Healthy Skin Expert Dermatology Advice

Sun Wise: Ask a Dermatologist - The latest information on sun protection.

Cosmetics Magazine: To start, can you tell us if there has been any new research on sun protection in the last 12 months?
Dr. Lisa Kellett: There is more interest in sun products that not only protect but also help to reverse skin damage done by the sun. You’ll see new multi-benefit sun products on shelves this summer. More evidence-based medicine is needed to further investigate this, but it is definitely an industry trend.

Cosmetics: The chief reason Canadians don’t wear sunscreen is that they say they don’t like the thick lotions. Ho do you respond to that? Are there any ways to wear sunscreen that me it more comfortable?
Dr. Kellett: Transparent spray SPF 30 sunblocks are the best, most innovative formulations that have come to the market now. They are easier to apply, have a great finish on the skin (ie dry, not greasy), and are great for people who want invisible protection. They are good for men, good for hair areas and good for all skin types including those prone to breakouts. I highly recommend them to my patients.

Cosmetics: There are some beauty brands claiming their sun products can reverse sun damage. Is that true?
Dr. Kellett: We are definitely starting to see such claims, but as a dermatologist, I have to say it is difficult tot ell yet. More scientific studies need to be done to prove these claims.

Cosmetics: Do you still have to wear sunscreen if you stay in the shade?
Dr. Kellett: This is a great question. Many clients believe that if they aren’t in direct sunlight, they don’t have to apply sunblock. But that is completely false. You absolutely need to wear sunblock at all times. Here’s why: UV rays can be reflected off of water, sidewalks, windows, etc., which means your skin is still being bombarded by potentially damaging rays.

Cosmetics: Is there such a thing as a safe tan? So many of us were raised to think that a brown glow makes you like healthy.
Dr. Kellett: NO! There is no such thing as a safe tan. You can only get brown safely by using fake tanner or makeup.

Cosmetics: People are still visiting tanning salons to get their skin ready for summer tanning? How do you respond to that?
Dr. Kellett: Tanning salons are unsafe, period.

Cosmetics: Does age affect how sun reacts with skin?
Dr. Kellett: Yes, infants and the elderly can be more susceptible to sun damage.

Cosmetics: We’re hearing lots of reports on the need for Vitamin D. Do we need a little unprotected sun exposure for our health?
Dr. Kellett: If lack of Vitamin D is a concern I suggest oral supplementation.

Cosmetics: What happened when a cline comes to you with melanoma? What is the process for dealing with it?
Dr. Kellett: Usually excision… as fast as possible. This might be followed by sentinel lymph node biopsy. The depth or thickness of the melanoma determines the prognosis. The deeper it is the worse the prognosis.

Cosmetics: Do you need to take special care to cleanse your face when you’ve been wearing sunblock? Can it clog pores if not removed?
Dr. Kellett: The wrong sunblock for your skin type can cause breakouts. If you are wearing the appropriate sunblock then you shouldn’t have a problem.

From Cosmetics Magazine - May/June 2009

The Doctor Is In - The Truth About Cellulite

Cellulite is one of the most common topics Cosmetics readers ask about, particularly in the spring. And while the causes are still largely unknown (some researchers believe metabolism and physiology may be contributors), the condition itself makes men and women feel very self-conscious about their bodies. Cellulite often appears during puberty for many women. Doctors believe this could be caused by changing hormones. We asked our resident dermatologist Dr. Lisa Kellett to explain what cellulite is and how it forms.

Cosmetics: What is cellulite and how does it form?
Dr. Lisa Kellett: Cellulite refers to the irregular appearance and texture of the skin as a result of the distribution of fat underneath the skin. It can form anywhere and in anyone but is more common in women in the areas of the buttocks, hips, abdomen and thighs.

Cosmetics: Why does it form around the waist and legs only?
Dr. Lisa Kellett: It often occurs in areas of larger fat distribution and that is typically where the body stores more fat cells.

Cosmetics: Can men get cellulite or is it predominantly in women?
Dr. Lisa Kellett: Yes, men can get it too, but since the percentage of body fat in a healthy male is on average lower than in women, it is less common. The higher the percentage of body fat, the more likely you will have cellulite.

Cosmetics: What is the dimpled texture associated with cellulite?
Dr. Lisa Kellett: This texture is because of the distribution of fat within the fibrous septae underneath the skin. The fat isn’t distributed in a nice, even manner. It collects in spots which causes uneven texture on the skin.

Cosmetics: Is cellulite hereditary? Are there certain outside factors that can contribute to cellulite?
Dr. Lisa Kellett: Cellulite can be hereditary in that certain body types can be hereditary. For example, a pear-shaped body type with large hips can be hereditary – passed down from generation to generation. Again, since a higher percentage of body fat is stored around the hips and thighs in this body type, the greater the chance of cellulite. Outside factors such as weight gain and an increase in size due to increased caloric intake can contribute to cellulite.

Cosmetics: Can targeted exercise get rid of cellulite?
Dr. Lisa Kellett: Exercise and diet can decrease weight and overall body fat, but even models with very low body fat percentages can have cellulite.

From Cosmetics Magazine, March 2009

Ask A Dermatologist - Cold Winter Skincare

January is traditionally the coldest month in Canada with temperatures hovering around -30 degrees in many parts of the country. This month, we ask out resident dermatologist, Dr. Lisa Kellett for practical advice on soothing winter-ravaged skin.

Cosmetics Magazine: How does cold weather affect skin?
Dr. Lisa Kellett: In northern climates such as Canada, a drop in the temperature results in a drop in humidity levels. This means your homes and offices are much drier than in Spring or Summer. Because of the lower humidity levels, I see more patients complaining of “dry skin.”

Cosmetics Magazine: Do most people need to change their skincare regime in the winter?
Dr. Lisa Kellett: Many patients want to switch to a thicker moisturizer in winder and avoid products which might be drying.

Cosmetics Magazine: What is windburn?
Dr. Lisa Kellett: Windburn occurs with environmental exposure and subsequent transepidermal water loss resulting in flaky, irritated skin.

Cosmetics Magazine: Should we switch to a lower SPF product in winter since the sun is less strong?
Dr. Lisa Kellett: Patients should always use an SPF of 30 or higher daily year round as it can still be quite sunny in winter. Don’t judge the strength of the sun by the temperature outside. Always wear broad spectrum block.

Cosmetics Magazine: What causes those little red dry patches on skin in winter?
Dr. Lisa Kellett: There are a number of different skin eruptions that can occur during the winter. The most common is called asteatotic dermatitis which is scaly, red, irritated patches. Once again the best treatment is prevention using baths with bath oil instead of showers and soap. Prescription medication can be prescribed to quickly treat the dermatitis.

Cosmetics Magazine: What advice do you give patients regarding caring for their skin in winter?
Dr. Lisa Kellett: Avoid drying deodorant soaps, apply a protective barrier cream after bathing, take warm baths, and use an SPF of 30 or higher daily. These simple steps can make a big difference in how the skin feels and looks.

Cosmetics Magazine: Does the scalp need to be protected in winter as well?
Dr. Lisa Kellett: Yes, I recommend wearing a hat and using a gentler shampoo.

Cosmetics Magazine: What advice do you have for protecting young children’s skin?
Dr. Lisa Kellett: Remember to use sun protection on children in winter. Keep young children covered at all times and don’t forget that little finger, toes, ears and noses are more susceptible than ours to frostbite. So don’t over expose.

Cosmetics Magazine: Is there anything else our readers should know about how skin reacts to winter weather?
Dr. Lisa Kellett: No matter how cold it is, skin can still burn from sun exposure in winter.

From Cosmetics Magazine, January-February 2009

The Doctor Is In - Decoding Sensitive Skin

Cosmetics Magazine: A recent Canadian survey revealed that 78 percent of mean and 50 percent of women describe their skin as “sensitive.” What is sensitive skin?
Dr. Lisa Kellett: This is a topic that confuses a lot of people. Sensitive skin is not a medical term. You won’t find it in any medical journals. It’s a layman’s term and thus is very subjective. The term means different things to different people. There’s no clear definition.

Cosmetics Magazine: If “sensitive skin” isn’t a medical condition, what symptoms are people confusing with sensitive skin?
Dr. Lisa Kellett: Some people who have red or itchy skin describe their skin as sensitive. Others who have a history of eczema or dermatitis also will use the term.

Cosmetics Magazine: Are you seeing an increase of patients that are coming to you with skin irritations?
Dr. Lisa Kellett: Absolutely. There clearly is a rise in patients with this kind of concern.

Cosmetics Magazine: What causes our skin to become more easily irritated as we age?
Dr. Lisa Kellett: As we age, the epidermal barrier is not as efficient as it once was and allows more contact with the environment. This increases the chance of a reaction in the skin. Sun damage is also a big contributor.

Cosmetics Magazine: Does pollution and stress play a role in skin that is more sensitive?
Dr. Lisa Kellett: Perhaps. Both can affect the integrity of the epidermal barrier. We need more scientific studies to really understand this. It’s true that our environment has never been as polluted as it is now. This is a relatively new phenomenon.

Cosmetics Magazine: How do you treat skin that is easily irritated?
Dr. Lisa Kellett: Avoid caustic and irritating substances such as bleach, hair dye, solvents and cleaners.

Cosmetics Magazine: Are there any ways to strengthen the skin and make it more resistant to outside aggressors?
Dr. Lisa Kellett: The use of barrier creams (good moisturizers) is a good way to protect the skin. Make sure it contains a broad-spectrum sunscreen.

Cosmetics Magazine: Can strong scent affect the skin?
Dr. Lisa Kellett: Absolutely. Strong scent can definitely affect the skin. Many products that are labeled fragrance-free actually contain “masking fragrances” anyway. Some common ingredients that are beneficial to the skin naturally give off an unpleasant odour. So, chemists have to mask this with a fragrance. I recommend you the read the label carefully or ask your doctor to read the ingredients label if you are concerned with fragrance in your skincare products.

Cosmetics Magazine: Can you share any tips for soothing skin that is easily irritated?
Dr. Lisa Kellett: It’s the best to use tepid water. Avoid hot water when cleansing. You might want to see a dermatologist for prescription medication (topical and sometime oral) to rapidly soothe skin if it is really irritated.

From Cosmetics Magazine, November 2008

The Doctor is In - Explaining Skin Aging

Cosmetics Magazine:  There are so many products on the market today with the words “anti-aging” in them. What does this mean? Can you really stop your skin from aging?
Dr. Lisa Kellett: It is not possible to tsop aging as it is an inevitable process. Aging is natural and happens to all of us. So when you read something that says it is “anti-aging” what it means is that it works to slow what we call the effects of again on the face.

Cosmetics Magazine:  When people come to see you with skin aging concerns, what are they most worried about?
Dr. Lisa Kellett: Most people at first complain that they look “tired”. After that, they are more specific…frown lines, wrinkles, brown spots, and lack of lustre on the skin.

Cosmetics Magazine:  What is the most important information doctors have learned in the last year or two regarding aging and how it affects our skin?
Dr. Lisa Kellett: The most recent scientific advances are how antioxidants play a role in the aging process in combating the effect of free radical damage. That is the most exciting data that scientists have discovered.

Cosmetics Magazine:  What happens in the skin to cause the effects of aging?
Dr. Lisa Kellett: There is a breakdown in collagen and elastin leading to skin laxity as seen by jowels and the formation of wrinkles and folds. Also, as a result of sun damage, the skin develops brown spots, dyschromia and uneven skin tone. Telangiectesia (spider veins) also develop on the cheeks and around the nose.

Cosmetics Magazine:  How much does genetics play in the effects of aging?
Dr. Lisa Kellett: Genetics do play a role in how your skin ages so you can blame/praise your parents as you look at how they’ve aged. It’s a good indication of how you’ll age.

Cosmetics Magazine:  How long should you wait after starting a new skincare regime or product to see results?
Dr. Lisa Kellett: You need to wait at least three months. That’s how long it takes for prescribed medication to show to full results. Too often men and women expect immediate results and this takes time.

Cosmetics Magazine:  What ingredients should you look for in an anti-aging moisturizer or night cream?
Dr. Lisa Kellett: Any vitamin A or vitamin derivative is a good place to start (eg. Retinol), then an antioxidant such as vitamin C.

Cosmetics Magazine:  Does maintaining a good regime of cleansing, moisturizing and using sunblock really help to maintain more youthful- looking skin?
Dr. Lisa Kellett: Yes, absolutely.

Cosmetics Magazine:  And finally, is a broad spectrum sunscreen still the best anti-aging product?
Dr. Lisa Kellett: Definitely! It should be applied after cleansing. Your moisturizer and foundation should go on top - 365 days of the year.

From Cosmetics Magazine, September-October 2008
By Dave Lackie

The Doctor Is In - Eye Care: Treating the sensitive skin around the eye area

When skincare brands launch a line in Canada, there’s always a separate product to apply around the eye area? Why is this? Why don’t regular moisturizers work in this specific area of the face? This month we ask our resident dermatologist Dr. Lisa Kellett to shed some light on this sometimes confusing subject.

Cosmetics Magazine: How is the skin different around the eye area from the rest of the face?
Dr. Lisa Kellett: The skin in the eye area has less subcutaneous tissue under it and is thinner than on the rest of the face. To put this into perspective understand that the average thickness of the skin on the back and soles of our feet is 4 mm. That thins to about 2 mm on the scalp and forehead. And it thins even further to less than 1 mm on the eyelids and around the eye.  So you see, you are working with a much finer thickness of skin that is very fragile and delicate.

Cosmetics Magazine: Why is it that many dermatologists recommend using an eye cream?
Dr. Lisa Kellett: Some moisturizers contain actives that are too irritating around the eyes. You may need a formula that is much milder.

Cosmetics Magazine: What are the main concerns around the eye area?
Dr. Lisa Kellett: Crows feet and dark under eye circles are the most concerning to clients. Fine lines and wrinkles tend to show up in this area first because there is less subcutaneous tissue to support it.

Cosmetics Magazine: What causes dark circles under the eyes?
Dr. Lisa Kellett: Dark circles are actually blood vessels under the eye. With age they often worsen because they become more obvious when you loose fat around the eye. However, for some people they are genetic and can occur at a younger age.

Cosmetics Magazine: Does the under eye area of ethnic skin differ from Caucasian skin?
Dr. Lisa Kellett: It definitely can. Some ethnic groups are more prone to getting certain skin conditions under the eye such as dermatosis papulosa nigra.

Cosmetics Magazine: We know the importance of using broad spectrum sunscreen in preventing premature aging. But can sun damage show up around the eye?
Dr. Lisa Kellett: Good question. Yes, definitely. Sun damage under the eye usually shows up as a loss of elasticity, but it can also manifest as brown spots and even skin cancer. It’s another good reason to use sunscreen every day.

Cosmetics Magazine: What ingredients should you look for in an eye product?
Dr. Lisa Kellett: Look on the back ingredient list of algae extract, vitamin A, vitamin E, rice bran oil, and glycerin.

Cosmetics Magazine: Does stress affect the eye area?
Dr. Lisa Kellett: Yes, stress can affect all of the skin including the eye area

From Cosmetics Magazine, July-August 2008
By Dave Lackie

The Doctor Is In - Unprotected Sun Exposure: How Dangerous Is It?

Cosmetics Magazine: Is UVA protection quantifiable?
Dr. Lisa Kellett: Some products offer UVA protection as well as UVB, but it’s not quantifiable. However, there are a number of organizations looking at some way of quantifying UVA protection in sun care products.

Cosmetics Magazine: What are the detrimental effects of too much UVA?
Dr. Lisa Kellett: Let’s start with skin cancer, which manifests itself as four basic types: · Actinic keratoses: these are pre-cancers and up to 90% of the population with get them if they live long enough. They can go on to become squamous cell carcinoma if left untreated. They are, however, easily treated and curable. · Basal cell carcinoma: This is very common, so much so that it’s estimated one in five people will get in their lifetime. It can be either a scaly red patch or a raised, pearly nodule. It’s the most easily treated and curable. · Squamous call carcinoma: It could be a scaly patch or a non-healing lesion and is usually curable. · Malignant melanoma: A brown, black, or red mole, or maybe just a red spot. Basically, my advice is to have anything that’s new or changes checked out by a dermatologist. Malignant melanoma is usually curable, but both it and Squamous cell carcinoma can metastasize. What happens then? You die.

Cosmetics Magazine: Does it also cause those brown spots?
Dr. Lisa Kellett: Yes. Solar lentigines, also known as liver spots, are a direct result. When the UV light penetrates to the nanocytes, they release excess pigment. They’re not dangerous and can be treated with a lightening product or laser treatment.

Cosmetics Magazine: What’s another detrimental effect?
Dr. Lisa Kellett: Exacerbating the visible signs of skin aging, such as wrinkles; skin laxity or sagging; and sallow, lackluster skin. It affects the underlying collagen by breaking it down and slowing its rate of production thus weakening the skin’s structure. It also affects skin’s texture, hence the sallow skin.

Cosmetics Magazine: What about sun allergy?
Dr. Lisa Kellett:  It’s called polymorphous light eruption and sufferers are sensitive to a wavelength of light. It makes you itchy and red, and no amount of sun protection will prevent it. It’s quite common and there are many types and various degrees of severity. However, it’s very difficult to treat. There are a number of procedures, unfortunately it’s not curable.

Cosmetics Magazine: What’s your advice?
Dr. Lisa Kellett:  Stay out of the sun between 10AM and 4PM. For protection, use a sunscreen of SPF30 or higher every day, year round. Use a shot glass size for the entire body. If you have oily skin or are male, you should opt for a spray. Thoroughly drench your body. Wear protective clothing: there are some new lines that will block UV rays (www.sunprotectiveclothing.com) for one. Otherwise, wear something that has a tight weave. Wear a hat with a brim wide enough to shade your face and back of your neck and don’t forget about the front of your neck either. Check out www.clearclinical.com for some specially-designed hats.

From Cosmetics Magazine, March-April 2008
By Alix Fuller

The Doctor Is In - Understanding Skin Discolourations

Cosmetics Magazine: There are several types of skin discolouration which, although embarrassing, are harmless. Can you describe some of them, explain their causes and suggest some treatments?
Dr. Lisa Kellett: There are a number of “normal” dis¬colourations and their causes and treatments vary. Some can’t be treated and will only, with any luck, fade in time.

• Melasma is also known as the mask of pregnancy and gen¬erally appears on the cheeks, forehead, nose and around the mouth, but it could turn up anywhere. The cause is a com¬bination of hormones and the sun; no matter how much sun protection you use, you could still get it. The pigment cells are also heat sensitive, so if you go out in very warm weather, you’re at risk. It’s more common in pregnant women because they have high estrogen states, but it can happen to anyone. The treatment is a combination of light treatments and top¬ical bleaching creams or agents, like azaleic acid, arbutin and hydroquinone. It’s often very difficult to remove. But it may fade in time.

• Post-inflammatory hyper-pigmentation is found in people who have darker skin types, after a burn, acne or any other trauma, even a scratch or irritation. The skin reacts by produ¬cing spots of dark pigment. In Caucasians, the skin can turn red. Treatment is usually bleaching creams and Lumenis 1 treatments (light treatment). Untreated, it can fade, but that might take months or years.

• Lentigines or sun spots appear on the face, shoulders or back, hands and arms; anywhere exposed to sun. Simply put, it’s sun damage and, although they can be lasered off, the best cure is prevention as they’re permanent.

• Seborrheic keratoses are also known as liver or age spots and you see them on the back of your hands or your trunk. They start off as flat brown spots and become raised and quite warty. They can be burned off with electrodessication.

• Nevi (birth marks) are collections of mole cells which de¬velop in the fetal stage; it’s all pre-programmed. They’re usually flat, and they can be excised or lasered off.

• Port wine stains are a collection of blood vessels. You might be born with it, or it might develop in infancy. These, too can be lasered off.

Cosmetics Magazine: How do you know when a skin discolouration is not so harmless?
Dr. Lisa Kellett: If it’s new, changes in size, shape or colour, or bleeds, it should be seen by a dermatologist. That way, you get a prop¬er diagnosis and appropriate treatment.

Cosmetics Magazine: What’s the best way to keep your skin free of discolourations?
Dr. Lisa Kellett: Prevention. Many skin discolourations are caused by the sun, so wear a sunscreen with SPF 30 or higher every day, a broad brimmed hat, and protective clothing. Also, beware of heat because it can often stimu¬late the pigment cells.

From Cosmetics Magazine, January-February 2008
By Alix Fuller

The Doctor Is In - A Man's Skin

Do different ethnic types have different needs?

Cosmetics Magazine: Does black skin have any particular needs or features that are different from Caucasian skin?
Dr. Lisa Kellett: Yes. It’s quite prone to ingrown hairs. This is when the hair grows and curls in on itself. This can simply remain an ingrown hair, or progress to pseudo folliculitis barbae, which means an inflammation develops around the hair follicle.

Cosmetics Magazine: What remedies are there for this?
Dr. Lisa Kellett: Laser hair removal, for one. And, be very careful when shaving. Use glycolic acid preparations, which are thought to remove the dead skin layers to help them turn over more quickly, thereby decreasing the inflammation, or a topical antibiotic product. Also, always shave in the direction the hair grows, not against it.

Cosmetics Magazine: Any other specific differences?
Dr. Lisa Kellett: Black skin often suffers fro post-inflammatory hyperpigmentation, which is indicated by darker spots on the skin. This could be caused by ingrown hairs, acne, or any trauma to the skin. Instead of healing to it’s normal colour, it heals darker.

Cosmetics Magazine: What about Asian skin?
Dr. Lisa Kellett: Asian skin is also very prone to post-inflammatory hyerpigmentation, and some can have rosacea.

Cosmetics Magazine: What can you tell us about Native Canadian skin?
Dr. Lisa Kellett: For genetic reasons, Native Canadians seem to be more sensitive to sunlight, so they experience something called polymorphous light reaction, basically a rash, when they go out into the sun. So, they should definitely wear sunscreen or sunblock.

Cosmetics Magazine: No matter what colour the skin, does stress play a role in how it looks?
Dr. Lisa Kellett: Stress can make eczema, dermatitis, psoriasis, acne and a lot of inflammatory dermatoses worse, because it can cause an increase in inflammatory mediators (they induce inflammation) in the blood. It’s also thought that the more stress you are under, the more free radicals you have and they could theoretically accelerate the appearance of signs of aging.

Cosmetics Magazine: Generally speaking, what are the best ways for a man to keep his skin looking better?
Dr. Lisa Kellett: The best ways are proper sun protection and microdermabrasion, followed by Lumenis 1 light treatments. And. For those who want to be more pro-active, there are different types of injections. It’s also very important to follow a good skincare regimen. I suggest an exfoliating cleanser twice a day, a moisturizer every night and a sunscreen spray in the morning.

From Cosmetics Magazine, November-December 2007
By Alix Fuller

The Doctor Is In - Hydration

Cosmetics Magazine: To begin, how does the skin maintain its natural moisture balance?
Dr. Lisa Kellett: The function of the skin is to act as a protective barrier to outside influences. The maintenance of moisture balance in the skin is the result of complex physiological interactions in the skin and the environment. Our skin constantly monitors both internal factors and external factors and responds accordingly. For example, if the relative humidity in the air drops outside as it does in the winter, the skin will respond by increasing sebaceous gland secretion.

Cosmetics Magazine: What is the function of water within the different layers of the skin?
Dr. Lisa Kellett: Water helps ensure that the structure of the skin is optimal. 

Cosmetics Magazine: Does drinking lots of water help?
Dr. Lisa Kellett: Yes and no. When you drink a lot of water and you’re healthy, that shows in your skin since it reflects overall health. But, you can drink a lot of water and still have dry skin because the two are unrelated. The water goes into the bloodstream, it doesn’t get sucked into the skin. Look at people with eczema, or some other, similar disease that manifests itself as dry skin. They can drink all the water they want, and it won’t cure the dryness.

Cosmetics Magazine: How do skin types vary?
Dr. Lisa Kellett: Some skin is quite oily and doesn’t require any additional moisture. An oily skin type, though, can be superficially dry with a lot of dead skin cells on the stratum corneum so if you were to use an alcohol-based product, you’d have some flaking. In that case, you might need to use some sort of water-based, oil-free moisturizer. If your skin is already quite oily and shiny, you don’t need a moisturizer. Remember, your skin type is not written in stone. It might be oilier when you are having your period, for instance. Or, if you have oily skin during the summer, it can become quite dry in winter when the humidity level drops. Age is a factor as well; after the age of 30, sebaceous gland activity decreases, and when that happens there is less oil sitting on top of skin and it appears flakier or drier. So, you need to chance your skincare regimen accordingly.

Cosmetics Magazine: What’s the role of moisturizer?
Dr. Lisa Kellett: Skin is dry. The dead skin cells don’t hold water, and what you want to do by putting moisturizer on is keep moisture in, reducing trans epidermal water loss. When you decrease this loss, the skin will appear less dry and flaky.

From Cosmetics Magazine, September-October 2007
By Alix Fuller