Eve Cameron
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Every time a new “miracle” cream launches, you can’t help but wonder if it might work, whether it costs £10 or £250. Take Boots No 7 Protect & Perfect Beauty Serum. A Horizon documentary earlier this year reported that this £16.75 potion was the real deal. Result: it sold out overnight. (My testers had mixed views on it, showing that skincare products can yield quite individual responses, no matter what the “experts” say.)
The bottom line is, if you’ve spent half your life sunbathing, smoking and drinking, no cream will turn back the skin clock. If, on the other hand, you have the first signs of ageing – lines, pigmentation, dull skin – but you don’t live too debauched a lifestyle, creams can help. That said, they must contain active ingredients in therapeutic doses, and you must use them for months to see results.
A recent study at the University of Michigan showed that retinol (a derivative of vitamin A), applied in a 0.4% lotion, had an effect after six months. That is a higher concentration than is usually used in beauty creams, and in any case not the sort of disclosure you’d find on a label, as companies are secretive about formulations. But all you really need to know is that vitamin A derivatives, in whatever concentration, are a good thing because they repair the skin and increase the production of collagen and water-retaining glycosaminoglycan.
In fact, the perfect anti-ageing routine is straightforward. It’s about protection and repair: sun protection and antioxidants in the morning, peptides and vitamin A derivatives to repair at night.
Does price matter? The view that all you pay for is marketing and packaging is partly true, though there are other factors that determine cost, including patents, ingredients and testing. However, just because a cream is expensive, that doesn’t mean it will perform better. Here’s your guide to what really works.
DAY CARE
Protect with sunscreen
“The gold standard of antiageing skincare would be to apply SPF 30 every day,” says the consultant dermatologist Susan Mayou.
“There’s a study that shows sunscreen not only protects from further sun damage, but leads to improvement in terms of elastin degeneration and stopping pigmentation getting worse – evidence of reversal of photo-damage [sun damage], in effect.”
Most of us won’t be so conscientious, even though sunscreen is a wonder cream as far as antiageing is concerned. As well as using sun lotion on holiday, we might manage to use a daily moisturiser with built-in SPF 15 protection. That should protect from any accidental exposure to sunshine, but the SPF number mostly refers to protection from UVB rays, which are minimal in winter. UVA, which penetrates deeper into the skin and passes through windows, is more of a threat in terms of ageing. While there is some UVA protection in most moisturisers containing sunscreen, what isn’t clear is the level of protection and whether it is adequate. There are a number of reasons for that, including a lack of both standard testing methods and of a consensus about what minimum levels should be (in beach-type sun-protection products, the EU guideline is a 1:3 ratio of UVA to UVB protection).
The best advice is to use moisturiser containing sunscreen, because it’s better than nothing; or you can be ultra-cautious and apply daily a broad-spectrum sunscreen that works under make-up (don’t forget your neck, chest and hands). Try Clarins UV Plus Protective Day Screen SPF 40 (£25) or Clinique City Block Sheer SPF 15 (£12.50). Both are oil-free. And look out for the leading dermatologist Dr Nick Lowe’s new range in Boots. His Super Charged SPF 15 Day Cream (£16.95) has high UVA and UVB protection, and contains antioxidants.
Added defence: antioxidants
While sunscreen is key, UV rays will always get through to break down collagen and elastin in your skin, so antioxidants can provide another protective layer during the day. They are also a good bet if you smoke or work in a polluted city – research has shown that they mop up damage caused by free radicals stimulated by sunlight, pollution and cigarette smoke. It is thought that a cocktail of antioxidants is more beneficial than high doses of just one type – look out for labels that list coenzyme Q10, ferulic acid, green tea, pomegranate, resveratrol (from grapes) and vitamins C and E in the ingredients.
Where to find them Caudalie Vinoperfect Day Perfecting Cream SPF 15, £33; 00 800 4429 2424. Zelens Skin Science Cellular DNA Protection Day Cream, £135, from Space NK. Nivea Visage Anti-wrinkle Q10 Day Cream, £6.79. Skinceuticals C E Ferulic serum, £60; 020 8997 8541.
Before bed
Time for repair
Look out for the following ingredients in night creams. Generally, you won’t find all of them in one cream, or at least not as active ingredients, so it’s a case of picking one and seeing how you get on. Remember, it can often take months to see the results.
Top of the class: vitamin A
Vitamin A derivatives, known as retinoids, found fame in the dermatologist’s office as acne treatments, but their antiwrinkle benefits were also noted. There’s now hard evidence that they repair photo-damage. Mayou says: “As a dermatologist, I rate retinoids. Tretinoin, branded Retin-A, is one that I prescribe. In America, tazarotene, another retinoid [brand name Zorac], is also licensed for photo-damage. Here, it’s licensed only for psoriasis, though dermatologists can prescribe off licence.”
Prescriptions can sometimes be slipped through the NHS, though usually you would need a private prescription. While you have to factor in the consultation (£90-£200), the creams are less expensive than you might think. A private prescription for Retin-A costs around £10 (yes, that’s £10 for an anti-wrinkle cream that really works). There is, however, a downside: prescription-strength retinoids can irritate the skin – so much so that the dryness, redness and peeling initially caused can make you want to stop using them. You may be able to get around this by trying a weaker concentration, or by using them just twice a week to build up tolerance.
Milder forms of retinoids are found in over-the-counter beauty creams. Although they are not as strong, that doesn’t mean they won’t work. They can still irritate sensitive skin, in which case move on to peptides (below). Pure retinol is used by RoC, the first company to stabilise this sun-sensitive ingredient and deliver it in packaging designed to keep it active. Others use a less potent form that doesn’t require special packaging, but still has an effect, such as the derivative used in No 7 Protect & Perfect. Chris Griffiths, professor of dermatology at the University of Manchester, says: “At basic scientific and clinical levels, Boots No 7 Protect & Perfect has been shown to repair photo-aged skin and to improve the fine wrinkles associated with photo-ageing.”
Where to find it Elizabeth Arden Ceramide Gold Ultra Restorative Capsules, £52 for 60. L’Oréal Dermo Expertise Revitalift AntiWrinkle Night, £12.99. RoC Retin-Ox Plus Night, £24.95. MD Formulations Vit-A-Plus AntiAging Lotion, £45; www.hqhair.com.
Next: peptides
The importance of peptides was discovered in 1992, as part of research into the healing of wounds. When assaulted, the skin starts a damage-limitation process; then the mending process beings, and the peptides initiate collagen repair. Peptides in anti-ageing skincare plump up the skin, keeping it youthful and springy, and smooth away fine lines. Olay compared peptides with a retinol product over four months and found a similar performance in the reduction of wrinkle depth. In addition, peptides don’t irritate the skin.
Where to find them Olay Regenerist Night Cream, £19.50. Estée Lauder Perfectionist (CP+) Correcting Serum, £42. Nude Skincare Advanced Smoothing Complex, £48; 0800 634 4366. Lancôme Rénergie Morpholift Rare, £51.
Want more? Vitamin C
As well as being a lower-concentration anti-oxidant, in higher concentrations, vitamin C (on the label as ascorbic acid) is thought to stimulate collagen growth, which smoothes out lines. It also inhibits melanin production, which fades sun spots, so it’s worth trying if you have pigmentation. Make sure you use sunscreen to stop the problem getting worse.
Vitamin C can be unstable and, on exposure to air, can become inactive, but most cosmetic companies have perfected delivery systems that ensure it is absorbed. It’s worth noting that it works slowly – you could be looking at six months to see results.
Where to find it Philosophy Hope and a Prayer Topical Vitamin C Powder, £28; 0870 990 8452. Alpha-H Vital C, £55, from John Lewis. Skin Wisdom Age Delay Vitamin C Youth Boost Serum, £7.97, from Tesco (from October 22). Vitage Vitamin C Serum, £45, and Mask, £24; 0845 555 2121.
Also: alpha and beta hydroxy acids
Glycolic acid, lactic acid and salicylic acid, found in night creams and exfoliating kits, have all been shown to stimulate collagen production. They increase cell turnover, which makes your skin look fresher and allows other ingredients to penetrate slightly deeper into the skin’s upper layers. As with retinoids, dermatologist-strength acids are used in facial peels (they can use up to 99% glycolic-acid concentration, while beauty therapists use about 25%) and the milder beauty-cream versions, which are more likely to contain 5%-10%. Even that can irritate sensitive skin. Lactic acid is the mildest – an entry level, as it were. Don’t indulge if you use retinoid creams, as these acids can make skin supersensitive and won’t give any extra benefits – go for one or the other.
Where to find them L’Oréal Renoviste Anti-Ageing Glycolic Peel Kit, £18.99. Ren Glycolactic Skin Renewal Peel Mask, £28. Dermalogica Night Bright, £35.60. Clinique Turnaround Concentrate, £30.
SKIN SAVERS: THESE WORK
Elizabeth Arden Ceramide Gold Ultra Restorative Capsules, £52
Alpha-H Vital C, £55, from John Lewis
Dermalogica Night Bright, £35.60
ClarinsUV Plus Protective Day Screen SPF 40, £25
Nude Skincare Advanced Smoothing Complex, £48
Dr Nick Lowe Super Charged SPF 15 Day Cream, £16.95
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