Resources
October 18th, 2021 by Dr. Hannah Sivak
Keloids are benign tumors of the skin caused by faulty healing. They are not dangerous (cancerous) but they can still make life miserable for the person who suffers from this healing disorder. A keloid originates in local trauma and it’s a growth that extends beyond the scar’s boundary. There are at least two distinct keloid types: the superficial-spreading/flat keloids and the bulging/raised keloids. This is one of the many skin problems that are treated without a good understanding of what causes them, an approach that leads to bad results. What we do know is that wound healing is a complex process and that many things can go wrong with the…
September 23rd, 2021 by Dr. Hannah Sivak
What does it take to advertise a new “esthetic” procedure? Nothing. Just a name. And a long disclosure form for you to sign. “CoolSculpting” , a.k.a. cryolipolysis, consists in freezing parts of your body you may thing are too “bulgy”. Diet and exercise would take months to make a difference so, why not just kill the tissue by freezing it. Because the dead cells will not simply evaporate. The body may respond to the stress in some unexpected ways. This is not just for women but also for males. Remember that rare (is 1% rare?) may be you. Statistics are us. References Andreas Nikolis, MD, MSc, FRCSC, Kaitlyn M…
September 23rd, 2021 by Dr. Hannah Sivak
You may assume that a prescription medicine is the best for your condition, and you may be right in some cases. But just like taking an antibiotic may be a bad idea when you have a cold, so could be using a “strong” medicine for a skin condition. A steroid cream used long-term will make your skin thinner and give you “steroid acne”. And a prescription medicine used to treat rheumatoid arthritis may be a bit too much treatment for a skin condition. Recently, the FDA has approved the prescription drug Ruxolitinib as a medication for the treatment of eczema. Does this mean you should go for it? Let’s look…
September 11th, 2021 by Dr. Hannah Sivak
…and that oral antibiotics work on too slowly (for an inpatient grandmother)? …and that adapalene doesn’t seem to alleviate? Try Skin Actives Zit Ender! It makes me happy that my grandson now thinks that I am a genius. Eventually he will realize that I’m not, but in the meantime it feels great. What’s in SAS Zit Ender? Sea Kelp (Lactobacillus/Kelp Ferment Filtrate) Bioferment, Salix Alba (White Willow) Bark Extract, Water, Camellia Sinensis (Green Tea) Epigallocatechin Gallate, Kaempferia Galanga (Galangal) Root Extract, Oleanolic Acid, Zinc PCA, Dipotassium Glycyrrhizate (Licorice Extract), Aloe Barbadensis (Aloe Vera) Leaf Extract, Galactoarabinan, Fucoidan, Beta Glucan (Yeast), Beta Glucan (Oat), Opuntia Ficus Indica (Prickly Pear) Extract, Pyrus…
August 28th, 2021 by Dr. Hannah Sivak
There is an advantage to oily skin: it seems to age more slowly than dry skin. Myth: Moisturizers Make Acne Worse in Patients With Oily Skin Not true: moisturizers can help with retinoid or salicylic acid treatments, alleviate dryness, and make the skin feel more comfortable. Moisturizers for oily skin Oily skin may need moisturizing; just make sure that you use the right products and don’t add “bad” oils to already oily skin. A light moisturizer can also help protect your skin after washing and make-up for a “breached” skin barrier. Go for a lotion rather than a cream. Lotions are a water/oil emulsion and contain more water than creams…
July 21st, 2021 by Dr. Hannah Sivak
Yes, but with difficulty. At present there is no magic cure; the best that can be hoped for is to control it and there are several tools available. Let’s look at them. What you see in vitiligo: milky-white spots in an otherwise normally pigmented skin. What we know Melanocytes are absent in the stratum basale of areas affected by vitiligo. The causes of vitiligo are only partially understood: autoimmune mechanisms, oxidative stress, and viruses may contribute to it. At present, there is no cure for vitiligo. Children and young adults may need counseling to prepare them for an extended fight to control vitiligo. There is a genetic component to vitiligo,…
June 9th, 2021 by Dr. Hannah Sivak
What happens when you drop some oil on water? The molecules in the oil form a very thin layer at the top and that’s it. They are not going anywhere. What is my answer to itchy, sensitive skin? I prepare a bath with warm (but not hot) water, drop some Nourishing skin serum with hemp extract in it, and then I go in. The thin layer of nourishing lipids that my skin needs so badly transfers instantly to every square inch of my body, much more efficiently than if I try to apply it patiently (I have no patience). The myriad itches go away and my skin looks great. A…
June 6th, 2021 by Dr. Hannah Sivak
From modern Latin therapia, from Greek therapeia ‘healing’, from therapeuein ‘minister to, treat medically’. It makes me mad, and it should make you mad too, that so many so-called therapies are experimental, unproven ways to modify your body without any guarantee of success or, worse, with a guarantee of failure. Too many “therapies” come from an idea that somebody dreamed of and then started applying on Guinea pigs without any kind of proper testing. Many of the diets you see becoming hits and the subject of books have not been tested. Hormone replacement “therapy” was born as a “common sense” hypothesis: top up missing hormones and you will get eternal…
April 18th, 2021 by Dr. Hannah Sivak
I don’t know of any papers that address this issue in skincare. But we know that microbes can adapt to the environment and even mutate, giving us bacteria that become resistant to antibiotics. I also know that even if products stay the same, the skin doesn’t. You may think that your kin has become “resistant” to an ingredient used to decrease sebum secretion, while what actually happened is that your skin has changed in response to the hormonal cycle. A product may have been bad for you from the start, and your skin may be responding to a constant change in acidity. Frequent peels will decrease the efficacy of the…
April 18th, 2021 by Dr. Hannah Sivak
We ignore the menstrual cycle at our own peril because it matters. Acne is common in postadolescent women, and an increase in lesions may be noted in the last 7-10 days of the menstrual cycle. Why? Changing hormones across the menstrual cycle produces measurable variations in immune function and susceptibility to disease. The skin and scalp have estrogen and progesterone receptors in both the dermis and epidermis. Levels of estrogen and progesterone fluctuate during the cycle and influence numerous characteristics of the epidermis, including lipid secretion and sebum production, skin thickness, fat deposition, skin hydration, and barrier function. Dermal collagen content, which contributes to skin elasticity is also affected. Estrogen…
August 19th, 2020 by Dr. Hannah Sivak
1. You are writing a detective book. 2. You wish to poison an enemy (Lieutenant Columbo will get you!) 3. You want to kill cancer cells (and the cancer patient) 4. To kill a virus, but you are likely to be killed before the virus is 5. You believe the mypillow guy and all the crackpots out there (but not the scientists and the MDs!)
August 3rd, 2020 by Dr. Hannah Sivak
Whether you are 13 or 31 you still have to think long-term: your skin will be the barrier to protect you from the environment for the rest of your life (which I hope it will be long and happy). Because you have to think long term, you have to be careful when you buy an anti-acne product. Why? Because many companies don’t think long term about your skin when they formulate their products. Many companies only think of making money fast and their interests are unlikely to fit with yours. What should be your objective? To control acne without damaging your skin or aging it prematurely. And yet, many ingredients…
July 16th, 2020 by Dr. Hannah Sivak
What’s special about eyebrows? They grow slowly. Not so special: they can die. Teenagers eager for some sort of control on their bodies often go for eyebrows, not knowing (or caring) that they can lose them, actually losing all control! On top of innocent-looking tweezers, now there is also lasers, offered by medical looking facilities that will make you sign documents with really small text where you promise not to sue them if …(here a long list of complications). Fashions come and go, but if you keep plucking your eyebrows you will not get them back. Just like the scalp can stop making hairs, so your skin can stop making…
July 12th, 2020 by Dr. Hannah Sivak
That suntan that used to be fashionable (and still is in some circles) is a signal that the UV in the sunlight has damaged your DNA. Nothing to celebrate, right? Ultraviolet light is classified into three categories: UVA (315 to 400 nm), which causes tanning, UVB (medium wave, 280 to 315 nm), which causes sunburn, and UVC (short wave, germicidal, 100 to 280 nm), which is filtered out by the atmosphere and does not reach us. Incidentally, the ozone (O3) layer of the atmosphere absorbs 97–99% of the UV in the range 200 nm to 315 nm, which is why the destruction of the ozone layer by some chemicals is…
July 5th, 2020 by Dr. Hannah Sivak
Filaggrin (filament aggregating protein) plays an essential role in the organization of keratin filaments and the development of the cornified layer (stratum cornueum) of the skin, which is an essential part of the skin barrier to epidermal water loss and to the entry of microbes and noxious substances. (There are some strange aspects to filaggrin, which point to influence beyond the skin. For example, filaggrin mutations are associated with asthma.) Figure: skin layers Dermatitis, a.k.a. eczema is the almost normal state of the skin in which the skin feels tight, itchy, even painful at times. You will see swelling, and the lesions may eventually lead to scarring. Is filaggrin involved…
June 27th, 2020 by Dr. Hannah Sivak
As we age, crucial DNA mutations accumulate in our cells, and the mechanisms that regulate cell division fail. Out of control cell division plays havoc with our bodies: it’s called cancer. As the general population ages, the incidence of cancer increases. Science had progressed enormously in the understanding and treatment of cancer, and some amazingly sophisticated therapies do exist forme some specific types of cancer. For many other types of cancer, a big part of the treatment involves removing and killing cancerous cells. Thus, surgery to remove cancerous tumors is often followed by radiation therapy. In addition to dealing with sutures still healing, the patients (us) have to contend with…
June 15th, 2020 by Dr. Hannah Sivak
Published scientific research, like any piece of writing, is a peculiar literary genre. By Carl Zimmer June 1, 2020 A lot of people are reading scientific papers for the first time these days, hoping to make sense of the coronavirus pandemic. If you’re one of them, be advised the scientific paper is a peculiar literary genre that can take some getting used to. And also bear in mind that these are not typical times for scientific publishing. It is hard to think of another moment in history when so many scientists turned their attention to one subject with such speed. In mid-January, scientific papers began trickling out with the first…
June 14th, 2020 by Dr. Hannah Sivak
Let America Be America AgainLangston Hughes – 1902-1967 Let America be America again.Let it be the dream it used to be.Let it be the pioneer on the plainSeeking a home where he himself is free. (America never was America to me.) Let America be the dream the dreamers dreamed—Let it be that great strong land of loveWhere never kings connive nor tyrants schemeThat any man be crushed by one above. (It never was America to me.) O, let my land be a land where LibertyIs crowned with no false patriotic wreath,But opportunity is real, and life is free,Equality is in the air we breathe. (There’s never been equality for me,Nor…
June 13th, 2020 by Dr. Hannah Sivak
When you look at statistics, please remember that they are built on people like you and me. If the number of hospitalized Covid 19 patients is increasing in the intensive care units of your State’s hospitals, it is because people like you and I caught the virus. The virus is still here and it came to stay until it goes away, which may be in a few years or never. Please be careful and weigh the importance of the activity you are going to do today against the certainty that the virus is around. Wear a mask and try to maintain social distance. By now, we do know that facial…
June 12th, 2020 by Dr. Hannah Sivak
We Still Go Back and Read Darwin’ Scientist David Baltimore, 82 It’s like a bad dream come true. I started off as a virologist, have read a lot about the influenza epidemic of 1918–19, and I’ve always felt a wonderment that it doesn’t happen more frequently. There are so many viruses out there in the world. Between my junior and senior years of high school, I did a visit at a mouse-research laboratory in Bar Harbor, Maine. It was on a whim, a suggestion of my mother’s. What I discovered over that summer was that the forefronts of research were available to me. I could work on a problem that…