In under an hour?
Dermaplaning with Skin Peel A gentle scraping of surface skin that removes a micro-thin layer of dead skin cells. This allows skin care products to penetrate the skin more effectively. It also tricks your skin into pushing up new, healthy skin cells to the surface. Together with a skin peel they stimulate a more rapid regeneration of the epidermis.

Allergy, Sinus Tension Relief (Head, Neck, and Shoulders) A soothing aromatherapy massage focused on relieving tension in the head, neck and shoulders. A customized blend of peppermint and eucalyptus oils, combined with pressure point therapy and massage help to release sinus pressure and symptoms associated with tension headaches.

About an hour?
Synergy Spa Pedicure All the basics plus an exhilarating lower leg exfoliation using a decadent gommage, a menthol and eucalyptus foot scrub , steamy hot towel wraps, and lots of extra massage time. Finish with a refreshing and hydrating peppermint foot mask to give tired feet a much needed vacation.

Clarifying Treatment Specifically designed to reveal clearer, softer, smoother skin. Treatment features a Mandelic acid peel booster followed by a Vitamin A peel, and a corrective mask chosen based upon skin type. An excellent treatment for all skin types looking to improve the overall clarity of their complexion. Both Vitamin A and Mandelic Acid work synergistically together to minimize various skin imperfections such as hyperpigmentation, acne and fine lines.

Arnica and Rosemary Muscle Melt Experience a journey of pure body and mind relaxation. This Swedish/deep tissue combination massage features Rosemary essential oil known for its ability to warm and stimulate tired aching muscles and Arnica which helps to reduce soreness, swelling and bruising. The combination of these two oils truly enhances the massage therapist ability to elevate stress from tight, sore muscles and will definitely leave you melting.

When you have a few hours?
Pure Relaxation When you final make time for that day of pampering and relaxation that you desperately need and surely deserve, there's no better way to treat yourself than with a day at the spa. All of our favorite treatments from head to toe will get you feeling rejuvenated. .. a 90 minute Customized Massage, a Pure Indulgence Facial and a Deluxe Spa Manicure and Pedicure.

Going Out: Best Treatment:
The day of a party/meeting/etc.?
Oxygen Facial Treatment Prefect for Dehydrated, Sensitive or Acne Prone skin, this facial increases skin's metabolic rate thus increasing the performance of the skin cells, in turn enhancing the production of collagen, elastin, and skins moisture holding capability. During the facial two customized oxygen infusions are gently sprayed on top of the skin delivering vitamins, minerals, and other corrective skin ingredients. Leaves skin with a healthy glow!

Sea Glow Body Polish Combining the properties of Algae and fresh water to replicate the powerful attributes of the sea, this gentle polish will exfoliate your entire body, and will then be removed with hot towels aromatherapy. An intensive skin moisturizing treatment will be generously massaged into the skin leaving you soft and silky smooth. This is an ideal treatment to be combined with any Synergy massage.

If you have some recovery time?
Ultra Resurfacing Peel Our most aggressive peel, it is effective in improving hyperpigmentation, acne scarring as well as fine lines. Peel contains a unique combination of alpa and beta hydroxy acids as well as Vitamin A. There is the potential of minor "crusting", darkening of brown spots until they peel off, redness and moderate peeling of the skin 2-3 days following the procedure that may last 5-7 days.

Money: Best Treatment:
Best treatment for under $100 bucks?
Manicure/Pedicure Monthly Special Both the manicure and pedicure feature a delicious aroma which changes each month. The pedicure includes a soothing and hydrating foot soak, followed by a warming lower leg and foot exfoliation. Hot towel foot wraps and paraffin are also included, leaving the feet soft, smooth and hydrated.

Microdermabrasion An advanced skin resurfacing procedure that exfoliates imperfect skin layers and invigorates cell renewal without down time. it rejuvenates skin by removing the dull, lifeless, sun-damaged epidermis and stimulating the production of new skin cells and collagen. It offers a safe, comfortable alternative to chemical peels and laser resurfacing.

Basalt Stone (Hot Stone Therapy) This technique utilizes basalt stones to create a perfect balance between pressure and heat release throughout the body to achieve a deep state of relaxation. Perfect for loosening tight muscles, relieving stress and easing tension.

Best treatment if money is no object?
Hydra-Facial The latest skin rejuvenating technologies are combined together in this treatment. Depending on skin type, concerns and desired outcome, either a skin peel or microdermabrasion will be performed along with led and an oxygen infusion. This treatment targets both the inner and outer layers of the skin by working to eliminate the outward appearance of damaged skin caused by a build up of dead and unhealthy cells, while simultaneously signaling the repair of damaged tissue thus generating new healthy collagen production. Skin cells receive the additional benefits found from the infusion of oxygen along with the delivery of vitamins and minerals.

Pomegranate Shea Butter Body Bliss (Exfoliation & Massage) Pomegranate is known to help relax the body and mind while gently removing toxins. Dry brushing of the entire body is followed by a 60 minute relaxation massage using warm scented pomegranate oil to stimulate the system. Next a full body exfoliation is performed with the use of a pomegranate sugar scrub which is removed with hot towels. Rich hydrating shea butter is applied to the skin and while you are cocooned in comfort a face and scalp massage is performed. The experience is made complete with the application of a light pomegranate finishing lotion to the entire body.

Results: If you want to look younger, fresher, etc.
best treatment:
If you want immediate results? Glycolic Foot Treatment with Pedicure When feet are extremely dry and callused this is an excellent option as it works to remove the dead skin build up on the bottom of the feet and cuticles. A high concentration peel, manual microdermabrasion, and hydrating foot mask are guaranteed to minimize unwanted rough spots while hydrating and repairing cracked dry skin. Treatment comes complete with a full pedicure.

BOTOX® Cosmetic A simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

The effects last for 4 months. The results are usually evident about seven days after treatment although they can take up to 2 weeks. If you have a repeat treatment, the results generally last longer than the first time. The more treatments you have, the longer the effects of subsequent injections.

Thai Yoga Massage A unique and powerful system of Yoga Therapy, which combines rhythmic massage, acu-pressure, asanas (Yogic stretching exercises), gentle twisting, energy work and meditation. Thai Yoga Massage stimulates and balances the flow of healing energy within the body; opening areas which are blocked bringing the person deeper into balance and harmony for health, happiness and well being. This system creates a powerful release of stress and tension, an increase in vitality and well-being and it deepens the connection between mind, body and spirit in both the giver and receiver. Please note: you will need to wear loose, comfortable clothing.

If patience is an option (maybe you need to get a series to see the best results, but results will lasts longer)?

All of our rejuvenating and resurfacing skin treatments are recommended in a series to deliver you the most thorough results.

When you have chronic or reoccurring muscle soreness, our massage treatments are also available for purchase in a series.

All Synergy Spa packages are discounted between 10% and 25% depending on the number of treatments purchased.

Staff favorites
If you had to pick one product or one service, what do you recommend?

Service:
Mani-Q Manicure Extend the length of your polish with this clearly beautiful, sublimely resilient, entirely new natural nail care gel polish. Any of your favorite polish colors can be applied directly on top including a classic french. Simply soaks off with acetone. This revolutionary nail care system adheres the polish to the nails thus allowing for 2 to 4 times the longevity of your manicure.

Dermaplaning A gentle scraping of surface skin that removes a micro-thin layer of dead skin cells. This allows skin care products to penetrate the skin more effectively. It also tricks your skin into pushing up new, healthy skin cells to the surface. No irritation is created by dermaplaning and most skin types are good candidates for this procedure.

Ashiatsu Oriental Bar Therapy Ashiatsu (ashi means foot and atsu means pressure) is an ancient form of bodywork brought to us by Buddhist monks. The therapist supports him/herself with wooden bars suspended from the ceiling while applying different foot strokes along the body. Ashiatsu combines the best elements of Thai massage, barefoot Shiatsu massage and is an excellent alternative to traditional deep tissue massage. Due to the deeper nature of Ashiatsu it will only be performed to the entire backside of the body and traditional massage such as Swedish/Deep Tissue is performed to the front side of the body.

Product:
Retinols are the only topical products scientifically proven to improve wrinkles. Synergy Retinols are offered in three different strengths which will be recommended based on your skin needs. Always wear your Elta MD sun protection when using a retinol as your sun sensitivity will be increased.

Looking and feeling your best go hand in hand, don't you agree? Growing up my grandmother use to tell me, "when your feeling down take a shower, put on your best looking outfit, comb your hair and put on some lipstick"…believe it or not it actual works, I do feel better. While I do not support the idea that looking a certain way can bring you true happiness, nor is it healthy to become obsessive about how you look, I do believe there is nothing wrong with wanting to be the best you can possibly be…mind, body and spirit.

During the Great Depression lipstick and panty hose sales soared practically doubling from years prior. Women would sacrifice other necessities to be able to maintain their appearance, but why an increase in beauty product sales during a recession? Perhaps it's because, like my grandmother said when you feel bad and have little control over anything going on around you, taking care of yourself, taking pride in your appearance really does make you feel better. Fast forward to 2009. We now live in a time where vanity is not just for women. That's right, men groom too!

Lipstick and control top panty hose, while not a thing of the past, are minor fixes in comparison to lip injectiables and laser cellulite treatments. The options for "beautifying" have grown over the years and so has the cost to purchase these products and procedures. In a tough economy it's important that you get the most out of every dollar you spend so not to feel bad or guilty for spending. Remember, you are trying to feel better about yourself not worse! In a recent New York Times article, several doctors were quoted saying facials are a waste of money! Wow, guess what, I own a spa and am considered to be a skin care expert, but hold your seat…I kind of agree! Many facials can be a waste of money; it really depends on what the facial entails. The part of the article I found most interesting was where the same group of doctors went on to say that microdermabrasion, chemical peels, light based treatments and things like extractions are extremely beneficial in maintaining and improving the skins' appearance. It is true receiving a facial where someone simply rubs cream on your skin (even if they claim it's a wonder cream) is a complete waste of money. However, there are several cost effective treatments as well as home care products that can dramatically improve the skin without ripping you off.

One simple and inexpensive instant "face lift" is professionally groomed eyebrows. Creating an arch in the brows can open up the space between the lids and the brow bone area taking years off the look of ones eyes. Chemical Peels such as glycolic acid are another inexpensive option as this smoothes the texture of the skin, minimizes the fine lines and wrinkles, and reduces any unwanted pigmentation. If you are looking to save money ask your skin care professional to focus on the results portion of the procedure and to leave out the "extras" to reduce the cost. Meet with various skin care providers before selecting one. Ask them for a specific plan of action for maintaining and improving your skin; along with how many treatments you will need and what the cost is going to be. Many facilities offer a special price break if you commit to a series of treatments. Going to a spa for skin treatments is a wonderful way to reduce stress in your life, while simultaneously taking years off the way you look and feel. Become selective in the home care products you use. Spending money on several inexpensive ineffective products adds up. You are better off using two slightly more expensive products such as a Retinol and good Broad Spectrum SPF then wasting money on a bunch of products that don't work. Purchasing a Mineral Makeup may be a bit more costly but it has other skin benefits such as it antibacterial properties. In addition, having a professional makeup artist teach you application techniques for creating a softer more "age appropriate" look can help take years off your appearance. Taking care of yourself is not a luxury, it's a necessity and with the right selection in treatments and products you can affordably incorporate them into your life without breaking the bank.

About Anna Porrazzo With over 15 years of skincare experience, Anna Porrazzo began her career as a professional makeup artist and licensed esthetician. She is a certified Para-medical esthetician specializing in acne, aging skin, antioxidants, and alpha hydroxyl acids. Anna has traveled extensively to teach innovative skincare techniques to dermatologists, plastic surgeons, estheticians and spa owners in Asia, Canada and the US. Anna has also been very active working in product formulation and training for some of the world top skincare companies, such as Swissline by Dermalab, NeoStrata and SkinCeuticals. Anna is passionate about women's empowerment issues and is a firm supporter of non-invasive ways to improve people's appearances.

Each New Year we turn the corner, pushing out the old, making room for the new. But wait…before you seek out the latest, trendiest skin care items you must ask yourself one important question "does all this stuff really work"? Fads come and go, and skin care companies are notorious for making claims based on "science". The truth is, yes new discoveries in skin care technology are happening all the time, however, only time will tell what works and what doesn't. In the meantime here are 5 tried and true must haves for beautiful skin in 2010 and beyond!

Vitamin A and Alpha Hydroxy Acids (AHA's) These two skin care ingredients work similarly; both help regulate the cell turnover process (i.e. exfoliate), which slows down drastically as we age. Additionally they stimulate the production of collagen and elastin (responsible for keeping the skin firm and tight). Retinoic Acid (Vitamin A) and Glycolic Acid (AHA) are FDA approved for the minimization of fine lines and wrinkles. Studies show that when Retinoic Acid and AHA's are used in conjunction, the results a person achieves are much greater than when used individually. They are available in various forms both over the counter and prescription strength. Either option is good but the prescription strength can be a little harsh for a sensitive skin. Reversely the over the counter versions need to be properly formulated in order to work. The most popular form of AHA is Glycolic acid which is derived from sugar. For a dryer, more sensitive skin type the AHA Lactic Acid works better than Glycolic acid because it is a slightly larger molecule and comes from Milk, making more hydrating. Vitamin A is available in the form of Tretinoin (the prescription strength version) or Retinol. Both Tretinion and Retinol covert to Retinoic Acid once in the skin, however Retinol has a longer conversion process therefore you need a higher amount than if you where using a prescription version. AHA's and Vitamin A need to be used on alternating nights. They do cause sun sensitivity and therefore the use of a daily SPF is required.

Professional Skin Peels While there are many great lasers on the market today, all of which perform a plethora of skin rejuvenating treatments, there is no denying that professional strength skin peels are a highly effective way to repair damaged skin as well as maintain healthy skin. The cost for skin peels is far less than that of laser treatments and depending on your desired out-come, level of repair needed as well as downtime restraints, peels may be the way to go. There are several peel options to choice from, some target the minimization of hyperpigmentation (brown spots), others acne, and of course numerous ones help reduce fine lines and wrinkles. Peels can be performed in high strengths for a quicker result (which will cause more initial peeling) or lower strengths where you build up to a higher dosing over time. Most peels should be performed every 2-3 weeks apart and may require as many as six to achieve maximum benefits. Other more aggressive peels may only require three, spaced a month apart. When selecting a facility to perform your peels its important to note, that unless there is a physician on staff the depth of peel which is allowed to be performed is restricted by state law and therefore may not be as effective.

Hyaluronic Acid (HA) Remember those really cute Gerber babies that were super cubby and squishy looking. Well all that "squishiness" comes from Hyaluronic acid, which is capable of holding 1000 times its weight in water. As we age we lose our level of Hyaluronic Acid; however we can supplement this through the application of a topical version. HA is a naturally occurring substance which is safe for all skin types and is known in the medical world as a GAG. GAG's help with TEWL (transepidermal water loss). TEWL is another one of those unavoidable aging woes. One on the quickest ways to take "years" off the look and feel of your skin is through proper hydration and nothing hydrates better than Hyaluronic Acid. HA's also help to "plumpen" the skin, which explains why it is now being used in injectable fillers such as Juverderm®. So skip the expense cosmetic creams and look for a serum containing HA.

Clarisonic Facial Brush Oprah has one…so why don't you? This is one of the best home care skin devices to come along in ages. It works like an ultrasonic tooth brush but it is for deep cleaning your skin instead of your teeth. The Clarisonic Cleansing System uses a patented sonic frequency of more than 300 movements per second to clean, soften and smooth your skin. It removes 6x more makeup than manual cleansing alone. It also helps reduce oily areas, the appearance of visible pores, dry skin patches and blemishes as well as the appearance of fine lines and wrinkles. Professional skin excerpts love the Clarisonic facial brush because it allows for products to penetrate better due to how well exfoliated the skin is, allowing for maximum results from all your home care products.

Mineral Makeup No longer a trend, mineral makeup is here to say and it's changed the way we look at makeup forever! As a skin expert all I can say is hallelujah, final a makeup that doesn't undo all the work we have done. See the problem with traditional makeup has been that well, it's usually just not that good for your skin. Even the oil-free versions have emulsifiers in them which can clog the pores (not to mention dry out the skin). Even non oil-free versions can strip the skin of lipids and hydration; we are already deal with enough of that on our known as we age, so we certainly don't need any assistance. Mineral Makeup is amazing for several reasons but here are the top three: 1. It is inert which means its can not hold bacteria. This makes it a great option for anyone who experiences break outs or for those of us that occasionally fall asleep with out washing our face. The mineral content actually helps heal the skin whether it is rosacea or acne that one suffers from. 2. It contains a high level of Zinc and Titanium which allows for a broad spectrum UVA/UVB sun protection factor. While it would de ideal to wear a stand alone broad spectrum SPF each day, not everyone is going to be compliant. Non-Mineral Makeup (foundations) may claim to have an SPF, usually that of a 10-15 however, these are not sufficient sun protectors because they do not have a UVA protector and therefore they are nominally protecting from the UVB rays only. 3. Ease of use, mineral makeup is easy to apply and provides excellent coverage. It looks natural on the skin and can be layered for those in need of extra coverage. With the resent popularity of mineral makeup there are more and more lines popping up. A word of caution, not all mineral makeup lines are created equal so make sure you do your homework and final one that is 100% pure minerals before making a final selection. My personal favorite is Jane Iredale.

There are so many options on the market today offering the "fountain of youth" in a bottle; just simply rub on the skin and wait for the transformation to begin. How does a person know which one to choose? It is important to understand that all products are without a doubt NOT created the same, and certain ingredients need to be formulated properly or they will not do what they are intended (and suggested by the manufacture) to do. We will explore a few of the most highly respected ingredients which are cited for their ability to reduce the appearance of aging skin.

We all know that as we begin to age so does the appearance of our skin. The question then becomes what can we do to slow down the appearance of the skins aging process and how can we prevent further signs of aging from occurring? Assuming that everyone leaves their home, it becomes inevitable that we will on a daily basis become exposed to unavoidable environmental factors which can cause premature aging of the skin. Even with the proper use of Sun block we are not protected from air pollutants which cause free radicals to attack and destroy the healthy structure of our skin. It is scientifically known and medically documented that over-exposure to harmful environmental factors greatly contribute to how our skin will or will not age. Of course there is no denying that genetics plays a key role in how our skin will ages as well. I must admit I am quite lucky to come from an English/Irish Heritage, whom is known for their silky smooth skin. The downside however is this skin type also tends to burn easily. One bad sunburn at an early age may not show up until a person is in their mid-50's, often in the form of skin cancer. When I worked with dermatologists' I cannot tell you how many times patients would come in and be diagnosed with skin cancer to which they would respond "I haven't been out in the sun for years and I always wear a sun block"! Many of the same environmental insults that cause medical skin conditions also contribute towards the over all appearance of the skin with respect to aging.

There are so many options on the market today offering the "fountain of youth" in a bottle; just simply rub on the skin and wait for the transformation to begin. How does a person know which one to choose? It is important to understand that all products are without a doubt NOT created the same, and certain ingredients need to be formulated properly or they will not do what they are intended (and suggested by the manufacture) to do. We will explore a few of the most highly respected ingredients which are cited for their ability to reduce the appearance of aging skin.

Loss of Firmness and Wrinkles Sagging skin got you down? Well then, there are two areas which need to be addressed; both the outer and inner layers of the skin. Treat only one and not the other and you will not ever get the results you are seeking. Think of the skin as a mattress with sheets on top. Inside the mattress is where the coils reside; the coils represent the collagen and elastin within the skin. With out firm coils (healthy collagen and elastin) the mattress will begin to sag. If you have a sagging mattress it doesn't matter how well pressed the sheets are because the will never look smooth and tight fitting. Therefore we have to stimulate healthy collagen and elastin to produce deep inside the skin. Next we need to "change the sheets" of the outer layer of skin through proper exfoliation. The good news is there are two scientifically proven ingredients that simultaneously stimulate collagen (mattress) and exfoliate dead skin cells (sheets). Retinoic Acid (Vitamin A) and Glycolic Acid are the only two ingredients that can make the claim to do what so many other ingredients allude to. Retinoic Acid comes in many prescription forms which can cause some adverse skin reactions such as dryness and extreme sensitivity. Retinol is a form of Retinoic acid that goes through a one conversion process to become Retinoic Acid when applied topically to the skin. Therefore Retinol is an ideal choice due to it ability to act as Retinoic Acid in the skin with out the unwanted side effects. When selecting a Retinol product do not become confused between derivatives of Retinols as they are weaker and do not provide the same benefits. For a more sensitive skin start with a .02-.05% 2-3 times per week at night and for a more tolerable skin type 1.0% 2-3 times per week at night is optimal. Retinol in a serum form is the most desirable as it will penetrate better than a cream. On the alternate nights apply a Glycolic Cream in the range of 10-20%. Glycolic Acids ability to work effectively is based upon the ph of the formulation. It is imperative that the products ph be no higher the 3.8. When purchasing this type of product if the place/person selling it to you does not know the ph of the acid I would recommend looking for another facility to buy from as a high ph acid will be ineffective and is a waist of money. For "in facility" treatments Glycolic Acid Peels and or Retinol Peels will provide a more intense version of the home care options. For optimal results peels should be done in an initial series of six with each peel spaced two weeks apart. Any home care version of Retinol and Glycolic Acid should be discontinued 48 hours prior to in facility peels. It is important to note that these ingredients will cause sun sensitivity and therefore a SPF of 30 with both UVA and UVB protection must be worn daily.

Uneven Skin Texture Often times this type of skin is referred to as environmentally damaged and leathery looking. The best way to repair this type of the skin is through the use of topical Anti-Oxidants. The most reputable Anti-Oxidant on the market is Vitamin C. Anti-Oxidants work by neutralizing the free radicals which are caused by both environmental and non-environmental insults such a pollution, cigarette smoking, tanning beds, UV rays, etc. Think of free radicals as pac-mans' that are looking for a miss pac-man to mate with. Free radicals see your healthy skin cells and say here I come and in turn destroy healthy cells as well as cause damage to collagen. Vitamin C acts as a protector to your skin cells by blocking free radical attacks. Another benefit to Vitamin C is it has been shown to stimulate the production of healthy collagen thus creating a firmer skin structure. By applying topical Vitamin C daily you are increasing your skins protection from the environment. When selecting a Vitamin C look for one that contains L-Ascorbic Acid as anything else is a derivate of Vitamin C and will not be as effective. L-Ascorbic Acid is a highly unstable ingredient and therefore the formulation must be exact for in to act as a true anti-oxidant. In addition Vitamin E when used in combination with Vitamin C has shown to reduce sun-burned cells by as much as 30%. However just like Vitamin C it must be properly formulated to act as an actual anti-oxidant. For example, a derivative of Vitamin E such as Tocopheral is often found lotions due to its ability to hydrate yet Tocopheral has no Anti-Oxidant capabilities. The manufacture of these lotions can say that their product contains Vitamin E but that does not mean it is an Anti-Oxidant. Another area which often comes into question is the use of topical anti-oxidants verses oral ingestion of vitamins. Unfortunately you can not increase the amount of vitamins being supplied to your skin by increasing your daily oral intake. The body only allows for a certain amount of vitamin absorption and any excess is eliminated through urination. Although the skin is the largest organ it is considered by the body to be the least important and therefore only receives as small amount of what we ingest daily. Topical application allows for an increased amount in the skin and once there can not be washed or rubbed off. Over the course of 72 hours the antioxidants in the skin will dissipate. To always keep the proper levels of anti-oxidant protection in the skin applying your Vitamin C once daily is highly recommended. Also the use of a UVA containing SPF is necessary. All Sun blocks with an SPF have UVB protection. The SPF indicates how much protection you will receive form the UVB rays also known as the burning rays. SPF does not however protect from the UVA rays also known as the aging rays. If aging skin is a concern it is imperative to use a Sun block that contains an additional UVA blocker. UVA rays go through glass and clothing and are more prevalent than UVB rays so on a daily basis we are exposed to the UVA much more than we are UVB rays.

Lack of Hydration You know those Geber babies, the ones you want to squeeze because they look so squishy and cute. Well part of what makes them look cute is that they are full of Hyaluronic Acid Hyaluronic Acid is an important component of the connective tissue that fills the spaces between the cells of the skin and other tissues. Over time, the aging process destroys the natural supplies of Hyaluronic Acid, causing skin to dry and wrinkle. Many injectable fillers on the market today are being made with Hyaluronic Acid, due to the fact that our body produces it naturally. When used as a filler Hyaluronic Acid plumps back out any areas on the face that have become sunken in over time. The other main use of this particular ingredient is as a skin hydrator. Hyaluronic Acid is able to hold a thousand times its weight in water. What this means is that when applied to the skin it will lock in your own moisture as well as draw in any additional moisturizing properties along its path. Hyaluronic Acid goes deep within the skin and provides increased hydration rather than simply providing the temporary feel of moisture associated with most face creams. This particular ingredient is known for its role in the prevention of Trans-Epidermal Water Loss which in essence means loss of skin hydration; which is most prevalent in women whom are pre and post menopausal. Declining estrogen levels have an adverse affect on the skins appearance with respect to both dryness and firmness. Our skin has estrogen receptors that are linked to the production of collagen, as our estrogen levels decrease so to does our collagen production. There are several soy based facial moisturizers which contain soy-isoflavons that mimic natural estrogen without the negative side effects. Some women are apprehensive about using such products for fear of an increased risk in cancer due to the products estrogen containing properties. If this is a concern one should consult there physician before incorporating this type of moisturizer into their skin regimen. Properly exfoliating the skin with the use of a Glycolic Acid and Retinol will also allow for moisturizers to better penetrate. For youthful looking skin just remember to Exfoliate, Stimulate, Protect and Hydrate. Exfoliate the skin and Stimulate Collage Production with the use of Retinol and Glycolic Acid. Protect with a good Topical Anti-Oxidant and UVB/UVA Sun Block and last but not least hydrate with a Hyaluronic Acid based moisturizer. Just a few simply steps and you will soon be on your way to vibrant, healthy looking and feeling skin.

Dear Anna,

I have a question about creams. I use my regular daily moisturizer that has uvb protection, and that's all I use. I am approaching my 35th birthday and have begun to reevaluate my skin regimen. Do I really need a separate eye cream and night cream? If so, why and what would you recommend I use? I am fair complexioned and have sensitive skin. Thanks. Leigh Armstrong.

Leigh, it is great that you are using a daily moisturizer that contains a UVB protector. I would recommend that you try to find a daily moisturizer that also provides UVA protection. Typically moisturizers have a low UVB protector (less than 15) so you may want to look for an actual sun block with an SPF of about 20 (SPF indicates how much UVB protection you are getting), as well as the UVA blockers. Many sun blocks come in a moisturizing formula; meaning it is first and foremost a sun block with the secondary benefit of having some moisturizing properties. I also highly recommend purchasing one that is physical, meaning one that does not contain chemicals as it provides better over all protection and is safer for the skin. UVA rays are known as the "aging" rays, they are the rays that destroy the collagen and elastin in the skin making the skin age more rapidly, and we are constantly exposed to them without realizing it. If keeping you skin looking more youthful and healthy is important to you an excellent broad spectrum UVA/UVB sun protector is going to be key, so go ahead and invest in a good one even if it costs a little bit more. As far as a night cream and eye cream here is my opinion on what, at a minimum, every women and man should be using hands down regardless of skin type:

AM
Cleanse
Vitamin C Serum (made with L-Ascorbic Acid of at least 15%)
Moisturizing Serum made with Hyaluronic Acid and Peptides
Broad Spectrum Sunblock

PM
Cleanse
Retinol* 2-3 times per week (strength will vary from person to person depending on skins sensitive level)
Glycolic or Lactic acid* on alternating Retinol nights (strength will vary from person to person depending on skins sensitive level)
Moisturizing Serum made with Hyaluronic Acid and Peptides

* Either in a serum or cream base depending on skin type.

In addition depending on specific skin concerns and conditions other products may be necessary. And I do have to admit I am an eye cream junkie? I have at least five different kinds! My favorites contain hyaluronic acid, vitamin C, low doses of vitamin A, and peptides; if dark circles are a concern look for one that contains Vitamin K as well. Take care of your skin now and you will stay looking 35 for a long time!

Hi Anna, I am always curious what products the pros use for their own everyday look....that being said, what's in your makeup bag?

Thanks! Jenna

I love makeup and there are so many great brands out there. I primarily wear (carry in my makeup bag) Jane Iredale Mineral Cosmetics. Since I am a skin specialist in addition to makeup artist I am pretty picky about what I put on my own skin. I will only wear makeup that isn't going to be harmful to my skin. I love Jane Iredale Mineral Cosmetics because it actually helps the skin while still allowing you to achieve a flawless "makeup" look. I appreciate the fact that when I am wearing mineral makeup I get the added benefits of sun and environmental protection. Pure Mineral makeup such as Jane's is also great for those concerned with breaking out; the minerals are inert and do not hold bacteria the way other makeup's tend to. Buyers beware: there are cosmetic lines out that which claim to be mineral based but they are not pure minerals. So here's exactly what you will find in my makeup bag:

1. Lip Gloss…all different colors
2. A neutral lip liner
3. Eye Brow Powder
4. Eye Brow Brush
5. Pressed Mineral Powder Compact
6. Kabuki Powder Brush
7. Jet Black Mascara
8. Bronzer
9. Breath Mints
10. Tocca Solid Perfume in Bridget (a girl has to smell good too)

Of course at home, I have lots of other goodies to choose from like all different eye shadows and blushes. Not to mention I own a great set of make brushes. Ever women should own proper makeup brushes. The right tools make the process of applying the makeup much easier in addition to creating a better looking overall application. While a set of brushes can be a little costly if you take care of them they should literally last you a lift time. Clean them regularly with a professional brush cleaner and then once a month or so wash them with a mild anti-bacterial soap and allow them to air dry over night. Hope this helps you decide what items you would like to own!

Best- Anna

Dear Emma,

My preference for all makeup is a mineral based one. When selecting a mineral based product be sure that it really is 100% pure minerals. The reason why I like mineral makeup over traditional makeup is it does not hold bacteria, looks more natural while still being able to provide excellent coverage and it also has a natural SPF due to its titanium dioxide content. Some mineral makeup lines make a liquid foundation however most work strictly with a powder foundation. Unlike regular makeup where you first apply a liquid and then set with a powder it will not be necessary to do so with a mineral based foundation. You only have to apply one product, either a loose or pressed powder which will act as the foundation and provide ample coverage. Before mineral makeup women worried about using powder because it would sit in the lines and accentuate them. This is not the case with pure mineral makeup because it does not contain talc or mica which is what causes the skin to look dry and "cackie". Most mineral makeup lines offer an option of either a loose or pressed powder foundation. Loose can be a little messier to work with and does not usually supply as much coverage as the pressed. Pressed even in a mineral version tends to work better on an oiler skin. You can apply several layers of either the loose or the pressed until you have achieved your desired level of coverage. I also like some of the new sheer tinted mineral SPF's with moisturizing properties (Jane Iredale makes a great one), they work great as a primer underneath the mineral powder. I recommend always being color matched and wearing out in the daylight to see how it really looks before making a finally decision. One last thing…when apply the powder use a short bristled natural hair powder brush, do not use a sponge applicator as this will make the makeup look to heavy.

Best of luck- Anna

Hi Anna!

I just read your column in the most recent addition of Triangle Style and I found it so helpful! Your recommended AM and PM regime was great....my question is: what brands do you recommend? I have really oily skin and huge pores, and I can't seem to find anything that absorbs oil and minimizes pores - despite what all the marketing and advertising says these days. I have also started using a mineral based makeup but I find it hasn't helped much either.

Any tips would be greatly appreciated!

I am really glad you found my AM/PM regimen recommendations helpful. Regarding a specific brand of products, that is a very difficult question to answer. At my spa/clinical skin care facility we carry our own line of skin care products which I developed as well as several other excellent lines. I do not believe in carrying one line exclusively as there are several great product lines available; the challenge is as a consumer determining which ones actual work. Many product lines may have a few great products but that does not mean every single product from the line will deliver amazing results. Often times what works for one person may not work for the next. As I mentioned in my last Ask Anna column there are certain ingredients which are scientifically proven to correct various skin conditions. If oily skin and enlarged pores are your main concern than there are a few products which can help minimize the appearance of this, however, deep peels, microdermabrasion or laser resurfacing (all in facility procedures) are the only things that will actually help correct this. Even with these procedures there is no guarantee pore size will be reduced as thus far it has not been scientifically proven that pore size can be reduced. For a specific homecare product look for something containing a high (around 15%) Mandelic Acid, it is an AHA and is "related" to benzyl peroxide but does not have the same harsh drying effects of its relative. Mandelic Acid helps regulate sebum (oil production) as well as provides an overall more even skin complexion. As far as makeup, I personally love Iredale Mineral Makeup and they make a great product called Absence which helps reduce the appearance of shinny skin. As with any important purchase it's imperative you do your homework and ask lots of questions. Make sure you choose a reputable place/person to buy your skin care products and makeup from. I always recommend going for a consultation before buying products or receiving skin treatments, if they are not okay with this then look for someone/somewhere else that is.

Best Anna!

Hi Melanie, I am so excited for your upcoming reunion. It sounds like you already have some great ideas for creating a fresh updated look for the big event, such as a new hair cut and color. We don't have much time before the reunion and I am not quite sure how "aggressive you want to be" in terms of exactly what you want to correct nor what you feel you would like to improve therefore, I am going to recommend a few options from aggressive to non aggressive and in varying price ranges. While certain facials can leave the skin glowing they really are not going to dramatically change the appearance of your skin. I recommend a series of mild to medium depth peels and or microdermabrasion treatments spaced 2-3 weeks apart. The average cost per treatment will typically run $80-$110 per session (with 6- 8 treatments required). You can also opt for slightly deeper peels which will cost a little bit more and you will experience a greater level of visible peeling however; you will not need as many sessions. IPL or laser photo facial treatments can really take years off the look of ones skin but they do have more "down time" and cost more than peels or microdermabrasion. There are several IPL and laser devices on the market so make sure to do your home work and ask lots of questions. My absolute hands down favorite face "refresher" treatment is Botox ®, it smooths out fine lines and wrikles almost instantly (results are obvious within 5-10 days). Botox® is a medical procedure so you should consult with a physician to find out if it is right for you. This procedure should be performed by a well trained doctor or nurse injector. The cost is typically between $300- $500 depending upon how many areas need treating. If you and the physician decide this is the right option for you I would recommend getting it done 1 month before the event. If you tend to be oily I would suggest a deep pore cleansing facial the week before the event and if you are drier than a soothing hydrating facial a day or two before. If you really want to go all out you may want to consider having your makeup done professionally, asking them to create a new look to go with your new hair style and color. If you want to save money skip the makeup run though they offer (sell) you ahead of time, but to insure you will like the look they create ask to see a portfolio of their work. I won't wish you luck because you don't need it…you will be fabulous! I will wish you a night of great memories.

Dear Anna,
I was given a gift certificate for a massage which I admit I have been nervous about redeeming. I am new to the whole spa experience and am hoping you can answer a few questions. When getting a massage, what is the protocol for dress. I am very shy and dont know if I feel comfortable about being undressed and would prefer to leave on my clothes, How would you recommend I approach this? Also when tipping, how much is customary and do I give the tip directly to my masseuse or do I leave it as the desk. There is all sorts of information on line but I wanted to know on the local level Thanks Anna. -Joyce

Dear Joyce,
Many first time spa goers have trepidation about the various accepts surrounding the do’s and don’ts of “spa-ing”. To answer your first question regarding dress attire when receiving a massage; you should disrobe to your comfort level. Depending on the type of massage you are getting, in most instances the less clothing you have on the better it is for the therapist to work on certain body parts. Clothing tends to interfere with the flow of the massage, unless you are receiving for example a Shiatsu or Thai Yoga massage. A well trained professional massage therapist will be able to make you feel comfortable by keeping the lights dim as well as draping you with the use of sheets and blankets leaving only the area they are working on exposed. I tend to be modest myself so when I get massages from a male therapist I am not familiar with I leave my underwear on, but with my regular male therapist or female therapists’ I do not. Again you need to be able to relax and enjoy the massage, not be tense about being naked, so undress to your comfort level. Regarding tipping; I always tell my staff they should not expect a tip nor should they feel a client is satisfied or dissatisfied based upon how much or how little of a tip was left for them. While tipping is customary and very much appreciated by the therapist it is up to your discretion as to how much you would like to leave. The industry standard for tipping is between 10-20% of the total cost of your services, similar to what you would leave your server when dining out at a restaurant. Most spas allow tips to be left on the credit card or if you prefer there are usually tip envelopes at the check out desk where you can write your name and leave cash for your therapist. Going to the spa should be fun and relaxing so to get a feel for the facility I recommend calling first and asking them questions. If they are warm, friendly, and seem happy to answer your questions then you will most likely have a positive all around experience. Happy spa-ing! Anna

Hi Anna,
I know long-lasting makeup has been around for awhile now, but my girlfriends and I got to talking and we were wondering what exactly is in the makeup so that lipstick and foundation can stay put for 12 hours or even longer, and is it more harmful to wear this kind of makeup as opposed to the traditional kind?- Kristen R.

Wow, what a great question. Before I answer let me preface by stating that this is strictly my own personal opinion which is based on my years as a professional makeup artist and back ground as an aesthetician working with dermatologists. What I have found is that quite often long lasting foundation contains certain chemicals’ (way to many to list) which can cause irritation to the skin; particularly acne/breakout prone skin. Likewise many long lasting lipsticks temporarily dye the lips thus causing them to become dry, often times causing unwanted peeling and flaking. Additional, most long lasting makeup tend to look somewhat matte and cakey on the skin which in turn makes skin look dry and older due to the makeup settling in the lines thus extenuating them. I wouldn’t necessarily say all long lasting makeup is more harmful for your skin, as it really depends on your skin type and whether or not the ingredients in a certain product happen to not “agree” with your own skin. For example a rosacea skin is much more sensitive to particular ingredients and must be more careful when selecting makeup and skin care products. All and all, no I am not a big fan of traditional long lasting makeup products however, I am a huge fan of mineral makeup which is naturally long lasting. Mineral makeup is naturally waterproof and sweat-proof, which creates a long-lasting application that, is perfect for any climate and holds up in humid conditions. This helps to reduce the number of touch-ups that are needed throughout the day making it a favorite among many Hollywood celebrities. There are also “tricks of the trade” which will help your favorite makeup last longer. For a longer lasting foundation begin by applying a silicone based foundation primer and for a longer lasting lipstick apply concealer over the entire lips followed by a translucent powder, next apply a neutral lip liner also over the entire lip area, lastly apply your favorite lipstick. Vola …long lasting beautiful makeup that keeps your skin healthy and flawless all day long. Good luck on your hunt for the perfect makeup. Best-Anna

I have a question about sunscreens; there are so many on the market and I don’t know what to use. Is it enough if my facial moisturizer already has some SPF in it, or do I also need additional coverage? Could you please advise? Thank you, Kimberly B.

This is one of my favorite skin care questions because there is so much confusion surrounding the use of SPF’s. First to address your question “is it enough to use my facial moisturizer (since it) already has some SPF in it”, in short the answer is NO. Here’s the reason why, SPF only protects from the UVB rays which are known for their ability to burn the skin. SPF stands for Sun Protection Factor, meaning “how long can I be exposed to UVB rays while wearing this SPF before I will start to burn”? What SPF does not protect you from are the UVA rays. UVA rays contribute to various skin cancers and are often referred to as the “aging rays” due to the fact they penetrate deeper in to the skin than UVB rays and destroy the collagen and elastin (responsible for keep the skin firm and less wrinkled). To determine approximately how much burning protection you are getting from your SPF take the number on the label and multiply it by how long you can typically remain exposed to the sun when not wearing an SPF. Example: An SPF of 15 x 10 minutes of sun exposure before typically turning pink when not wearing sun block = 150 minutes of total protection when wearing an SPF of 15. In this example a person who normally starts burning after 10 minutes has 2.5 hours of UVB protection when applying an SPF of 15. The FDA and the Skin Cancer Association recommend reapplying every two hours. As shown in this example if a SPF of 30 was used that would equal 5 hours of protection which is well beyond the length of time a person should wait before reapplication. Often time’s people believe if they were a higher SPF they are getting more protection but this is actually just giving a false sense of security.

On a daily basis we are exposed more to UVA rays than we are to UVB rays as UVA rays go through the clouds, glass (think about sitting by your office window or driving), clothing and penetrate down to the bone. If you have a concern with pre-maturely aging skin or just want to slow down the skins aging process than you should be using a UVA protector every day. Some sun blocks do contain UVA protection and the way you will know this is because they will state on the label Broad Spectrum UVA protection. If you really want to go an extra step at protecting your skin I also recommend wearing a topical anti-oxidant everyday like a Vitamin C serum (look for an L-Ascorbic acid containing serum of between 15-20%). On a final note, not all sun block ingredients are as effective as others even though they may provide the same SPF factor. I recommend physical sun protection ingredients such as titanium dioxide or zinc oxide over chemical sun protection ingredients. Chemical protectors have a tendency to be irritating and provide little to no UVA protection. Now days there are plenty of cosmetically elegant physical sun blocks as opposed to the traditional thick blockers you used to see life guards wearing. Both zinc and titanium come in a micronized form meaning the particles have been ground down into tiny little pieces allowing for a light weight look and feel. There are also great powered (not makeup) sun blocks now available which make it easier to reapply through out the day without messing up your makeup. Just remember as with most everything, you get what you pay for and you need to expect to pay a little bit more for a really good sun protector but it’s by far the most important skin product you will ever invest in.

I am beginning to notice fine lines, what kind of facial should I ask for?
Realistically, facials will unfortunately not help reduce wrinkles; facials do have some wonderful benefits such as deep pore cleansing and increased temporary hydration. However, peels, microdermabrasion, laser facials such as IPL photo-facial as well as BOTOX® will help dramatically with the appearance of wrinkles as well as slow down future wrinkle formation. Many of these treatment options are often combined with facials for increased benefits.

I spent too long in the sun and now have a sunburn, what would you?
Recommend. My first recommendation is to try really hard not to get anymore sunburns. Next buy an excellent UVA/UVB sunblock with any SPF of around 30. Lastly once the skin has healed get a few peels to reduce the appearance of sun damage. Remember when receiving peels it will be important to minimize sun exposure as peels cause photo-sensitivity.

If I only get facials every so often, what kind of facial would best suit me?
Irrespective of how often you get facials or any form of skin treatments you will need to receive a through consultation from whom ever is performing your skin procedure. This will insure the proper facial/treatment is being selected based upon your own personal skin type/conditions’ and desired out come. No one treatment is right for everyone so it is important to select a person/facility that allows ample time for a pre and post treatment consultation.

I want to start an aggressive routine for my aging skin, how often should I schedule a facial and should I get the same facial every time or is there a specific regimen you would suggest?
If you are looking to start an aggressive skin corrective program facials will probably not be as result focused as what you are seeking. Depending upon your skin type/condition and the specific issues you’re trying to address any one or combination of the following would most likely be recommended: Peels, microdermabrasion, Botox®, Fillers such as Restylane® or Juvederm™ and Laser treatments such as IPL photo-facial or Fraxel for skin tightening and wrinkle reduction.

I have heard of skin tightening facials, what kind would you recommend and how long do they last?
What you are most likely referring to are Laser facials. Maximum results usually require 3-5 treatments spaced out anywhere between 3-6 weeks apart. Results will generally last for well beyond a year and can last as long as 3 years if the proper post treatment maintenance is performed which will include good home care products and less invasive in office/spa skin treatments such as peels.

I battle breakouts on occasion, what kind of facial would best combat my acne?
There are a few different options however, most likely a facial that concentrates on extractions an includes a Salicylic peel will be best suited to minimizing breakouts. LED (light emitting diode) facials with blue light are shown to greatly reduce p-acne a common type of acne bacteria, thus reducing future break outs. Because it is often unknown exactly what is causing the breakouts a combination of different treatment options along with topical medicine/cosmecuticals generally provides the maximum results.

Dear Anna,

I hate to admit it, but I have to have my upper lip waxed periodically. As the mother of two-year old twins, I’m often too busy to squeeze a trip to the salon into my day. Is there some kind of wax I could use at home in between appointments?

Thanks, Brenda

There are several at home waxing kits that you can purchase at beauty supply stores, such as Sally’s Beauty. You can also order at-home waxing kits on line thru various companies (I recommend doing a search on goggle or yahoo with the keywords professional waxing kits). I also recommend a cream based wax that is microwavable. Hard strip wax will remove coarse dark hair while soft wax (which does not require a strip to be laid on top of the wax) is better for a more sensitive skin but doesn’t remove fine hair as well. Be sure to follow the directions on heating very carefully as it is easy to burn yourself and can cause the skin to rip off. There are a couple of things you will need to know before doing any facial waxing at home. Certain topical facial products such as alphahydroxy acids (aha’s) and retinols will make your skin sensitive to waxing and therefore will need to be discontinued a minimum of 72 hours before and after any waxing is performed. Waxing will make your skin more sun sensitive, so be sure to wear a sun block regardless of whether you are going to be in direct sunlight or not. Another option is laser hair removal. For a small area such as the lip the cost is minimal (around $250 total) and will prevent you from needing to wax. While laser hair removal does claim to be permanent many people find it necessary to have an “up keep” session performed a few years after the initial procedure. However, for a small area (and with prices constantly coming down) the cost for an “up keep” session should also be minimal. One thing I don’t recommend (which many people do) is going to a “quickie” nail salon that also does facial waxing. The convenience of not needing an appointment at facilities such as these have there appeal for people on the go. However it is important to research any facility before entrusting them with services such as waxing.

Best of Luck to you, Anna

Dear Anna,

I’d like to know more about manicures. When I used to have my cuticles cut back, my nails looked beautiful and had that scrubbed, clean look. After my manicurist moved, I went to another and when I saw she was pushing my cuticles back instead of cutting them back with a little clipper, I asked her why. She said that method caused infection and it wasn’t done anymore. So, I’d like to know more about manicures in general.

Thanks, Shelly

Great question! With so much in the news lately about the unsafe practices of many nail salons and so called nail professionals I think it is important to shed some educated light on this topic. First to answer you specific question regarding pushing the cuticles back verses cutting them. While opinions vary within the beauty industry it seems to be a much safer practice to not cut the healthy part of the cuticle. In other words the preferred method would be to push back the cuticle and to simply cut/remove any part of the cuticle that may not be attached (hanging skin). There are many products now available to professional nail technicians which actual work to dissolve excess cuticle as well as soften hard cuticle making it easier to push back and remove with out the need to cut. As for possible infection from cutting the cuticles, if the implements (cuticle nippers and nail clippers) are properly disinfected with an EPA (Environmental Protection Agency) approved agent and contained in between uses in a sterile environment such as a sterilizing unit or individual sterile bags the possibility of infection is very minimal. However, if the technician were to cut you accidental as with any cut there is the possibility of infection not to mention that you can really never be sure that the facility/person doing your nails is following the proper disinfecting procedures. And while there is always the option of brining your own implements with you I would recommend avoiding cutting the cuticles all together. On a final note many nail professionals also believe that over time the cutting of cuticles actual makes them grow back harder and thicker. Just remember when selecting a place to have your nails done you very often get what you pay for (a barging is not always a barging) which can unfortunately mean a horrible bacteria or fungus infection (or worse) so do you homework and don’t be afraid to ask questions before making your final selection.

Eyelash transplants are performed under local anesthesia by a cosmetic surgeon. To perform eyelash transplantation, the surgeon obtains a graft of hair from the nape of the neck. The graft is divided into single-hair grafts, and any excess fat, dermis, and epidermis are trimmed in order to make each graft very fine. After anesthetizing the eyelid and protecting the cornea with an eyeshield, the surgeon uses a very fine transplanting needle to implant about 50 – 60 hairs into the eyelids. Each hair is implanted one at a time. After transplantation, the new lashes grow longer than natural lashes and therefore must be trimmed regularly. The procedure takes about 2 hours and cost around $3000 per lid.

As you can see the cost for this procedure is rather high although I’ve heard the results are quit impressive. And while RevitaLash® is not cheap at $150 a tube I would recommend trying it before opting for expensive surgery.

Best of Luck to you, Anna

Dear Anna,

I never had long eyelashes, but now I not only have short ones but fewer of them too. I’ve heard of products you put on your lashes that make them longer and thicker, temporary eyelash extensions that last a couple of months, and even eyelash transplants. Can you tell me more about these? Do they work? How much do they cost? And is there any risk?

Thanks, Lesley Ann

I am really happy you asked as me this question. As a matter of fact I am very familiar with a particular product that works miracles on disappearing lashes it’s called RevitaLash®. RevitaLash® is a product developed Dr. Michael Brinkenhoff as a special gift for his wife, Gayle (a five time cancer survivor), while she was recovering from breast cancer. Intensive chemotherapy treatments had damaged Gayle’s once-beautiful eyelashes, leaving them sparse, breakable and fragile. Soon friends and family wanted to know Gayle’s secret to beautiful looking eyelashes. Thus, a new product was born; and a formula created originally for just one special woman has become a product available to women everywhere who want to have beautiful looking eyelashes. This is truly an amazing product and an amazing company that donates a portion of all proceeds to breast cancer research initiatives. I can honestly tell you this stuff really works and is incredibly safe to use (no chemicals or harsh irritants)! As far as eyelash extension go…I am not a fan (sorry). I personally feel that it can potential cause more harm to your existing lashes and if not done absolutely 100% correctly looks too Tammy Fay for my taste, not to mention the expense ($300-$500 total) and upkeep (last only about 3 months).

Eyelash transplants are performed under local anesthesia by a cosmetic surgeon. To perform eyelash transplantation, the surgeon obtains a graft of hair from the nape of the neck. The graft is divided into single-hair grafts, and any excess fat, dermis, and epidermis are trimmed in order to make each graft very fine. After anesthetizing the eyelid and protecting the cornea with an eyeshield, the surgeon uses a very fine transplanting needle to implant about 50 – 60 hairs into the eyelids. Each hair is implanted one at a time. After transplantation, the new lashes grow longer than natural lashes and therefore must be trimmed regularly. The procedure takes about 2 hours and cost around $3000 per lid.

As you can see the cost for this procedure is rather high although I’ve heard the results are quit impressive. And while RevitaLash® is not cheap at $150 a tube I would recommend trying it before opting for expensive surgery.

Best of Luck to you, Anna

Dear Anna,

I have never been able to find a good foundation. I either spend WAY too much money or not enough money and it shows after I get it home and try it out. Is there a good Brand out there that is reasonably priced (and not from a department store) that I could purchase?

I am 31 years old and don’t have a foundation that I use all the time. For now I have a MaryKay foundation that I had tried on with a consultant – but still don’t feel I have the right shade. I always feel like it’s too heavy and I usually notice that where I apply the foundation my dry skin flakes show through.

So—I am either left with a face that has NO MAKE-UP and some redness or a face WITH MAKE-UP that has dry skin flakes.

Any help for the make-up challenged with choosing a good foundation would be greatly appreciated!

-Jaime

Dear Jamie,

Trying to find that perfect foundation is a challenge many woman face. You may find the right color but then the consistency might not be right or vise versa. I have worked as a makeup artist for many companies like, Laura Mericer, Trish McEvoy and Smash Box Cosmetics and all of these companies make good foundations. There are a few issues when trying to buy a department store makeup (and forget about the drug store). For one the lighting is awful and therefore makes it really difficult to get a perfect match. Additionally many of the people who work at these counters are not professional makeup artist’s and aren’t the best at selecting the right color for you. Additionally, when choosing foundation you want to make sure you skin is not going to react to any of the ingredients as many foundations contain some not so good for your skin ingredients. I highly recommend trying a Custom Blend Foundation. We customize a foundation to the exact color of the client’s skin as well as formulate it to the level of coverage they desire. We also have the client sit in front of an ott light which simulates light that would be found outdoors to determine the formula does in fact match their skin. The great thing is if for any reason it is not quite right we can fix it at any point, sparing the client from throwing away yet another bottle of foundation. I personal like to add a little extra yellow to the foundation, as this will correct an unevenness to the skin. If you can not find a place that does custom blend and you purchase a pre-made bottle here are a few pointers. Unless you truly have a pink undertone to your skin (which most do not) stay away from foundation that has a pink hue to it; instead opt for one with a slight yellow undertone. Match the foundation by making a stripe along the jaw line down to the neck Wait a few minutes before deciding if it matches as it will darken once on the skin (oxidizes). You want to match the foundation to the neck and jaw line area, this will create a more even looking complexion and prevent a demarcation line between your jaw line and where the foundation starts. Take a hand held mirror and walk outside to make sure it truly is an exact match. And remember additional color should not come from your foundation, that’s what blush and lipstick are for.

Thank you for your question as this is one of the biggest fashion faux pas woman make- wearing the wrong shade of foundation.

Anna,

There is a woman at my office who has the smoothest arms, no trace of any hair. I inquired as to how she was so lucky the other day, as in the winter my skin is lighter and my arm hair (which is dark) is much more noticeable. She told me she shaves her arm hair. Is this a > standard practice? I can just imagine prickly, dark hairs popping up! Otherwise, what do you suggest I do to disguise my unsightly arm hair?

McKenzie Pfifer

Dear McKenzie,

Unwanted body hair is easier than ever to get rid of and there are many different options for unsightly hair removal. While I do not think shaving is the greatest method of hair removal it is by far the most convenient (can be done in the privacy of your own home) and is the most cost effective. Shaving will cause stubble in between shaving sessions and some people are more prone to razor irritation such as ingrown hairs. Other at home hair removal methods includes Nair or you could consider bleaching. My recommendation would be laser hair removal; based on the description you provided on your skin and hair type “skin is lighter and my arm hair is dark” you are the perfect candidate for hair removal. Typically patients with light skin and dark hair get the best results (complete removal of hair with 3-4 laser sessions) and have the least potential for any adverse reaction. That is not to say darker skins can not receive laser hair removal but a different type of laser needs to be used than that of a lighter skin type and there is more risk associated. No matter what skin type research the facility/doctors office and ask them questions, a good laser hair removal place should have no problem agreeing to a complimentary consultation. I recommend finding somewhere that uses a Dynamic Cooling System, this cools the skin down throughout the hair removal procedure which is more comfortable for the patient and general avoids them having to use a topical numbing agent like Lidocaine. The down side of laser hair removal is that it is somewhat costly, typically upwards of $200 per session. If cost is prohibitive then I would consider waxing which cost about $45 for half arms and $70 for full arms. Your hair will need to be at least ¼ inch long (if shorter the hair won’t take and if it is longer the wax won’t lift properly). You will have to let the hair grow back out (a ¼ inch) in between waxing sessions. However, over time less hair will grow back and the remaining hair general grows back thinner.

Best of Luck—
Anna

Dear Anna,

I have heard a lot about Oxygen Facials. I am turning 43 this week and would like to try something that will give my skin a fresh renewed look. This year I have tried six microdermabrasions, a facial peel twice and six photo rejuvenation treatments. I have been moderately pleased with all of these but would like to consider an Oxygen facial. Could you please tell me what this is and what type of results could a person expect?

Thank you,
Kim Bautista

Dear Kim,

Lucky lady… you’ve got to experience some of the best facial resurfacing treatments currently available on the market. I absolutely love oxygen facials- the ones that utilize pure oxygen which is infused in to the skin with vitamins and minerals, not the imitation kind which simply use an “oxygen mask” (which does not work by the way). What is important to note is that oxygen facials while they feel fabulous and leave the skin with a temporary glow do not cause facial resurfacing the way the other treatments you previously received will. With that being said oxygen facials do have their place and have several benefits, and depending on your desired outcome may be a good choice for you. While I don’t think that this is why you would go for an oxygen facial, they are wonderful for treating acne, as the oxygen acts as a bacteria killing agent and the delivery system can be customized to include salicylic acid. For a mature skin it can work to hydrate and minimize redness, and again the delivery system can be customized to included vitamins and minerals. When sprayed through the nebulizer and mixed in with oxygen the vitamins and minerals become a fine mist (known as micalization) and can penetrate deeper into the skin for optimal benefits. Oxygen Facials are also very nourishing and calming which are great to do after a more aggressive procedure as they will help to remove post resurfacing redness. If you are seeking the appearance of younger skin that is more medium to long term I would suggest doing a longer slightly more aggressive microdermabrassion series that incorporates a medium depth peel or perhaps one of the new laser treatments like Fraxel. For a temporary softening of the skin and a clearer appearing complexion I would definitely recommend Oxygen Facials or better yet do a combination of both. Best of luck and remember 40’s is the new 20’s ….well at least early 30’s.

Hello Anna,

I picked up the last issue of Triangle Style and I have a question that I have been wondering about for some time.

I have recieved micro-derma brasions in a professional salon in the past and have been very pleased with the results. My question is... what is the difference between store bought kits and going to a salon. Can I recieve comparable results.

Thank you, Laurel Hamilton

Dear Laurel,

Professional Microdermabrasion, often referred to as the “lunch time peel” verses a store bought microderm kit are actually very different from one another. It is sort of like the difference between getting laser teeth whitening from a cosmetic dentist verses using store bought teeth whitening strips. There are several versions of professional microdermbrassion machines, my preference is one that utilizes aluminum oxide crystals not sodium bicarbonate and I am not a propionate of the crystal free machines either. Home kits are nothing more than an aggressive aluminum oxide containing “scrub” which you apply to the skin via a handheld battery operated sponge like device. To be honest the device is just a marketing ploy as you could just as easily rub your hands quickly in a circular motion over your skin with the scrub underneath. What home care kits and professional microdermabrasion (the aluminum oxide type) have in common is that they both use aluminum oxide crystals, which help to oxygenate the skin as well as kill bacteria. The major difference between the two is that professional microdermabrasion works with a vacuum like suction as the crystals flow onto the skin thus causing a minimization of sun damage, scaring, and fine lines. Additional, professional microdermabrasion helps to stimulate elastin and collagen (responsible for keeping the skin firm and tight) which home kits will not do. A word of caution, not all microdermabrasion machines are created equal. There are many cheap, weaker machines on the market, not to mention the type (size and quality) of crystals being used with the machine, so make sure you do your homework before selecting a facility to perform your treatments. Microdermabrasion should not be performed on someone with broken capillaries, rosacea, or active acne and is recommended in a series of 6-8 for maximum results. If you are not a candidate for microdermabrasion there are several excellent alternatives; my personal favorite is dermaplaning with peels.

Anna!

I am a new Mom and am having a difficult time keeping up with stylish trends. What is the latest eyebrow trend and how often should I get my brows waxed? I have dark and thick brows. Recently I had them waxed and I think the esthetician made them too thin! She also thinned them out with scissors? Is that normal? Please help, I have limited time.

Sincerely,
Harper

Dear Harper,

Lucky you… dark, thick brows, I’m jealous! Listen; forget about “eyebrow trends”, those need to be restricted to models on fashion runways. Eyebrows need to compliment the shape of your face and eyes. A well-shaped brow can transform a persons’ entire face and creating the proper arch can actually open up a persons’ eyes making them look years younger. Here are a few tips for achieving the perfect shape brows. First, brush the brows upward using a disposable mascara wand, next trim any stray hairs. The eyebrows should start where the inner corner of your eye starts. Hold a pencil vertically against the nose to the inner corner of the eye. Where the pencil hits your brow bone is where your brow should start. Lastly, take the pencil and hold it from your nostril to the outer corner of the eye. The point where the pencil touches the brow is where the brow should end. Creating the arch of the brow can be a bit trickier and that is where the help of a licensed skin care expert can really be beneficial. Unfortunately, creating beautiful brows is an art and not all “experts” are equally talented. It sounds like your brows were over waxed and thus thinned out too much. My advice is to let them grow back out and try again (with someone different) making sure they wax to clean up excess hair but tweeze to create the shape and arch. Remember this…. “Your brows are sisters not twins” so don’t worry about making them look exactly identical.

Best of Luck.
Anna.

Every year as we enter the summer months I am always asked about how one can protect themself from the harsh summer sun rays. The reality of the fact is no matter what time of year, no matter what skin type, the most important part of a person's skin care regimen is a daily morning application of sun block. With so many available choices it's important to understand the facts about sun blocks before making your selection. SPF stands for Sun Protection Factor and only protects from UVB (the burning rays) not UVA (the aging rays); both contribute to skin cancer. Unfortunately there are no immediate symptoms of over exposure to UVA rays, such as starting to "burn". Additionally, on a daily basis we are much more exposed to UVA than UVB as the A rays can penetrate glass and clothing. When selecting a Sun block look for something Broad Spectrum (provides UVA protection) I recommend a transparent Zinc Oxide, be careful of inexpensive SPF's as they usually contain chemical blockers which actually cause free radical damage, and know that anything above an SPF 30 provides virtually no more protection than an SPF 50. One problem with all Sun blocks is that most people do not apply the proper amount (a tablespoon for the face), however there is a new nanoencapsulated technology out from IS Clinical which provides 3 times the amount of protection with only a dime size application. Remember when you are at the beach this summer with your kids it only takes a couple of childhood sunburns to cause Skin Cancer years later.

Hi Anna,

I am currently 3 months pregnant and my skin is reeking havoc! I have broken out a little more than I usually do and have red blotches around and below my nose.

I have tried to use cover up and foundation and it just seems to cake up in the afternoon and it looks horrible. I feel like a teenager again that can't hide her red blotchy face.

Any advice you can give me would be great. I have been struggling with the red blotchiness for years and have never really found anything to either cover it up or make it go away.

Thank you. Sincerely— Jaime Clark

Jaime,

Hormonal changes in women during pregnancy and other phases of life greatly affect the skin. Treating the skin during pregnancy requires caution. Before beginning a new skin care regiment including any type of acids, please consult your OB-GYN.

Reading your question, I noticed a few issues to address. Your experiencing “red blotchiness for years” means this is not a new hormonal challenge but rather a condition that has magnified since pregnancy. First, we need to identify what causes the redness. Do you have a dermatologist? As I suspect this could be a minor case of Couperose – a condition where redness appears due to the presence of small dilated red blood vessels visible on the face (particularly around the nose). This occurs due to poor elasticity of the capillary walls. Couperose is usually an indication of Rosacea, which can impact other facial areas. Since you only experience this problem around your nose, please have your skin examined before making that determination.

Onto the excess breakout you’ve been experiencing. This is completely normal while pregnant, and you can expect it to subside after your hormones return to normal levels. In the meantime, many in-spa procedures and home care products are available. Again, the recommendation needs to be based on your OB-GYN’s comfort level. A safe option is a mild antibacterial cleanser, spot treatment with a Kaolin (drying) based product, enzyme peels, and a daily application of oil-free SPF, preferably with zinc to help dry out the offending areas. Transparent zinc products are available and safe for the expectant mom.

Lastly, makeup "cover-up" that results in a dry and cakey look likely indicates the need to exfoliate better. Enzyme peels will help with this. And I recommend using a mineral-based cosmetic (Jane Iredale is my favorite). Not only does it provide excellent coverage and look natural, but it also has healing properties. Remember, applying makeup is like painting – it looks much better when we begin with a clean canvas. The idea here is to first treat the skin, then enhance (not cover-up) with makeup.

Congratulations and best wishes,
Anna