Apple cider vinegar on a old wooden table

Soaks not only had no beneficial effect on skin barrier integrity, but also caused skin irritation

Among patients with atopic dermatitis, apple cider vinegar soaks did not enhance skin barrier integrity significantly, but did lead to skin irritation in most subjects, a pilot split‐arm study found.

Transepidermal water loss (TEWL) increased and pH declined immediately after the treatment, but the effects were not maintained 1 hour later, reported Lydia Luu of the University of Virginia in Charlottesville, and colleagues.

They said that notably, 72.7% of participants had mild side effects from apple cider vinegar with improvement after the soaks were stopped.

Further research is needed to demonstrate the true effect of apple cider vinegar in eczema, noted study co-author Richard Flowers, MD, also of the University of Virginia. “We often consider natural treatments as harmless, but our study showed that this may not necessarily be the case,” he told MedPage Today. “This highlights the importance of patients reaching out to their dermatologist or provider before undertaking home remedies for their skin, to ensure they are doing them in the safest and most evidence-based manner.”

Credit: medpagetoday.com

Rosacea on cheek

If you’re diagnosed with rosacea, there’s a lot you can do to relieve your discomfort and prevent flare-ups.

Were you recently diagnosed with rosacea? If so, you may be wondering what to do next. Here are 8 tips that dermatologist give their patients with rosacea to help them control the condition and feel more comfortable.

  1. Pay attention to your eyes. If you do nothing else, do this! You want to watch for signs of irritated or red eyes. If you notice any irritation or other eye problems, call your dermatologist or eye doctor right away.

This is important because more than half the people who have rosacea develop an eye problem at some point. Treating eye problems caused by rosacea can prevent you from developing problems with your eyesight.

  1. Learn what triggers your rosacea. Many everyday occurrences, such as becoming overheated or feeling stressed, can cause rosacea to flare. Anything that causes rosacea to flare is called a trigger.

While there are many rosacea triggers, what triggers one person’s rosacea may not be a trigger for you. It’s important to learn what triggers your rosacea. Avoiding your triggers can help you avoid flare-ups.You’ll find a step-by-step guide that can help you discover your triggers at, Triggers could be causing your rosacea flare-ups.

  1. Be gentle with your skin. Rosacea can make your skin extremely sensitive. Your skin can feel uncomfortable if you wash your face with a washcloth, use skin care products that contain fragrance or astringents, or even go outdoors without applying a sunscreen.
    You can find out how to care for your rosacea-prone skin at, 6 rosacea skin care tips dermatologists give their patients.
  2. Protect your skin from the sun. Just a few minutes in the sun can cause your rosacea to flare. Protecting your skin from the sun can prevent these flare-ups. You can learn how to protect your skin from the sun at, How to prevent rosacea flare-ups.
  3. Select your makeup carefully. Sometimes, makeup can cause rosacea to flare. You can find out how to choose rosacea friendly makeup at, How to prevent rosacea flare-ups. Scroll down to “Use rosacea friendly makeup.”
  4. Understand that flare-ups can happen and are often unexpected. Even when you treat your rosacea and do everything you can to avoid your triggers, rosacea can flare unexpectedly.
    A flare-up tends to be more manageable when you keep calm (stress can be a trigger) and follow your dermatologist’s advice for treating a flare-up.
  5. Team up with a board-certified dermatologist to treat your rosacea. Treating rosacea can prevent it from worsening. Treatment can also help calm a flare-up.
    By seeing a board-certified dermatologist about your rosacea, you can receive expert care. When a dermatologist is board-certified, you’ll see the letters FAAD after the doctor’s name.
  6. Jot down questions to ask during your next dermatology appointment. Between appointments, questions about rosacea may come to mind. If they do, jot them down so that you can ask them during your next dermatology appointment.

The more expert advice you have, the better you’ll be able to manage your rosacea.

A board-certified dermatologist is a rosacea expert

Rosacea is one of the most common conditions that dermatologists treat.

When you see a board-certified dermatologist, you know you’re seeing a doctor who has received specialized training in how to diagnose and treat rosacea.

Board-certified dermatologists are also the scientists who conduct many of the studies that help us learn more about this condition.


Credit: American Academy of Dermatology

Side view stock photo of gorgeous woman in festive dress opening the box with a Christmas present. She is standing under snowfall. She is looking inside a box with magical light coming from inside.

Happy New Year!

New year, new decade. Maybe it’s time to update your old skin care routine.  Whether you are a tried and true believer in keeping up with your skin or a new beginner just getting the hang of what your skin care needs are, Toronto Dermatology Centre can help your skin navigate the next decade with ease.

A good quality cleanser, moisturizer and sunblock takes less than a minute of your day and will add years to a younger looking you.  From gentle cleanser such as Skinceuticals Soothing Foam Cleanser to more active cleansers like ZO Exfoliating Cleanser, we carry the best of the best to get your skin prepped for moisturizers, serums or even topical medications.  And did you know that there are retinols that can be used during the daytime? ZO carries several moisturizers with .5% retinol, but it’s buffered so that it can be easily applied during the day.  And with proper sunscreen, there are no worries when worn out in the sun (come on sun, we need you!!). And for those who find the winter months completely dehydrate your skin, you are not alone. I find the Skinceuticals Triple Lipid Restore absolutely irreplaceable during the winter months. I have oily skin, and this moisturizer is not only the most hydrating, gorgeous cream I have used, but it won’t break my skin out. I simply find that to be amazing!

TDC has a beautiful new line of skin care called Skin Essentials MD as well. Now if you really want to make a new start for you skin this year, I would absolutely suggest speaking with one of our medical estheticians to find just the right Skin Essentials MD for your skin.

Throw away your old make up and try Jane Iredale’s 100% mineral make up. This makeup won’t clog the pores like regular make up does, and it protects the skin instead of just covering it up. Or, have you tried the Oxygenetix 100% mineral wear? It is not transferable, which means it won’t come off on your winter coat or scarf. Once on, it lasts all day, looks incredibly natural and is actually beneficial for your skin’s health. Oh, and it comes off easily when you wash at night because it sits on the skin instead of getting all trapped in the pores like most make up products. Win-win situation, right?

And for those of you who are fed up with brown spots, broken vessels on your face, spider veins on your legs or just wanting to freshen up your skin on a regular basis, Toronto Dermatology Centre offers numerous services, the best in laser technology and practically anything else you can think of to make 2020 the year you shine. And of course, if the holiday season included a few too many sweets, don’t forget about Coolsculpting. A non- surgical way to permanently remove fat cells, it is easy and quick without downtime.  And finally our dermatologists are specialists with Botox and fillers, and can improve your look after just one visit.

So take a picture of you in 2020, get started on your skin now. Follow through and keep up the good work. You may be surprised in 2030 how little your skin has changed. Years pass by, but we can help you stay looking younger longer, and the sooner you start, the happier your skin will be.

Best wishes in 2020, and I hope to see you soon.

~ Sheri Roselle, Medical Esthetician at Toronto Dermatology Centre

Many people who sweat excessively do not realize they have a treatable medical condition called hyperhidrosis. The following tips from dermatologists can help you gain control.


Credit: American Academy of Dermatology

Female eating greasy pizza comfort food

Beliefs about the association between diet and acne has changed several times. More recently, there has been a shift toward thinking that an association does exist, according to Linda Stein Gold, M.D., director, Dermatology Clinical Research, Henry Ford Health System.

“In the 1960s, the belief was that diet was an important influence on acne and advice was commonly given to avoid of greasy foods, chocolate and soda,” says Dr. Stein Gold, who presented on diet and acne, during the “Translating Evidence into Practice: Acne Guidelines” session at the American Academy of Dermatology (AAD) Summer Meeting in July. “In the 1980s, some small studies called this thinking into question and the belief system switched to thinking that diet did not influence acne. Today, we have come full circle to believe that there may be an association.”

Some studies have demonstrated that high glycemic diets—diets that raise the insulin level in the blood quickly—can exacerbate acne. Still other studies implicate milk and possibly skim milk in exacerbating acne, according to Dr. Stein Gold, who is among the authors of “Guidelines of care for the management of acne vulgaris.”

Current guidelines published in the Journal of the Journal of the American Academy of Dermatology (JAAD) make these recommendations about the role of diet in acne1:
• Given the current data, no specific dietary changes are recommended in the management of acne.
• Emerging data suggest that high glycemic index diets may be associated with acne.
• Limited evidence suggests that some dairy, particularly skim milk, may influence acne.

“The guidelines take these new studies into consideration; however, we do not have the large, reproducible controlled clinical trials to make a firm recommendation,” Dr. Stein Gold says.


Credit: Lisette Hilton, Dermatologytimes.com

Watch this quick video about the impact of Dermatologists on patient well-being and their cross-disciplinary knowledge in diagnosing and treating over 3,000 skin conditions.

The American Academy of Dermatology’s SkinSerious campaign highlights how dermatologists treat serious diseases, collaborate with other specialists, and transform patients’ lives.

Learn more: http://www.skinserious.org

Male doctor examining mole on back of woman in hospital

Skin cancer is the most common cancer in the U.S.1, affecting one in five Americans in their lifetime.2 Limiting exposure to ultraviolet radiation is the number one way individuals can reduce their risk of skin cancer, though new data suggests that UV exposure is on the rise, particularly among Caucasian girls and young women.

Research presented at the 2019 American Academy of Dermatology Summer Meeting in New York shows that between 1970 and 2009, rates of melanoma, the deadliest form of skin cancer, have increased 800% among women ages 18-39, making it the second most common cancer in young women.3 During a similar timeframe, basal cell and squamous cell carcinoma rates have also sharply increased by 145% and 263%, respectively.4

“Because there’s a delay between UV exposure and when skin cancer appears, most women don’t think it will happen to them,” says board-certified dermatologist M. Laurin Council, MD, FAAD, FACMS, an associate professor of dermatology at Washington University in St. Louis. “This data reveals the disproportionate rise in the number of skin cancers in women and the need for further education regarding UV exposure.”

Continued use of indoor tanning devices by Caucasian girls and young women is of particular focus, as researchers estimate that it may cause more than 400,000 cases of skin cancer in the U.S. each year.5 Women are far more likely to use indoor tanning devices than men (7.8 versus 1.9 million)6, and of the women who began tanning before the age of 16, more than half (54%) did so with their mother.7

Even one indoor tanning session can increase a user’s lifetime risk of developing melanoma by 20%8, squamous cell carcinoma by 67% and basal cell carcinoma by 29%.9 The risk increases for younger users; indoor tanning before age 35 can increase one’s risk of melanoma by 59%.10 This risk increases with each use.8

“It’s important that young people understand the potential impact of the habits they form when they are younger,” says Dr. Council. “There are serious, long-term consequences to activities such as sun bathing and using indoor tanning devices.”

Dr. Council recommends that parents talk with their children about limiting UV exposure, which is the easiest way to prevent skin cancer. This means practicing sun-safety habits, such as seeking shade, especially when the sun’s rays are the strongest between 10 a.m. and 2 p.m.; wearing protective clothing, including a lightweight, long-sleeved shirt, pants, a wide-brimmed hat and sunglasses; and regularly applying a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher. Parents should also discourage the use of indoor tanning devices.

“Everyone should be happy with the skin they were born with and protect it,” says Dr. Council. “Some skin cancers are treatable with surgery, but others are more advanced and may be deadly. It’s important that we modify risky behaviors such as UV exposure to prevent the occurrence of skin cancer.” More Information

Credit: American Academy of Dermatology

How you style your hair can cause it to look brittle and frizzy or even fall out. Follow these tips from dermatologists to help style your hair without causing damage.


Credit: American Academy of Dermatology

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