Skin care for gender affirming treatments and procedures

Transgender individuals may experience a wide array of skin changes, sometimes quite abruptly, during gender affirming hormone treatments. In addition to breakouts or changes in skin texture, hair changes can cause in-growns. Gender affirming surgeries also have a risk of scarring. Licensed estheticians are able to help with these challenges to assist their transgender guests to transition more comfortably.

Solutions for Acne:

Acne vulgaris is a common and chronic skin disease characterized by the formation of blackheads and whiteheads, papules, pustules, nodules, and cysts. Androgen hormones can lead to acne, as well as increased sebum (oil) production and clogged hair follicles. Acne may present on the face, back, and chest.

Often, people attack acne with overly aggressive scrubs which can spread bacteria and further inflame pustules. Another common mistake is using harsh drug store ingredients like skin drying wipes, or skipping essential hydration which then leads to an increase in oil production as skin tries to compensate. Acne prone skin is inflamed and angry and like the saying goes, you can’t fight fire with fire. The products below will help nurture and calm skin.

For mild to moderate acne, a skin care regimen that addresses the root causes might include:

Beta Green Tea Cleanser: A gentle blend of salicylic acid and green tea helps with inflammation and keeps excess oil at bay, without stripping skin of needed moisture.

Mandelic Arginine Serum: A gentle blend of acids designed to exfoliate skin over time without irritation or spreading bacteria. This product also minimizes excess oil without stripping skin of moisture.

Balancing Grape Seed Serum: Wild Yam extract in this serum suports skin with hormone imbalances. If you watched the show Grace and Frankie you’ve learned the benefits of wild yam for menopausal hormone changes! It works for skin too. You’ll see this product recommended frequently for any hormonal transitions.

Blemish Serum: Use this as a spot treatment on blemishes or lesions. This is a far better choice than picking at them!

Growth Factor Gel: A daily moisturizer suited for oily and acne prone skin that absorbs quickly and calms irritation.

Rhonda Allison skincare ideal for breakouts

Solutions for changes in face and body hair, including ingrowns

People taking feminizing hormones may wish to undergo hair removal. In the beginning, coarser hairs might be best treated with a laser hair procedure as opposed to waxing to thin the hair. Laser hair removal breaks down the hair cells, slowing growth. This is not a service we offer at East Village Spa, but is what we generally recommend. Waxing some coarser facial hair can lead to irritation and ingrowns and isn’t always advised.

As people age, androgen hormones trigger longer, bushier hair in the ears and eyebrows. Our licensed esthetician, Cassandra, noted that people who have shaped their eyebrows with waxing from a younger age often will have less hair growing in general, those starting later in life will be “catching up” but with a knowledgeable esthetician, even bushy brows can be still beautifully shaped and products like a brow mousse can help to keep them in place.

Ingrown hairs can be treated similarly to other breakouts. Cleanse the area with a cleanser like Beta Green Tea Cleanser (see above) or All Purpose Cleansing Pads, then spot treat with Beta Green Tea Lotion, which is a toner, 1-3x per week. Our power player for hormonal imbalances, Balancing Grape Seed Serum with Wild Yam Extract (see above) is also a useful product to treat areas prone to in-grown hairs.

Estrogen-related changes

Estrogen can cause skin to thicken and become more dry. It can also increase melanocytes which can lead to melasma, or areas of skin that darken unevenly. Melasma is particularly prevalent in people taking estrogen and darker skin types, but can impact all skin types.

To counteract dryness and thickening skin, a cleanser like the Beta Green Tea cleanser with anti-inflammatory properties and a gentle skin exfoliating acid like Mandlic Arginine Serum are appropriate. It is important to have the correct moisturizer to help counteract dryness, as well as a hydrating eye and lip serum.

For melasma, see a licensed esthetician for the best products for your skin. They might also recommend a series of professional treatments like peels or hydrafacials. Because everyone is different, it is hard to say the best course of action based on your skin type without a consultation.

Scarring

Post surgical scarring is a concern for many. To prevent keloids (thick, raised scars), products that increase skin cell turnover quickly and heal skin are appropriate soon after procedures.

Growth Factor Serum expedites health skin tissue regrowth.

Therapy E Serum rebuilds and repairs skin that has been traumatized. It is ideal for scar prevention and repair.

An important component of scar prevention and relief is self-massage of scar tissue. This video from Breathe Physical Therapy focuses on a c-section scar, but the concepts are easy to follow and apply to any surgical scar tissue.

We are here for you!

At East Village Spa, we are here for you and honored to support you at any point in your transition or your life. If you have questions, the best way to contact us is to e-mail [email protected] and one of our licensed estheticians can assist you that way. If you are local to Des Moines, IA, we’d love to see you for a service to best assess your skin needs or offer more advanced treatment options. Not local? Feel free to shoot us a note via e-mail and we’ll reach out to our nationwide network to help you find an esthetician who is a perfect fit.

Best contact? [email protected], visit our website at http://www.evdayspa.com or http://www.shopeastvillagespa.com!

Want to do a deeper dive? One great resource for dermatological issues to be aware of with gender affirming procedures is this article from the National Institute of Health.

Choose the best type of lotion for dry hands and body

Winter is always rough on hands, but between the extra handwashing we’re doing (we HOPE you re too!) and the excessive cold snap, our hands are downright painful. Here are a few tips to find the best type of lotion for yours hands and body.

Shea Butters: the MOST hydrating

Any of our Farmhouse Fresh lotions labeled as a “Shea Butter” are going to offer the richest hydration. These are best for dry, cracked hands and heels, elbows. Supple butters and vitamin E-packed jojoba and soybean oils calm even the severest of dry skin, without a hint of a greasy feel. We love these at night or right after washing hands.

Body Milks: Quick absorbing full body hydration

Farmhouse Fresh body milk and steeped milk lotions pour over you like milk and absorb quickly, making them ideal for applying to hands and body, as they’ll absorb faster, these are great after a shower or bath.

The Sweet Cream body milk is a slightly thinner consistency and is VEGAN but not nut free, infused with a blend of natural oils that provide lasting softness to skin: Vitamin E-rich Rice Bran oil, Jojoba Seed oil, Sweet Almond, Avocado and Sesame.

The steeped milk lotions feature freshly steeped coconut milk is blended into the lotion for velvety softness. They do contain non-vegan ingredients that vary per scent (i.e. honey.)

Body Oils: The versatile hydration you didn’t know you needed!

Body oils are for far more than giving or receiving a massage! These versatile products are excellent for use right after a shower or bath, when lotion feels cold on warm skin. Oils absorb well in a full body application. In addition, these soak into cuticles to hydrate and help you avoid painful, infected cuticles. If you wear Shellac or gel polish, oils are also best to keep the nails hydrated underneath. You can even use just the tiniest amount to smooth unruly hair or beards too.

Love taking a hot bath in the winter? Consider adding a tablespoon or so of these oils to the bath, especially if you soak in epsom salts. This will help keep your skin from drying out. Just be careful getting out of the tub!

Moon Dip: Age Defying Mousse

Moon dip hand and body mousses are new to our spa and we love them! Formulated to include firming peptides, these do double duty to hydrate and provide anti-aging support with a light, powder finish.

Handwashing relief kit: A bit of everything!

Our three assorted handwashing relief kits include a Honey mask that has fruit enzymes to “digest” dead skin and reveal softer skin that’s ready for a rich shea butter hydration. We also include a CND Solar Oil cuticle oil to help keep cuticles healthy and free from painful tears or infection. These kits are a best-selling gift at www.shopeastvillagespa.com.

Not sure which lotion is best for you? Visit www.ShopEastVillageSpa.com for great scent descriptions and more!

New illness and massage FAQs

Every year during cold and flu season we do a bit of education on massage and illness. This year we’re getting some different questions due to COVID19 and the wide community spread in Iowa.

Every year during cold and flu season we do a bit of education on massage and illness. This year we’re getting some different questions due to COVID19 and the wide community spread in Iowa.

Woman looking at thermometer, laying in bed sick.

Q: I have a fever, but tested negative for COVID19, can I get a massage?

A: No. Fevers indicate inflammation. Your immune system is fighting something and you need to rest. Right now, everyone is so focused on COVID19, that we’re forgetting other illnesses like strep throat, the flu, or even a kidney infection can knock us down for a bit. In addition to spa services potentially making you feel worse, some of these illnesses are very contagious and we do not want to get them or risk spreading them to other guests. Please wait for at least 48 hours (without the use of fever reducing medications) after your non-COVID19 related fever is gone before scheduling a service. Your body and provider will thank you.

Q: My household member tested positive for COVID19 but feels fine. I’m asymptomatic and tested negative. Can I keep my appontment?

A: NO! We answer variations of this question at least daily. Please understand that we owe it to our employees to provide a safe workspace. We are following the most up-to-date CDC quarantine guidelines. This means that if you’ve had a close contact with someone who has tested positive for COVID19, you cannot book for at least 14 days since that contact. If you live with this person, that means 14 days since the last contact you had while they were considered contagious-EVEN IF YOU TESTED NEGATIVE.

We know this is a long time. We know this is frustrating. We are committed to following the same procedures for our providers to keep YOU safe too, so if we let them see you, we’d have to take them off of our schedule for 14 days. No spa service is worth that health or financial risk.

Q: I had COVID19 awhile ago and I feel pretty crummy, can I still come in?

A: Yes! When your healthcare provider has determined you are no longer contagious (which might be longer than 2 weeks for more severe cases) we are happy to see you. We currently see several guests who have struggled with longer-term complications from COVID19, the “Long-Haulers.” While there’s still much research needed, we know that this is a source of stress, anxiety, and physical discomfort. We’re here to listen to your needs and do whatever we can to assist you through your recovery.

East Village Spa is committed to providing safe services to guests, and a healthy work environment for employees. We will continue to enforce our COVID19 risk reduction procedures as long as is necessary.

Learn more about our COVID19 risk reduction procedures here. We look forward to taking great care of you at East Village Spa and pandemic or not, will continue to strive to ensure your services are safe, relaxing, and therapeutic.

“Maskne” Solutions

Masks are vital to return our communities to health and keep our business open, but the aren’t always skin-friendly, causing breakouts that have been referred to as “maskne.” Despite the fact that this term will probably get as irritating as the breakouts it refers to, at East Village Spa, we’re leaning into it with solutions.

Masks are vital to return our communities to health and keep our business open, but the aren’t always skin-friendly, causing breakouts that have been referred to as “maskne.” Despite the fact that this term will probably get as irritating as the breakouts it refers to, at East Village Spa, we’re leaning into it with solutions.

NEW! Maskne Facial

This 60 minute service offers an hour of relaxation and stress relief for your mind and therapeutic care for your skin. Our estheticians will select products to relieve clogged pores, breakouts and irritation. For a limited time, your Maskne facial includes $15 toward the Rhonda Allison products suggested by your esthetician, as home care is essential to prevent and manage future breakouts. Book yours online!

Manage maskne at home

In addition to the Maskne Facial, we can help with home care to help keep these annoying breakouts at bay. Our lead esthetician, Camille’s top picks:

Beta Green Tea Cleanser: anti-inflammatory, anti-bacterial, exfoliating with salicylic acid and green tea. Unlike many salicylic acid cleansers, this will NOT dry out skin!
Mandelic Au Lait Moisturizer: Even if you feel your skin is getting oily from wearing a mask, you still need a moisturizer. If you skip moisturizing, your skin will produce more oil to overcompensate. This product absorbs quickly with lightweight hydration and mandelic acid to heal and provide antibacterial support.
Blemish Serum: This spot treatment for breakouts can be used after cleansing and before moisturizing, morning and night.
Mandelic Arginine Serum: Exfoliating and supportive for breakout prone and inflamed skin, this multi-benefit serum should be used after cleansing morning and/or evening and before moisturizing.

Breakouts are annoying, but the benefit of wearing your mask far outweighs this minor convenience. The more we wear our masks, and wear them properly, the sooner we can get back to business as usual. We can help your skin get through this trying time, and reduce some of your stress in the process.

Products available in spa and online at www.shopeastvillagespa.com

Top skin issues and solutions during the pandemic

Stress, poor diet, lack of motivation for personal care (let’s face it, the Zoom videos are grainy!) are causing lots of skin issues. Providers on the front lines wearing N95 masks all day are faced with raw, irritatied skin. Don’t wait for spas to reopen, it will be awhile before we can safely perform facials. Fortunately, you can do a TON with a great home care regimine.

Stress, poor diet, lack of motivation for personal care (let’s face it, the Zoom videos are grainy!) are causing lots of skin issues. Providers on the front lines wearing N95 masks all day are faced with raw, irritatied skin. Don’t wait for spas to reopen, it will be awhile before we can safely perform facials. Fortunately, you can do a TON with a great home care regimen. Camille Arbegast, a Licensed Esthetician, shared a few solutions if you’re experiencing skin challenges right now.

Camille Arbegast, Managing Esthetician at East Village Spa
Camille Arbegast, Managing Esthetician at East Village Spa

Solutions for stress-related skin freak-outs

Camille suggests Rhonda Allison’s Mandelic Arginine Serum for a gentle, daily exfoliation to curb breakouts from stress and also help calm rosacea flare-ups.

With weather (slowly) warming up, it might be time to switch to a lighter moisturizer. Camille recommends the Mandelic Au Lait, which is medium weight and has ingredients that also help calm breakouts and reduce redness.

Outdoor must-haves

Socially-distant outdoor activities like gardening, long walks, or supervising kids in the yard, are stress-busting musts for many of us. Rhonda Allison has two great sunscreen options. 1. eZinc is best for those with concerns about breakouts or redness. It is light weight and doesn’t have that sunscreen smell or feel. 2. Daytime Defense is ideal for those wanting to get pro-youth antioxidants.

Beta Green Tea Cleanser is great for AM and PM and one of our most popular clenasers. It has a small amount of salycilic acid to deeply cleanse sweat and dirt without drying skin. For best results with any Rhonda Allison cleanser, start with dry skin (or just put a few drops of water on your fingers) and massage in your cleanser that way first, before adding water. You’ll get a better cleanse and your product will last longer!

The Arnica Therapy is a staple of the Rhonda Allison line and is a natural antibacterial cream. It is great for cuts, burns, wounds, or bug bites.

Medical-grade PPE relief

Our front line medical providers and support staff are heroes. Many of have seen photos of the raw skin caused by wearing N95 masks all day. Camille suggests a 3 step approach to ease pain from the irritation caused by these masks. 1. Rhonda Allison Creamy Milk Cleanser, a gentle and soothing cleanser. 2. Rhonda Allison Arnica Therapy, a barrier for skin before the mask goes on. 3. Rhonda Allison Drops of Essence, a soothing gel for after cleaning at the end of the day to help ease discomfort.

We took her suggestions and created a specially priced Face Mask Relief kit that you can purchase for a front line healthcare worker who is struggling with pain from their mask.

Rhonda Allison Skincare for face mask irritation.

Poor diet, dehydrated skin

Listen, we won’t tell you what to eat in times of stress and I pity the person who gets between me and my “secret” chocolate stash right now. We WILL gently suggest that you increase your water intake. All of those Zoom Cocktail hours and extra coffees are going to take their toll on your skin. Tired of water? Try adding some calorie free, sugar free, caffeine free Pure Inventions extracts to your water. For a delicious “mocktail” mix your favorite drops with sparking water and drop in a few frozen blueberries and a lemon wedge.

Blueberry Lemon mocktail at East Village Spa

We can’t wait to be able to give you professional facials and Hydrafacials again, but don’t neglect your skin while you wait for your esthetician to be able to safely provide services to you. Take control of your skin and start or continue good habits at home now!

Blog contributors: Camille Arbegast is the managing esthetician at East Village Spa, where she’s worked since 2012. Cassie Sampson, BA, LMT is the owner of East Village Spa.

Lymphatic Drainage Therapy: Where should I start?

We get frequent requests for lymphatic drainage massage and after many years of experience as a massage therapist with a foundation in lymphatic drainage massage (100 hours of training plus teaching a course) the more I’ve learned, the more I understand the need to refer people out. In many cases, lymphatic drainage therapy is best provided by a physical or occupational therapist who specializes in this technique. Unfortunately, the training demands are rigorous so it isn’t something offered at every therapy clinic.

At East Village Spa, our primary concern is that our guests get the best care possible, even if that means we’re not the right solution. We refer all of our lymphatic drainage massage requests to Dr. Laurie Eikhoff at Intergrated Physical Therapy in Des Moines. She’s one of just a few CLT- LANA certified specialists in Iowa.

Spa owner and LMT, Cassie Sampson (Left) with Laurie Eikhoff, DPT, CLT-LANA lymphatic drainage physical therapist.

Who needs lymphatic drainage massage?

This specialized therapy is typically used to treat swelling from Lymphedema, which can be the result of an injury, illness, or surgery.

Lymphedema can be caused when lymph nodes are removed or damaged. It can be an unfortunate side effect of breast cancer treatments, when the lymph nodes in the underarm or breast are removed or destroyed in treatment, some women may experience a fluid build up from lymph fluid in the arm needing to be re-routed. We also have requests for this kind of therapy from people who have had cosmetic procedures like a tummy tuck or lyposuction.

Why can’t you just do my lymphatic massage at the spa?

I mean, we can (or, a few of us could) but but we’d be doing you a huge disservice by not referring out to a Physical or Occupational Therapist for 3 main reasons.

  1. Insurance: For people with lymphedema, treatments can be required 2-3 times weekly, at least in initial phases. In many cases, medically necessary lymphatic therapies can be covered by an insurance company, but not when performed by a massage therapist.
  2. Better results: In addition to having more medical training, physical or occupational therapists who provide these services can prescribe wraps, garments, or other assisted devices to continue therapy outside of the office. This is something that, at least in our spa, we can’t do.
  3. Lymphatic trained physical or occupational therapists are so specialized that for many of them, they do these treatments every single day (sometimes all day, every day.) They are very good at what they do and figuring out fixes for complicated situations.
Example of compression garments that physical or occupational lymphatic drainage therapists can use.

If you feel that you’re a candidate for lymphatic drainage and you have private insurance, as of the writing of this post, you do not need a referral to see a physical therapist. You also should contact your doctor because swelling can be indicative of a more serious concern.

If you would like to book a “regular” massage for pain relief or stress management, we’re here for you! Book online or visit our website for more details about our services.

Customized massage for mental health care

Years ago, I was seeing a spa guest for frozen shoulder pain. She’d been in a few times previously. This visit was different. I tapped at the door to see if she was ready, and she was wrapped in the sheet, standing and sobbing. I offered her some water and sat with her on the massage table. When she was able to slow her breathing, she explained that she was having a panic attack. She had just had an MRI for her shoulder a few days prior and had a panic attack in the machine. She said it was terrifying. When she put her face in the face cradle of my massage table, the same feeling washed over her and triggered a panic attack.

We decided we’d continue with the treatment, but we modified it to the sidelying position (think sleeping on your side) on the table with the sheet covering her, but draped lightly with her arms and feet out so she felt free to move. This position made all the difference and we did sidelying massage for the next few visits.

The sidelying massage position is helpful for people who experience claustrophobia

Guests prone to anxiety or panic attacks may also benefit from shorter sessions and slower techniques until they get used to the idea of massage. Sometimes faster massage techniques can be too stimulating for someone who is already on alert. Taking slow, deep breaths before and during the session can help as well. It is also helpful to ask your therapist what you can expect during the session (I call this a “road map”) so you can relax your mind instead of wondering what is coming next. Know that you have the right to ask your therapist to stop or take a break.

Slower massage techniques are sometimes helpful for people who are anxious.

Some guests, especially those who have a history of abuse, no longer feel comfortable in their own bodies. Massage can be a safe way to experience touch and massage therapists can even share self-massage techniques to help with stress management and to reconnect an individual with his or her body (American Massage Therapy Association.)

Some clients who have experienced abuse feel more comfortable receiving services where they can be fully clothed. Treatments we offer that can be done without disrobing include foot massage, assisted stretching, Craniosacral therapy, acupressure, Shiatsu, and even facials or nail services. All of these include safe touch and allow guests to control the session. They can stop or modify the service at any time. It is important for guests to share their needs with their provider so their provider can check in more frequently to ensure comfort or see if adjustments can be made, allowing their clients more control of the session.

Many massage and spa services can be performed fully clothed. Talk to your provider about your comfort level disrobing. He or she should be able to modify the service.

Guests who experience PTSD also benefit from massage therapy. A 2012 study found that veterans who received massage therapy reported significant reductions in physical pain, tension, irritability, anxiety, and depression (Collinge et al, 2012). Again, it is important for massage therapists to ensure guests are in complete control of the session. Therapists should ensure adequate time to address questions before and during the session. Guests should feel comfortable speaking up, whether they need more or less pressure, a change in position or technique, or to take a break or stop a session entirely. At East Village Spa, we understand the need for massage therapy to address PTSD for our military personnel. We offer a specially priced “Military Massage” to make massage therapy more accessible.

Whether you are living with a mental illness or are anxious about trying massage therapy, know that modifications can be made to ensure your comfort. Your massage therapist is not a mental health counselor, but he or she should be a good listener, able to suggest or accommodate changes to your session so you feel entirely in control. If a therapist is unable or unwilling to honor your needs, or if you have had an uncomfortable experience in the past with massage therapy, consider trying it again with a different therapist. Communicating your needs and preferences before the session is essential to ensuring you will get the massage you deserve.

Learn about the our massage therapists here. If you’d like to discuss the options that would be best for you, feel free to call us at (515) 309-2904! We would be happy to help you find the best service and providers for your unique needs.

Resource: Collinge W, Kahn J, Soltysik R. Promoting reintegration of National Guard veterans and their partners using a self-directed program of integrative therapies: a pilot study. Mil Med. 2012;177(12):1477–1485. doi:10.7205/milmed-d-12-00121

Ending the Stigma: Cassie’s Mental Health and Massage School Story

I’ve never shied away from talking about my own mental health challenges. Starting from my early teen years (did you know half of all chronic mental illness begins by age 14?*), I visited many doctors and GI specialists for digestive disorders that had become life limiting, to the point of agoraphobia (fear of leaving my home or comfortable spaces). I had to take uncomfortable tests that showed everything was fine. This caused more frustration because everything was not fine. Sorry if this is TMI, but I was eating Immodium like candy to survive high school.

The issues worsened in college, to the point that one year, I developed such an extreme fear and anxiety of being in the claustrophobic dining hall because of my digestive issues, that I ate only what I could make in my dorm room. It wasn’t until after college that I realized that all of the abdominal problems that triggered such panic were actually caused by anxiety in the first place. Once I managed the anxiety, I managed my digestive issues and got my life back.

Talking openly about mental health was a key to managing day-to-day life. In the late 90s and early 2000s, this was not the norm at school or work, even though anxiety disorders affect over 40 million adults (Anxiety and Depression Association of America). It wasn’t until I started massage therapy school in 2005 that I found a place where this was encouraged. In fact, we regularly checked in as a group on how we were feeling, how different types of massage techniques impacted our bodies and minds. It was normal and expected to share the changes and emotions we experienced. Some techniques alleviated anxiety, some techniques exacerbated anxiety.

Cassie teaching at Body Wisdom Massage School with colleagues.

Sharing this information helped all of us gain a broader body of knowledge so when we saw clients in the real world, we’d have a basis for understanding their experience with massage massage therapy and we learned helpful modifications to sessions. By working on students with diverse health needs, we’d see things like a class partner having a panic attack and stopping a session in class, we’d learn other ways to position a client who feels claustrophobic with the head rest, or even how to fine tune our massage speed to help calm a classmate with a racing mind. When we encountered these sessions in our practices, they weren’t new or scary, and we were able to help provide our clients with whatever the needed to feel comfortable, whether that meant ending a session, changing a technique or position, or taking a break to just breathe.

Many of our massage clients live with mental illnesses or go through challenging mental health periods. We understand because these are issues that our providers or their loved ones experience too! In my next post, I’ll share some of the ways massage therapy can be beneficial for people struggling with mental health challenges, and how we can modify services to meet your individualized needs.

Massage techniques for anxiety and stress management at East Village Spa

Book your East Village Spa massage at www.EVDaySpa.com. Curious about massage therapy as a profession? E-mail us! [email protected]. I’m happy to share about my own experiences and help you find a good school.

Rosacea Awareness

April is Rosacea Awareness Month. Many people don’t understand rosacea, which is frequently confused with sensitive skin. According to Shannon Esau of Rhonda Allison, “Rosacea is a chronic and progressive disorder that impacts 16 million Americans. Rosacea will typically present as redness on the cheeks, nose, chin or forehead that will come and go. It is a complex condition, with three stages of progressed symptoms.”

More progressed rosacea with bumps and thickening of the skin.

Mild rosacea causes some redness or flushing that is exacerbated by certain topical products, improper skin care, some foods, alcohol, drugs, or other triggers. According to the Mayo Clinic, more progressed stages of rosacea can lead to bumps that look like acne, a thickening of the skin on the nose leading to a bulbous appearance, and eye issues. Rosacea is not caused by poor hygiene. It may be hereditary, but people with fair skin with sun damage, people who drink or smoke may be more at risk.

Things to avoid

Rosacea symptoms may be lessened by avoiding triggers. This can include using a sunscreen daily (which you should do anyway), reducing sugar, and stopping smoking. Studies show that alcohol consumption may cause rosacea or worsen symptoms for some people, though it is important to note someone who never drinks can also develop rosacea.

People with rosacea should also avoid “scrubbing” their skin or using manual exfoliation (gritty) products. These can cause irritation which may worsen symptoms. A product like Rhonda Allison’s Mandelic Arginine serum can gently rejuvenate skin without an aggressive scrub.

Managing Symptoms

Rhonda Allison Skincare

In addition to avoiding triggers that can worsen symptoms, proper skincare is essential to treating rosacea. For more severe symptoms, people may wish to seek assistance from a dermatologist.

At East Village Spa, we offer Rhonda Allison professional skincare which has several options to help ease rosacea symptoms.

Sensitive Skin Complex: This serum supports inflamed, irritated, infection-prone skin while providing a high degree of environmental protection. This product also eases facial redness and burning.

Creamy Milk Cleanser: Formulated for sensitive and traumatized skin, gentle with milk proteins to soothe and hydrate.

C-Stem Cell: This complex strengthens skin and protects against environmental stress.

Milk Mask: A cooling, calming, and hydrating mask

Wasabi Mask: It may be surprising that wasabi would be an appropriate ingredient for sensitive skin and rosacea, but this mask purifies and hydrates acne and rosacea-prone skin.

If you have concerns about your skin, you can visit with a licensed esthetician for more guidance, regular facials and proper home care can make a world of difference in your skin health. To book a facial with one of our licensed estheticians, click here.

Resources

Differentiating Rosacea From Sensitive Skin, Shannon Esau, Rhonda Allison Cosmeceuticals. Available at Skininc.com

Mayo Clinic: Rosacea https://www.mayoclinic.org/diseases-conditions/rosacea/symptoms-causes/syc-20353815

American Academy of Dermatology: Does Drinking Cause Rosacea?
https://www.aad.org/public/diseases/acne-and-rosacea/rosacea/does-drinking-cause-rosacea

American Academy of Dermatology: 6 rosacea skincare tips dermatologists give their patients:
https://www.aad.org/public/diseases/acne-and-rosacea/rosacea/6-rosacea-skin-care-tips-dermatologists-give-their-patients

Breaking Out: Before and After

I’ve been lucky to have decent-enough skin for the moderate effort I put into it. I had some pimples as a teen, but definitely not acne. I have the rare hormonal breakout and my skin definitely shows signs of sun damage and aging, but I think I’ve been fortunate. Recently, a ton of changes at once caused my skin to freak out in a painful way.

Yikes! I have never had breakouts this bad, this was actually a bit painful.

I recently cut heavier bangs and switched shampoos. I’ve increased the amount of  sweat, gross lake water, heavy duty sport sun screen, and dog-slobber my skin sees. In hindsight, skin-rebellion was a sure thing.

To be fair, I should have gotten bad breakouts long before now considering the gross things I do to my skin!

My breaking point came the day laying down for a massage became too uncomfortable with the breakout on my forehead. I asked our esthetician Cassandra to overhaul my Rhonda Allison home care routine. She’s struggled with breakouts off and on and has lots of empathy and experience in treating them. She looked at what I was doing, subtracted a few products, and added some more. Surprisingly, she INCREASED the moisturizing I was doing.

My recommendations from Cassandra, which I followed pretty well (though sometimes used my BB Creme as my SPF.) I kept the image of the instructions on my phone to have handy while I got ready am/pm. The only fairly pricey product was the Mandelic Arginine and I decided it was worth the cost for the results.

Instead of masking just once, I used the wasabi mask twice in the week per Cassandra’s suggestion. She was right…it does start off a bit hot and tingly but it cooled off quickly and I think it really kick-started the healing for me the first night.

My first time using the Wasabi Mask. It was a bit toasty for a few minutes!

Within a couple of days the pain was gone and the hardest thing was not picking! I admit that I picked one area, which you’ll notice in the “after” image, but overall, I was thrilled with my results in a week of being very diligent with the home care. Too often we hear people say they don’t see results, but then they confess that they only used half of the recommended routine, or only did the routine for a couple of days then gave up.

In typical business-owner fashion, I decided to look on the bright side and see my skin “freak out” as a test of our professional advice and products and be glad I could document my progress for others who might be struggling. I tried guessing at a routine on my own for a few weeks, but it wasn’t working even though I was using good products. That’s where a licensed, professional esthetician comes in. Obviously what worked for me won’t work for everyone and I’m honestly surprised things cleared up so quickly.

After photo, totally smooth skin (minus the spot I couldn’t resist picking) just over a week after I started my home care.

If you are struggling with a breakout, or you have a history inflamed and uncomfortable acne, we have a few facial services that can be helpful in kicking off the healing when partnered with a good routine at home. The key is to stick to the advice and keep in touch with your professional esthetician. Want more information or to schedule? Consider starting with the “Clear Results” facial for true acne or the Wellness Facial for occasional breakouts.