As per the American Osteopathic College of Dermatology, an estimated 10 percent of individuals encounter keloid scarring every year. While women and men are equally prone to have keloid scars, people with darker skin tone are more likely to experience keloids.

What are keloids and why do they occur?
Keloid is widely recognized as keloid scar or keloid disorder. It is caused when the fibrous tissues also known as scar tissues are injured. In specific instances, the scar tissues grow in excess, and they form a hard and smooth growth, which is known as keloid, which could be bigger than the actual wound. They are customarily found in areas like the chest, cheeks, shoulder, and earlobes. Nonetheless, any part of the body could be affected by keloids. Though they do not pose a threat to health, they can be a cause of significant cosmetic concerns. Another factor why they occur is in the case of overgrowth of the scar tissue that develops over the period of weeks.

Are keloids a cause for concern?
Keloids are often itchy and discomforting. Keloids often cause a major cosmetic concern as they are large and easily spotted. Due to this, several patients encounter stress as they become conscious. Exposure to sun must be avoided in case of keloids as the tanning of the affected area may darken the keloid scar and become more prominent. The response of the treatment for keloids depends majorly upon the anatomical location of the scar. An extremely itchy keloid can be quite distracting. Many patients are skeptical of getting treatment as it may leave a permanent scar.

Common Treatment options for Keloids

Laser: The pulsed-dye laser can be helpful in flattening keloids and making them appear less red and intense. The treatment is considered as safe and is almost painless, but many treatment sessions may be required. These may be expensive, as insurance plans do not usually cover laser treatments.
Cryotherapy: This is a method in which the keloid is frozen with the help of liquid nitrogen to flatten the keloid. However, it may result in lightening or darkening of the affected area.
Radiation: Radiation is considered as a safe and effective option by several doctors for the treatment of keloids.
Silicone gel or sheeting: In this method, a sheet of silicone gel has to be worn continuously for months in order to treat the affected area. The outcomes of this treatment may vary. Some doctors claim relative success with compression dressings composed of materials that are not silicone.
Surgery: Treating keloids by surgery may prove to be risky as it may activate the development of a more prominent keloid. Some operations have been successful by applying compression or injecting steroids to the wound after the keloid has been treated. Superficial radiation treatment post-surgical procedure has also been considered to be helpful.
A condition that poses no threat to your health, and is purely of cosmetic concern, Keloids do have several treatment options providing the expected results.

Keloid - 5 Ways It Can Be Treated!

Vitiligo is a condition in which white patches appear on the skin. It can affect any part of the body. It can affect the inside of the mouth and the hair as well. It happens when the skin cells (melanocytes) that make or produce pigment (colour) of the skin die or stop functioning. This disease is not contagious or life-threatening, it cannot be caught from another person having vitiligo. All types of skin can be affected by vitiligo but it may be more evident in people with darker skin. It develops between the ages 10 to 30 and it often appears before the age of 40.

Causes

The main cause of this disorder is still not clear, why the cells die or fail. For some reason, the colour or pigment-forming cells called melanocytes dies. However, these are the following reasons that can cause this problem:

An autoimmune disorder, where the defences of the body turn on their own cells instead of attacking the germs that destroyed the melanocytes

A trigger or stressful events such as exposure to industrial chemicals, stress, or sunburn

Family history (heredity)

A neural cause

A virus

A genetic oxidative stress imbalance

Symptoms

The one and only symptom of this condition is the appearance of white patches or flat white spots on the skin. Those white patches are irregular in shape. They may stay the same for a while but may get bigger with time on different parts of the body. It generally affects body folds such as armpits, around body openings, or around moles. It can also affect hair and eyelids. It does not cause any irritation, dryness, discomfort, or soreness in the skin.

Treatment

There is no known way to cure or prevent the condition but the appearance of the affected skin can be improved with corticosteroid creams and cosmetics. The doctor can recommend melanocyte transplant surgery which includes a new needling micro-grafting technique. The surgery includes a split-thickness skin graft that is taken from the normal area. Later, it is cut into very small pieces in diameter ranging from 0.1 mm-0.3 mm. The local anesthesia is given to the recipient area to implant the micro-grafts into the dermis by using the needling technique. This new method of treating this condition delivers satisfactory and rapid pigmentation.

Takeaway

Vitiligo is a disorder in which flat white spots or patches appear and can affect any area of the body. It happens when the melanocytes die or stop functioning. The condition can be managed by cosmetics, corticosteroid creams, therapies, and surgeries. Out of all these methods, melanocyte transplant surgery is a new and effective technique to manage this disease. However, it is always advisable to consult a doctor before opting for any of these methods. 

Vitiligo - Its Causes, Symptoms And Treatments!

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

Each woman has a unique silhouette and one of the characteristic elements of a woman s silhouette is the curve of her breasts. Some women who are not happy with the shape and size of their breasts may opt to undergo breast augmentation surgery. Women who feel that their breasts have lost their shape after pregnancy or as a result of weight loss or those who have asymmetric breasts may also choose to undergo breast augmentation surgery. This is a cosmetic surgical procedure through which the size of the breasts may be increased by placing synthetic implants under the skin.

This procedure is usually performed under general anaesthesia, where an incision is made under the breast, around the areolas or under the arm through which the implant may be placed. This incision is usually made such that it is camouflaged by the natural contours and creases of the breast. The implant is usually placed under the pectoral muscle or placed directly below the breast tissue above the pectoral muscle.

The placement of the implant depends on the type of implant, the degree of enlargement desired etc. the incisions are then stitched close or closed with surgical tape. The results of breast augmentation surgery should be immediately visible after surgery.

After the surgery, the patient may feel some pain and soreness around the breasts for the first 48 hours. There may also be itchiness and the patient may find it difficult to raise their arms properly. The patient may also experience slight swelling and discolouration which should resolve itself within a few days. The doctor may also advise the patient to wear a compression garment or special lingerie to support the breasts.

 When it comes to cosmetic surgery, what one person considers good looking, another may not. Hence, it is important to find a cosmetic surgeon who has a similar point of view as the patient. Before undergoing the procedure, ask to see before and after photographs of the doctor s earlier patients. If possible show your doctor photographs of what you would like your breasts to look like after surgery. This will help you achieve the results you desire.

Breast Augmentation & Lifting - How it Can Help?

Bathing soap vs. Body wash: what's better when you take a shower?

The most important part of skincare is keeping your skin cleansed and fresh. But before that, it is imperative to find the right product for the same. Skin type varies from person to person, and hence finding skincare goods most suited to your skin makes all the difference.

Bathing habits directly affect the quality of your skin, which involves picking the appropriate cleanse; i. E. Choosing between a body soap and body wash. Each has a different set of characteristics and comes with its own set of advantages and disadvantages. Let's find out which one is better for your skin.

Why you should choose bathing soap bar:

 it is more effective in removing dirt through deep cleansing

 it is suited to skin that is excessively oily in nature as it contains ingredients that are highly effective in stripping off excess oil from the skin

Why you should not choose bathing soap bar:

 it tends to strip the skin of its natural oils and moisture, making it dry and flaky

 it is unhygienic in case of sharing between individuals as soaps tend to accumulate the dirt from your skin due to direct body contact

Reasons to pick a body wash:

 it has a very mild and gentle effect on the skin in comparison to soaps

 it keeps the skin moisturized by preserving natural oils

 it is more hygienic than bar soaps in case of interpersonal sharing

 it is the most suitable option for dry skin

Reasons to ditch a body wash:

 it contains a large amount of artificial additives and preservatives that can do more harm to your skin than good, giving rise to allergic reactions in some cases

So, who's the winner of the two?

You must certainly base the choice on what's best for your skin type. Body soap is more compatible with oily skin while dry skin is better suited for body wash. A body wash, however, is much more gentle on your skin. 

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Soap Vs Hand Wash - What Should You Wash Your Hands with?

Bathing Soap vs. Body Wash: What's Better When You Take a Shower?

Eczema is a skin condition marked by eruptions that are often pus filled boils. It is also known as atopic dermatitis. It is known to aggravate during damp monsoon months and can lead to dryness and scaly patches. It is very commonly found in patients who are young children and babies. The flare up can also relapse again. Reddish brown patches and oozing boils characterise this skin ailment. Let us look at the ways in which it can be treated effectively:

 Anti allergy medication: one of the first and foremost methods of treatment includes the prescription of medication. Medicines like anti allergy drugs and anti-histamine drugs are known to be useful, especially in the early stages of the ailment which starts as an allergic reaction. Cetrizine is one of the most favoured anti histamine drugs in this case. Other medication like diphenhydramine, fexofedaine and loratidine can also be prescribed to soothe the pus filled boils and painful symptoms as well as itching sensation. 
 Creams and lotions: the dermatologist can also prescribe cortisone creams as well as ointments that can be procured over the counter. Also, hydrocortisone and similar low potency steroids can be used for this condition. 
 Immunosuppressants: these are also prescribed to ensure that the flare up and spread of the condition does not happen. This can also prevent the risk of cancer, kidney disease and high blood pressure by numbing the immune system when it comes to reactions toward certain prescription drugs.
 Phototherapy: this kind of therapy is used for severe cases. In this method, ultraviolet lights are trained on the site of the flare up so that the immune system's responses that lead to eczema may be contained and prevented. This treatment requires a few sessions for the eczema to clear up completely and also, in order to ensure that bacterial infections do not strike in its aftermath due to the accumulation of debris or bacteria.
 Alternative ways: there are other ways of treating this condition. One of the methods includes making lifestyle changes like using deep breathing and meditative techniques that can bring the stress level down so that the flare up does not happen and the immune system continues to function properly. Also, patients would be advised to use a cold compress every night as this is when the itching increases by leaps and bounds. Further, green tea, primrose oil, aromatherapy and other such methods can also be used to soothe the skin and treat the condition.

There are various ways to deal with eczema and hygiene is one of the top methods along with a good lifestyle.

How to Treat Eczema

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