Expert Rx

Dermatologic skin care for your 20s, 30s…60s and beyond

Board-certified dermatologist Dr. Jaime Davis, M.D., F.A.A.D. of Uptown Dermatology in Minneapolis talks dermatologic care for your skin at every age.

Skin cancer is a concern across all ages and is being seen more and more in younger people, especially among those who have ever used tanning beds.

Excessive ultraviolet light exposure, natural or artificial, not only increases skin cancer risk, but also prematurely ages the skin. It does so by breaking down the skin’s collagen and elastin causing wrinkling.

Ultraviolet light also stimulates pigment production (tanning), which is the skin’s way of trying to protect its deeper layers from the damaging effects of UV rays (burning). This pigment can often be blotchy and irregular.

With that in mind, it’s easy to see that many skin conditions typically thought of as “age related” are actually “sun damage” related. And while sun damage typically increases with age, giving some truth to the idea that blotchy, wrinkled skin is ‘old’ skin, sun protected skin will stay younger looking even into old age. Proof; take a peek at the sun protected skin of the buttocks and compare this to the face or forearms. The skin is the same age, but has had vastly different sun exposure. Hence the sun exposed skin seems “aged” in comparison.

Now let’s look at some conditions that can affect your skin over the years. Be sure to visit a Board Certified Dermatologist if you have concerns about any of the following;

20s – 30s 

Melasma: This blotchy brown spots on upper lip, cheeks, and forehead is sometimes called the “mask of pregnancy” due to hormonal influences on pigment production. This can happen during pregnancy or while on birth control pills. Sun protection is an essential part of treatment which can also include skin lightening agents such as topical hydroquinone and retinoid creams. For stubborn melasma, laser treatments can be helpful in addition to topical medications.

Acne Rosacea: Best known as “adult acne” this can involve breakouts and facial flushing in response to triggers such as sun exposure, overheating, spicy foods, red wine, and stress. Daily sun protection helps minimize redness as does recognizing and minimizing triggers. Your doctor has several treatment options if these initial steps are not enough to stop the breakouts and flushing.

40s – 50s

Fine lines & Wrinkles: Ultraviolet light slowly breaks down collagen and elastin fibers and reduces the skin’s elasticity. Sun protection is key to preventing this, but use of topical vitamin C, peptides and retinoids can be helpful. Resurfacing treatments such as chemical peels or fractional laser peels are also effective.

Expression Lines: Over the years expression lines can become etched into the skin by the repeated movements of facial muscles. These are easily remedied by injecting small amounts of purified botulinum toxin protein to soften the pull of the muscles. Chronic sun damage tends to exaggerate these expression lines due to the loss of the sun damaged skin’s elasticity.

Man with sun damage to one half of his face due to his occupation as a driver. It shows how the sun damage ages the skin, not just age!

60s – 70s 

Brown Spots: Freckles & spotty discoloration of the skin are caused by long term sun exposure. These are sometimes called ‘liver spots’ due to their brown color. Sunscreen is the best prevention, but treatments similar to those mentioned for Melasma can be very helpful.

Dryness: The hormonal changes during and after menopause can result in reduced facial oil production and dryness of the skin. Cream based moisturizers rather than lotions are most helpful.

Facial Volume Loss: Over time, the apples of the cheeks can lose their roundness, especially in slender women. The sunken facial appearance can be corrected with injections of volumizing fillers, such as Sculptra or Radiesse. These fillers stimulate collagen production under the skin restoring a natural fullness.

Disclaimer: The information provided by Coolibar and its contributors is general skin care information and should not be a substitute for obtaining medical advice from your physician and is not intended to diagnose or treat any specific medical problem.

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Partner Athletes Sevve Stember

Rock Climbing Season Opener: Granddad’s Bluff

By Sevve Stember, Rock Climbing Expert:

After a fantastic winter of skiing on fresh snow and training harder than past season, I was ready to focus on other things.  March saw me in my home climbing gym, Vertical Endeavors, logging a lot of time on the climbing wall to build endurance, which was definitely lacking.  Since I only climbed once/week this winter, I focused on building my power.  To do this, I primarily bouldered (climbing close to the ground with crash pads as protection instead of belay ropes) and I definitely saw gains from this focused training.  Spring was slow to come and each weekend in March I would get excited to go climbing outside, only to see temperatures below 30 or a wintery mix falling from the sky.  So when my partner in crime, Bobby, and I saw temperatures around 37 projected for Saturday, we couldn’t help but get super psyched.

Throughout the week we nervously checked the weather for La Crosse, WI where we hoped to go.  I shot another couple of friends texts to see if they wanted to join.  Most didn’t.  “You guys are crazy!   It’s going to be too cold.  What if it’s wet?” were some of the naysayer’s comments.  We knew better than to fear a little chill.

As Sean, Bobby, and I left Minneapolis around 7:30AM, Sean said, “I’ve finally found people that are as psyched as I am!”  Sean felt the energy in the car as it sprinted south.  Blue skies, red tail hawks, and open prairies greeted us along the way.

Once we arrived at Granddad’s Bluff, which sits above La Crosse, I kicked on my mukluks to navigate the snowy approach trail.  We walked up to the wall.  DRY!  Many comments about how smart and clever we were for getting outside followed.  After a short warm up, Sean and I talked about what to do next.

I had unfinished business from last season called Brown Reason to Live (5.12d).  Last season, on December 1st, I had figured out all the moves late in the day, but lacked the power to send (climb the route without falling or weighting the rope) the route.  Sean was going to try to flash (climb it first try, having never climbed the route before) the route so I had the task of hanging the quick draws from the protection bolts.  As I tied into the rope, Sean and I talked about the pros and cons of trying to send a route while hanging draws.  My past experiences lead me to never rule out sending while hanging draws.

Sevve Stember climbing Granddad's Bluff Sevve Stember climbing Granddad’s Bluff

Sean put me on belay and I climbed the opening moves, which I had virtually memorized.  The first part of the route does not tap into my power much and there’s a large rest after three bolts.  I shook out at “the shield” hold and gazed up at the first crux (hardest technical sequence of a route).  I moved quickly through the first crux, feeling strong and smooth.  Soon, I was staring the final protection bolt and final crux in the face.  I heard Sean give some encouragement below, which helped focus my efforts for the final moves.  My right hand made a long reach up to a thin pinch.  I hit the pinch, moved my left foot up, found the thin hold for my left hand, and hit the final jug (large hold) confidently with my right hand.  Clipping the anchors, I looked out over the beautiful spring landscape and took it all in.  Sending a route that you’ve put days of effort into is always a reminder to me that success takes hard work.  Good thing I didn’t rule out the send while hanging draws.

Sean made a valiant effort, nearly flashing the route.  Bobby worked super hard on his project Big Man on Campus (5.12a) and made some definite progress.  Next, Sean and I spent some time on The Man in Black Pajamas (5.13a).  We both did all the moves and felt like one more day on the route would be all we needed to send it.  Later in the day, some other friends of ours joined us, which made for some added fun and laughs.  A Midwest climbing icon, Dave Groth, even stopped by and told us some compelling tales about establishing first ascents in the 70’s.

As we drove home, we all felt tired, exerted, and satisfied.  We’d harnessed all of our pent-up energy and had a rewarding day.  The whole experience epitomized why I climb: meaningful interactions with friends, working to help each other succeed, spending time outside enjoying fresh air, and learning about myself through the lens of a challenging climbing objective.  The outdoor climbing season has opened and it couldn’t have been better.

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Inside Coolibar Sunscreens and Lotions

Don’t be fooled by sunscreen labels any longer!

This April Fools, we’re not fooling around – at least about sunscreen. Almost two years after the U.S. Food and Drug Administration (FDA) announced their new sunscreen labeling requirements (first announced June 14, 2011), we’re now seeing both small and large sunscreen vendors roll-out new labeling, packaging, and in some cases, improved products. These changes will allow consumers to better understand a sunscreen’s ability to protect against UVA and UVB sun damage, skin cancer and skin aging.

Our friends at the American Academy of Dermatology did an excellent job of outlining many of these changes:

Skin cancer prevention versus sunburn protection

On the label, you’ll see whether a sunscreen can:

– Help prevent skin cancer and sunburn.

– Only help prevent sunburn.

That’s thanks to new FDA testing requirements. For a label to claim that a sunscreen can help prevent skin cancer and sunburn, it will have to pass two tests.

1. The first test is the broad-spectrum test. This test shows whether a sunscreen can protect your skin from the sun’s UVA and UVB rays. Both rays can cause skin cancer.

2. The second test is the sun protection factor (SPF) test. This test shows how well a sunscreen protects you from sunburn. Like today, you’ll see the SPF as a number, such as SPF 30. All sunscreen must offer some SPF. The minimum is SPF 2.

New warning: For a sunscreen to carry the claim that it can prevent skin cancer and sunburn, it must offer both: 1) broad-spectrum coverage and 2) an SPF of 15 or higher. If the sunscreen does not offer both, the label will have to carry this warning:

“This product has been shown only to help prevent sunburn, not skin cancer or early skin aging.”

Water resistance

The FDA will ban companies from claiming that a sunscreen is “waterproof” or “sweat proof.” This is simply not possible.

You’ll now see the term “water resistant.” To make this claim, the product must pass another test. This test shows how long a sunscreen keeps its SPF when a person goes in the water or sweats. The label also must state how long the water resistance lasts, either 40 or 80 minutes.

New warning: If a sunscreen is not water resistant, the label must carry a warning. This warning will tell you to use a water-resistant sunscreen if you are likely to sweat or be in water.

Makeup and moisturizers

You’ll see the new claims on makeup and moisturizers, too — provided the product undergoes and passes the FDA tests.

Vanicream SPF 50+No ratings above SPF 50+

A proposed rule, if enforced, will limit the maximum SPF value on sunscreen labels to “50 +” because there is not sufficient data to show that products with SPF values higher than 50 provide greater protection for users than products with SPF values of 50.

All Coolibar sunscreen brands will be making changes to their packaging to be in compliance with new FDA guidelines.  For example, Vanicream SPF 60 will be replaced by Vanicream SPF 50+. If you have any specific questions about your favorite sunscreen brand sold on http://www.coolibar.com/, ‘Leave a reply’ below or comment at http://www.facebook.com/coolibar

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Parenting SunAWARE

Preventing A Pediatric Disease – Skin Cancer

Skin cancer is a preventable pediatric disease if sun protective habits start at an early age. Children spend more time outside than adults. As a result, most sun damage occurs before age 18. Chicago based Pediatric Sun Protection Foundation (PSPF) is educating children and families on the importance of sun protection – to end skin cancer one child at a time.

 “My children are in day camp all summer, and I wanted them to wear swim shirts daily,” said Founder of PSPF and Board Certified Dermatologist Amy Brodsky, M.D. “I thought if we could start a trend and have all campers wear them, my kids would not complain that they were the only ones,” she said of where the initial idea for the organization stemmed from.   

Amy Brodsky, MD Amy Brodsky, MD

Through PSPF, Dr. Brodsky shows other parents having your kid wear sun protective clothing is important for lifelong healthy skin. “You wouldn’t send your children out on a bicycle without a bike helmet, so why would you send them to camp and the swimming pool without a swim shirt,” said Dr. Brodsky.

Formed January 2012, PSPF has since created programs to promote sun protection awareness. PSPF’s website allows parents and children to adopt the practice of wearing sun protective clothing by providing information and accessibility to affordable sun protective products through partner vendors. A PSA campaign to promote the organization’s mission is also in the works.  “The next steps are to partner with clothing distributors and recruit a celebrity to create commercial and PSAs,” said Dr. Brodsky. “I also plan to talk via TV, radio and schools about our cause.  Our key message to parents is that skin cancer is a pediatric disease; and if sun protective habits start early, skin cancer can be prevented.”

June 2, 2013, PSPF will be at the Chicago Cubs game promoting Play Sun Smart with Major League Baseball and the American Academy of Dermatology.  For more information about the Pediatric Sun Protection Foundation and upcoming events visit http://www.pediatricspf.org/.

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Avoid UV & Seek Shade

#TanningIsOut: A Pledge for Teens

Spring break, prom, summer, all the reasons teens say they tan are around the corner. The Melanoma Foundation of New England is asking high school and college students to take the “no-tanning pledge” through their Your Skin Is In program. While the pledge contest portion is only for schools in New England states (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), the pledge can be taken by anyone.

Your Skin Is In started as an effort to help build awareness in teens, as well as the general puclic, that UV exposure from both sunlight and tanning beds is linked to skin cancer. Using a tanning booth once a month before the age of 35, increases your chance of getting melanoma by 75%. Melanoma is also the second most common cancer in teens and young adults ages 15-29.

The Melanoma Foundation of New England hopes teens hearing this will take the following actions:
If you’ve never tanned before – don’t.
If you currently tan – stop.

Share #tanningisout with your friends on Twitter.

Take the pledge: #TanningIsOut or enter your skin is in Your Skin Is In Student Challenge before April 26, 2013.

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SunAWARE

Coach Dunbar talks sunburn

NY Jets DL Coach Karl Dunbar takes skin care seriously, especially since he has vitiligo. As a coach, he helps his players not only understand how to become a great football player, but also how to take care of their skin and health. Since players spend a significant amount of time outdoors, we asked for his take on sunburn.

Is sunburn something you think about as a coach?

Yes sunburn is something I think of everyday since I’ve become aware of my skin condition – vitiligo.

What do you do when your players get sunburn?

Because our training staff does a great job of providing sunscreen and sun protective clothing for our players, it doesn’t happen very often.

Does sunburn happen often?

It happens sometimes when we play in Florida or Arizona early in the season, and games are at 1 p.m. In training camp we do a great job of practicing early or late in the day to avoid the Heat Index, when it’s high, and peak UV hours (between 10 a.m. and 4 p.m.).

Obviously with vitiligo, you think about sunburn.  Is sunburn a concern amongst your players with darker skin tones?

No, the players with darker skin don’t seem to care until their skin starts peeling. We’ve done a great job of educating them about ultra violet sun rays and what they can do to your skin over any period of time.

If you’re unfortunate enough to get sunburn, home treatment measures may provide some relief from a mild sunburn. WebMD recommends the following:

• Use cool cloths on sunburned areas.

• Take frequent cool showers or baths.

• Apply soothing lotions that contain aloe vera to sunburned areas.

• Drink plenty of fluids.

• Cover-up with a hat, clothes and sunscreen outdoors.

While you cannot reverse sun damage, be SunAWARE from that point on and make a conscious effort to protect yourself from UV.

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Partner Athletes Sevve Stember

Coolibar Athlete Sevve Stember: Climbing Expert

I started climbing shortly after I could walk, although I don’t remember much of it. My mom would turn her head for a brief moment while we ate breakfast in the house that doubled as my dad’s chiropractic clinic at our home in Minnesota. Before she knew it, I would mantel my way onto the kitchen table. Climbing was in my blood.

One of the first climbs I did outdoors is burned into my memory as one of those moments that changes your life forever. As I climbed Dance of the Sugar Plum Fairies at Shovel Point above the Great Lake Superior, I didn’t know it, but a whole new world had opened up to me – the vertical one. From that day onward, I would surround myself with climbing.

I learned from anyone I could and got on the rock as often as college would allow. The next three years would be a steady crescendo leading to an international expedition that was funded, in part, by a grant from the American Alpine Club to establish first ascents in Valle de Cochamo of the Andes Mountains.
After a successful expedition in Chile, where we established many new routes, some over 1000 feet tall, and climbed an unclimbed peak, I set my sights a little closer to home: Yosemite National Park. There I established an 800-foot aesthetic route on a granite point in Yosemite’s Wilderness.

Sevve Stember climbing Mr. Lean (5.11d) on the sea cliffs of Palisade Head in north eastern Minnesota

Since moving back to Minnesota, I have been focused on climbing shorter, harder routes. In this new endeavor, I have been successful in transforming myself as a climber and have developed a broader skill set. I’ve also learned to be ok with “failure” and think of it more so as a learning opportunity.

Climbing is inspiring to me because in order to improve at it, you must be really honest with yourself about your weaknesses. I love the mental side of climbing, the amazing places it takes me to, and the lessons that I learn from it that are often applicable in other aspects of my life. I care about sun protection because in order to do what I love outside, I must protect myself from the sun’s intense rays. Another reason skin care matters to me is because skin cancer is the most common form of cancer, so clearly as a society we need to work on prevention.

Outside of climbing, I am a science teacher, which is a really fantastic subject matter to teach because kids have a genuine interest in it. One of the best parts of my job is that I can use my strong connection with the natural world to inspire young minds. My wife and I also enjoy traveling, drinking coffee, cross-country skiing, and talking about the Norwegian Elk Hound that we hope to own soon.

– Sevve Stember

Andrea and Sevve Stember Andrea and Sevve Stember enjoy a bluebird day after completing the Buena Vista Snowjourn 12km freestyle ski race, just north of Bemidji, MN. Both stood on the podium; Sevve placed 2nd overall and Andrea won the women’s division.
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Coolibar Athletes

Coolibar Athlete Carol Philips: Women’s Pioneer of Surfing

I grew up in Hawaii on the North Shore of Oahu and have been surfing and bodyboarding every day since 1984. I started surfing because I fell in love with the ocean at an early age. It keeps me healthy and makes me feel free.

I was the first women to ever compete at the Pipeline and started the first ever women’s contest there back in 1990. I have for the past seven years run and own a surf school called the North Shore Surf Girls and live in the town of Haleiwa. I had a small role in the movie “Blue Crush” and modeled my surf school after the one in the movie. My favorite part of teaching surfing is teaching young children and people with special needs.

I’m of Irish descent and work in the sun daily for 6 hours at a time. I have always paid a lot of attention to protecting my skin from the sun as it’s important to me. Surfing is an amazing sport the only drawback is sun exposure, which is why I love Coolibar products.

Carol Philips

Carol Philips Surf School

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Coolibar Athletes

Coolibar Athlete Ally Loisel-Murray: Long-Distance Runner on a Mission

On April 22nd, I am running from Galveston, Texas to my hometown in Minnesota. My mission is prevention and Coolibar is helping to expand my awareness of leading a healthy lifestyle!

In 2008, I had a life threatening car accident, prior to my qualifying race for the Boston Marathon.  As a result, I suffered two strokes and three traumatic brain injuries. In addition, I trisected my left carotid artery. Born without a right carotid, I was left with a 5 percent chance of survival. After my experimental stent placement surgery, I was told I had a week, and then a month, then two months. Recently I had my fourth “new” birthday (October 10, 2012).

Every couple of months, I hear about people whose stents are rejected or recalled due to other complications. Just recently, I learned there is now a relationship between brain injury and brain cancer. I realized I needed help to raise awareness on so many levels, so I planned my approximately 1,200 mile run from Texas to Minnesota.

Besides being a marathoner, I was a commercial pilot. Currently, I am a wife to a husband, who thankfully,  is patient with my crazy life. We are a busy household of four as we have two amazing sled dogs. One raced a 350 mile Iditarod through the western states into Alaska. The other is a husky greyhound mix that failed at racing, but we love him anyway.

Ally Murray on Lake Superior in Duluth, MN

I am excited about Coolibar! I wear the Quarter Zip Long Sleeve Shirt and Long Sleeve Fitness Shirt over my winter heavy-duty workout clothes during training. They are flexible, breathable and have great length for both waist and arms, while protecting from the sun’s dangerous UV rays! I love the colors and styles and have received several compliments! Wearing Coolibar clothing brightens my workout and helps me adjust to the spring sun!

If you wish to follow my status once my run starts, visit my blog at www.allysmission.com

Ally Loisel-Murray

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Coolibar Athletes

Coolibar Athlete Gene Meade: Ultra Runner

My name is Gene Meade and I am a trail and ultra runner from North Carolina. I am also a fitness instructor and Vice President of the North Carolina Road Runners Club. I enjoy being outdoors, and in addition to running ultra races,  I enjoy cycling, hiking and mountain biking. In 2012, I competed in a Marathon, five 50K races, one 100K race, a 212 mile relay race and two 24 hour running events. Now, my 2013 goal is to run two one hundred mile races. I am running my first 100 miler in April.

I first got into running and cycling in the mid 80’s and then took a break in the mid 90’s to raise three daughters. I came back in 2008 and have not stopped since!

Being fair skinned, sun protection is very important to me. I also lost my brother-in-law to melanoma in 2009, which was a huge wake up call. Many of the clients I work with in the gym are focused on their bodies with regard to fitness and nutrition, but pay little attention to sun protection. I am looking to change that!

Gene Meade

Gene Meade Gene Meade
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