Lipstick: A Love Story - Dorothy Foltz-Gray
Transcription
Lipstick: A Love Story - Dorothy Foltz-Gray
::-r ":~ities By D 0 ROT H Y F 0 L T Z - G RAY Lipstick: A Love Story What makes a woman paint her lips? y mother did nothing more completely than put her lipstick on. She had full, sensual lips like Loretta Young, and with the deep red wax she mined from below the gold rim of a perpetually worn-down tube, she filled them in. Opening her mouth slightly, she moved her stained fingertip across the darkening arches, starting at the center of her upper lip. As a child, I would perch against the mahogany backboard of her bed, watching her, caught up in this ritual of feminine mystery. My mother's lips were all I knew of Eros. They were the source of her kiss and the stem of her wrath. It seemed to me that her lips and lipstick conveyed signals like Morse code: If I could read them, I would know her. But her lipstick also represented all I was not to know about her: her sexuality, her relationship with my father, her life beyond motherhood. The connection between whatever simmered inside and her external reserve made putting on lipstick seem risky and alluring. Lipstick was not about camouflage but about the depths of what a woman could unlock. When my mother died, I kept her lipstick. Now, many times a day, even when I'm alone with my computer and cats, I repeat, with my own favorite tube, the ritual that she taught me. Like anyone, if pressed, I can smear on color thinking only of the practical rescue it offers from pale extinction. But the immoderate pleasure I get when I pull a new lipstick from its package has an emotional resonance beyond appearance. I am, for a moment, that little girl again, 38 HEALTH SEPTEMBER 1996 transfixed by my beautiful mother. At first the connection surprised me. But now I realize that lipstick has significance to many women. At our mothers' knees, we watch the face of femininity appear, and ever after we pursue its shimmering ghost. Just ask the 84 percent of American women who not only wear lipstick but throw down anywhere from $1 to $20 five times a year for a new tube. Or study the photograph of a Leningrad woman who, after a year spent underground during World War II, stepped from her hidden bunker into the sunlight and, first thing, applied her lipstick. "When I saw that photo I understood how important lipstick is to women," says Sven Thormahlen, vice president of cosmetics and treatment at L'Oreal. "That woman is coming alive again." Resurrection is a strange responsibility for a cosmetic, even one with such a quirky history. In ancient times Egyptian women reddened their lips with clay tinted by iron oxide. The wife of Emperor Nero, who governed Rome from 5 4 to 68 AD, swore by ocher, or iron ore. In the 16th century, crushed roses and geraniums served Elizabethan women, but by 1770 the Brits had had enough: Parliament passed a law making it criminal witchcraft for a made-up woman to lure a man into marriage. Repressed Victorians sneaked a bit of color by kissing rosy crepe paper; by the late 1890s they were dabbing their lips with cold cream and a crystalline compound called alloxan that together blossomed into a pink glow. Around the turn of the century a German company selling makeup crayons to actors gave birth to the first true lipstick. These days what makes a stick distinctive is the CI,ARITI:i~ brand of loratadine JAB LETS ,Long-Acting Anlihislamine BRIEF SUMMARY (for fUll Prescribing Informal ion. see package insert.) INDICATIONS AND USAGE: CLARITIN Tablets are indicated for the relief of nasal and non-nasal symptoms of seasonal allergic rhinitis and for the management of idiopathic chronic urticaria. CDNTRAINDICATIONS: CLARITIN Tablets are contraindicated in patients who are hypersensitive to this medication or to any of its ingredients. PRECAUTIONS: General: Patients with liver impairment or renal insufficiency (GFR < 30 mUmin) should be given a lower initial dose (to mg every other day) because they have reduced clearance of CLARITIN Tablets. Drug Interactions: Loratadine (to mg once daily) has been safely coadministered with therapeutic doses of erythromycin. cimetidine. and ketoconazole in controlled clinical pharmacology studies. Although increased plasma concentrations (AUC 0-24 hrs) of loratadine and/or descarboethoxyloratadine were observed following coadministration of loratadine with each of these drugs in normal volunteers (n = 24 in each study). there were no clinically relevant changes in the safety profile of loratadine. as assessed by electrocardiographic parameters. clinical laboratory tests. vilal signs. and adverse events. There were no sillnificant effects on OT, intervals. and no reports of sedation or syncope. No effects on plasma concentrations of cimetidine or ketoconazole were observed. Plasma concentrations (AUC 0-24 hrs) of erythromycin decreased 15% with coadministration of loratadine relative to that observed with erythromycin alone. Ihe clinical relevance of this difference is unknown. These above findings are summarized in the fallowing table: Effects on Plasma Concentrations fAlJC 0-24 hrs) of Loratadine and Descarboethoxyloratadine After 10 Days of CQadministration (loratadine 10 mg) in Normal Volunteers ~ Descarboethoxyloratadine Erythromycin (500 mg 08h) + 40% +46% Cimetidine (300 mg 010) +103% + 6% Kctoconazole (200 mg 012h) +307% +73% There does not appear to be an increase in adverse events in subjects who received oral contraceptives and loratadine. Carcinogenesis. Mutagenesis. and Impairment of Fertility: In an 18-month oncogenicity study in mice and a 2-year study in rats. loratadine was administered in the diet at doses up to 40 mg/kg (mice) and 25 mg/kg (rats). In the carcinogenicity studies. pharmacokinetic assessments were carried out to determine animal exposure to the drug. AUC data demonstrated that the exposure of mice given 40 mg/kg of loratadine was 3.6 (Ioratadine) and 18 (active metabolite) times higher than a human given 10 mg/day. Exposure of rats given 25 mg/kg of loratadine was 28 (Ioratadine) and 67 (active metabolite) times higher than a human given 10 mg/day. Male mice given 40 mg/kg had a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) than concurrent controls. In rats. a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) was observed in males given 10 mgikg and males and females given 25 mgikg. Ihe clinical siqniticance of these findings during long-term use of CLARITIN Tablets is not known. . In mutagenicity studies. there was no evidence of mutagenic potential in reverse (Ames) or forward point mutation (CHO-HGPRT) assays. or in the assay for DNA damage (Rat Primary Hepatocyte Unscheduled DNA Assay) or in two assays for chromosomal aberrations (Human Peripheral Blood Lymphocyte Clastogenesis Assay and the Mouse Bone Marrow Erythrocyte Micronucleus Assay). In the Mouse Lymphoma Assay, a positive finding occurred in the nonactivated but not the activated phase of the study. . Loratadine administration produced hepatic microsomal enzyme induction in the mouse at 40 mg/kg and rat at 25 mg/kg, but not at lower doses. Decreased fertility in male rats, shown by lower female conception rates. occurred at approximately 64 mg/kg and was reversible with cessation of dosing. Loratadine had no effect on male or female fertility or reproduction in the rat at doses of approximately 24 mg/kg. Pregnancy Category B: There was no evidence of animal teratogenicity in studies performed in rats and rabbits at oral doses up to 96 mg/kg (75 times and 150 times. respectively. the recommended daily human dose on a mg/m2 basis). There are. however. no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response. CLARITIN Tablets .hould be used during pregnancy only if clearty needed. Nursing Mothers: Loratadine and tts metabolite. descarboethoxyloratadine. pass easily into breast milk and achieve concentrations that are equivalent to plasma levels with an AUC"",/AUC"""" ratio of 1.17 and 0.85 for the parent and active metabolite. respectively. following a single oral dose of 40 mg. a small amount of loratadine and metabolite was excreted into the breast milk (approximately 0.03% of 40 mg over 48 hours). A decision should be made whether to discontinue nursing or to discontinue the drug. taking into account the importance of the drug to the mother. Caution should be exercised when CLARITIN Tablets are administered to a nursing woman. Pediatric Use: Safety and effectiveness in children below the age of 12 years have not been established. ADVERSE REACTIONS: Approximately 90.000 patients received CLARITIN Tablets 10 mg once daily in controlled and uncontrolled studies. Placebo-controlled clinical trials at the recommended dose of 10 mg once a day varied from 2 weeks' to 6 months' duration. The rate of premature withdrawal from Ihese tri~"was approximately 2% in both the treated and placebo groups. REPORTEDADVERSEEVENTSWITH AN INCIDENCEOf MORE THAN 2% IN PLACEBO-CONTROLLED ALLERGIC RHINITIS CLINICAL TRIALS PERCENTOf PATIENTSREPORTING LORATAOINE PLACEBO CLEMASTINE TERFENAOINE 10 mg 00 1 mg BID 60 m=9B41D n 68 n=19?6 n=2545 n=536 Headache 12 11 9 8 Somnolence 8 6 22 9 fatigue 4 3 10 2 Dry Mouth 3 2 4 3 Adverse events reported in placebo-controlled idiopathic chronic urticaria trials were similar to those reported in allergic rhinitis studies. Adverse event rates did not appear to differ sign~icantly based on age. sex. or race. although the number of non-wMe subjects was relatively small. In additlon to those adverse events reported above. the fOllowing adverseevents have been reported in 2% or fewer patients. Autonomic Nervous System: Altered lacrimation, altered salivation. flushing. hypoesthesia. impotence, increased sweating. thirst. Body As A Whole: Angioneurotic edema. asthenia. back pain, blurred vision. chest pain, conjunctivitis. earache. eye pain. fever. leg cramps. malaise. rigors. tlnnitas, upper respiratory infection. weighl gain. Cardiovascular System: Hypertension, hypotension, palpitations. syncope, tachycardia. Central and Peripheral Nervous System: Blepharospasm, dizziness. dysphonia, hyperkinesia, migraine. paresthesia. tremor, vertigo. Gastrointestinal System: Abdominal distress. altered taste. anorexia. constipation. diarrhea. dyspepsia. flatulence, gastritis. increased appefite, nausea. stornattis, toothache. vomtting. Musculoske/eflll System: Arthralgia, myalgia. Psychiatric: Agttation. amnesia. anxiety. confusion, decreased libido. depression. impaired concentration. insomnia. nervousness, paroniria. Reproductive System: Breast pain. dysmenorrhea. menorrhagia. vaginitis. Respiratory System: Bronchitis. bronchospasm. coughing. dyspnea. epistaxis. hemoptysis. laryngttis. nasal congestion. nasal dryness. pharyngitis. sinusttis. sneezing. Skin and Appendages: Dermatitis. dry hair. dry skin. photosensitivity reaction. pruritus, purpura. rash, urticaria. Urinary System: Mered micturition. urinary discoloration. In addition, the following spontaneous adverse events have been reported rarely during the marketing of loratadine: abnormal hepatic function. including jaundice. hepatitis. and hepatic necrosis; alopecia; anaphylaxis; breast enlargement; erythema multiforme; peripheral edema; seizures; and supraventricular tachyarrhythmias. OVERDOSAGE: Somnolence. tachycardia. and headache have been reported with overdoses greater than 10 mg (40 to 180 mg). In the event 01 overdosage, general symptomatic and supportive measures should be institutec promptly and maintained for as long as necessary. Treatment of overdosage would reasonably consist of emesis (ipecac syrup). except in patients with impaired consciousness. followed by the administration of activated charcoal to absorb any remaining drug. If vomiting is unsuccessful, or contraindicated. gastriC lavage should be performed with normal saline. Saline cathartics may also be of value for rapid dilution of bowel contents. Loratadine is not eliminated by hemodialysis. It is not known if loratadine is eliminated by peritoneal dialysis. Oral LD~ values for loratadine were greater than 5000 mg/kg in rats and mice. Doses as high as 10 times the recommended clmical doses showed no effects in rats. mice. and monkeys. _C/_ ....._ Schering C-J-UW'Cfo- Corporation Kenilworth. NJ 07033 USA Copyright © 1992. 1995. Schering Corporation. All rights reserved. Rev. 9/95 1877950H-JBS juggle of ingredients. Waxes-paraffins or minerals, synthetics or silicones-are lipstick's body. Oils, from processed cow fats to chemical amalgams, create pliability and shine. White, black, red, brown, and yellow pigment powders blend with the wax and oil to create a creamy raspberry or a vampish sienna. Whatever the chemistry, modern women can't seem to get enough. A friend of mine, Lona, buys a new lipstick every week, tearing off the wrapping in her car so her husband won't know she's bought another. Open her kitchen drawers and you won't find knives: They're filled with silver tubes of mochas and scarlets, rusts and maroons. "But, if I could, I'd return them all in a minute," she says. "It's the Browngot the inspiration . - for.her·,stain~from ,her £five-year-~ld)He was eating a cherry Popsicle, '.-.~- my lips were-that color.''' . - ...•• :> "_. .' -: '.I mystery I'm drawn to, the hope that this will be the one." For another friend, Paula, the quest is over. If her three favorite shades faced extinction, she would stockpile. "I don't play with lipstick," she says. Paula stashes duplicates in strategic locations (the car, the desk, the upstairs and downstairs bathrooms) much the way General Patton dispatched machine gunners. "When I wear lipstick, I'm enhancing my primitive sexuality," she says. Lipstick's link to the elemental may explain why even makeup minimalists treasure their berry hues. By painting her lips, a woman returns to her rosebud infancy, says Rita Freedman, a clinical psychologist and author of Bodylove: Learning to Like Our Looks and Ourselves. "The full, red-rose mouth is part of an infantile look." As it happens, Bobbi Brown, makeup artist and founder of Bobbi Brown Essentials, got the inspiration for her lipstick stains from her five-year-old son. "He was eating a cherry Popsicle," she explains, "and I said to myself, 'Man, I wish my lips were that color.''' CI,ARlm.· brand of loratadine .' JABLETS .l.ong-Acling Anlihislamine BRIEF SUMMARY (For full Prescribing Informalion. see package insert.) INDICATIONS AND USAGE: CLARITIN Tablets are indicated lor the relief of nasal and non-nasal symploms of seasonal allergic rhinitis and for Ihe management of idiopathic chronic urticaria. CDNTRAINDICATIDNS: CLARITIN Tablets are contraindicated in patients who are hypersensitive to this medication or 10 any of ils ingredienls. PRECAUTIONS: General: Patients with liver impairmenl or renal insufficiency (GFR < 30 mUm in) should be given a lower initial dose (10 mg every other day) because they have reduced clearance of CLARITIN Tablets. Drug Interacfions: Lorafadine (10 mg once daily) has been safely coadministered with therapeutic doses of erythromycin, cimetidine. and ketoconazole in controlled clinical pharmacology studies. Although increased plasma concentrations (AUC 0-24 hrs) of loratadine and/or descarboethoxyloraladine were observed following coadministration of loratadine with each of these drugs in normal volunteers (n = 24 in each stucy), there were no clinically relevant changes in the safety profile of loratadine, as assessed by electrocardiographic parameters. clinical laboratory tests, vital signs, and adverse events. There were no significant effects on aT, intervals, and no reports of sedation or syncope. No effects on plasma concentrations of cimetidine or ketoconazole were observed. Plasma concentrations (AUC 0-24 hrs) of erythromycin decreased 15% with coadministration of loratadine relative to that observed wrrh erythromycin alone. Ihe Clinical relevance of this difference is unknown. These above findings are summarized in the following table: Effects on Plasma Concentrations IAUC 0-24 hrs) of Loratadine and Oescarboethoxyloratadine AMer 10 Days ot Coadministration (Loratadine 10 mgl in Normal Volunteers ~ Descarboelhoxvloratadine Erythromycin (500 mg 08h) + 40% +46% Cirnetldine (300 mg 010) +103% + 6% Ketoconazole (200 mg 012h) +307% +73% There does not appear to be an increase in adverse events in subjects who received oral contraceptives and loratadine. Carcinogenesis, Mutagenesis, and Impairment of Fertility: In an 18-month oncogenicity study in mice and a 2-year study in rats,loratadine was administered in the diet at doses up to 40 mglkg (mice) and 25 mglkg (rats). In the carcinogenicity studies, pharmacokinetic assessments were carried out to determine animal exposure to the drug. AUC data demonstrated that the exposure of mice given 40 mglkg of loratadine Vias 3.6 (Ioratadine) and 18 (active metabolite) times higher than a human given 10 mg/day. Exposure of rats given 25 mglkg of loratadine was 28 Iloratadine) and 67 (active metabolite) times higher than a human given 10 mg/day. Male mice given 40 mglkg had a signi icantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) than concurrent controls. In rats. a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) was observed in males given 10 mglkg and males and females given 25 mgikg. the clinical significance of these findings during long-term use of CLARITIN Tablets is not known. . In mutagenicrty studies, there was no evidence of mutagenic potential in reverse (Ames) or forward point mutation (CHO-HGPRT) assays, or in the assay for DNA damage (Rat Primary Hepatocyte Unscheduled DNA Assay) or in two assays lor chromosomal aberrations (Human Peripheral Blood Lymphocyte Clastogenesis Assay and the Mouse Bone Marrow Erythrocyte Micronucleus Assay). In the Mouse Lymphoma Assay, a positive finding occurred in the nonactivated but not the activated phase of the study. Loratadine administration produced hepatic microsomal enzyme induction in the mouse at 40 mglkg and rat at 25 mglkg, but not at lower doses. Decreased fertilrty in male rats, shown by lower female conception rates, occurred at approximately 64 mgikg and was reversible whh cessation of dosing. Loratadine had no effect on male or female fertility or reproduction in the rat at doses of approximately 24 mgikg. Pregnancy Category B: There was no evidence of animal teratogenicrty in studies performed in rats and rabbts at oral doses up to 96 mgikg (75 times and 150 times, respectively, the recommended daily human dose on a mg/m2 basis). There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, CLARITIN Tablets should be used during pregnancy only if clearly needed. Nursing Mothers: Loratadine and its metabolite, descarboethoxyloratadine, pass easily into breast milk and achieve concentrations that are equivalent to plasma levels with an AUC",oIAUC"" •• ratio of 1.17 and 0.B5 for the parent and active metabolite, respectively. Fallowing a single oral dose of 40 mg, a small amount of loratadine and metabolite was excreted into the breast milk (approximately 0.03% of 40 mg over 48 hours). A decision should be made whether to discontinue nursingor to discontinue the drug, taking into account the importance of the drug to the mother. Caulion should be exercised when CLARITIN Tablets are administered to a nursing woman. Pediatric Use: Safety and effectiveness in children below the age of 12 years have not been established. ADVERSE REACTIONS: Approximately 90,000 patients received CLARITIN Tablets 10 mg once daily in controlled and uncontrolled studies. Placebo-controlled clinical trials at the recommended dose of 10 mg once a day varied from 2 weeks' to 6 months' duration. The rate of premature withdrawal from these triai,s,was approximately 2% in both the treated and placebo groups. REPORTEDADVERSE EVENTSWITH AN INCIDENCEOF MORE THAN 2% IN PLACEBO-CONTROLLED ALLERGIC RHINITIS CLINICAL TRIALS PERCENTOF PATIENTS REPORTING LDRATADINE PLACEBO CLEMASTINE TERFENADINE 10 mg 00 1 mg BID 60 mg BID n=1926 n=2545 n=536 n=684 Headache 12 11 8 8 Somnolence 8 6 22 9 Fatigue 4 3 10 2 Dry Mouth 3 2 4 3 Adverse events reported in placebo-controlled idiopathic chronic urticaria trials were similar to thOse reported in allergic rhinitis studies. Adverse event rates did not appear to differ significantly based on age, sex, or race, although the number of non-white subjects was.relatively small. In addrrion to those adverse events reported above, the following adverse events have been reported in 2% or fewer patients. Autonomic Nervous System: Altered tacnmatlon, altered salivation, flushing, hypoesthesia, impotence, increased sweating, thirst. Body As A Whole: Angioneurotic edema, asthenia, back pain, blurred vision, chest pain, conjunctivitis, earache, eye pain, fever, leg cramps, malaise, rigors, tinnnus, upper respiratory infection, weight gain. Cardiovascular System: Hypertension, hypotenSion, palpitations, syncope, tachycardia. Central and Peripheral Nervous System: Blepharospasm, dizziness, dysphonia, hyperkinesia, migraine, paresthesia, tremor, vertigo. Gastrointestinal System: Abdominal distress, altered taste, anorexia, constipation, diarrhea. dyspepsia, flatulence, gastritis, increased appette, nausea, stomafitis. toothache, vomni~. Musculoskeletal System: Arthralgia, myalgia. Psychiatric: Agitation, amnesia, anxiety, confusion, decreased libido, depression, impaired concentration, insomnia, nervousness. paroniria. Reproductive System: Breast pain, dysmenorrhea, menorrhagia, vaginitis. Respiratory System: Bronchitis, bronchospasm, coughing, dyspnea, epistaxis, hemopivss, laryngitis, nasal congestion, nasal dryness, pharyngitis, sinusitis, sneezing. Skin and Appendages: Dermatitis, dry hair, dry skin, photosensitivity reaction, pruritus, purpura, rash, urticaria. Urinary System: Attered micturition, urinary discoloration. In addition, the following spontaneous adverse events have been reported rarely during the marketing of loratadine: abnormal hepatic function, including jaundice, hepatitis, and hepatic necrosis; alopecia; anaphylaxis; breast enlargement; erythema multiforme; peripheral edema; seizures; and supraventricular tachyarrhythmias. OVERDOSAGE: Somnolence, tachycardia, and headache have been reported with overdoses greater than 10 mg (40 to 180 mg). In the event of overdosage, general symptomatic and supportive measures should be instituted promptly and maintained for as long as necessary. Treatment of overdosage would reasonably consist of emesis (ipecac syrup), except in patients with impaired consciousness, fallowed by the administration of activated charcoal to absorb any remaining drug. If vomiting is unsuccessful, or contraindicated, gastric lavage should be performed with normal saline. Saline cathartics may also be of value for rapid dilution of bowel contents. Loratadine is not eliminated by hemodialysis. It is not known if loratadine is eliminated by peritoneal dialysis. Oral LD" values for loratadine were greater than 5000 mglkg in rats and mice. Doses as high as 10 times the recommended clinical doses showed no effects in rats, mice, and monkeys. _C.I._ ...._ Schering ~~ Corporation Kenilworth, NJ 07033 USA Copyright© 1992, 1995, Schering Corporation. All rights reserved. Rev. 9/95 1877950lT-JBS juggle of ingredients. Waxes-paraffiQs or minerals, synthetics or silicones-are lipstick's body, Oils, from processed cow fats to chemical amalgams, create pliability and shine. White, black, red, brown, and yellow pigment powders blend with the wax and oil to create a creamy raspberry or a vampish sienna, Whatever the chemistry, modern women can't seem to get enough, A friend of mine, Lona, buys a new lipstick every week, tearing off the wrapping in her car so her husband won't know she's bought another. Open her kitchen drawers and you won't find knives: They're filled with silver tubes of mochas and scarlets, rusts and maroons, "But, if lcould, I'd return them all in a minute," she says, "It's the Brown got the inspiration forher stains from her five-year-old: "He was eating a cherryPopsicle, and I said, 'Man, I wish. my'liP? were-th-atcolor.''' " ,- ',.'Ii: ,-'~,." if, ";:-:"- . _~,~_t& mystery I'm drawn to, the hope that this will be the one." For another friend, Paula, the quest is over. If her three favorite shades faced extinction, she would stockpile, "I don't play with lipstick," she says, Paula stashes duplicates in strategic locations (the car, the desk, the upstairs and downstairs bathrooms) much the way General Patton dispatched machine gunners. "When I wear lipstick, I'm enhancing my primitive sexuality," she says, Lipstick's link to the elemental may explain why even makeup minimalists treasure their berry hues. By painting her lips, a woman returns to her rosebud infancy, says Rita Freedman, a clinical psychologist and author of Bodylove: Learning to Like Our Looks and Ourselves, "The full, red-rose mouth is part of an infantile look," As it happens, Bobbi Brown, makeup artist and founder of Bobbi Brown Essentials, got the inspiration for her lipstick stains from her five-year-old son. "He was eating a cherry Popsicle," she explains, "and I said to myself, 'Man, I wish my lips were that color.'" VANITIES The lipsticks spawned by her company and other new cosmetic concerns, such as Trish Mcfvoy, BeneFit, and Stila, do have great, natural colors; they make a mouth look like a mouth, only prettier. But more than that, these products show signs of being made by women you'd like to have coffee with, real women who have a sense of humor and an ambivalent relationship with makeup. Srila, for instance, names many of its lipsticks after famous women-maria, piaf, kate-as if the tubes were stand-ins for the real thing. As my brand-loyal friend Paula puts it, "Lipstick's not an accessory; it's a base element." Our lips represent the vulnerable in us, the quiver before tears. And, in biological terms, lip skinis more vulnerable than a molting crab. 'Unlike the rest of our skin, even the darkest of lips lack melanin, a blackish pigment that absorbs ultraviolet light. Lips don't exfoliate, either, and have only one to three epidermal layers to impede moisture loss (the rest of the body has eight to 15). By wearing lipstick, which often contains sunscreen, women literally and psychologically acquire power where they have none. Despite the inexorable tug of years, lipstick offers a momentary backward turn of the clock, a touch of youthful exuberance-that's lipstick's bargain. It's masquerade and ritual, a pleasurable transformation that imparts a reacquaintance with birth and a denial of death. "I wear it because I look like a corpse without it," another of my friends admits. Women are attached to lipstick because it makes them look alive. The connection was never starker than in German concentration camps during World War II, when some women waiting to be sentenced to either hard labor or the gas chamber applied a smear of smuggled lipstick, hoping life would choose them. For young girls, on the other hand, lipstick is a way of turning the clock forward. "It's a rite of passage into the world of contrived cultural femininity," says Freedman. "Little girls learn the lesson early that a woman's body must be transformed to be acceptable." Nonetheless, it's a transformation that has little to do with lovers and husbands. "I like lipstick on Lana," says her husband, Philip, "but I'd rather not see her put it on. I don't want to know what goes on backstage." Moreover, many men say they prefer women without lipstick-a sentiment most women feel is beside the point. "Lipstick doesn't have to do with A Lipstick Glossary The amazing part of lipstick's evolution is its expanding versatility. Shine? No problem. Matte but creamy? Done. Here's the rundown on our favorite formulas. MB,ttes are' for women who don't want shine. In the fifties these lipsticks were light on oil and dried out the lips. But with the advent of more finelyground pigments and silicone oils that coat evenly,mattes are now richer and more emollient. L'Oreal, for instance, has invented a matting agent it calls microbubbles, hollow globules of polyvinyl that diffuse light. "Because they're spherical, they glide on without friction," says L'Orealvice president SvenThormahlen. "They scatter light because there's no reflection." Shimmers are similar to the frosts of the sixties, though more subtle. The glint comes from added mica or silica particles, or even ground fish scales. "These lipsticks create a flat, even structure that reflects light," saysThormahlen. "It's like putting micromirrors on your lips." Cremes are the most popular finish in the lipstick family. Added what George wants," Paula says of her husband. "It has to do with how I feel around George." A veil over a blanching heart, a wrap around a more private self, lipstick both conceals and expresses emotions. Pale pink: I'm feeling shy. Bright red: I'm a siren in lame. Plum: I'm more sensual than sexy, ripe for a night out in New Orleans. For almost any woman, coloring her lips is a quick, inexpensive way to oils and granulated pigments give them a touch more shine than mattes, but they're not quite as shiny as the full-blown glosses. Stains are the nineties update of sheers-with more oil and wax but less pigment than cremes and mattes have. "They give a hint of color, as if you bit your lip," says Regina Maguire, director of product developmentand marketing for Bobbi Brown Essentials. Glosses reflect the revolutionary idea of making lips look like lips. Sincethey're made with softer waxes, they're more likely to come in tubs than sticks. Low on sunfiltering pigments, glosses often have added sunscreen and moisturizers such as liquid vitamin E and plant oils. "Gloss is high-shine color packed in a pot," says Shirley Weinstein, vice president of product development for Clinique. long-lasting formulas promise color that will surviveyour next cup of coffeeand keep your lips shiny as a glazed doughnut. Scientistshave created a silicone oil that evaporates within 60 seconds, essentially sealing color to your lips. "It's like an adhesive layer that holds pigments in place," explains L'Oreal's Thormahlen. Self-renewing formulas contain hollow silica beads. When added to simmering wax and pigments, the beads fill with color-which is released every time you press your lips together. "They're like little holders for color," says Weinstein. recast herself, a safe method of expressing her secret longings. Of course, what women long for is no simple matter, no simpler than perfection. No simpler than the way details, over time, acquire meaning, until one day a woman emerging from an underground bunker reaches for her lipstick and, putting it on, understands both the girl peering into the mirror and the woman who looks back. H SEPTEMBER 1996 HEALTH 41