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Dear sir my age is 22 running know. I started Gym in last year bt recently I stop all exercises. My wait is very low. Please help me for weight gain.
To get the most from your consultation, many people find it helpful to answer the following questions BEFORE meeting with a dermatologist:
Why do I want to treat my acne scars?
Treatment is not for everyone. Some people feel that the scars are not so bad. Others feel that the scars affect their everyday life. Dermatologists often recommend treatment when someone answers “yes” to one or more of the following questions:
Do I often wish that I could get rid of my acne scars?
Do I feel that my scars limit my opportunities to date, get a job, advance my career, or perform well in school?
Am I less social now than before I had acne scars?
How do I want to look after treatment?
Some people want less noticeable scars. Others wish to eliminate wavy skin texture.
What can I afford to spend on treatment?
Medical insurance does not cover the cost.
How much downtime can I afford?
Some treatments require downtime.
How much time will I devote to getting treatment and caring for my skin?
Your answer will help determine which treatments will be best for you.
How do dermatologists treat acne scars?
If you and your dermatologist believe that treatment is right for you, your dermatologist will create a treatment plan tailored to your needs. In creating this plan, your dermatologist will consider many things, including scar types and where the scars appear on your body.
If you have taken isotretinoin to treat acne, be sure to tell your dermatologist BEFORE treatment for acne scars begins.
To obtain the best results, your dermatologist may recommend more than one treatment. For example, if you have a deep boxcar scar (often looks like a large pore), laser therapy and a type of acne scar surgery called “subcision” may be necessary to give you the results you want.
The following tables list the treatments that a dermatologist may use.
Depressed Acne scars: Many effective treatments
Best results often come from using 2 or more treatments. The treatments that a dermatologist may use to treat depressed acne scars include:
Acne scar surgery: This sounds scarier than it is. Dermatologists often perform this minor surgery to treat very noticeable acne scars. The goal is to create a less-noticeable scar. The remaining scar should fade with time.
To perform acne scar surgery, a dermatologist may lift the scar. Bringing a scar closer to the surface of the skin tends to make it less noticeable. Another type of acne scar surgery involves breaking up scar tissue.
A dermatologist or dermatologic surgeon can safely perform acne scar surgery in a medical office. Patients remain awake but numb so that they do not feel pain.
Best for: Treating a few depressed scars.
Resurfacing procedures: When a patient wants to diminish the appearance of widespread acne scarring, a dermatologist may recommend a resurfacing procedure. Resurfacing removes layers of skin, which allows the body to produce new skin cells.
Dermatologists use the following resurfacing procedures to treat depressed acne scars:
Laser skin resurfacing
Microdermabrasion (differs from kits bought for at-home use)
Resurfacing works well for treating acne scars that are nearly flat (not too deep). Even dermabrasion, which removes the top layers of skin and some of the middle layers, cannot effectively treat deep acne scars.
Best for: Depressed acne scars that are not deep, useful for contouring scar edges to make scars less noticeable. Deep scars often require skin surgery and resurfacing.
Skin fillers: Dermatologists use fillers to safely and effectively plump depressed acne scars. A dermatologist may fill acne scars with collagen, the patient’s own fat, or another substance. Many fillers give us temporary results, which last between 6 and 18 months. Some fillers are permanent.
Both temporary and permanent fillers have unique pros and cons. If this is a treatment option for you, be sure to ask your dermatologist about the pros and cons of the recommended filler.
Best for: Treating a few depressed scars, but not icepick scars.
Skin tightening: This is a newer treatment and tends to be more affordable. This treatment is safe for all skin colors.
Dermatologists often use a technology called radiofrequency to tighten the skin. As the skin tightens, depressed acne scars become less noticeable.
Radiofrequency requires repeat appointments. Most patients return once a month for 4 months. After a radiofrequency treatment, many patients say they feel a burning sensation for about 1 hour and their skin has a pinkish color for 2 to 3 days.
Radiofrequency treatments require some at-home care. For at least one week after each treatment, you will need to apply sunscreen every morning and a moisturizing cream at night. Dermatologists recommend wearing a sunscreen that offers UVA/UVB protection, an SPF of 30 or greater, and water resistance.
Best for: Depressed acne scars. Sometimes, skin tightening effectively treats deep icepick and boxcar scars.
Collagen-induction therapy: Also known as “needling” or “micro-needling,” this treatment encourages your body to make more collagen.
To perform this procedure, a dermatologist moves a sterile, handheld needle-studded roller across the depressed acne scars. This punctures your skin. As your skin heals, it produces collagen.
It takes time to see the results, sometimes as long as 9 months. Most people, however, notice gradual changes before 9 months. Many patients require between 3 and 6 treatments and return every 2 to 6 weeks for a treatment.
After each treatment, you may have some swelling and possibly bruising. These side effects usually clear within 4 to 5 days.
You will need to follow a skin care plan while undergoing treatment.
Research shows that this is a safe treatment for people of all skin colors.
Best for: Widespread depressed acne scars. Not a treatment for raised acne scars, which form when the body produces too much collagen.
Electrodesiccation: This treatment uses electric probes to heat the tissue, which causes the tissue to die. This treatment may be part of a treatment plan for boxcar acne scars. Electrodesiccation by itself is not an effective treatment for acne scars.
Best for: Shaping or reducing the edges of boxcar scars.
Raised acne scars: Treatment can ease pain, diminish scars
The treatments that a dermatologist may use to treat raised acne scars are:
Injections: Your dermatologist may recommend injecting medicine directly into the scars. This can soften and flatten raised, thick scars.
Getting the best results often requires repeat visits. These injections are usually given once every few weeks. How often you will need to return for treatment depends on the scar and many other considerations. You may need to return once every 2 to 6 weeks for a while.
Many patients receive injections of corticosteroids. A chemotherapy medicine known as fluorouracil (5-FU) can also be effective in treating raised acne scars. Some scars respond best when injections of both 5-FU and corticosteroids are used.
Interferon, which is also used to treat cancer, can be effective. Our bodies naturally produce interferon.
If the scar does not respond (or stops responding) after you receive the 4th injection, acne scar surgery may be recommended.
Best for: Painful, raised scars.
Acne scar surgery: Dermatologists perform acne scar surgery to reduce raised acne scars. This surgery can be performed in a dermatologist’s office.
To obtain the best results, acne scar surgery is often followed by another treatment.
Acne scar surgery, followed by injections: After surgery, dermatologists often treat raised scars with injections of corticosteroids, 5-FU, or interferon.
Combining acne scar surgery with these shots remains one of the most effective treatments for raised scars. Most patients receive injections once a month for a few months.
Acne scar surgery, followed by radiation: Studies show that radiation can prevent raised scars from returning after acne scar surgery. Due to the potential for radiation treatments to cause problems years or decades later, some doctors do not recommend radiation treatment.
Best for: Raised scars that need more than injections.
Laser therapy: Lasers and other light treatments can treat raised scars safely and effectively. Treatment with a pulsed dye laser (PDL) can help reduce the itch and pain, diminish color, and flatten a raised scar. For people with lighter skin, intense pulsed light (IPL) also may be a treatment option.
Best for: All types of acne scars.
Cryosurgery: This treatment freezes the scar tissue. Freezing the tissue causes it to die and gradually fall off. To improve the results, dermatologists recommend a series of cryotherapy sessions and corticosteroid injections. This combination often produces better results.
The main drawback is that cryotherapy can cause permanent light spots to form on the treated skin.
Best for: It can effectively diminish raised scars in people who have lighter skin. Not recommended for skin of color.
Scar creams and gels, silicone (dressings and bandages): Often available without a prescription, these can be used at home to treat raised scars. These products can help reduce the itch and discomfort as well as shrink, flatten, and fade raised scars.
Silicone dressings and bandages can be especially helpful. Although no one knows for sure how these work, one possibility is that silicone helps hydrate the skin. This may reduce the itch and pain as well as make the skin more flexible.
To be effective, these products must be used continuously. This can be difficult, especially for scars on the face. Many people are willing to do this because these treatments have little risk of side effects. Even so, with continuous use, some people develop itchy, irritated skin. This usually clears when the person stops using the product.
Best for: Reducing scar size and discomfort. None is likely to eliminate a raised scar.
What outcome can a person with acne scars expect?
Most treatments can reduce the size and visibility of acne scars. With time, many of the treated acne scars fade, making them barely noticeable.
Your results depend almost entirely on the knowledge and skill of the person performing the treatment.
Dermatologists and dermatologic surgeons perform these procedures frequently, so they have the skills and experience needed to perform these procedures safely and effectively.
While dermatologists offer safe and effective treatment for acne scars,
there may be better solution: prevention.
Ramesh M et al. “Novel Technology in the Treatment of Acne Scars: The Matrix-tunable Radiofrequency Technology.” J Cutan Aesthet Surg. 2010 May;3(2):97-101. Riveria AE. “Acne scarring: A review and current treatment modalities.” J Am Acad Dermatol 2008;59:659-76.
Sardana K et al. “Which Type of Atrophic Acne Scar (Ice-pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?” Dermatol Surg 2014 Jan 21. doi: 10.1111/dsu.12428. [Epub ahead of print].
Thiboutot, D et al. “New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group.” J Am Acad Dermatol 2009;60:5(sup. 1) S1-S50.
Zurada JM et al. “Topical treatments for hypertrophic scars.” J Am Acad Dermatol 2006;55:1024-31.
I am a diabetic amd I have tried so many medicines both desi and alopathic. Kindly guide me to get rid of this deadly disease.
I have an ache on my left jaw its being paning more and more I cant bear it even I cant open my mouth to eat. What I have to do? Is there any solution?
Sunscreen can protect your skin against skin cancer and premature aging. However, it is not as effective unless it's applied correctly. Follow these tips when applying sunscreen:
Choose a sunscreen that has an SPF of 30 or higher, is water resistant, and provides broad-spectrum coverage, which means it protects you from UVA and UVB rays. Follow these helpful tips when selecting a sunscreen.
Apply sunscreen generously before going outdoors. It takes approximately 15 minutes for your skin to absorb the sunscreen and protect you. If you wait until you are in the sun to apply sunscreen, your skin is unprotected and can burn.
Use enough sunscreen. Most adults need at least one ounce of sunscreen, about the amount you can hold in your palm, to fully cover all exposed areas of your body. Rub the sunscreen thoroughly into your skin.
Apply sunscreen to all bare skin. Remember your neck, face, ears, tops of your feet and legs. For hard to reach areas like your back, ask someone to help you or use a spray sunscreen. If you have thinning hair, either apply sunscreen to your scalp or wear a wide brimmed hat. To protect your lips, apply a lip balm with a SPF of at least 15.
Reapply sunscreen at least every two hours to remain protected, or immediately after swimming or excessively sweating. People who get sunburned usually didn't use enough sunscreen, didn't reapply it after being in the sun, or used an expired product. Your skin is exposed to the sun's harmful UV rays every time you go outside, even on cloudy days and in the winter. So whether you are on vacation or taking a brisk fall walk in your neighborhood, remember to use sunscreen.
How to know if I have genital psoriasis? Mons pubis is flaky and very itchy. Very very itchy and dry too.
I am in 11 STD but my height is just 5 •2 and my weight is 33 I am not able to gain my weight plzz suggest me something to maintain my weight and also height. Plzz help me.
I am 30 years male. I have problem with my mouth smell even I brush regularly I try some mouthfresh.
Sir /mam I have a bad habit of masturbation. Some time I do it daily. And I take 1 litre milk in a day, 500 ml cure in a day and 300-400 ml ghee in a day in my diat. Bt my body is so slim I want to gain weight. How can I gain weight. Plzz give me solution.
I am suffering from fatty liver few days. What precautions should I taken. My SGPT level in blood is 158 SGOT is 75.
I am a 41 year male and having two major disorders. First is my constipation as due to uneven sheduled routine of my professional life I am working in shifts some time day some times night. And due to this I dont feel hungry also. Second issue is in 2007 I met with an accident and faced internal injuries in my right knee joint and my pcl was broken then in the year 2010 I had undergone surgery of high tibial osteotomy in mumbai as my tibial bone alignment got disturbed. Now still I dont feel my right knee as same as my left knee. Just wanted to know how to get my right knee equally intact like left knee joint.
Some people experience symptoms of erectile dysfunction and think of consuming Viagra. Viagra is the market name of a substance called Sildenafil, which is used for the correction of erectile dysfunction. It creates hypertension in the blood vessels, enabling you to get an enhanced erection. Viagra is quite useful for boosting your sexual performance. However, you may experience several side effects on your health. Before deciding on using a pack of Viagra, it is advised to consult a doctor to know the exact dosage that would work for you.
1. 50 mg is the recommended dosage for men in general. The dose can be sometimes increased up to 100 mg. It depends on tolerance and effectiveness. The dose may also be decreased to 25 mg in some cases. It is also advised not to take Viagra more than once a day. The dosage will have to be altered if you take other prescribed medicines.
2. Viagra single packs are also prescribed by doctors. Single packs are available in dosages of 25, 50 and 100 mg.
When should you avoid viagra?
Viagra should be avoided in some cases.
These include the following:
1. In case you take prescribed nitrates for chest pain or pulmonary disorder, your doctor would advise you not to use Viagra due as it increases the risk of high blood pressure, which can be quite disastrous for your health.
2. Many people are allergic to sildenafil, which is a substance present in Viagra.
Side effects of consuming viagra
Viagra causes several serious side effects on the body. Therefore, it is very important to take a doctor’s advice and know about the different adversities. The most common side effects include the following:
1. Priapism: This is a condition where your erection lasts for about four hours or longer and does not end. Permanent damage to the penis is indicated if this condition is not treated.
2. Loss of vision and hearing impairment: Viagra may cause Non-arteritic Anterior Ischemic Optic Neuropathy (NAION). This disorder may lead to loss of vision in one or both the eyes. Tinnitus or hearing impairment is another condition, which may occur as a side effect of consuming Viagra.
You should always consult a doctor before you decide to take as he would know best about the dosage required by your body. He will also advise you about an ideal method of usage.