Acne is one of the common skin conditions that occur among both men and women during their adolescent teenage years (before and after puberty) or well within 30 years. However, children and adults in the age group of the 30s and 40s can also occur. But, acne occurring in the thirties and forties might be related to the hormonal fluctuations.
Genetics is the primary factor causing acne in most of the cases.
Also known as acne vulgaris, acne starts when hair follicles get clogged with oil and dead skin cells. It primarily affects the skin with excess oil glands or sebaceous glands, which produces oily skin on the face, the upper part of the chest and back. However, many other factors are contributing to the development of acne skin disease, which includes the role of diet, genetics, infections, stress, and hormones called androgens (increased production of sebum). Excessive growth of the bacterium Cutibacterium acnes present in the skin can also be one of the causes for acne to appear.
Acne symptoms mainly depend on the severity of the skin condition, which also includes excessed secretion of the oil sebum on the skin. It may vary from person to person, and the appearance of the skin colour varies.
Some of the common acne signs and symptoms are the following:
Whiteheads
Blackheads
Pustules (Pimples)
Cystic Lesions / Cystic acne
Nodules / Nodular acne
If you are encountering any of these acne signs and symptoms, immediately consult with the best dermatologist.
Acne is diagnosed based on medical information such as the review of any prescriptions or over-the-counter products that you are using or vitamins and supplements. An initial evaluation is conducted by taking a detailed medical history, acne history in your family, and the production of androgens hormones. Medications (if you are taking) and possible side-effects due to the medications as certain drugs, androgenic steroids, and supplements can cause acne eruptions.
Treatment of acne can be tailored depending on the detailed evaluation. There are different treatment options available at SurgiDerma cosmetic and plastic surgery center.
Acne Chemical Peel: Chemical peel is a technique applied to the affected parts of the skin to exfoliate the skin. Salicylic acid is a type of chemical peeling, which is an antibacterial and anti-inflammatory that works well acne. The technique minimizes spots and bumps, controls sebum excretion, unclogs pores, and removes acne and dead skin cells to a certain extent to make way for the new blemishing skin.
Depending on the individual needs and skin types, the dermatologist may recommend any of the chemical peel levels such as superficial peels, medium peels, and deep peels. Although it is a painless technique, some may experience a slight sensation.
Retinoids for Acne: Retinoid medications are the mainstay for moderate to severe acne type. Retinoid when applied to the affected skin, unclog the pores, reduce the inflammation, normalize follicle cell, and minimize sebum oil production. They also prevent skin cells accumulation within the hair follicles and complete block in forming. Retinoids come in creams, lotions, and gels containing medicine derived from Vitamin A.
Discuss with your dermatologist about the usage of retinoids, when to apply, so that your doctor can prescribe a tailored prescription depending on your skin type and severity of the acne.
Oral Antibiotics for Acne: Doctors suggest oral antibiotics that help in killing bacteria and reducing inflammation. Oral medications are best used for a short period or prescribed duration to complete the course to prevent antibiotics resistance. Antibiotics are typically helpful for mild to moderately severe acne.
Antibiotics can cause side-effects and discuss with your doctor might help in prescribing the correct dose of antibiotics.
Oral Isotretinoin for Acne: Oral Isotretinoin is very effective drug for treating severe acne. It is the best alternative to treat severe affected acne if it does not respond to other treatments. Isotretinoin is very effective to prevent extensive scarring. For this type of approach, a complete evaluation is conducted before initiation.
Laser Treatment for Acne: Although, oral medication or chemical peeling is the recommended method, laser treatment for acne and acne related scars using light-based therapies can also be used. The acne scars can be treated with the combination of chemical peeling and laser treatment procedure.
Intralesional Injections for Acne: Nodular and cystic acne can be treated with administered injections by injecting a steroid drug directly into the Nodular and cystic lesions. It is a procedure that gives an immediate result, and the technique is based on the skin type, the severity of the acne, and the underlying cause.
Acne treatment is tailored and results may vary individuals to individuals.
Consulting with the reputed and experienced dermatologist will help in analyzing the skin type and severity level of acne. Your doctor will identify the underlying cause before prescribing acne treatment options. The treatment is well planned and designed to meet the expectations of the patients. However, it is important to share current health conditions and past medical history for the right acne treatment technique.
Individuals who are 18 years and above can opt for the acne treatment technique. However, individuals who are lactating and pregnant women are not suitable candidates as it may lead to complications.
Dermatologist will discuss in detail each technique, whether you are a suitable candidate for certain acne treatment techniques, preparing for the right treatment, pre-care and post-care guidelines and follow-ups.
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Forehead Reduction (also known as scalp advancement or hairline lowering) is a type of cosmetic surgery, which is performed on individuals who want to lower the height of the forehead or hairline. It is performed with an advanced surgical technique ideal for both men and women with a very high hairline and/or large forehead.
Several factors can contribute to a large forehead, but the most common reasons are genetics, hair loss, or various other cosmetic procedures. Many people, especially women, look for forehead reduction to get aesthetic balance with the face.
Forehead reduction is a surgical procedure to enhance the overall symmetric balance of the face by reducing the space between the eyebrows and the hairline. It is typically performed under local and general anesthesia to help reduce the pain and bleeding during the surgery.
To achieve realistic goals, approach for the highly qualified and experienced cosmetic surgeon in Bangalore.
The new hairline can be tailored as per the patient’s preferences during the initial consultation. The forehead and/or the area of the scalp is marked for the anticipated postoperative hairline with the surgical skin marker.
During the surgery, great care is needed while making incisions along the hairline as it preserves the hair follicles and nerves for the hair to regrow. A local anesthetic is applied to numb the entire forehead. The incision is placed along the marked area of the scalp that is the forehead and the hairline. The surgeon will carefully remove the forehead skin from the connective tissue, and cut out the area which is marked to remove. The hairline is then moved forwarded to connect to the forehead incision. The incision is then closed with the sutures in a way that it minimizes the scar formation.
The forehead reduction surgery reduces the height for the forehead, and it may even change the appearance of the eyebrows, but it enhances the aesthetic balance of the face. In some cases, the hairline lowering surgery is simultaneously performed with the brow lift surgery.
Forehead reduction surgery is recommended for the systematic proportion of the overall face for both men and women. Individuals seeking a high hairline and want to lower hairline are suitable candidates. Those who have a large forehead and want to reduce the forehead can also undergo forehead reduction surgery.
Forehead reduction surgery completes in one to two hours, and the patient can return home within a few hours after the surgery. Most of the patients can get back to normal activity within a week, although it is highly recommended to avoid strenuous exercises and lifting heavyweights. The patient is required to visit the cosmetic and plastic surgery center for observation and checkups prescribed by the doctor. It will take up to six weeks for the patient to completely recover.
Although forehead reduction surgery is relatively safe like any other surgical procedure has some common risks. The potential risks of hairline lowering surgery include bleeding, side-effects due to general anesthesia, scarring, infection, hair loss where the incisions are made, and allergy.
Hymenoplasty is regarded as a completely safe procedure with negligible risks and complications. The procedure is quick and painless.
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A brow lift is also known as a forehead lift or forehead rejuvenation that reposition the eyebrow and corrects the drooping/sagging brows to enhance the aesthetic position. It is a type of cosmetic surgery performed to reduce creases, horizontal lines, or frown lines that appears on the forehead, the brow, and the area around on the eyes. This type of cosmetic surgery is also known as browplasty.
The brow lift is performed for those individuals who want to have asymmetry face by correcting the sagging or deeply furrowed brows, removes the wrinkles, and improves the overall appearance of the face.
The Brow lift can be performed alone or with a combination of facial procedures such as forehead reduction, or a facelift. The brow lift surgery is performed at a highly accredited cosmetic and plastic surgery center in Bangalore with excellent facilities as well as resources. It is performed by licensed surgeons with a good amount of experience to enhance the realistic objectives.
Brow lift can be performed under local or general anesthesia to make the patient comfortable during the surgical procedure.
Before beginning the procedure, the plastic surgeon will carefully examine the person’s face to determine the location where the incisions have to be placed, such as in hair-bearing scalp, forehead, or the upper eyelids.
Browplasty is performed in different techniques by highly qualified surgeons to lift the forehead and eyebrows.
Coronal (Traditional) Brow Lift: : This type of brow lift technique is performed by making a cut or incision across the forehead, either around the hairline or in one of the creases of the forehead. The skin is then carefully lifted away from the underlying tissues. Any excess tissue and fat are removed. The surgeon removes excess skin, carefully pulls down the remaining skin, and the brow is stitched to a new top position.
Endoscopic Brow Lift: This procedure is considered as one of the most popular types of brow lift surgeries and the most technologically advanced. During this technique, the surgeon will insert an endoscope (a long, thin tube with a video camera attached to the end) through small incisions that are made in the scalp. Using the endoscopic, the surgeon will get a direct visualization of the structure, muscles, and tissue of the forehead and dissect it. This technique is a minimally invasive procedure, a quick duration of time, and recovery is fast.
Temporal Brow Lift: This is a minimally invasive technique performed under local anesthesia, has longer incisions, and the reverse of the endoscopic brow lift technique. It is performed in combination with eyelid surgery, also in a complete facelift to treat frown lines between eyebrows and lifting the inside part of the eyebrows.
Once the brow lift surgery is completed, the incisions are closed with removable or absorbable sutures. It is sometimes closed with skin adhesives and special clips.
Brow lift surgery is suitable for those individuals who have saggy or low eyebrows. Individuals who have deep horizontal lines, frown lines, or furors can undergo brow lift. Those who have excess skin or fatty tissue handing over the eyes can also undergo brow lift surgery. Individuals looking for wrinkle-free or fee forehead can also seek brow lift surgery.
A significant important for the brow lift is to enhance the overall appearance of the face, feel youthful, and rejuvenating looks.
An initial consultation is essential before undergoing the brow lift surgical procedure. Scheduling an appointment with the well-qualified and board-certified surgeon can give appropriate guidance. The surgeon will guide to prepare for the brow lift surgical procedure only after preliminary investigations. The doctor will make you understand various procedures, carefully listen to your expectations, and provide you with the best alternative of the browplasty technique to meet the realistic goals.
The surgeon will evaluate a complete medical history, current medical condition, medications (if any), and past medical history. Based on the evaluations and certain diagnose tests, the surgeon will provide instructions that needed to be followed strictly.
Your cosmetic or plastic surgeon will provide detail instructions to prepare for the surgery, some of them include:
Review medical history and medications (if any)
Schedule a physical exam
Avoid smoking and alcohols as before and after surgery
Avoid certain medications like inflammatory drugs, blood thinners, and herbal supplements
Stop using makeups or creams
Brow lift surgery is a simple procedure, and the recovery time may vary depending on the technique. It may take a few days or a couple of weeks. The endoscopic technique has a quick recovery process as it is less invasive. You can able to get back to work in a day or two, but swelling will be there.
Every surgical procedure has risks and complications. The associated complications with brow lift surgery include Scarring, Pain, Infection, Swelling, and Bleeding. However, with the expert cosmetic surgeon, Brow lift surgery is safe with desired expected results. All it requires is to follow the surgeon’s instructions with periodic follow-ups.
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