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APC01 615 20 07 Fact vs. Fictio n: The Top Ten Myths of Anti-aging Skin Care By: Vic Narurkar, M.D. (Dermatologist) Director, Bay Area Laser Institute, San Francisco and Assistant Clinical P rofessor of Dermatology, Universit y of California Davis Medical Cente r Myth #1: You can get a face lift in a bottle. Fact: The marketing spin of over-the-counter skin care products has resulted in unrealistic expectations regarding results. While there is no face lift in a bottle,” a comprehensive, physician-strength skin care regimen can correct many of the signs of photodamage, as well as prevent further damage. Myth #2: Good advice can come from anyone. Fact: Nobody understands skin like a skin care physician. Only a skin care physician, such as a dermatologist or a plastic surgeon, has been through medical school and residency training com pletely focused on skin and its care. You can’t get t hat kind of exp ertise at the drug store or cosmetics counter. Myth #3:  Al l p ro du ct c lai ms and pr omis es are t rue. Fact: Only claims made by prescription products are reviewed by the U.S. Food and Drug Adm inistration (FDA). In a recent survey, nearly 70% of w omen did n ot know that claims made by skin care products sold in drug stores and department stores are not regulated, evaluated or verified by a governmental agency like the FDA. 1  Myth #4: The newest ingredients are the best and mo st effective.  Fact: J ust becau se a prod uct inclu des the newest ingredient on th e market, doesn’t mean it w ill deliver results. More important is the form ulation, the effectiveness – and th e science behind th e product. Myth #5: No pain, no gain. Fact: Irritation doesn’t equ ate to results. Many very eff ective product s and ingredients can work w ell – with out irrit ation, dryness or peeling. In fact, glycolic acid, a gold-standard an ti-aging ingredient that pulls moisture into the skin, can be partially neutralized to maximize results and minimize irritation. Myth #6: Expensive products work b etter. Fact: There is no direct correlation betw een cost and results. Half of  women surveyed reported that the most expensive anti-aging skin care product they have purchased is not their favorite product. 1  Myth #7:  Al l an ti ox id ant s ar e cr eated equ all y. Fact: Antioxidant effectiveness is quantified by an environmental protection factor (EPF), which works similarly to the sun protection factor (SPF) that rates sunscreen strength. In an EPF study, th e super-potent antiox idant idebenone scored the high est of five antioxidant s with an EP F of 95 out of a possible 100. 2  Myth #8: It doesn’t matte r where you buy your products.  Fact: Physician-dispensed products – which are products offered only through a doctor’ s office – contain active ingredients at a higher percentage than over-the- counter p roducts. Plus, there’s the added benefit of a physician’s guidance. More than half of wom en surveyed d id not know that skin care physicians offer non-prescription skin care product lines. 1  Myth #9: Skin care is less important than cosmetic procedures. Fact: Topical skin care should be used alone or in combination with other cosmetic procedures to protect and maintain anti-aging efforts and prevent the signs of  aging. Getting procedures with out inv esting in good skin care is like putting m oney in a m attress. A panel of expert physicians coined the idea of the Five R’s” of anti-aging skin care: Resurface, Relax, Refill, Redrape, and importantly – Retain. 3  Myth #10: One size fits all. Fact: There is not a single approach t hat w orks for all skin t ypes. Consumers should consult a skin care physician who can develop an appropriate regimen, monitor improvement and make changes based on the results. When dermatologists and plastic surgeons customize an anti-aging skin care regimen, they consider the patient ’s skin type and lifestyle, envision a goal and then choose synergistic produ cts – or product s and procedures – that work in concert to achieve results. ©2007 Allergan, Inc. Irvine, CA 92612. 1 The nationwide survey polled 370 women between the ages of 25 and 49 to determine their anti-aging skin care perceptions and habits. The survey was fielded using the Internat ional Comm unications Research (ICR) telephone omnibus survey of adults age 18 and over. IC R, headquartered in Media, Pennsylvania, is one of t he nation's leading market and opinion research firm s. The survey had a margin of error of +or – 5.09% at a 95% level of confidence and was funded by Allergan. 2 Antiox idant s Comp ared in a New Protocol to Measure Protect ive Capacity ag ainst Oxidat ive Stress – Part II, DiNardo, J ., Lewis, J ., Neudecker, B., Dimitar, B., Wieland, E., Maibach, H. 3 Downie J B, McDaniel DH, Carraway J H, Narurkar VA. P rinciples of Anti-aging Skin Care. Dermatology Times. J uly 200 7 (Suppl.):1-8.

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APC016152007

Fact vs. Fiction: The Top Ten Myths of Anti-aging Skin CareBy: Vic Narurkar, M.D. (Dermatologist)

Director, Bay Area Laser Institute, San Francisco and Assistant Clinical Professor of Dermatology, University of California Davis Medical Center

Myth #1: You can get a face lift in a bottle. Fact: The marketing spin of over-the-counter skin care products hasresulted in unrealistic expectations regarding results. While there is no “face lift in a bottle,” a comprehensive,physician-strength skin care regimen can correct many of the signs of photodamage, as well as prevent furtherdamage.

Myth #2: Good advice can come from anyone. Fact: Nobody understands skin like a skin care physician. Only askin care physician, such as a dermatologist or a plastic surgeon, has been through medical school and residencytraining completely focused on skin and its care. You can’t get that kind of expertise at the drug store or cosmeticscounter.

Myth #3:  Al l product c laims and promises are t rue.  Fact: Only claims made by prescription products arereviewed by the U.S. Food and Drug Administration (FDA). In a recent survey, nearly 70% of women did not knowthat claims made by skin care products sold in drug stores and department stores are not regulated, evaluated orverified by a governmental agency like the FDA.

Myth #4: The newest ingredients are the best and most effective.  Fact: J ust because a product includes thenewest ingredient on the market, doesn’t mean it will deliver results. More important is the formulation, theeffectiveness – and the science behind the product.

Myth #5: No pain, no gain. Fact: Irritation doesn’t equate to results. Many very effective products and ingredients

can work well – without irritation, dryness or peeling. In fact, glycolic acid, a gold-standard anti-aging ingredient thatpulls moisture into the skin, can be partially neutralized to maximize results and minimize irritation.

Myth #6: Expensive products work better. Fact: There is no direct correlation between cost and results. Half of women surveyed reported that the most expensive anti-aging skin care product they have purchased is not theirfavorite product.

Myth #7:  Al l antioxidants are created equally. Fact: Antioxidant effectiveness is quantified by an environmentalprotection factor (EPF), which works similarly to the sun protection factor (SPF) that rates sunscreen strength. In anEPF study, the super-potent antioxidant idebenone scored the highest of five antioxidants with an EPF of 95 out of apossible 100.

Myth #8: It doesn’t matter where you buy your products.  Fact: Physician-dispensed products – which areproducts offered only through a doctor’s office – contain active ingredients at a higher percentage than over-the-counter products. Plus, there’s the added benefit of a physician’s guidance. More than half of women surveyed did

not know that skin care physicians offer non-prescription skin care product lines.1 

Myth #9: Skin care is less important than cosmetic procedures. Fact: Topical skin care should be used alone orin combination with other cosmetic procedures to protect and maintain anti-aging efforts and prevent the signs of aging. Getting procedures without investing in good skin care is like putting money in a mattress. A panel of expertphysicians coined the idea of the “Five R’s” of anti-aging skin care: Resurface, Relax, Refill, Redrape, and –importantly – Retain.

Myth #10: One size fits all. Fact: There is not a single approach that works for all skin types. Consumers shouldconsult a skin care physician who can develop an appropriate regimen, monitor improvement and make changesbased on the results. When dermatologists and plastic surgeons customize an anti-aging skin care regimen, theyconsider the patient’s skin type and lifestyle, envision a goal and then choose synergistic products – or products andprocedures – that work in concert to achieve results.

©2007 Allergan, Inc. Irvine, CA 92612.

1The nationwide survey polled 370 women between the ages of 25 and 49 to determine their anti-aging skin care perceptions and

habits. The survey was fielded using the International Communications Research (ICR) telephone omnibus survey of adults age 18and over. ICR, headquartered in Media, Pennsylvania, is one of the nation's leading market and opinion research firms. The surveyhad a margin of error of +or – 5.09% at a 95% level of confidence and was funded by Allergan.

2Antioxidants Compared in a New Protocol to Measure Protective Capacity against Oxidative Stress – Part II, DiNardo, J ., Lewis, J .,

Neudecker, B., Dimitar, B., Wieland, E., Maibach, H.

3Downie J B, McDaniel DH, Carraway J H, Narurkar VA. Principles of Anti-aging Skin Care. Dermatology Times. J uly 2007

(Suppl.):1-8.