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SKIN TYPE VI
Characteristics
Dark skin color
People with this skin type are generally African descent
Chronic sun exposure leads to uneven skin tone and pigmentation
Skin cancer is not common in this skin type. However, a very virulent variant of Melanoma, namely, Acral lentiginous melanoma is more common. These melanomas appear on parts of the body which are generally not exposed to the sun. These are therefore generally not detected until the cancer is spread. A regular head to toe checkup is essential. Careful attention should be paid to any suspicious growths on palms, feet and mucous membrane.
Reacts severely to common conditions such as acne, eczema, dermatitis, psoriasis and seborrheic-dermatitis (dandruff)
Pigmentation, uneven lightening or darkening, hypo-pigmentation after a burn or injury and post inflammatory hyper-pigmentation are common
Large scars are associated with any damage to this skin type
 
Best skin practices
Avoid sun to minimize damage
Especially, avoid sun during the peak hours, that is, 10 am to 4 pm
Use a high SPF 15 to 30 sunscreen every day
Always seek shade. When in sun, use SPF 50 sunscreen. Apply once every 2 hours
Take extreme care to avoid UV rays by using sunscreen
Always wear sunglasses, brimmed hats and other protective gear
Use titanium dioxide or zinc oxide to protect against both UVA and UVB rays
Use oral supplements such as Polypodium leucotomas and Pycnogenol to protect against the damaging effects of sun exposure and to prevent skin cancer
Pigmentation can be stubborn and long lasting. The challenge lies in fading the dark spots without scarring. Conventional fading creams do not de-pigment perfectly and many carry side effects. Hydroquinone along with topical de-pigmenting agents such as Oligopeptide34, Oligopeptide51, Oligopeptide53 and Pentapeptide15 can be tried. If this is of no use, a laser procedure with long pulsed Nd YAG proves beneficial.
Signs of ageing such as wrinkles can be combated with growth factors, peptides and PHAs which improve collagen that effectively reduces wrinkles
Clean skin twice a day. Use a cleanser that does not contain sulphate. If you have oily skin, or acne prone skin, use a cleanser containing salicylic acid
Do not over-cleanse or use harsh ingredients.
Use products designed for your skin type: normal, dry, oily, sensitive etc
If you have dry skin, apply moisturizer
Exfoliate, if need be. Use gentle exfoliating acids to remove dull and dead cells
 
Suitable aesthetic treatments
Most aesthetic treatments can be safely done on this type without side effects, provided that it is done by experts. Inflammation generally follows in people of this skin type. Hence, pre-treatment of skin is necessary before any treatment such as laser or chemical peel to avoid hyper-pigmentation or hypo-pigmentation. Nd YAG treatment may be considered as the risks are weighed against potential benefits.
Other factors to be considered are age, area of skin being treated, history of sun exposures, and level of skin damage and treatment goal. Skin discoloration, reduction of fine lines and reduction in wrinkles are generally the treatment goals.
Non-ablative laser treatment such as with Nd YAG can improve the texture of the skin and reduces the uneven skin tone without damaging. This treatment has fewer side effects.
In general this skin type has medium risk for problems such as burns, scarring, lightening or darkening of the skin, blotchiness and skin discoloration.
The following treatments can be performed
Botox and fillers
Microdermabrasion
All chemical peels
Laser treatments
Radio frequency treatments
Mesotherapy, and
Derma roller skin needling
 
If your diet is deficient in nutrients, the following topical applications may be considered:
Vitamin C for healthier skin and pigmentation problems
Vitamin E against sun damage
Alpha Lipoic acid for healthy glow
Green tea extracts in cases of mild acne, inflammation, and irritation of skin
Aloe Vera in cases of oily skin, rosacea and eczema
Rosemary extracts to soothe the skin
 
Humectants attract water to the skin cells and cause them glow. The following humectants may be used
Colloidal oatmeal
Glycerides
Glycerine
Hyaluronic acid
Propylene glycol
Sodium hyaluronate
Sorbitol urea
 
Emollients add lubrication to the surface and prevent evaporation. The following emollients may be used
Avocado
Acai
Coconut
Olive oil
Mango
Passion fruit
Rosehip oil
Evening primrose oil
GLA
Squalane
 
Occlusives form a barrier on the skin’s surface slowing down the rate of loss of water. The following may be used
Beeswax
Ceramides
Cetyl alcohol
Dimethicone
Grape seed oil
Lecithin
 
The following are some other skin ingredients which can be used to hydrate and moisturize the skin
Aloe Vera
Apricot kernel oil
Borage seed oil
Canola oil
Jojoba oil
Macadamia nut oil
Safflower oil
 
Ingredients to be avoided
In case of pigmentation, products with the following ingredients need to be avoided
Black cohosh
Chaste berry
Genistein
Hops
Oestradiol
Oestrogen
Wild yams
 
In the case of Acne, products with the following ingredients need to be avoided
Butyl stearate
Cinnamon oil
Cocoa butter
Cocus nucifera
Decyl oleate
Isocetyl stearate
Isopropyl isostearate
Isopropyl myristate
Octyl plamitate
Octyl stearate
Peppermint oil
 
In case of Redness and Rosacea, products with the following ingredients need to be avoided
Acetic acid
AHAs
Allantoin
Alpha Lipoic Acid
Balsam of peru
Benzoic acid
Benzoyl Peroxide
Camphor
Cinnamic acid
Cinnamon oil
Cocoa butter
coconut oil
DMAE
Gluconolactone
Isopropyl isostearate
Isopropyl myrisstate
Lactic acid
Menthol
Parabens
Peppermint oil
PHAs
Phytic acid
Quarternium.
Retinaldehyde
Retinol
Retinyl palmitate
Acne:
 
Key Factors to treating acne in Skin Type VI
Skin Type skin type VI is prone to developing “dark spots.” or post inflammatory Hyperpigmentation PIH and thus acne should be dealt with as soon as the acne appears. The “dark spots ” can present a bigger problem than the acne itself and can diminish one’s self-esteem and affect a person’s ability to function confidently in society. Since acne management often takes at least 6 to 8 weeks before marked
improvement is observed, it is imperative to address the patient’s PIH as the acne management process continues.
Sunscreen that is not comedogenic ( not pimple forming or does not clog pores) must be worn daily to prevent the dark spots that result from the acne lesion.
Acne treatments designed to dry the skin, such as toners should be use with caution as this skin dryness can lead to irritation with the resultant dark spots -PIH.
Acne medications such as traditional Retin A and benzoyl peroxide can dry the skin out and should only be used under the supervision of a specialist doctor as these medications may irritate the skin and prolong dark spots –PIH in some cases. Benzoyl peroxide can also take the colour out of the skin leaving lighter spots
Tetracycline antibiotics especially minocycline are photo sensitive and can cause skin pigmentation and thus should be used with caution.
Patients should also be advised to avoid self-manipulation of lesions, which can exacerbate PIH and scarring.
There are newer topical acne therapies available that treat acne from the inside- out such as Clarity by Lamelle and Acnevelle. These products treat the acne together with the side effects such as dark spots and scarring which occur later. In fact, Clarity contains encapsulated growth factors and peptides that treat the side effects of acne such as dark spots, scarring and dry skin. What makes this product unique is that the active ingredients are all encapsulated for enhanced stability and effect. This means that they can penetrate into the dermis where they are needed to exert their anti inflammatory and anti bacterial effects
Topical products with active ingredients to avoid if you have acne in Skin Type V1: Cinnamon oil, Cocoa butter, Cocus nucifera, Isoprpopyl isostearate, Isopropyl myristate, Isopropyl myristate, Butyl stearate, Isostearyl neopentanoate, Myristyl myristate, Octyl palmitate, Isocetyl srearate, Propylene glycol 2, Myristyl propionate, Lanolin, Peppermint oil, Decyl Oleate, Octyl stearate.
Cleanse, exfoliate, hydrate and protect your skin regularly. Feed orally. Above all, check your skin once a month from head to toe. Check for any suspicious growth. Consult your dermatologist once a year, and especially so, if you have a family history.

Cleasne regularly

Exfoliate as recommended

Hydrate when possible

Feed orally

Check your skin once a month from head to toe and check for any suspicious growth

Consult your dermatologist once a year

Take special care if you have an adverse family history for skin

When in doubt or for more assistance visit or call us



 
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