A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma
Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:
1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.

2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.

3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.

4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.

5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 
It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma
Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:
a. Malar pattern: This grows on the nose and cheeks
b. Mandibular pattern: Starts growing around the jaw line
c. Brachial melasma: This grows on the upper arms and shoulders
d. Lateral cheek pattern: Grows on the cheek on both sides of the face
e. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma
Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion.

All About Melasma

Losing weight for an obese person is a big achievement, but mere weight loss may not give them the desire look. Dramatic weight loss often causes excess skin to hang in folds. This can be both embarrassing and unappealing. While exercising and dieting can reduce fat, there is no way to deal with this excess skin other than surgery. Body contouring refers to plastic surgery procedures that address this. 

There are many type of body contouring surgeries. Face lifts, tummy tucks and breast lift procedures are common examples of such surgeries. Body contouring surgeries that follow weight loss usually address more than one area.  The lower body lift, which focuses on the tummy, midsection and thighs is one of the most common procedures. Though such a surgery is usually performed by a team of surgeons who simultaneously focus on different parts of the body, a body contouring surgery can take up to 8 hours. People who have undergone drastic weight loss may still need multiple surgeries to achieve the desired look. 

The risks of such a surgery are similar to other procedures that are performed under anesthesia. The most common complications experienced after this surgery are infections of the wound, seroma formation, slow healing of the wound, excessive bleeding and reopening of the wound. Patients may also notice a difference in the quality of their skin. This can lead to slow wound healing, skin laxity and issues related to scarring. For the overall cosmetic results to be appreciated, the patient must wait for at least 3 months. The scars can take up to a year to heal and blend with the rest of the skin. Body contouring is also a surgery that is not covered by most insurance policies and can be quite expensive. 

If you are considering this surgery, ensure that your weight remains stable for 3 to 6 months before the surgery. This will ensure that the surgery has long lasting results. Weight fluctuations, both gain and loss can lead to the need for additional procedures. If your weight loss is a result of bariatric surgery, you may need to wait a year before undergoing a contouring procedure. Instead of opting for an overall contouring procedure, prioritize your problem areas and address these first. You may realize that you do not need additional surgeries. You should also be aware that though this surgery removes excess skin, it will not leave you with flawless skin. the scars caused by this surgery may lighten over time but are permanent.

Facts About Body Contouring Surgery

One of the most important functions of the skin is protection. During this process, it comes in contact with various substances including chemicals, pollen, dust, and other pollutants. While it does protect the overall body from all these, there is some damage that is inevitably done to the skin through these exposures. Different skin and different bodies react differently to these, and while some may have no reaction, others develop allergies. This is also defined by how strong the person s immunity is.

Hives is one of the most common skin allergy responses. While it is not easy to pinpoint what causes the allergy or the hives, the causative agent can be nailed by observing patterns and excluding out some of the causative agents. There are a set of regular household and surrounding items that could lead to urticaria, and working around these can help pin down the source.

Origin: When the body encounters a foreign body, it produces what are known as histamines. When they are produced, the plasma in the cell leaks out, producing a red and swollen appearance. Hives are red, itchy, raised patches on the skin. They are seen in about 20% of the population. Hives are usually allergic in nature, implying that they occur when there is a foreign substance that induces an allergic reaction. Hives can appear either due to coming in touch with some substance or due to eating some allergy-inducing substance.

Hives can be acute or chronic. Acute is when the hives appear in response to an allergic reaction. These usually disappear in a matter of days to a week at the maximum. In some people, they could be chronic and can last for months together.

Treatment: Given that they are allergic in nature, managing hives includes a combination of immediate treatment as well as preventive measures. While most are topically managed, others might require systemic intervention also.

Once the hives have developed, the following can help in the relief of symptoms and prevent from spreading further. The redness and swelling will take some time to disappear.

Avoid tight-fitting clothes
Use cool compresses on the hives
Avoid warm or hot shower
Stay in a cooler room
Avoid itching the hives
Use topical moisturizer to prevent dryness
Use topical steroid cream to manage the inflammation
Take a systemic antihistamine or an injection of epinephrine if required.
While these help in managing the hives which have occurred, preventing is via the following.

Avoid the source once identified
If the source is not yet known, record when the hives are occurring
Manage stress and see hives appear much less
Increase moisturizer use
Keep an antihistamine handy so you can take it immediately in case of suspected hives. 

Urticaria (Hives) - The Best Way It Can Be Treated!

Do you know the sun is making your skin age faster? plus, 5 other reasons behind facial wrinkles

Facial wrinkling occurs when the skin develops creases, folds and ridges. The formation of wrinkles is a normal part of the process of skin ageing. However, certain factors may accelerate the process and lead to premature wrinkling of the face and other parts of the body.

The main causes of facial wrinkling are:

1. Skin ageing: as a person gets older, his/her skin becomes less taut and begins to sag. The production of natural oils and fat in the deeper layers of the skin gets reduced with age, which leads to the formation of wrinkles due to diminished skin elasticity.

2. Sun exposure: constant exposure of skin to the sun causes damage and speeds up the ageing process. The harmful ultraviolet rays of the sun break down collagen and collective tissue fibres, which is the primary cause of premature wrinkling.

3. Skin complexion: due to the absence of melanin, people with fairer (lighter) skin, experience more damage due to sun exposure. This causes them to develop wrinkles much earlier.

4. Facial muscle contraction: repeatedly making the same facial expressions and contraction of face muscles causes wrinkling. Those who constantly frown, smile or squint get facial wrinkles as it leads to reduced skin elasticity.

5. Smoking: smokers are more susceptible to premature wrinkling. This is due to the presence of nicotine, tar and other chemicals from the smoke in the bloodstream, which hamper the supply of blood and oxygen to the outer layers of skin.

6. Genetic factors: many people get facial wrinkling as a result of hereditary causes and family genetics.

However, the good news is that facial wrinkling can be prevented through these simple ways:

Sun protection

This is the most effective way of avoiding wrinkles. Keep yourself protected against sun exposure by staying out of the sun as much as possible and wearing sunscreen at all times.

Quitting the smoke

Kicking the habit will show a marked improvement in your skin quality and would help prevent further wrinkling.

Use of moisturisers

Dry skin is more prone to wrinkling. Keeping your skin supple and moisturised prevents wrinkles.

Leading a healthy lifestyle

The combination of following a nutritious diet, drinking plenty of water, getting enough sleep and regularly exercising keeps the skin young and wrinkle-free.

Treatment options:

There are several options to improve wrinkles by procedures which include botox, fillers, prp and lasers for skin tightening. The most suitable option can be chosen depending upon the severity and type of wrinkling.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Everyday!

Do You Know the Sun is Adding Wrinkles To Your FACE?

Psoriasis is the condition in which the infected skin cells multiply 10 times faster than the normal rate. During this disease, the normal skin tends to get covered by a layer of dead skin cells, not allowing the skin to breathe. People who suffer from psoriasis face an increased likelihood of contracting other serious medical conditions such as cardiovascular diseases, diabetes, and psoriatic arthritis.

Psoriasis can erupt just about anywhere on the body, but it most often occurs on the scalp, chest, back, elbows, knuckles, and knees. If you have a mild case, the patches may hardly be noticeable. The worst cases produce unsightly patches almost everywhere.

Psoriasis can also affect fingernails and toenails, making them appear pitted and discolored. It can even cause significant joint pain, a condition known as psoriatic arthritis. 

Most people who develop psoriasis are initially diagnosed in their teens, twenties, or thirties. The disease follows a very unpredictable course. That first flare-up may also be the last. Or it may signal the start of a lifetime of flare-ups that come and go for no apparent reason. Fortunately, when the lesions disappear, they leave no scars. 

Here's a list of following unsafe health conditions created by psoriasis:

Cancer: People experiencing psoriasis are subjected to an increased risk of contracting certain cancers like lymphoma. A study discovered that people diagnosed with psoriasis have an increased likelihood of 40% to contract cancer than the general population. The reason for this particular risk hasn't been yet understood.
Kidney disease: According to a 2013 study, published in the British Medical journal people with psoriasis have an increased risk of encountering kidney disorders. Severe and mild psoriasis increases the likelihood of kidney diseases by 58% and 36% respectively.
Obesity: People suffering from mild psoriasis are 30% likelier to be obese than those who are not. For people diagnosed with severe psoriasis the chances increase by 80%.
Diabetes and high cholesterol: High levels of triglycerides, total cholesterol and lipoprotein are present in patients with psoriasis, and these patients are 28% likelier to have high cholesterol compared to the general masses. According to a recent study, people with the condition have a 46% increased chance of suffering from Type 2 diabetes.
Peptic ulcers and mood disorders: In some cases, peptic ulcers are also linked with psoriasis. The reason for this is attributed to inflammation. Psoriasis also leads to mood disorders like depression due to the pain and anxiety arising from the condition.

Psoriasis: Vulnerability to Health Conditions

Lupus is an autoimmune disease, which is chronic i. e. Lasts for years or more than at least six weeks and may affect any part or organ of the body. The immune system fights off viruses, bacteria and germs by producing proteins known as antibodies. Autoimmune means that due to some defect, your immune system is unable to differentiate between the healthy tissues in your body and foreign invader that harms your body; thus creating antibodies that destroy the healthy tissues. This causes inflammation and damage to various parts of the bodies, leaving the sufferer in excruciating pain. 

Symptoms:
1. Fatigue: most of the people suffering from lupus experience weariness and fatigue. People usually take afternoon naps to remedy this. However, this may lead to insomnia. Talk to a doctor to successfully cure this symptom.
2. Unexplained fever: if you suffer from recurrent fever that hovers around 99 to 101 degrees fahrenheit, visit the doctor as soon as possible since this is a sign of infection or inflammation.
3. Hair loss: one of the most prominent symptoms of lupus is hair loss or thinning of hair. You may find your hair looking brittle, thin and ragged, including the hair on your eyebrows, eyelashes and other parts of the body. 
4. Lesions or skin rash: another prominent symptom is the butterfly rash that covers both the cheeks and the bridge of the nose and appears right before a flare up. This rash may occur all of a sudden or when exposed to the sunlight. Lupus also causes lesions and discoloration on various parts of the body due to exposure to sunlight or artificial light.
5. Pulmonary issues: lupus causes pleuritic chest pain due to painful inflammation in the lungs as well as the areas surrounding it such as diaphragm and lung blood vessels. This affects the patient's breathing process. Moreover, lupus is also known to decrease the size of the lung also called the" vanishing lung syndrome" that is identified by shortness of breath and chronic chest pain.
6. Kidney inflammation: most individuals suffering from lupus tend to develop nephritis that is inflammation in the kidneys. It is imperative to visit the doctor if you have symptoms of nephritis as it may cause end-stage renal disease (esrd) if untreated.

Symptoms of Lupus

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