Microdermabrasion & Acne and Scars:

Dermabrasion typically performed by a dermatologist or plastic surgeon trained specifically in this procedure in a professional medical setting which is a type of surgical skin planning. Before the advent of lasers Dermabrasion, which the device involves the controlled deeper abrasion of the upper to mid layers of the skin with any variety of strong abrasive devices including a wire brush, diamond wheel or fraise, sterilized sandpaper, salt crystals has been practiced for many years. Microdermabrasion which is a newer and non-surgical cosmetic procedure should not be confused with Dermabrasion which is normally performed by non-physician personnel, estheticians, most recently untrained individuals in their homes, nurses and medical assistants.

Microdermabrasion is a type of light cosmetic procedure in which outermost layer of dead skin cells from the epidermis can be removed gently using mechanical medium for exfoliation. Mostly a microdermabrasion consists of two parts: an exfoliating material like crystals or diamond flakes and a machine based suction to gently lift up the skin during exfoliation. It is a non-invasive procedure and performed by a trained professional in skin care. It may also be performed at home using a variety of products which are designed to mechanically exfoliate the skin.

Benefits of a Microdermabrasion:

·         This process improves blood and lymphatic circulation in-depth of the skin, which improves the internal health of the skin and through this more oxygen and nutrients are supplied to the cells enhances the skin, improving elasticity.

·         If you are treating your skin for acne microdermabrasion enhances the absorption of skincare products by the skin by up to 50% removing the dead skin and promoting circulation.

·         Microdermabrasion not only unclogs pores but also reduces the size of them.

·         Over treatments like laser procedures and chemical peels many people now choose microdermabrasion because it is one of the safest cosmetic procedures and still achieves great results.

·         Microdermabrasion can be used for multiple skin conditions like acne, age spots, fine lines, wrinkles, dull skin, hyperpigmentation and acne scarring.

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Trends of Permanent makeup

Permanent makeup is a cosmetic technique which involves permanent pigmentation of the dermis in cases like tattoos to produce designs which are similar to makeup, such as eyelining and other permanent enhancing colors to the skin of the face, lips, and eyelids. Enhancement of the breast's areola can be restored by this Permanent makeup, such as after breast surgery. Artificial eyebrows can be regained, particularly in people disease, such as chemotherapy, alopecia totalis, white spots in the skin such as in vitiligo, or a genetic disturbance, and to disguise scars and who have lost them as a consequence of old age.

Since permanent makeup is tattooing in fact, most commonly called as permanent cosmetics, which includes other names as dermapigmentation, micropigmentation, and cosmetic tattooing. Use of colors can be rendered to eyebrows, eyes and lips resulting in enhanced features of the face by permanent makeup. Depending upon the color value, amount of pigment used and design results can be quite unnoticeable.

At the beginning stage, results of permanent makeup may look darker because of colour remaining in the outermost epidermal layers of skin. After few days the upper layers of epidermis slough during the healing process and are replaced by new epidermal cells where colour softens rejuvenating the treated skin.

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Aesthetic Hair Implants:

A surgical technique which includes removal of hair follicles from one part of the body and planting them in the recipient area to a bald or balding part of the body known as Hair transplantation. In a typical surgical hair restoration method, a strip comprising of the upper layers of the skin from the back and sides of the scalp with hair is removed from the back of the head is highly practiced and cut into individual hair units and then implanted on the top of the head and in the hairline.

As hair grows naturally in groupings of 1 to 4 hairs natural appearance can be achieved by mimicking original hair orientation. This can be brought up by the current modern hair transplantation techniques by harvest and transplantation of hair "follicular units" in their natural groupings. This hair transplant procedure is called follicular unit transplantation which is also known as follicular unit transplantation method.

Restoration of eyelashes, beard hair, chest hair, to fill in scars caused by accidents or surgery such as face-lifts, eyebrows, pubic hair can be done by Hair transplantation technique. In skin grafting almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin whereas Hair transplantation differs from skin grafting.  

Types of surgery:

Hair transplant surgery includes a number of applications:

Eyebrow transplant

Androgenetic alopecia

Reconstruction or Frontal hair line lowering which includes without an existing hair loss condition.

Conclusion:

Hair restoration surgery makes patients to relief from hair loss as it is developed highly sophisticated. The results of contemporary hair restoration are natural, enduring, and are performed with a very high level of safety which is a tremendous source in serving patients satisfaction and internal cross-referral. Such type of cosmetic surgery is a very welcome addition to a traditional aesthetic practice.

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Chemical Peel and Uses

Technique that improves and smoothens the texture of the skin is known for chemical peel. Generally by these Facial skin is mostly treated resulting in the improvement for scarring. Most probably, Chemical peels are meant for removal of the outermost layers of the skin. To perform this operation, injury to the skin can be controlled by inducing the chosen peel solution. Eventually the dead skin peels off resulting in wound healing processes and regeneration of new tissues begins where you can see this regenerated new skin is less wrinkled and usually smoother than the old skin. However professional from a dermatologist or plastic surgeons help is advised to seek by the people on a specific type of chemical peel before a procedure is performed because of the reason that some types of chemical peels are purchased and administered without a medical license   

Types of chemical peels:

Alpha hydroxy acid peels:

Alpha hydroxy acids are found in sour milk and tomato juice in the naturally occurring carboxylic acids such as glycolic acid. This is the mildest of the peel formulas and produces light peels for treatment of fine wrinkles, areas of dryness, uneven pigmentation and acne. These are used serums or creams in lesser concentrations as part of a daily skin-care regimen to improve the skin's texture also mixed with facial washes.

Beta hydroxy acid peels:

Salicylic acid is a beta hydroxy acid which is antibacterial and anti-inflammatory works well for acne. These acids reduce the spots and bumps associated with acne, controls sebum excretion and remove dead skin cells better than AHAs.

Jessner's peel:

Jessner peel is combined with 14% lactic acid, salicylic acid and resorcinol in an ethanol base. It breaks the intracellular bridges between keratinocytes. Due to the mild percentages with the acid combination it is very difficult to overpeel the skin and does not penetrate as deeply as other chemical peels.

Retinoic acid peel:

Retinoic acid is a retinoid. It is used to remove scars, wrinkles and pigmentation problems as it is deeper peel than the beta hydroxy acid peel, also performed on deeper penetration levels of skin with a Jessner.

Phenol-croton oil peel:

Croton oil which causes an intense caustic exfoliating reaction in the skin is an active ingredient in Phenol-croton oil peel.

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Rhytidectomy: Dermatology Aesthetics

Removal of wrinkles by surgical methods is carried out by facelifts commonly also known as a rhytidectomy. It is a type of cosmetic surgery procedure giving more youthful appearance to the Face. Removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on face and neck are the main surgeries carried out in Rhytidectomy.  These surgical facelifts are mostly combined with eyelid surgery which is also known as blepharoplasty and other facial procedures. As per recent statistical analysis from the American Society for Aesthetic Plastic Surgery, facelifts were the sixth most popular aesthetic surgery performed after, breast augmentation, liposuction, breast lift, blepharoplasty (eyelid surgery) and abdominoplasty (tummy tuck).

Procedures of Rhytidectomy:   

Though many different procedures of rhytidectomy exist they differ mostly in type of incision, the area of the face that is treated. Based on the patient, the age, areas to improve, possible recovery time and also by taking many factors into consideration rhytidectomy is carried out. 

Traditional Full Facelift:

In full facelift longer incisions are made by examining cases mostly like deep creases below the eyes, sagging around the cheeks, lines around the mouth, excess fat and skin under the chin, jowls, and more with.

Mid Facelift:

Mid Facelift technique allows to lift the muscles or tissues around the cheeks and below the eyes that are not treated by a traditional facelift. This procedure makes signs of aging to be invisible and also suitable for men and women in their 30's and 40's who are simply looking to rejuvenate their appearance.

Neck Facelift:

This procedure involves smaller incisions with shorter recovery time with the areas treating the jaw, lower cheeks and neck. Usually incisions are made along the hairline and behind the ear, by lifting the muscles; unwanted fat deposits are removed with elimination of excess skin. Mostly neck Facelifts which are also known as mini facelifts are performed by using endoscopic techniques. In some cases, to enhance neck and jaw lines patients choose to include liposuction into a neck lift.

Brow Lift (Upper Facelift):

Upper third of the face wrinkles and lines can be reduced by Brow Lifts which is also known as Upper Facelift. Brow lift surgery combines blepharoplasty or eyelid lift surgery which can also lift the eyebrows where forehead skin and underlying muscle tissue are tightened reducing wrinkles between the eyes and across the brow creating a rejuvenated appearance.

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Poikiloderma of Civatte

A skin condition that consists of areas of hyperpigmentation, atrophy, hypopigmentation and telangiectasias or Spider veins and is known as Poikiloderma. It is characterized by red colored pigment which occurs more frequently on the chest or the neck, on the skin affecting mostly in women that is commonly caused with sun damage exposure.

Causes & Infection:

Exact cause for Poikiloderma is unknown but factors that play a vital role in causing a result are accumulated sun exposure, photosensitising components of cosmetics and toiletries, especially perfumes, fair skin and hormonal factors. Environmental causes like Photo-aging: dermatoheliosis, Sulfur mustard-induced poikiloderma, Solar radiation and Poikiloderma of Civatte.

Early stage of inflammatory with Poikiloderma is identified with bluish red discoloration and swelling if not treated at the beginning stage it can lead to glistenning cigarette-paper appearance which would be late atrophic stage and you can observe occurrence of poikilodermatous lesions and slowly extend centrifugally. Though these lesions usually are asymptomatic some of the patients may report with symptoms like mild burning, itching and hyperesthesia.

Treatment for poikiloderma of Civatte

As the results of this treatment may be disappointing in many cases patient should be educated to get awareness by avoiding to sun exposure and the correct usage of sunscreens due to no specific medical treatment for this condition. It may include like use of Sun protection sunscreen lotions with 50+ SPF, Affected area should be completely avoided by the usage of all perfumes including those in soap, Fading pigmentation preparations which includes Hydroquinone may also help in reduction of poikiloderma, The best way to reduce the telangiectasia and pigmentation would be with treatments like Pulsed dye laser (PDL) and intense pulsed light (IPL)

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Abdominoplasty: Latest trends in Tummy Tuck

Abdominoplasty is a surgical operation that involves removing of excess flesh from the abdomen. Abdominoplasty which is also called as tummy tuck is designed to treat Excess skin, Excess fat tissue and bulging of muscles in the abdomen due to Pregnancy, Genetics and Weight fluctuations of one’s body. Abdominoplasty are subdivided into categories depending on operations carried. A surgery which takes around 1 to 5 hours is complete Abdominoplasty whereas partial abdominoplasty or mini-tuck abdominoplasty can be completed between 1 and 2 hours. 

An incision is made above the pubic area from hip to hip followed by another incision which can be made at the navel free from the surrounding skin in Complete Abdominoplasty. From the abdominal wall the skin is detached to reveal the muscles and this muscle fascia are tightened with sutures. In partial Abdominoplasty a smaller incision is made where it is necessary. Lower abdomen skin and fat are detached from the muscle fascia and excess skin removed by stretching down the skin. Extended abdominoplasty includes both complete abdominoplasty and lateral thigh lift. Scars by this type of surgery runs from the posterior axillary line. Besides addition to vertical-line tightening in High lateral tension Abdominoplasty new technique muscles are tightened horizontally resulting as better-defined waistline with dramatically flat abdomen. Another new technique as FAB Technique or Floating Abdominoplasty which can also known as an extended mini Abdominoplasty necessary shaping is processed with a smaller incision which cannot be done around the belly button. Excess skin is removed by this smaller incision and the belly button is temporarily detached and muscles are tightened and reshaped from sternum to pubic area. Likewise skin is tightened and the belly button is reattached, or moved down one or two cm if desired. In case of Circumferential abdominoplasty it includes extended abdominoplasty with a buttock lift. Patients who have undergone massive weight loss this kind of operation is most appropriate.

Combination procedures:

In Combination procedures Abdominoplasty can be combined with liposuction which performs body contouring around the buttocks, hips and thighs which also can be combined with, breast augmentation/reduction, breast lift results of mommy makeover or occasionally hysterectomy.

Abdominoplasty Recovery:

According to the surgery patients are advised to take at least one to four weeks of this recovery time off from work and heavy lifting is best avoided during this time. All forms of nicotine is to be avoided for a month or longer prior to surgery which it takes 3–6 months duration for Full recovery with fading of scars thereafter.

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