The real prize: Beautiful Skin or Healthy Skin ? The quest for lasting youth and flawless beauty is as old as man. Throughout the ages and despite the fickle craft of fashion, a beautiful skin has remained the most constant and prized possession. One merely has to page through an edition of a beauty therapy magazine, to stand in awe of the enormous investments in time, money and brain power locked in this search for the seemingly elusive skin "alchemy". Healthy skin on the other hand appears to be much more of a medical domain, yet aside the efforts to promote good, safe sun practices, little appears to exist in the medical literature that specifically address the principles and practice of skin health as such. Such complexity and diversity of treatments in beauty therapy, makes it very hard to decipher which treatments will be the most successful to produce beautiful skin. On the other hand one may ask what needs to be done to obtain healthy skin? Perhaps two simple definitions may help to solve this seemingly deepening riddle. First a working definition for beautiful skin. Beautiful skin, probably is best defined as skin which is smooth, firm, evenly toned with tight pores and possessing a dynamic blood and lymphatic circulation. Healthy skin on the other hand can be defined as skin where the cells of the skin produce healthy, highly specialised new cells, membranes, collagen, elastin, and the all important "glue" together with the inter-cellular connections, which ensures a resilient and flexible living laminate. The question is: are these two ideas or definitions compatible within any treatment approach for obtaining beautiful skin? In this, the beginning of the 21st century of human biological science, medical science in particular is increasingly dealing with intelligent cellular communication and behaviour. The 1 science of how cells communicate with each other and how food, medicine or toxins have an influence on this communication process is fast becoming the direction most medical treatments will be moving to. It makes very simple and powerful sense: get cells to behave like stem cells so that ageing and sick tissue can return to a state akin to that of a healthy child. One merely has to look at the skin of a healthy 4 year old to understand how powerful a tool this can be in skin. Vitamin A is very interesting in this respect, because it is the most powerful signal cells have to induce the formation of healthy, young, vital and highly specialised cells in all respects. Add sufficient vitamin C, vitamin E, beta-carotene and any number of other powerful anti-oxidants into the equation and cells will "perceive" pure, harmonious instructions for their functions and behaviour. Once cells behave as "happy", healthy cells producing healthy proteins lipids and sugars, the skin appearance gets a particular character. It becomes smooth, firm, evenly toned with tight pores and has dynamic blood and lymph circulations. It contains healthy new cells, membranes, collagen, elastin and the all important "glue" and inter-cellular connections, which ensures a resilient and flexible living laminate. The skin treated by the method of Advanced Vitamin Skin Therapy or AVST as pioneered by Dr. Des Fernades and successfully propagated by the Environ® skin care company, is healthy skin in the first place. Looking however at our definitions above and the descriptions of the end result of AVST, it becomes clear that lasting beautiful skin in essence, healthy skin. Environ® AVST is not science fiction - it is standard contemporary and very available beauty therapy practice. Using the ability of carefully chosen molecules, in carefully balanced formulations, AVST is able to help instruct skin cells to function at their optimum level. This produces healthy, optimally functioning skin cells, with a beautiful appearance. 2 As the science of cell behaviour develops, it is perhaps time to shift the skin beauty paradigm to the domain of skin health. Once one grasps the fundamental role that optimally healthy cells play in creating a structure like beautiful skin, the apparent mystery of how to obtain or recover beautiful skin becomes easy to grasp. AVST assists the rest of the complex signaling systems inherent to every human skin, to create healthy cells, which in turn produces the type of highly desirable skin know as truly beautiful skin. And to boot, it does so in a lasting manner. 3