Health Column: Healthy skin inside and out |

Health Column: Healthy skin inside and out

Scott Rollins
Free Press Health Columnist


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Having healthy skin can be a challenge. It also has considerable influence on our well being both from a medical as well as psychological standpoint. The good news is that it is now well within reach of anyone to improve the health and appearance of their skin. A comprehensive skin care program should address not just the outer look of the skin, but inner health as well.

Consider skin protection, products and procedures, laser and light therapies all as part of skin care, and skin care as part of your overall health routine.


“Protecting the skin from the damage of the sun is arguably the most important thing one can do to maintain good skin health. The ultra-violet type B (UVB) rays cause the notable sunburn, while UVA especially leads to deeper damage, skin cancer and aging appearance. … UVA is harmful year-round, all day long, even penetrating through glass.”

One of the most successful things that will improve the health and look of the skin is to address internal factors such as hormones, inflammation, toxins, blood flow, lymph drainage, and cellular energy.

Hormones exert a powerful influence on skin. At menopause many women note the skin becoming dry and pale with less softness and radiance. Estrogen stimulates the hydration and elasticity of skin, while testosterone increases collagen and oil production. Low thyroid may cause dry, lifeless and puffy appearing skin. High cortisol, caused by stress or inflammation, may cause acne and thin, overly oily skin.

Many patients consult with me for acne treatment thinking the cause might be hormone imbalance, and sometimes that is the case. Most of the time underlying inflammation is the main culprit however. Coming from impaired gut health, infections, or immune response to environmental toxins, inflammation will wreak havoc throughout the body, and sometimes acne is part of the syndrome. Skin rashes are another area where the skin is actually just the “tip of the iceberg” symptom along with some underlying health condition.

With aging there is a normal decline in fundamental systems that help keep skin vibrant. Decreased blood flow to the skin leads to less nutrient delivery, while impaired cellular energy leads to less skin turnover or the normal shedding and rebuilding of the layers of the skin. Clogged lymphatic drainage will cause puffiness and build up of toxins.


Protecting the skin from the damage of the sun is arguably the most important thing one can do to maintain good skin health. The ultra-violet type B (UVB) rays cause the notable sunburn, while UVA especially leads to deeper damage, skin cancer and aging appearance. UVB is mostly a concern during summer months and peak daylight hours, while UVA is harmful year-round, all day long, even penetrating through glass. Avoid excess sun and use a sunblock with zinc or titanium to truly block both UVA and UVB rays. I do not recommend the chemical sunscreens, as they are toxic and less effective.

Skin products can additionally be friend or foe to skin health. Many are chocked full of toxic chemicals that harm the skin and internal organs. Most do nothing to really promote skin health. Do your research and look for “products to avoid” when it comes to skin health. A certified esthetician should be able to list these toxic skin care ingredients and guide you to various compounds that are proven to actually help skin health. Consider ones that add moisture, improve the elasticity and thickness, and increase normal skin cell turnover and blood flow. There are also ingredients that reduce DNA damage and increase the cellular energy of skin cells making them more resistant to aging.

Procedures such as facials, microdermabrasion, and peels are designed to help pull off old, outer, unhealthy layers of skin, infuse products into the deeper layers, and stimulate the factors that lead to healthier skin. These easy, inexpensive treatments should be done at least monthly and considered a basic, essential part of overall skin care.

Laser treatments work to increase the health of skin by causing a thermal “injury” that is repaired by the body’s normal healing mechanisms. Laser energy is absorbed into the prescribed area of the skin where it then turns to heat and releases the energy into the tissue. Lasers can be used to treat the surface of skin to target fine lines, broken blood vessels, dark pigment spots, and large surface pores. Deeper laser treatments will stimulate new elastin and collagen formation leading to skin tightening and improvements in texture and tone of skin.

Light therapy uses a light emitting diode (LED) that sends light energy into tissue where it is then converted into cellular energy. LIGHTWAVE is the most sophisticated LED light therapy application in the industry utilizing red, infrared and blue light therapy to increase cellular metabolism and the flow of nutrients into the cells, which aides in collagen and elastin production, while increasing blood blow and lymphatic drainage, thus having a regenerative. Best of all, LED therapy is a very relaxing treatment with no recovery downtime.

If you are interested in skin health and appearance, but are not sure where to start or who to trust, then I recommend seeking guidance from a skin care professional. Work with estheticians and laser specialists that know more than just the latest marketing hype while trying to sell you the newest product. Ask about the science of skin and about the internal factors that play a role in skin health.

GJ Free Press health columnist Scott Rollins, M.D., is board certified with the American Board of Family Practice and the American Board of Anti-Aging and Regenerative Medicine. He specializes in bioidentical hormone replacement, thyroid and adrenal disorders, fibromyalgia and other complex medical conditions. He is founder and medical director of the Integrative Medicine Center of Western Colorado ( and Bellezza Laser Aesthetics ( Call 970-245-6911 for appointments or more information.

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