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The Anti-Aging Challenges of Different Skin Colors – and Their Solutions – Part 1

black woman washing faceOn her recent appearance on the CBS TV show “The Talk,” Dr. Tess discussed the anti-aging challenges of different skin colors and the products that can make each skin type younger-looking and as beautiful as possible.

Her advice from the TV show is being shared here in a two-part series. Part 1 looks at brown, medium, and olive skin colors.

Browner skin is more prone to irritation, dry skin, and scarring. African Americans tend to develop thick scars called keloids sometimes from as little trauma as acne on the chest and it can be very difficult to treat.

Dark skin can really benefit with regular exfoliation to avoid ashy and dry cracking skin.

I recommend using a body scrub (you can make your own at home) in the shower and immediately apply moisturizers afterwards to keep skin from drying. Exfoliate your skin to reveal a layer of fresh, smooth skin.

Put a few tablespoons of coarse sea salt in a bowl, and add enough orange juice to make a paste. Apply to skin by rubbing gently in a circular motion. Rinse with cool water to tighten pores.

Moisturize with shea butter to complete the process.


Find and use a non-hydroquinone skin lightening and brightening product on a regular basis to even the skin tone and reveal glowing skin.  People with medium skin should not use products with hyrdoquinone because it will make their skin color uneven.

Most of the signs of aging that happen with medium skin involve discoloration, blotchy uneven pigmentation so if you start early you may be able to help prevent this from happening.

People with medium skin and some Latinos are prone to getting a very challenging condition called melasma where there is gradual darkening of the skin usually in a map-like fashion on the cheeks, and can involve the upper lip and even look like a mustache.  This tends to occur during pregnancy and, for some, remains for the rest of their lives. It can be a very difficult condition to treat.

Use glycolic acid cleanser and use products with vitamin C to constantly exfoliate, deep clean pores and minimize oiliness.  This will help prevent breakouts and minimize the discoloration from acne before they even happen!

Because of the extra oiliness, olive skin tends to also break out more – some women are breaking out all the way to menopause.  And because olive skin has a strong tendency to create pigmentation, acne is not only a bigger problem but worse yet, once the pimples are gone, we are left with dark scars that can last a long time.

Part 2 – Light and Fair Skin Colors

Anti-Aging Skin Care – Foods to Avoid and Great Foods to Eat

On CBS The Talk Dr. Tess talked about how to use certain foods to help you in getting, and keeping, that “perfect” skin, for beautiful skin rejuvination.  Some foods are actually detrimental to our skin, and others work wonders. Take a look at Dr. Tess’s demonstration here:

Acne is Clearing Up! A Testimonial by Sarah B

I came into Dr. Mauricio’s office for a consultation in January of 2012 in regards to my acne breakout and scarring.  She is an exceptional individual with an impressive educational background and demeanor.  Her staff came off as very friendly and helpful as well!

She recommended that I try the microdermabrasian with the crystal peel treatment in order to achieve the results I was looking for.

However, in the beginning I was doubtful because my breakouts were bad and my acne not only left my face scarred but my confidence was was broken as well.  But with all of the positive testimonies I’ve heard from friends I gave it a shot.

Since January I’ve been personally treated by one of the aestheticians at the Scripps Clinic, Genesis.  Gen’s entire personality is attractive; in addition to the recommended clinical treatments by Dr. Mauricio, she offered the proper products that worked with my specific skin type.

After only two sessions, I began to see consistent results:  My face began to clear up, I regained the smooth texture in my face, my acne scarring began to lighten, I had less breakouts and the redness from my pimples had disappeared.

I am still continuing this acne treatment and my results have become more rewarding each time.  And so I would like to say thank you Scripps Ranch Dermatology staff, and especially to my aesthetician – Gen!

CBS Redo You: Beauty Skin Care Myths Debunked by Dr. Tess – Part 1

As a part of the Redo You: Beauty series on CBS, Dr. Tess, debunks skin care myths and gives the truth about how to take care of your skin.

Myth #1: Cocoa butter prevents stretch marks.

Stretch marks usually appear with disruption of skin’s elastic fibers as the skin expands in a short period of time as in pregnancy, growth spurts and rapid weight gain or loss.  There is also some genetic predisposition making some people more susceptible to stretch marks than others.  Men also get stretch marks.  For some people, coconut oil mixed with the vitamin C in lime juice can help repair the connective tissues beneath skin’s surface that cause stretch marks.

Myth #2: Acne is the result of dirty, oily skin.

Acne is caused by many factors such as genetics and hormonal changes but dirty, oily skin is not one of them.  Washing, scrubbing and over drying skin can cause irritation.  Over-cleansing the skin can kick your oil producing sebaceous glands into overdrive, making the skin greasier.  Washing just twice a day, morning and night, with the proper cleansers is more than enough.  Choose cleansers with ingredients like salicylic acid, benzoyl peroxide to help decrease bacteria on the skin and minimize the appearance of black heads and white heads.

Take a look here for more information on how we can help you with your acne issues.

Spring Specials at Scripps Dermatology


1. Are you an adult with stubborn acne?Purchase your acne treatment series upfront and receive a FREE Microdermabrasion and Light Glycolic Peel to help clear acne and scars. ($150 value)

2. Say GOODBYE to your scars from acne, surgery or an accident: Purchase your treatment series up front & receive 1 FREE Dermaroller Treatment for Scars.

3. One FREE REFIRME SKIN FIRMING TREATMENT for face and jowls ($600 value) when you buy 2 syringes of Juvederm or buy $600 worth of Dysport Wrinkle Treatment. *Both Juvederm syringes must be used at same visit. All Dysport units must be used at same visit. Okay to prepay for 1 future visit if you are not due for treatment.

All discounts apply only when treatments are done by our Registered Nurses.


1.  GloMinerals Makeup30% OFF! *excludes pressed base powder, loose powder, liquid foundation

2. Jan Marini, MS Solar Sciences Skin Care, and Vivite50% OFF!

All treatment and product specials listed here expire March 31, 2012

There is Help for Acne Sufferers

Acne is not just a problem for teenagers; it can affect people from ages 10 through 40. It is not unusual for women, in particular, to develop acne in their mid- to late-20s, even if they have never had a breakout. Acne can cause a lot of trouble with self-esteem for those with severe cases. It can appear on the skin as any of the following, wherever there are oily (sebaceous) glands, mainly on the face, chest, and back:

  • Congested pores
  • Whiteheads
  • Blackheads
  • Pimples
  • Pustules
  • Orcysts

For severe acne, we treat our patients with Photodynamic Therapy. The process includes washing the face with acetone. Then a light microdermabrasion is performed. We apply the Levulan (which is activated by the laser light) to the area being treated and it is left on for about 30 minutes. Then the levulan is washed off and laser treatment follows.

Levulan is a 20% solution of ALA (Aminolevulonic Acid is natural substance found throughout our body). The Levulan targets active acne cells and is absorbed by the sebaceous glands. Once the levulan is activated by the laser’s light the skins oiliness decreases. The appearance of pores is minimized, and the entire skin texture improves.

See this video from San Diego Living with Cassandra’s story how we helped her improve her self-esteem and allowed her to wear her hair up, off her face, for the first time. She had a dramatic improvement after just one treatment! We helped her and we can help you too. Contact Scripps Ranch Dermatology & Cosmetic Center to learn more.

Look Your Best After Baby’s Birth

Pregnancy can wreak havoc on our skin and body. This can leave us feeling less confident and sometimes downright feeling down in the dumps. An unfortunate fact about being pregnant is that there are limited cosmetic treatments that can be safely done during pregnancy.

In my case, a few years ago, the long 9 months seemed longer as I could not get my regular skin laser treatments and Botox. On top of that, I developed new problems like leg veins, skin tags, new freckles and pigmentation on some body parts, acne and an itchy skin rash all over. Yes, I was a “skin and beauty” mess… and could not wait to deliver my son… for many wonderful reasons of course, but one of them was so I can start my cosmetic overhaul.

The good news is that there are wonderful noninvasive treatments available to new moms (or “not so new” moms) which can really reverse the damage done by pregnancy and give us back our self esteem and confidence. I want to share with all of you my own treatment plan for my post-pregnancy problems.

  1. Uneveness in Skin Coloration – I had brown spots on my cheeks and redness, especially around my nose, and left over pigmentation from a pregnancy rash on my trunk. A series of Aurora Fotofacial/RF helped even out my skin discoloration.
  2. Eyebags – For fine lines underneath the eye areas, large pore size and overall tired look, Polaris radiofrequency treatments shrank my pore size, improved skin texture and help tighten the skin all over.
  3. Wrinkles – I had wrinkles on my forehead and between my brows. In addition, my migraine headaches came back! Botox was the answer to all those problems.
  4. AcneAurora acne laser treatments, acne skin care kit, chemical peel and microdermabrasion helped calm down my skin break-outs.
  5. Skin Tags – I developed pesky, red, growths, (angiomas). Thankfully those were easily removed with electrocautery.
  6. Spider Veins – My legs were happy to get some sclerotherapy so I felt comfortable in shorts again.
  7. CelluliteVelaShape treatments helped to recontour and smooth out the jiggly skin on my abdomen, thighs and buttocks.

I hope this offers a glimpse of hope for all mothers out there. A rejuvenated you is just a few easy, simple treatments away. Come visit us the dermatology clinic and let’s get started so you can achieve great results, just like I did!

Help for Damaged Skin

Are you looking for a solution to repair your damaged skin? Those with acne scars and sun-damage will be pleased to know about Fraxel Laser Treatments, which can target very specific areas of the skin with pinpoint accuracy. Fraxel is used to improve conditions present in superficial and deeper layers of the skin and the results are immediate. Such treatments include: skin resurfacing; treatment of wrinkles; and treatment of pigmented lesions, such as age spots, sun spots, and melasma. Fraxel is also great for removing scars resulting from acne, surgery, or trauma.

When thinking of how Fraxel works, imagine that you have a digital photograph that requires editing or a high-quality painting in need of restoration. Just as a damaged painting is delicately restored one area at a time, or a photographic image is altered, pixel by pixel, the Fraxel laser improves your appearance by affecting only a fraction of your skin at a time with thousands of microscopic laser spots. You can think of it like having digital photo-editing software for your skin!

“The unique ‘fractional’ approach is a huge step forward in providing significant cosmetic results more than any noninvasive laser treatment in the past can offer with minimal downtime,” says Dr. Tess Mauricio, Board Certified Dermatologist and owner of Scripps Ranch Dermatology and Cosmetic Center. “This advanced treatment is the first cosmetic laser to provide an effective, gradual procedure that creates new healthy tissue by stimulating the body to naturally repair aging and photo-damaged skin without significant risks or recovery time.”

After receiving Fraxel Laser Treatments, you skin will immediately feel softer and look smoother. The skin is tightened and pores are usually smaller. There is little to no down time. Those who receive the treatment can resume daily activities upon leaving the clinic. Swelling is minimal and should disappear in 2 days. The skin will have a pinkish tone for 3 to 5 days. For best results, we recommend a series of 5 treatments spaced 3 to 4 weeks apart. Call us for more details or to schedule a consultation.

Don’t Give Up on Stubborn Acne

Acne vulgaris affects 40-50 million people in the United States. Acne affects patients of all skin types and a wide age range from teens to ladies in their 50’s. The psychological impact of acne is underestimated. It is now publicized that part of Michael Jackson’s body image problem may have stemmed from having severe acne as a teenager and having to endure embarrassing scars as he faced thousands of people.

Everyday in our dermatology clinic we hear stories of how acne prevents people from fully enjoying life with confidence. Acne can be devastating as we are left with discolored scars which can be embarrassing especially on adults. They may feel like acne and scars make them look less attractive, less professional and hence, less confident to perform or be taken seriously in their line of work.

Ance scars before PDT treatment.

Ance scars before PDT treatment.

With teens, I believe it is imperative to seek treatment as early as possible because I have seen depression and social withdrawal from having bad acne. These are patients who come to see us for consultation barely looking up, having hair covering part of their faces, wearing unnaturally thick make-up. My message for these patients is always one of hope as treatment for acne has advanced dramatically over the last few years. There really is no more reason to have acne or acne scars!

In our clinic we combine the latest in medical treatment (oral antibiotics, topical treatments) with the most advanced technology to get patients better as soon as possible to prevent scarring. We recommend Photodynamic Therapy(PDT) for patients with more inflammatory and cystic acne. In a study done by Serrano, et al., it was shown that treatment with ALA-PDT showed 50% reduction in the number of lesions (counts) after the first treatment session, 75% after the second session and 92% after the third session. There were no relapses at the end of the 16 week follow-up period.

Acne scars faded after PDT treatment.

Acne scars faded after PDT treatment.

A series of PDT treatments done monthly can save patients from having to require Accutane treatment. Most of the patients we see seeking PDT series already have been failed by traditional medical treatment and have been advised they will need Accutane. Many parents of teens hesitate to have their children undergo such a potent systemic medication with known complications and are wondering what else can be done. PDT’s can also offer relief for adult women with stubborn acne who hesitate to take Acutane since they are not sure how long they can put off reproduction.

Although PDT is not 100% effective, the majority of our patients do improve significantly to a point where they can be acne free for many months and at the least, the quality and severity of the acne lesions are now more acceptable, manageable and patients feel better about their skin overall. Once we have the active acne under control we can start discussing options for acne scar treatment. At this point, these once shy, withdrawn patients have a new confidence and spirit! Let us know how we can help you. We welcome your comments below.