Care for oily and combination (mixed) face skin

The basic principles of care for these types of skin at home are regular cleansing, adequate moisturizing and photoprotection. A thorough but gentle cleansing of the skin of the face, neck with the use of cosmetic milk, gel, foams and solutions that do not contain alcohol, corresponding to the fatty or mixed skin type. Such solutions, as a rule, have an anti-inflammatory effect, and also they are prescribed for post-cleaning and additional moistening of the skin. At home, it is recommended to use infusions of medicinal herbs and thermal waters (preferably in the form of a spray). Cleansers must meet certain requirements: remove scales and sebum without strengthening its secretion and not drying out the skin, have anti-inflammatory and keratolytic effects and do not cause a vascular reaction. The question of the appointment of various antibacterial soaps and foams should be addressed individually. Typically, patients with mixed skin types do not tolerate washing with these products. In some patients with oily skin, especially complicated by the presence of acne, with the use of antibacterial soap, erythema-squamous eruptions can occur or acne can worsen. Such hyperhygienic measures lead to delipidisation, reduction of barrier properties of the skin and deterioration of the acne disease. To care for oily and combination skin should recommend therapeutic cosmetics.

Cosmetic and remedies for oily and combination skin should not be greasy and sticky, most preferably a water-in-oil or gel-type emulsion. As a rule, patients with oily and mixed skin, complicated by the appearance of acne, require appropriate pharmacological correction. All means of external therapy are applied to the whole face (with the exception of the skin of the eyelids) and only after preliminary cleansing of the skin. Most of the products overdry the skin, so you need to additionally use moisturizers. Widely used today for the treatment of acne Skinoren (in the form of 15% gel), in addition to antibacterial action, it has a moisturizing effect, therefore its use, as a rule, does not require additional moistening of the skin

It should be noted that makeup should be used with caution because of the potential comedogenic effect of makeup. Patients can be recommended only quality products for skin care and decorative cosmetics that do not have a comedogenic effect.

Masks for the face at home can be prepared independently or use professional cosmetologist professional masks, the use of which is allowed in the home (the so-called "homework"). To prepare a mask at home, only high-quality and fresh products are used. The mask is prepared immediately before use. Storage of mask residues in the refrigerator is not allowed. Freshly prepared mask is applied to cleansed face and neck skin, for 15-20 minutes. Then the mask is washed off with cool water. The face is treated with a tonic for oily or mixed skin or infusions of herbs and a moisturizer is applied. Masks are recommended not to be done more than 1-2 times a week. It should be remembered that plant extracts and some food products (honey, egg yolk and protein, citrus juices, strawberries, tomato pulp, etc.), often used to make masks and tonic liquids for oily and mixed skin at home, are allergens.

Examples of masks for oily and combination skin

Yeast mask - half-packs of fresh yeast is stirred in warm milk until a creamy mass is obtained, which is applied to the skin of the face for 15 minutes, then rinse with warm water.

Cottage cheese mask: a tablespoon of fresh cottage cheese and a teaspoon of honey thoroughly rubbed, the resulting mass is applied to the face for 20 minutes, then rinse with warm water.

Protein mask: freshly prepared mixture of egg white and one teaspoon of lemon juice is applied to the face for 20 minutes, then rinse with warm water. Showing fruit masks (strawberry, cucumber, carrot, etc.).

As for peeling creams, their use at home should be individualized. The main contraindications for the use of peeling creams are the presence of inflammatory elements (papular, papulopustular), as well as viral, bacterial and fungal skin diseases, multiple malformations, melanoma-dangerous nevi and other malignant neoplasms of the facial skin, as well as expressed telangiectasias. Do not assign these procedures to strong frosts, as well as with the active insolation. In the absence of contraindications and good tolerance, peeling creams can be recommended as a means of care for both oily and mixed skin, not more than once a week. The classical mechanical peelings include the freshwater sponge of the bodyguard, the application of which causes an exfoliating effect, and also contributes to the resolution of deep infiltrates. Masks with a spleen can be recommended for patients to use at home (under the supervision of a doctor). Powder bojjaga mix with boiled water or 3% a solution of hydrogen peroxide up to kashitseobraznoj masses with foam. The resulting mass is applied with a tampon or fingers in rubber gloves on the face with light rubbing movements and left for 15-20 minutes. The mask is removed with warm water, then the skin of the face is wiped with a tonic. It should be noted that any rubbing movements on the skin provoke the appearance of fresh rashes. Systematic use in home conditions of therapeutic creams containing keratolitics allows to avoid the appointment of mechanical peelings.

In patients with combination and oily skin, lotions, water-alcohol chatterboxes and powders containing salicylic, boric acids, resorcinol, sulfur, ichthyol, with antibiotics, if necessary, can be recommended. With a mixed type of skin (with severe dryness of the skin in the cheek area), these funds are applied only to areas with increased secretion of sebum (forehead, nose, chin - "T-zone").

Basic physiotherapy procedures used to care for oily and mixed skin

To implement the program of complex intensive care for oily and mixed face and neck skin in the conditions of a cosmetology room, the following physiotherapeutic procedures are carried out.

• Disincrustation. The method is based on the principle of galvanization, using solutions of bicarbonate or sodium chloride (2-5%) or a special solution-disincrustant on a negative electrode. Due to therapeutic electrolysis, an alkali is formed at the negative pole, changing the pH of the skin, which contributes to the dissolution and removal of the secretion of the sebaceous glands from the excretory ducts. Weekly execution of disinfestation can significantly reduce the number of open comedones to prevent the formation of new ones.
• Vacuum spray. With the help of vacuum action, the skin is cleaned and massaged. The disadvantage of vacuum cleaning is low efficiency and pronounced traumatization of surrounding tissues. The work in the spraying mode (spray) with the use of corresponding to fat and mixed type of skin lotions has a tonic and moisturizing effect, improves microcirculation and nutrition of the skin, enhances lymphatic drainage.
• Darsonvalization in oily and mixed skin is carried out on talc along a dry antiseptic mask and on the final cream using a contact labile and stable technique. The use of remote darsonvalization is limited due to the cauterizing effect. With flabby skin, contact labile darsonvalization is used for the final cream, which has an easy lifting effect. The duration of the procedure for oily skin averaged 10 minutes, and with a mixed - 5-7 minutes, for a course of 10-15 sessions, every other day.
• Ultrasound and iontophoresis make it possible to intensify the effects of applied cosmetic products and medications. With the help of ultrasound, a peeling procedure is performed.
• Myostimulation is included in a complex of cosmetic procedures for the care of oily and mixed face skin, usually before applying the mask, both to prevent age-related changes, and to combat the already existing signs of skin aging. With flabby skin, it is advisable to use myostimulation in combination with plastic massage and paraffin masks. It should be avenged that patients aged 35-40 years are not recommended to appoint myostimulation.
• Paraffin masks also contribute to the resolution of infiltrates, have a lifting effect; before they were used before mechanical cleaning. Paraffin masks are contraindicated in rosacea, infectious diseases of the skin (pustular, fungal, viral), neoplasms of the skin (including benign), hypertrichosis, severe cardiovascular and neurological pathology, and glaucoma. The paraffin is heated in a water bath to 60 °, then the brush is applied layer by layer on the skin of the face (with the exception of the skin of the eyelids), for 20-25 minutes. Correctly imposed mask after cooling is removed entirely, representing the shape of a cast of a face. The procedure is carried out every other day, for a course of 10-20 sessions,
• Microcurrent therapy (the procedure is performed every other day, for a course of 10-15 sessions), as well as electrostatic massage; therapeutic laser and aromatherapy with essential oils are widely used to care for oily and mixed face and neck skin.
• Indications for cryomassage with liquid nitrogen are deep indurative elements and flabbiness of the skin. Cotton swab on the wooden rod is carried out by light stroking movements for 1-2 minutes on each massage line, without pressure and stops, periodically immersing it in a thermos bottle with liquid nitrogen. The procedure is carried out on dry skin of the face, 2 times a week, for a course of 10-15 sessions. The use of carbonic acid snow for cryomassage is not recommended, because of the high risk of burns. Cryomassage is not assigned during the active insolation.

Limited use of vaporization, rassezazh. Contraindicated direct exposure to ultraviolet light.

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Care for oily and combination (mixed) skin in a cosmetology setting

According to research, about 90% of calls to the dermatocosmetologist are patients with fatty and mixed skin types aged 12 to 60 years. The most frequent complaints are the increased greasiness of the skin, the appearance of rashes on the skin of the face, chest and back. As a rule, difficulties arise when choosing a program for care of mixed skin. With each patient, the question should be addressed individually. If the patient with a mixed skin type has a pronounced dryness of the side faces of the face, then the areas of the forehead, nose and chin are cosmetically treated for oily skin, and on the cheek area for normal or dry skin. All procedures should begin with removal of cosmetics from the skin around the eyes and lips (using specially designed for this cosmetic products) and cleansing the skin of the face and neck. All manipulations in the face and neck are carried out along the lines of the least tension of the skin. In the conditions of the cosmetology room, patients with mixed and fatty skin type undergo peeling and skin cleansing procedures, use masks (easily removed from the skin surface - anti-inflammatory drying, cleansing and moisturizing). The question of the appointment and choice of the type of peeling is decided for each patient individually. In the absence of inflammatory elements, preference should be given to ultrasound peeling, mechanical peeling for oily and mixed skin, as well as glycopiligins. In rare cases, the use of soft rosette slicks for peeling cream is allowed.

With a decrease in skin turgor, secondary pigmented spots of scars, procedures of glycopilation (25 and 50% solutions) are indicated. Preliminary home preparation is necessary for carrying out the first procedure of glycopilling in a cosmetology room. Patients are recommended for 2 weeks 1-2 times a day to apply on the face and neck creams, which include fruit acids (up to 15%). Immediately before the procedure of glycopilling, the face and neck skin should be thoroughly cleaned with cosmetic milk. Toning fluids are usually not used. In a number of cases, before applying glycopyling, the skin is treated with special pre-pilling solutions. Glyco-peeling is applied with cotton buds in the following sequence: on the forehead, nose, chin, above the upper lip, on the cheeks, on the skin of the eyelids, neck, on the decollete zone. The exposure time is strictly individual (1-3-5-10 minutes).

Glyco-peeling is removed from the skin with sponge and a lot of cool water. The procedure of glycopyring is carried out every other day, for a course of 7-10 procedures. The effect after these procedures is maintained for 1.5-2 months. It is not recommended to perform the procedure of glycopilation in severe frosts and during active insolation.

In some cases, patients with oily and mixed skin can be shown a mechanical face cleaning. Currently, special gels are used to prepare the skin for this procedure. Vaporization of the skin before mechanical cleaning in this category of patients is now considered undesirable. Mechanical cleaning is carried out with hands or special tools (loops, spoons, etc.). Removable open comedones, milium (horny cysts) and single pustular elements, opened with a sterile needle, followed by treatment with alcohol solutions of salicylic, boric acid or other antiseptics. It is not recommended to perform mechanical cleaning during menstruation and with severe somatic pathology.