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Skin care for transgender women
I'm pleased to announce we are now offering an instructional video covering makeup and skincare called Becoming You: The Fast Track to Your Female Face. It's a major expansion of the materials below.
When I started my transition, I undertook a crash course on cosmetics and skin care. The following advice is based on my trial and error. I remember going to the drugstore and looking at the cosmetics, thinking, Oh my God, how am I supposed to decide? That coupled with the fact I was totally paranoid that I'd see someone from work or something made me reluctant to stand there and comparison shop or read labels.
So, I started doing my homework before I went. I trotted down to the local bookstore and started looking at books on cosmetics. It was almost as confusing as the cosmetics aisle itself. Seems like every model and celebrity had some book, not to mention the infomercials and all the conflicting information I was finding in fashion magazines.
If the canvas is bad, the paint doesn't matter
It didn't take me long to figure out the incredibly obvious: if your skin isn't in the best shape, you're facing an uphill battle. I'm pretty sharp that way. It's the canvas you're painting on was the standard metaphor. I guess everything has a cliched catch-phrase, kinda like "woman trapped in a man's body."
I'm a 30-year-old white MTF transsexual with very fair skin. Not only is my skin sensitive to a lot of chemicals, it's also on the oily side. Oh, and I burn almost the instant I step into direct sunlight. Lucky me. Your skin is probably different in one way or another, so not all of this may apply to your skin type. My recommendations work well for me, but your mileage may vary. However, you might find some useful tips for yourself.
What I learned
Things you don't need to waste money on:
I want to pass without make-up, or with very little on. The healthier you are, the easier this is. After all, make-up can only make up for so much.
Best thing you can do for your beauty:
What works for me
Here's my twice a day routine.
All this takes about five minutes longer than I used to take in guy mode. No biggie.
Your skin and hair removal
Transsexuals have a unique skin problem to deal with: hair removal. Laser and/or electrolysis can really take a devastating toll on your skin in a number of ways. You are doing nothing short of burning skin and frying collagen, but hey, it has to be done. See my hair removal section for tips on how to make the whole process as painless and as low-damage as possible.
Also, if you are really serious about transitioning and have not started hair removal, START NOW! I wanted to be done when I went full-time, because I heard several friends say how horrible it was to try to cover up their facial hair, which they had to grow out for electrolysis, plus they weren't supposed to wear make-up after. It's the hardest part of the whole transition, I think, because it can be prolonged, painful, and expensive. The sooner you start, the sooner you're done.
Let me talk briefly about my skin care regimen as it involved electrolysis. When I first started, I had very thick facial hair. The redness and swelling were so prevalent as I got it cleared that people asked what was wrong with my skin. "Shaving rash" was my typical answer. I did not have the option of starting hormones when I started electrolysis, which most certainly added to the amount of time it took. I did about two hours each week for about three and a half months before my whole face was cleared at once. Then I averaged about 4 hours a week (17 hours a month to be exact) for the next six months just to keep up. I wouldn't recommend doing more than about two hours at once-- I did a couple of marathon sessions that left me looking like I scraped my chin or swollen enough for co-workers to say I looked like I'd been slapped around.
Try to avoid shaving if at all possible. If you can get in often enough to keep up with new growth, you'll save yourself time. The longer a hair is allowed to grow after it surfaces through the skin, the stronger the root gets. For me that meant going in 2-3 times a week for a while. Shaving can irritate the skin, especially if it's raw from electrolysis already. Watch out for shaving creams, too. Many contain menthol or other skin irritants which will only make matters worse. Your best bet in my opinion is an electric foil razor.
Immediately after electrolysis, my electrologist would swab my face with witch hazel to clean off any blood and disinfect the open skin. Then she'd rub in a great product called Simply Smooth, which is made for use after electrolysis and is very soothing. It also has a light beige tint which covers some of the redness. Her usual routine was to then apply aloe vera gel with menthol to clients' faces, but this burned my skin terribly. Instead, I would bring my own generic drugstore aloe vera gel and would liberally dab that on as much as possible.
You shouldn't use makeup on your face for at least 24 hours after electrolysis, but I found my face needed about 72 hours to recover. Also, while I found EMLA cream to be an indispensable part of my pain-management, I found it would make a couple of layers of skin in the creases between my nose and corners of my mouth peel every time. I eventually found that by covering these lines with scotch tape before applying EMLA, I could avoid this peeling.
It's imperative to stay out of the sun after electrolysis. I found that anything besides aloe vera gel burned my skin, even the mildest moisturizers. Sunscreen REALLY burned, so I did everything I could to stay indoors after zapping. I find it best to do zapping on Friday after work so my face can recover over the weekend. Plus, that way I was going home in the dark (avoiding the need for sunscreen)
Also, I find that being in the sun (especially once I started hormones) made me freckle like crazy. I found it best to avoid this, because freckles (especially on my upper lip made me look like I still had facial hair there), plus, very pale skin tends to look more feminine in general, so it helps me pass.
A reader writes: The "average" application of any skin product gives approximately half of the listed SPF rating. This occurs since much more product is applied when testing the SPF by the manufacturer to give a rating. To get an effective protection of 15 SPF, I look for products that are listed as having a 30 SPF.
You're going to want a good pair of tweezers. Don't bother with those lame two-dollar jobs they have in big jars- go for the good ones. You might want to buy a pair of forceps like the ones your electrologist uses. Ask him or her what kind they use, or even buy a pair from them.
Some pointers about tweezers: between zapping sessions, you're going to have the occasional ingrown hair that's about to pop out. You'll see that sucker just under the skin, and you're going to want to get it out. Resist this temptation with all your might! If you go digging for ingrown hairs, you stand a very good chance of damaging your skin. Your best bet is to keep your skin exfoliated so those hairs can pop out more easily on their own. Plus, as the hairs start getting weaker, even the slightest tug will bring them out root and all, which means they have to regrow before they can get zapped, which means it'll be that much longer till you're done.
I find that if they're just below the surface, I could get them out by scratching LIGHTLY. Be sure to have your nails totally clean if you're going to do this, and NEVER scratch or squeeze hard enough to dig into the skin or draw blood. That would fall under the category of skin damage. Also, sometimes you'll have what look like blackheads or hairs that pop out. They call these tombstones-- it's usually bits of hair and gunk that didn't get pulled out when that follicle was zapped. Sometimes even an entire unattached hair will push its way out. You get to the point where you can sort of tell if it's a live hair or one of these tombstones. If you gently pull on one of these with a pair of tweezers, it comes right out. If there's any tugging at all, stop pulling and let your friendly zapper take care of it.
OK, let's talk about Alpha-Hydroxy Acids (AHA's). It comes in five "flavors": gly for your face's acid balance to return to normal, your AHA will work better.
Don't use other scrubs or washcloths in conjunction with AHAs
Concentrations: AHA's have to be dissolved in water to make a cream, so Lots of AHA products are listed as percentage of a 70% solution. The rest is water and stuff used for dissolving the AHAs. So an 8% concentration is probably closer to 5.6% of the total.
Higher levels are used for skin peels you see offered at spas and salons (sometimes called "lunch peels"). These are done at concentrations higher than you can buy at the store, but be sure to find someone you trust to put one of these on your face. This is very different from a face peel you get from a dermatologist or plastic surgeon, which uses phenol acid or a laser and is a major procedure that leaves you scabbed over for quite a while.
red = my favorite
More expensive, but worth a look:
You gotta be kidding prices:
A friend sent along some additional thoughts:
Your article made me think of the following:
1) Lubriderm now sells an SPF 15 version of their great skin lotion!!!! - just the thing for us pale ladies who freckle and shy from the sun.
2) There are two prescription fade creams that are great for freckles and skin discolorations caused by take estrogen. Since we keep our estrogen state close to pregnancy levels all our lives, we are prone to "pregnancy mask" like skin discolorations. The medications are: Solaquin Forte 4% and Benoquin. Both are manufactured by ICN Pharmaceuticals in California. But, the Benoquin is IMPOSSIBLE to get these days. The company lists it but does not manufacturer it. Benoquin saved my BUTT, quite literally many years ago when I needed to fade my skin graft scars.
3) There are prescription dermatological agents to control contact dermatitis and acne. Cleocin is available in a lotion, which I like and a toner. Using either can replace toner in one's skin care regimen.
4) Prescription only Retin A is great for keeping skin smooth. It stimulates new skin growth, promoting collagen and elastin formation. It must be used very, very, very sparingly for best results. Using too much irritates the skin and causes redness. Long term use is almost like a mild chemical peel. I used Retin A many years ago for acne and noticed what great things it did for the general texture of my skin.
5) Collagen injections can do wonders for small depressions in the skin. They don't work for everyone though. For me that filled in a scar on my right cheek that I had since birth. Collagen also filled in acne marks that I had. The results have lasted for me. I gather that they don't last for 50% of those who get them.
The one book I cannot recommend highly enough is Paula Begoun's Don't Go to the Cosmetics Counter Without Me (3rd edition). If you buy only one book, buy this one. In it, she rates over 10,000 products, including a list of her picks for best foundations, mascaras, etc. Paula's even got her own website: www.cosmeticscop.com
You might also consider our program Becoming You: The Fast Track to Your Female Face, with over four hours of tips and practical instruction.