Vancouver Sun

Vitamin C and your skin

- DR. GERALD IMBER Gerald Imber, M.D., is an internatio­nally known plastic surgeon and anti-aging authority. Learn more atYouthCor­ridorClini­c.com.

If there is one skin-care product everyone should use, it is vitamin C. L-ascorbic acid is the naturally occurring form of vitamin C— a water soluble vitamin essential for skin integrity.

The absence of vitamin C from the diet can result in scurvy, a disease in which the skin breaks down and wounds don’t heal. This was often the case in long sea voyages and incomplete diets. To prevent scurvy, the British navy stocked the fleet with limes, a citrus fruit rich in vitamin C, and the disease disappeare­d. That is how the term ‘limey’ came to signify a British sailor.

Vitamin C is essential for the building and maintainin­g of collagen, which is the primary substance of the skin. When collagen breaks down, wrinkles and laxity result. So it’s important to get vitamin C into the skin and maintain a healthy collagen layer in the dermis.

Vitamin C is well absorbed orally. However, the level of circulatin­g vitamin C is limited by the physiology of the body, and it does not concentrat­e in the skin in therapeuti­c amounts.

If we want to get higher levels, we must put it directly on the skin. It can be injected directly into the skin, but no one wants dozens of little vitamin C injections. The other option is to apply it topically. The water soluble vitamin C molecule doesn’t readily penetrate the skin, so various tricks should be employed to help its passage, including giving it a free ride along with the fat soluble vitamin E.

We also know that in addition to helping build new collagen, L-ascorbic acid is a potent antioxidan­t, helps reverse sun damage, fights wrinkles, and actually acts to help prevent new sun damage by its antioxidan­t effect. Obviously, vitamin C should be part of any good skin-care routine.

Here is where things get complicate­d: L-ascorbic acid is readily oxidized upon exposure to air and light, which makes it difficult to compound and package. To avoid this, many manufactur­ers simply use various esters of vitamin C, which are not L-ascorbic acid, and are nowhere near as potent as the pure substance but can legally be called vitamin C.

My clinic has developed vitamin C sera using 15 per cent solutions of L-ascorbic acid in combinatio­n with vitamin E and melatonin. Melatonin is key and a potent antioxidan­t. In combinatio­n with vitamins C and E, it seems to potentiate the antioxidan­t effect of the serum, and in turn creating a situation where the sum is greater than the parts.

There are a number of excellent vitamin C sera available. Be sure to look for 15 per cent L-ascorbic acid in the ingredient list. That’s the real thing. Apply vitamin C serum to clean skin every morning.

Your skin will thank you.

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