The skin is the largest organ in the body and is one of the five sense organs, helping us with  touch.  The first outer layer is called the epidermis and the underlying layer is called the dermis. The skin has a protein known as keratin, which protects it from various external toxins and infections.

In some people, due to unknown reasons, there could be pile up of this protein in the deeper layers, producing small bumps, which feel like sandpaper. Literally, the term keratosis pilaris (KP) refers to piling up of keratin pigment. It can block the hair follicle that would normally open into the skin. When there are multiple blocks in the same area, there could be a sandpaper-like rough feeling to the touch. This gives this condition other names including goosebumps, chicken skin or chicken bumps. Though it is a cosmetic issue, it is medically a benign and very common condition.

Cause

KP, as it is popularly known as, is believed to be a genetic disorder with faulty genes leading to excessive accumulation of keratin. These appear as red, small bumps that are usually seen on the hands, arms, thighs, buttocks, and rarely on the face. The surrounding skin may be inflamed if there is a buildup of skin under the pile of keratin.

The onset of KP is usually in the first decade of life, worsens during puberty, and reduces during adulthood. There are, however, instances where the onset happens during adulthood. Twins and people with atopic dermatitis are more likely to have KP.

KP is more common in people with dry skin as oily skin seems to offer some protection.

There are also studies that give it a correlation with weather, with winter seeing more of this condition than summer. This is because our skin tends to dry more in winter than in summer. There could be some people who are completely normal during the summer months but will develop these bumps during the winter, which again subsides with the season.

Signs and Symptoms

As noted above, KP is a medically benign condition. There is a cosmetic concern if it is in the visible areas like arms and hands. Also, the area could feel rough and dry, but the affected person may not experience any itching or other harm. People with atopic dermatitis and eczema are more likely to develop KP; hence these other skin conditions require proper management.

Management

Patient education is the most important. This disease does not require any treatment and is usually self-limiting. It is very rare for KP to affect the whole body. Creams containing alpha hydroxy acid, salicylic acid, lactic acid, or vitamin A may be required to remove dead skin cells and to prevent clogged follicles from the bodies of the affected people.

Keratosis Pilaris: Signs, Causes, Treatment, and Prevention

Wounds and bruises are both injuries. However, they differ widely in terms of the causing factors, the nature of the injury, the pain they cause and the kind of treatment they require. The following are a few of the myriad ways in which the two injuries differ from each other:

1. A wound causes quick damage - the skin tissue is cut or punctured while a bruise (also called a closed wound) is where the skin is not torn. 

2. A wound is usually caused by a sharp object but bruises are the results of blunt force or trauma.

3. A wound almost certainly bleeds due to ruptured tissue and blood vessels. Blunt injury also damages the blood capillaries of the skin and causes blood to accumulate under the skin tissue, creating a dark patch of skin. Blood vessels can also break due to lifting of heavy objects or overexertion of muscles.

4. A wound carries the risk of infection because the skin is open but a bruise does not get infected.

5. A wound has a burning or stinging sensation but a bruise is characterized by swelling and a blunt throbbing pain.

6. A wound can be healed by antiseptic and antibiotic medication. Large wounds need to be closed by stitching them up to avoid severe infection. On the other hand, a bruise usually heals by itself. A cold compress and pain killers may be used to ease discomfort. Heat can be applied to the injured spot to normalize the blood flow and dissolve the blood clot.

7. A wound can lead to complications like bacterial infections or the healing might be delayed by chronic diseases like diabetes. In case of a bruise, it usually does not cause complications but if there's a blunt injury to sensitive areas like the head, the tailbone or the eyes, medical attention is advised.

8. Wounds and bruises can also be differentiated on the basis of their subtypes. The different types of wounds are:

a. Incision (sharp objects cutting the dermis layer of skin)
b. Abrasion (the epithelial tissue is scraped off)
c. Avulsion (a body structure is torn off)
d. Penetration (a sharp object causes an entry and an exit wound)
e. Puncture (only an entry wound caused by a sharp object)

The different types of bruises are:
a. Hematoma (blood pools under the skin)
b. Purpura (tiny spots of blood on the inside of the mouth)
c. Contusion (similar to hematoma and caused by external trauma)
d. Crush injury (caused due to a large amount of force on the body part for a long time)

Wounds VS Bruises

3 crucial points you must know about breast enhancement

Breast augmentation is a surgical procedure designed to enhance as well as improve the symmetry and fullness of the breasts through implants (gel-like fluid in a flexible sac); or to bring back breast volume lost as a result of pregnancy, aging or weight loss. Before opting for such a procedure, there are certain points that you absolutely must consider, which are:

1. Picking silicone or saline implants: when it comes to implants, you have two options available - saline or silicone. Providing a uniform shape and firmness, saline implants come filled with sterile salt water. In contrast, silicone breast implants contain elastic gel, giving them the look of natural breasts. In terms of elasticity, saline implants can be adjusted more easily as you can inject or remove liquid from the implant. In contrast, silicone implants cannot be adjusted as they are already filled with the gel.

2. Getting the right size: choosing the right size for breast augmentation is very important. It's wrong to believe that bigger implants are not always good. The size of implant should be decided after proper assessment of the breasts.

Mammography should be done before putting breast implants. In general, size selection is made based on your natural breast size. Whether you opt for a saline implant or a silicone one, implants come in varied sizes ranging from 120-180 cc. When you choose a size for yourself, you'll have to keep in mind your body frame as well as appearance you wish to have post surgery.

3. Incision options: depending on the results you expect, you'll also need to consider which incision (a surgical cut made in your skin before the operation) option you should select before undergoing surgery. Incisions can range anywhere from 1-4 inches, with their lengths increasing as the implants expand in size. There are also certain incisions, such as the belly button incisions that are really small and don't leave behind visible scar tissue.

Apart from belly button incision, some of the other incision options that a surgeon may employ for breast augmentation could be:
- armpit incision (incision made in the underarm area for breast implantation through the armpit)
- nipple incision (incision made on the areola, which is the circular area of pigmented skin surrounding a nipple)
- crease incision (incision made in the crease area below the breast for implantation).

Fat grafting of breasts is another alternative or a complementary procedure to the breast implant. If you're considering breast augmentation surgery, be sure to check with your doctor about these factors and which options are best suited to you, before proceeding.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why Breast Cancer is No 1 Cancer in India? + How To Avoid it

3 Crucial Points You Must Know about Breast Enhancement

Oily skin and summers: what is the ideal way to handle it?

Oily skin is a condition that can be characterized by shine on the skin and a large number of pores. The oil in question is a result of overactive sebaceous glands that produce excessive sebum. This can result in acne and blackheads. Summer is a time of the year where skin problems due to oily skin are worsened by factors such as sweat and dust. So proper skin care is necessary in order to negate the effects of oily skin.

There are multiple ways to handle this condition in summers:

1. Using cleansers - Proper cleaning of skin is a very important step in lessening the effects of oily skin. Harsh cleansers have an opposing effect as they facilitate secretion of oil, so a mild cleanser is usually the best option. Some cleansers may contain ingredients that irritate the skin, so care is advised in selecting a proper one.

2. Hydration and food - Keeping the body well hydrated in summers combined with a diet free of greasy, oily food and less fats can help in reducing the effects of oily skin.

3. Using masks to clear the face - Masks such as clay masks, yogurt, and baking soda can help in cleansing the skin by clearing the oil. It should be noted that these treatments should not be overdone as they can cause the skin to dry up too much and over secrete oil.

4. Skin moisturizers - People often have this notion that oily skin does not require moisturizer application. Selecting a moisturizer that is fit for oily skin and using it will help moisturize the skin and keep it healthy.

5. Sunscreen - Sunscreen is a necessity during summers, and the sunscreen you choose should be specifically for oily skin in order for it to work effectively. Application of sunscreen can help prevent the UV rays of the sun from penetrating the skin and cause complications.

6. Dermatological treatment - In case of severe oiliness, treatments such as chemical peels and creams laced with tretinoin can help.



Oily skin and summers: what is the ideal way to handle it?

Corns are small circular patches of thick, hardened skin that generally develop on the toes or soles of feet. They may occur anywhere else on the body. They might be caused due to friction and pressure which may occur, if you wear poorly fitted shoes or as a symptom of some other conditions such as bunions (big toe bent towards other toes) or hammer toe (toe bent at the middle joint).

Corns, especially on feet will not get cured unless its root cause is treated. If left untreated, the skin becomes thicker and more painful. Cures for corns will depend on the cause or nature of the corn. Here are some effective ways to treat most types of corns.

1. Removal of hard skin: A dermatologist can help remove the thickened skin with a scalpel, which will relieve the pressure on the affected tissue.

2. Products that treat corns: Some foot care products are specially designed to allow your skin heal and to redistribute the excess pressure that is causing the corn. These may be prescribed by your dermatologist for quick healing of your corns. Some of these products include:
a. Rehydration creams that soften thickened skin
b. Soft padding or foam insoles that can be inserted into shoes
c. Corn plasters that provide protection
d. Small foam wedges which can be placed between toes to cure soft corns
e. Special silicone wedges that change the position of your toes and help in redistribution of pressure.

3. Salicylic acid: Salicyclic acid, contained in several over-the-counter products is helpful in softening the first layer of dead skin, thereby facilitating its removal. Products containing salicylic acid should not be used if you suffer from conditions that cause circulation problems, such as diabetes, peripheral neuropathy or arterial disease. If you have cracked or broken skin in the area of the corn or sensitive skin, salicyclic acid is not suitable for you either.

You can prevent corns by practising proper foot care, as your feet carry the weight of the entire body and are very susceptible to problems. Using a pumice stone regularly to rub away hard, dead skin is a good way to prevent corns and bacteria. Wearing properly fitted shoes is a must to prevent corns. If you wear heels very often, they may put excessive pressure on your feet. If you suffer from diabetes or other diseases causing circulation problems, do consult a doctor as corns and infections in the feet can lead to more severe infections.

How to Treat Corns on the Skin

Most of Almost every one of us dreams of a flawless skin. But, your beauty gets a patch of ugliness with the presence of unwanted moles on your skin. Moles develop from cells called melanocytes, which produce pigment melanin that gives skin its color. It is for this reason that the moles are darker than the other parts of the skin. They are usually caused due to hormonal changes.

Here are some common causes behind moles:

Teenage: It is the stage that sees a lot of hormonal changes and imbalances. This increases the chance of developing moles.
Pregnancy: It is that period when a woman s body goes through a hell lot of changes. It doesn t give rise to more moles but it is responsible for darkening of the existing ones.
Sunlight: Exposure to sunlight for a prolonged period of time may lead to the formation of moles. These can worsen later by taking the shape of melanoma, or skin cancer.
Genetics: Researchers believe that genes are responsible for having moles on the body or face.
Types of Moles
It is difficult to identify the various types of moles. They almost look the same. But, on closer scrutiny, you will see the differences. Here are the most common ones:

Dermal melanocytic naevi: They protrude from the skin. They have a pale hue. They may have hair on them as well.
Junctional melanocytic naevi: They are either flat or round. They are deep brown or black in colour.
Compound melanocytic naevi: They protrude from skin. They are light brown in colour.
Blue naevi: They are dark blue in colour.
Halo naevi: The moles have a pale circular ring around it.
Home remedies to get rid of moles
Here are some common home-based remedies to treat moles:

Apple Cider Vinegar: It is a strong natural acid. It burns the area and the mole falls off. But, you need to be anti-allergic to the acid. Dip a cotton ball in the acid and apply on the affected part. You will see results in 10 days time.
Baking soda and Castor oil: The mixture of baking soda and castor oil makes a slow but effective solution for treatment of moles. It also prevents the scars. Castor oil has the ability to disperse any growth of pathogens.
Flaxseed oil, Ground Flaxseeds and Honey: This is an effective remedy for moles that are raised from the skin. It causes loosening of the edges of the mole. Gradually, the mole falls off due to its application.

Moles - Know The Common Types!

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