Keeping Your Skin Healthy
        
        Skin rejuvenation can be divided into different 
categories-light, medium, and deep treatments. 
Light treatments involve lotions and creams.  
These are physically applied on a daily basis 
and have the advantage of no "down time" for 
convalescence.  One can apply these lotions 
and continue normal daily and social activities 
without any interruption.  The objective of this 
first level of skin rejuvenation is to provide a 
more refreshed appearance to the skin and 
also, over time, remove some of the more
        
        superficial skin contouring aging changes such as minor pigmentation, 
scaling, and very fine wrinkling.
Effulgere® skin cream can be used to moisturize and refreshen skin that has 
been damaged by exposure to the elements, sunlight or which has simply 
been affected by intrinsic aging.  It can also be used to help maintain 
beautiful skin tone and texture over the years.  In some cases, Effulgere® 
skin cream also lightens age spots and other types of blemishes associated 
with aging.
        
        Skin Rejuvenation Techniques
        
        
         The effectiveness of all skin care products is contingent upon delivery of the beneficial ingredients into the skin 
structure.  This is normally a difficult proposition for water-soluble ingredients, such as ascorbic acid, because the 
stratum cornea is an excellent water barrier.  The key to the effective action of Effulgere® is based upon 
beneficial ingredients including an array of antioxidants, vitamin C, vitamin E, zinc, ethyl lactate, isoamyl lactate, 
and phenylalanine.  Effulgere® facial cream was invented after many years of research and testing and is the 
subject of patents pending in the United States and a number of foreign countries.
One is able to accelerate or jump start the results of their skin rejuvenation program by using serial skin 
rejuvenation chemical peels.  This involves performing light TCA peels to the face every one to two weeks. We 
find that six to eight "serial peels" performed at one to two week intervals results in affects similar to those 
obtained by using Retin-A for a year.  In our experience, approximately 50% of individuals are able to obtain 
affects similar to those of a light medium depth chemical peel, but without the 7-10 day down time.  These peels 
help to remove some of the pigmentation changes that medically we call mild dischromia.  It can also be very 
effective in cases of more severe acne.  While no two individuals heal or respond the same and while individual 
results may vary, most patients find that they can accelerate their skin rejuvenation significantly with serial TCA 
peels.
As part of an overall skin rejuvenation program a light TCA peel is frequently performed at three to four month 
intervals to essentially act as a very deep facial and to further accentuate the results of the application of the
daily rejuvenation lotions and creams that have been prescribed.
        
        
        Many people believe that a tan is attractive and conveys a healthy 
appearance.  In reality, a tan actually reflects injury to the skin and is the 
body’s response to ultraviolet skin damage.  Those who desire a cosmetic 
tan can obtain one by using sunless or self-tanning lotions.  However, it is 
important to remember that self-tanning lotions do not protect the skin, so 
you can burn just as easily as if you have no tan.
While there are a variety of products available, only 2 types of tanning 
lotions, bronzers and self-tanning, lotions-should be used. Tan 
accelerators are a group of products which contain a natural enzyme that 
stimulates production of melanin, the body’s natural pigment. They are 
not effective.  Tanning promoters are groups of products which contain 5-
Methoxypsorsalen.  These products have been reported to cause cancer 
in mice and severe skin reactions in humans. Tanning promoters are not 
available in the United States.  Tanning pills have been banned by the 
FDA because of life threatening side effects and blindness.  They contain 
the drug canthaxanthrin and promote deposition of carotenoid in  the skin.
Bronzers are gel formulations that produce a darker skin color by means 
of water-soluble dyes.  Bronzers color the skin immediately, but the color 
fades with the first wash.
        
        rejuvenated and usually has a pleasing red glow.  Most individuals are able to apply makeup and resume a 
normal work and social schedule at that time.  Medium peels are used to treat degenerative skin, mild acne, and 
moderate aging and environmental changes to the skin.  The results last two to five years for most individuals.
Deep treatments involved the use of carbon dioxide laser's and phenol based chemical exfoliation.  These 
procedures provide the most optimal skin rejuvenation possible.  They remove the top layer of the skin and 
stimulate increased collagen formation in the deeper layers of the skin over the following nine to twelve months. 
Frequently patients see not only a refreshing of the skin by regeneration of a new top layer of the skin, but also 
find approximately a 20% tightening effect to the skin over nine to twelve months.  Again, results will vary from 
individual to individual and no one can guarantee results.  However, most patients find that carbon dioxide laser 
or deep phenol chemical peels provide dramatic results in eliminating facial wrinkling, pigmentation changes, and 
improving skin elasticity.  These treatments can be associated with some pigmentation changes. Phenol based 
chemical peels are used to lighten areas of increased pigmentation, such as in patients with melasma (the so 
called “mask of pregnancy”).  Patients who undergo a phenol based chemical peel need to accept the fact that 
their skin may become lightened to the extent that they need to use makeup and cover treated areas.  Despite 
this, the phenol peel is very popular because it provides the most dramatic reduction in facial wrinkling and the 
most improvement in skin elasticity of any of the facial rejuvenation procedures.
Carbon dioxide laser resurfacing and phenol chemical peels normally require minor sedation. Procedures are 
done on an outpatient basis, and patients are able to return home immediately following the procedure.  Similar to 
the medium peel, there is very little if any discomfort associated with either of these procedures. As with the 
medium chemical peel, a moist dressing technique is used following treatment.  Vaseline® petroleum jelly is 
applied to all treated areas four to six times a day for seven days.  While these procedures can be repeated, we 
find that most individuals respond very favorably to a single carbon dioxide laser resurfacing or phenol based 
chemical peel treatment.  These procedures are indicated for severe acne scarring, patients with recurrent skin 
cancers, deep facial wrinkling such as "smoker’s lines" and more advanced pigmentation and skin textural 
changes.
        
        
         Medium peels are used to remove mild to 
moderate skin textural and pigmentation changes. 
They may also be helpful in reducing minor acne 
scars and to stimulate increased collagen 
formation in the upper dermal layers. The 
advantage of medium depth chemical peels is that 
they have minimal chance of changing our overall 
skin pigmentation.  Medium depth chemical peels 
usually require mild sedation and are performed 
on outpatient basis. Patients are able to return 
home immediately following the procedure and 
experience very little if any discomfort. However, 
one needs to refrain from wearing makeup for one 
week and daily apply a moist dressing, such as 
Vaseline® petroleum jelly, to the peeled areas for 
one week.  At the end of the week the skin has
        
        Tanning Agents                             Advantage                                             Disadvantage
Bronzers                              Colors Skin Immediately                            Color Fades with First Wash
                 
Sunless or                                FDA Approved &                         Requires Frequent Re-Application
Self-tanning lotion                     Provide Same-Day Tan                                
Tanning pills                     Not Available in the United States              Can Cause Blindness & Life             
                                                                                                    Threatening Reactions
Tanning Promoters             Not Available in the United States            Can Cause Severe Skin Reactions
                                                                                                     & may Cause Cancer    
Tan Accelerators                            None                                                      Not Effective
        
        Sunless or self-tanning lotions were approved by the FDA in 1997 and can produce an aesthetically pleasing tan.  
The active ingredient in these products is dihydroxyacetone (DHA) which interacts with the dead surface cells in 
the outermost layer of the skin to darken the skin.  DHA gives color to the skin through a browning reaction.  
When applied to the skin, DHA changes into a sugar that combines with amino acids in the skin to form chemical 
compounds known as known "melaninoids" which are brown in color.
        
        
         Application of self-tanning lotions is fairly 
simple.  It is best to look for products that  
have a DHA concentration of 3% to 5%.  
These will give slower tans, but will not cause 
the skin to turn an orange shade as some 
stronger products do. Self-tanning lotions work 
best for people with medium complexions.  
They are less effective in people with very fair 
or very dark skin.  For those with sun damaged 
skin, self tanning lotions produce an uneven 
color-so do not use if you have a sunburn! 
Also, in people with older skin or mottled or 
freckled skin, these lotions can produce an 
uneven effect. Hair and nails may color, but 
not lips.   Scars will color poorly.  You can 
improve the tan by buffing or rubbing the skin 
lightly with a towel, then showering immediately
        
        before applying.  Be sure to wash your hands immediately after applying to avoid staining your palms.  
Self-tanning lotions produce a color change within an hour.  Best results are obtained with 2-4 applications 
several hours apart on the same day, with repeated use every few days.  The face usually requires fewer initial 
applications, but more frequent re-applications to achieve the desired appearance.
        
        
                        
          
            
              Ad Lunam Labs Inc., 1109 Silvery Shadows Avenue, Henderson, NV 89015 Toll Free: (800) 258-3635  -  Telephone: (702) 476-0087  -  Facsimile: (330) 666-2561 © Ad Lunam Labs Incorporated, 2009, 2011, 2014
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