The Lancer Method: Oily-Congested is best if you experience excessively oily and congested skin along with frequent breakouts, and will visibly improve the clarity of skin. Gentle enough for everyday use, the Lancer Method: Oily-Congested helps neutralize the bacteria that causes congestion and blemishes. Exfoliating is especially important for blemished skin by helping to open pores and remove dead cell build-up. Apply the Retexturizing Treatment once daily
The amount of sebum a person produces varies throughout the course of his or her life. sebaceous glands are present at birth and display relatively high production of sebum at this time. shortly after birth, sebum production decreases until puberty, at which time it dramatically increases. sebum production does not decline again until after menopause for women and around the sixth to seventh decade for men.1 Androgens, particularly 5α-dihydrotestosterone (DHT), play a major role in the differentiation and proliferation of sebaceous glands as well as sebum production.5,6The average rate of sebum production in adults is 1mg/10cm2 every three hours.7 When rates are less than 0.5mg/10cm2 every three hours, patients can suffer from xerosis or dry skin. Conversely, when sebum production exceeds 1.5mg/10cm2 every three hours, it is considered excessive and results in seborrhea or oily skin.1,7
Both tazarotene and tretinoin have been reported to reduce facial pore size. This is significant in that larger pores have a direct relationship with larger amounts of sebum production.11 Kang et al27 reported that 42 percent of subjects treated with tazarotene once daily for 24 weeks achieved a reduction in pore size according to a double-blind, 5-point physician scale. This is significant in comparison to just a 20-percent reduction in pore size in those receiving placebo. A different study found a significant reduction in pore size via a dermatoscopic analyzer after 60 women applied tretinoin 0.025% cream once daily for 90 days.28 While the direct relationship between pore size and sebum production makes this interesting, one cannot conclude that topical retinoids decrease sebum production given that studies have not distinctly uncoupled this association. Nonetheless, the above evidence and discussion make topical retinoids a worthwhile consideration for treating oily skin.
Cosmeceuticals. Numerous cosmeceutical products and ingredients make claims that their use will reduce oily skin, but this discussion will be limited to evidence-based ingredients. Draelos et al34 conducted a double-blind, placebo-controlled study of 100 subjects that revealed topical 2% niacinamide significantly lowered sebum excretion rates after two and four weeks of use. While topical niacinamide may be helpful for those with oily skin, further studies are needed to outline the mechanism of action and ideal treatment regimen.
Another cosmeceutical ingredient with some evidence behind its application for oily skin is green tea. One small study had 10 patients apply a 3% green tea emulsion for eight weeks. When facial skin was evaluated by a sebumeter (a noninvasive photometric device), there was a significant reduction in sebum production compared to baseline.35 A slightly larger study with 22 participants also found a significant reduction in sebum secretion after 60 days of a topical green tea emulsion.36 Topical cosmeceuticals containing green tea may prove beneficial for patients with oily skin.
Regardless of the severity of their oily skin, all patients should be reminded that this sizeable reduction in sebum production does not go without adverse effects. Most commonly, patients will experience generalized dry skin, chapped lips, xerophthalmia, and secondary skin infections.38 Clinicians should educate their patients and provide tips to minimize these common side effects.
One major consideration to discuss with patients prior to starting oral isotretinoin is teratogenicity. This very concern dictates the use of the iPLEDGE system, a computer-based risk management program designed to help eliminate fetal exposure to isotretinoin, even if low doses are being used to treat oily skin. To help prevent this severe adverse risk, sexually active women must use two forms of contraception, and pregnancy testing is required for all female patients of childbearing potential at baseline and monthly until completion of therapy.
Spironolactone. While this potassium-sparing diuretic has classically been utilized in medicine as an antihypertensive agent, it has become increasingly employed by dermatologists for the treatment of oily skin, acne, hirsutism, and androgenic alopecia in women.43,44 spironolactone has been shown to directly reduce sebum production when dosed 50 to 200mg daily.45 In addition to being an alderosterone antagonist, spironolactone also functions as an androgen receptor blocker and an inhibitor of 5a-reductase.38 Human sebocytes contain Type 1 5a-reductase, which converts testosterone to the potent androgen 5a-dihydrotestosterone (DHT).46 This androgen plays an important role in inducing sebocyte proliferation. Thus, by inhibiting production of DHT and blocking testosterone and DHT from binding to sebocytes, spironolactone has been proven to inhibit sebocyte proliferation in a dose-dependent manner.47
Oral contraceptives. Oral contraceptives are beneficial for oily skin in that they result in a decrease in ovarian and adrenal androgens and increase sex hormone-binding globulin, which limits free testosterone. As described above, androgens stimulate sebocyte proliferation and contribute to seborrhea. Estrogens, all in all, have been found to exhibit an inhibitory effect on excessive sebaceous gland activity in vivo.53 In order to avoid the risk of endometrial hyperplasia, or even cancer, that can result from unopposed estrogen, it must be used in combination with a progestin.
Several studies have shown that oral contraceptives do indeed reduce facial oiliness. In a double-blind, randomized study of 128 women receiving either an ethinyl estradiol/drospirenone combination or an ethinyl estradiol/cyproterone acetate combination, both preparations significantly reduced sebum production.55 Katz et al57 found a 60-percent relative reduction in sebum output on the cheeks and a 30-percent relative reduction in sebum output on the forehead of 41 women after six cycles of a combination ethinyl estradiol/desogestrel pill. The use of this same combination oral contraceptive was also proven to improve oily skin after just one cycle of treatment.58
Photodynamic therapy. Photodynamic therapy (PDT) following the application of δ-aminolevulinic acid (ALA) is used by some to treat acne vulgaris. ALA is preferentially absorbed by pilosebaceous units, and sebocytes metabolize ALA to light-sensitive protoporphyrin IX (PplX).65,66 When exposed to light at a suitable dose and wavelength, PplX forms cytotoxic free radicals that result in cell destruction and apoptosis of sebocytes. Despite plentiful evidence showing improvement in acne, several studies have failed to show a significant reduction in sebum output after PDT with ALA.67,68 However, one supportive study found that lower sebum excretion persisted even 20 weeks after multiple PDT sessions, but not after a single PDT session. Histologic evaluation acutely after PDT revealed sebocyte destruction and 20 weeks later revealed smaller sebaceous glands.69 PDT may be a valuable tool to offer patients concerned about oily skin.
DO use a gentle, foaming face wash. Many people believe that they need to use a strong face wash for oily skin in order to dry out their skin. However, using a face wash that is too harsh can irritate your skin and trigger increased oil production. Instead, look for a mild, gentle face wash.
New Trade Ship Management S.A. (New Trade), a vessel operating company, and vessel Chief Engineer Dennis Plasabas pleaded guilty today in San Diego, California, for maintaining false and incomplete records relating to the discharge of oily bilge water from the bulk carrier vessel Longshore.
Results: During a median 10.1 years of follow-up, 7,262 incident cases of T2D were identified. Compared with participants who reported never consumption of oily fish, the multivariable-adjusted hazard ratios of T2D were 0.84 (95% CI 0.78-0.91), 0.78 (0.72-0.85), and 0.78 (0.71-0.86) for those who reported
Conclusions: Our findings suggest that consumption of oily fish but not nonoily fish was associated with a lower risk of T2D. Use of fish oil supplements, especially constant use over time, was also associated with a lower risk of T2D.
Human hair and scalp have a pH between 4.5 and 5.5. This natural hair acidity prevents microbial growth in the hair and scalp and keeps the cuticle healthy and resilient. Alkaline shampoo strips natural oils and sebums, protecting the scalp and hair, leading to overproduction of sebum and oils to compensate for the loss, making your hair get oily and dirty quicker. Moreover, alkaline environments induce hair cuticles to open, causing dry, itchy, and flaky scalp. Alkaline pH can also increase the hair's negative electrical charge, which increases the friction between hair, leading to cuticle damage and fiber breakage. Gentle, non-stripping, acidic-balanced shampoo benefits natural hair by reducing frizz and dryness, preventing breakage, and tangling while keeping the cuticle sealed to retain proper moisture and balance. Maintaining the hair's natural balance can also keep your hair looking cleaner for a longer time.
Having oily hair, this one works wonders on me! The only thing I dislike is that strong cooling sensation while washing my hair, thus subtracting one star. For me, a shampoo with those amazing results and the smell of "Whamisa Cactus Shampoo" would be the ideal and only option. But all in all, I like it a lot and definitely will buy it again and again! 350c69d7ab