How to improve skin texture at home! (no in office treatments!)
Summary
TLDRIn this episode of Skin School, Dr. Amir Carum discusses the importance of skin texture for a youthful appearance. He explains how aging affects skin layers, leading to dullness and roughness. Dr. Carum recommends at-home exfoliation with enzymatic products like Caram MD's Polish for regular skin renewal. He also emphasizes the role of active ingredients like retinol, sun protection, hydration, and a healthy lifestyle in maintaining smooth, radiant skin.
Takeaways
- 👨⚕️ Dr. Amir Carum is a board-certified facial plastic surgeon and specializes in facial rejuvenation.
- 🌟 Skin texture is crucial for a youthful and healthy skin appearance.
- 🏠 Home treatments like microdermabrasion, chemical peels, and laser peels were traditionally done in medical settings but can now be done at home.
- 🍂 As we age, the skin's protective mechanisms diminish, leading to dull and rough skin.
- 🔬 The skin is composed of layers: stratum corneum, epidermis, and dermis, which change as we age.
- 🧪 Exfoliation is essential for removing dead skin cells and revealing a smoother, brighter layer of skin.
- 🏡 At-home exfoliation should be done regularly and safely, avoiding abrasive methods that can damage the skin.
- 🍋 Enzymatic exfoliation is a gentle and effective method suitable for regular at-home use.
- 💊 Active ingredients like retinol, vitamin C, nicomide, and hyaluronic acid improve skin texture and suppleness.
- ☀️ Sun protection is vital to prevent skin aging and maintain a youthful appearance.
- 💧 Hydration is key to maintaining skin texture and suppleness, with topical agents like hyaluronic acid helping to retain moisture.
- 🥗 A healthy diet and lifestyle, including proper hydration, sleep, and exercise, significantly impact skin health and appearance.
Q & A
What is the main focus of the video?
-The main focus of the video is to discuss skin texture, its importance to overall youthful and healthy looking skin, and the ways to improve skin texture at home.
Why is skin texture important for a youthful appearance?
-Skin texture is important for a youthful appearance because young-looking skin is smooth to touch, free of pigmentation, and reflects light well, similar to how light bounces off the skin in Renaissance paintings.
What changes occur in the skin as we age that affect its texture?
-As we age, the stratum corneum (the top layer of the skin) thickens due to more layers of dead skin, while the dermis (the layer below the epidermis) thins due to collagen loss and other structural changes.
What is the role of exfoliation in maintaining skin texture?
-Exfoliation is the process of removing the dead skin cells from the surface of the skin, which helps to reveal a smoother, brighter layer of epidermis and improves the skin's texture.
What are the three categories of at-home exfoliation methods mentioned in the video?
-The three categories of at-home exfoliation methods mentioned are abrasive exfoliation, chemical peels, and enzymatic exfoliation.
Why is enzymatic exfoliation considered safer than abrasive or chemical methods?
-Enzymatic exfoliation is considered safer because it uses enzymes to digest and break down the stratum corneum without causing physical abrasion or chemical damage to the skin.
What is the role of retinol in improving skin texture?
-Retinol improves skin texture by increasing cell turnover and functioning as a micro-exfoliator, similar to a chemical peel.
What is the Trifecta mentioned in the video and how does it help with skin texture?
-The Trifecta is a three-step system designed for anti-aging that includes a cleanser, a vitamin C product, and an all-in-one multi-active product called Illuminate. It helps with skin texture by unlocking and turning on genetic components to create healthier, more youthful skin.
Why is sun protection crucial for maintaining skin texture?
-Sun protection is crucial because sun exposure can speed up the aging process and degrade the skin, leading to a rougher texture and less suppleness.
How does hydration affect skin texture and what is the role of hyaluronic acid?
-Hydration is important for skin texture as it helps to keep the skin supple and smooth. Hyaluronic acid is a key component that acts like a sponge, attracting water and causing the skin to 'bloom' and become more supple.
What lifestyle factors can impact skin texture according to the video?
-Lifestyle factors such as diet, exercise, sleep, stress, alcohol intake, and smoking can all impact skin texture by affecting overall health and the skin's appearance.
Outlines
🌟 Skin Texture and Youthful Appearance
Dr. Amir Carum, a board-certified facial plastic surgeon, introduces the topic of skin texture and its importance for a youthful and healthy appearance. He explains that skin texture has traditionally been treated in medical settings with methods like microdermabrasion, chemical peels, and laser peels, which are often inconvenient and expensive. Dr. Carum aims to provide home-based solutions to improve skin texture as people age and their skin becomes dull and rough. He emphasizes the importance of skin reflecting light, comparing it to the idealistic images of youth and beauty in Renaissance paintings, where the skin is smooth and free of dullness. The doctor outlines the anatomical changes in the skin as it ages, including the thickening of the stratum corneum and the thinning of the dermis due to collagen loss.
🧪 Exfoliation and Skin Health
Dr. Carum discusses exfoliation as a means to remove the dead skin cells from the surface, revealing a fresh layer of epidermis and improving skin texture. He differentiates between abrasive exfoliation, which can be damaging to the skin, chemical peels that can cause burning and hyperpigmentation if misused, and enzymatic exfoliation, which is a safer and more effective method for regular at-home use. Enzymatic exfoliation uses enzymes to break down the stratum corneum without causing harm to the skin. The doctor highlights the benefits of using Caram D's enzymatic exfoliant, which is suitable for all skin types and can be used two to three times a week. He also mentions the importance of consistency in exfoliation for maintaining skin health.
🌞 Sun Protection and Skin Aging
The doctor stresses the importance of sun protection as one of the key factors in preventing skin aging. Sun exposure is a major external factor that accelerates the skin's aging process. He advises using a broad-spectrum sunscreen with mineral bases like zinc or titanium oxide and wearing protective clothing when outdoors. By doing so, one can prevent skin degradation, dehydration, and other aging effects. Dr. Carum also touches on the importance of maintaining overall health for better skin, including hydration, which is not just about water intake but also reducing water loss through the skin.
💧 Hydration, Diet, and Lifestyle for Skin Health
Dr. Carum talks about the role of hydration in maintaining skin health, emphasizing the use of topical agents like hyaluronic acid to enhance skin hydration. He also discusses the impact of diet and lifestyle on skin health, advocating for a healthy lifestyle that includes good nutrition, sufficient sleep, limited alcohol intake, no smoking, and regular exercise. All these factors contribute to overall health and are reflected in the skin's appearance. The doctor concludes by reiterating the importance of consistency in skincare routines and maintaining a healthy lifestyle for better skin texture and appearance.
📢 Final Thoughts on Skincare
In conclusion, Dr. Carum encourages viewers to prioritize their skin health by adopting a comprehensive skincare routine that includes sun protection, hydration, and a healthy lifestyle. He invites viewers to subscribe for more skincare knowledge, asks them to leave questions for further discussion, and suggests signing up for the CarMD Journal. The doctor expresses his passion for educating people about skincare and hopes viewers find the information beneficial.
Mindmap
Keywords
💡Facial Rejuvenation
💡Skin Texture
💡Microdermabrasion
💡Chemical Peels
💡Exfoliation
💡Stratum Corneum
💡Epidermis
💡Dermis
💡Enzymatic Exfoliation
💡Retinol
💡Hyaluronic Acid
💡Sun Protection
Highlights
Dr. Amir Carum specializes in facial rejuvenation, helping people look as young as they feel by improving skin texture and overall skin health.
Skin texture plays a crucial role in maintaining youthful and healthy-looking skin by reflecting light and staying smooth and soft.
Traditionally, skin texture improvements were achieved in-office through treatments like microdermabrasion, chemical peels, and laser peels, which can be inconvenient and expensive.
Aging leads to thicker layers of dead skin (stratum corneum) on the surface, making the skin dull, rough, and less reflective of light.
Exfoliation helps remove the buildup of dead skin layers, revealing a brighter and smoother layer beneath, similar to peeling an onion to reach a glistening fresh layer.
At-home exfoliation options include mechanical scrubs, chemical peels, and enzymatic exfoliation. Dr. Carum advocates for enzymatic exfoliation as it's safer for regular use and suitable for all skin types.
Retinol is a powerful active ingredient that promotes cell turnover and acts as a micro-exfoliator, improving skin texture and brightness over time.
A combination of retinol with vitamin C, niacinamide, and hyaluronic acid can synergistically enhance skin smoothness, brightness, and hydration.
Consistent use of exfoliation and active ingredients is key to maintaining healthy, youthful-looking skin.
Sun protection is essential for preventing premature skin aging, using broad-spectrum sunscreens and minimizing exposure to UV rays.
Hydration is not just about drinking water; topical agents like hyaluronic acid can help retain moisture and prevent transepidermal water loss, keeping skin supple.
A healthy lifestyle—adequate sleep, a diet rich in antioxidants, reducing alcohol intake, avoiding smoking, and regular exercise—has a significant positive impact on skin health.
Stress, poor sleep, and unhealthy habits can quickly make skin appear dull and tired, underscoring the importance of overall wellness for skin appearance.
Using products like 'polish' several times a week for enzymatic exfoliation helps maintain a smooth, radiant complexion without damaging the skin.
Dr. Carum emphasizes the importance of consistency in skincare routines for long-term improvements in skin texture and appearance.
Transcripts
hi everyone I'm Dr Amir carum board
certified facial plastic surgeon and
founder and creator of caram MD skin I
specialize in facial Rejuvenation which
basically means I help people look as
young as they feel and on today's
episode of skin School we're going to
talk about skin texture and why skin
texture is so important to an overall
youthful and healthy looking skin but
also what you can do at home to improve
your skin texture it's very important
because up until recently I would say
for the most part skin texture is
something that was mostly handled in an
office setting in a you know Medical Spa
Medical Practice Etc using things like
microdermabrasion chemical peels laser
peels Etc really at the end of the day
those are very inconvenient and often
expensive things to do on a regular
basis and for people who are finding
their skin becoming dull and rough to
the touch which is primarily something
that as we age becomes more of a problem
we find ourselves at a loss what can we
do what should we do Etc so I'm going to
give you guys some important at home
type of things that will ultimately help
your skin stay smooth be beautiful from
a light Reflection Point of View because
that's really at the end of the day what
skin that is free of the dullness and
free of that roughness does is it
reflects light I always think about the
Renaissance paintings right the light on
the skin just bounces off the skin looks
super soft if you I mean if you were to
imagine touching it it feel like a
baby's you know skin and what they're
showing and depicting in those
idealistic images of Youth and beauty is
beautiful skin that is smooth and free
of any kind of dullness so let's break
it up and understand why that happens to
skin as it
ages youngl looking skin is very simple
to identify it is free of pigmentation
it is smooth to touch it is Supple it
kind of looks thick in other words and
ultimately when you look at it it looks
like it's reflecting light you know
Luminosity right it has that quality to
it so what ends up happening as we
mature and age is all the protective
mechanisms that go into keeping the skin
looking young begin slowly but surely
diminishing and what you're left with is
skin that anatomically looks different
when it's older versus younger so let's
let's understand this a little bit
better the skin is made up of layers the
top layer is a stratum corneum it's
basically made of a sheet of essentially
dead skin right there's no viability or
or cellular function in that level then
below that you have the epidermis then
below that you have the dermis and of
course there's like you know
subcategories of each of these now when
you're young the stratum corium is very
thin and then you've got your epidermis
and a thick dermis as we age the
epidermis and specifically the stratum
corium begins to thicken as more and
more layers of of dead skin start to lay
on top of one another almost like peels
of an onion and then the dermis begins
to thin just because of collagen loss
and all the other you know structural
changes that happen to elastin and
everything else so the dermis thins the
epidermis technically it's bigger as the
stratum corium builds more and more
layers of dead tissue and then when you
look at that tissue under a microscope
for example you'll see this this
anatomic finding but what is important
about that is that that layer of dead
tissue and you know dead layers of skin
on that stratum corneum that is what
causes the skin to be rough to touch as
well as nonreflective from a light point
of view again look at the onion that top
layer of that kind of dull looking
layers and you peel peel peel and then
you get down to the glistening layer of
that fresh onion layer that's the skin
difference between young and old and
exfoliation is the physical act of
peeling away all that dead stuff off the
surface of the skin exposing that bright
layer of epidermis with a thinner
stratum corium so the skin looks bright
and reflective and then when you touch
it it feels smooth okay so these are
things that are related to texture and
this is kind of the underlying reason
why texture becomes an issue and those
things that I mentioned that you can do
in the office is literally physically
effectively sanding that layer off
microdermabrasion uses mechanical laser
uses light chemical peel uses chemicals
and what that's doing is just taking one
layer at a time down until you get down
to that that fresh layer again here's
the logical approach to this thing if
you're wanting to do this at
home exfoliation in the home setting can
be a little tricky because you basically
have three categories to deal with and
two of them are the more common one is
an abrasive category where you're using
you know particles or beads bamboo even
to basically scrub the skin and
exfoliate the skin problem with
scrubbing and exfol that way is it it
tends to damage the skin it's it's rough
on the skin I mean the physical abrasion
is not a is not a good thing to do
especially regularly like when you go in
to have a microdermabrasion or laser or
something like that you're doing it
every once in a while you're doing it
maybe every you know six weeks or every
eight weeks or whatever it is you're not
doing it on a regular basis at home so
when you're doing stuff like that at
home on a regular basis you almost have
to do it regular because it's not like
as effective as those other treatments
but if you keep you know being rough on
your skin the skin is going to have
Micro tears and it's going to have
dryness and it's going to have all sorts
of things that are not healthy for the
skin in general chemical peels have been
used at home as well problem with
chemical peels at home is that some
people will get overzealous with it and
use too much of it then you run into
problems with like burning your skin and
and having hyperpigmentation and all
these other things that can happen with
with using a product that layer upon
layer of the chemical peel can actually
make it more potent all right so the
next category is enzymatic exfoliation
and that's the category that we chose a
caram D to actually get behind because
enzymatic just means you're putting an
enzyme on the skin and allowing the
enzyme to basically digest and break
down the stratum corneum and those
layers because it's not a chemical peel
and because it's not you know a
mechanical abrasion it's very safe to do
on your skin two or three times a week
and it's good for all different skin
types and this is basically what polish
looks like and as you can see here it's
basically like a a powder excuse me I'm
going to open here it's basically like a
like a powder
and the powder you put on with a little
bit of water and it activates the
product and it creates this this pace
that once you put it onto your skin it
just literally just does its thing so
you leave it on for 2 or 3 minutes it's
actually been a very very powerful
addition to our trical line because for
more mature skin needing that extra bit
of exfoliation is extremely important
and with exfoliation at home consistency
is again the key just like it is for
everything else you want to do it on a
regular basis because when you're not
doing it your skin is building up those
layers over and over again and the more
you do it on a regular basis it just
keeps keeping this down as well as you
know chisling away at the level of the
stratum corneum very very
important the next layer number two of
what you want to do at home is you want
to be on active ingredients that are
going to improve cell turnover and
functionally add to some exfoliation
probably the most powerful active in
that category is retinol what retinol
will do is number one improv cell
turnover number two it also functions as
a micro exfoliator almost like a
chemical peel so when you're on retinol
in general you'll find that over time
slowly but surely the texture of the
skin improves the brightness of the skin
improves now if you want to get Synergy
on top of that you add vitamin C you add
nicomide you add hyaluronic acids all
these things to increase suppleness and
improve because skin that's kind of
dehydrated isn't going to be very bright
so there's a lot of things that you're
doing to improve that overall look of
the skin and especially important if
you're going to use a product like
polish to exfoliate you want to decrease
the production of these dead layers you
want to create a more healthy and
Youthful skin physiology and actives do
exactly that they're basically
upregulating the genes that you had when
you were younger they were working at a
higher work rate when you're younger and
then they start to Peter out when you
get a b a little bit older so things
like collagen elastin and all these
other important things start to work
less when you get older and with these
actives you're increasing them so for
example the trifecta which I designed
specifically for anti-aging was to
basically unlock and turn on all those
genetic components and take advantage of
what we had currently available in terms
of molecular technology to get these
skin cells to start doing what what they
did when they were younger that's really
really important for those of you who
don't know what trifect is real quick
it's a three-step system it's rinse
which is a cleanser a vitamin C and then
a all-in-one multi-active uh product
called illuminate so those are the
things and if you don't get them as part
of the trifecta you want to get them as
a separate combination and that in of
itself is going to be a huge aspect for
long-term exfoliation and control
the next category is foundational to
skin and that's sun protection it's
amazing the impact sun has on skin aging
it's probably one of the most important
external factors right and we talk about
our internal biology turning things down
but you really impact and speed up that
process with exposure to Sun so sun
protection is extremely extremely
important and that means using a
broadspectrum sun block something that
is mineral based like zinc or titanium
oxide and using you know protective Sun
clothing Etc when you're going to be out
in Sun and when you do all that you're
basically getting less degradation less
dehydration less things that make your
skin older and as a result ultimately
keep your skin looking younger and
remember at the end of the day skin is
an organ skin is just a part of us so
all the things that we want to do to
keep our bodies healthy are equally
important for our skin so which leads us
to number four
and that is hydration hydration it's an
interesting thing because it's not just
about how much water we consume it's
also about how much water we lose
because our skin causes water loss to
happen through transepidermal remember
the epidermis is the top layer of this
transepidermal water loss and it
specifically it happens overnight so
what ends up happening to the skin is is
you drink a lot of water and then you
lose a bunch overnight your skin still
looks kind of dehydrated so it's
important to use topical agents that are
going to enhance hydration and one of
the key components to that is basically
hyaluronic acid which functions as a as
a sponge so topical hyaluronic acid is
very important it happens also to be
inside illuminate and the trifecta and
what it does is once it gets into the
skin it attracts water and it causes the
skin to to Bloon up and become more
Supple Additionally you want to decrease
transepidermal water loss a lot of the
topicals that I just mentioned help with
that including retinol and NY cinnamide
but also we took it one step further
with enrich which is basically a barrier
bomb that keeps epidermal water from
being lost and keeps the skin hydrated
over time because again at the end of
the day when skin becomes dehydrated it
becomes not as Supple and therefore it's
going to be rough again the texture is
not going to be as as smooth as skin
that is kind of ballooned up and and
filled with hydration and that's an
important aspect of even in this
situation where you take the top layers
off if the skin dehydrates it's not
going to look as as Supple and you know
sort of youthful as it would if it has
that so that's a very very important
component of
it and number five it's diet and
lifestyle it's hard to emphasize the
importance of diet and lifestyle enough
because I think people don't always
recognize the skin as literally just an
extension of every other organ or
whatever just happens to be on the
outside so if you are healthy and you're
living a healthy lifestyle you're
drinking lots of water eating you know
good foods Whole Foods filled with
antioxidants filled with vitamins you
know very little sugar not a lot of
processing you're getting plenty of
sleep you're decreasing your your
alcohol intake you're not smoking all of
these things that fundamentally make you
healthier are going to make your skin
look better it's just simple as that so
at the end of the day just recognize
that your health is going to be
reflected on your skin there's things
obviously all the things that I just
mentioned are going to be done to
enhance that but as like a foundational
level you want to do things that are
going to be just all around healthy for
you so that your skin looks as healthy
as they possibly can and man it's it's
incredible just like one or two nights
of bad sleep how dull the skin looks I
mean we've all seen that a night of
drinking you wake up the next day it's
dehydrated the skin looks impacted by it
definitely like stress is another one of
those things that me can definitely make
us look you know tired and has effects
on our skin all of these things are very
very powerful important even exercise we
just did an entire Journal article on
our CarMD Journal U newsletter that
talks about the impact exercise makes on
skin blood flow collagen production all
around so I would say all of these
things that I just mentioned here are
incredibly important all of them are
hacks to improve skin texture and make
skin look and feel young and I would say
all of them are equally important I I
don't think there's one of Greater
importance than the other and when
you're trying to make your skin a
priority you want to address every
aspect of it at the same time as you
possibly can that's what I found you
know with my wife with myself you know I
don't do the in-office treatments uh my
wife doesn't do any chemical peels or
laser peels or any of that type of thing
literally just this is our routine it's
sun protection Trifecta really good
lifestyle I mean the diet exercise sleep
lack of stress you know not smoking
limited alcohol Etc all that is uh is
definitely in Play We both use polish
you know several times a week and at the
end of the day remain consistent with
this process remain consistent and that
is the key and if you do these things
your skin will look better and better
and better as the months and years go on
and I can't emphasize that enough folks
I hope uh that puts texture in
perspective we all want that you know
Renaissance looking skin bright light
reflected Supple beautiful youthful
which shows our health and our Beauty as
much as possible so do these things
stick with it share these tips with some
friends and family if you enjoyed this
video and you're not already a
subscriber make sure you hit subscribe
if you have any questions drop them
below I do my best to answer as many of
them as I possibly can and uh sign up
for that CarMD Journal as well it's
really good way of getting knowledge and
empowerment just like these videos and
try to help you make good decisions
going forward and stay on the line so
you can get the next video that's up so
um you can have a look but if there's
other topics that you're interested in
scroll through the uh playlist I'm sure
you're going to find something that uh
will benefit you and will help you learn
more about your skin as well as your
facial aging this is my passion this is
my mission I hope you all enjoyed it
thank you so much Dr Amir Kum
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