the exercise and the brightly coloured fruits and vegetables and I am a sugar addict and I admit it and that is one of the worst things about me became I know that I should not b having sugar it causes what we call – Glycation and Doctor Margaret knows this, and Glycation will age you faster, And in peri menopause all of the stuff that you used to be able to eat and get rid of and get rid of and gain weight! (Laughs) those days are gone! Now you are going to gain weight and it is horrible! Taking it off! So it is kind of like don’t get stared with something that you don’t want to be as I like to call it – on your bottom line, and right now I am pointing to my push so you don’t want it on your bottom line! (Laughs) Dr. Jeanine we are moving on to hair right now but I have a quick question, someone asked and I am curios too – please make this a yes or a no answer if you can only for lack of time – the facial rollers do they work or do they not work? Oh please no! Okay! Enough let’s move on! Alright everyone let’s get the segment over here to do that because we have a lot to cover we want you to go to your phones, please and answer this poll question that is going to be not her work cloud if you have not already – go to 22333 send a text to 22333 type in the text box AARP hit send! And you will get a response and then you will be able to participate in this next poll question! Which is what is the biggest beef that you have about your hair since going through menopause! What is your biggest menopausal hair complaint? So as you are sending those in, please Dr Margaret Nachtingall, we have a question for you – hair loss as we know can be genetic, but menopause definitely speeds up the process. Why is that? Well there are so many component that are involved in hair loss and really if someone is experiencing hair loss it is worth having an evaluation there can be genetic factors, environmental factors nutritional factors, people with iron deficiencies and anemia have a traumatic effect on hair loss and when the iron is replaced, hair growth can really return so this is a reversible reason. In addition there are hormonal explanations for why women lose hair loss if estrogen contributes to hair loss and also increased testosterone where other androgens and increased hair loss so these are all things that should be evaluated to being able to figure it out – another big one is auto immune factors and thyroid disease, so it is really a great idea to get some very basic tests to see if there is something that might be reversible that could explain the hair loss. Okay thank you Dr. Margaret, everyone let’s take a look at the word cloud results, let’s see what the biggest complaint is about your hair! Well of course, thinning is the number one not surprised. Hair loss – I mean we have a lot of other things, course and gross and kinky and fizziness, and yeah I mean it is all of that, again for me I know it is my dry hair I mean it is just always looking for the right products to help out. But Dr. Jeanine, - the hair loss and balding even and I saw a lot of you know various ways of describing hair loss throughout the word cloud was excellent. Mhmm, yeah it is really amazing and thank you everyone and by the way start sending in your questions to us in the chat function if you are zooming in the comments section if you are live streaming about hair because we are moving into that now. Dr. Jeanine I came across an article in the guardian in the UK just this week and I pulled out a couple of stats became they were so amazing, to me about hair loss and nearly 9 out of the 10 requests for hair loss treatment now come from women not men, stress has been highlighted as the leading reason for the condition for women, and 6 out of 10 women will experience hair loss during their life time so we know that hair loss is happening. We know it can be a combination of genetics menopause the environment certainly stress, eating the right thing aside, leaving others – so this is what we really want to know – what are the treatment that you offer that your colleagues offer number 1, number 2 do they really work? Will hair grow back or will they – is the set we can hope for is that it will stop more hair loss – can you tell us that please? Okay so a couple of things, what I tell everyone is that we don’t know what your hair and your scalp would look like 2 years from now if you did not have any treatments right. So we are in a constant fight against how your ageing , your genetics, your stress levels If you have the low iron if you have bad thyroid, if you have unregulated diabetes, there is many ways unfortunately to hair loss, and so I tell them – I don’t know what they are going to look like without treatment so we slap on one treatment after another and I don’t mean that in a derogatory way – I actually started just noticing a little bit of thinning about 5 years ago and I was just like no I am not dealing with hits, I really want to try something. So the orals that we recommend are vitamin supplements right now – so there is Vivisect which stops your hair form breaking but then I personally switched over to Neutifall and I stuck with the Neutifall I have been on it for 5 and a half years, it will be 6years this may and I have pictures up on my website which is just imagedermatology.com shameless plug – and you can see me on the Neutifall for years and how much my hair has grown. I fell prettier, I feel more confident, and it makes me feel better – I never had hair tumbling over my shoulders like Dr. Margaret has, I have never experienced that. I don’t know what that is like, I would have to buy a weave in order to have that, but we all have our plusses and minuses one of my favorite thoughts back in the day about Artie Cline, Micheal Jackson’s dermatologist he said I had cheekbones that could cut glass – so we all have our plusses and minuses, but my hair I have never really been happy with my whole life and this is the actual happiest I have been with my hair with the Neutifall. So the Neutifall is nutrional for the hair follicle it is a supplest, I would recommend people get it from a dermatologist and not just get it from online, because online you don’t know, I fit is fake or not and you don’t know how it has been sorted, and you also don’t know if it is actually expire or if it is not expired because people can change dates before shipping so that is what I will say about that, it is 2 dollars and 54 cent a day because Doris and I both recommend it and both sell it out of our office so that comes to 79 dollars a month which a lot of people fortunately can afford, there is a men’s formulation and there is a women’s formulation so number 1 is Neutifall and it works and I have been on it for almost 6 years so that is something that is reasonable. So another thing that you can do is impel you can exercise and it is amazing how many people and Dr Margaret Nachtingall knows this too. Don’t exercise, exercising decreases your internal stress level. The little hats that sit on top of our kidneys are our adrenaline glands, those secrete cortisol into our system and that cortisol can thin your hair on top of your head and make you gain weight in your mid-section and make you sprout hair from your upper lip, so exercising can decrease you cortisol level. Nontrivial has something called Ashwagandha in it that actually helps to artificially but naturally decrease your cortisol level and if you exercise it is even better. So I tell people to exercise to boost their circulation, let’s boost your hair growth and decrease cortisol level so that is super implant. And then I tell people that there is a shampoo it is form a German company called Isden and it is called lambdactyle and it is a long name lamand then dapil and then it is a shampoo that can be used for African American hair, for Caucasian hair for latino hair for Asian hair and of native American hair for everyone I love the products that are for everyone I love the inclusive products and it is one rinse with the lambdactyle and then you use your beauty shampoo a high protein condition and then you spray in the lambdactyle spray and you either leave it wet to dry or you can blow dry it and then leave the spray in it and this works a different way than the Neutrifall to really assess, so the majority of my paints love the lambdactyle because that is 33 dollars a month which is also reasonable and that is like a hundred dollars for 3 months’ supply or something like that and that is a spray and a shampoo so that is okay too so we have exercise which is free, expect you have to buy your sneaker and your gym membership, we have the nutria which is 79 dollars a month then we have the lambdactyle which is 33 dollars a month. The more expensive treatments can be significantly challenging, for patient, because they get online and they buy anything so the low level laser light therapy the treatment’s the caps – I think Doris recommend them to some of her people Dr. Doris day my friend that was supposed to be on with us tonight so I will mention this because I know she believes in it and there is like 35 to 37 hundred doors, I have never seen good results with them, so I tend to be meaner and more of a skeptic because I have issues with my hair my whole life, but Doris says she sees a difference and some people LLLT – low level laser light therapy maybe for some people but it is not for everybody and it is 3500 to 4000 dollars so it is not cheap, so you want to think about it, go talk to somebody that believes in it, and see if it is right for you don’t just run on the internet and buy that, in terms of other treatment’s Dr. Doris day does PRP that is when we take the blood out of our arm we spin it down and then we inject the plasma rich proven you know the platelets back into your scalp and you know this is a needle all over your scalp in all of your thinning areas, which I did it at a trade show one time and I was doing a live demo in front to of who knows 500 people, and my patient you know it was one of the industry people there fainted because it is painful and so you know I don’t really – that is not my goal in like to make my patients faint, so it hurts a lot. I am little baby when it comes to needles but you know I do my Botox and filler because nobody is more vain than I am so it is what it is, but with all of those needles in the scalp some people can take it and some peel can’t take it so the PRP is a big thing, you do get good results with PRP in many cases, and then in some cases not at all. Again you need to seek the attention of a board certified dermatologist that does PRP that is good with PRP that believes in it so they can tell you what your chances are with that and then finally there is something called Keralase which I use that is like a needle free it is like a hair growth laser and the hair growth laser we actually pale It on the scalp and it actually open with channels of the hair follicle – then we dump it in something called hair factor that has all these patented nutrients in them and stem cells and peptides and it actually helps your hair to grow and this is something that has been fantastic in my practice. Men and women on all races on all skin types I have used it in my hair line to try to thicken up my hair line it used to be lighter than it used to be right now because my mother pulled my hair back too tightly with braid when I was little which is what happens with a lot of African American women I have used it for a lot of people all over their scalp today in my office, out of the 30 patients that I saw I think 7 of them were Keralase patients so it is something that is very popular so those are some – that is wonderful! Really great tips and all of them, and I have heard some good results from almost all of the ones that you just mentioned I know propel who have tried some of them and really good results, and so thank you for sharing all of those, and I know it is a lot to remember everyone, we have to think of a way to get all this information to you I do have one question I would like if you could Dr. Jeanine give us a fairly short answer because we want to move on to get more audience questions but a lot of people are asking okay what about thinning eyebrows and thinning ye lashes, I mean that I can relate – yeah what can they do about that? Yeah I use Latise, I did the clinical trial for them, it is a product from Allergen if you are just using it on your eye lashes alone it will wind up costing you about 410 dual a year which is nothing compared to the fake eye lashes became the fake eye lashes I tell people use them on a super special occasions a wedding, you know what type of thing, but if you sue them chronically the glue is going to rip out your lashes so the Latise has really helped to build my lashes and so you know they look good, they look better that they have in a while became during Covid I have been really good using my Tezel. I also people have actual even tried it on their eye brows and it has really worked very well. I do use it on my eye brows and micro blading is another thing I really like a lot. So this is Latise and this is micro balding and that’s that. Okay! Good very good tip – I hope you heard that everyone but before we get to the next question let’s hear from the viewer that you all saw before how she was taking about her skin and now she wants to share her experience with her hair. Let’s watch. One of the most surprising and upsetting things that I have experienced since I started menopause is big changes in my hair I have always had good hair and now I am having a lot of fall out, it is thinning at the temples it is coming out in my brush, when my hair started to fall out a lot I cried I would brush my hair in the morning and just be in shock, it was almost a physical reacting to see how much hair was in the brush I was worried I was going to go completely balled, what was wrong with me – did I have Alopecia. Something that has always been effortless or me my whole life now makes me feel old, I feel ugly and I don’t know when tis going to stop or what is next, and I would love to know what I can do to make my hair the best it can be. So she is really terrific, very honest and open about her experience with skin and now with hair, Dr. Jeanine but I think you have already covered alto of what she should do with her hair – and I know everyone else has heard the tips as well – I do have a question from someone in the audience and again I am pulling it together to make one questions because quite a few people are asking about unwanted facial hair and of course we are talking about hair loss, thinning eye brows thinning hair, thinning eyelashes but yes of course the flip side is that there is also more facial hair in places that we really don’t want it so what is some of your briefly if you could so we could move on to a lot of audience questions that we can deal with that – flawless finishing touch worked really well for unwanted hair on the upper lip and the chin it is something you can get off of the internet it is like a little device which is like a spiny device that you use and my patients don’t seem to cut themselves – if my patients want to use it depilatory I will have them use vet – vet I tell them to up their hair up in a bun because I don’t want them to take any hair off their head and then they can use vet and really quickly to the person on the videos question she should not be blow drying her hair also she needs to limit her colour, and she should sleep with a satin pillow case – those are 3 other things that she can do that are relatively cheap. Oh that is great, Dr Margaret Nachtingall to add to that – first of all i think her skin looks great and I think Anne looks a lot younger than she really is. I think she is too hard on her self – right? Yeah she’s too hard on herself. Very hard on herself but what I wanted to say is that the same hormonal environment that causes hair loss can also cause hair growth when there is too much androgens circulating around the body that can cause hair loss that is usually often more than what would you consider to be a male pattern, you know loss of hair and that also can cause hair growth, that also causes acne = so if you have all of the above it is a god possibility that you may have an increase in male hormone production and that is something that i would seek help form your physician and that would really help but I think the other thing that is implant, is that that insulin just as you said eating a lot of sugar or having high insulin that can also increase the hair loss. So right in there the exercise that can be really really helpful. Yeah thank you Dr Margaret Nachtingall, and we have all that frustration we want to get to before we do that, AARP has a few news letters that they would like you to know about because they really talk to women just like you – lets watch. The girlfriend champion’s female friendship especially as we age and is a community of mostly Gen X women. We offer the best in health sex, beauty travel carrier and printing information. The girlfriend also offers an act of online book club as well as regular live events. Go to the girlfriend.com, Sisters from AARP celebrates black women and welcome all women – we cover a wide range of topics including health and wellness, work and money, entertainment – live events beauty faith and more – go to sistersletter.com and the Ethel from AARP the Ethel is a community of women smashing stereotypes around aging and celebrating life at every age. The newsletter offers older women the best in health, sex relationships, finance and life style information. The Ethel is named after Dr. Ethel Percy Andres, AARPS’s founder who fought tirelessly for the rights of older Americans. Go to AARP Ethel.com. Subscribing is free and easy – check them out now. Okay Doctors, let get to some more audience questions. I have one here – very important one, Doctor Jeanine I guess or rely actually Dr Margaret Nachtingall and Dr. Jeanine you can add in, is there a higher risk of skin cancer during and after menopause – I’ll let Dr Jeanine Chime in on here but skin cancer does increase with age, as it does with sun exposure so definitely post-menopausal women are older than they were when they were premenopausal so absolutely it does increase. You see skin cancer more in older white men so over the age of 50 than anybody else, but basically one in 5 Americans is going to get skin cancer. A lot of younger women are getting skin cancer more and more because of tanning beds, so that is the thing that changes. But as Dr Margaret Nachtingall just said as people get older you are going to get more skin cancer so a 100 percent absolutely not time to put on the sun block every single day rains or shine, Jan through to Dec. and get your skin checked. Absolutely – have it looked at by a dermatologist and really. Once a year we do a head to toe we look at head to toe and we look at all moles and if you have amole that is not healing, or changing or bleeding or is painful, come see us immediately don’t wait. Any question so important to check your own skin of course periodically too, during your checkups. This is from Kimberly how did you did mention it Dr Jeanine but let’s focus on it – how do you deal with dark spots. What is the best way? So people have to wear sun block first and foremost because otherwise your dark spots are getting darker every day. the 2 topical that I like the best in terms of treatment are Cyspera which is histamine which is a topical smelly sculpture based cream that started on the face at night from about 15 minutes every other night, it is something a lot of dermatologist across the country carry and it works like a dream for basically everybody and then there is a vitamin C from hydroquinone from Obagi that is very popular that is considered a prescription that a lot of my patients use and they put it on their dark spots, I do chemical peels for dark spots, I do laser for dark spots, you can do full laser resurfacing with a Fraxel for dark spots, so it depends on what you want to spend how much it upsets you and the boot line is you must wear sunscreen every single day and don’t pick by the way don’t pick at all – it’s just going to get worse. Thank you, Dr Margaret Nachtingall question for you – can high blood pressure meds cause hair loss? So casualty high blood pressure alone can increase hair loss and sometimes people that have high blood pressure are often the same people that have high insulin level and that can increase hair loss, the androgen pathways so this is a real issue – absolutely should be looked at there actually is one high like pressure medication that reduces hair fall so that is an option for some people. Thank you for that, Dr. Jeanine another question for you and what is – from Dawn thank you Dawn. What is the safes way to colour hair? Well I would say get your hair professionally coloured if you can, an limit it so if you are usually coloring your hair every lets say month to 6 weeks because your hair grows really fast then try to do it every 2 months and jut use that – it is called Wow, it is like a little powder that you can use to cover the grey over the counter in between just because all those chemicals can really beat up your hair after a while and then get professional deep penetrating protein conditioners if you can and if you can I like nexus and like Keratose a lot and they work well for all hair types in terms of deep condition your hair all on your own and never ever color and perm on the same day. Just don’t do it. And one thing that I did that really helped me was when I was in menopause was I basically three out my blow drier, so I have good hair days and I have bad hair days depending on what my hair ends up looking like as the air dries but I found that it really helps me because I feel like we have all kind of blow dry our hair a little too much, so kind of keep that in mind too – doctor Margaret question for you this is from Linda – thank you Linda. What type of doctor should you consult to check your testosterone levels? That is a great question – I would seek an endocrinologist or a reproductive endocrinologist, I think that would probably suit you the best, usually a primary care physician can also being the investigation and when you are investigating your androgen levels, your testosterone levels you are also going to look at your thyroid levels you are going to look for autoimmune problems, you are going to look to see if you are anemic, you are immediately going to do basic metabolic profile to see fi you might be screened for diabetes, how is your insulin level, you know I think this was really one of my major points was that many times, skin conditions hair conditions, that can be assign of an underlying issue a chemical problem, that can not only be fixable but should be addressed in case it is something that is really damaging, so thank you for asking that! Yeah great question and thank you! Really quickly – we have testosterone – that goes to die hydro testosterone it shortens and miniaturizes the hair follicle and that is where you really get a lot of hair loss from, so I completely agree with everything that Dr Margaret Nachtingall said. And you know the nice things is – when you work with dermatologist, you know I think it is great to have a team –many times people come to me for hair loss and first I will do the investigation and do the whole hormonal profile I might find something hormonal pick something hormonal and then in addition I will send them to a dermatologist, so that they can also get the treatment’s that you just heard from Dr. Jeanine – can be very helpful. Team work! I want the 2 of you on my team! Okay! This is from Yolanda but a lot of other women sent in the same question – thank you Yolanda! What can be done about increasing – this is for Dr. Jeanie. About increasing skin moles that continue to increase as you get older. It is a concern – yeah so I didn’t mention that when I motioned when I was talking about skin before it is a huge concern, so the tiny nerves on your face are called DPNs they can look like little ants marching around your face, and I get them too and I hate them so I take them off so what you do is you just pick a week where you can have some down time or you wear a mask because we are in Covid right now and you take of 5 or you take of 50 or whatever you have and we board certified dermatologists do that very easily in the office it is very easy. So we take the off the face the neck the chest the back the bigger ones are called Severe Keratosis and they are annoying to take off as well. But we just take them off, so come in discuss it figure out what you want to pay and never covered by insurance but you don’t see them in my face and the majority of my family, is covered with them by the age of 50 which I lie and say I am 43 but I am over 50. Well you look fabulous. You do! Okay everyone this was a great conversation but now unfortunately our time has almost come to an end, but I do want to hear some take away from all of you that I would like to leave with our audience, so let’s start with you – Dr. Margaret what is your number one take away you want everyone to remember from tonight’s show? I think the big take away is that in menopause or loss of estrogen we see dramatic effects in the kin and in the hair – but sometimes it is not only the loss of estrogen but also other parameters so I think overall health don’t smoke, exercise, eat healthily get sleep as you said Barbara and really seek – it is an individual occurrence as we have said over and over again, so get some advice from a doctor or health care provider, that you trust, and get – that will help you guide through all of the treatments that you just discussed. Great! And Doctor Jeanine what is your take away please pretty please! My – your face is your most imprint accessory your face and your hair, in my opinion and a lot of people when they are younger because of economic viability they want to look a certain way, but when you are ageing you are ageing you are not dead, so please take care of yourself because your face and your hair is your most important accessory and basically your romantic viability and your work life viability can revolve around how you feel about yourself, so it is not just vanity it is actually how you feel about yourself, feel good look good do god, so try to keep that in mind and I agree with Dr Margaret said on all the health stuff. Absolutely – I would like to add, one of my own – I would like to just echo what Dianne Von Rosenberg said – keep smiling. Smile more sag less! Thank you! So much Dr Jeanine you were amazing, great tips, great recommendations, thank you so much for answering all of them it is a lot of audience question and really appreciate you coming on and flying solo! We will tell Dr. Day what a fabulous job you did! Right and I mentioned her name a couple of time – nice to meet you Dr Margaret Nachtingall I think I have seen you before I have ben to Mount Side for lectures and your face look savagely farm liar tome so I feel like I have seen you before and I trained at Sieni and thank you Barbara from having me on I had so much fun! It was great! Thank you so much and thank you again! Can’t wait to see you angina! Yeah we will continue this conversation everybody – next week please remember to join us March 31st at 7pm Eastern time when we will welcome Dr/ Jennifer Mieres, Cardiologist and Dr. Gayatri Devi neurosurgeon and they are going to hold our hands as talk through how menopause impacts our brain health and our heart health and then we will also talk about bone health and so with Dr. Margaret so everyone, you can learn more about menopause resources by going to the girl friend.com/menopause and Dr Margaret Nachtingall has something to tell you! (Laughs) I just wanted to remind everyone that we really value your opinion so pleas if you could if you have just a couple of mints if you can fill out the surveys and send them back to us that would be fantastic and Barbara this was amazing I can’t believe it actually seems like 2 minutes it was really fast! So I just want to say thank you for being here with me again tonight and I look forward to seeing you next week! I can’t wait to see you again next week too! For our final show in this series! I am told that it was fun until then everyone remember this – we can’t control older but we can control how we do it! Bye for now!

From NBC news this is today with Oda County and Jenna Bodega, live from Studio 1A in Rockefeller plaza. Alright from big screen to the small one we are practically all living on these video calls so we can’t get enough a new series called From Here! Cosmetic dermatologist Dr. Jeanine Downie is here from New Jersey office with solutions for all of our skin insecurities. Hey! Dr. Downie how are you? Hi guys great to be with you – it is great to see you. We feel like there are things that we can do on the exterior to help our skin and we want to get to those but I feel like stress is such a big thing. People know when you are stressed, if you are tired and you I have just moisturized and how can we try to reverse the stress component? Okay, well basically just focusing on the zoom calls- Zoom actually magnifies your skin so people are looking at their pores they are looking at their dark spots, they are looking at their acne, and their wrinkles and they are bringing in pictures to me and say do I really look like this dr. Downie? They go Dr. Jeanine please help that kind of thing- they are coming in with pictures needing help – so it is extreme right now. Yeah Oda and Jenna we need some resuscitation. One thing you say we need to be wearing is sunscreen. Every single day, rain or shine January through December. So when we have a couple of models that we did before and after with, and so they used their Neutrogena the pore refining cleansing and the pore refining solution and sunscreen, because pores are from your genetics. Hi Kelsey! Smoking your genetics, lot of sun damage sometimes that type of things and that means smoking baking smoking weed all of that. Wow so what Kelsey used really helped her pore size and I know Oda you love to ask me question and so there is right reflective particles that come in this pore reducing solution and they create an optical illusion that leaves like a pore shadow so that is one way of decreasing the pores and then the doctor’s office way is with radio frequency micro needling something called the inter cell and that can run you like a thousand per treatment session so there is over the counter weight and there is doctors lists. Ok we are going to take a quick brake because we want more information. Yes we need to get rid of the puffy bags under our eyes, a lot of things to talk about so we will be back with Dr. Jeanine Downie. Ok! We are back with Dermatologist Dr. Jeanine Downie, who has skin solution for very type. Ok so here is the worst thing – you are on a zoom call and you have terrible acne and you are trying to figure out what can I do – you are so distracted by your own face because we are not usually looking at ourselves so much it is annoying so what do you do for the acne – so Carly actually used the products for the acne piece that we did and people are breaking up like crazy – Covid stress it is real. Masks, acne is caused by stress and hormones and gains your family history – so that is Carly. So using a topical Benzoyl peroxide can help a lot unless you are allergic to Benzoyl Peroxide and people are running into the dermatologist’s office getting Cyst injections because of the mask and because of the stress in general and then we are offering chemical peel and that can run you anywhere between a hundred and eighty dollars or up to 550 or something for this superficial chemical peels but acne can be helped so that we don’t have to deal with this and we don’t have to see ourselves with acne on the camera. Ok so we – and then, sorry? We know that we should be using sunscreen we got to that before the break but I have sun damage on my face from having Melasma – is that what it is called? From hormones running! Is there sun damage that we can repair? Yes – there is sun damage that you can repair so uneven skin tone was our model Suzanne and what I wanted was for her to use sunscreen every single day and reapply it in the middle of the day – we rec to indoor lighting and outdoor lighting – the blue light form our phone and the blue light from the computer – even from the apple watch so that is every single day – put it one reapply it. Dark spots Jen – there is MB there’s day cream that one can use and that can help some with dark spots and if not – hi Suzanne then you can go to the dermatologist office. We can give you chemical peels, we can recommend lasers for you, and it depends on what the patients wants to spend so some of the chemical peels are 450 and above and the laser can go to 1200 or above so it has basically come to the nation’s treatment for uneven skin tone. Ok so let’s get into it now because this is the worst we can do – wrinkles and sagging skin so what do you do for that? OK! So now we need the real stuff – we need cosmeceuticals, we need retinoid, we need lasers we need one of my favorites words, we need filler we need toxins Botox and my patients say that I am happiest with a needle in y hand which I am not sure what that says about my personality but over the counter you can use frownies I think we might have – a video. Thank you so we can use frownies over the counter and that was Patricia – and she is applying the frownies and so they do temporarily help with sagging skin. now what people don’t know is that you should sleep on your back, because you would age slower when you sleep on you back so that is something everyone can try and everyone can do so that you don’t make your face to asymmetrical but its really the injectable. Speaking of sleeping not enough! What abbot our ender eye bags? So the under eye bags you know you have to lower your salt intake, you can do tea bags Jenna, with the tea bag – cool tea bags, please don’t burn yourself and then Jennifer uses the tea bags and I do a lot of udder eye filler in my office it is one of the things I specialize in that is 750adn up. Eye lid surgery is up that is what the plastic surgeon but above all don’t rub – maybe use anti histamine when you need to but quite frankly if all else fails ladies you can just grab a zoom teeny cocktail to make yourself feel better while you are on a zoom call. Yes I think that is the lesson we took away 0 I try not to look at my own frame thank you Dr Jeanine we appreciate it. You are very welcome! Head to today.shop, tomorrow the best tech gadgets to have you looking your best on air .

Every woman knows there are thousands of beauty products on the market and the fact that the global cosmetics industry is valued at more than 500 billion dollars. Wow in addition to that Celebrity posts and Instagram influencer promising products that give greet results it can be really duffel to know what works. So we have help – help has arrived we have Dr. Jeanine Downie a board certified dermatologist and she will explain the science behind some of the hottest takes in skin products – how are you doing? Fine! Hi Channel hi William, so this first product is Obagi – it is a Vitamin C scrub it has a 30 percent – Will can I have your hand – it has a 30 percent it has ascorbic acid and so what we do is you put it on an you lightly kind of rub it in it is like a sugar scrub almost and it is like a nice exfoliator for your hands, for you face for you neck – do you rinse at all? And then you let it stay on for about 10 minutes and then you rinse it off, so patients love it and it give you that gloss factor that people are looking for. So it is a wonderful exfoliator so the makers of these obviously bruise you love it and I lecture for them I do a couple of this to them, I think the thing is fabulous and it is a women CEO business and I love that too. Cool I love that too! So what is our next product here? so the next product is Neutifall – it is nutrition for hair fall so there is a women’s formulation and a mens formulation it has great things in it has vitamin e it has Saw palmetto do you know how you see people they have long hair, then they have short hair and the then it is gone? Yeah that process is called miniaturization of the hair follicle so the saw palmetto helps to reduce the miniaturization of the hair follicle. It has something called ashwagandha a long word it just decreases the cortisol in your system so it helps with stress related hair los sand from it snapping and popping so someone’s hair is thinning out and it is stress related and you think what one a day – just 4 pills a day. 4 a day? Yes in the morning all at the same time with breakfast – I have been on it for 4 years and my hair is 3.5 inches longer it is a lot thicker and I feel prettier, and that is worth a lot. Works for men works for women and I love it. Now with any supplement check with your doctor and make sure they know it should not interact with anything but we doctors want to know everything we re nosy so that is important. So what is next for the skin tone? This is lamdactolite this is shampoo and a leave in lotion so this also has a saw palmetto adenacine even Glinka and trycogen in it and hwat this does is this actually helps to increase the hair density and the hair boldness so you put it in your scalp you massage it in for about 3 minutes or so and you leave it on for another 2 minutes or so, leave it off and rinse it and then you put your regular shampoo – you can still use your other products? Yep regular shampoo and regular condition and then you leave this on a minimum of 2 a week and this helps significantly also in terms of hair thinning and it doesn’t lave greasy residue – people hate that. Last but not least, cysteine – this is a new product the new name is going to be called Cyspera it is coming put soon you need to use this under a doctor’s supervision but it is a bio genic molecule and what that means is that it is acutely found in human breast milk so it is a very safe product. So putting it on a dark spot will fade it out very beautifully it is very strong so it can be used on the face, anywhere on the body, I sue it for a lot of my patients who have tuck elbow those dark elbows and a lot of people want to use it under their eyes you can use it under our arms on our hips. What if you have a scar and you have had it for a long time? Would it do anything? It can still help absolutely worth it but you have to let a doctor tell you to leave it for 15 mins, you rinse it off you get home from work you have greasy face you put it on over your makeup Chanel isn’t that interesting? Really? And you leave it on for about 15 minutes and then you rinse it off, and we gauge people up depending on how rough and tough their skin is but this price is also excellent also a very strong smell to it I might add – and that is very strong. Prescription or over the counter? This is a pharmaceutical so it is over the counter but it is still to be used with a doctors advise. Ok thank you Dr. Jeanine for coming in a pleasure as always. My pleasure! With the makers of Neutifall that is a good one too. If you want to checkout all these products head to today.com/shop. Thanks Dr. Downie

It is interesting to me this is a product that is not irritating because I have underlying asthma. Let’s rewind that, thank God I don’t have asthma! About that asthma – so, it is probably it too – the hormones are getting worse. Cut that out! Do not use that! I can’t say the word hyperpigmentation. All the words were there but the delivery was amazing! You know what you do – oh God Sure! Almost!

It is time to get even with skin discoloration. Lytera 2.0 is a re-envisioned, reformulated and rejuvenated product. Patients suffering from hyperpigmentation often describe their skin as having blotches, scars and age spots, appearing dirty and un even. I just noticed in here that the dark marks were getting larger and I tried so many different things but nothing seem to work. I had noticed it under my eye and towards the back of my cheeks. I had no idea what this is, it is just dark and it is ugly if you are looking at me—they are telling me your skin looks weird. Melasma is hyper pigmentation of the skin, you see in adults. This is affecting their self-confidence and their self-esteem. People want it fixed—they want to come up with their most perfect shade of even and embrace their diversity. In term of their causes of hyper pigmentation—intrinsic causes of hyper pigmentation would be your genetics and also your stress level that inter plays a bit with your hormones which is also intrinsic and in terms of extrinsic it is really sun damage that is very significant. There are multiple known pathways of hyper pigmentation and so it is very important to understand the biology of pigmentation thoroughly, Lytera 2.0 we started working about 3 years ago and that is because newer pathways were bring discovered by sun biology—that is important to find ingredients that can affect all those little pathways. Combine them into one to create a 360 approach. A pigmentation control. Because of differences in melanin biology. Ethnic skin can be some of the most challenging thing to treat. The Lytera 2.0 actually addresses very stubborn hyper pigmentation, and then in addition works beautifully on all skin tones and is retinol free and hydroponic free. That is very important to my patients. We can even out the skin tone, while we are not drying or irritating the skin at all, and then I will do chemical peels here in the office. I love the Vitalize and the Rejuvenises peels and I do a lot of them so it is kind of like steps and levels to get my patients to where they want to go I have a couple of my patients, using Lytera 2.0 right now in a small clinical trial that I am doing. They like the product it is non-irritable, they feel like their skin is a bit more even and we can already start seeing results that I feel will be more progressive as I go along. So, I am excited and they are excited. I am very happy with that product and it even out my skin tones and it didn’t irritate my skin it brightened my skin when I put it on—and I saw a difference in such a short period of time, that I was a amazed. I was definitely feeling a lot more confident because of the Lytera 2.0 my skin had started to even out a lot more and I was very happy to see that my skin had started to have that glow again and that more natural kind of a look and I feel beautiful. Resort your skin to its most beautiful shade of even. Lyetra 2.0 is re-envisioned, reformulated and rejuvenated. This is your moment to get even.

After a tough day all you want to do is sit down and relax maybe at some Cheetos and why not add on a face mask to soothe and hydrate your skin? Such a good idea – here with the best facial mask for men and women is our favorite dermatologist is Dr. Jeanine Downie! Always with the good ideas, how are you both! Good to see you – thank you. So prove me wrong I always thought that face masks were not good for your skin – they are actually all different types and that is what I actually wanted to talk about because there is a lot of confusion but they are actually very good for your skin. They can do some good things because only you the dog and the family will know! That’s great! Nobody sneaks a picture in there – exactly so let’s get started. So these are from Evan these are really great products. They have alcho hypoxic acid, beta hypoxic acid and they have kale which is a type of clay. Clay is a soil that helps to absorb oil and absorb shine and it kind of soothes your skin. So if you are shiny you would want to use that. Exactly, so you should use a face mask for your skin type and needs – exactly. Ok the next one we have here are the hyaluronic acid masks and those are like MDforte so – wait did you say acid those kind of scare me. Right now this is like a good kind it is already in your joints so it is christening your joints and for your face it actually plumps your skin and adds moisture to your face – this one has glycolic acid in it, has vitamins A C and E in it, it is one of my favorite masks and it is a fabulous product, easily amiable on the internet. This one right here –has jojoba, olive oil in it, also has some Shea butter in it so you are going to moisturize it and add moisture to the skin without blocking it – so that would be good for the winners right especially people that need more moisture in their skin – you could also use a humidifier but I have said that million times. Well my mom is Italian and she used to use olive oil on her skin and her hair too – yeah no you absolutely can and jojoba here has to be formulated so it doesn’t clog pores which this doesn’t. Then moving forward so this has Sal acid in it – sal acid is in the clean and clear in the Neutrogena. Really helps in term of the little spots that are left over after you have that mean acne pimple and it helps that mean acne pimple to go away faster. The Salicylic acid – and it helps with blackhead. How long? I like to leave them on for 2 – 3 minutes, I don’t like to leave them on for over 5 minutes. Most of them I put them on and then I tissue them off that seems to work super well. So if you have a little left over friend on your face and you use this how long you would have to wait – you can unfriend it. (laughs) like 2 a week – and then you have to use sunscreen with an SPF 30 on it. Yeah and then going forward tis has lactic acid, glycolic acid and these are the glytone products. They are wonderful, they do sting and ting a little bit more they are great for acne, they are great for razor bumps and they are great for anti-ageing. What is that tingling that we can feel? That is the acid from them glycolic acid - that is stinging and calling your name and this also has glycolic acid in it too and then this is one of my favorite products – the one essential from Dior which I am picking up because this is like light pink soufflé this is their department store one. The rest of these are drug store ones, you can get them on the internet. Christina gets in here with me – JD! I’m a victim? Sorry! This has enzymes in it, this detoxifies your skin, it is great for people like JD that has to wear makeup all the time, I do. It helps to purify the skin and improves the texture and the tone. Wow – it is just fabulous. So it is a soufflé so you leave it on for 2 minutes and then you an issue it off or you can splash it off. Moisturizes wise it feels really great – and it does 15 different things in less than 10 minutes. I got to say you have never looked better. And then the lip lap again has a lot of vitamins in it and the DNA repair has enzymes in it and copper peptide complex in it that really helps a lot in terms on anti-ageing – so can you do this at home can you make your own kind of masks? You can so a lot of my patients ask me about that – you can use honey avocado you can use oatmeal in the mask – it depends on what you want to do and what you are kind of going for. So you can talk to your dermatologist about what you are looking for I call it the DIY mask. Why avocado though? Yoghurt Avocado and honey are acutely drilled down, that is one of my favorites – and that sort of hydrates the skin and it is thick and it is just in terms of making your skin feel good, but it is not really medically doing a lot but it does feel great, and you can make a snack after! You totally can you have the honey and avocado. Why are you laughing at me? I am going to be the youngest looking person in this room very soon with this mask on – Thank you Dr. Downie, we will be right back. Pleasure as always.

Well if you are thinking about buying beauty serums or injectable or Botox online our friend Dr. Jeanine Downie is here to give you important warnings about the counterfeit products that you could be purchasing – welcome! Thank you and great to be back! Congratulations on your baby! Thank you! So happy for you – is this a trend that is happening right now – are people buying these online? They are and they are very upsetting so it is skin creams, it is injectable, it is makeup it is hair care products, like shampoos. Wow – so what people need to be on the lookout for is – their faces are breaking out their skin is irritated their hair is falling out from some of the counterfeit products, it is crazy. I use this Iove this. This is one of the best products on the market there is a seal – with a serial number on it, ok – yeah that is good to know. They need to look at that for the TNS essential serum, it is one of the best – it is a growth factor product that uses collagen and it is safe for pregnant women as well – so this is Botox, one of my favorite products on the market – can you imagine so someone came into my office with Botox that was I a little container like this it looked the same, but it didn’t even have the right plug in, it had some plug that didn’t even fit it and they said can you inject this into me? No I can’t do that but can I take it for a segment I am doing on TV? (Laughs) so what should you be looking for then? You should be going to a board certified doctor who has Botox in their practice – you should not even be ordering Botox online. You don’t know what you are getting it is counterfeit and it is quite scary. Yeah that is quite scary – what are these injectable? Juvéderm and Restylane 2 of the most popular injectable on the market one with Voluma that was FDA approved last December so these 3 injectable are a big part of the US Filler market. These companies would never sell their products on the internet, so there are these bad people. So thy only sell these to doctors – yeah and so right. So do you think people buy these and then they inject it themselves? They do sometimes, but just so they understand that while we are doing this segment some of these injectable products have known carcinogens in them because they are being tainted outside in wherever. Right, and so a lot of the products have bacteria in them, you know, very high evils of bacteria in them. So scary I would not put that in my face. So this is the number 1 selling cosmetic facial moisturizer that is sold in dermatologist and plastic surgeons offices across the country. So it is a super popular product as is the Viviatae daily facial cleanser. These 2 products are being adulterated with tones of bacteria and are not being sold legally on the internet; they are basically sold out of doctors’ offices – these 2 products and sunscreen. So if you want to get these you really should be getting these from a doctor’s office? You need to be getting it from a doctor’s office – because they won’t sell this cream online – they don’t sell this cream online. You need to get it from a doctor’s office; you need to look at the serial number and the seal. You need to focus on these things. Ok, and then you know this product is being sold on different places where you can buy books and cook wear. Come on now! Now this is something that is being sold in extremely funny smells to it which we think is ammonia. One of my chemists is trying to elucidate what was in it to being with. This sun block is being sold counterfeit on the market and then there is a fake cream called sledgehammer that is being sold counterfeit on the market and people just need to think and be aware and if you want to get something get it from a board certified dermatologist or a plastic surgeon. Call their office and many of us do chart sends where we can mail you products come into the office for your actual injectable. Right but for the creams you can even call your doctor’s office and get it. So is that your biggest piece of advise don’t order on the internet, call your doctor and get these products from a qualified physician. Exactly. Well thank you so much.

Everyone is talking about quinoa and today I have a few of my favorite expert to share with us their very own secrets of quinoa – I am going to start with Dermatologist Dr. Jeanine Downie – how does quinoa help with the skin so the bottom line is it is pace with amino acids, and our body contains 10 of the known amino acids – the rest of them we have the E in food every day because our body does not store amino acids like it does to out nutrients and unfortunately fats – what we do when we get amino acids, its strengthens the collagen, our nails and hair become stronger, more elastic skin, it build collagen and it nourishes your skin so it is fabulous – so give me the favorite way of getting your dose of quinoa, drum roll – Quinoa blueberry pancakes. You are kidding me? No – so oh my goodness I am a blue berry fanatic, and so this is a good thing, so what we do is this is just to put together it tastes delicious? Isn’t it good and my little trick is to substitute flour with quinoa – it is much better that way and no one knows Dr. Oz – it tastes exactly the same as a flour pancake would be. And it is much better for you! Thanks for the tip! Thank you so much. Next up we have dermatologist Dr Jenny Rog. So why is quinoa so good for our digestive system? So quinoa is amazing source of fiber both insoluble and soluble – it has 5 grams of fiber per cup as you and I both know – most Americans are not eating enough fiber – helps with constipation ad irregularity because it not only bulks up the stool but its passage throughout the digestive tract more quickly – insoluble fiber helps with that. Soluble fiber helps with that as far as food goes. So it can protect you against heart disease and even type 2 diabetes, so what is your favorite way of getting your dose? Okay so I like to have quinoa during lunch when you are having a busy office day with patients you need something with lunch you need something in the middle of your day to sustain yourself so – bakes turkey quinoa meatballs! How do you make them? So these are great you basically substitute instead of breadcrumbs which people usually use in meatball you use quinoa and it gives you a really great texture and flour – these are superb. I mean I am really surprised can’t tell a difference. They are great as a source of fiber and everything else! Thing of regular you could be if you had these every day. Thank you very much – how does quinoa help with weight loss molly? Quinoa is packed with protein? A cup of quinoa is packed with protein and a cup of cooked quinoa has 8g of protein whereas your brown rice will only give you 5 and there is a study that looked at appetite and they found that quinoa provided more satiety which is a fancy way of saying staying power. So than your wheat or your rice did so the combination of the fiber doctor Oz talked about and the protein gives you more staying power. And go ahead – so you are getting more staying power for the same calories which is where you get the weight loss and what is you favorite way of getting your dose. Well – I like having quinoa at dinner and I find that if you have a good carb at dinner it sort of controls the snack monster alter in the night, and my clients and I even my kids love this quinoa miso broccoli salad, it is – you really don’t want to have your heaviest meal at the end of the day. So if light you could use leftover Quinoa to prepare it – I like the texture – it is a little chewy actually – a little al Dante? Yes! That’s a nice way to scribe it – there are 3 secret ingredients here – the quinoa, sun flower seeds and there is miso each in their own way help with aweigh loss – you are kind of getting a twofer something to substitute protein like a chicken or fish and also getting something that is substituting your past, you have heard of meatless Mondays? So it doesn’t have to be Mondays but one or two veges dinners a week is a great way to go an we all love our carbs so her you can have your carbs and your weight loss too. Meatless Mondays are a wonderful weight loss idea meaning every monday you are going to not have meat which is a smart way of starting to move a little bit away from the foods that you get at half time- it doesn’t mean like a plate of steamed vegetables it can be something that is sort of appealing and balanced without the meat – but thank you very much.

Well Brian and I hit it outside. Well Brian you need to sit down. I do but I guess I can’t block the sun block, so we are going to be talking about tips for your kids as far as sunscreens and sun shirts for protection and we are here with Dr. Jeanine Downie who is a cosmetic dermatologist – Good morning to you, good morning. What is the biggest message that you can give – it is to put sunblock on your kids and reapply it from the time they are 6 months and older – that is all there is to it. It is really important. Well you brought some cute kids with you and congratulations they are all professional actors and actresses. So they passed the casting, but not only should our put cream on them but what about the clothes? the bottom line is now this UV skins is an SPF at least 30 in there and this is critical. You want something that is thicker and that is like broad weave kids need to wear hats, they need to reapply their that’s thank you. They need to put their hats on; they need to keep their hats on. The parents need to remember that ears noses the backs of your neck the backs of your knees the tops of your feet are areas that burn a lot and Gretchen there are 3.5 million new cases of skin cancer every single year. And it starts right at this age. I know one of the best things I think are these shirt because first of all you don’t have to put as much sunscreen on your child and you know they are being protected automatically. But with regards to the sunscreen so you have picked out 3 that you think are the best. So we have Neutrogena 60 plus, Pear and free baby another neurogenic skins which is great to reapply on wet skin – and then you know baby mineral block. Why are these best in your mind? In my mind Vena is very gentle as well s the Neutrogena’s an these are great to reapply on went skin. So they work well and they do well. Bessie there is so much question. So these beautiful children who are about a year and a half as opposed to the babies – now you really don’t want to put sunblock on babies before they are months old, but if thye are going to be out in the sun I was telling Gretchen I started putting sunblock on my daughter from the time she was 3months old and then reapplying it – you are just worried about s a smaller body surface area so you start to be a little worried about chemicals – but if you have to choose you don’t want the skin cancer later. One person dies from Melanoma every hours and there are about3 percent of pediatric cases accounted for all the melanomas in the world, so 3 percent of them are the pediatric cases. Dr. Downie than you so much for the alive and it is so great to see you. Alright let go back inside to Eric. Alright thanks you guys

And now on today’s beauty it is skin care through the ages from preventative care in yoru 20s to battling wrinkles in your- uh stop! What should we be doing to help our skin as we age? Dr. Jeanie Downie is a board certified dermatologist. That is what she says we don’t really know – we don’t know for sure at all! Great to see you, good morning great to be back. We could do this segment a 1000 times but pop will still want a cure all when it comes to wrinkles right – yeah so the bottom line is in your 20s you need to be presenting long terms issues, you need to be dealing with you acne breakouts and you need to be developing treatment plan. So that is what the point is all about – you know what they are doing they are getting Botox before they get a wrinkle and which one, but there is something to say about that a little bit because you know I stay Botox’d starting here – this is Ceophil, this is a derma controlled product that is formulated for oily skin it is to be used with a prescription products it is an spf 30 that is an oil absorbing product that destines your face – has broad-spectrum protection – UVA and UVB doesn’t block your pores won’t break out, there is a gentle cleanser, I used it on my daughter when she was little because she had really bad not psoriasis but eczema. I remember you telling me before – it all cred up now. This is nitrogen a foaming face wash, very gentle doesn’t strip your skin you don’t want to over strip your skin they do break down – they absolutely do start using an eye cream in your 20s, this is a skin-ceutical product, the birds v product – it is awesome, I want to skirt a bit of this on you see – it wants to misbehave! Take us to our 30s, what do we do then? Bring me back to my 30s also too – here what we are trying to do is move forward and realize we have to rectify some of our problems from our past by trying to correct some of our issues. With smoking tanning with sun damage and we start noticing the first signs of early sun damage with Rosacea in our 30s. If we tart we see a little redness and a little pimples, in the center of the face – what should we do? With perceptions products if you are treating your emerging issues in yoru30s, with prescriptions products doc can treat it. You can look at this the Doctor Dennis across these are extra strength peel pads I love them I recommend them in between the stranger peel I do in the office because these are safe to be done at home there are good products there the peter Thomas products that work very well. These are great for the middle of the day – I love those tings so they are blot pads they are ready to go and it will be nasty but it is nice to take off your make p but it is still controlling the shot absolutely. Oh! Nasty! So what you are doing is you are treating your emerging issues – alright 40s – you are boosting your skin care regiment. I am in my 40s I am in the boost section. Sadly – so what you are doing is you are decreasing fine lines and wrinkles. So this Rock Retinol product actually helps to build collagen the philosophy produce I s clarifying retinol potion that works really great and the Eveno retinol product tests soy it is positively radiant so that also build collagen, and Ceophil is back again and this will work this is spf 50 broad spectrum protection UVA UVB, wont block your pores won’t break you out, Cathy Lee I think i gave you much, it is a fabulous product, and we need to worry about staying with a standard regiment by the time we are approaching our 50s. So for those of us approaching 60 here want to deal with preserving what we have – hydrate our faces, so the 50 and beyond oils all about hydration preserving what we have and maybe a little bit of other things. So yes – can you spell Fraxel can you spend Bo Fraxel and Filler – so this is a bobby brown hydrating cream that feels rally great the okay is a great stand by the is a wonderful product, works well. The Neutrogena Age define is wonderful. The good solid companies keep showing up they are doing it well they know what they are talking about. Exercise eating right watching what you eat decreasing sugary food intake – what does sugar do to your skin? It is really cool it is called glycation I am going to pitch it to your producers soon to do a segment. It is bad though right? It is bad – it ages your skin faster sorry – imagine that.

From CBS News it is the early show – also ahead of this hour. The latest wrinkle in skin care, if you suffer from sun damage, in summer that hasn’t frankly – everything from laser to lotions available in office or your local drug store. We are going to help you smoothed out some of that sun damage and hopefully end more from coming t you in the future. Up next; you may love the sun but the sun does not love your skin – we are going to show you how to treat summer skin damage when we return. On this morning’s health watch treating your summer skin damage if you haven’t been applying sunscreen as you should have – board certified dermatologist Dr. Jeanine Downie is here with some after care products and treatments that may help of course though we don’t want to forgoes this sunscreen – very important doctors, but even sorties with sunscreen you don’t have enough on you can get some damage from the sun what are the most prominent most problematic sun damage types? Firstly you see freckling, broken blood vessels, texture changes tone changes, fine lines wrinkles, and you can see pre-cancerous and cancerous lesions Erica. The bottom line is that there is 3.5 million Americans who have been diagnosed with skin cancer this year in the United States alone. 1 in 5 Americans are diagnosed with skin cancer over their life time so this is a real problem, it applies to everyone- and we need to take stock of this and be sure we are going the right thing and heather has graciously asked and agreed to be our volunteer. You actually took a look at the sun damage right? That we may not be able to see – talk us through what we are looking at – ok, so heather is 34 years old, she grew up in new jersey multiple sun burns and many of them blistering had a great time in the sun when she was a young girl. Blue eyes and fair – so this is her pre picture right here and nay freckling at all means sun damage. Women can look at the underside of the breast for what their skin is really supposed to look like, men can look at their tooshes to see what their ski is really supposed to look like, but any freckling at all means sun damage and this is the Vigia which is sold worldwide which is fabulous and show you your level of sun damage and then this is the picture with the UV and what it does it show the deeper amount of cellular damage. So all of those spots are deep cellar damage? Exactly and you can even see it collapsing on her lips right here that line. She needs to put sun block on her lips too. So when you look at all this you have some products that can help people who you can deal with the sun damage. The first one yes is an uneven skin tone and you brought some over the counter and prescription options so first talk us through the over the counter – so the bottom line is that keels has a new product line here that helps in terms of evening out your skin tone the Clinique even better skin tone corrector works very well, and so does the Viviatae brands and we all have different ingredients in there but the bottom line is that they help to disperse the pigment and even out the skin tone. So that is worth the ouster and there is also a prescription option that you can talk to your dermatologist about. Exactly so trryluma is something I have personally used. Yes my dermatologist has used it to manage some of my dark spots right exactly so that is something that is wonderful for dark spots – is it essentially bleaching your skin? It is actually a 4 percent hydrochronosis – an active ingredient combination product so it helps with dark spots after pimples, overall Melasma, with a bunch of things actually – I am a user and this is the TNS essential serums this build collagen and it evens out Yoro skin tone his is a cosmeceuticals and the retinae also build collagen and evens out your skin tone as well – so this is a prescription and this you can get from your doctor okay so we have dealt with uneven skin tone and fine lines which we know because you get a lot of lines from sun damage, there are actually some over the counter products that you do work with well on fine lines and wrinkles right exactly so there is a Garnier product here a rock product here there is the Olay product, there is all kinds of awards won on that one it has Metrixalin which is a peptide that helps to build collagen and even the skin tone, and this product the Tri Retinol complex ES just came out literally within the past week or two and it actually has a retinol in it with a prescription for retinoid in terms of building collagen – so that really does a good job? Or you can go for an in office treatment like an injectable? That will sort of fill up that space and tighten it up a bit – I a botox’d you can see when I frown here – and that is something that I swear by so I do feel that for your movement line on your face that you slow down your ageing and you don’t want to look like your cousin or your mom or whoever it is that has those lines on the face – Botox works great, Per lane and Juvéderm are both products with hyaluronic acid that actually plumps up and fills so you use the in your cheeks. As you get older your cheeks start to hollow out and – exactly we lose one teaspoon of collagen from our face from the time we are 30 and it kicks in when we are around 45 – there also we talked about the unseen damage of which we talked a bit of with heather – is there any of that reversible? It is reversible some of it – so what I recommend here is the Revolve Skin intense recovery which is a coffee berry based product that is kind of an organic-ceutical. The sub right coffee berry – basically it is in Mexico and costa Rica the coffee berry pickers their hands look very youthful and their face looks weathered and that is how they figured out this product to begin with. Then the Provage MD is Idi Benue and it is known to have co enzyme Q10 and both of them help to correct your sun damage form the past – underneath and they are powerful antioxidants and they protect against future sun damage, and of course important that all the skin care has at least spf 30 great to have you with us Doctor. Every single day sub lock thanks for being in with us.

From NBC News this is today – hey this is forever young, how does sun damage affect and your younger looking skin. The days of soaking up the sun may already seem far behind but the effects of those rays last a long time after the season – dermatologist Dr Jeanie Downie is here with the latest products to help us fight those fine lines and wrinkles – Dr. Downie Good morning to you. How are you? Ok first of all when it does come to skin problems sun is the number one culprit right? Yes and then it is genetics – but quite frankly if your parents lathered sun block on you when you were little and you continue to do it only 33 percent of adults use sunscreen. A lot of people just use it on the beach they don’t use it every day. Every day – Scandinavian through African every tone of skin in-between rain or shine, at least with spf 30 with broad spectrum protection. So you put sunscreen on and I should put it on – I have sunscreen on from here to here and I have it on the backs of my hands – so you see all these different sun blocks and sun screens in stores – but how do you know if it is really good or they are buzz words we should look for? Right there are they newest one has UVA stabilizers in there Helio Plex of the Neutrogena a over there, the continuous photo barrier protection with the Eveno you look for skin cancer foundation seal of recommendation like the aftercare by MDForte – these are some of the ones – the after care is a dermatology sold product the other 2 are over the counter. These are some of the things you should look for the UVA stabilizers that means you are getting broad spectrum protection from the sun. Now if you have some extra change of money in the bank and you want to do some laser treatments, tell me can that reverse some of the damage that the sun has done, laser is awesome. It can really help significantly and the laser that we love is the Fraxel, In particular for sun damage – I think we have a before and an after picture of someone who has had the – those are actually just the antioxidants and glycolic alone so this is actually the Viviatae system and these are some of my photographs and this is an awesome glycolic system. It helps with tone and texture, acne and fine lines significantly. Alright let’s talk about if you are not going to go for the big laser deal and you want to go for something more over the counter the antioxidants tell me why those are important for skin – they help to correct an repair actually protect he sun from future damage right o provage MD right over there – that is the gold standard over there of antioxidants and that is awesome and evens out, helps with texture that is something you buy at a dermatologist office in over the counter is half a percent – this is one percent of Edi Benue, that locks setae, has honey in it that helps to fight radical damage from the environment, the rub on the skin is a new coffee berry based product right – that is awesome it is like a 10 times stronger than green tea very good – and I have not heard of these – where can you get them? So the Loxitane and the natural pathatico are over the counter – the provage MD and the rub on the skin are at your local dermatologist’s office. Ok we talked about Glycolic acids – why are those impotent? They Really help with texture they help with tone they help with acne and fine lines, they really do smooth out the skin and if I want to find glycolic acid to put it on my face where do I go? So Avon and Reknew has some great products that are over the counter and then the dermatologist will have stronger – so the Viviatae line like I just said – the MDForte facial line – those are very helpful – now you always talk about retinoid and that business. Some skin can’t handle that tough stuff what do you recommend? A lot of people can handle it in tiny doses – so take a drop of this Avage – which is pro photo damage it is kind of like avenge ageing. Is this you have to get a prescription? These 2 yes and the different also when you take a pea drop of that and do it once a week and build up from there – we have night repair products too – why are they so imrpoant? Duran sleep our skin cells turn over so we can get seep penetration and again they help us with the tone and texture – and decreasing fine lines and building collagen – what is our favorite night time slather on ? I really am in love with the TNS and I like this Aleria – so these 2 rights here are some of my favorites. These are dermatology products. What people need to understand is that drug store is lower and dermatology is a little bit higher in terms of strength. Let me ask you – do I have to put all of this stuff on all the time? Take care of my skin properly? Well optimally you use a combination of things but in the real world a lot of people want sun blocks and anti-oxidants, and then diet and exercise. Yeah I was going to say that is probably the most implant keeps the blood flowing. Dr Jeanine Downie thank you for the great advice. Appreciate it.

As we all know summer arrives tomorrow and what is rule number one? Wear Sunscreen – for all the faith we put in them, new test results show many sunscreens do not work. Our consumer correspondent Elizabeth Limi has the answer. Your mother always told you to wear sunscreen, but that sunscreen might not be as safe as you think – there is a great difference, in the safety effect of those products they are not all created equal. According to a new study by the environmental working group 84 percent of sunscreens are tested for inadequate protection from the sun’s rays the group when tested the effectiveness of the sunscreen based on the following criteria’s. Chemical safety, effectiveness of protecting against sunburn and preventing damage caused by UV rays. They ranked the 5 best with Fallon Cook’s Water resisted coming out on top - copper tone’s sports sun bock SPF 15 was the groups least favorite sunscreen. But some dermatologists are skeptical of the list – I think that this study overall I would take with a grain of salt. I think most sunscreen manufacturers and most sunblock companies are trying their best to protect he general public. When it comes to buying sunscreen, both sides agree that the SPF factor is key – it is the one guide that consumers have out there that is consistent. So whenever you are outside this summer remember what mom always said – and don’t forget the sunscreen. For good morning America Elizabeth Lini – ABC news.

We all want flawless skin right but it could be a hard fought battle getting flawless skin and here to teach us how to transform our biggest skin woes into wows is dermatologist Dr Jeanine Downie welcome back! Great to be here. So let’s talk acne first, because tis i not just teenager who get acne. No, it’s also people over the age of 20 as well, who attests to that occasionally – absolutely. So let’s talk about drug store fines vs. Doc fines. Which would be best? absolutely – so a 100 percent of teenagers get acne an about 50 percent of women over the age of 20 get acne and a ton of men get acne also. That a huge percentage. When you start thinking about it at least a 100 million Americans according to the American academy of dermatology if not more. I am glad I am not the only one – you are so not the only one, I have like a zit the other day on my face, it is really awful – so drug store – there is a lot of cool things over the comer, there is Benzoyl Peroxides there are all kinds of cleansing gels and foams, and toners and everything like that and then if you are not a lot bettering 2 weeks Christina you really need to go seek the help of a board certified dermatologist. I like Effie Dos – it is one of those main stays it has Benzol Peroxide in it 2.5 percent and then it has .5 percent of the dactalyn which is a retinoid, so you mix the 2 of them together and then you get this great anti acne treatment that is not too dry that is great enough for teenagers, great enough for adults, my patients love it, does not irritate their skin and a lot of people use it as a spot treatment right on the can pimple and a lot of people have diffuse acne – they use it kind of all over, it is effective it kind of works well and now it is FDA approved for kids as young as 9 – Wow! Because children as young as 9 are getting acne! Yeah so that is a new indication for this, and this is prescription only? Yep and how would you use this? Daily? Would it be every other day? I tend to have my patients use it daily in the morning but it varies form person to person a lot of people like to use it 2 a day and some people will only use it 3 times a week so I tailor it to their individual regiment depending on whether their skin is oily, skin is dry or if your skin is combination – what bout what causes it? Is it the foods we eat? Is it the way we sleep? Its stress, hormonal fluctuations, and the family history – those are the 3 main causes of acne. They did studies back in 2009, 2010, and determined a discreet portion of us have a sensitive to dairy some they say – so if you feel like dairy yoghurt, cheese, milk breaks you out you could actually be right and we think that it might be the hormones that are found in those foods but even if you are eating organic – it is no exact perfect modifier of this because organic cows if you over milk them you can stress them and they can produce their own internal hormones that they secrete into your organic milk. So if you can’t go into the doctor you don’t have time right now and you want to get something at the drug store, something with Benzo peroxide is probably best? Something with Benzo Peroxide is great and a lot of people will use a stringent and toner until they can get to the dermatologist – my main thing, don’t pick – do not pick okay! No popping! That is good advice. Let’s move onto rosacea – it’s the time of year where everyone seem to have I due to the winter weather so what is a good pick for the drug store and what would be great if people were coming into the office? So rosacea affects somewhere between 16 and 20 million Americans we think even upwards of that, yet 78 percent of people when you ask them what rosacea is they don’t know so your rotated red skin that can come from stress, your family history – sun and stress are the 2 main things. Drinking coffee can make the redness in your face flare, hot baths, spicy foods can wine can, alcohol in general can especially wine. These are things that I’m not saying don’t do any of these things but be aware that these are some of the rosacea triggers and so that is significant so I tell my patients if it is sun and stress I tell them to exercise to decrease their stress level that they have to drink a lot of ice water while they are exercising otherwise third face gets really red while thy exercise and they need to wear sunblock every day, so this is a great over the counter – with the SPF 50 in it, and then the Christian Dior is a department store which is also an spf 50 you want 30 or above and you want to wear this every single day rain or shine. Critical for rosacea patients, and then for something if it is a little bit more severe you have something else? Right so sulantra is actually new as in this week new. It is a new prescription drug that I s FDA approved that is anti-inflammatory that is fabulous in terms of treating papules and pustules and some of the redness associated with rosacea. It is tolerated well non irritating and people love it. And lastly wrinkles, this is a hot topic so I have some Restylane as I like to say in my own face so I like to believe in it, so over the counter intense hydration for anti-wrinkle is great but if you can afford an injectable these ranges depending on where you are in the country to 600 dollars to over a 1000 dollars for a syringe, Restylane silk is the latest in that and we will look at some lip that I have before and after that I have up here your viewers that had Restylane Sylk so you could see the difference. So it is fabulous so it has really decreased the fine line and wrinkles that last for at least 6 months if not longer and people really love it and it is tolerated really really well. Dr. Downie thank you so much you are the greatest we will be right back stay with us.

So a lot of people will ask me question about what fillers do and what are fillers, and fillers are Juvéderm, Restylane, Perlite, Veletero, Radiesse, Sculptra, those are those that we use very often in a cosmetic dermatology practice. What they do is that they fill out creases between the nose and the mouth between the mouth and the chin. They can pick up the cheeks they can fill out hollows under the eyes, and they generally speaking make one look younger. I have been doing filler on myself for about 2 years. I looked in the mirror back in February 2011, and I thought to myself hello mom and I adore my mother but she is in her mid-70s and there is no need former to look like her right now, so I put al little bit of clump in but the thing is you can get carried away with volume on your face and this is not a good thing. We lose a tea spoon of volume, collagen that tis every year by the time we are 30. It is not until we get into out 40s and 50s that you notice a difference. Your face starts sagging you skin does not look as full. You are trying to exercise to keep the fat off of our rear ends; you wind up losing fat from our faces that makes s look older and gaunt so just a little bit with someone who definitely knows how to do it without over doing it – something that I would truly recommend. It has made me feel younger and look better as well and I tell people that I do it well, I do it with restraint and I have been doing it for about 20 years with my patients. So I have a lot of experience with that. Filler is one of my favorite things to do because it is instant and it is very gratifying. It must be done by a board certified dermatologist or plastic surgeon that knows that they are doing not someone who just took a weekend course.

There is a little bit of pain that you do go through a few pin pricks, now you can deal with a little of it—it is fine, but the injections into the moles—those are the worst ones. Oh! Yeah this helps numb those up know this is not a massage. Beautiful if you want it to come off, it needed to come off and now it is off. I am going to give you a mirror we are done and I’m going to give you a mirror and I am going to ask you not to smile because of the fillers, and I can see a difference wow! Yeah it is really yeah. The wrinkles are gone the moles are gone and it is just completely different, I know I am not supposed to smile but. Yes exactly!

Restylane is used for the temporary correction of moderate to severe facial correction of moderate to severe facial wrinkle and folds such as nasal labia folds, this woman had her nasal labia folds corrected, this is how she looked before the procedure and this is after. This woman also had her nasal labial folds corrected. This was how she looked before the procedure and after – in terms of Vera right here she is not happy with these deep lines especially these ones on this side and so here we have numbed her and I am injecting her with Restylane and that is like a natural body sugar and I am injecting it into her folds and she is very happy with the procedure. And I am smoothing the Restylane out and it lasts for moths – you can see this side has been done and this side hasn’t. Restylane distinguishes itself form other filler in many ways – unlike Bovine and other human based Collagen and hyaluronic acids, Rosaline is free from animals proteins . it uses natural fermentation rather than animals, it is a good source of hyaluronic acid – and no allergy testing is required another importance of the gel used in Restylane is its prolonged residence time in the tissues the nasal gel concentration is 20 mg per milliliter of stabilized hyaloric acid – this concentration has been carefully selected to provide optimum maintenance for volume of tissue augmentation and lifting. Restylane is very popular. It is a hyaluronic acid filler and basically we put it most popularly in between lines here between the nose and the mouth. Francis already has great lips and what we do is we actually help to build collagen as well as the fact that the lines won’t get too deep. Dedicated to helping patients attain a healthy and youthful appearance in self-image due to their effectiveness and quality and elegance the company’s products have earned live acceptance becoming leaders in a number of therapeutic categories. Who could be biter to bring you the world market leading restorative product? Restylane – you can really help yourself. These are 2 antioxidants they help you improve the texture of your skin and decrease fine lines and wrinkles and there is always Botox see – you, have not frowned in 12 years. you come right out and say it – I have done it for 12 years I am not ashamed of it. I haven’t frowned I 12 years! Botox – botulin toxin type A has been used therapeutically for 15 years to treat certain medical disorders, it is approved in more than 75 countries. Botox for therapeutic use remains one of the most widely researched medicines in the world. The Same product with dosing specific to Globelar lines was approved in 2002 as Botox Cosmetic. This is my PA – and she is Jewish and she does not like this frown line right here – she hates it, and so we are going to Botox her – so Botox is a purified protein so you can’t move your muscles in this one area and this is, I am botox’d right now! You just can’t tell – smile let me see – no imp botox’d right here because I am not going to have that line there I am a little too vain for all that – ok I got you! Botox cosmetic is truly one of a kind and it is the only cosmetic with this mechanism. Some products mask the wrinkles by adding volume around the muscle with intradermal injections. Botox cosmetics is intramuscular blocking the chemicals that cause facial muscles to contract. Thereby relaxing them, while here are many options against these filler – Botox cosmetics is the only product of its kind that affects the muscles that cause wrinkles between your brows. Now what did you do for Jessie? I botox’d Jessie so really that stings a bit and you can get a bit of bruising. You can see me injecting and you can see that Jessie is frowning really hard on the shots right there and I am injecting the shots right into her Globelar region which is the are between he eyes which is the most common area people have it done these day – however more and more we are doing it underneath the arm t helps people to stop sweating for up to 6 months. The stars are really into it Ally – and look at Jessie. And now try to frown Jessie? She can’t frown because she can’t move these muscles. Jessie can’t frown. Jessie is going to be happy for the rest of her lie whether she likes it or not. 3 months the Botox will last and I am seeing more and more men come in for the procedure between the ages of 30 and 60 – they think of it as a facial advantage – they want to look younger. Did the shots hurt Jessie? Slightly uncomfortable but not really. Worth it? Definitely worth it and a tiny bit of bruising up here – but that goes away in a couple of days – happy happy Jessie you can expect to see noticeable improvements in a matter of days and you may continue to improve during the first week after treatment optimal results should be visible within 30 days. According to a recent survey a 204 dermatologist and plastic surgeon, Botox cosmetic has the highest perceived patient satisfaction rating of all position administered treatments in 2003 and 2004, and for 3 years now, Botox cosmetics has been the most popular position cosmetic procedure in the United States, surgical and non-surgical communed. According to the American Society for Aesthetic Plastic Surgery – just last year it was estimated that almost 3 million people were treated with Botox cosmetics – if you are considering becoming one of these Botox cosmetic patients, talk with your doctor about treatment and whether it is right for you. We hope we helped you understand, more about the one and only Botox cosmetic – thank you for your time and please speak with your doctor if you have any unanswered questions.

I hear you might be carrying around under your eyes – it is the bags and the dark circles for many of us complain about. Dr. Jeanie Downie is a dermatologist and Tracy wants something done to erase those problems she has under her eyes. Tracy how are you? Good. Good so you have some numbing cream on tier – what does that make up? It is numbing cream (laughing) I thought so. So tell us a little bit about why and what these under eye bags are about – I want the under eye bags dealt with because as I get older I have dark circles and indentations, as a result of ageing. Can you see that? You can see they are pretty typical - so basically right underneath here what we do I we have number her she has number for about an hour underneath here and we use hyaluronic acid under the eyes, you can use Rosalyn you can use Juvéderm under the yes, this is an off label use Doctor Oz so in other words this is something that is FDA approved for this area, it is off label up here it is only to be done by skilled practitioners. I have been doing filer since 1994, (laughs) I love this – yeah want me to hold your hand? Are you nervous? A little bit – alright! This is one of my favorites. So we are going to just, let me just kind of get in here – can everyone see okay? You okay? Yes – so you kind of go underneath the muscle right here you plump it up – you can see it flinging up almost instantly. Can people appreciate that? You have your fingers there – here we go okay. I hope these look more painful than I hope they are. Does that hurt you? No it is not painful and then you literally sooth it out here so. So you use Restylane with hyaluronic acid naturally found in your joints. So it is found in your elbows and in your knees and in your joints, and you can’t be allergic to it – and basically you just kind of smooth it into place right after that – so these are also a trickle of fluid to them? Exactly and she was very hollow. Does that hurt you? Not at all are you kidding me! She numbed for an hour and she is a good patient. Thank you. Can people seem to appreciate that now? Ok – Gosh now can everyone being to appreciate the right from the left eye – just compare the 2 eyes so you can sort of see a difference it is pretty profound already – yeah. Let me just move that into place a lite bit – sorry about that. That’s ok! Oh my goodness! You know what do me a favor just look up to that camera. Yeah look up at the camera and actually the care right there! And her skin looks a little stretched with the dark circles are a bit lighter also. So no discomfort huh? No discomfort I got to say that is the most surprising thing about this whole assignment to me – we have not had are you don’t or do you have a little bits more? I have little bit more – go ahead finish up I don’t want to take away her beauty. And then I am going to do her other eye back behind set, if she was my brothers I would leave it one done and one not done. But she is not my brother. And what does this cost properly? 750 a syringe for the Restylane so not cheap it stays for about 8 months to a year and some people hole on to it for 2 to 3 years afterwards because it actually stimulates collagen in the area Dr. Oz. so you do oth eyes it would probably be about 1500 dollars? Roughly? Yeo and then it stays for about a year. Mhmm – what do you think? I like it! Well okay! Great! Well if you wanted to avoid the bags under your eye some of those circles that are starting you can get injections with hyaluronic acid and you can get over the counter anti histamines because a lot of folks have the bags because they have allergies hose allergies are often because of the pillows you are sleeping on, they have all kinds of residue that builds up over time in the, so you can use some of those thin, micro ones pillow cases that don’t let any of the junk that is in the pillow cases, get out in to your faces as you sleep. Also sleep on your back it will allow whatever swelling that is in your face to come out during the course of the evening – easy opportunities in all our lives to reduce the bags and if not you always have the option that Jeanie Downie has come down for today. I want to thank all of our doctors and especially to our patients, up next a few home remedies to turn back the clock without a trip to the doctor’s office. Do they really work? We will find out next – be right back.

From NBC news this is Today! Thank you Al, this morning on Forever Young trying to stay forever young is a growing interest in anti-ageing product which is any indication looking your age is quickly becoming a thing of the past. Do you think I look 40? If Samantha’s past 4 birthdays taught me anything it was that there is only one answer to a question like that—you don’t look a day over 35. In an age conscious society getting older doesn’t have to mean looking older. With the help of dermatologist, Dr. Jeanine Downie we found 4 women in 4 different ages all getting anti-ageing treatment to enhance their looks. 54 year old carol suffers from rosacea so she routinely gets laser treatments. I also got it because it builds collagen which I thought was immoral for a woman my age. I am not trying to hide every wrinkle or every grey hair. For me it is really just about looking as good as I can. At 43 years old terry is also concerned about how she looks, so she usually gets chemical peels, but today it was a soap peel. I decided I would like to try something different, just to see if I could look any better. I am not so worried about looking older I just want to keep looking good. In fact new trends in cosmetic dermatology show more younger patients are addressing more fine lines before they become deep lines. Like 35-year-old Francis. I just went to get Restalyne because the line around the folds around my nose and my mouth really bother me, and that is where I felt that showed age and even 31-yearl-old Ciara, she is getting Botox for the very first time. I decided to get Botox more as the preemptive measure. I am getting married in the fall and I really wanted to makes sure that I look my best come my big day. Dr. Jeanine Downie is a board certified dermatologist in New Jersey who helped those ladies out, she joins us this morning nice to have you. Thank you Natalie. So why are we all into anti-ageing treatments? Well basically it is a means to measure attractiveness. You think of romantic viability you think of professional competitiveness and social status. So basically all of those things. So let’s take a look once again at carol, hates to tell her age but we saw her in the piece before. There she is before the laser treatment as we saw and take a look at Carol now and doctor Downie tell me what has improved and how often she has to continue to go through these laser treatments. Well carol does the Ora and the Lyra combination of two lasers together. She does them about once a month and now she is doing I for about a year, and now she is doing it about once every 3 months, and now carol you said that you were looking for something that was not invasive so as you start ageing some people are looking for the noninvasive and it is a good solution with Rosacea—it decreases redness it decreases the broken blood vessels and it helps to build collagen. So therefore it is why you liked it, and you liked the improvements right you have seen? I do love the improvements, it makes a big difference. It eliminates some of the fine lines and wrinkles and that is what I am going for. That is great, but it is not only women carols age, we are talking about it is also for younger women. I mean how young are you seeing people coming in for preventative measure? 25 right 25 so starting at that age – so that is sort of a new normal in a way. Exactly and is it really a preventative measure that Botox and some of the laser treatments – some of the other treatments out there – will it help? Prevent some of the ageing? It actually does if you can’t make the line then you are not getting furrows – you can avoid looking like your grandma or whoever it is, and then you don’t want the lines because you get the furrows. Let’s take a look at Francis – 35 years old and she is one who is already addressing the lines around her mouth she had the Restalyne filler is that right? Restalyn filler and take a look this is before and now here she is – live after so a he improvement around the mouth area as you can see it is very visible doctor Downie is this something that you recommend for a lot of people in that age? I do – Restyle is very very popular – it is hyaluronic acid filler and we put it in between the lines here between the nose and mouth sometimes you put it in between the lips. Francis already had great lips and what we do it actually helps to build collagen as well as the fact at the lines would not get too deep and that is your concern. And what do you think Francis? I love this and really it is great for prevention. Yeah there are also some products on the market as well Dr. Downie that you like to work with – to help with prevention, right. As well as anti-ageing and the first thing that I want to say Natalie is sun screen X3 a must! You want broad spectrum UVA and UVB protection. High SPF, UVA filter which you see in the tropic product you see in the ocean potion anti-ageing sunscreen and you also see it in this sunscreen here so these are 2 over the counter and one dermatology reliant so that is first an foremost. And there is a great new line of Viviatae and what it does is that it exfoliates and hydrates and protects with a high amount of glycolic acid – antioxidants it has pomegranate in it has this super oxide, these are things that help to fight through radical damage in terms of pollution and stress in the ozone depletion form the environment so they actually exfoliate, they hydrate and they protect and this is a great new line and it is kind of a 4 in 1 system with a cleanser with a day cream and night cream and an eye cream so. And if you are not getting the treatment Restalyne, Botox or Laser there are things you can do in your daily life beyond the sunscreen which is you know diet, proper diet, balance diet and exercise a lot of people say – that I would never anti age myself. Hey, I Botox myself! And a lot of people whiten their teeth and there are anti-ageing methods that people are not thinking about as anti-ageing measures that are truly anti-ageing! Well Dr. Jeanine Downie, Francis and carol; - ladies thank you so much for volunteering to be here as well.

Almost 6 years ago I receive a phone call that changed my life forever. I had a funny looking mole on my neck it was actually my husband that optioned it or and said you should probably get that looked at – I have 2 young kids and a buys life and I didn’t think it was a priority but Tracy Callaghan then 38 years old did make an appointment to see a doctor. I got a lot of sports all over my body. I am no stranger to a dermatologist, but I never really thought much about the risk of Melanoma for me and my own personal health. After a biopsy tray was diagnosed with Melanoma of August in 2013. She had surgery to remove the cancer on her neck and then a year later Tracy learned that another mole on her ankle turned out to be melanoma again. It wouldn’t be her last discovery. I have been diagnosed with Melanoma a total of 4 times. I was diagnosed with Melanoma last July – 20 year old university of Kentucky football player Joshua Pascal, noticed what he thought was blister on his foot – his teams athletic trainer enough him to have it evaluated. Pascal getting some loves from his team mates – he first went to a podiatrist who recommended he visit a dermatologist. Once I went there that is when he took a chunk out of it and sent it for a biopsy so I am young so I was thinking this cant happened to me. Joshua learnt that he had to Melanoma and need surgery. I was just going to – I didn’t know how to take it. I never thought I could get Melanoma because the pigment in my skin when it went in for the surger it was deeper than what they thought it was more progressive that what they thought also. He has needed follow up surgeries and even imuno therapy treatment. I never thought cancer. Joshua Pascal and Trace Callaghan join us now as well as dermatologist Dr. Jeanie Downie. Good morning every one. So Joshua I want oth start with you – the bottom of your foot you are 19 years old, did you even think that Melanoma was in the realm of possibilities for you Well I never thought so. This has grown up and I was so young I never thought it would affect me, and once I mean am African American so I never thought of skin cancer as a possibility. So just hearing that I was ignorant so what it was I had to learn more about it and about what I was going through – and what would you say the others – I am glad that we have you one because even for us we take our kids out, and we do put a little sunscreen on them, but a lot of people just assume oh if you are brown you can’t get skin cancer. But you proved that it is not the case. So for me I dint know I had oth put on sun screen I just though the pigment in the skin was just enough, but actually you do have to use a lot of sunscreen and go to annual skin checks because you never know what could pop up in your skin and you just have to make sure that you catch everything. Now Tracy you had Melanoma you had it on your neck your arm your ankle your face, but it was caught early and is that the take way here that you need to really learn about early detection being part of the key here? Absolutely – early detection saves lives and I am living proof of that, and that is why our nonprofit foundation focuses on free skin cancer screening for everyone, in fact on May 18th we are going to attempt to break the Guinness world record for the largest skin cancer screening in history. That will doa lot of good. What is the name of the foundation? It is the Polka dot mama melanoma foundation. Always wearing polka dots – how can people participate? Is it everywhere or we are in north Carolina and people can go to our website and sign up or come it is free, and we want everyone it doesn’t matter the age race or gender – if they have skin, they can help us win and hopefully we can help save some lives. Dr. Downie – I mean Joshua’s is on the bottom of the foot- you think sunscreen and you think sure first line of defense do you have to put it on the bottom of the foot, palm of your hands? Unfortunately that would have helped him with the androgynous melanoma which is the type he had, what I want your viewers to understand is if a mole looks Asymmetrical – something called the ABC DE of melanoma, is mole looks asymmetrical, if the borders are irregular, if the colour is varied sometimes they can b pink blue or white – if the diameter is larger than a pencil eraser, or I’m thinking if the mole is evolved or shining and they need to go seek the attention of a board certified dermatologist and we will biopsy it and we will get to the bottom of it and just like I found out before when I was talking to josh he does not wear sunblock everyday so I just had a baby cow – so I am going to be mailing him a free sun block and if he likes it he can pay for the rest from there on end. You are saving lives! I don’t wear sun block every day! Every day rain or shine January through to December – and it makes you look younger. So why not on our website there is a story about if there is a line on your toe that could actually – a line under your toe nail for bob mare al that is a good question turned into a skin cancer that is a acrilisistic melanoma, different from the one John had and that ultimately killed bob Marley when he was 38 years old. So if you have a line you should get that looked at and checked. Absolutely. Asian African American and Hawaiian American of patients do have that absolutely. It is incredible for more on Joshua’s story and the Polka Dot Mama Melanoma foundation, visit today.com/thirdhour today.

On ABC – we are back now with our health alert. You may not realize it but there are a number of common medications that can make you more sensitive to the sun dermatologist and our dear friend Dr. Jeanine Downie is here with how you can safely enjoy the weather. You got a little – I got a little flat tire, yeah but you also have the Gucci tennis shoes. Yeah I got them! So tell us everybody about this medication bascule we are not telling people to stop taking these medications. No but there is an interesting study that came out saying that it proves that men that are taking aspirin robin are more than double the risk of getting skin cancer. Aspirin? Not that the need to stop taking the aspirin – that is not my thing, they just need to be aware. There is a whole lot of other medications that can predispose and increase your risk of sun sensitivity. Now those include some oral acne medication, okay some blood pressure medication ad some anti-depressant mediations and even some diabetic medications so gagging it is not that people should stop taking those medications. So what do we do? They need to be aware? So what do they do? Okay so I understand that people just love to be out in the sun – right. Okay I am an ex-life guard I get that. I am right here and swim instructor but what I tell everybody they have to reapply the sun block – so an SPF 30 broad spectrum protection, every single day – rain or shine, every day audience January through December regardless of your ethnicity absolutely. And we have 2 wonderful audience members they are going to be applying sunscreen. What do you see here Jeanine? Hi Cassidy Hi Kirk. You guys are doing a good job but with all due respect you are forgetting your ears. So we see a ton of skin cancer on the ears, so let’s not forget your ears, the back of the neck is another critical lace that people forget, the backs of the legs, entirely people forget and the tops of the feet – that gets me the top of the feet – right and people get, people get skin cancer in those places. So you are applying for America right now so you have to show America how to do it right because this is critical. Okay guys? It is like a shot glass full on their face and their neck and their ears, and if you are up here in New York it is every 2 hours you are reapplying. If you are down closer to Florida closer to the equator then it is every hour, but that is what people don’t get - you need to reapply it. Were you really a life guard? Yeah and an ex swim champ – just you know trying to be good. But yes I was a life guard. Right! So you do know what you speak. No no no and I love the sun. I just put sunblock on and reapply it because I want to lie about my age for years! (laughs) wonderful to always have you thank you! For my flat tire that’s waiting to go away.

Fans spotting a suspicious mole on his chest and then sending an email urging team doctors to check it out. NBC’s Lindsey reports that it might have saved his life. While Nat Courtney was fist pumping his gold medal finish in the freestyle in the Olympics this summer – eagle eyed observers zeroed in on this mole that is just below his collar bone. Thursday the Australians swimmer posted this photo of himself on Instagram with this message. Shout out to the person that email the swim team doctor and told me to get my mole checked out – good call, very good call. According to the American cancer society more than 3 million Americans are diagnosed with some form of skin cancer every year. So if you see amole that is asymmetrical, the diameters are getting bigger, the colors are irregular get it checked immediately. Actor Hugh Jackman credits a makeup artist with noticing a speck of blood on his nose something he discussed in an interview with David last year. And I casually mentioned this to my wife – should I get this checked? While it was not revealed if the mole was malignant or not it appears it was removed and he is now all bandaged up with a thumbs up. Lindsey Davis – ABC news New York. Glad they caught and when we come back.

Doctors say you need year round protection the CDC says only about 15% of men and 30% of women regularly use sunscreen. Now the hot trend is edible sunscreen, yes edible and it could make it easier to stay safe from the sun’s harmful rays from the inside out. Dermatologist Dr. Jeanine Downie is here to tell us how it works. Good morning! Edible sunscreen—we have been talking about this all morning how on earth does this work? Okay, so there is a product called Helio Care and that is a supplement an antioxidant supplement. It is anti-inflammatory and it is photo protective. So basically you take it and it helps to decrease your DNA damage. So it interacts with you. But this is not the same as me putting on SPF 15 on my skin? No it is not. So basically this extends the length of your sunscreen by like an SPF 4 so it is a supplement only. SPF 4? That is nothing right? You need a 30 or above, every day rain or shine Jan through to December regardless of your ethnicity. Now the company will say this is to mean to replace the regular use of sunscreen but we also know that right now the supplements do not require FDA approval. The red flag just shot up. Okay, so there are—Helio Care has been in a bunch of different papers so that is one that does have some benefits. There are others that are drinkable sun screens and we are not so sure what their benefits are so I tell everybody. So, doctor if I drink something wouldn’t you just excrete it right out? Yes you can—I mean I’m just thinking it seems to me you would drink it and—some pill forms can interact with your DNA, so they actually have antioxidants. How does it work? I pop the pill and how does it work? It actually interacts with your tissue and you are not getting the level of damage and inflammation that you would otherwise get with some forms that actually do have true clinical science behind it. That is why you need to speak to a board certified dermatologist and not get snowed. I am a big fan of all of this—yeah, science is good! Bottom line our sunscreen regiment should be what? Every single day you apply 20 minutes before you leave the house, so it really sinks in and then you need to reapply it if you are up here in new york for every 2 hours. If you are down in Florida or in the Caribbean it is actually very one hour and that is a 30 or above everyday on every exposed area of your body. Skin cancer is real, 4.2 million cases last year alone. We didn’t even get to talk about the KFC—like we have to go. I’m not sure why but it is finger licking good.

I was totally unaware of these apps that we are talking about to diagnose skin cancer but what I understand is don’t do they work? Basically the University of Pittsburg looked at a study and they found that 3 out of 4 smart phone apps told people that melanomas on their skin were nothing to worry about so they fail in specificity and they fail in sensitivity – say that 10 times. So how do the apps work? You take a photo? Basically beaks now it is beyond entertainment so you are taking a photo of it and some of them go by algorithm so they are looking at spot in your skin ad going by an algorithm rather than looking at the actual picture of the skin cancer or the actual skin cancer on a person by a board certified dermatologist. One of the apps sends it to a board certified dermatologist. But when you look at different skin cancers on the screen you can see that sometimes it is not the same – I have seen blue and pink in different moles, red even different shades of brown and black. But you look at eh asymmetry f the borders you know what I am saying? You look at the asymmetry of the lesion the colour bang irregular and the diameter is small and it can still give you skin cancer. It must be frustrating as a board certified dermatologist to know that there are people out there who know that honestly there are people out there who could die from honking that your skin is safe or fine – and not going into the doctor to check it out and this is why the NIH funded the study for the university of Pittsburg because they wanted to show people that you really shouldn’t be putting your life at risk – one person dies of melanoma in this country according to the skin cancer foundation every 57 minutes. Whoa. So that is very significant. Bezel cell carcinomas are 2.8 million sqauymercells are 700 thousand actinic keratosis the precancerous lesions – 58 million people. Chances are if you live oth the age of 65 JD especially men, yeah you are going to get either a basil cell or a sqauymercells over the course of your life time. Wow how do apps like this gets on the market? The only thing worse than no information is bad information and that seems to be what they are putting out and what it is, is that it is evolving. These smart phones and smart phone tablets are kind of evolving away from entertainment. To diagnosis and that is a problem you need oth go see a board certified dermatologist, especially if you have a history of board certified skin cancer. I don’t trust my phone to get me to the grocery store I am certain not going to get a cancer diagnosis. Well here is the thing – if you are going to use your phone and pick up an app to figure out if you have got skin cancer then you might just want to go to the doctor- that is a sign right here. Then the broad spectrum protection this rubs into very skin tone, the skin medica product daily physical defense, the Eveno al over the place saturated in every pharmacy right now – spray your body head to toe, reapply it every 2horus – these are just sun saved tips – that is our first line of defense, that is the sun block and the sun screen for adults and for kids because we are seeing Melanoma rising in every one, and basically the incidents of cancer is decreased in this country expect for some forms of pancreases obviously some form of lungs, but melanoma is just on the rise, on the rise – you were the first peon that told me that we being people who work on camera need to have even add more protection became of the lights and that – the bottom line is the lights can cause different photosynthesizing disorders and hyper pigment our skin and then if your skin is hyper pigmented it is not as easy to pick up a change mole as would be otherwise so even a strong light can lead to improper or bad diagnosis sometimes. So that is what I meant but we just have to pay attention and you better watch out. What are the treatments for skin cancer – we cut them out we stitch them up the scar is sometimes not pretty but the scar is better than dying. Bottom line – small price to pay .thank you so much Dr. Downie for that information, people know. Put the phone down no texting and no skin cancer apps

Welcome back, here is correspondent Sonia Lee with executive style. Caroline as much as we love the sun we also know that it can be damaging to our health, but Dr. Jeanine Downie of image Dermatology ® P.C. says that there are ways we can protect ourselves. Is that not right doctor? Absolutely. That is correct Sonia so the first thing I want people to know is that the sun is dangerous and so they should wear sun block every single day. If hey notice a changing mole on themselves or something that is not healing a pimple that is not healing they should go see a board certified dermatologist. One person dies of skin cancer every 62 minutes of melanoma, here in the United States so that is very scary, and in terms of other very frightening skin cancer foundations statistics, there is roughly about 2 million cases of skin cancer a year. African Americans are more likely to have sqauymercells than they have bazerells and within our African American population many doctors don’t know hot to look, or the patients don’t know to check. By the time we present it, the 33 percent of them metastasize so that is 30 people that are dying form something on top of their skin that they didn’t have to die from it is very unfortunate. So what can we do to protect ourselves better? Well first of all you should get a total body check and that is ahead to tow skin check where we look through your hair, your mouth in your eras, your toes – that is important. What else can we do to protect ourselves? Well sun block and SPF 30 every single day rain or shine, January through to December it is really important. I like from the department store the Dior Snow because that rubs into my brown skin, I lie the SPF 30 from skin medica that I sell here daily physical defend e and we have a whole bunch of them that I recommend – the Neutrogena spray and the even on those are great for the body but so put it on and you can reapply it every 2 hours because you are still going to get a little sun because I know you are looking at me – you want sun! Like on vacation. What is the difference between a 30 and a 70 and a 50 SPF – they kind of level off after about a 45 to a 50, but people don’t put on enough so that is why they crank the level up some and speaking of vacation I love these hats – they would look fantastic on you. Didn’t you tell me before the segment that you never wear sun hats? I never wear protective clothing! Wait look at this it looks great – I love to use this when I am body surfing, this is a great UPF 50 – Universal protection factor 50 and so is the hat! And so they are great so just think about it – I am going to take you to the shady thought and my joke to everybody is if you don’t need a flash light, you need to wear sunscreen, even on an over cast day? Absolutely. Alright - Mhmm great information thank you for all the food for thought! Back to your Caroline thanks Sonia and thank you for watching.

Live from the couch with Carolina Bermudez. John Elliot and Lisa Courtney. And it is right the sun is going to come out later today – the UV index has a 9 so listen up melanoma, the deadliest form of skin cancer is on the rise more than 76000 new cases are expected to be diagnosed this year, which is why sun screen should be the first thing e pack before we head off to the beach, but is you sunscreen actually doing the job? The label claims it is doing? Karen sorts out he sunscreen confusion. SPF 15, 30, 50 plus broad spectrum – trying to decipher what is on a bottle of sunscreen can be maddening – the labels on them are so misleading the government last summer ordered tougher guidelines so consumers won’t get burned. The guidelines are basically to help consumers with confusion over a lot of issues – now those changes have been put on hold for 6 months because companies could make the label changes in time that means the same old bottles remain on store shelves. Manhattan dermatologist Dianne Berson says the new guidelines does call for new sunscreen formulas just more acute labeling like what spf you should use. Officially the FDA says at least an SPF of 15 although the American academy of dermatology says an Spf of 30. Sunscreen that pass the FDA test for ultra violet A and B rays can be labeled broad spectrum, what exactly does that mean? These products will also say that they are broad spectrum which means that they also protect against the deeper ultra violet a rays and these rays are actually very implant also even though these are the rays that are responsible for tanning they also damage the skin. Companies won’t be able to claim their products, water proof or sweat proof anymore thy can say water resistant but need to state for how long while swimming or sweeting. Of course the guiltiness are just that – Dr. Berson says one of the biggest mistakes people make is not putting on the proper amount of sunscreen. That is really one of the biggest issues is that people under apply the sun blcock you need to cover you skin with 2mg per square which is what fills a shot glass, so if you are not putting that much on the ski with that thickness then you may not be getting the SPF stated on the bottle, and heads up for parents with young kids and babies under 6 months shod be kept out of the direct sun and for older kids caution is jey. Sunscreen sprays are probably very safe. The FDA has deemed sun protection products that are made of areole sprays to be safe out there was some concern about that issue and when you have children and it is hard to apply sun block to them and they don’t want you to – certainly using a spray makes it much easier. And a few important tips for you they may seem obvious but so many people over look these – avoid mid-day sun from 10 am to 2 pm. Reapply sun protection for every 2 hours and wear protective clothing hats sun glasses, of course day hydrates. We are going to go over to john and Lisa who are goin to give us some more tips on how to stay safe in the sun, and do we look like we need ot stay safe in the sun? Everybody does. I am beg into sun protection yen there are other ways you can protect yourself against the suns harmful rays – and we are doing now by Dr. Jeanine Downie the dermatologist from Mount Clair New Jersey – Good morning Doctor thank you for being here we have been checking out all of your supplies we are excited to kind of get down to business but as we heard as often, our own worst enemies when it comes to sunscreen – ask about that – so absolutely. 3.5 million New cases were diagnosed last year that is expected to go up this year. So this is very significant if you live to the age of 65 you are probably going to get skin cancer, so starting at the beginning over here – I acutely have some of these hats at my house right now – san Diego hats they are great. Great gifts too – and they collapse you can travel with them john thy have and spf of 50 so they are really protecting them from the sun, they are fashionable and they have baby hats too and they do work. They absolutely work and we like them a lot, these blue bell baby shoes the bottom line is like my collage was saying you have to spray everywhere so spray the baby’s feet first and then you can stick these shoes on them and these are spf 5o too so these are bluebell baby shoes that you can put on your infant and where can we get these hats? SO these are UV skinz.com. but they are showing up at main line retailers too. You can – some people will find them at Wal-Mart and some people can find them at target and they are showing up at main line and when I was 13 years old I had 2nd degree burns on the top of my feet because I forgot to do my feet so I had to be – I was hospitalized. The back of the neck, the ears, the tops of your feet are the most common places that people skin and forget, so that is very important thanks for bringing that up. SO these hats are SPF 50 which is another good note to remember, if you are shopping in mainstream stores, SPF 50 but what – they all claim there is SPF 50 and there’s even SPF 100 there is 80 and what SPF is what we need to look for? Well on your face it needs to be ate last Spf of 30 – that is supportive of the skin cancer foundation 96.3 percent of the sun’s rays so at least needs to be an spf of 30 and those are to put on your face and to reapply because you have to put it on and you have to reapply it here in new jersey in the tri state area – if you are next to the equator you need to reapply it every hour. Mhmm so that is also critical so from hats to shoes have shirts too. Right? Okay so these are some UV Skin shirts and there is some Columbia sports shirts back here, these are great and those are wonderful also and these are at least an spf 30 or if not some of them are an spf 50, so those are fabulous and these are what we call rash guards so you put this on that ways a lot of men don’t have to worry about getting their back burned I have my child I have a 9 year old daughter in the all Summer long – abusively great. Nice and light weight material as well. In and out of the water too, because there is no such thing as water proof and there is no such thing as water resistant that is all nonsense when you get out you need to reapply right away. Now y make up has spf 15 in it and you said at least 30 – you have some make up here tell us more – this is spf 55 and this is Neutrogena’s healthy skin so the compacts are great, they have a wide variety of skin tones that thy can match, and the issue with makeup is you put it on thicker in some areas, for me ill just point to under my eyes, and thinner in other areas, my nose my lower face does not need it that much, that is the issue with makeup you have to put it on evenly when you are wearing this – but this works very well and this is one that has got the skin cancer foundation with a seal of approval on it. Helio plex – it is the UVA and UVB combines so it stabilizes it. Now sun guard is great because you can take a normal piece of clothing lie this shirt Lisa and you can wash it in sun guard and this becomes at least an SPF of 30 – really? It does! For at least one use but if you are wearing a thicker weave t-shirt rather than a thinner weave that is going to help you sun anyway – this is fascinating to shampoo and condition the protection into your hair – amazing. So this has an oxy benzoin derivative in it which is the chemical in it and – has what? Ok! A UVB blocking chemical in it to speak English, and that actually blocks some of the UVB rays so a lot of my patients that have blond red hair love their hair and don’t want the colour change, and being out in the sun all the time can actually change the colour of your hair and bleach it out more and make it weaker so these products continue to not let the sun strip your hair of its natural beautiful coleus. I have a related question what about my scalp? I always feel like it is getting burnt – right – how to protect it? This is for just hair – yes what I tell people is to put, especially in the block use physical sun block – a lot of people don’t like it because tis greasy so they rather see the spray so the Neutrogena a wet skin I like a lot and the Euvena hydro sport I like a lot because scalps tend to sweat and those two are adherent to wet skin. One thing we should know is that you should put sunscreen at least 30 minutes prior to getting into the sun. Absolutely. I am loving you – that is correct. I messed up my daughter she got a bit too much sun. lathered on went outside – you need to let it sink in for 20 – 30 mins full disclosure – Dr. Jeanine Downie has seen me half naked too she has checked my body. Mole checks are very important, absoutly very implant for everyone and thanks for paying us a visit on a busy holiday – oh I am honored to be here. Dr Jeanie Downie thanks for being here – we will post more information about these products today – on our website just go there to CBS website.com/thecouch

The new jersey mom accused of taking her young daughter to a taning salon is certainly attracted a lot of attention now that case may lead to some changes in the tanning industry - NBC Marla Scaracompoe is in New Jersey with more on that – Good morning to you Marla. Matt Good morning. New Jersey is home to roughly 400 tanning salons and many of the customers are teens. State law makers say soaking up artificial rays are downright dangerous for younger people and they want them kept out of tanning beds al together. So called tan mom Patrice Cransole continues to get lots of attention. Following allegations the 44 yr. old NJ mom took her then 5 year old daughter tanning with her, Cransole says she is innocent that her daughter came with her to the salon but never was exposed to any tanning. Cransole overly tanned appearance has made her a national celebrity even getting her roasted on SNL. Piece of bread put it between my thighs – oh my God! While Cransole is trying to laugh it off, others say it is no laughing matter – some new jersey law maker s are hoping the attention on the case will revive efforts to pass anti tanning legislation for minors. An old bill reintroduced this year will prohibit a person less than 18 years of age from using a tanning bed in a tanning facility. If you start tanning as a teenager, you are 74 times more likely to get a malignant melanoma s a younger adult than you would otherwise. 27 year old Alison Doherty knows that all too well – at 21 she was diagnosed with stage 3 melanoma after year of tanning as a teen. Something like a melanoma diagnosis does not just affect you but also everyone around you this is where I might get emotional, because you know I remember my parents feeling like it was their fault. And it was not their fault. In a statement to NBC news the indoor tanning association says the risks of artificial tanning are exaggerative writing quote it is a fact that ultra violet light from a sun bed is the same as that from the sun and regular moderate non burring exposure is essential for good health. As for Patricia Cransole it seems her 15 minutes of fame didn’t end with that SNL sketch – she is the inspiration behind this action figure. Cransole is due back in court on June 4th now as for the salon they say that Cransole daughter was never allowed in the room with her mother while she was tanning meanwhile here in NJ currently 14 to 17 year olds are require to have parental consent that owed change if this bill passes the bill is currently in committee officially say it will be voted on very soon 0 Matt. Marla thank you very much

Live from studio 3C at Rockefeller center. That’s way to raise awareness of melanoma and other types of skin cancer and early self-detection exams – the American academy of dermatology has designated the first Monday of may which is today as Melanoma Monday – her to talk more about skin cancer is doctor and dermatologist Jeanine Downie – welcome. Thank you Chuck nice to be here, why is skin cancer the number one cancer in this country? 3.5 million New cases will be diagnosed this year chuck so this is alarming so if you lived to the age of 65 about 40 – 50 percent of American will have skin cancer by that age it is just really absolutely ridiculous and people us don’t think about it. So what can we do to prevent it – in terms of prevention I love this Eveno hydro sport SPF 30 – it is a sunscreen spray you should put it on about a shot glass full and reapply every 2 hours it is great it is tenacious even during exercise it sticks to wet skin so that’s great.one of the bottles will last you about a day then f you need a shot glass. If you are going to be out in the sun all day right. There are new rules about labeling on things like these. SO these are broad spectrum protection on UVA and UVB and then we tell people to get screened. Right now Eveno is the key sponsor for the road to healthy skin tour which is the skin cancer foundations road to healthy skin tour and that goes through 50 cities and it is screened a ton of people and we detected a lot of melanomas and basically 1 person dis of melanoma dies of 62 mints hers in the united states. Out of the skin cancer patients you talk about 33.5 million how many of those are potentially fatal skin cancers? A lot of them – like 8800 people will die from Melanoma and about 22500 people will die from sqauymercells, because that metastasizes so it is a lot unfortunately. What are the sign to look fro if you are self-examining? So if you are looking at your skin and you can see it changing and becoming Asymmetrical – the borders are jagged or irregular the colour is very odd red white and blue is off, patriotic but that is not normal – if the diameter is bigger than a pencil eraser, and we tell people to do a cheek to cheek test, you look at this cheek if it has a lot of tan lines on it and then you look at this cheek – if it is clear that is the way it is supposed to look – you need to put more sun block on. You have freckles! But if you really look at the underside of your arm that is where you are not sun exposed do these people that say it is a natural part of my family genetics – no it is not it is from sun exposure. Now the screenings you talk about are free at the covenant in New York right? Exactly yes and mot dermatologists myself included volunteer so that we can see a lot of the noninsured that ways as well - t is implant and it is the road to healthy skin tour thank you for asking. Best way to find out where it is going to be and when? You can go to lets s road to healthy skin.com or Skin cancer foundation.org. okay dr. Downie thanks for coming down appreciate it

There is a surprising new report on MSNBC.com that suggest that when it comes to tanning young people are more scared of getting wrinkles than cancer. More I am joined by dermatologist Dr Jeanine Downie and thank you for being here Dr. Downie. I want to talk more about this MSN NBC.com report – why do you think that wrinkles wood scare people more than cancer? It is an aesthetic thing- people want to look younger longer and that is something of the premise of the whole report wrinkles blotchiness, sagging, discoloration those are things that you don’t want to think about having o this actually might be a way of vanity to steer them in the direction against and way form tanning and so you thin this is a god idea perhaps to get them out of it – it is important, and I know all dermatologists pound that message home left and right. Do outthink that it is one that will stick with them though? Is there anything you think that will work to get people out of the sun? again it is a vanity issue more than anything else – tanning, a tan itself provides you with an SPF of 2 so all the thought about getting a base tan before you go away or before you start golfing or whatever it is at the start of summer – spf of 2 doesn’t do anything - nonsense. Absolutely. It is to be debunked. Over a million people every single day tan inside tanning salons and I think it is something like 30 million a year – the tanning community is about a 5 billion dollar industry. Doe that suggest in your private practice –for example are you seeing more people with skin problems at earlier ages? Absolutely – with photo ageing with wrinkling I am ding Botox for people that are younger and younger some in their 20s and these people think to themselves I am getting significant wrinkles in my 20s maybe I better stop and then there is melanoma risk – I think this year is the estimate of 60,000 new cases of melanoma for 2007 and of those a little over 8100 will die. I have heard this phrase tan-orexia – as if like an anorexia you never think too but the same thing with tans – is this legit? They did a study at one of the southern universities I believe it was the university of Carolina where they were like getting it to working up with and eating alcohol. Where do you find that you are looking for a tan first thing in the morning because tanning aurally kicks in beta endorphins which makes you feel better and are kind of addictive. Make you crave i like some people do the beta endorphin thing for chocolate. So you crave I so you feel better with it. So being above that feeling better also can extend oth the aesthetics – you feel and look good, but what boat all those moisturizers – that is my mode of choice right now and I hope you aren’t telling me that they are – they are fine! Good! I like a base tan with a dryhydroxy acetone or like bobby brown has a light to medium and a medium to dark, Jürgen’s has an ultra-grow, boreal has a sublime blonde, all of those are good but we can actually educate parents to teach their kids while applying it themselves and put sun block on every single day – broad spectrum protection with at least an spf of 30 on a daily basis – put it on 20 minutes before you put it out in the sun so it has time to soak in. so if we can do that and educate people then next 5 years in a row – then people will aurally start doing that – we can decrease the skin cancer incidents in this country by 50 percent in about 10 to 15 years which would be enormous and it is education only 33 percent of adults in this country wear sunscreen on any given day – 3 percent. That is a third, we are failing right now in our message – okay well not right now for listening to you, we have a great job so thank you very much Dr. Jeanine Downie I appreciate it so much.no problem thank you for having me.

Skin cancer is the most common form of cancer with more than 3.5 million people nationwide diagnosed with it annually. Melanoma is the most deadly form of skin cancer an estimate 68000 new cases of melanoma diagnosed in the US in 2010 – it account for only 3 percent of all skin cancers but causes 80 percent of debts. Now there is some good news in treatment and there is a new drug just approved by the FDA and is ready for use. Here to tell us about this is dermatologist Dr Jeanine Downie – Dr. Downie welcome. Hi Tanya go to be back – good to see you so this is good news there is a successfully new drug out there - yes it is called epi limumob it is a monocular antibody and the trade name is Eruvoid it is marketed by restil Myers web and was approved on the 2th of march very recently and how does it improve the current treatment for stage 3 and stage 4 melanoma? Well what it does it blocks not to get to technical but sitotozix tee lymphocytes – it is so exciting because nothing has worked for stage 3 and 4 melanoma patients at all. They have had high dose introluken and for 35 years it sometimes works, may times doesn’t and these patients have nothing and now what it’s doing its activating these psyto toxic T cells, and they are acutely helping the immune system target recognize and block melanoma. So it has a lot of success so far, and is your boy working for everyone or is there some patients it doesn’t work for? Great question – it doesn’t work for everyone and we are not sure why but for the people that it works for it actually hyper stimulates the immune system and it allows the body’s own immune system to go out and target and recognize these cancerous cells and kill them so it worked really well for the percentage of the population that it does work for. The clinical trial worked for 677 people in it so it is a large clinical trial and this is a huge thing for melanoma suffers because it is crazy these days. Absolutely – used to be in 1930 that 1 in 3500 people would get melanoma, now it is down to 1 in 53 according to the skin cancer foundation. It is – that is such a scary increase and what else accounts for that – more people who are going out tanning is it tanning bed? If you have an early exposure to tanning beds as a teen it increases your risk of melanoma by 75 percent it is ridiculous. So tanning beds are 5 to 6 billion dollar industry and a lot of young women will wind up unfortunately late with melanoma there is tannin and increased leisure time and we see white men over the age of 50 – it is scary and it is something you see in women and men, I think I told you when we were talking g before it is the 5th most common cancer for when who are all, and the 6th most common cancer for women. It seems that early childhood exposure to sun to extreme burns – blistering sun burns; both of us have young kids. One blistering sun burn more than doubles your risk of getting melanoma. And if you don’t have blistering sun burn and if you have 5 or more or regular sun burns then you also double your chances of getting melanoma and I am an ex lifeguard and I definitely had more than 5 sun burns growing up in new jersey because I thought I was great and didn’t wear sun block. Right and so now do you watch very carefully? And I wear sun block every single day – winter fall – it doesn’t matter. I tell my patients it doesn’t matter the ethnicity or skin type but Jan to December 365 days rain or shine, you should wear and spf of 30 or over every day and the common brands – not anything fancy they can go get Eveno from over the counter, they can get the Neutrogena products, I like the option potion and if you want oth go fancy I like the skin medica it is a very nice non greasy facial product that you can get form your dermatologist. Are there certain brands you recommend of kids I like the Eveno babies I still have my daughter using hat and I like the copper tone kids a lot – basic and working and hypo allergenic fragrance free sun blocks that work. If you are an athlete there are sport blocks that work very well I really love Neutrogena sports spray – easy to apply and then option potion has some great ones as well – over the counter as absolutely fabulous. Let’s talk a bit about stage 3 and stage 4 melanoma – prior to this drug once you got oth stage and 4 is that pretty much a death sentence? It was unfortunately that – and now with the new drug not only do we think it will help with melanoma as proven but also looking into the research into lung, ovarian and prostate cancer – in terms of having possible good benefits with that. Looks promising? Yeah it does with the other things – in terms of the side effects because of the hyper stimulation to the immune system – it can set of differ auto immune things – for example can cause a collides with massive amounts of diarrhea that requires steroids to balance the electrolytes. Hyper stimulation of the imuno system causing a UVA and sets and inflation with your eye set out different rheumtological diseases so it does definitely have serious and significant side effects but when you think of the side affects you are going to have colitis, be in the hospital for a week with IV steroid vs. not going to take this drug and die – the side effects the risk to benefit ration sets that patients that are in this position – stage 3 and 4 melanomas. If you get an early diagnosis with melanoma before it gets in to the epidermis and dermis – 99 percent survival rate – if you get a late diagnosis the survival rate drop severely. So bottom line is obviously prevention is the best treatment, you want oth always wear sunscreen and you want oth get a body check from a board certified dermatologist. It doesn’t matter what you race is – I do from the scalp down to between the toes I am looking everywhere all over peoples bodies. Is there a certain body part of area that is more common? Your questions are great! It is the back for men – and it is the back of the thighs for women, because we don’t like our fat deposits back there and we just ignore it. We don’t look! So if you don’t want to look then go to the doctor so they can look for you! Thank you so much Dr. Downie pleasure to be here! Really important topic thank you for letting me come here. For more information on this topic log on to the health page at ABC news.com for all the latest health information.

Today on the Doctor Oz show – alight question number 4 have you ignored examining the skin between your toes? Yes or no? If you give the answer yes 0 give yourself 2 points, no is zero points. Dr. Jeanine Downie is a dermatologist and a skin cancer expert – Dr. Downie explain please to everyone how folks should examine and why they should examine the area between their toes. The bottom line is that we can find melanomas between our toes and every 62 minutes an American dies of Melanoma, so very quickly I think they are going to take us through they are going to show us a panel, we have them here that you shod just keep track of these – these are the 5 things that we look forward to diagnose the A B C D Es Dr. Downie – so they are Asymmetry so you take the mole and you can’t fold it back on itself, the borders can be shaggy scalloped and irregular – the colour you can have pink, you can red you can have white you can have blue in there – that is not normal. The diameter is bigger than a pencil eraser – take a look at it and sometimes it can be elevated Dr Oz – that is a problem also so get aboard certified dermatologist to check your skin once a year even if you don’t have a history of skin cancers – and don’t use tanning beds it increase your chances of getting Melanoma by 75 percent. So you see the pictures back there – you understand what the risks are they are going to be a part of the answer to this question.

Alright now Sam Americas healthy summer and skin cancer continues to be the sort of common form of cancer in the US with Americans heading to the beach and enjoying the heat – what can you do to protect yourself we are bringing our friend and dermatologist Dr. Jeanine Downie who has some of the newest ways to avoid the sun’s rays – bascule boy it is really getting hot! It has been really hot – before we get to see these gadgets and gizmos, remind us gain of the importance. So skin cancer is the fastest growing cancer here in the United States. 3.5 million new cases are going to be diagnosed in 2010 alone and that has upped significantly from 1.5 million that we sued to say a couple of years ago and so that is absolutely crazy. Basil cells goes for 2.8 million sqauymercells go for 700000 and then melanomas which is the most deadly form – a person dies of melanoma every hour they are abbot 7000 diagnosed and about 9000 people will die this year tragically of melanoma and that is important for us to know – now to help us in determine how much sun and what to do – there is an app for that? We have George have Juju we have Sam programmed in here so what is recommend for Robin here in terms of what you re going to be doing – you can put in intended use for sports pool beach day every day general use – it goes to you know UV index so you can know what is going on outside and the sun’s rays and it give you a reapplication reminder telling how to apply and is connected directly to the weather channel – you can see this one – it goes through today and tom rows forecast it is a fabulous app so it remind you about putting on sunscreen? It does a little and you can organize it for different members of your family – so sisters of the Good Morning America Family – you can remind each other and do different tunes for every one of you . up here every 2 hours, you need to reapply if you are close to the equator in the southern states, it needs to be reapplied every hours. But if you are swimming or sweating put it back on right away – don’t delay. So that is high tech this is more my speed, I could see doing this – so this is one of these little wrist guards and it is a UV sun sense you put it on it is one color – you re apply the sun block it tells you it turns colors when you need to reapply it – and then the last one is when you have really had enough sun and it is telling you to get out of the sun. That one is absolutely fabulous – I imagine it is pretty economical – these are! And they are amazing and parent like these a lot – absolutely. Going further in terms of sweating and sun screen – we need to wear protective clothing. This is on of my beach hats – this is an spf 30 sun shirt form my cooler bar – we need to not forget the sun glasses. It is not just a glamour statement. It actually protects our eyes form the sun – the broad brimmed hats are really really critical so it is actually in the clothing? It is actually an spf of 30 in the clothing her and that is really important – also we think about when we are under an umbrella we are safe we are good – this is a Rio beach umbrella this has an spf of a 100 b you have to angle it right – you are over here the sun is coming down over here – nothing is happening you have to actually angle it right you have to be underneath it. So it is a 100 – spf this is fabulous. What it is hard to overall recommend depending on what you are doing and skin colour but can you give us some broad guidelines? So these are some of my favorite facial sunblock’s right here because they are not greasy at all.so I love these, these re great body sun blocks right here and then this is one for babies and where we forget is the backs of our ears here we forget that part w forget the tops of our feet – significantly we forge the backs of our neck and the parts of our hair we forget those areas so those are areas we need to put it on and reapply it because we burn. Alright Jeanine – thank you so much and thanks for coming out of the office like this than you very much. Vey implant because we are in the middle of summer and we have more of Jeanine’s top sunscreen picks for your face and body and baby. As she described right here we are more information on that on our website ABCNews.com/GMA

One other item we want to get to right now and that is although it is still in experimental stages; researchers say a new melanoma drug could see a sizeable shift in cancer treatment. Dermatologist’s Jeanine Downie joins us today about the be well health report. Tell us about this drug – hi Chris so this is called Ipi Limiabob and it is a molecular antibody that is a mouth full it is actually a drug made from living cells, so think about it as a protein that attaches to white blood cells and help to fight off the cancer that was. The only way it works is in about 20 to 30 percent of people but about 70,000 people have melanomas and about 9000 die from melanomas here in the United States. So we are talking about 20 to 25 percent of those 9000 people, and it just clears it out and we are not sure why it works on some people and why it does not work on some people. Just think about it like hyper stimulating the immune system so what is happening is the side effects form the auto immune diseases are triggered like rheumatoid arthritis, it is not the usual sickness anything like that – but it is a huge breakthrough. Dr Downie thanks so much.

This morning on Today’s health what I normal and what is not – in summer it is the perfect time to check your skin from damage and signs of cancer, and to know how to protect yourself – glamour magazine has provided a comprehensive guide for the last 4 years and then a letter to the editor in chief and todays women’s lifestyle contributor and also to Dr. Jeanine Downie – sorry! I tried to practice this – she is a contributor and a dermatologist. Good morning to both of you! You have been doing this for the last 4 years and you have some pretty interesting responses from your reader. We have – the interesting things to me is the amount of risk that we still take with this and our skin. We know that skin cancer is the number 1 cancers in the US and it is one of the few cancers that is mostly preventable and yet most of us don’t use sun screens well as we should and 44 percent of women we pulled are still using tanning salons which can radically raise your risks – 44 percent of women using tanning salons? Jeanne what is the problem there – tanning beds increases the risk of melanoma by 75 percent – so this is just a no – is it more dangerous to be in a tanning bed than to be I the sun. Yes it is because it is 12 to 15 times the UV radiation. You know of the Norma sun so it is 12 to 15 times worse. Most women don’t know that – they still believe in the myth of a base tan – I got to a tanning salon and I get that first layer and it will be safer when I get out there – so you have said it here now. So if you are listening there you go – a base tan gives you and spf of 3. Now let talk about the 3 things you say every implant that people think about doing every month you say heck your skin once a month? You want to just give yourself a rough once over at least once a month so you know if anything has changed you know moves that you have got bigger or look different than they did the month before you want to look at that and we have ben pulling a mole test in the last few years for the magazine and we have 68 women who said that just looking at those picture said comparing them to their own skin has saved their own lives. Bessie they could look at the skin! Yes most of us don’t do that clearly, so huge! Congratulation to the magazine. It really tells us how imprint it is to get this information out there so to say use sun screen every day. So people are talking boat vitamin D but what about Vitamin D? rain or shine January through to December regardless of your ethnicity people need to wear sun block you can take vitamin D and you can put it in your mouth and eat it you can get nutritional supplements you can get vitamins there is no need to get vitamin D from the sun – bottom line. So reapply often how often? Every 2 hours if you are outing the sun isn’t that true? You are supposed to us as much as if you were icing a cake. I love that – you said about a shot glass – that is more than most of us use. For a normal sized woman. You also remember publishing some images as to what skin cancer looks like I think we’ve some images and you want to take a look right here – Describe that well first of all a normal mole and most of us do have a normal mole on our skin is all one colour it is either all dark brown or all light brown even reddish or pinkish an can be normal – it has a clear symmetrical border it is not raggedy, but this is early stage melanoma right here and it can become, unfortunately what happens is if you look at that closely under a derma scope that magnifies it my 5 to 700 times – the pigment in the middle is a little uneven and irregular so you have asymmetrical border and you have irregular pigment ok so it is A B – for Asymmetry and border irregularity C is colour varied – D is the diameter being bigger than the size of a pencil eraser typically and that is a very a typical lesion. Now look at this on mid stage melanoma is it raised by the way? They don’t have to be raised it looks like on the anterior side on the far side right there it looks like it is slightly raised but doesn’t have to be – E can be Elevated but that is not a classic sign for melanoma – I see so that is actually a late reaction o actually see that is definitely raised. It has pink blue see Cindy black brown tan in it. Yeah so bottom line you never want it to get it that point – you want to prevent yourself from having go to wait that long right – so we talked about what normal moles should look like when are they not ok – when do we know that the those are not ok – this is the normal one this is the normal one and again you can see that the borders are not raggedy it is clear, it is roughly symmetrical and I think if you looked at those pictures that Dr. Downie has walked us through before you saw things that were changing some colors and ragged borders and you can put a line through it and fold it back on itself – you see that guys? So that is symmetrical – so let’s take a look at one that is not okay- and tell us what would be the thing we are looking for? I think with the abnormal moles and Dr. Downie can speak to this you are looking for things that change in colour – you look at your body and you o that monthly check and you notice it is different from what it looked like last month – that is when you want to call. My patients help to help them diagnose abnormal moles like this – they’ll say doc there something right here it is changing now could you take a better look at it. It is very helpful because they help me take a look at them – you know a lot of them as we get older get sun spots get marks on our skin and I am wondering if we maybe alarming people too much in other words some of the marks that people get re just perfectly normal right? Indeed yeah so then the big changes to pay attention to is any kinds of change but you are going to have changes as you get older because our dermatologist even if you are concerned and anything that looks like it is raggedy when you say asymmetrical that is what you are talking about and also know that anyone is at risk! One thing that we have heard from a lot of women is that they didn’t believe that they were at risk for skin cancer but in fact they are and the melanoma cure rate amongst women of colour is actually lower in Caucasian. Why is that? What happens is Melanomas re diagnosed later in skin of coloured patients because they think it is normal texture so that affects the melanoma mortality rate – exactly what you said according to that skin cancer foundation is 91 percent for Caucasians and 75 percent for African Americans because it is caught much later –so African Americans also of dark skinned Americans some Asian American think they don’t need to wear sunblock this is a fantasy this is something that I want to drum home to your viewing public that they have to wear sunblock every day. the little bit more pigment that they have does not protect them – Bob Marley died of a melanoma that was an acryl lentigenous melanoma and it was underneath his toenail and they thought it was a soccer bruise. Also to point out for ethnic people of diverse backgrounds –there are also dark marks for people of African American or Asian descent. That is not a concern or are a concern? Well some are a concern according to Cindy’s article – remember what you guys were saying – if you have a black mark about the size or less than a pencil eraser of either the palm of your hand or the soles of your foot that can be pretty common enough for African American women, but you want to look for the same characteristics that Dr Downie talked about that changes in colour or has a ragged outline or has things under the nail can often be assign of trouble – and then if it just a little weird in the mouth too became of American Americans or Asian American in particular can get moles in their mouth that can be melanomas and obviously that is not sun exposed it is not even fair – or in their genitals s another area so just abody check once a year if you don’t have a history of skin cancer or if you do more frequently. You moth said something import about an urgency in which and how you said it I really appreciate hat this morning but 3.5 million new cases are diagnosed in 2009 alone. Well it is mostly the number one cancer in the united states and gdness it is mostly presentable so there is really something we can do about it – spf 30 or above there is ton of brands out there – There is Eveno Option Potion Neutrogena there is tons of brands out here go get on from the drug store and bathe your self with it. Thank you so much for being here and to Glamour Magazine – an amazing article

Everyone loves a summer day. Whether you are relaxing at the beach or if you are walking to your office. The summer sun makes us feel god, but sometimes what you don’t see can hurt you. The skin cancer foundation projects between 1.5 and 1.7 million new cases of skin cancer diagnosis. Only 33 percent of adults wear sunscreen in America. Sunscreen I just want some nice colour and – I know but you need to use some protection. Yesterday 0 for me, you can see a little burn. Well the fun thing is the whole reason I am not wearing anything. Everybody must always wear an SPF of ate last 30. Everyday rain or sine, January through to September. Sunscreen has metal oxides that reflect UV rays away from the skin and organic compounds such as oxy benzene that absorbs ultra violet dissipating it as heat. SPF stands for sun protection factor the number refers to the products ability to block out the burning ray. Chemically when you put on an SPF you put on to the skin, in about 20 mins time and then it becomes a physical block and there are chemicals that act as a chemical repellent. The critical thing here is that people need to apply sun block every 2 hours; this area right here is the thinnest skin of your body and is very prone to ageing. Over the eyes right here I recommend that they wear big UVA UVB sunglasses. So protect your eyes with a pair of sun shades but don’t think that lip stick will save your lips. Putting on an ordinary lip gloss without putting sun block underneath it is more dangerous than acutely just leaving upr lips alone. Protect your lips from the sun, wear sun block on them. And I understand that a lot of pople like the sun and it lifts their spirits and it help them feel better the sun is lovely protect yourself between 10 and 2 and go out after 2 o clock or go out early in the morning, you are still getting the benefit. So it is fun to be with my friend and get some colour on the skin looks nice. That sun kissed tan may come at a price you don’t want to pay but you don’t have to run from the sun simply put on a pair of sunglasses and some SPF 30 and that should be enough to enjoy your summer guilt free.

This morning our ongoing series about the Trust about Skin Damage Sun with Summer just around the corner we will all be showing a bit more skin but as we soak up the sun we are also flirting with danger. Every year more than a million cases of skin cancer is diagnosed in the US that is more than breast, prostate, lung and colon cancers combines. It is the most common type of cancer but it is also the most preventable with regular screening from a certified dermatologist. In the past 2 years of my private practice in New Jersey I have literally been finding more and more melanomas this is real and very important. So when the skin cancer foundation brought its mobile screening RV to our plaza a cope of week ago the sun worshipper in me thought it might be smart to stop in. I am a sun baby I was born and raised in the sun I love the sun and I understand the problems of being in it but sometimes I need a awake up call so out of my excuses and into my gap – I grew up in the Caribbean you can see them can’t you – in your scalp so your ears pretty much look to me like you put them in a frying pan and you just fry them off – let’s just say I was on vacation and I didn’t realize that we are getting my body scanned the next day ! Can you open your mouth for a second – most people ask me to shut my mouth. Some people can have moles inside their cheeks and h means direct to the oral surgeon for a biopsy and that is ever good but you have nothing there so we are good over there. I didn’t find anything suspicion on you so despite the fact that you group in the Caribbean that you have a tan right now you are doing very well –all in all the simple and painless 10 minutes that just may save your life. And here now to de bun some of the most common myths about the sun and its effects on your skin are Doctor Jeanie Downie with the skin cancer foundation, along with the editor in chief for fitness magazine good morning ladies. Good morning and thanks for being with us. Ok Dr. Downie thank full you didn’t or no concerns on me which I am happy about and I should mention that in the first month alone of the RV tour you found 17 suspected or potential melanomas and those are really live, and how diligent do people have to be in getting themselves screen and checked and we approach summer now? What is really critical is that people go to a board certified dermatologist once a year for a quick 10 mints screen that you just so vitally showed and that is just what the skin cancer foundation and myself are trying to get people to do and help me help you if you noticed a new mole sorting that is changing cresting or bleeding won’t heal go see a board certified dermatologist. It is easy to check you see it on you it is visual so let’s start with those myth s we talk about, Dr. Downie –number 1 tan is ok as long as you don’t burn and actually having a base tan acutely protects your skin from sun damage. True or false here? Any tan that is a sign from DNA damage from the sun and a base tan gives you an SPF of about 3 which is nothing because I recommend about a 30 or above as in these products these amino continuous protection the nitrogen the MDForte I want something that has broad spectrum protection in UVA or UVD that you put on and reapply every 2 hours – ok betty let me ask you this doesn’t sound scientific any time you throw a percentage around something, it sounds scientific. Any bit of sun damage to your skin happens before the age of 18. That is actually a myth that actually I hear that a lot and so they think I am an adult now so why bother but that is not true new research show that we only have about 25 percent of our total sun exposure before it reaches age 18 and with every 20 years you get an additional 25 percent so it is healthy habits like wearing daily sunscreen spf or wearing some protective clothing now can actually be lifesaving so it is never too late to start. So this next one I have to laugh at myself because I fell victim to this you laughed at me let’s be honest. If I put an SPF 15 on 3 times it is not SPF 45 right? No don’t laugh at me Dave! No it is not there is no cumulative or added benefit it is only 15. An spf 30 gives you a 96 percent of protecting from the sun’s rays and an spf of 45 gives you around 97 and it kind of just levels off after that – so how much better is spf 45 than spf 15 – it is just easy to put them both on and a spf of 45 will protect you better. Now let’s talk about clothing a lot of people wonder why their clothing additionally protects you from the sun – it doesn’t maybe a light weight cotton t-shirt real only has an spf of about 5 to 9 and that is really nothing UV rays are penetrating right through there – we really want to protect a tight weave fabrics, things made by Columbia Nike, you can find lots of options from shirts to pants to hats that are especially treated and some actually have some chemical sun blocks built in because of the tightness of the weaves or dies they actually are absorbing the UV rays before they pass through to your skin and can do a lot t protect you if you are going to be out all day – and I am sure they are breathable you don’t have to walk out in a huff! They might put lacquer on you and you won’t have any friends. Let’s talk about tanning beds it is a 5 billion dollar industry is it safe? Unreliable so ma are allured to this idea that tanning beds are not safer than being out in the sun – but those high pressure balls emit 12 times the amount of UV rays than being outside in the sun and you can beat a 75 percent higher risk of melanoma and 2 and a half times to get sqauymercells, and baser cell so the only safe tan is a fake tan something from a bottle preferably with an spf filter in it too. Ladies great information and just to recap putting on SPF 10 3 times is not spf 30 see – I am listening go with a higher level. Thank you both Dr. Janine Downie and Betty Wong thank you for the information.