Wrinkles are a normal yet unsightly sign of aging, which can come about due to various reasons including too much exposure to the sun, poor diet, excessive smoking and drinking, lack of proper sleep, advent of age, loss of moisture and elasticity as well as collagen, which creates a smooth and supple look and other such reasons. Cosmetic and plastic surgeons are now turning to a variety of methods to lessen the pronounced look of wrinkles and remove them for younger looking skin. Here are a few methods currently in use:

*fillers: fillers like collagen and others including poly lactic acid, calcium hydroxylapatite and hyaluronic acid can be used to restore the elasticity of the skin even as they provide precious hydration. These injectables can be used on the face as well as on hands for a smooth and supple look.

* botox: to get rid of the lines on the forehead and to prevent the onset of more pronounced wrinkles, botox or botulinum toxin type a is a favoured element used by many cosmetic surgeons and dermatologists. This is usually administered via injection.

* retinoids: this is administered with a surgical procedure in order to remove uneven pigmentation as well as the roughness of skin, which sets in with age and excessive smoking and sun exposure. It may cause skin peeling and redness.

* laser: the use of laser resurfacing can also help in stimulating collagen production of the skin, which restores some of its elasticity so that wrinkles may be removed and further wrinkles prevented. 

*surgery: the use of surgical methods like face lifts, brow lifts and other cosmetic processes can help in giving the skin a tighter look, which does away with the appearance of wrinkles. These are usually minor procedures from which one will heal fast.

*dermabrasion: this method is a surgical one that basically sands the surface of the skin in order to remove the wrinkles. It can cause side effects like permanent discolouration of the skin as well as scarring of sensitive skin in particular.

* peels: glycolic acid peels and deeper peels that use elements like salicylic acid can be used to go deep into the skin and making it smooth again. It basically makes a difference to the fine lines. There is a chance of side effects like scarring, bruising and general discolouration in this method as well. 

Adequate sleep, good nutrition, avoiding excessive sun exposure and a good skin care regimen can help in keeping wrinkles at bay for a long time. Moisturising with products that contain plenty of vitamin a and e can also help in reducing fine lines.

Getting Rid Of Wrinkles

Botox is one of the evolving beauty treatments in the recent times. It has gained massive popularity due to its incredible results. Almost every individual undergoing Botox treatment observes appreciating the changes in their most prominent facial features.

What to do before Botox treatment?

One of the crucial steps to do before opting for a Botox treatment is to research for the best doctor who is specialized with the Botox treatments. This will help you to achieve the results you are aiming from the respective treatment.
Be transparent about any allergies or earlier skin disorders you had earlier with your doctor. This provides a scenario of keeping a realistic expectation based on your case type.
Ask your doctor regarding your doubts related to the treatment. If you are worried about some side effects you got to know from someone, then it is recommended that you discuss the same with your doctor.
What to do during Botox treatment?

Keep your skin natural. Make sure that you clean your skin thoroughly right before the commencement of the procedure.
Stay relaxed during the treatment. This is one of the most essential do s for the success of the Botox treatment. If you stay calm, then you will find that just within a few seconds the Botox is injected.
What to do after Botox treatment?

Keep your hands away from the place where Botox is injected. This ensures that it does not spread throughout the face.
Keep the workouts light. You can exercise after Botox treatment but avoid the moderate and light intensity ones.
Avoid visits to the parlors for facial treatment or chemical treatments. You can later choose for natural ways to clean your face without applying much pressure to your face.
Don ts for Botox treatment:

If you are a regular alcohol drinker or addicted to drinking alcohol quite often, then you need to start avoiding it to get the desired results from the Botox treatment.
Make sure that you do not keep very high expectations for your Botox treatment. Talk to your doctor before setting any targets in your mind. This will help you to be satisfied and happy with the ultimate results.
Avoid using suggestions of other individuals on your face right after the completion of the Botox treatment. If you have any queries, then talk only to your doctor.
Thus, Botox treatment is a beneficial procedure to reduce your worry about aging less. You just need to follow those mentioned above do s, and dont s to ensure successful completion and achievement of the results of Botox treatment.

Botox - Do's & Don'ts Before And Post Treatment!

In medical science, the term used to refer white patches on the skin is vitiligo. This can appear on various parts of the human body. These are commonly found to develop on hands, feet, arms, legs, face, lips, and around the eyes and mouth. Researchers are not aware of the exact cause behind this skin disease. Some experts believe that it could be an instance of any kind of an autoimmune disorder.

The immune system attacks the melanocytes or the cells that produce skin coloring pigment i.e. melanin. It can also be caused due to genetic factors, excess exposure to sunlight, stress and deficiency of vitamin B12. The white patches are also caused due to infection caused by fungus like tinea versicolor.

Whatever be the cause, the problem is quite embarrassing for all. It mars your beauty and makes you look ugly. There are cosmetics and medicines to treat the condition. 

But you can also choose some home-based remedies from the list below to get rid of the white patches:

Babchi: It is an effective remedy for the problem of hypopigmentation or white patches. It has antipsoriatic properties. You must soak the seeds of this herb in the juice of ginger for at least three days. You must replace the ginger juice timely. It is thereafter advised to remove the husk from the seeds and dry them under the sun to make a powder out of it. Mix the powder with 40gms of milk a day and consume it. You can also put babchi oil on the skin and stay under the sun for 15 minutes.
Ginkgo Biloba: It has antioxidant properties to fight against the white patches. It hampers the spread or progress of the disease. You should consume 40-80mg of this three times in a day.
Coconut Oil: It helps in soothing the skin and cures inflammation. It helps in re-pigmentation. It is antifungal in nature.
Ginger: It benefits the blood. It boosts the production of melanin. Place a slice of ginger on the white patch and let it dry. You must repeat this twice daily for a week to see the best result.
These are just a few of the home-based remedies. You must consult your dermatologist for expert advice. Your treatment may vary on the gravity of the situation. Your doctor will be in the best position to tell you what suits you the most.

Vitiligo - Home Remdies to Treat Vitiligo on Body

Have you been noticing bumps on your skin surface? Does the top of this growth resemble a cauliflower and feel bumpy or smooth when you touch it? These are the symptoms of a disease known as warts, which is caused by HPV or human papillomavirus. Generally, warts are not very dangerous, but they are ugly, contagious and may cause pain as well. Warts may be caused by more than 100 types of HPV viruses. A certain type of HPV causes warts around the genitals. In women, these are called genital warts and it is a severe disease.

Treatment
All warts do not require treatment and disappear on their own. This is because over time, the body s immune system can destroy the HPV virus which causes warts. A wart needs to be treated when it is painful, embarrassing, gets irritating easily, spreads to other parts of the body or spreads to other people. The goal of the treatment is to eliminate or remove the wart, avoiding a scar tissue. Creating a scar tissue would cause more pain than the wart. The treatment of warts depends upon the type, location and specific symptoms of the disease.

Self-treatment
Warts can be treated at home using salicylic acid and duct tape. Most warts do not require treatment, but in case the symptoms worsen and do not go away on their own, you require proper care.
Medical treatment

The medical treatment for warts prescribed by a doctor includes the following:

Cryotherapy
Certain medicated creams and ointments
Surgical methods such as electrosurgery or laser surgery
Chemical peels with certain acids
Excision or cutting of the warts
Before going for a treatment, it is important to detect the exact type of wart. Treatment for some types of warts may be quite painful with the chances of a scar tissue. Warts which lie beneath the skin are difficult to treat and the doctor might need to make an incision on the skin over the wart to let the medicine penetrate through it.

An HPV vaccine can be taken to protect men and women from the common warts caused by HPV viruses. This vaccine can be taken up to the age of 26. The vaccine should be taken before getting sexually active and is more effective when taken before being exposed to the HPV virus. In order to prevent transmission of the HPV virus, having protected sex is recommended. In case of any severe symptoms of warts, you must consult a doctor immediately.

Warts - Dermatological Treatments For It!

Thanks to cosmetic surgery, today, it is possible to alter your facial features any way you want. For some it's a way to reverse signs of aging while for others it may be to restructure a part of their face that they are not comfortable with. Whatever be your reason, here are ten tips to ensure safer facial cosmetic surgery.

1. Have the right motivation: cosmetic surgery will change the way you look, not your lifestyle. Do not undergo such a surgery if you think it will give you a new lifestyle.

2. Have realistic expectations: going under a plastic surgeon's knife can alter your facial feature, but only up to a limit. You may want your nose to look like that of your favourite actress, but the end result of the surgery will depend on the bone and cartilage structure of your nose. Having unrealistic expectations can take away from the satisfaction of plastic surgery. 

3. Find a surgeon who shares your aesthetic sense: if you and your surgeon do not share the same ideas on what looks good, you may end up with a result you are not satisfied with. Before deciding on a doctor, take a look at photographs of their earlier clients.

4. Be wary of promotions that offer to pay for your surgery: cosmetic surgery is expensive, but do not try and save money by choosing to work with inexperienced doctors. 

6. Meet the entire surgical team: along with the doctor it is also important to meet the other members of the surgical team. Also, take a look at the facilities offered and the type of surgical atmosphere available.

7. Have a clear written plan for the surgery and possible follow up procedures: cosmetic surgeries often require multiple procedures. Ask your doctor for a clear plan with all the costs involved. 

8. Ensure that you have an aftercare plan: on the off chance that something does not go according to plan, ensure that you know what is to be done and insist on an aftercare treatment from your doctor.

9. Have a strong support system in place: it will take a few months for the effects of your surgery to be visible. Until then, your face may appear swollen and bruised. Get support from your friends and family as this may keep you indoors for awhile. 

10. Be aware of the risks: like any other surgery, this one too has risks associated with it. Ensure that you are aware of these risks so that you can make an informed decision. 

11. Don't rush your decision: lastly, take your time deciding on the exact procedure you want. Remember that the effects of cosmetic surgery are permanent.

10 Expert Tips to Undergo Safer Facial Cosmetic Surgery

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types   T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

Heartbeat
Body temperature
Breathing
Body weight
Metabolism of fat
Menstrual cycles in females
Functioning of Nervous system
Digestion
Burning calories etc.
What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc.   for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery   this is called Postpartum thyroiditis.
Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby s heel.
What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.
Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.
Who are at risk of developing Hypothyroidism?

Women have a higher risk of suffering from hypothyroidism than men.
Older people are at increased risk.
People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison s disease etc.
People with psychiatric conditions such as bipolar disorder
People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.
What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

Depression
Constipation
Hair loss
Dry hair
Dryness of the skin
Tiredness
Body pains
Fluid retention in the body
Irregular menstrual cycle
Increased sensitivity to cold
Reduced heart rate
Increase in size of the thyroid gland   called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
Weight gain
Carpal tunnel syndrome
Hoarse voice
Infertility
Loss of libido/sex drive
Confusion or memory problems especially in the elderly
What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
T4: A low level of thyroxine indicates hypothyroidism.
T3: these levels are generally not needed to diagnose hypothyroidism
Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
Ultrasound of the neck is done if the patient presents with a thyroid swelling.
What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30   45 minutes before breakfast. The treatment is continued for the rest of the patient s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
obesity
infertility
joint pains
depression
A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
References:

2013 ETA Guideline: Management of Subclinical Hypothyroidism; European Thyroid Association (Nov 2013)
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee; British Thyroid Association (2015)
The diagnosis and management of primary hypothyroidism; Royal College of Physicians and others (June 2011)
Suh S, Kim DK; Subclinical Hypothyroidism and Cardiovascular Disease. Endocrinology Metabolism (Seoul). 2015 Aug 4.
UK Guidelines for the Use of Thyroid Function Tests; British Thyroid Association (2006)
Gaitonde DY, Rowley KD, Sweeney LB; Hypothyroidism: an update. American Family Physician. 2012 Aug 1 86(3):244-51.
Bindra A, Braunstein GD; Thyroiditis. American Family Physician. 2006 May 15 73(10):1769-76.
Wilson GR, Curry RW Jr; Subclinical thyroid disease. American Family Physician. 2005 Oct 15 72(8):1517-24.
British National Formulary; NICE Evidence Services (UK access only)
Baumgartner C, Blum MR, Rodondi N; Subclinical hypothyroidism: summary of evidence in 2014. Swiss Medical Weekly. 2014 Dec 23 144:w14058. doi: 10.4414/smw.2014.14058. eCollection 2014.

Know Everything About Hypothyroidism

Don't wait any longer, manage your Liposuction online with a Lybrate doctor today

Consult for Liposuction - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES