Plantar Fasciitis and Menopause: Understanding the Hidden Connection

Plantar Fasciitis and Menopause: Understanding the Hidden Connection

Nov 23, 2024

Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott
Plantar Fasciitis and Menopause: Understanding the Hidden Connection

Menopause is a significant life stage that brings with it a multitude of changes, both visible and unseen. While symptoms like hot flashes and mood changes are widely discussed, musculoskeletal issues are less often mentioned, despite being a common concern for many menopausal women. One such issue is plantar fasciitis—a painful foot condition that many women experience during menopause, often without understanding why it happens. In this blog, we will delve into the link between menopause and plantar fasciitis, explore why this condition may become more prevalent during menopause, and discuss effective ways to manage and prevent it.

What is Plantar Fasciitis?

Plantar fasciitis is characterised by pain and inflammation of the plantar fascia, a thick band of tissue that stretches across the bottom of the foot, connecting the heel bone to the toes. It plays a crucial role in maintaining the arch of the foot and absorbing impact as you walk, run, or move. When this tissue becomes inflamed or strained, it results in a sharp, stabbing pain in the heel, particularly noticeable when taking the first steps in the morning or after periods of rest.

Traditionally, plantar fasciitis is associated with athletes or people who spend long hours on their feet. However, it can also become an issue for menopausal women due to the complex interplay of hormonal changes, weight fluctuations, and other age-related factors. Understanding the factors that contribute to this condition during menopause can help in managing it more effectively.

How Hormones Impact Musculoskeletal Health

The hormonal changes that occur during menopause, particularly the decline in oestrogen, have a substantial impact on connective tissue health. Oestrogen is a key hormone that supports collagen production, providing strength and elasticity to tendons, ligaments, and other connective tissues throughout the body. It also has natural anti-inflammatory properties, which help in maintaining joint health and preventing tissue damage.

As oestrogen levels decline during menopause, collagen production is reduced, which makes connective tissues, including the plantar fascia, less elastic and more prone to microtears and inflammation. Without sufficient oestrogen, the plantar fascia becomes more susceptible to damage, increasing the risk of developing plantar fasciitis. This hormonal shift is often overlooked as a factor in musculoskeletal issues during menopause, but it plays a critical role in conditions like plantar fasciitis, frozen shoulder, and general joint pain.

Why Menopausal Women are at Higher Risk of Plantar Fasciitis

Menopause brings a variety of changes that can increase a woman’s risk of developing plantar fasciitis. Here are some of the key factors that contribute to this increased risk:

  1. Changes in Foot Structure and Biomechanics

With age, changes in foot structure, such as fallen arches or flattening of the feet, can occur. These changes alter the way pressure is distributed across the foot, leading to increased stress on the plantar fascia. Hormonal shifts can also contribute to a weakening of the connective tissues, making structural changes more pronounced and problematic.

  1. Reduced Physical Activity and Muscle Weakness

Many menopausal women experience joint discomfort or fatigue, leading to a decrease in physical activity. Reduced activity can lead to muscle weakness, especially in the muscles that support the arch of the foot. Weakened muscles mean that the plantar fascia has to take on more of the load during movement, which increases the risk of strain and inflammation.

  1. Weight Gain and Increased Pressure on the Feet

Weight gain is common during menopause due to changes in metabolism and hormonal imbalances. This extra weight can place significant stress on the plantar fascia, leading to increased strain, inflammation, and pain. The added pressure on the feet from weight gain makes plantar fasciitis more likely to develop, especially for those who already have other risk factors such as a flat foot structure.

  1. Impact of Bone Health

During menopause, declining oestrogen levels also affect bone density, making women more susceptible to conditions like osteopenia and osteoporosis. While plantar fasciitis itself is a soft tissue issue, weakened bones in the feet can change movement patterns and put extra strain on the plantar fascia, indirectly contributing to the condition.

Recognising and Managing Plantar Fasciitis During Menopause

Recognising plantar fasciitis involves understanding its symptoms—typically a sharp pain in the heel, especially noticeable in the mornings or after periods of inactivity. However, the key to managing plantar fasciitis during menopause lies in addressing the root causes, including hormonal imbalance, weight changes, and lifestyle factors. Here are some effective strategies:

  1. Supportive Footwear and Orthotics

Wearing proper, supportive footwear is one of the easiest and most effective ways to alleviate the symptoms of plantar fasciitis. Look for shoes with cushioning and arch support to help distribute weight evenly and reduce pressure on the plantar fascia. Custom orthotic inserts can provide additional support, especially for those with flat feet or other structural changes.

  1. Stretching and Strengthening Exercises

Regular stretching can help maintain flexibility in the plantar fascia, Achilles tendon, and calf muscles. Stretching exercises, such as calf stretches or using a towel to stretch the arch of the foot, can alleviate tension in the plantar fascia. Additionally, strengthening exercises for the foot and lower leg can help improve stability and support the arch, reducing the load on the plantar fascia.

  1. Weight Management and Diet

Maintaining a healthy weight is crucial in managing plantar fasciitis, as it helps to reduce the stress placed on the feet. A balanced diet rich in anti-inflammatory foods, such as leafy greens, berries, and omega-3 fatty acids, can support overall musculoskeletal health and may help to reduce inflammation in the plantar fascia. Avoiding processed foods and excess sugar is also beneficial, as these can contribute to inflammation.

  1. Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy (HRT) may help mitigate some of the musculoskeletal effects of declining oestrogen. By restoring oestrogen levels, HRT can support collagen production and connective tissue health, potentially reducing the risk of plantar fasciitis. However, HRT is not suitable for everyone, and women should discuss the risks and benefits with their healthcare provider to determine if it is the right choice for them.

  1. Physiotherapy and Professional Interventions

Physiotherapy can be highly effective in treating plantar fasciitis. A physiotherapist can guide menopausal women through exercises that improve flexibility and strengthen the muscles supporting the arch of the foot. In some cases, additional treatments such as shockwave therapy or corticosteroid injections may be recommended to reduce inflammation and promote healing, but these should be approached with caution, particularly for those with weakened bones.

Preventative Measures for Plantar Fasciitis

Preventing plantar fasciitis during menopause involves being proactive about foot health. Here are some preventative measures to consider:

  • Stay Physically Active: Engaging in regular, low-impact activities like swimming, walking, or yoga can help maintain muscle strength and joint flexibility without putting too much strain on the feet.
  • Incorporate Stretching into Daily Routine: Regular stretching of the feet and calf muscles can help maintain the elasticity of the plantar fascia, reducing the risk of strain.
  • Choose Footwear Wisely: Avoid high heels or unsupportive footwear. Invest in shoes with good arch support and cushioning to protect the feet from unnecessary strain.
  • Maintain a Healthy Weight: Keeping your weight within a healthy range will help reduce the pressure on your feet and decrease the risk of plantar fasciitis.

Conclusion

Plantar fasciitis can be a painful and limiting condition, and its prevalence may increase during menopause due to hormonal shifts, weight gain, and changes in foot structure. However, by understanding the link between menopause and plantar fasciitis, it is possible to manage and even prevent this condition effectively. From wearing supportive footwear and staying active to considering hormone replacement therapy and focusing on weight management, there are many strategies available to support foot health during menopause.

At this stage in life, taking care of musculoskeletal health is key to maintaining mobility, comfort, and quality of life. If you’re struggling with foot pain or suspect you might have plantar fasciitis, consider speaking with a healthcare provider who understands the unique challenges of menopause. With the right approach, it’s entirely possible to find relief and continue living an active, fulfilling life.

Is it worth investing in a medical grade skincare regime? – Etre Vous Interview with Skin Expert Julie Scott

Is it worth investing in a medical grade skincare regime? – Etre Vous Interview with Skin Expert Julie Scott

Nov 2, 2024

Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott

As a beauty editor, it’s hard for me to commit to one brand in a quest to be completely transparent and honest about what I am writing. I like to test every product I am including in articles so that I can give my true opinions to readers. However, while my audience may benefit from my honest account, my skin often doesn’t—overusing products or combining certain ingredients can cause skin to react due to being overloaded.

My skin has recently gone through a metamorphosis. Pre-40 years old it was pretty steady; a few wrinkles and a little dehydration after a late night, but other than that I was confident about my complexion and would happily go makeup free. Fast forward five years and it’s a different story. Looking in the mirror, I started to notice blemishes, pigmentation, lines and slack skin that weren’t there before. My face looked a little sad.

I immediately messaged Julie Scott, EV Expert and Owner and Clinical Director of Facial Aesthetics. “Your skin has become confused due to the conflicting ingredients and the overload of stimuli,” she told me. “Each product you’ve been using may have different active ingredients with varying pH levels or mechanisms of action, which can disrupt the skin’s natural barrier and lead to irritation or sensitivity. Also, overlapping or incompatible ingredients can compromise the efficacy of each product.” Scott suggested a more simplified skincare regimen that would allow my skin to adjust and balance my skin barrier. “This will lead to more consistent and harmonious results,” she revealed.

One of the things Scott hears in her clinic from women over 40 is, “I feel like I’ve aged overnight,” which resonates with me completely. Women’s oestrogen levels naturally decline as we age, meaning collagen levels also fall by up to 30 per cent over five years. “This can cause skin concerns such as dryness, dullness, increased lines and wrinkles, sagging and uneven skin tone.”

Founded by Dr. Zein Obagi, a world-famous Beverly Hills Dermatologist, ZO Skin Health offers a medical grade skincare programme that I had heard many beauty editors wax lyrical about, but I’d personally never tried before. Scott was confident that its products would help to address most of my existing skincare concerns.

“Unlike other brands who focus solely on quick fixes, ZO delves deeper, addressing the underlying causes of skin concerns rather than merely treating the surface,” she explains. “The science-driven formulations and comprehensive protocols deliver visible results and cultivate lasting skin health.” Due to my pigmentation issues and confused, unbalanced skin, Scott recommended ZO’s products as she was confident they would provide a cohesive regimen that simplified my routine, and give me a beautifully even complexion.

“ZO Skin Health utilises key ingredients like Vitamin C, kojic acid and niacinamide, which are formulated to address pigmentation and enhance skin clarity,” she says. “With ZO, I can offer my patients a regimen that enhances their appearance while nurturing their skin’s integrity from within.”

Scott stresses that commitment to a skincare regimen is vital because consistency allows the active ingredients to function at their best and give noticeable results. “Regular use is key to maintaining skin health, addressing specific concerns, and achieving lasting improvements,” she says. “Frequently changing products or skipping steps can disrupt progress and prevent the skin from reaching its full potential.”

Three months into my medical grade skincare routine, I am staggered by the results. Not only was the regime easy to stick to—I cleared my shelf of any other products so as not to tempt me to deviate!—but I started to notice a change in my skin tone and texture quicker than expected. After two weeks, my complexion was brighter and more radiant; the following month fine lines were softened, and today, my pigmentation has faded and my complexion is more even toned. My skin is happy again and I will forever be a ZO Skin Health advocate—no more straying!

Charley’s prescription, as recommended by Julie Scott:

Morning routine
ZO Skin Health Exfoliating Cleanser (daily)
ZO Skin Health Calming Toner (daily)
ZO Skin Health Exfoliating Polish (1-2 times a week)
ZO Skin Health Daily Power Defence (daily)
ZO Skin Health Brightalive Skin Brightener (daily)
ZO Skin Health 10% Vitamin C Self Activating (daily)
ZO Skin Health Daily Sheer (daily)

Evening routine
ZO Skin Health Exfoliating Cleanser (daily)
ZO Skin Health Calming Toner (daily)
ZO Skin Health Exfoliating Polish (1-2 times a week)
ZO Skin Health Daily Power Defence (daily)
ZO Skin Health Brightalive Skin Brightener (daily)
ZO Skin Health Growth Factor Serum ( 3 times a week)
ZO Skin Health Recovery Creme (4 times a week)

 

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Male Menopause – Myth or Reality? – Skin Expert Julie Scott discusses this taboo subject

Male Menopause – Myth or Reality? – Skin Expert Julie Scott discusses this taboo subject

Oct 10, 2024

Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott

Male Menopause – Myth or Reality?

The idea of “male menopause” often raises eyebrows. Is it just a myth, or is there truth to it? The term, also known as andropause or testosterone deficiency syndrome, refers to a drop in the male hormone testosterone. While it might sound dramatic, this decline is a very real part of the ageing process for many men.

Understanding Testosterone and Its Importance

Testosterone is more than just a hormone; it’s a key player in keeping men feeling well and functioning at their best. Produced mainly in the testicles, testosterone impacts:

  • Sex drive
  • Muscle strength and mass
  • Production of red blood cells
  • Fat distribution
  • Growth of facial and body hair
  • Bone density
  • Sperm production

The hormone hits its peak during adolescence and early adulthood. But as men age, testosterone gradually declines—usually dropping by about 1% per year after the age of 30. This natural decrease might not be a cause for concern for everyone, but for some, it results in noticeable changes that can impact their quality of life.

What Happens When Testosterone Levels Decline?

Low testosterone can present with a whole host of symptoms, which can be pretty distressing if not understood properly. These can include:

  • Low libido (decreased sex drive)
  • Erection difficulties
  • Fatigue and lack of energy
  • Mood swings or depression
  • Irritability
  • Memory issues
  • Night sweats
  • Unwanted weight gain

These symptoms are often collectively referred to as “male menopause.” While it doesn’t involve the sudden hormone drop seen in female menopause, the changes are gradual but can still have a profound impact on mental and physical health.

Testosterone Replacement Therapy (TRT)

If low testosterone is affecting your quality of life, testosterone replacement therapy (TRT) might be an option. This therapy is generally administered via gels applied to the skin, although there are also other forms, such as injections, patches, and oral tablets, depending on what works best for the individual.

Before starting TRT, it’s essential to have a blood test and a thorough consultation to weigh the benefits and risks. A healthcare provider will evaluate your symptoms, medical history, and hormone levels to determine if TRT is appropriate. When suitable, TRT can help relieve symptoms like fatigue, low libido, and mood disturbances, and it might even support healthier energy levels, better muscle mass, and stronger bones.

Interestingly, recent evidence suggests TRT may help improve glycaemic control in men with type 2 diabetes, adding another layer to its potential benefits. Furthermore, TRT has been shown to enhance cognitive function, including memory and concentration, which can be impacted by low testosterone levels.

It is also important to monitor for potential side effects while on TRT. Some men may experience issues like acne, increased red blood cell count, sleep apnea, or prostate health concerns. Regular follow-ups with a healthcare provider are crucial to ensure that the therapy remains safe and effective. Monitoring helps adjust dosages as needed and provides an opportunity to address any side effects early.

In addition to improving sexual health and energy levels, TRT can lead to better emotional well-being. Many men report feeling less irritable, less anxious, and more motivated when their testosterone levels are restored to a healthy range. The boost in confidence that often accompanies improved physical and mental health can also be incredibly beneficial. 

Lifestyle Changes for Managing Low Testosterone

Before considering TRT, it is worth exploring natural ways to boost testosterone and improve overall well-being. Lifestyle changes can make a significant difference, including:

  • Exercise: Engaging in regular physical activity, particularly strength training and high-intensity interval training (HIIT), can help boost testosterone levels naturally.
  • Healthy Diet: A balanced diet rich in healthy fats, lean proteins, and plenty of vegetables can promote hormone health. Reducing sugar and processed foods is also crucial.
  • Adequate Sleep: Quality sleep is vital for testosterone production. Aim for 7-9 hours of restful sleep per night.
  • Stress Management: High levels of stress lead to elevated cortisol, which can negatively impact testosterone. Mindfulness practices, such as meditation, yoga, or even regular hobbies, can help reduce stress.
  • Weight Management: Maintaining a healthy weight is important, as excess body fat, especially around the abdomen, is linked to lower testosterone levels.

Psychological Aspects of Male Menopause

The emotional and psychological side of declining testosterone is often overlooked. Many men experience mood swings, irritability, and even depression, which can affect relationships and quality of life. Understanding that these symptoms might have a biological basis can help reduce feelings of guilt or frustration.

If you are experiencing mood-related symptoms, it may be helpful to seek support from a healthcare provider or mental health professional. Open communication with partners and loved ones can also alleviate the strain and foster better understanding.

Is TRT Right for You?

It’s important to remember that not every man with lower testosterone levels needs TRT. Sometimes, lifestyle changes—like improving diet, increasing physical activity, and reducing stress—can be effective in addressing symptoms. TRT is a medical treatment that comes with potential risks and benefits, so the decision to start should be made thoughtfully, with guidance from a healthcare provider.

The Bottom Line

Male menopause isn’t just a catchy term; it’s a real experience for many men, though it varies widely in its intensity. The decline of testosterone can bring about significant changes, but with the right approach—whether that means lifestyle adjustments, therapy, or just being mindful of your health—men can navigate this phase with resilience and support. If you think you might be experiencing symptoms, don’t hesitate to reach out for a consultation. It’s all about ensuring you continue to feel your best as you age because well-being is for every stage of life.

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Stanley Cup Sag – Etre Vous Interview with Skin Expert Julie Scott

Stanley Cup Sag – Etre Vous Interview with Skin Expert Julie Scott

Sep 17, 2024

Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott

Hydration has never been more stylish, thanks to the Stanley Cup. This iconic flask has become a social media sensation, with countless imitations flooding the market. If you haven’t flaunted one in your posts, are you truly keeping up with the influencer trends?

Yet, there’s a hidden downside to this fashionable habit. All that sipping and slurping can accelerate premature ageing. Repeatedly pursing your lips activates underlying muscles, eventually leading to fine lines and wrinkles.

Why Marionette Lines Happen

Marionette lines, the vertical creases that run from the corners of the mouth down to the chin, emerge due to various factors. As we age, our skin naturally loses its elasticity and firmness because collagen and elastin fibres weaken. This decline leads to sagging and the formation of these lines. Gravity also plays a role, gradually pulling the skin downwards. Another significant factor is the loss of facial volume, particularly rapid loss of facial fat pads around the cheeks and mouth, this is often referred to as “Ozempic face,” which can impact the appearance of marionette lines. Finally, genetic predisposition, sun exposure, which breaks down collagen and elastin, and lifestyle choices further contribute to the development of marionette lines.

New Treatments and Preventative Methods

Addressing marionette lines requires a multifaceted approach. Traditional dermal fillers remain effective, but new hybrid fillers like HarmonyCA are now available. These not only provide volume but also stimulate fibroblasts, enhancing collagen production. Treating the lateral part of the face with these fillers offers lateral support, effectively addressing early signs of jowling and marionette lines.

Botulinum toxin injections can relax specific muscles in the lower face, jaw, and neck, preventing the downward pull that exacerbates marionette lines. Laser treatments, microneedling, and topical treatments such as retinoids also promote collagen production and improve skin quality.

Emerging regenerative aesthetics, including polynucleotides and Profhilo, focus on maintaining skin quality. While there is no one-size-fits-all solution, early and consistent care of your skin’s quality can prevent or minimise these lines. For me, maintaining a balanced approach to facial volume is crucial for preventing and treating these wrinkles effectively.

 

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Managing Menopausal Acne: Causes, Treatments, and Solutions

Managing Menopausal Acne: Causes, Treatments, and Solutions

Aug 21, 2024

Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott

Menopausal acne is an unwelcome surprise for many women who thought they had left their acne-prone years behind. Yet, as hormone levels shift during menopause, breakouts can make a frustrating return. This type of acne is different from what many women experienced as teenagers, as it often comes hand-in-hand with other skin changes like dryness, thinning, and sensitivity. Fortunately, with a comprehensive approach that includes effective skincare, professional treatments, and lifestyle changes, menopausal acne can be managed successfully. In this blog, we’ll explore the causes of menopausal acne and share insights into the best treatments and skincare routines to help you achieve clearer, healthier skin.

Why Does Menopausal Acne Happen?

The primary cause of menopausal acne is hormonal imbalance. During menopause, oestrogen levels decrease while androgens (such as testosterone) may remain consistent or even increase. This shift creates an environment where the skin produces more sebum (oil), leading to clogged pores and breakouts. Hormonal fluctuations also contribute to increased skin sensitivity, dryness, and a loss of elasticity—all of which complicate the management of acne at this stage.

Menopausal acne often appears around the chin, jawline, and neck, areas that are particularly sensitive to androgen activity. Unlike teenage acne, which is driven by excess oil production during puberty, menopausal acne is largely triggered by the body’s hormonal adjustments, creating a need for targeted, supportive care.

How Can Menopausal Acne Be Treated Effectively?

Treating menopausal acne requires a multifaceted approach that addresses the underlying hormonal shifts, restores balance to the skin and prevents future breakouts. Here are some of the most effective treatments for menopausal acne:

  1. Topical Medications

Topical treatments are often the first line of defence against acne. Ingredients such as retinoids and salicylic acid work to unclog pores, encourage skin cell turnover and reduce inflammation. Retinoids are particularly effective for menopausal skin as they help to smooth the skin, improve texture, and support collagen production—counteracting some of the ageing effects experienced during menopause.

  1. Hormone Therapy (HRT)

Hormone Replacement Therapy (HRT) can be a highly effective option for treating menopausal acne, especially when hormonal imbalance is the primary culprit. By restoring oestrogen levels, HRT can help reduce androgen dominance, ultimately decreasing sebum production and minimising breakouts. In addition to helping with acne, HRT can also address other menopausal symptoms such as hot flushes, night sweats, and mood changes.

  1. Skincare Routine for Menopausal Acne

Developing a consistent skincare routine is essential for managing menopausal acne and promoting healthy skin:

  • Gentle Cleanser: Use a gentle, non-comedogenic cleanser that removes impurities without stripping the skin of essential moisture.
  • Exfoliants: Salicylic acid is an excellent ingredient for unclogging pores and preventing new breakouts. Exfoliation can help remove dead skin cells that may block pores, but it’s important to choose a product that won’t irritate already sensitive skin.
  • Emepelle and ZO Prescribed Skincare: These are specifically formulated for menopausal and hormone-deficient skin. Emepelle is designed to nourish, hydrate, and counteract oestrogen-deficient skin, improving dryness and elasticity. ZO Skincare offers targeted solutions that address acne while rejuvenating the skin, making it a key component of a menopausal acne treatment plan.
  • Moisturiser: Choose a non-comedogenic moisturiser that hydrates without clogging pores. Ingredients like hyaluronic acid are excellent for providing hydration to drier menopausal skin.
  • Sunscreen: Sunscreen is a must-have to protect your skin, especially when using retinoids or exfoliants that can increase sun sensitivity. A broad-spectrum SPF will help prevent further irritation and support overall skin health.
    1. Professional Treatments

    For those seeking additional support beyond at-home skincare, professional treatments can be highly effective in managing menopausal acne and enhancing skin health:

    • Chemical Peels: Chemical peels help to exfoliate the skin, unclog pores, and reduce inflammation. They can also improve skin texture and tone, making them a great option for treating both active acne and the lingering signs of previous breakouts.
    • Light Therapy: Light therapies, such as LED blue light, can help kill acne-causing bacteria and reduce inflammation. These treatments are gentle on sensitive menopausal skin while being effective at targeting active breakouts.
    • Microneedling: This treatment helps stimulate collagen production, which can be beneficial for both acne scars and the signs of aging. Microneedling can help improve skin texture and promote a healthier, more youthful appearance.

    Non-Hormonal Treatments for Menopausal Acne

    For those who prefer non-hormonal approaches, there are several effective treatments available:

    • Topical Therapies: Retinoids, salicylic acid, and benzoyl peroxide are all options that can help manage acne without affecting hormone levels.
    • Lifestyle Changes: Diet, hydration, stress management, and sleep all play significant roles in managing menopausal acne. A diet rich in antioxidants, healthy fats, and omega-3 fatty acids can help reduce inflammation and promote clearer skin. Staying hydrated and avoiding excessive sugar and dairy can also make a difference.
    • Stress Management: Stress has a direct impact on hormonal balance, contributing to acne. Practices such as meditation, yoga, and regular exercise can help reduce cortisol levels, minimise stress, and support clearer skin.

    How Long Does Menopausal Acne Last?

    The duration of menopausal acne can vary widely. Some women experience breakouts for just a few months, while others may have persistent acne for several years. The key to minimising the impact and duration of menopausal acne is early and consistent treatment. Combining lifestyle adjustments with a targeted skincare regimen, such as using Emepelle and ZO Skincare, can help reduce both the severity and duration of menopausal acne.

    Preventing and Managing Acne Scarring

    Menopausal acne, if left untreated, can lead to scarring—especially if breakouts are picked or irritated. Thankfully, there are effective ways to reduce scarring and restore skin texture:

    • Microneedling and Chemical Peels are two professional treatments that can help minimise the appearance of acne scars by stimulating collagen production and improving overall skin tone.
    • Products from ZO Prescribed Skincare are designed to support skin rejuvenation, addressing uneven texture and pigmentation, and ultimately helping to reduce the visibility of scars.

    Conclusion

    Menopausal acne is a frustrating but manageable condition. While it can feel disheartening to deal with breakouts during a time already filled with other physical changes, understanding the causes and knowing how to treat them can make a world of difference. Whether through hormone therapy, targeted skincare products like Emepelle and ZO Prescribed Skincare, professional treatments, or lifestyle adjustments, there are many ways to tackle menopausal acne effectively.

    At Facial Aesthetics, we believe in taking a holistic approach—one that treats not only the skin but also the underlying causes of acne and other menopausal symptoms. With the right treatment plan and support, clearer, healthier skin is possible, and you can feel confident in every stage of life.

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    The Retinol Rethink – What The Changes Mean For You – Etre Vous Interview with Skin Expert Julie Scott

    The Retinol Rethink – What The Changes Mean For You – Etre Vous Interview with Skin Expert Julie Scott

    Aug 9, 2024

    Stanley Cup Sag - Etre Vous Interview with Skin Expert Julie Scott

    The latest EU regulations on retinol have caused quite a stir among skincare enthusiasts, leading to some confusion and concern. Here’s an explanation of why these changes are happening, how they’ll impact what consumers can buy and what professionals can recommend, and what we can expect from skincare formulas in the future. These changes impact over-the-counter products and it is understood that medical professionals will continue to have access to higher concentrations of retinoids for in-clinic treatments, ensuring that those who need stronger formulations can still receive them under professional guidance.

    Why the changes?

    The new EU regulations limiting retinol to 0.3% in general products and 0.05% in body lotions, is not a ban but a safety measure aimed at reducing the risk of adverse effects from excessive vitamin A exposure, which can lead to issues such as liver damage and potential harm during pregnancy. I believe it will enhance patient safety by reducing risks of irritation and sensitivity, thereby building greater trust in our treatments. However, I’m a bit concerned that some patients might seek stronger concentrations from unregulated sources. These products can be dangerous and lack necessary safety assurances. It’s crucial to educate patients on the importance of using only regulated, professionally recommended products to protect their health and achieve the best results.

    What Are The SkinCare Companies Doing?

    Skincare companies are already working on ensuring that products with lower retinoid levels remain effective. This involves combining retinol with other active ingredients that can enhance its benefits, such as peptides, antioxidants, and hyaluronic acid. Additionally, advanced delivery systems are being developed to improve the penetration and efficacy of retinoids at these lower concentrations​​. Brands are also exploring alternative retinoid derivatives that offer similar benefits without the same level of irritation.

    Importantly, we can still achieve excellent results using other active ingredients, which can often provide effective outcomes without the risks associated with high doses of vitamin A.

    Advising Patients on New Product Choices

    When advising patients, it’s crucial to focus on the benefits of these new regulations and guide them in choosing compliant products. Encourage patients to look for labels indicating the concentration of retinol and explain the safety advantages of these limits. I always emphasise the importance of using sunscreen alongside retinoids to protect against increased sun sensitivity. 

    Patient safety is always at the heart of my care, so I welcome the new EU regulation on vitamin A concentrations in skincare products. I have always been cautious about recommending high doses of vitamin A due to its potential to cause sensitivity and irritation, in fact during the summer months I avoid treatments with high doses of retinoids. For my own patients, I already prescribe some fabulous products by ZO Skin Health and Alumiere MD that are below the new limits and reflect my cautious approach and my commitment to ensuring effective yet gentle skincare solutions for my patients.

     

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