New Year…New Skin

friends-315_2016_03A mom’s schedule can be complicated. Taking care of the kids, and the house, doctor appointments, sports practice, maybe a job too, all these can lead to having no time left for yourself. Sometimes you are just so tired at night that, you fall asleep with your makeup and clothes on. In the morning you don’t know how to get out of the house faster to take the kids to school and make it to work, and you barely have time to wash your face and put on whatever cream you find handy on the bathroom counter. But, there is no greater mistake than not washing your face and not removing your makeup at night. Sleeping with your makeup on will age your skin 7 times faster! And of course, no one wants that!

Because I know how busy moms can be, and because I also know a thing or two about skin care, I’ve decided to try to help you in the New Year. New Year, new skin resolution! That’s right! I’ve put together a very simple general skin regimen with some active ingredients, some being preventive some being corrective, and no matter how busy you are or what your skin type is, you can do it! Unless of course you have a special skin condition that you’re seeing a skin care therapist or a doctor for. Take a look!



  1. Always wash your face. You need a gentle cleanser for mornings. Something that won’t strip off and dry out your skin. A couple of cleansers that I love and are super accessible are: Toleriane Dermo Cleanser from La Roche Posay and Cetaphil Gentle Cleanser. After washing the skin, dab the skin dry and follow withIMG_34292. 5-6 drops of a very good Anti-oxidant complex. We hear this word a few times a day, so by now we know that anti-oxidant rich foods and products are working only in our benefit. More specifically, they help neutralize free radicals which occur in our skin due to sun damage, pollution, smoking (even passive smoking), alcohol, not enough rest, etc. Free radicals are the damaging factors responsible for collagen and elastin breakage, leading to premature aging of the skin. This is why a very good quality anti-oxidant product in a stable formulation is essential for preventing this kind of damage and premature aging. My favorite one for many years by far has been CE Ferulic- for drier skin types, and Phloretin CF– for oily skin types, both from Skin Ceuticals.IMG_34252. And a mineral sunscreen, applied religiously to your face, neck, chest and the back of your hands. This will protect your skin throughout the day from the damaging UVAs and UVBs, responsible for the aging of your skin as well as the increased risk of skin cancers. I recommend PCA Skin Sheer Tint Broad Spectrum SPF 45 as well as Mineral Tinted Cream SPF 30 from MDSolarSciences.


  1. Remove all your makeup thoroughly. And only after that you start cleansing your face. At night you can use a more exfoliating cleanser, in order to remove a lot of the debris, oils and makeup accumulated throughout the day. My favorite cleanser for night time is Effaclar Creme Moussante Desincrustante from La Roche Posay. IMG_3428 (1)
  2. Every other night apply a Retinol/RetinA product on clean dry skin. This is your one corrective for night time. If you don’t have time for anything else, this is going to help regenerate your skin over night. I personally use medical grade RetinA or Tretinoin, but sometimes I also like to use the PCA Skin Retinol, which is one of the  best on the market. And it comes in a few versions, depending on your skin’s needs.IMG_34263. On the nights when I do not apply the Vitamin A product (#2), I like to use a Glycolic Acid Gel. My go to lately is Glicoisdin from the Spanish company ISDIN. Glycolic acid is known to help brighten and resurface sun damaged and aging skin, while it also helps increase your skin’s elasticity. This product in particular is also somewhat hydrating, having a very light weight gel consistency.

And this is all if your time does not permit you to do more. I promise you that if you follow these very simple steps every morning and night, your skin will change within a couple of months.

And no more excuses like “I don’t have time for me” or “I don’t have time for a skin care regimen”. You will wear your skin for the rest of your life, so help it look and feel its best!

                                                                                                                                      xoxo, Bianca


Comprehensive guide on how to use your skin care products

products-2-editedBeauty is a billion dollar industry; therefore, we have a very large palette of cosmetic, skin care, and medical products to choose from. This can be overwhelming for many of us most of the time.

First of all, it is hard to choose the products that are the most appropriate for our skin type and condition. Second of all, it is both time consuming and difficult to figure out the order in which we should use these products.

So I’ve decided to elucidate this mystery. Every day, I write comprehensive skin care regimens for my patients, so I will put these in writing here for everybody who is interested in learning how to layer correctly.


  1. Mild Cleanser. Generally it is recommended that you don’t strip your skin off of all the “good” oils that it naturally produces overnight. Therefore, it’s recommended that you use a very gentle milky cleanser to wash the face; my personal preference is to use room temperature water to wash my face. Hot water is dehydrating and drying for the skin. Skin Ceuticals Gentle Cleanser or Avene Clean AC are perfect for the morning wash. 
  2. Toner. It’s not a must. However, if you love that squeaky clean feeling, after you wash your face you can use a toner or astringent. You have to make sure that your toner does not contain alcohol, as that would dry out the skin, and in time damage it, just like hot water. I personally don’t like to use toners too much, but it’s just my preference. 
  3. Serum. This is one of the most important steps in skin care. It is as important as using a Retinoic acid at night, and using sunscreen during the day. I recommend a concentrated antioxidant serum every morning, in the form of a dropper or lotion. The reason we need to use an antioxidant serum every morning is because antioxidants help neutralize free radicals that damage our skin throughout the day. Think of free radicals for the skin and body in general, like cavities are for the teeth. They damage from the inside by breaking down the collagen and the elasticity inside the skin. My personal all-time favorite antioxidant serums are Phloretin CF and CE Ferulic from Skin Ceuticals. 
  4. Moisturizer. The reason we apply moisturizer after the serum is because moisturizers have a different chemical formulation which does not allow them to penetrate into the skin too much. They create an occlusive layer which locks in the previous products and the naturally occurring moisture. Now in order to avoid too many steps in the morning, I generally prefer to use a moisturizer with an SPF 20 or 30 already included, like Avene Hydrance Optimale SPF25.  But if you prefer a separate sunscreen, this would be your next step.
  5. Sunscreen. I am a big believer in physical/mineral sunscreen. I personally don’t like the idea of a chemical sunscreen, simply because physical sunscreen creates a protective “shield” which reflects away damaging sun rays, while the chemical ones neutralize the damaging sun rays once they have already entered the skin. Therefore, some of my favorite physical sunscreens are MD Solar Science Tinted Cream , Physical Matte UV Defense SPF50 from Skin Ceuticals, and Color Science Sunforgettable SPF 50 in case you have oily/acne prone skin and prefer a powder sunscreen. 


  1. Cleanser. In the evening, it is important that we cleanse the skin very well, and wash off all the dirt, pollution, and residual products. If you use makeup, make sure you remove all makeup first, with a makeup remover like Micellar water. After removing all your makeup, you’ll want to wash the face with a foamy, possibly medicated cleanser.
  2. Exfoliation. I strongly recommend that you exfoliate your skin at home. If you have a Clarisonic Brush, you can use it every day (only once) because it provides just the right amount of exfoliation on a daily basis, without being too abrasive. If you like to exfoliate with other products, such as mild facial scrubs or exfoliating serums (like Blemish and Age Defense from Skin Ceuticals), this would be the time to do so.
  3. Treatment product. After exfoliation, I recommend that you use any medicated products you might have, such as Salicylic Acid, Retinoic Acid, or Hydroquinone, for acne, anti-aging, or brightening purposes. Generally if you have a good Retinol or RetinA product, I recommend that you use only a pea size amount at a time. Take one pea size amount of that product and spread it evenly all over the face, avoiding the area around the eyes and the mouth. Using it this way, you’ll avoid the unpleasant irritation and peeling that occurs almost every time a retinoic acid product is used incorrectly. One of my favorite Retinol products lately is the PCA Retinol.
  4.  Serum. Now, you’ll want to apply a hydrating/anti-aging and replenishing serum to face, neck, chest, and hands. Or, you can also use the anti-oxidant serum from the morning. A little extra Vitamin C never harmed anyone! My favorite serum I like to use at night though is Metacell Renewal B3.
  5. Night moisturizer OR facial oil. In order to lock everything in and help with the repairing process over night, I recommend a good peptide cream or a replenishing oil like Jojoba oil, for the face, neck, and chest. I really like this Perricone MD Neuropeptide Firming Cream, but it is on the pricey side. 
  6. Eye treatment. Last but not least, a good eye cream, eye serum, or even pure Vitamin E will help the sensitive skin around your eyes while you sleep. I usually apply the same treatment around my lips, to avoid those vertical fine lines. You’ll really like this Neocutis Lumiere eye treatment

Enjoy your beautiful skin! signature pic monkey ed 1

By popular demand…Let’s talk about ENLARGED PORES

Myth or not? YES, unfortunately it is a myth that you can shrink enlarged pores forever. BUT, what you can do, is to keep your pores clean and they will appear smaller.

Pores appear larger when they are clogged with oils, makeup and bacteria. So keeping your skin clean and exfoliated. Using non comedogenic products, will give you better chances to help the pores shrink…..a little bit.

Large pores

Large pores1

Not once have I been asked about oily skin, enlarged pores, clogged pores, black heads and breakouts. Unfortunately having oily skin, is not an easy thing to deal with. Many times we can’t even wear makeup or sunscreen, because it all becomes greasy after a short period of time. Also sometimes we end up striping off the skin of all the oil and that is not ideal because we depleat the skin of it’s natural protection and we dehydrate and irritate it.

My best skin care advice is that you need to keep your skin balanced. Even oily/acneic skin needs hydration. Which is why in your skin care regimen you should have also light hydrating serums and oil free moisturizers.

Having worked with a lot of patients with this skin type, I have developed a couple of regimens which usually work pretty well, to keep such skin in check and in best shape.

This is one of them:

1. Cleanser and Clarisonic brush. Wash face twice/day, preferably with a foamy,  exfoliating cleanser and a Clarisonic brush. Use the brush only in the evening. This is going to help give you the right ammount of exfoliation your skin needs on a daily basis. The Clarisonic is also going to clean your skin much better than what your hands can do, removing makeup and impurities thoroughly.

2. Microbead scrub. Once a week exfoliate with a microbead scrub, a softer system developed in order for you to not stretch and irritate the skin in the exfoliation process.

3. Serum.  Use a serum with Salicylic, Glycolic and Dioic acids to help control the oil production and keep the bacteria at bay.

4. SPF. Definitely use a sunscreen with an SPF higher than 30. Preferably a parabens, silicone and artificial fragrance free one.

5. Retinoids. In the evening, I recommend a medical grade or prescription  Retinol or a RetinA. Both these are derivative of Vitamin A and they prevent the buildup of dead skin cells and promote the cellular turnover. Some side effects can occur, such as dryness, redness, irritation, and skin peeling as well as making the skin more sensitive to sun. This is when you need to back up and you use it every other night,  in conjunction with a hydrating serum.

6. Chemical peels. And last but not least, you need to get regular chemical peels, in order to kill bacteria, reduce inflamation, resurface and regenerate the skin. The old skin “sheds” off in a few days after the procedure and new skin is being revealed, less wrinkly, less pigmented, pore size appears smaller and makeup will go on more smoothly.

So generally, your skin does have a chance to look better and you can achieve the smaller pore appearance. As long as you are able to keep the skin clean and exfoliated, the pores will appear smaller.

P.S. Key ingredients you should look for in your chemical peels for this skin type:

  •    Salicylic Acid
  •    Mandelic Acid
  •    Glycolic Acid
  •    Lactic Acid (Alpha Hydroxy Acid which is part of the skin’s natural moisturizing factor (NMF) and       moisturizes the skin)
  •    RetinA or Retinol.
  •    And now the all mighty TCA (Trichloroacetic Acid). Because lately there has been some controversy around this ingredient, I will not promote it. Please read here about it.

Here are my favorite products for this skin type:

SPF SCSPF AveneRetinol


B and AgeClean ACTazorac-product-shotNutritictoleriane u