Baby your skin Work, school and relationship demands can make it tough for active 20-somethings to spend a lot of time and effort on skin care. We asked top dermatologists to tell us what women in their 20s can do to keep their skin fresh and fabulous for years to come. Eat right "It's true that you are what you eat — and your diet can make its way to your skin," says leading dermatologis "The work/life balance for 20-somethings can be erratic, and some turn to fast-food diets for a quick, inexpensive meal." Instead of loading up on unhealthy grease, Murad suggests incorporating more natural fats like nuts, olive oils and seeds into your diet. These healthy fats promote glowing skin, strong hair and nails while naturally lowering triglyceride and LDL cholesterol levels that can affect your health later in life. "The skin is the body's largest organ. Just as your brain and heart need sleep to recharge and reboot, so does your skin." Wear sunscreen daily Protect your skin from the dangerous and damage-causing sun's rays by limiting sun exposure. Beverly Hills dermatologisrecommends wearing a full-spectrum UVA/UVB sun protection with a minimum SPF 15 or 30 at all times, year round. Think you're safe to skip sunscreen on a cloudy day? Think again. "Even on cloudy days, 80 percent of the sun's UV rays come through," explains Kaplan. Murad says sun protection is sometimes sacrificed by women because they want to avoid using too much product on the face. "Simply choose a moisturizer that already contains SPF, or mix a sun protector with liquid makeup for a two-in-one product," he suggests. "Sun damage is cumulative and shows up later as signs of aging, or in worst- case scenarios, as skin cancer." Get some z's It may seem like there just aren't enough hours in the day. The problem is, when you run a sleep deficit, your skin pays the price. "Get your beauty sleep," advises Kaplan. "The skin is the body's largest organ. Just as your brain and heart need sleep to recharge and reboot, so does your skin." Take care of your eyes One of the first areas to show aging is the eye area. "The skin around our eyes is thin, delicate and particularly vulnerable to environmental assaults," sayassistant clinical professor at Yale University School of Medicine. "Late nights and a busy lifestyle can cause capillaries to become leaky," she explains. "The dark circles underneath the eyes are the result of the vascular pooling of deoxygenated blood peeking through the eye's super-thin skin." So what can you do? Alexiades-Armenakas recommends using a good eye cream containing caffeine, coffee seed extract, yerba mate tea extracts or chamomile to help constrict lymphatics and veins and to lighten dark circles. Protect your neck and chest It's easy to forget to take care of the delicate skin on your neck and chest, sayboard-certified dermatologist, founder of Art of Dermatology and assistant clinical professor of dermatology at SUNY Downstate Medical Center in New York City. Krant reminds women, "Put the same moisturizer on the sides of your neck and chest that you use on your face. You will thank yourself later, since the sun hits here hard, and the neck and chest skin doesn't protect itself as well as the face." Expert Tip f Esthetics Center for Dermatology in Charlotte, North Carolina, says, "Clean your phone handset and your cell phone periodically. Bacteria and germs can accumulate there and cause blemishes, because you hold these devices so close to your face." 40 and fabulous You may feel like a kid on the inside, but when you hit 40, your skin might tell a different story. We asked leading dermatologists to share their favorite skin-saving secrets for women in their 40s. Moisturizers Hopefully, by the time you reach your 40s a daily moisturizer has become a no-brainer. Just make sure it's not the same moisturizer you were using in your 20s. "Increase the thickness and richness of the moisturizers you use," saya board-certified dermatologist, founder of Art of Dermatology and assistant clinical professor of dermatology at SUNY Downstate Medical Center in New York City. "As we get older, the skin does a poorer job of maintaining its own moisture level, so dryness can set in before we realize it, making fine lines look worse than they really are." Krant says you shouldn't be afraid to use a thicker cream as long as it's made for the face. She explains that a facial moisturizer is highly unlikely to cause a breakout as long as it doesn't contain too many hidden irritating antiaging ingredients, such as vitamin C, retinol or glycolic acid. Make sure your moisturizer includes broad-spectrum sunscreen with SPF 30. "Now's not the time to give up on it!" Retinoids "Now is the time to start a very sparing amount of bedtime retinoid (vitamin A-derivative) cream," says Krant. She recommends you either start with over-the-counter retinol, which can be "plenty strong" and help with fine lines and dullness, or see a dermatologist for tretinoin, the prescription-only cream that is the only FDA-approved antiwrinkle cream in the world. "All other cosmeceutical creams may work," says Krant, "but have not been vetted by the FDA, so we're always trying to guess whether they
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CENTRAL RETINAL VEIN OCCLUSION AFTER SILDENAFIL CITRATE (VIAGRA) USE Bassam Nawaiseh, MD*, Ahmed Shobaki MD*, Ahmad Hassouneh, MD*, Issam Bataineh, MD*, Mohamed Al-Jaar, MD* This is a report of a 31-year old male patient who presented with poor vision of his left eye of one-week duration after the use of two tablets of Sildenafil citrate (Viagra) approximately 24 hours before a