It is a chronic autoimmune skin disease, in which the skin cells form a mass of scales. Usually, these patches of skin, which are dry, red and itchy, occur on the skin of the back, scalp, palms, knees, elbows and around the fingernails and toenails. But some people have the patches all over the body. The patches may also crack, flake and bleed. While there is no definite cure, the symptoms can be managed and treated.

Symptoms of Psoriasis

The symptoms of psoriasis may vary from patient to patient. However, if more than two of the following signs are seen, it is likely that psoriasis is the causative condition:

1. A sharp and localized pain in the joints accompanied by stiffness
2. Soreness in the throat
3. Tiny depressions in the nails or large brown patches under the nails
4. The diseased patches of skin can crack, peel and bleed
5. Swelling and tenderness of the limbs
6. Dental plaque
7. Muscle pain due to the swollen bands of connective tissue
8. A whitish and silvery mass of scales surrounded by red patches of stinging, itchy skin
9. The appearance of blisters or rashes on the dry scaly skin and also along the nails
10. Bumps on the folded skin like back of the knees, armpits etc.

Causes of Psoriasis

HIV
Human Immuno-deficiency Virus adversely affects the immune system and increases susceptibility of all kinds of infections and diseases. HIV-positive individuals have been found to have an increased risk of psoriasis than HIV-negative people.

Medication
Anti-malarial, anti-inflammatory and blood pressure medicines can cause psoriasis as a side effect. The disease is also an effect of withdrawal from topical steroid creams and other steroid-based medication.

Genetics
More than 32% of the cases of psoriasis have been linked to genes. In case of identical twins, if one twin has the disease,the other has a 70% chance of getting it too. There are several genes associated with the disease- most of these genes are related to the immune system. T cells (lymphocytes which affect cell specific immunity) can also cause psoriasis.

Other diseases
Diseases like strep throat, chronic infections, skin infections and stress may be responsible for the condition. Other factors like obesity, alcoholism, skin dryness and smoking can also lead to psoriasis.

Psoriasis: Symptoms and Causes

Breasts are integral to womanhood. They define a woman s beauty. Well grown, firmer breasts are what every woman dreams of. However, not many women are lucky enough to have the perfect shape and size of breasts. A common belief among people is that bigger the size of the breasts, the better they are. This is a big misconception. The ideal breast size is the one that is in proportion to the rest of the body. Bigger breasts do not look good on women with smaller structure and are also prone to sagging. Apart from a disproportionate figure, many women with larger breasts complain of backache, neck and shoulder pain due to the physical burden born by the upper body. Hence, the need for a medical intervention. Such women can consider breast reduction as a permanent solution to their problem.

Breast reduction or reduction mammoplasty is a procedure that reduces the size of the breasts through surgical removal of tissues, fat and skin, thereby making it ideal as per the body structure. The procedure is performed under the guidance of a trained aesthetic plastic surgeon and takes about three to five hours.

Hospital admission is usually required and a general anesthesia is given to the patient. Healing of wounds may take a few days. Breast reduction surgery also deals with issues of sagging breasts and helps them give an uplifted and firmer appearance. Another advantage of this surgery is that it can reduce the size of areola making the breasts appear younger and better.

Like any other surgery, reduction mammaplasty is not free of side effects. There are risks associated and one has to carefully weigh the risks and benefits before taking this decision. It can cause complications like excessive bleeding and adverse anesthesia reactions. Apart from this, some of the common side effects of this surgery are loss of sensation in the nipples and areola, inability to breastfeed and scarring. Sometimes, the procedure may need to be repeated in case there is a visible asymmetry in the size of both the breasts.

In general, women considering this option are overweight, have no plans to bear children in future and are suffering from heaviness and pain in upper part of the body due to larger breasts. However, many women desire to improve their appearance. Cosmetic market delivers many new gels and creams for breast reduction, claiming them to be simpler and safer than surgery, but their effectiveness is doubtful. Women looking for a more permanent solution may consider a surgical procedure. However, following the surgeon s instructions is important pre as well as post-surgery. If you are worried about the size of your breasts, do visit a plastic surgeon and discuss your options.

Should You Get Breast Reduction Surgery? 

Pregnancy is a life-changing phase in a woman s life. In addition to a baby (or babies!), there are a lot of physical and emotional changes also that come with it. The more evident are the physical ones, and in addition to weight changes, the stretch marks are the most obvious.

The uterus or the womb grows to its full extent to accommodate the developing baby, and so there is stretching of the connective tissue in these areas. After delivery, the tension is lost, and these marks become evident.

What are stretch marks?

These marks appear as lines on the skin and are most commonly found in areas such as the buttocks, arms, breasts, thighs and stomach. They are different in appearance in comparison to the normal skin. It may appear pinkish or purplish initially and then it takes a shiny appearance later. When you feel the stretch marks, you may feel a certain indentation or ridge on the skin. It may feel sore or itchy as well sometimes.

They most commonly appear during adolescence when there is rapid growth and stretching of the skin. It is also seen in women pre and post pregnancy. Stretch marks can also appear when there is a sudden change in weight.

How To Treat Them?

Use Moisturisers: People who use moisturisers show an increased elasticity of the skin, which reduces the appearance of stretch marks on the skin. Keeping the skin hydrated stops the skin from tearing and creating stretch marks. Moisturising is not entirely effective on older marks, but it can help with newly formed stretch marks. You can also use it on areas that are prone to stretch marks.

Retin-A: Retin- A is known to boost collagen production that helps the skin to stretch out with ease and not cause tears. When Retin-A is used, it is recommended to limit the sun exposure as the skin becomes more susceptible to sun damage and burning.

Glycolic Acid: This chemical compound falls under the category of an alpha-hydroxy acid which is commonly found as a major ingredient in chemical peels. It is known to amplify the production of collagen and increase the tensile strength of the skin. Go to your dermatologist for a stronger dose for more effective results.

A Combination of Retin-A and Glycolic Acid: A combination of these two potentiates the action of each other and gives better results.

Vitamin E Oil: You can find Vitamin E oil capsules in medical shops that are known as the miracle medication when it comes to curing stretch marks.

Essential Oils: Certain essential oils like rose oil, lavender oil, or geranium oil are known to reduce stretch marks.

Vascular Laser: Pulsed dye laser that is kept at the wavelength of 585 nm is used to remove the stretch marks that are red and newly formed. It may not be effective on the older ones that have turned silver. This process is highly expensive and needs about 6 sittings. The efficacy of this procedure also depends on the complexion of the skin. Much like laser hair removal, vascular laser does not work on darker skin. The colour difference between the marks and the actual skin tone should be prominent.

Fractional Laser Treatment or Laser Resurfacing: This is used to get rid of the older stretch marks that have turned light and are no longer red. This procedure is more expensive than the previous one and is prone to leave scars on the site of application.

Abdominoplasty or Tummy Tuck: The only permanent solution to get rid of stretch marks is to cut them out entirely. If you are tired of the stubborn tiger stripes, then this could be your only way out.

RF Micro-Needling Device: This is a more cost effective alternative to CO2 Laser Resurfacing that could be used on any stretch mark types  new and old . The micro needles are driven directly into the skin to a certain depth (0.2mm-3.0mm) and radiofrequency (RF) energy is then released inside the skin. Minimally invasive RF thermal energy creates fractional electrocoagulation in the dermis which facilitates a natural wound healing process promoting the remodelling of collagen.

10 Tips To Treat Stretch Marks Effectively

It is hard to escape the harsh rays of the sun during summers. Staying outdoors for too long will lead to tanned skin, which is a sign of skin damage. Sometimes skin damage can get severe and lead to diseases like skin cancer. To prevent your skin from damaging and keep it healthy, here are seven pro tips:

1. Aever skip the sunscreen: sunscreen with spf 15 or more will help in protecting your skin from harmful uv rays. Even if you are going to be out in the sun for more than 15 minutes, make sure to apply sunscreen generously. Remember, the higher the spf, the better is the protection.

2. Always wear sunglasses: sun damage can lead to premature signs of aging; especially wrinkles around the eyes since the skin around your eyes are very thin. Wider lenses that can block out 99% of sun rays are recommended to protect your eyes.

3. Your lips need protection too: just like your eyes, the skin is much more delicate and thinner on your lips. Your lips are susceptible to tanning as well, along with the risk of fine lines around the mouth if not well protected. Always apply a lip protection balm when going out.

4. Upf clothing: garment with special upf (ultraviolet protection factor) coating can shield you from harmful uva and uvb rays. Like spf, the higher the upf, they better it will protect you. Regular clothes can protect you as well, provided they are woven tightly and are of a darker color.

5. Keeping a close look at the time: uv rays are the strongest and mostly harmful from 10 a. M. To 4 p. M. If you are out during these hours, do not forget the sunscreen, umbrella and sunglasses.

6. Don't forget to protect your head: a hat with a brim of 2 to 3 inches all around shield the skin of your neck, face and ears and protects you from skin damage.

7. Apply religiously: even if your sunscreen promises that it is sweat proof, waterproof or rub proof, it never completely is, as no product works the same for everybody. So apply your sunscreen throughout the day.

How to Prevent Our Skin From Sun Damage

Silk pillowcase slows down skin aging

Using silk pillowcase is known to slow down skin aging by giving you a wrinkle-free skin. This is due to many good qualities of silk fibers.

Silk is a natural fiber obtained from animals and contains amino acids which are compatible and friendly to the human skin. It also contains temperature regulators which adjust your skin to the changing temperatures. Hypoallergenic silk fibers resist many skin allergens like fungus, spores etc making it ideal for sensitive skin.

The tightly woven fiber which remains most in contact with your face retains moisture to your skin and keeps your skin well hydrated. Unlike dry and flaky skin, moistened skin cells are most likely to show fewer wrinkles and hence slow down skin aging process.

Did You Know a Silk Pillowcase Can Slow Down Your Skin's Aging?

4 plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause. 

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:

- restriction of mobility

- aesthetic disfigurement and scarring

- loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Quick and Handy Remedies To Treat Burns

4 Surgical Alternatives for Burns and Wounds

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