Alison O'Neil, appearance therapist. WebMD Medical Reference: "Cosmetic Cover-up for Psoriasis." WebMD Medical Reference: "Psoriasis in Spring and Summer." WebMD Feature: "Cosmetic Cover-up Tips for Psoriatic Arthritis: Look and Feel Your Best." National Psoriasis Foundation. Impact Psoriasis.
ALISON O'NEIL: It doesn't haveto become a huge focus.
JANICE MCDONALD: Alison O'Neilspecializes in what she callsappearance therapy, workingwith patients who often facedebilitating injuries and skinconditions.She helps people like Cartercope with potentiallyembarrassing outbreaksof psoriasis.
CARTER: It's not pretty rightnow, but it's a lot prettierthan during the winter timewhen it really flares up bad.
JANICE MCDONALD: Alison is goingto help Carter minimizethe appearance of his outbreakswith a technique calledparamedical cosmetology,or corrective camouflage.
CARTER: But ideally, you'dwant to do this on an areathat's not scaled up.
ALISON O'NEIL: Preferably notscaled up,so use your medications.And the scaling getsunder control, then you cancamouflage the discoloration.
JANICE MCDONALD: Beginby working with your doctorto find a medication to bringyour scaling under control,and remember, never applycorrective camouflage to openskin lesions, unhealed cuts,or raw or irritated skin.
ALISON O'NEIL: This productI'm going to show you is prettymuch in general what mostof these--how most of these productsare madewith the same ingredients,and It's waterproof.It doesn't just come offwith soap and water.
JANICE MCDONALD: Camouflageproducts can be purchasedthrough makeup specialists,or even over-the-counter.Since most contain tout thatwicks away natural moistureand can potentially irritate,it's best to startwith a protective moisturizingbarrier.Then it's a matterof matching skin tone, whichusually requires a blendof several shades of concealer.
ALISON O'NEIL: Here'syour normal skin tone right heremixed with the greenand then some of the red.It's OK to have someof the red shine through,but I'm going to geta different shade.
JANICE MCDONALD:Use an applicatorto get the productfrom the container, but to blendand apply, use your fingers.A little concealer goesa long way.
ALISON O'NEIL: If you can't seeyour fingerprint,you have too much producton your finger.Look for the fingerprint,and then you know.And then you're going to tapand press it rightinto the skin,just like we did on your finger,which is the firm pressurethat which lays the base.All we want to do on your cheekis kind of break up the redness,and we don't need a whole lotof it.
JANICE MCDONALD:Only light pressure is neededto pat the application.Too much pressure will likelyresult in the product coming offand sticking to your fingers.Because of the scalingand creases psoriasis can cause,be sure to take your time.ALISON O'NEIL: This may takethree, four set kindof applications, and the reasonyou use your hand isbecause the warmthof your fingeractually warms this product.So that it will actually stayin place.
JANICE MCDONALD: Don't getfrustrated if you don't achieve100% coverage.Perfection is not the goalin workingwith cosmetic camouflage.
ALISON O'NEIL: You can get 100%improvement if you're goingto have a photograph taken,and then it looks normal.
CARTER: Right, I understand.ALISON O'NEIL: But if we getbeyond 65%, 70%, usually itlooks like there's a productcovering.
JANICE MCDONALD: Also rememberthat while you may know wherethe outbreak is, other people donot.Having camouflageshould help make it easierto keep it that way.For WebMD, I'm Janice McDonald.