Blog

Wed, 13 Mar 2019 07:37

Acne vs Rosacea

  ACNE ROSACEA
Who is most likely to get it?

Teenagers
Adult women: chin
Adult men: back

Over 30 year old
Women > Men
Fair skinned

Causes:

Hormonal changes
Blocked pores
Stress
Medications
Family history

Sunlight
Strenuous exercise
Temperature extremes
Hot foods or beverages
Spicy foods
Alcohol
Stress
Embarrassment
Anger
Corticosteroids, such as prednisone
Drugs that dilate blood vessels, such as some blood pressure medications

Presentation:


Pimples
Blackheads
Whiteheads
Cysts
Inflammation

Redness - Flushing
Pimples

Affected areas:

Face
Torso
Back
Anywhere on body
Never Eyes

 

Facial T- Zone and cheeks
Nose and or Eyes

 

I would like to honor all the women and men that have been affected by this disease.

A very close friend of mine was diagnosed with Breast Cancer in 2016.  Her experience shed a personal light on how this diagnosis affects the person as well as their surrounding family and friends. She describes it as a stone being thrown in water and how the ripples start with the affected person to affect relationships with husband, children, other family, friends and eventually the wider community.  During her journey of treatments, she developed a desire to help other women that are just starting theirs.   She is active in her community to assist those people that are newly diagnosed. Amongst other things she compiled a list of practical tips and advice for everyone involved based on her experience.

Most important of all she states: “Don’t stop living!  You are still alive!”

 

pink ribbon                                        

 

What you will need on this journey

  • A good pair of hands to keep you strong - rely on the help of family and friends
  • A strong will to get better - until you can manage yourself again
  • To be able to let go of your shame - you will need help to be washed sometimes
  • A belief and trust that you will get better
  • A sense of humor for what is happening and try to see humor in situations you are experiencing
  • A Journal – write down your experiences and feelings

Don’ts for yourself 

  • Don’t listen to negative cancer stories - listen to happy endings
  • Don’t roll around at night. Use a sleeping pill
  • Don't let yourself get into a dark hole - there is medication to help
  • Don’t skip your painkillers - use as indicated to prevent pain
  • Don’t stop living - you are still alive

Don’ts for your family and friends

  • Don’t faff over me
  • Don’t give me a lot of advice - I will ask
  • Don’t preach to me - I do know God
  • Don’t give me long pieces to read or lots of bible verses - I don’t have time to read now

Practical tips - what you will need in hospital if you go for surgery

  • 2 memory foam pillows
  • Lots of water and water bottle with straw
  • Something sweet
  • A magazine/ book
  • A journal and pen
  • Pajamas that has buttons on the front
  • A nightdress - for the first day with catheter – preferably also with buttons
  • A bag to hold wound drain. The drains and catheter may be overwhelming for visitors and little children – covering it up make it easier for those visiting you. It also helps you to move around with it.
  • A bag to hold catheter bag
  • Large Diaper like pins – it helps to pin catheter and wound drain bag to your clothes.
  • Your tight band
  • Nightgown
  • 3 spaghetti strap tops
  • 3 tops with broad shoulder straps
  • Something special like a bracelet or chain
  • A Red bra. You won’t be wearing it for a while.
  • Own towel
  • Money
  • Bible
  • 2 washcloths - face, body
  • Body wash/ soap
  • Toiletries/ Brush
  • If you enjoy a bath – take one the night before going into hospital.

Practical tips – what you will need at home when you have to go to hospital

  • Someone that will help you wash when you get back home
  • If possible handheld showerhead in bath
  • Sticky mat to use in the bath
  • Clothes with buttons in front – you won’t be able to lift your arms for a while
  • Someone on standby that will be available to help you get to doctors and other appointments
  • Be prepared with food: stock your pantry– for at least the first week.
  • Travel pillow – helps underneath your arm
  • Arm sling

Practical tips – moms with little children

  • Make them part of your journey
  • Don’t lie to them
  • Try to provide as much information as they can handle – it helps them to cope
  • Take them to chemotherapy sessions with you one by one
  • Let them help you shave off your hair – it helps them to cope
  • Take something small with you to hospital to spoil them with when they come to visit
  • Take a permanent marker with you to hospital – when they come to visit draw a heart on their hands that they can kiss when they miss you.
  • Write a letter to them before you go to the hospital so that they will know how much you love them.

Thank you Retha for letting me share your material. 

Monthly self-examination of your breasts as well as a routine yearly breast examination by a doctor is an integral part of routine female health checks. 

Routine yearly mammography is also advised if you are 40 years of age or older

For further information on women’s health, breast health, mammography or any other related question please contact me at:

Tel: 084-726-1769

E-mail:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Thu, 19 Jul 2018 08:40

 TCA CROSS

 TCA CROSS

​Stands for the ​C​ hemical ​R​ econstruction of ​S​ kin ​S​ cars (CROSS) using ​ T​ ri ​C​ hloro ​A​ cetic acid (TCA). Acne is a common inflammatory skin condition and may result in atrophic, hypertrophic or keloid scars. ​TCA CROSS​ is used to treat atrophic acne scars. ​ The treatment aims to improve the appearance of the scar. During the procedure small amounts of TCA at very high concentrations is applied to the base of the atrophic scar. This causes and inflammatory reaction which in turn lead to the increase in collagen formation which helps to decrease the scar depression.​


When is TCA CROSS used?

TCA CROSS is ​most ​useful in the ​treatment of the ​following types of atrophic scar:

  • Boxcar acne scars
  • Rolling acne scars
  • Ice-pick acne scars
​The TCA CROSS procedure
  • ​The treatment is usually preceded by 2 weeks of a prescribed cream and followed by 4 weeks of using the same cream.   
  • A local anaesthetic is applied 30 min prior to the treatment.
  •  The patient 
    ​lies down in a comfortable position depending on the area to be treated.
  • The skin is cleansed 
    ​.
  • At this point the treating professional may perform an additional procedure to enhance the effect of the TCA CROSS procedure.
  •  A fine instrument  is 
    ​used to​ 
     appl 
    ​y TCA ​
     to the base of theatrophicscar 
    ​(s)​
     .
  • The instrument is removed at the start of frosting 
    ​(the skin appearing white) ​
     of the skin surface (usually within 10 seconds).
  • The skin is intermittently cleansed 
    ​.​
     

​After the procedure

  • Frosting of the scar surface  
    ​may​
     last up to 12 hours
  • The skin around the treated sites 
    ​may ​
     be red and sore for 24 to 48 hours
  • After 2 to 3 days a small scab will develop, which falls off after 3 to 7 days
  • He or she may wash as normal, and may apply make-up if desired
  • Sunscreen is 
    ​mandatory 
     to reduce the chance of pigmentation
  • ​Apply prescription cream for 4 weeks after procedure
  • Response to treatment will be monitored at recommended intervals.​
     

Most patients require 3 to 6 treatments with TCA CROSS for optimum improvement. Treatments may be repeated at 2 to 8 week intervals over 6 months.

Complications of TCA CROSS

TCA CROSS is generally well tolerated . Complications are rare when treatment is undertaken by an expert. They may include:

  • Prolonged local irritation and erythema
  • Damage to mucosal surfaces, ie lip, nostril, conjunctiva or cornea (eye) leading to painful ulceration and potential scarring, if TCA is inadvertently deposited on these sites
  • Post-inflammatory hyperpigmention (usually transient) or hypopigmentation (may be permanent)
  • Coalescence of adjacent scars to form larger scars
  • Sub-optimal response or lack of improvement in scarring
​Treatments that can be used with CROSS TCA to enhance effect

​These treatments will be discussed seperately.​
 

TheraClear™ Acne System combines light and vacuum for fast and visible reduction in acne and associated redness and scarring.  TheraClear™ Acne Surgery Insert treats some of the severest forms of acne in just a single treatment.
Successful treatment of acne without the use of medication.

Follow the link to learn more about how it works.

http://www.theraclear.com/how-theraclear-works

Book your treatment session today!

21-28 MAY is International Thyroid awareness week.

The thyroid hormone has a “finger in the pie” of just about all of our bodily systems.
Follow the link below to find out more.
www.buttonyourshirtup.com

 

Thu, 29 Mar 2018 11:25

Natural Ways To Fight the Flu

The flu season is on its way.  Give your immune system a boost in advance with these all natural remedies:

 

1. Add the following to your diet

image4   image2  image1  image3

   

Variety in diet is very important to ensure that you get the benefit of all the different food groups.

  • Citrus fruits

Vitamin C helps to build up your immune system which is why this is usually the first ingredient people turn to when they catch a cold.  Your body does not store or produce Vitamin C therefore you need a constant supply for continued health.  All citrus fruits are good sources of Vitamin C.

  • Papaya

Papayas also contain large amounts of vitamin C and is rich in potassium, folate and B vitamins all of which plays an important role in the functioning of your immune system.  Papain is a digestive enzyme found in papayas with anti- inflammatory properties.

  • Red Bell Peppers

By eating these you give yourself a big boost of beta carotene.  This is the anti- oxidant found in most yellow and orange vegetables and fruits.  Beta carotene is converted in your body to vitamin A, which plays an important part in keeping your eyes, skin and mucous membranes healthy.  Your mucus membranes are usually the first point of contact between your body and germs.

Vitamin A is also proven to help with regulation of the immune system.

Red bell peppers also contain at least twice as much vitamin C than citrus.

  • Ginger

Ginger is a natural anti-inflammatory which can help reduce a sore throat and other forms of inflammation.   Ginger is very effective to help fight nausea.  It also promotes sweating and as such drinking ginger tea is good way to keep warm.   Make ginger tea at home by steeping 20-40g of fresh ginger in a cup of hot water.   Add a slice of lemon for the additional benefits of citrus.

  • Spinach and other dark green vegetables

Spinach, Broccoli, Kale and Brussels sprouts are rich in Vitamins A, C and E and is packed with anti-oxidants and beta carotene.

These are healthiest when cooked as little as possible to retain its nutrients.

  • Garlic

Garlic was recognized for its ability to fight infections by most early civilizations and is found as an integral part of most traditional diets around the world. Garlic contains allicin which has been shown to have antibacterial, antiviral and antifungal properties.   

  • Berries

Berries like blueberries, blackberries, cranberries, cherries are rich in the anti-oxidant anthocyanin which gives it their colour.  They also tend to be high in fiber and vitamin C.

 

2. De-stress

image5

We know that stress is not good for our mental and emotional health.  Stress causes our bodies to release cortisol.  Constantly high levels of cortisol actually lower your immune response, making it difficult for your body to fight infections.

 

3. Get enough sleep

 

image8

While you sleep your body repairs itself.  Your immune system is especially active during the time that you sleep.  Messengers of the immune system stimulate the production of white blood cells that have the ability to target bacteria and viruses. Sleeping provides much needed rest for your mind and helps to boost your energy levels.   A Lack of sleep has a similar effect on the body as stress.

Adults should aim for eight hours sleep a night.

 

4. Drink enough water

image6

 

For a healthy adult that is between 2-3liters of water a day.

By being well hydrated all the cells of your body can function at its optimal.  Water also helps to flush out toxins.

To make it easier in winter time, drink hot water infused with lemon slices, orange slices, ginger, mint or find other creative recipes.

Drinking enough water can also be helped by drinking Green tea.  Green tea is packed with flavonoids, a type of anti-oxidant, but also contains the very potent anti- oxidant epigallocatechin gallate (EGCG).  EGCG is known to enhance immune function.

 

5. Exercise regularly

image7

 

 

There are so many different biological pathways in which physical activity helps to boost your immune system – some of which are still being studied.

Here are two proven facts about exercise:

  • Individuals who exercise for 30-60 minutes on most days of the week have a 40% reduction in sick days during the cold season.
  • Regular exercise helps the disease-fighting white blood cells in the body move from the organs into the bloodstream where they are able to combat and rid the invading pathogens.
Tue, 20 Feb 2018 14:11

Routine Health Screening

Medical screening is a very important component of preventative healthcare in both younger and older adults.

Screening helps to identify disease in its very early stages when no symptoms of disease are yet present.  Simple interventions and or treatment can usually prevent progression of the disease into the symptomatic stages.

If any disease or medical condition is very prevalent in your family, it is advised to make an appointment with your doctor as soon as possible to identify whether any further testing or follow up applies in your case.

I have aimed at giving a quick reference guide below.  As a broad guideline: in your 20’s visit your doctor for a routine health check every 2-3 years and from 30 years old and onwards every 1-2 years.

For the purpose of this article I focus on recommended screening for females.

18-29 Year Old Female:

Blood Pressure (BP)

Once a year – can be checked by nurse.

BMI:  calculated by dividing your weight in kilograms by your height squared in meters.

Once a year

Screen for diabetes

When BMI > 25

BP > 135/80

Skin

Request from your doctor how regular you need a skin evaluation based on your skin type. Do a monthly self-exam and report any spots if they are asymmetrical, larger than a pencil eraser, or have an irregular border or color.

Cholesterol check

At least twice during this period.

Dental check

Every 1-2 years

Eye check

At least once during this period

Pap smear

Every 2-3 Years after 21

STD screen

If sexually active and after 21

Breast examination

Self-examination once a month.  Every 2 years by a doctor.

If there is a family history of breast cancer visit with your doctor as soon as possible to find out how often you should have your breasts examined and whether mammogram, breast ultrasound and or genetic testing is required.

Vaccines

Discuss whether you require the following

  • Yearly Flu vaccine
  • Tetanus vaccine – require repeat every 10 years
  • HPV if you are younger than 26
  • Varicella vaccine – If you did not have it before.
  • MMR -  if not done before
  • Against Meningitis

Depression

Screen yearly: self-assessment tools are available online or visit your doctor for assessment.

https://www.psycom.net/depression-test/

If you answer “several or most days in the week” to any of the following questions you require further evaluation urgently.

Over the past two weeks, how often have you been bothered by any of the following problems? 

  1. Little interest or pleasure in doing things
  2. Feeling down, depressed, or hopeless

30-39 year old female

Blood Pressure (BP)

Once a year – can be checked by nurse.

BMI:  calculated by dividing your weight in kilograms by your height squared in meters.

Once a year

Screen for diabetes

Every 3 years AND

When BMI > 25

BP > 135/80

Skin

Request from your doctor how regular you need a skin evaluation based on your skin type. Do a monthly self-exam and report any spots if they are asymmetrical, larger than a pencil eraser, or have an irregular border or color.

Cholesterol check

Every 3 years

Dental check

Every 1-2 years

Eye check

At least twice during this period

Pap smear

Every 2-3 Years

Thyroid

Check at 35 years old

Breast examination

Self-examination once a month.  Every 2 years by a doctor.

If there is a family history of breast cancer visit with your doctor as soon as possible to find out how often you should have your breasts examined and whether mammogram, breast ultrasound and or genetic testing is required.

Vaccines

Discuss whether you require the following

  • Yearly Flu vaccine
  • Tetanus vaccine – require repeat every 10 years
  • MMR – if not done before
  • Against Meningitis

Depression

Screen yearly: self-assessment tools are available online or visit your doctor for assessment.

https://www.psycom.net/depression-test/

If you answer “several or most days in the week” to any of the following questions you require further evaluation urgently.

Over the past two weeks, how often have you been bothered by any of the following problems? 

  1. Little interest or pleasure in doing things

 Feeling down, depressed, or hopeless

40-49 year old female

Blood Pressure (BP)

Once a year by a physician

BMI:  calculated by dividing your weight in kilograms by your height squared in meters. ..

Once a year

Screen for diabetes

Every 2 -3 years

Skin

Yearly

 Do a monthly self-exam and report any spots if they are asymmetrical, larger than a pencil eraser, or have an irregular border or color.

Cholesterol check

Every 2 years or as directed by your doctor

Dental check

Every 1-2 years

Eye check

Every 2 years

Pap smear

Every 2-3 Years

Thyroid

Check at 40 years old then every 5 years or as guided by your doctor

Breast examination

Self-examination once a month. 

Every year by a doctor.

If there is a family history of breast cancer visit with your doctor as soon as possible.

Mammogram with breast ultrasound.

Start screening at 40 years old and repeat as guided by your doctor – usually every 12-18 months

Vaccines

Discuss whether you require any of the following

  • Yearly Flu vaccine
  • Tetanus vaccine – require repeat every 10 years
  • MMR – if not done before
  • Against Meningitis

Depression

Screen yearly: self-assessment tools are available online or visit your doctor for assessment.

https://www.psycom.net/depression-test/

If you answer “several or most days in the week” to any of the following questions you require further evaluation urgently.

Over the past two weeks, how often have you been bothered by any of the following problems? 

  1. Little interest or pleasure in doing things

 Feeling down, depressed, or hopeless

50 years and older female

Blood Pressure (BP)

Once a year

BMI:  calculated by dividing your weight in kilograms by your height squared in meters. ..

Once a year

Screen for diabetes

Every 1-2 years

Skin

Yearly

 Do a monthly self-exam and report any spots if they are asymmetrical, larger than a pencil eraser, or have an irregular border or color.

Cholesterol check

Every 1- 2 years or as directed by your doctor

Dental check

Every 1-2 years

Eye check

Every 2 years

Pap smear

Every 2-3 years

Can stop at 65years old if previous 3 results have been normal

Thyroid

Check at 50 years old and then as guided by your doctor

Breast examination

Self-examination once a month. 

Every year by a doctor.

If there is a family history of breast cancer visit with your doctor as soon as possible

Mammogram

Every 12-18 months.

May stop at 75 years old – discuss this with your doctor first.

Colonoscopy or other form of screening for colon cancer

Start at 50 years old and continue as guided by your doctor. 

Bone Density Scan

Start at 65 years old.

Women younger than 65 years old should be screened if their risk for fracture is higher than a healthy 65Year old using the FRAX model

Http://www.shef.ac.uk/FRAX/

Vaccines

Discuss whether you require any of the following

  • Yearly Flu vaccine
  • Tetanus vaccine – require repeat every 10 years
  • Herpes Zoster vaccine
  • Vaccine against Pneumonia

Depression

Screen yearly: self-assessment tools are available online or visit your doctor for assessment.

https://www.psycom.net/depression-test/

If you answer “several or most days in the week” to any of the following questions you require further evaluation urgently.

Over the past two weeks, how often have you been bothered by any of the following problems? 

  1. Little interest or pleasure in doing things

 Feeling down, depressed, or hopeless

 
 
There are three broad groups of prescription medications available for the treatment of acne
 
  • Retinoids :
    • Topical (creams, gels or peels) or
    • Systemic (known as Roaccutane, Accutane or Orotane)
  • Antibiotics:
    • Topical as creams or
    • Systemic as tablets or capsules
  • Hormonal agents:
 
RETINOIDS.
 
  • Retinoids requiring prescription is significantly more potent than those found over the counter
  • They should form part of just about all acne treatment plans
  • Not to be used at the same time as benzoyl peroxide – use Benzoyl peroxide in the morning and retinoid at night.  
  • It works because :
  • It helps to normalize the formation of the top layer of skin – this in turn leads to:
  • Increased exfoliation
  • Decreased clogging of pores
  • Less pimples and comedones
  • Less Inflammation
  • Less hyperpigmentation
  • It helps to enhance the penetration of other products into the skin
 
  • TOPICAL –this means the product is applied to the skin in the form of a gel, cream or peel
  • A Retinol Peel is available as a professional product applied once every 6-8 weeks at a doctor’s office
  • Apply retinoid cream at night
  • Use pea size amount of cream for the whole face
  • Apply to clean dry skin
  • Irritation may be reduced by waiting 20 min after face wash
  • Start with low dose cream and gradually increase strength
  • Side Effects include skin dryness, flaking and sun sensitivity which usually resolves after few weeks of treatment
  • Should not be used in pregnancy and breastfeeding
 
  • ORAL /SYSTEMIC – this means that it is taken as pill or capsule
  • The retinoid is in the form of isotretinoin also known as Roaccutane, Accutane or Orotane
  • In addition to the above list - It works by reducing the oily production in the skin and shrinking the oily gland
  • Should preferably be used in the few selected cases where severe nodular and or cystic acne is present and  the normal treatment of antibiotics, topical retinoids and/or hormonal treatments have failed
  • This medication WILL seriously harm an unborn baby  if taken during pregnancy
  • Women have to comply with precautions in terms of birth control or agree to abstinence during course of treatment
  • One month after stopping the treatment no further risk exists for falling pregnant
  • This medication may cause liver abnormalities and abnormal cholesterol (triglycerides) levels – therefore monthly blood tests are required.
  • It causes  dryness of the mouth, lips, nose, eyes, and skin, which usually improves within few weeks of being on the treatment
  • A treatment course usually lasts 16-20 weeks
  • A Treatment course may put acne into remission
 
ANTIBIOTICS
 
  • It works by killing the bacteria that contributes to acne forming
  • Best used with Benzoyl Peroxide as it lowers chance of bacterial resistance.
  • Effectiveness of the antibiotics is increased when used with benzoyl peroxide and/or retinoids
  • Should never be used alone as treatment for acne due to possible bacterial resistance
 
  • TOPICAL – creams, lotions or gels
  • Clindamycin and erythromycin mostly used
  • To be applied twice a day usually
 
  • SYSTEMIC – as tablets or capsules
  • Ideally used 3-4 months WITH retinoid product
  • May be prescribed as pulses - for example, few days out of week or 1-2 weeks out of month
  • May repeat course of 3-4 months after break of few months
  • Usually higher doses for the first month of treatment and then decreased to lower maintenance dose
  • Thrush and gastrointestinal side effects are most common with antibiotic use
 
HORMONAL TREATMENTS.
 
  • Combined Oral Contraceptives and Spironolactone
  • These work by decreasing the effects of testosterone/androgen on the skin and leveling out hormonal fluctuations.
  • They are usually tolerated very well and side effects are mild.
  • They should not be used when there is a very strong family history of strokes, deep vein thrombosis or heart attacks
  • They should be used with caution in smokers.
  • Best results usually with the use of Retinoids also.
 
 
Thu, 12 Oct 2017 06:39

PROFESSIONAL TREATMENTS FOR ACNE

PROFESSIONAL TREATMENTS FOR ACNE

For the purpose of this article I will focus on “in office treatments” of a trained doctor or medical esthetician.

Finding a doctor with experience in treating acne will help you to customize your treatment program. Acne is best treated when home care, office procedures (if needed) and prescription medications (if needed) are used in combination.

CHEMICAL PEELS

These may help to control acne and improve the appearance of skin by

• Clearing clogged pores
• Removing dead skin cells
• Reducing pigmentation
• Reducing inflammation and
• Stimulating skin to form new healthy skin.
• Improving appearance of scar tissue

The treatment involves the application of a solution to your skin containing the particular acid or combination of acids. The treatment is performed by a trained professional.

Glycolic acid, Salicylic acid, Lactic acid, Mandelic acid and even Retinol are the most commonly used acids – either alone or in combination. Trichloracetic acid is also used for selected cases. You will need the advice of a trained professional to guide you in the decision of which peel or peels will be best for you. Repeated treatments at planned intervals usually provide the best results.

Chemical peels are not recommended if:

• Your skin tends to form exaggerated scar tissue — such as keloids or
• You've used isotretinoin(Oratane or Roaccutane) therapy within six months

At my practice I use chemical peels from the ranges of: Neostrata, Skintech, Lycoderm and Skin Ceuticals.

DRAINAGE AND EXTRACTION

Your doctor may use special instruments to remove cysts, whiteheads and blackheads. This temporarily improves the appearance of your skin. When this is followed immediately by a chemical peel and or specialized light therapy it can help to significantly reduce inflammation.

LASERS AND LIGHTS

Photo Pneumatic Therapy:

This type of laser treatment combines an IPL (intense pulsed light laser) with a gentle vacuum. Excess oil and dead skin cells are removed from clogged pores and the light therapy kills bacteria and reduces inflammation. It is approved and proven to treat blackheads, whiteheads, and pimples.

Theraclear is an example of this type of laser treatment - with a special surgical insertion it can also help to treat acne nodules and cysts. This is my laser treatment of choice and is available at my practice.

Blue light, Red light, and Blue + Red light devices:

Because you can see the colors these are called visible light treatments, these devices can treat pimples and help to reduce inflammation. Visible light is not effective against blackheads, whiteheads, acne cysts, or nodules.

In this category of treatment home devices are available – the light in these devices are however much less powerful than those found professionally. Unfortunately no proven benefit yet with the use of these, but if you would like to use it you will need at least 30 minutes twice a day for 4-5 weeks.

Infrared light: Blackheads, whiteheads, cysts, or nodules cannot be treated with infrared light, but it has been approved to treat pimples

Photodynamic therapy (PDT):

With PDT a solution that makes the skin more sensitive to light is applied and is left for 15 minutes - 3 hours depending on the desired response. A trained professional then use a laser or light device to treat the skin.PDT therapy shows great promise in helping to treat severe acne.

STEROID INJECTION.

Nodular and cystic lesions can be treated by injecting a steroid drug directly into them. This improves their appearance without the need for extraction. The side effects of this technique include thinning of the skin, lighter skin and the appearance of small blood vessels on the treated area.

THINGS TO REMEMBER REGARDING PROFESSIONAL TREATMENTS.

1. They should form part of a treatment plan designed for you:

They provide best results when supported by a customized home treatment protocol.

2. Results vary from person to person.

Don’t compare your reaction to treatment to that of someone else.

3. Most people need a series of professional treatments.

It is well proven that multiple treatments deliver significantly better results than a single treatment. Sometimes best results are seen weeks after the last treatment.

4. Follow-up treatments may be necessary.

Once control is achieved patients often need follow-up treatments once or twice a year to maintain results.

 


Tue, 03 Oct 2017 05:12

10 HOME CARE TIPS FOR ACNE

1. Clean skin areas with acne twice a day

Avoid excessive scrubbing which can cause irritation and worsen acne. Exfoliate without scrubbing by using products that contain alpha-hydroxy acids (AHA’s) like glycolic or lactic acid or beta hydroxy acids like salicylic acid. These help to clear out clogged pores and increase your skin’s cell turnover. There are many very effective cleansing products available. Ask your healthcare professional to help you to identify one that is appropriate for you. Top of my list appropriate for most skin types: IS Clinical Cleansing Complex or Neostrata Clarifying Facial Cleanser.

2. Add a serum to your skin care regime

Serums contain the most potent doses of ingredients (antioxidants, peptides, and skin brighteners) you can find in nonprescription products. The biggest difference between a serum and a cream or lotion is what the formulation does not include. Serums are mostly water-based, eliminating oils altogether. This is perfect for the acne prone skin. They are usually more expensive due to the high level of active ingredients, but they are actually very cost-effective. They will save you money over the long-term as you will likely require fewer other products. Those few concentrated drops are super-efficient - the skin absorbs them quickly and deeply. I highly recommend serums from the ranges of Skin Ceuticals and IS Clinical.

3. Use sunscreen every day.

Every day even in winter.
The UV rays of the sun promote inflammation which in turn leads to post inflammatory pigmentation (spots of darkened skin). Best for acne is to use a sunscreen which forms a physical barrier without clogging the pores. Refer to my blog – “Don’t forget your sunscreen” for specific recommendations.

4. Start using a retinol product.

Retinoic acid derivatives have the following benefits in the skin: increase in collagen, increase in hyaluronic acid, increase in cell turnover and anti-oxidant properties. All of these lead to a decrease in the growth of bacteria, less inflammation and better healing of scar tissue. Talk to your healthcare professional about which product would suit you best. These are available in various formats applied and in pill form. It is best guided by a trained professional.

5. Pay attention to what touches your skin

Don’t pick or squeeze - This may lead to infection and or scarring. Clean make-up brushes often. Disinfect your phone. Keep hair off of your face as much as possible and avoid resting your face in your hands.

6. Diet

No specific type of food or food group has been proven to have a link to cause or aggravate acne in the broad population.
However it is also true that certain individuals do find that certain foods – alone or in combination - in their diet may trigger an outbreak. Therefore keep a food diary for a while to see whether this applies to you. Try gluten free or avoiding sugar altogether. Any change in diet has to be maintained for at least 8 weeks to really tell whether it works. A healthy diet rich in the following ingredients which promote skin health is highly recommended: vit.C, Vit. E, Vit. A, Zinc, Selenium and Omega-3&6 fatty acids. These can be found in foods like nuts (Brazil, walnuts, macadamia) sunflower seeds, fatty fish, fresh vegetables (broccoli, bell peppers, carrots and sweet potatoes) and fruits (avocado, tomatoes and citrus fruits).

7. Drink enough Water

Drinking enough water helps to increase blood flow to the skin which helps to flush out toxins and increases your skin’s ability to fight inflammation and heal from scarring.

8. Sleep enough

During sleep your body produces collagen and hyaluronic acid – not enough sleep and your body produces less. These are the building blocks of your skin (and other organs) that provide its structure, strength and elasticity. When you sleep your body boosts blood flow to essential organs including the skin which helps to clear toxins and repair and remove dead cells.

9. De-stress

The oily glands in the skin have receptors for our body’s stress hormones. Being stressed thus increases the oily production in these glands which in turn may lead to breakouts of acne. Identify stressors and try and find ways to manage these. Make sure you sleep enough, build in time for exercise into your routine, and spend time with yourself to nourish yourself spiritually.

10. Find a healthcare professional

Find a healthcare professional – preferably a medical doctor with experience in acne treatment who can help to guide you through the process of finding an appropriate treatment program. Best results are obtained when professional treatments are combined with appropriate home care. Professional treatments may include, but are not limited to Theraclear laser treatment, chemical peels, retinol peels and or prescription medication.

DMC Firewall is developed by Dean Marshall Consultancy Ltd