Acne vulgaris, commonly known as acne is a type of chronic skin condition which occurs when the hair follicles of the skin become clogged with oil and dead skin cells. Characterized by blackheads, pimples, whiteheads and greasy skin, acne can also cause scarring. Typically, acne which cause pimples tend to develop on the back, chest, shoulders but mostly on the face and neck.

Causes and symptoms of pimple scars

Although the actual cause of acne is uncertain, medical professionals have reason to believe that an increase in the level of androgen triggers pimples. On the other hand, scarring due to pimples are a result of the presence of inflamed lesions. Such inflamed lesions when gorged with surplus oil, bacteria and dead skin cells cause swelling and an eventual rupture in the follicle wall which leads to scarring. The extent of the scar has a direct relationship with the rupture. That is to say, the deeper the rupture, the bigger the scar.

In actuality, the formation of scars is involved in the normal healing process of the skin. The skin cells in order to mend the damage caused by the ruptured pimples, forms fresh collagen fibers which are fibrous proteins that impart flexibility and strength to the skin. The resultant repair which are very rarely smooth and unblemished are referred to as scars.

Treatment of pimple scars

1) fractional radiofrequency treatment is a highly effective method of reducing or removing pimple scars from skin. The radio frequency does not cause much damage to upper layers of skin, but effectively breaks down the scar tissue.

2) lasers are alternative and are little less painful. This treatment involves the use of skin resurfacing lasers.

3) fillers are another form of treatment which fill the indentations left remaining from dense pimple scars. Hardly any down time with this but are expensive in the long run.

4) scar reduction surgery is meant to minimize the scar so that it is more consistent with your surrounding skin tone and texture.

Procedures for Removal of Pimple Scars

Plastic Surgery is a speciality that deals with reconstruction, alteration and restoration of certain parts in the human body. It improves a person's appearance and may also help in improving the functionality of various body parts. It can be classified as either re-constructive or cosmetic Surgery:

    Re-constructive Surgery: These type of surgeries are used to correct various defects in the body such as injuries as a result of trauma, physical birth defects, deformities in the ear and cleft lips.
    Cosmetic Surgery: Cosmetic Surgery is used to modify a part of the body for cosmetic reasons. The most common cosmetic surgery procedures are reconstructing the nose, removing fat from certain parts of the body and reshaping the breasts.

Outlined below are 5 facts about plastic surgery:

    Liposuction is popular among males: The most common plastic surgery among men is liposuction. So far, out of the 1 million plastic surgeries that men have undergone, most have been liposuction. The other popular cosmetic surgeries for men are face lifts and Rhinoplasty.
    35-50 year old undergo the maximum number of plastic surgeries. In 2014, over 4 million procedures were performed on people whose ages were in the range of 35-50 years. The most common concerns were sagging skin and fine lines. Liposuction was the most popular surgery in this age group.
    Most women opt for breast augmentation: Breast augmentation often requires correcting various issues such as post-op sagging and various other tweaks like modifying the size of the implants. The number of revisions in breast surgeries has actually gone up compared to the initial breast surgeries.
    Asian double eyelid surgery: A surgery where the eyelids are altered to make your eyes look bigger and attractive. It is a popular surgery among Asian women.

5 Facts You Never Knew About Plastic Surgery

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 

Having a cosmetic surgery is quite a big deal. It is an expensive surgery, which causes alteration of your body features. Although cosmetic surgeries are usually effective and provide satisfactory results, you should keep several things in mind before a cosmetic surgery. You should know all important facts about cosmetic surgeries, their procedure and results before undertaking one.

Here are the things you should consider and keep in mind:

Cosmetic surgeries are permanent: You would like the idea of perfecting several features of your body using a cosmetic surgery. However, you must keep in mind that such a surgery is permanent and your features would be altered forever. You should not undergo a cosmetic surgery half-heartedly and must think over and over before finalizing.
You should know why you are having a surgery: You need to have proper reasons why you want to undergo a cosmetic surgery. You should consider the exact reason why you feel that a cosmetic surgery is required. There are several physical and emotional changes which occur after a surgery and you should be prepared for the same.
You should know the results you want: Before having a cosmetic surgery, you should know exactly how the results would appear. Having a rough idea will not do and you should know beforehand how you are going to look post-surgery. You must make the doctor understand your requirements and desired results perfectly so that he or she can give the best results. You may use pictures and illustrations to explain your objectives to the surgeon.
You should know about the outcomes: Knowing about all the possible outcomes of the cosmetic surgery, which you have opted for is very important. For this, you need to surf the internet and do some research. Read from trustworthy medical care websites and also consult people who have had a cosmetic surgery before. You should also keep in mind the consequences which may arise if you do not like the results of a cosmetic surgery and be prepared mentally, in case some complications occur.
You should choose the best surgeon: Choosing a capable and efficient surgeon is an important thing to do, before thinking of having a cosmetic surgery. You should consider the location, experience and approach, while choosing the right surgeon. You should also make sure that the surgeon is qualified and registered to practice.
A cosmetic surgery is a serious surgery, which will change the way you look in certain ways, depending upon the type of cosmetic surgery you have chosen. Before deciding on having a cosmetic surgery, you should consider the above-mentioned factors and then only go for it.

Going for a Cosmetic Surgery - Things You Must Consider Before it!

Cellulitis is a common contagious bacterial skin infection marked by redness and swelling of the skin that feels tender and hot. It usually occurs when bacteria penetrate through a crack or a cut on the skin s surface. Although cellulitis can develop anywhere over the face or the body, it is your lower legs that are affected the most. It damages the tissues beneath the skin, spreading to the bloodstream and the lymph nodes. If left untreated, the infection might get aggravated and turn fatal.  


Prevention:
In case of a recurrence, preventive antibiotics may be recommended by the doctor. Adopting the below mentioned precautionary measures can help: 
1. Gently rinse the wound with soap and water on a daily basis, whenever you go in for a shower.
2. Apply an antibiotic ointment or a cream over the wound to get adequate protection.
3. Use a bandage to dress your wound and change it daily.
4. Watch out for signs of infections such as pain and redness and accordingly go for medical help.
5. People with diabetes often suffer from poor blood circulation. They require extra precautions in order to prevent any skin injury:
Minutely check for signs of injury, failing which you might be even more susceptible to infections. 
Moisturize and lubricate your skin daily to prevent peeling and cracking.
Trim your toenails and fingernails carefully so that they do not injure the ambient skin.
Wear appropriate gloves and footwear to protect your feet and hands.
Treat any infection developing on the skin surface at the right time because they might be contagious.


5 Tips to Prevent Cellulitis

If sunburn is taking the mickey out of your fun time in the sun or your summer vacation, then you may want to read this article or pin it up where you can see it every day. Sunburn is something that does not show up immediately. It can happen when you have been in the sun for too long a time, and without the protection of proper clothing, hats, glares and sunscreen lotions. So what can you do when you feel that first sting of sunburn? here's our list!

Swift action: you will need to act fast towards cooling down the onset of a sunburn. Taking a quick dip in a pool or a lake if you are near one can help in soothing the area so that the sunburn is not too bad. Also, you can then cover yourself up and step indoors immediately, where you will be properly shaded from the sun. You can continue with the cool treatment by using a cold or ice compress to press around the area that is burning or has been most affected. Remember to stay away from the exact spot as it may lead to inflammation.

Avoid drying: do not let the area become too dry. Take frequent showers but stay away from harsh soaps as they may make the area dry which leads to chapping and pain.

Breathe: allow the skin to breathe. Do not obstruct the area with too many items of clothing and wear cotton fabric or other light weight clothing that will protect the area and let the skin breathe. Stay away from tight clothes as this may lead to chafing of the skin and the sunburns.

Moisturise: one good way of getting rid of sunburns quickly is to moisturise as soon as you have had a bath or a shower. This will help in locking in moisture which is not really possible when you moisturise the surface later. Use a gentle lotion or cream based moisturiser and stay away from products that contain petroleum gel as this may irritate the skin further and clog the area instead of getting absorbed into the skin.

Inflammation: tackle inflammation by taking corticosteroids or other anti inflammatory drugs. These should be prescribed by a doctor. Aloe vera can also be used to soothe the inflammation.

Hydrate: drink plenty of fluids for fast regeneration of the skin cells and so that the burns do not draw the fluid from the surface if the skin.

Take all the necessary precautions before you step out for some fun in the sun with proper sunscreen and protective clothing as well!

Feeling the Sting of Sunburn? These Tips Can Help!

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