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Medical Dermatology
Beauty Salon Hazards
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Women and men alike have a wide variety of beauty products and beauty therapies available today. Beauty products used for these procedures can be organic or natural herbal care products. These can range from foot care, hair care, skin care to nail care products. There may be a combination of oils, aromatic extracts and botanical substances in these mixtures. Problems may arise with the use of these products or during treatments.
Beauty Salon Dermatoses
These are dermatoses that appear during or following a visit to a beauty salon. Conditions that arise are often common and frequently diagnosed. These may be trivial or sometimes severe.
Causes:
Inappropriate judgement – of the client's skin type or type of product needed.
Lack of care, expertise and hygiene on the part of the handlers.
Overzealous efforts of handlers
Unpredictable – Allergies to straightening or permanent wave occur commonly in hairdressers. PPD in hair dyes may also cause allergic reactions.
Accidental – hot wax burns or bruises may occur following waxing. Cuts and abrasions may occur after threading.
Coincidental/ episode – Steam scald during a facial, hair iron burn and hot water burn while washing hair.
What is commonly seen?
Commonly seen conditions are as follows:
- Acne and acne like eruptions
- Folliculitis (hair follicle infection)
- Pigmentation following procedures
- Burns or scalds
- Allergic rashes, redness and skin sensitivity
- Viral warts
- Molluscum contagiosum (viral infection causing pearly white lesions)
- Milia (whitehead like eruptions)
One of the common procedures done in a salon is a facial. Here the skin of the client is subjected to cleansing, steaming, massaging, toning and moisturizing in a systematic manner. Side effects like acneiform eruptions, allergies to preservatives, perfumes, solubilizers and other constituents may occur.
Acne treatment with forceful extraction of blackheads and whiteheads may lead to scarring and pigmentation in the form of brown black discoloration. On the other hand professional make-up may cause acne and folliculitis mainly because of sharing and inadequate cleansing of brushes. It may also occur because of stale and outdated makeup.
Hair
Latest fads in hair styling like straightening and colouring cause excessive chemical exposure to the hair. Chemically over treated hair should be regularly conditioned and a mild shampoo used. Repeated handling, like daily blow-drying, ironing, should be minimized. Otherwise, the hair may show textural changes with breakage of hair shaft and frizziness.
Hair treatments like perming, waving, massage, steaming and weaving may lead to hair follicle infection and an itchy scalp.
Henna is used as a common hair colourant in India. Allergies to henna itself or various herbal add-ons can occur.
Eyelid and skin around eyes
False eyelashes and permanent eyeliners may cause local trauma and contact allergies on the areas of application. Eye makeup especially with shimmer and glitter may cause skin irritation and rash.
Viral warts have been seen following threading or waxing. It may occur an spread from as initial lesion elsewhere. Warts may also result from the use of infected threads and strips at the salon.
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Rosacea Treatment
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Rosacea is common skin condition to affect both males and females. It generally presents as redness, eruptions and swelling in central area of face. Generally characterised by a very sensitive skin, it sometimes makes patients difficult to go out in sun or use normal moisturisers. Flares can be specially disturbing and need to be addressed on a priority basis.
Rosacea is quite a common skin disease. It frequently starts with a tendency to blush or flush more easily than other individuals do. As time passes, individual with rosacea might notice permanent redness in the center of their face. This redness can gradually spread beyond the nose and the cheeks to the chin and forehead.
Rosacea can actually cause more than just redness. Several other conditions such as visible blood vessels on the face, acne like breakouts, and dry irritated eyes can be caused by rosacea. Dermatologists mainly divide rosacea into 4 sub types to treat the diverse signs and symptoms.
If you think that you are suffering from rosacea, then you are on the right page. Skin and Surgery International has experise to diagnose and treat the signs and symptoms of rosacea. Early rosacea treatment could stop the disease from spreading. We have well experienced dermatologists and cosmetic surgeons who are well versed in treating all types of skin diseases including rosacea.
Rosacea treatment involves our dermatologist identifying the subtype or subtypes of the disease that are present on the patient's skin. The diagnosis is extremely vital as each subtype has its own unique signs and symptoms, which frequently require different therapies.
Given are some signs and symptoms of Rosacea:
- Tendency to go red frequently or easily
- Noticeable flushing or going red on consumption of spicy foods, hot drinks or alcoholic beverages
- Flushing or redness that is more pronounced during extreme hot and cold weather
- Visibility of tiny blood vessels and pimples, without blackheads on or around the reddened area on your face
- Extreme sensitivity with the touch of the hairspray on your face or when you use some facial products such as moisturizers, soap or cosmetics
Rosacea Treatment options available are
- Diagnosis of rosacea
- Treatment of acute phase/ eruptions
- Remission induction
- Maintenance of remission
- Lifestyle and diet counselling
- Treatment of sequalae
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Eczema & Atopic Dermatitis
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We recognise the fact that both these conditions are dependent on both external and internal factors. Our treatment protocol for these conditions, thus targets it from all directions.
Options available are
- Patient education
- Lifestyle modification
- Allergy testing
- Treatment of acute episodes
- Starting remissions
- Maintenance of remissions long term
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Mole Removal Treatment
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Every one of us has moles some hardly visible, some which are our identity feature and some bothersome. While most times there is no need to actively remove or treat moles, it is important to differentiate them from viral infections, seborrheic dermatoses, freckles. Consulting your dermatologist should be given a priority if you notice any of the following changes in any of your moles.
Features of cancer/ malignant changes in moles
- Sudden new growth
- Pain/ itching in the mole
- Spontaneous bleeding from the mole
- Colour changes in the mole or it's borders
We offer following treatment options for mole treatments
- Full body examination and mole screening
- Surgical removal
- Scar less removal
- Laser removal
- Radiofrequency removal
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Acne Scars Treatment
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- Dermaroller: It's an instrument to restart micropillars of healing. Used to fill up superficial as well as deep acne scars.
- Dermastamp- Used for localised depressed scars.
- IPL- heats up the dermis and stimulates new collagen formation. Useful for treating redness and post acne red scars.
- Deep Chemical Peels- Specially useful for hyperpigmented and deep pitted acne scars.
- TCA CROSS
- Autologous fat transfer
- Subscission- Subcutaneous sectioning of dermal adhesions with a sharp needle under local anaesthesia. This has the effect of lifting up of adhered scars. We generally use this modality before starting other acne scar treatments to achieve results which otherwise would not be possible.
- Dermal Fillers- These are used to raise sunken scars with an immediate effect for people who don't have much time on their hands and come just before important events like marriage, social events, interviews etc.
- IAL/ Vital hydration- We prefer to use it for patients who are satisfied with nothing but the best. It's done either alone for magical improvement in acne scars, skin smoothness or after other acne scar treatments are over to achieve a perfectly spotless radiant look.
- Laser Resurfacing- Our new "secret weapon" in treating acne scars is fractional resurfacing with CO2 laser. It ensures a unique delivery of energy to stimulate new collagen growth to reduce & remove scar tissue. It has minimum downtime and alleviates textural differences in scars.
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Vitiligo Treatment
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Treatment options available with us for Vitiligo are both medical as well as surgical.
Medical treatments
we offer all the standard medical treatments like phototherapy, , immunomodulators, cream applications, pseudocatalase and local injections. Treatment modality for each case is selected after careful review of history.
Surgical treatments
When it comes to Vitiligo treatments, surgery is our specialisation.
Our armamentarium includes surgeries like
- Surgical excision
- Tattooing
- Punch grafting
- Split thickness skin grafting
- Skin grafting
- Hair transplant
- Melanocyte suspension grafting
- Melanocyte culture grafting
Vitiligo treatment in Pune We take utmost care to choose surgical procedure which will offer most comprehensive results for patients.
Our seriousness towards dealing with this big social stigma is reflected by fact that full counselling facilities are available for patients before they choose to go ahead with any of the treatment methodology. In addition, we have some exclusive in house medications specially developed to deal with Vitiligo patients developed after years of research on pathogenesis of Vitiligo.
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Seborrheic Dermatitis
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Though apparently benign, it can cause significant distress to the patients and may limit their quality of life. Symptoms are itchy scaly and red sensitive skin. Most commonly affected areas are scalp, face and chest. We offer treatments which take into consideration various factors like age of patient as well as area affected.
Options available are
- Diagnosis
- Skin and hair care product advice
- Lifestyle modification
- Medical intensive treatment
- Long term maintenance after subsidence of symptoms
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Psoriasis Treatment
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Psoriasis can range in disease severity from very mild to life threatening. Treatment and management of psoriasis requires long term close working together of treating physician and patient. In most circumstances we can ensure a close to normal lifestyle for patient without any side effects of medication on patient. Depending upon the severity of symptoms we allow you to discuss and opt for treatment options which will be easy to incorporate into your daily regime as well as very effective.
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Acne Treatment
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It is a common problem faced by both men and women in their teens to 50's. The best part about this dreaded condition is that it is completely curable. Acne is associated with many a times with turbulent adolescent years and treatment becomes a necessity as acne can severly damage an individuals' self image.
Before prescribing treatment at our clinic, we take into consideration several factors like severity, type of acne, age, skin type, lifestyle, co-existing conditions, hormonal profile and motivation for the treatment. Also there are multitudes of treatment options available with us which are chosen according to timeline given by the patient.
Acne is a common inflammatory skin disease that primarily affects the face, chest, neck and upper back. It's mainly caused due to an interaction between hormones, bacteria and sebum produced by the sebaceous glands in the skin. The symptoms of acne are comedones (pimples), pustiles (lessions filled with pus) and occasionally cysts. Many think that acne tends to develop at puberty, however, it's been seen that several women have acne throughout life or it might develop in adulthood. Acne can develop premenstrually or might be linked with the talking or stopping of oral contraceptive pills. This is perhaps caused by changing hormone levels.
The treatment for acne depends on severity as mild cases might be alleviated by washing the face with a gentle toilet soap or by drying agents such as benzoyl peroxide which can be found in most acne products. If the acne is severe, then it might require oral treatment with such as tetracycline or hormone therapy such as dianette, which also act as a contraceptive. As far as the treatment for this condition is concerned, your doctor or dermatologist might recommend a prescription medication to you to apply to your skin or to take by mouth.
Types of Acne Treatments:- Over the Counter Treatments: Acne lotions could dry up the oil, kill the bacteria and promote sloughing of dead skin cells. The lotions which are obtained over the counter are usually mild and contain benzoyl peroxide, resorcinol, sulfur, salicylic acid or sulfur as their active ingredient. All these products can be extremely helpful for very mild acne. There would also be some side effects from over the counter medications initially such as dryness, skin irritation and flaking.
- Laser-Light Therapy: Laser and light based therapies reach the deeper layers of the skin without harming the skin's surface. Many think that this treatment damages the oil (sebaceous) glands, causing them to produce less oil. The light therapy targets the bacteria that leads to acne inflammation. Such therapies also helps in improving the texture of the skin and reduce the appearance of scars. The research currently available is not enough and more of it is required to understand the most effective use of light and laser therapies in the treatment of acne.
Procedures such as microdermabrasion and chemical peels might be helpful in controlling acne. These cosmetic procedures, which have conventionally been used to reduce the appearance of fine lines, minor facial scars and sun damage are most efficient when used in combination with other acne treatments. They might cause temporary, stern redness, blistering and scaring and long term discoloration of the skin.
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Pigmentation Treatment
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Treatment: Various peels like glycolic and TCA help in lightening freckles. For more stubborn variety light systems like the IPL and lasers like the Q switched NdYag and KTP can be used. Minimal sun exposure, sunscreen and skin brightening and lightening cosmeceuticals will help to keep the pigment at bay.
Solar Lentigines: These are flat pigmented 1to 3cm lesions present mainly on sun exposed areas. They start to appear in the third decade of life.
Treatment: Everyday use of sunscreen is an absolute must. TCA peels, Intense Pulsed Light systems and lasers such as KTP and Q Switched NdYag can remove them completely.
Melasma: Is a stubborn pigmentation seen mainly in women. Occasionally, men too get affected by this condition. It is characterized by a patchy tan or brown discoloration that occurs over the upper lip, cheeks, forehead, chin and bridge of the nose. The areas affected are bilateral and frequently symmetrical.
The majority of cases are due to sun exposure, hormonal changes such as pregnancy, menopause, oral contraceptive pills and familial predisposition.
Treatment: Melasma is a stubborn condition and requires multiple sessions of treatments. Often 2 or more treatments are combined to give better results. Epidermal melasma (superficial) responds better and faster to treatment. Sunscreens form the most essential part of treatment of melasma. A variety of depigmenting agents such as Hydroquinone, Kojic acid, Glycolic acid, Retinoic acid etc can aid in the treatment of melasma. In addition to this, superficial peels such as Glycolic acid peels and Salicylic acid peels; moderately deep peels such as 50% glycolic acid and TCA, as well as deeper peels such as Cosmelan can be used to treat melasma. Lasers such as Q switched NdYag show limited results. Light systems like the IPL, as well as Microdermabrasion, Meso therapy has also been successful in treating melasma depending upon the depth and intensity of pigment.
Once the pigmentation has cleared, a maintenance treatment with sunscreens and skin lightening products must be continued to prevent recurrences. Maintenance treatments once in two or three months are advised in stubborn cases of Melasma.
Post-inflammatory hyperpigmentation (PIH): This occurs following any kind of mechanical, physical, chemical trauma. An acute or chronic inflammatory process like acne, psoriasis, drugs, cosmetics, friction, too can cause PIH. Following trauma, the pigment producing cells produce excess melanin pigment as a part of the healing process.
Treatment: Glycolic Acid Peels, Meso Therapy, Cosmelan Peel, Light Systems such as IPL, lasers like the Q Switched NdYag can treat PIH successfully. Minimal sun exposure is advised. Sunscreens with SPF 30 daily and skin lightening Cosmeceuticals can be used to treat PIH effectively.
Besides these common conditions, there are various dermatological disorders and systemic conditions including drugs and medications, which may lead to pigmentation.
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Wart Removal Treatment
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Various treatment options we have available at our clinic for wart removal are
- Cryotherapy
- Radiofrequency ablation
- Laser
- Local injection
- Immunotherapy like DNCB, Podophyllin.
- Topical creams for home application
- Autoinoculation for resistant cases.
- Follow-up check ups.
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