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Thursday, 19 April 2012

Open pores – there is no such dermatological term !!!!

As a dermatologist, I get patients who come looking for cure of open pores on their face which are impacting their looks and confidence. I have not read about open pores as a disease and couldn’t find any reference to the same in my standard dermatology textbooks. Hence, I decided to research about “open pores” and started to look for scientific data; this is the summary of information gathered and my understanding of open pores.


  1. How do I recognise that I have open pores?
  2. Why me! Why do I get these open pores?
  3. Can we prevent development of new open pores?
  4. Can I get rid of the open pores that I have?


For answers, click:






Wednesday, 18 April 2012

Wrinkles – can I stop them by changing my lifestyle?






Yups! healthy life style not only adds extra years to your healthy life, but also sheds years off your skin. This is so because besides genetically determined intrinsic ageing, our daily activities are responsible for 80% of ageing process and this is termed as EXTRINSIC AGEING.





For FULL article, click:
Wrinkle- Can I Stop Them by Changing My Lifestyle @ Dermatocare.com

Disclaimer- The content of this page is meant for information purpose only and not not meant for medical use.As everybody skin behaves differently so the author is not responsible for any damage or losses or side effects arising from the use or following the information provided on this page. Also certain topics in this page are still controversial so the author is sharing her views based on her experience and knowledge. Any wrong content or discrepancies in thought are invited for discussions and if needed can be corrected based on the facts. The results expected with skin care products are not universally applicable as each individuals skin behaves differently. The author is not responsible for any adverse event that arises out of following my opinion, however such negative and positive feedback will help me improve. Kindly seek dermatologist advice for skin care, acne, redness, irritation, dark patches or any other skin problem. Kindly note for medico-legal reasons I have not listed prescribed skin care products which are specially formulated according to skin types and are cost effective too. Also, the author has no monetary association with above listed brands, there are thousands of skin care products in the market I have chosen few of them to start with. Kindly note all the photographs in this blog are taken from Google images.

 Your invaluable comments, queries and Facebook likes will help me in my effort of Dermato-awareness- working towards healthy, radiant and flawless skin.
     
      Dr Surbhi, MD (Skin

Saturday, 14 April 2012

Dry skin type

Your faces skins feels stretched and tight after washing and sometimes gets flaky giving patchy dull and look. If you skip moisturiser, fine lines appear and in severe case, itching and redness can occur. Dry skin could be inherited however there are certain factors that increase dryness of skin, simple precautions can drastically improve your skin:
  1. Attention to environment
    1. Low humidity: Air conditioning and central heating should be restricted. Placing open container containing water or indoor plants is helpful.
    2. Wind: can increase evaporation of water from skin. So, protect with clothing.
    3. Prolong sun exposure: UV rays of sun increase dryness, sensitivity and pigmentation, so daily use of sunscreen that will suit your sensitive skin and other methods as detailed in Blog  summer skin care are essential for you.
    4. Cold weather: wear protective clothing however, avoid woollens as they can irritate dry skin further.
    5. Frequent air travel exposes dry skin to low humidity and UV rays exposure through air plane windows:  Put moisturisers followed by sunscreen before flight.
  2. Avoidance of irritants and friction:
    1. Avoid soaps, detergents and other cleansing agents, alcohol based toners, bleach, home remedies like lemon because protective barrier of dry skin is compromised so irritants can penetrate easily leading to redness and itching. In general “Anything that causes burning, irritation or redness on your face should be washed off immediately.”
    2. Avoid prolong soaking of body in water like bath tubs, swimming, and use of multiple buckets for bath: for you quick shower or single bucket bath is better.
    3. Avoid friction like rubbing of face with towel after cleansing, instead pat dry with a soft towel.
  3. General physician consultation: To substitute medicines (especially cholesterol lowering drugs, diuretics) that our known to cause dryness. Also to rule out any systemic disease (like hypothyroidism, chronic renal or liver disease) associated with dry skin especially if your general health is getting worse.
  4. Proper skin care regime:  Dry skin is easy to tackle because all it need is moisturiser and avoidance of irritants. So again I will be summarising ongoing dry skin care in my “Six Basic Steps of skin care”
    1. Face wash: Choosing right type of face wash (not soap) that does not strip natural moisturising factors of dry skin is essential. Creamy cleansers that does not foam or lather vigorously preferred. In case of severe dryness, apply moisturising cream and wipe the face with cotton. Restrict cleansing to twice a day. Steps of effective face wash:
      1. Wash your hands first.
      2. Splash tepid (not hot or cold water) generously on face.
      3. Massage cleanser on face gently for not more than a minute but do include areas around eye, nose and mouth.
      4. Rinse well with tepid water( not hot or cold).
      5. Always pat dry (rather than rubbing) your face with soft towel.Always apply moisturiser immediately after pad drying your face to trap the water.
      • BRAND RECOMMENDATION
        • Dove beauty moisture face wash 
        • Olay regenerist cream cleanser 
          • Neurogena extra gentle cleanser face wash
          • Garnier essential care gentle cleansing milk
          • Vichy pure termale cleansers
    2. Day cream with sun protection: Sun exposure also increases dryness, so always put sunscreens if you step out in sun. Prevention of dark spots and wrinkles is additional advantage. Sunscreens are usually oily and are as good as applying moisturizers in morning. SPF of 15 is enough indoors, however SPF of at least 30 is required once you step out. You might feel dry and tight after an hour or two, re-apply moisturizer- thick moisturizing creams if skin is very dry like in winters or lighter creams or lotion if your skin is slightly dry. Frequency of applying moisturiser will depend on the feel of skin: “If you feel the stretch and tightness, your thirsty skin is craving for moisturizer.” I would recommend bland creams without anti-ageing or skin lightening agents if your skin is flaky and red. Look for ingredients like petrolatum, Lanolin, squalene, paraffin, olive or mineral oils, dimethicone, propylene glycol, glycerin, hyaluronic acid, aloe vera, cocoa butter, shea butter, oatmeal, ceramides, niacinamide in your moisturizing creams etc.
      • Olay regenerist regenerating cream
      • Neutrogena fine fairness cream with SPF 20
      • Vichy aqualia thermal light cream
    3. Night cream with anti-ageing ingredients: Effective anti-ageing ingredients like retinoic acid can further increase dryness, so you need either hyaluronic acid or Vitamin C based anti-ageing product. You can also try Olay regenerist because it contains a molecule that works like retinol but does not cause dryness.
      • Olay regenerist night firming cream
      • Neutrogena light night cream
      • Garnier Nourishing cold cream

    4. Exfoliation: helps to remove dead skin cells and improve the dull ashy look of your skin.
      1. Scrubs: Cause micro-trauma and may induce inflammation in dry skin, so use gentle microbeads based rather than nut shell based scrub. Use scrub gently once a week. Discontinue if you develop itching, burning, redness, flakiness or rash.
          • Loreal- Pearl perfect scrub
          • Vichy- Purete Termale Detoxifying Scrub
      2. Peels: Glycolic acid/lactic acid/ mandelic acid/ combination peels done once in a month at dermatologist clinic is excellent way to remove dead skin layer and rejuvenate your skin. Dark spot and fine lines reduction is additional benefit.
    1. Face pack: I would not recommend Facials because over-scrubbing can irritate dry skin, over-message as done in parlours increase sagging of skin and steaming can further increase the dryness though it may give temporary relief from stretch and tightness. You can try two-step home facials once a week: do gentle scrubbing followed by a hydrating face pack followed by a moisturising cream.



Morning
Night
Once a week
  • Wash your face with creamy cleanser meant for dry skin.
  • Apply sunscreen.
  • Re-apply moisturiser every time you feel the stretch or dryness.






  •    Wash your face with creamy cleanser.
  •         Apply thick moisturising cream with anti-ageing ingredients.


Exfoliate gently with microbeads based scrub followed by hydrating face pack. Apply moisturiser.
Dermatologist consultation required if you have redness, rash or itching and if above regime for a month does not help.






Your valuable comments, Facebook like and shares will help me in my campaign of Dermato-awreness.- working towards healthy, radiant and flawless skin.
                                                                                                                         Dr Surbhi, MD Skin

Wednesday, 11 April 2012

COMMON SKIN PROBLEMS: MYTHS & FACTS


A flawless skin is one thing that everyone desires, and that’s precisely the reason people try to take all the advice/remedies to get a glowing face and skin. Its important to separate the myths from the facts so we make the right choices. Today’s article we would try to bust some myths and share some facts with you, a step that would help you to make a step towards a health skin.

ACNE (PIMPLES)
Acne affects 85% of the people during adolescence and early youth

Ø  MYTH: Acne is very common and does not require active care and treatment.
Ø  FACT:
o   True, acne is very common and is part of hormonal changes that occur during puberty.
o   Acne beyond 25 years is unusual and are triggered by hormonal changes, cosmetics and stress.
o   Acne need treatment if
§  simple measures like washing  face three times a day and avoiding  oily creams don’t help
§  pimples are increasing in number and size ,become red coloured or develop pus in them or leave marks on healing
§  pimples occur beyond 25 years of age.

Ø  MYTH: Squeezing pimples to release pus leads to early healing.
Ø  FACT: Squeezing or even frequent touching pimples deepens inflammation and increases chances of acne scars and pigmentation. So, never fiddle with your pimples and don’t rub your face vigorously after washing.

Ø  MYTH: Oily food increases tendency for pimples
Ø  FACT: Studies so far negates this fact, so avoid fatty food not for your face but for your heart.

Ø  MYTH: Steroid creams like betnovate, lobate, tenovate, steriderm etc. decrease pimples.
Ø  FACT: All these are potent and super potent steroids which are contraindicated for facial application. They reduce pimples temporarily. Long term use of these steroid creams on face causes thin skin, increase hair growth and redness of face.

Ø  MYTH: There is no treatment for acne scars.
Ø  FACT: Acne scars can be reduced by procedures like TCA peels, derma rollers and lasers depending on patient’s requirement.

MELASMA
                                                                
Ø  MYTH: Pregnancy is the only trigger for blemishes.
Ø  FACT: Precipitating factors include
o   Pregnancy
o   hormonal replacement treatment or oral contraceptive pills
o   menstrual irregularities
o   thyroid abnormality
o   stress
o   iron or other dietary deficiencies
o   medications
o   cosmetics
o   sun exposure – stimulate pigment forming cells
§  Sun exposure restriction is of prime importance which can be achieved by regular use of medicated sunscreen and covering your face with cloth.



ECZEMA (ALLERGY)

Ø  MYTH: Eczema is usually triggered by food we eat.
Ø  FACT: Eczema can be classified as exogenous and endogenous depending on whether external factors or body’s own constitution is predisposing to eczema respectively. Exogenous eczema is rarely triggered by eatables, rather allergens that come in contact with skin cause allergic manifestation. Common allergens include
o   nickel (in artificial jewelry, door handles, key chains, coins, belts etc.)
o   PPD (in hair dye and kali mehendi)
o   plants (most common Congress grass in India) etc.

Ø  MYTH: Steroids are the only treatment for eczema and they are completely unsafe.
Ø  FACT: Most important is to recognise the allergen and avoiding it altogether as in case of hair dye. But allergens which can’t be completely avoided require long term treatment. Steroid creams and tablets if prescribed in adequate amount and strength are safe. If patient is still not controlled, steroid sparing agents are now available though they are more expensive.


HAIR FALL

Ø  MYTH: Hair fall is due to change in water or shampoo.
Ø  FACT: Hair fall is one of most common symptom of chronic stress, besides this iron deficiency, thyroid abnormality, menstrual problems, certain medications, crash dieting are common causes in females. While Male pattern baldness is common cause in males and requires a long term treatment.


FUNGAL INFECTION (RING WORM)

Ø  MYTH:  Fungal infection is common in summer and rainy season.
Ø  FACT: True, fungal infection usually occur in body folds like groin, arm pits under breast or in between toes and fingers due to collection of sweat during hot and humid climate. Patients should thoroughly dry these folds after washing and wear cotton garments.

WARTS

Ø  MYTH: Warts are due to repeated pressure on skin.
Ø  FACT: Warts are caused by a virus while corns are caused by chronic friction or pressure on skin of sole. Warts can spread by contact, so patients should not share their towels and soaps and take treatment early before warts increase in number.
   


Skin care during swimming




Temperature is soaring and swimming becomes a great get away from this super summer. We are all aware that we get tanned during swimming, but apart from that there are few other things that we should be aware of. Chlorine added  in swimming pool water to kill bacterial growth can strip oils from your skin leading to  dry flaky skin and split ends in hair. Also, swimming under bright sun exposes skin to damaging UV Rays leading to tanning, rash and sunburns
To prevent or minimise any damage to skin and hair do the following steps to prevent/minimize skin damage

Before you get into your pool

  1. Moisturizer on body and oil/serum on your hair to diminish effect of chlorine on skin and hair.
  2.        Wear swimming cap and goggles to protect hair and eyes.
  3. If you plan to swim under bright sun, apply water resistant sunscreen
  •     At least 15 minutes before entering pool
  •     On all uncovered body parts.
  •      Put dots of sunscreen and spread it to forma  uniform coat. 
  1. Take thorough body and hair wash with soap and conditioning shampoo to rinse off chlorine.
  1. Pad dry rather than rubbing with towel.
  1. Apply moisturiser immediately on slightly wet body
  1.        
    In case you have fungal infection or warts, get them treated to reduce the risk of spreading to others.
  1.        
    If you develop abnormal itching or rash, contact dermatologist.



AFTER SWIMMINGo   Olive oil or white petrolatum for dry skin.
o   Lotion based moisturisers for normal to oily skin.
WATCH OUTS


Tuesday, 10 April 2012

Dark patches- would they ever fade?


“I have tried best of cream and facials, but dark patches on my face never say good bye”.

This is what most of my patients with dark patches complain off.  The fact is pigmented skin is quit resistant even to medical treatment leave aside creams or facials.  However, addressing the cause behind dark patches, treatment from experienced Dermatologist and following the maintenance regime thereafter is recommended.


  • What are dark patches?
  • What is the cause behind my dark patches?
  • How can I know and address the causes behind my dark patches?
  • How important is sun protection in treatment and prevention of dark patches?
  • What kind of skin care regime I should follow?
  • What are the treatment options available with the Dermatologist?



For answers, click:



Disclaimer- The content of this page is meant for information purpose only and not not meant for medical use.As everybody skin behaves differently so the author is not responsible for any damage or losses or side effects arising from the use or following the information provided on this page. Also certain topics in this page are still controversial so the author is sharing her views based on her experience and knowledge. Any wrong content or discrepancies in thought are invited for discussions and if needed can be corrected based on the facts. The results expected with skin care products are not universally applicable as each individuals skin behaves differently. The author is not responsible for any adverse event that arises out of following my opinion, however such negative and positive feedback will help me improve. Kindly seek dermatologist advice for skin care, acne, redness, irritation, dark patches or any other skin problem. Kindly note for medico-legal reasons I have not listed prescribed skin care products which are specially formulated according to skin types and are cost effective too. Also, the author has no monetary association with above listed brands, there are thousands of skin care products in the market I have chosen few of them to start with. Kindly note all the photographs in this blog are taken form Google images.
Your invaluable comments, queries and Facebook likes will help me in my effort of Dermato-awareness- working towards healthy, radiant and flawless skin.
Dr Surbhi, MD (Skin) 






Monday, 9 April 2012

Sensitive skin- Are you treating your skin like a guinea pig?

“My face gets red in sun and nothing seems to suit my sensitive skin.”
Sensitivity on skin due to prolonged exposure to bright sun or very harsh chemicals can occur once in a while; but sensitive skins struggle in day to day life looking for the product that would suit their skin and feel embarrassed with the way their face turns red in sun or with emotional triggers.



  • What are the problems that sensitive skin faces?
  • Why me? Why my skin is sensitive?
  • What should I do when my face develops redness, irritation or rash?
  • How do I decide which product is best for my sensitive skin?
  • What are the skin care or aesthetic procedures that sensitive skin should avoid?
  • How do I take care of my sensitive skin?
  • Are there any lifestyle changes that can help soothe my sensitive skin?
  • How do I choose my cosmetics?
For answers, click:



Disclaimer- The content of this page is meant for information purpose only and not not meant for medical use.As everybody skin behaves differently so the author is not responsible for any damage or losses or side effects arising from the use or following the information provided on this page. Also certain topics in this page are still controversial so the author is sharing her views based on her experience and knowledge. Any wrong content or discrepancies in thought are invited for discussions and if needed can be corrected based on the facts. The results expected with skin care products are not universally applicable as each individuals skin behaves differently. The author is not responsible for any adverse event that arises out of following my opinion, however such negative and positive feedback will help me improve. Kindly seek dermatologist advice for skin care, acne, redness, irritation, dark patches or any other skin problem. Kindly note for medico-legal reasons I have not listed prescribed skin care products which are specially formulated according to skin types and are cost effective too. Also, the author has no monetary association with above listed brands, there are thousands of skin care products in the market I have chosen few of them to start with. Kindly note all the photographs in this blog are taken from Google images.

 Your invaluable comments, queries and Facebook likes will help me in my effort of Dermato-awareness- working towards healthy, radiant and flawless skin. 
Dr Surbhi, MD (Skin)


Friday, 6 April 2012

Atopic Dermatitis- how to prevent flares!


“My son’s skin is always scratching, his neck remains dirty no matter how much I scrub and his skin gets real dry in winters.”

The word ‘Atopic dermatitis(AD)s or infantile eczema’ is engraved in minds of parents who see their kids itching all the time and they keep on wishing things will get better with age. However, with constant endeavour to keep the skin of your child oily and avoiding common triggers of AD you can can put an end to the agony that your child is going through.






  1. What is Atopic dermatitis(AD)?
  2. What are symptoms of Atopic dermatitis?
  3. What are the chances of inheritance of atopic dermatitis?
  4. When will my child get better?
  5. What are chances of my kid developing asthma?
  6. What can I do to reduce flare ups?
  7. How is Atopic Dermatitis treated? 


For answers, click:







Wednesday, 4 April 2012

Hair Care- simple tips to manage your mane!!!

I have tried almost everything- rebounding, coloring, hair spas but nothing seems to last for long.






For FULL article, click:

Hair Care @ Dermatocare.com