pore refiner and magnifying

Bath & Spa products at MSN Shopping MSN Home My MSN Hotmail Shopping Money People & Chat Sign In Web search: Shopping Save this page Feedback Site map Help Home | Beauty | Books | Clothing | Computers | Deals | Electronics | Flowers | Home & Garden | Jewelry | Movies | Music | More ... Search Shopping Home > Beauty & Fragrance > Bath & Spa > $60 - $80 Bath & Spa Advertisement Featured Stores See all stores 323 items found Narrow your selection: Category Aromatherapy Shower Gels Bath Powders Bath & Spa Sets Bath & Body Oil Bath Soaks Spa Appliances Body Wash More... Brand Jo Malone Thierry Mugler Decleor HoMedics Yves Saint Laurent Fresh GiftBaskets.com Giorgio More... Seller eBay.com Strawberrynet PerfumeDistributor.com Sephora.com NORDSTROM.com Perfume Bay Neiman Marcus Saltworks More... Price range $60 - $65 $65 - $70 $70 - $75 $75 - $80 $ to $ See all options Show sale items only Show free shipping only Calculated in 0.001 seconds Previous Page 1 2 3 4 5 6 7 8 9 10 of 22 Next View: List Grid Text checked items Sort by Most popular Highest user rating Lowest price Highest price Name A-Z Name Z-A 250-ml Nutmeg Ginger Bath Oil by Jo Malone $60.00 Fragrance, to me, is a moment in time captured in a ... More bottle.--Jo Malone.Jo Malone's fascination with fragrance started early. As a child, she filled bottles with fragrance rose petals to create scents of her own. The Jo Malone phenomenon began years later, with just a few bottles of Nutmeg and Ginger Bath Oil made by hand and given as thank you presents to a handful of devoted skin care clients. Word spread wildly.The softly foaming Bath Oil is a luxurious way to fragrance and moisturise the skin--it's pure relaxation. The 250ml (8.5 ounce) Bath Oil comes in an easily portable plastic bottle. The 200ml (6.7 ounce) Deluxe Bath Oil comes in a stunning glass decanter. Both are presented in an elegant gift box and tied with Jo's signature black ribbon--perfect gifts for any occasion.Choose from the below fragrances, based on clean, natural ingredients--always with a twist of the unexpected. Learn more about Jo Malone fragrances. At Neiman Marcus | Details Rate it Bali Reef - Bath Salt - 40 lb. Bag (coarse) $71.60 Bali Reef Bath Salt - Traditional Bali sea salts are famous ... More for the ancient methods used to produce the crystals. First of all, the production is only possible during the dry months, as the warmth of the sun is the initial and final drying process. The sea water is placed in canal systems made of tree trunks for evaporation, which takes approximately one week. Then the solid salt crystals are hand carried to a drying platform, housed in a grass hut, fuelled by coconut husk fire. The sea salt crystals are then sun-dried again, and the final product is displayed on the beach for sale. For the people of Bali, the Sea is considered revered and sacred water. It is very significant to Balinese ceremonies and purification rituals. Many believe that the ocean water, under the full moon, is the most powerfully charged water. The sacred sea is believed to have the power to both purify and sanctify. Due to this traditional process, the texture of the salts will vary. The Bali salt crystals are a porous and light weight crystal making them ideal for absorbing essential oils. They dissolve quickly in water and have a pretty light grey color. The unique geometric shape of the crystals and the natural grey color make this a great salt to combine with dried herbs. No colorants are necessary to make a beautiful finished product. At 1 store | Details Rate it Ceara Atlantic Sea Salt - 55lb. Bag (extra large) $63.25 CEARA - Bath Salt Crystals are pure natural sea salt for ... More making Bath Salt, Salt Scrubs, Aromatherapy Treatments, Potpourri, Soap. This high mineral bath salt will increase the quality of any bath salt or spa recipe. CEARA Bath Salt Crystals are produced through the natural evaporation of sea water. Salt water is captured in shallow ponds and allowed to evaporate by means of the sun and wind. During the process, a salt bed forms on the bottom of the pond. The salt is harvested, washed, screened and packaged. The typical salt crystal crop takes from one to five years to produce. In high mineral salt production, the environmental conditions directly influence the salt quality through the quality of its main raw material - sea water. The sea water used to make CEARA Bath Salt Crystals is especially clean as it is collected from a mangrove area, an ecosystem that removes undesired elements from the water. This removal is accomplished through a filtration process carried by indigenous plants and shellfish. Characteristics: Natural White, Perfect for Scenting and Coloring, High Mineral Content, Dry, Uniform Crystal Size. Uses: Bath Salts, Salt Scrubs, Aromatherapy, Potpourri, Soap, Spas. Grades Available: Extra Small 0-1mm, Small 1-2mm, Medium 3-4mm, Large 4mm, Extra Large 8mm Packaging Available: 5lb, 25lb & 55lb. bags. At 1 store | Details Rate it ANGEL INNOCENT Perfume by Thierry Mugler 2.7oz GLITTERING BODY POWDER for Women by Thierry Mugler $61.99 YEAR INTRODUCED - 1998 In the spirit of his first fragrance ... More Angel, Thierry Mugler created this enchanting, exciting scent. This time, to keep that sweet, soft feeling that made Angel so popular, Praline was used as base note. A magical fragrance. FRAGRANCE NOTES - Bergamot, Tangerine, Red berries, Black current, White musks, Praline. At 1 store | Details Rate it Versus Perfume for Women by Gianni Versace Set(Eau De Toilette Spray 1.7 Oz+Body Lotion 1.0 Oz+Shower Gel 1.0... by Versace $74.99 Gianni Versace introduced Versus in 1991; its a sharp, ... More oriental fragrance possessing feminine notes of rose, cedar wood, amber, musk and plum. Its best for casual wear. At 1 store | Details Rate it BVLGARI Perfume by Bvlgari PERFUMED DUSTING POWDER 3.4 oz - Womens Perfume by Bvlgari $79.99 BVLGARI Perfume comes in PERFUMED DUSTING POWDER 3.4 oz. ... More EXTRA 10% Off with coupon code: PG10. Launched by the design house of Bvlgari in 1994, BVLGARI PERFUME is classified as a refined, flowery fragrance. This feminine scent possesses a blend of violet, orange blossom, and jasmine. It is recommended for evening wear. At 1 store | Details Rate it 250-ml French Lime Blossom Bath by Jo Malone $60.00 Fragrance, to me, is a moment in time captured in a ... More bottle.--Jo Malone.Jo Malone's fascination with fragrance started early. As a child, she filled bottles with fragrance rose petals to create scents of her own. The Jo Malone phenomenon began years later, with just a few bottles of Nutmeg and Ginger Bath Oil made by hand and given as thank you presents to a handful of devoted skin care clients. Word spread wildly.The softly foaming Bath Oil is a luxurious way to fragrance and moisturise the skin--it's pure relaxation. The 250ml (8.5 ounce) Bath Oil comes in an easily portable plastic bottle. The 200ml (6.7 ounce) Deluxe Bath Oil comes in a stunning glass decanter. Both are presented in an elegant gift box and tied with Jo's signature black ribbon--perfect gifts for any occasion.Choose from the below fragrances, based on clean, natural ingredients--always with a twist of the unexpected. Learn more about Jo Malone fragrances. At Neiman Marcus | Details Rate it Angel by Thierry Mugler for Women 3 Piece Set Includes: 0.8 oz Eau de Parfum Spray + 3.4 oz Body Lotion +... by Thierry Mugler $69.95 Thierry Mugler introduced Angel in 1993. It's fragrant ... More nature explores essences of honey, chocolate and caramel. Blended with notes of vanilla, patchouli and sandalwood. Angel is recommended for romantic use. At 1 store | Details Rate it Pink Jasmine Body Cream by Fresh $75.00 Fortified with a luxurious combination of rich seed oil, ... More restorative butters, protective antioxidants and Advanced Vitamin Release complex, Fresh's Pink Jasmine body cream provides extreme moisture, nourishment and protection, leaving the skin soft, supple and delicately scented with romantic Pink Jasmine. In an elegant glass jar. Fortified with rich seed oil, restorative butters, protective antioxidants, and Advanced Vitamin Release complex Moisturizes, nourishes and protects the skin Leaves the skin scented with Pink Jasmine In an elegant glass jar 6.8 oz. Made in France At eLUXURY.com | Details Rate it Perlier Honey Focus 7-piece Bath and Body Kit by Italian Bath & Body $69.50 Bath & Body from HSN : Perlier Honey Focus 7-piece Bath and ... More Body Kit. About Perlier...Pamper yourself in nature's garden with bath and body favorites derived from blends of natural ingredients. Flowers, botanicals and beeswax are cultivated on 150 acres of botanical gardens to create products with fruit gels that clean and exfoliate, leaving skin soft, supple and feeling fresh. Combinations such as white almond, lavender and green tea cleanse and moisturize while leaving a cool, calming scent. Bring Perlier's 50 years experience into your... At HSN | Details Rate it 250-ml Red Roses Bath Oil by Jo Malone $60.00 Fragrance, to me, is a moment in time captured in a ... More bottle.--Jo Malone.Jo Malone's fascination with fragrance started early. As a child, she filled bottles with fragrance rose petals to create scents of her own. The Jo Malone phenomenon began years later, with just a few bottles of Nutmeg and Ginger Bath Oil made by hand and given as thank you presents to a handful of devoted skin care clients. Word spread wildly.The softly foaming Bath Oil is a luxurious way to fragrance and moisturise the skin--it's pure relaxation. The 250ml (8.5 ounce) Bath Oil comes in an easily portable plastic bottle. The 200ml (6.7 ounce) Deluxe Bath Oil comes in a stunning glass decanter. Both are presented in an elegant gift box and tied with Jo's signature black ribbon--perfect gifts for any occasion.Choose from the below fragrances, based on clean, natural ingredients--always with a twist of the unexpected. Learn more about Jo Malone fragrances. At Neiman Marcus | Details Rate it Sugarbath Body Polish, Brown Sugar, 15 oz by Fresh $62.50 Reveal supremely soft skin with brown sugar crystals, ... More saturated with healing oils. This unrivaled scrub is known for it's exfoliating effects. Plus, it's also a hydrating dynamo, leaving your skin moisturized and radiant. At Beauty.com | Details Free gift & free ship! Rate it Homedics Beauty Spa Kit With Warm Mist Steamer, Cleansing Kit and Satin Nickel Mirror by HoMedics $72.89 Beautiful Reflections Can Be YoursFacial collection ... More includes steamer, cleanser, pore refiner and magnifying mirror. Features A Facial Steamer, Facial Cleanser & Pore Refiner, and Illuminated Beauty Mirror are included to provide all the tools needed for complete facial care. Warm mist facial steamer cleanses and refreshes your face for a clearer and softer complexion. Facial Cleanser & Pore Refiner system deeply cleanses below the skins surface to reveal healthy and fresh-looking skin. 2-sided illuminated beauty mirror with incandescent light provides glare-free and shadow-free 5x magnified and normal viewing. At 1 store | Details Rate it Lavendar Spa Blankie by Casual Living $64.00 Buy unique gifts and fun clothing, accessories, home décor ... More and more to fit your style at Casual Living! At Home Soothing and relaxing aromatherapy comes home in a lovely way. Handcrafted lavender and flax filled, paisley velour eye mask, booties and blanket can be heated in microwave. Booties are one size fits most; eye mask is 9""L x 4""W; blanket is 44""L x 18""W. Booties and blanket have removable, machine washable covers. At Casual Living | Details Buy unique gifts and fun clothing, accessories, home décor and… Rate it Serenity Gift Baskets by GiftBaskets.com $74.99 Treat someone to a day at the spa without them having to ... More leave home. This basket will include a body scrub, soothing eye mask, body butter, mud mask, Hawaiian bath crystals, bath pillow, colorful sponge and a scented candle. $74.99 as shown. At Giftbaskets.com | Details Rate it checked items Sort by Most popular Highest user rating Lowest price Highest price Name A-Z Name Z-A Previous Page 1 2 3 4 5 6 7 8 9 10 of 22 Next View: List Grid Text What's this? Search Shopping Shopping help About this site FAQ Newsletter sign-up Trends & deals Home Baby Beauty Books Car & Garage Clothing Computer Deals Electronics Flowers Furnishings Garden Gifts Health Jewelry Kitchen Movies Music Office Pets Shoes Sports Toys Video Games ©2006 Microsoft Legal MSN Privacy Advertise Images credit: Getty Images Feedback

Exfoliate Skin

Dry skin care. | home | forum | site map | buy online | contact | Dry skin care Before you begin creating a battle plan for your dry skin, it is essential to have a fundamental understanding of what dry skin is all about. Ironically, dry skin does not seem to be about a lack of moisture. There are studies comparing the water content of dry skin to normal or oily skin and there doesn't appear to be a statistically significant difference. Adding more moisture to the skin is not necessarily a good thingif anything, too much moisture, like soaking in a bathtub, is bad for skin (Source: Journal of Investigative Dermatology, February 2003, pages 275-284) because it disrupts the skin's intracellular matrix by breaking down the substances that keep skin cells functioning normally and in good shape. What is thought to be taking place when dry skin occurs is that the intracellular matrix (the substances between skin cells that keep them intact, smooth, and healthy) has become depleted or damaged, creating water loss. In order to prevent dry skin, the primary goal is to reduce the damage to, as well as preserve and enhance, the intracellular matrix. To reduce damage to the skins matrix, never use drying skin-care products such as soaps, harsh cleansers, or products with irritating ingredients. These problematic products can disrupt the outer layer of the skin, destroying the intracellular matrix and eventually cause skin to flake and feel rough. Constant exposure to arid environments, cold weather, as well as air blasting from dry heaters or air conditioners are all problematic because they destroy the skin's matrix. Adding a humidifier to your home can make a world of difference! Believe it or not, sun damage plays a major role in why skin becomes dry any time of the year. Unprotected sun exposure creates a damaged outer layer of skin where skin cells adhere poorly to each other and the result is that the surface of new skin being formed is continually unhealthy and impaired. Sun damage also disrupts and destroys the skins intracellular matrix. Every day of the year, if there is daylight, the skin is subject to sun damage. Keep in mind that the suns damaging rays come through office and car windows. Sun protection is vital to the health of skin. Improving cell turnover is another important consideration in getting rid of dry skin and improving the appearance of skin. Dry skin does not shed as it should and those built-up layers of dead skin cells can feel rough and look flaky. A well-formulated, pH-correct exfoliant such as an alpha hydroxy acid (glycolic or lactic acid) or beta hydroxy acid (salicylic acid) can handle this problem beautifully. Genetically, aged skin is also a cause of dryness, because as the body's levels of estrogen drop the skin becomes thinner and the fat deposits under the skin (part of the skin's protective barrier) also become thinner or depleted altogether. Regrettably, there is little that can be done about this other than using various types of hormone replacement therapy (HRT) and plant-based hormone replacement (phytoestrogens) that can be consumed when eating or drinking soy-based foods. By the way, while drinking eight glasses of water a day is great for your body, it doesn't work to improve or reduce dry skin. If thats all it took to get rid of dry skin is drink more water, then no one would have dry skin and moisturizers would stop being sold. The causes of and treatments for dry skin are far more complicated than just drinking water. Here are some great options for winning the battle: Wear sunscreen: Daylight, even dim, obscure daylight, causes skin damage, which means it slowly becomes less and less able to hold moisture or feel smooth. Use state-of-the-art moisturizers: Moisturizers should be filled to the brim with antioxidants, water-binding agents, and anti-inflammatory ingredients. If you have persistent or exceptionally dry skin the, moisturizers you use should also contain various forms of lipids such as lecithin, cholesterol, glycerol, glycerides, and plant oils. Anything less leaves your skin incapable of warding off the environmental causes of dry skin. Apply and reapply moisturizer: If you have dry skin, you really cant use too much. So whenever your skin starts feeling dry, put more on. It is also important to be diligent about reapplying moisturizer every time you wash your hands. Dont forget to keep a moisturizer in your purse, at your desk, and in every bathroom in your home. Avoid soap or drying cleansersuse only gentle, nondrying cleansers: This cannot be stressed enough. Never use a cleanser that leaves a dry feeling on your skin and that includes from the neck down. Do not overscrub skin, you cant scour away dryness. Paula's Choice All-Over Hair & Body Shampoo and Silky Start Sugar Scrub are great options for cleansing and gently exfoliating skin manually.) Avoid soaking in the bath tub, Jacuzzi, or taking long showers: As wonderful as a leisurely bath or shower feels, too much water is bad for skin because it breaks down the skins protective covering (the skins intracellular matrix) destroying the substances that keep skin cells intact. Keep showers or baths as short as possible. Get a humidifier: Low humidity is the cause of most weather-related dry skin, whether it is winter or a desert environment. Humidifiers are relatively inexpensive, last a long time, and work for the whole family. If you have a large home, you may need two or three humidifiers to gain benefit. Avoid bath oils in the bath: It does not make much sense to pour bath oils into the bath water because most of the oil goes down the drain, plus they make the bathtub slippery and dangerous. Bath oils also encourage you to soak in the tub for longer periods of time and that isnt good for skin. There is also research showing that oil can trap cleansing ingredients on skin, causing irritation and dryness. Oils are best applied when you get out of the bath or shower after you are well rinsed off and gently towel dried. Exfoliate: Skin cell turnover (exfoliating) is a function of healthy skin, but due to sun damage, skin more often than not needs help with this process. A well-formulated AHA or BHA can help skin cells turn over in a more natural, youthful manner by removing the build-up of old skin cells and replacing them with newer, smoother ones. (Paula's Choice 8% Alpha Hydroxy Acid Solution, 1% Beta Hydroxy Acid Lotion or Gel, 2% Beta Hydroxy Acid Liquid Solution or Lotion, Weightless Body Treatment With 2% Beta Hydroxy Acid, or Skin Revealing Body Lotion with 10% Alpha Hydroxy Acid are great options as are Lac Hydrin, Alpha Hydrox products, and Neutrogena Skin Smoothing Body Lotion available at the drugstore). Use plant oil or mineral oil over your moisturizer: At night, over stubborn dry areas, after youve applied your moisturizer, massage a few drops of oil onto your skin. Pure olive oil is a great option because it is rich in antioxidants, and pure mineral oil creates an instant seal over skin to keep in moisture. For a lighter, less greasy option Paulas Choice Silk Mist Dry Oil Spray With Antioxidants feels wonderful on skin. Dont forget your lips: Lips are the least capable of staying smooth and soft when the air becomes dry. They lack the lipids and cell structure the rest of the face has and, as a result, are far more vulnerable to the effects of dry air. During the day apply and reapply an emollient lipstick or gloss. At night be sure to the same. Do not go to sleep without protecting your lips. An emollient lip balm worn thoughout the night can prevent dry lips all year round. Be sure it doesnt contain any irritating ingredients; peppermint and menthol can cause irritation and that wont help dry lips. Paulas Choice Lip & Body Treatment Balm is perfect for nighttime use or paired with lipstick, while Moisturizing Lipscreen SPF 15 offers portable, broad-spectrum sun protection for lips. Never use products that contain drying or irritating ingredients: But you already knew that one, right? If after all this you find that your skin is still dry, consider wearing plastic gloves over your hands or feet or wrapping the driest parts of your arms, legs, or feet with plastic wrap after you apply AHA or BHA, moisturizer, and oil. You will be shocked at the difference this can have even if you only do it once or twice a week. (Obviously, the plastic wrap trick is only for the elbows, hands, feet, or legs and never the face.) Additional sources used for this article: Dermatologic Therapy, 2004, 17 Suppl. 1:43-8; American Journal of Clinical Dermatology, April 2003, pages 771-788; Journal of the American Academy of Dermatology, March 2003, pages 352-358; Skin Research and Technology, November 2003, 306-311; American Journal of Clinical Dermatology, April 2003, pages 771-788. Source: Paula Begoun why Beat Psoriasis? no prescription needed no doctors letter fast worldwide delivery lowest price guarantee easy online ordering highest service levels best quality products secure online ordering things to do psoriasis survey free psoriasis diet frequent questions company FAQ psoriasis FAQ vitiligo FAQ acne FAQ eczema FAQ hair loss FAQ Home | Up | eczema phototherapy | atopic dermatitis | dry skin care | eczema in children | contact dermatitis | Pityriasis Alba | atopic dermatitis | Lichen Simplex Chronicus | allergic dermatitis | eczema skin care | dermatitis skin care | dyshidrotic dermatitis | atopic dermatitis | poison ivy | atopic treatments | dyshidrotic dermatitis [ top of page ] 2005 beat psoriasis web design and web hosting by veryownweb.com.au

After Shave Splash Bottle

Carolina Herrera Herrera for Men (100ml) AftershavePerfume & Aftershave - price comparison Search all categories Books Cars & Accessories Computers & Software DVD & Video Electronics Fashion & Lingerie Games, Consoles & Toys Gifts & Gadgets Health & Beauty Home & Garden Household Appliances Kelkoo For Business Mobiles, Phones & Faxes Money & Bills Music Sport & Fitness Travel Wine & Spirits Digital Cameras January Sales Home > Health & Beauty > Cosmetics & Skincare > Perfumes & Aftershaves >Compare prices Compare Prices on Carolina Herrera Herrera for Men (100ml) Aftershave Overall Product Rating Write a review! Category: Aftershave, Volume: 100ml, Gender: ForMen, Occasion: Daytime, Launch Date: 1991 ... Carolina Herrera Herrera for Men (100ml)Aftershave Full Specs Category: Perfume & Aftershave Brand: Carolina Herrera Category: Aftershave Gender: For Men Compare Prices Product Information Similar Products Search : Product Shop Condition Price Total Price More Carolina Herrera Herrera After Shave Splash Bottle 100ml/3.4oz Purchases may be subject to additional taxes payable at the Post Office which Strawberrynet refunds. Free Shipping - worldwide. All major brands Skincare - Makeup - Cosmetics - Perfume - Fragrance for men and women. Store info Read 38 Reviews New 17.50 + P & P: Free 17.50 Carolina Herrera 212 After Shave Gel 100ml/3.3oz Purchases may be subject to additional taxes payable at the Post Office which Strawberrynet refunds. Free Shipping - worldwide. All major brands Skincare - Makeup - Cosmetics - Perfume - Fragrance for men and women. Store info Read 38 Reviews New 19.50 + P & P: Free 19.50 Carolina Herrera 212 After Shave Bottle 100ml/3.4oz Purchases may be subject to additional taxes payable at the Post Office which Strawberrynet refunds. Free Shipping - worldwide. All major brands Skincare - Makeup - Cosmetics - Perfume - Fragrance for men and women. Store info Read 38 Reviews New 19.50 + P & P: Free 19.50 Carolina Herrera Chic After Shave Moisturizer 100ml/3.4oz Purchases may be subject to additional taxes payable at the Post Office which Strawberrynet refunds. Free Shipping - worldwide. All major brands Skincare - Makeup - Cosmetics - Perfume - Fragrance for men and women. Store info Read 38 Reviews New 21.00 + P & P: Free 21.00 Carolina Herrera 212 Aftershave 100ml Splash 100ml Mens Aftershave 100ml Splash. This fragrance contains top notes of grapefruit, ginger, mandarin and aquatic molecules. The base notes are sandalwood, guaiac wood and musk. Store info Read 15 Reviews New 18.35 + P & P: 2.46 20.81 Delivery costs provided by individual stores. All prices, including free delivery, are to UK mainland addresses with some exceptions. Please check store terms and conditions before making your purchase. 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Retinal Cream

Aging Face-fully with L'Oreal Dermo Expertise Revitalift Day - Thread Trendwatch Feature NZ Fashion Week Fashion Analysis Advertise on Thread Beauty Street Chic Lingerie Fashion shows Shopping Top 10 looks Aging Face-fully with L'Oreal Dermo Expertise Revitalift Day By Katie Simms LOreal Dermo Expertise Revitalift Day cream is a treatment developed for women in their forties; an age when the skin on your face starts to lose its firmness and weakens. It is a revamped formula of Revitalift Day , already a firm favourite with those aging facefully. The ingredients include ParEastyl, which is now teamed with Vitamin CG, to form a new complex called Dermolastyl; a breakthrough-firming agent. The cream also includes Pro Retinal A. Whilst this sounds like its straight from a science textbook the results are a bit easier to process. The cream gives an instant smoothing effect and the Pro Retinal A penetrates deep into the skin to combat wrinkles. The results are also amazing; women tested said within four hours the skin feels firmer and within four weeks wrinkles are reduced in length and quantity. So if your pot of Revitalift Day Cream is nearly run out head out and try the revamped cream which can be found at LOreal stockists. RRP $30.95 Age Perfect Double Treatment This new cream is made for women in their fifties; perfect for women like my Mum; in her fifties and wanting to stay looking, as she already does, about 5-7 years younger than she really is. Her secret of course is looking after her skin by using a good face cream, so of course she was willing to try out this new wrinkle fighting cream from LOreal. Age Perfect Double Treatment is made up of two separate creams, but without two separate bottles to fuss over. LOreal house the two creams in the same container and when the cream is applied the two creams come out separately onto the skin. The first white cream is Elastium; containing fibres to cover and matify, while evening and de-crinkling the skin. The other cream, which is an orange colour, is Vitamin CG, this is a stable form of Vitamin C and once it meets the white cream it releases the pure vitamin C, which is so hard to incorporate into cosmetics. Our findings On testing Age Perfect Double Treatment I found the cream smoothed her skin, feeling ultra smooth and wrinkles were refined. She also found the cream had an illuminating property which she liked. The only thing that could have been better was the dual action pump itself, which delivers the two creams. My Mum said that if the pump was not pushed evenly more of one cream would come out so make sure you use even pressure. Age Perfect Double Treatment is now available wherever LOreal products are sold. RRP $30.95 Print friendly | Email to a friend Previously... All set and pressed for perfect skin! Bright eyed and bushy tailed Blush without brush- with mousse! Moisture for lips...to the Extreme! Collagen Filler- to fill out wrinkles from within Blushing Beauties find their True Match Radiant skin- with a Visible Lift Infallible never fail make-up Write off your lines! "Plump Perfect" makeup Beach safe and bikini proud this summer! Trilogy Travelers- Plane good sense for skin! Put some sun in your pocket Does your Skin need a Lift? The Christmas party season- with Nutrimetics! Restoring faith in your skin's beauty An expert in men -and looking good at all ages Cellulite roller disco! Cheerful make-up brings yellow shades this spring! Body Bistro- beauty through Ayurveda Get COOL when it's hot this summer NY style with nc beauty Extreme Makeover for a Beauty Classic Lighten up! Brush on highlights A colour-rich gloss? Now, that's rich! Blushing Beauty that's Fade-Proof Problem Skin? Sleep on it! Rewind the Years! Sculpt Up Patch-up Job Solving the Make-up Puzzle with your True Match 'Whipped Cream' gives Mousse Appeal Perfect Potion for Body and Soul The Bronze for Beauty I Start to ReFinish my Skin Get Glam and Shine On! Re-surface your Skin with Peel and Reveal A Perfect Manicure- for Days Are you 100%? Why choose between colour and care? Get Teen Skin into the Zone Expression of Youth For the Sheer Joy of Colour Britney Gets Women CURIOUS Again... Refreshing taste of Green Tea Unmask Beautiful Hair Pure Confidence comes from Pure Skin Give a Fig for your Face 3 Step Anti-Breakage Programme Have Eyes like Jewels Get Beyonce's Hot Curls at Home Wrinkles? 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Facial Fractures The Painful

Facial and Mandibular Fractures UW Radiology Home Approaches To DDx In Musculoskeletal Imaging Contents Preface General Principles Arthritis Appendicular Axial Lucent Lesions of Bone Sclerotic Lesions of Bone Periosteal Reaction Soft Tissue Calcifications Fractures Without Significant Trauma Facial Fractures The Painful Joint Prosthesis Orthopedic Hardware Scoliosis Osteopenia Osteonecrosis Skeletal Dysplasias Search this site Approaches To Differential Diagnosis In Musculoskeletal Imaging Michael L. Richardson, M.D. Facial and Mandibular Fractures Facial Fractures The bones of the skull and face collectively make up the most complex area of skeletal real estate in the body. Analysis of the fractured face requires a knowledge of not only normal anatomy, but also of common fracture patterns in the face. Although they represent serious injuries, the workup and treatment of facial fractures is often properly delayed until more pressing problems have been addressed, such as the establishment of an adequate airway, hemodynamic stabilization, and the evaluation and treatment of other more serious injuries of the head, chest and skeleton. Once these problems have been managed, it is time to work up facial fractures. At our institution, high resolution CT is currently the imaging procedure of choice for most facial fractures. The complex anatomy and fractures of the facial bones are shown extremely well by CT, and soft tissue complications can be evaluated to a far greater degree with CT. Therefore, the plain film facial series has taken a back seat to CT in the past few years, and is now used only in certain situations, such as when the facial trauma is very focal (nasal fracture), or when CT is unavailable. However I find it easier to initially teach the anatomy and fracture patterns of the face with plain films. Once these concepts have been grasped by the resident, one can then move on to the axial and coronal anatomy shown by CT. A basic facial series consists of three or four films: a Waters view (PA view with cephalad angulation), a Caldwell view (PA view), a lateral view, and occasionally a submentovertex view. If a nasal fracture is suspected, then a lateral view of the nasal bone with special nasal technique may be done. Of these views, the most consistently helpful view in facial trauma is the Waters view. It tends to show all of the major facial structures at least as well and often better than other radiographic views of the face. It can initially be a bit daunting to think about ruling out fractures of the complex collection of bones that make up the face. However, here are several simplifying rules that can make life a lot easier: Look at the orbits carefully, since 60 - 70 % of all facial fractures involve the orbit in some way. The exceptions: a local nasal bone fracture, a zygomatic arch fracture, and the LeFort I fracture. It is especially important to examine the orbital borders and apex, as well as the optic canal. Know the most common patterns of facial fractures and look for them. Bilateral symmetry can be very helpful. Normal radiopacities are usually bilateral, while abnormal ones are usually unilateral. Carefully trace along the lines of Dolan when examining the Waters view in a facial series. the lines of Dolan and the elephants of Rogers What are the lines of Dolan? They are three anatomic contours best seen on the Waters view of the face, and they were first popularized by Dolan et al . As you can see, the 3 lines of Dolan lead the eye along some facially important structures. Lee Rogers pointed out that the 2nd and 3rd lines together form the profile of an elephant. When you search for a fracture, you are really searching for one or more of the following radiographic signs. Radiographic signs of facial fractures Direct Signs nonanatomic linear lucencies cortical defect or diastatic suture bone fragments overlapping causing a "double-density" asymmetry of face Indirect Signs soft tissue swelling periorbital or intracranial air fluid in a paranasal sinus The most common mechanism producing facial fractures is auto accidents. About 70 % of auto accidents produce some type of facial injury, although most are limited to soft tissue. The face seems to be a favorite target in fights or assaults, which are the next most common mechanism. The remainder of facial fractures are produced by falls, sports, industrial accidents and gunshot wounds. Less than 10 % of all facial fractures occur in children, perhaps because of the increased resiliency of a child's facial skeleton. The most common patterns of midfacial fractures are summarized in the table below. Fracture Type Prevalence Zygomaticomaxillary complex (tripod fracture) 40 % LeFort I 15 % II 10 % III 10 % Zygomatic arch 10 % Alveolar process of maxilla 5 % Smash fractures 5 % Other 5 % Probably the most common facial fracture is the tripod or zygomaticomaxillary complex fracture, so called because it involves separation of all three major attachments of the zygoma to the rest of the face. frontal view of a zygomaticomaxillary complex fracture submentovertex view of a zygomaticomaxillary complex fracture Although it may be fractured, the separation of the frontal process of the zygoma from the frontal bone usually occurs in the form of a diastasis of the zygomaticofrontal suture. This fracture is usually due to a direct blow to the body of the zygoma. This fracture will generally cause contour abnormalities of all three of the lines of Dolan. Occasionally, extraocular muscles may become entrapped in the zygomaticomaxillary component of the fracture complex. The displaced tripod fragment may physically restrict motion of the mandible. In some cases, force may propagate along the long axis of the lateral orbital wall and involve the orbital apex or optic canal, resulting in diminished vision. CT is extremely helpful in evaluating these fractures. Fractures may be isolated to the zygomatic arch. Clinically, these injuries are usually due to a blow from the side of the face. Patients with this injury often present with flatness of the lateral cheek area and inability to open their mouth, due to impingement of the zygomatic arch fragment upon the coronoid process of the mandible or the temporalis muscle. Adequate visualization of this fracture may require a submentovertex view or CT. Another focal fracture type is a fracture of the alveolar process of the maxilla, which involves a small piece of the maxilla, associated with several fractured teeth. The main treatment goal here is to maintain viability of the teeth. If all of the fractured teeth cannot be accounted for, a chest film should be carefully examined to look for evidence of aspirated tooth fragments. Another common fracture is the orbital floor fracture, or "blowout" fracture. The usual mechanism is a blow to the eye, with the forces being transmitted by the soft tissues of the orbit downward to the thin floor of the orbit. The floor is usually the path of least resistance, and fractures downward into the maxillary sinus. Common clinical signs are enophthalmos and diplopia (especially on upward gaze), and one should remember that about 24 % of these fractures are associated with ocular injury as well. On a Waters view, one may see a soft tissue mass on the superior margin of the maxillary sinus, representing the herniated periorbital tissues into the sinus. One may also see a "trapdoor" fragment of bone protruding down into the sinus, often hinged on the ethmoidal side. CT will, of course, show these fractures and soft tissue mass much better. "blowout fracture" -- the arrows point to the fracture fragments and periorbital tissue which have herniated into the maxillary sinus The nose is the most frequently injured facial structure, undoubtedly because of its prominent position on the face. Likewise, the most commonly missed facial fracture of the face is a fracture of the nasal bone. Although one can occasionally see a nasal bone fracture well on a standard lateral skull film, these fractures are much better seen when the film is shot with special low kVp nasal bone technique (essentially soft tissue technique). One should always look at the inferior nasal spine (part of the maxilla) as well for subtle fractures. Common pitfalls in viewing the nasal bone are the normal sutures lining the nasal bone, as well as the linear channel for the nasociliary nerve, which may all be mistaken for a fracture. A helpful rule is that this channel runs parallel to the bridge of the nose, while most nasal bone fractures will run perpendicular to the bridge. It is well to remember that the humble nasal bone fracture may be associated with more extensive injuries, such as the orbital rim or floor and the ethmoid or frontal sinuses. normal nasal bone anatomy The next set of fractures in this rogue's gallery of common facial fractures are the LeFort complexes. These are complex bilateral fractures associated with a large unstable fragment ("floating face") and invariably involve the pterygoid plates. Legend has it that LeFort dropped skulls off of a French tavern roof and analyzed the resulting fracture patterns. This certainly sounds like the kind of study that we would all like to do, even without NIH funding. In reality, LeFort studied fracture patterns produced in cadavers. He found three main planes of "weakness" in the face, which correspond to where fractures often occur: the transmaxillary plane, the subzygomatic or pyramidal plane (this is really two planes with an apex up at the bridge of the nose), and a craniofacial plane. frontal views of LeFort complex fractures I - III lateral views of LeFort complex fractures I - III The LeFort I, or transmaxillary fracture runs between the maxillary floor and the orbital floor. It may involve the medial and lateral walls of the maxillary sinuses and invariably involves the pterygoid processes of the sphenoid. Clinically, the floating fragment will be the lower maxilla with the maxillary teeth. The LeFort II occurs along yet another weak zone in the face, and is sometimes called a pyramidal fracture because of its shape. A common mechanism is a downward blow to the nasal area. The most severe of the classic LeFort fracture complexes is the LeFort III. I suppose that this is pretty obvious, given a three-part grading system. In this case, the large unstable (floating) fragment is virtually the entire face! Thus, this fracture is also referred to as craniofacial disassociation. This is a very severe injury, and is often associated with significant injury to many of the soft tissue structures along the fracture lines. Generally, considerable force is necessary to produce this injury, and it is uncommon as an isolated injury. It may also occur in association with severe skull and brain injuries. With the exception of the LeFort I injury, "pure" LeFort injuries are not commonly seen. More commonly seen are variants of the LeFort classification. One of the most common of these is the LeFort II - tripod fracture complex. This complex is usually due to the large forces encountered in a motor vehicle accident. LeFort was probably unable to apply this much force to the cadaver faces in his study, and it is therefore not too mysterious why he didn't describe these more complex injuries. When describing these injuries, one should probably give a separate diagnosis to each half of the face. Even more complex patterns may be encountered, such as a mixed LeFort II/LeFort III complex or a LeFort III/LeFort II/tripod complex. Besides the classic LeFort patterns and the mixed LeFort variants, there is another common pattern which is called, for obvious reasons, a "smash" fracture. In these injuries, severe comminution of the face is present, and underlying skull injury is likely. These patients are often in unstable condition with associated axial and appendicular skeletal injuries as well. This category includes several varieties of otherwise unclassifiable fractures, which are named for the portion of the face primarily involved. Subclassifications of smash fractures include the frontal, naso-frontal (naso-ethmoid) or central facial smash syndromes. CT is mandatory for adequately displaying all of the bony and soft tissue components of these injuries. Wise sayings about facial fractures Look at the orbits carefully, since 60 - 70 % of all facial fractures involve the orbit in some way. Bilateral symmetry can be very helpful. Carefully trace along the lines of Dolan. Use CT liberally in working up facial fractures. Mandibular Fractures The mandible is another commonly fractured bone in the head, and most of these fractures are obvious on clinical exam. Clinical findings include facial distortion, malocclusion of the teeth, or abnormal mobility of portions of the mandible or teeth. The mandible is one of those bones covered by the "ring bone rule", which may be stated thusly: if you see a fracture or dislocation in a ring bone or ring bone equivalent, look for another fracture or dislocation. You can experiment with this tendency of ring bones to break in more than one place by going through a bag of pretzels and trying to break one of them in just one place. Then try it with a bag of bagels. You should now have a good appreciation for Lee Rogers' corollary to the ring bone rule, which he calls the "pretzel-bagel spectrum". To wit, the stiffer a ring bone is, the more likely it is to break in more than one place. The more flexible it is, the more likely it is to break in just one place. The mandible has some flexibility, due not only to the mobility around the temporomandibular joints (TMJ's) but also to the tendency of the TMJ's to absorb some forces during trauma. What this boils down to is that one sees an average of 1.5 to 1.8 mandibular fractures per customer, depending on whether the mechanism is blue collar (fist or other anonymous blunt object) or white collar (automobile crash) respectively. Like the nose, the mandible also has a prominent position on the face, making it a favorite target for either of these mechanisms. Mandibular fractures have traditionally occurred at twice the prevalence of facial fractures, but this ratio has been decreasing with the increasing prevalence of high-speed auto accidents. Only 5 % of all mandibular fractures occur in children, and most of these are also caused by auto accidents, with about 1/3 due to bicycle accidents. Mandibular fractures can occur at any of the following sites. common sites of mandibular fractures Fracture Type Prevalence Body 30 - 40 % Angle 25 - 31 % Condyle 15 - 17 % Symphysis 7 - 15 % Ramus 3 - 9 % Alveolar 2 - 4 % Coronoid process 1 - 2 % When double fractures occur, they are usually on contralateral sides of the symphysis. Common combinations include the angle plus the contralateral body or condyle. Triple fractures occasionally occur, and the most common type is fracture of both condyles plus the symphysis. The mandible may also be dislocated without fracture, sometimes spontaneously during a large yawn. The patient usually presents with considerable pain. Spasm in the masseter and pterygoid muscles tend to force the condyles up the anterior slope of the articular eminence and prevent normal mouth closure. mandibular dislocation -- the condyle (c) is anterior to the articular eminence (e) Wise sayings about mandibular fractures Remember the ring bone rule. Symphyseal fractures can be diabolically hard to see, even on a well-exposed AP film Remember the Panorex view -- this can usually only be taken by a special machine in the oral surgery department, but it provides the best single view of the mandible and will show you fractures that cannot be seen by any other method short of CT. Look carefully along the cortical margin of the whole mandible for discontinuities. This may be the only sign of a fracture that you will see. Also carefully examine the mandibular canal for discontinuities. A fracture line entering the root of a tooth is considered an open fracture by definition. Pathologic fractures can occur in the mandible. Look carefully for evidence of a periapical abscess or a mandibular tumor, especially if there doesn't seem to be enough trauma to match the injury. References Dolan KD, Jacoby CG. Facial fractures. Semin Roentgenol 1978;13:37-51 . Dolan KD, Jacoby CG, Smoker WR. The radiology of facial fractures. Radiographics 1984;4:575-663. For further information, contact Michael L. Richardson, M.D. , webmaster © 2000 University of Washington Department of Radiology All rights reserved. Do not use without written permission. Last update: Wednesday, January 24, 2001 at 10:59:41 AM.