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- Treatment of rosacea
- The rosacca and 'an idiopathic cutaneous disorder, a chronic course, characterized by a clinical point of view from various evolutionary phases, which are different degrees of gravity'. The point of departure of rosacea and 'represented by a strong REACTIVITY' vascular level cephalic district, which is expressed through a particular tendency to flushing (pre-pink) and the consequent formation of teleangiectasie. Proceed with time, these issues may increase - with teleangiectasie presence of diffuse erythema and persistent - and most injuries associated with 'proper character of inflammation, type papulopustoloso, for edema, and during most' late hardening and thickening of the skin until under extreme hyperplasia given by rinofima. In about half 'of cases you can' be a concomitant ocular involvement, although it is often misunderstood and underestimated, with disturbances of various kinds. Since the etiology of rosacea and 'unknown, treatment is based on principals of type symptoms, which are an indication to the phase of clinical dermatitis. Rather frequent e 'pero' the observation of recurrences at a distance variable from the suspension of drug treatment. Next to the targeted medical treatment or surgery, and 'required the adoption of preventive measures aimed at avoiding the risk of self dermatitis and worsening of the party-specific triggering factors (drugs, thermal stress, spices, alcohol, topical irritants, and other ). In typical forms-pustular papules are effective oral tetracycline, which reduce the inflammatory component and also acting on the ocular complications. Their mechanism of action and 'still unknown, although it is considered that the therapeutic effects mainly result from a' anti-infiammatoria/antiossidante. Among the oral tetracycline is usually the preferred minocycline and doxycycline for the most's easy daily frequency of administration (single or double) and the lesser interference of food sull'asssorbimento. Typically, these molecules are taken in full dosage for the first 3-4 weeks and then you make a reduction in the dosage according to clinical response. Are contraindicated in pregnancy and in cases of hepatic or renal insufficiency, and can induce skin pigmentation, and photoallergy phototoxic reactions, gastrointestinal disturbances and Candida vaginitis. Other proposed oral antibiotics for the treatment of rosacea are clarithromycin and erythromycin, while the topical antimicrobial substances are included, in addition to tetracycline, erythromycin and clindamycin also. Metronidazole and 'synthetic nitroimidazole derivative that is active in rosacea is topical to that for systemic (250 ing bid orally for about four weeks). Also the agent for this mechanism of action in rosacea, and 'unknown, although there are statements about its properties' antioxidants. Metronidazole topical and 'available in two different concentrations: 1% cream and 0.75%, in the form of gels, and recently also in cream. Clinical studies have demonstrated the effectiveness of the product formulation of the gel to 0.75% and 1% cream in proportions of patients with rosacea varying from 68 to 96%. The safety 'and' good, and the only side effects observed on different populations of study and clinical practice are limited to the presence in some cases of mild local reactions of entities'. Metronidazole topical may 'also be associated with oral therapy in most cases,' severe, which requires a systemic shock therapy to achieve more 'fast. At the same time, the use of topical metronidazole would be valid even in the long term in preventing recurrence of rosacea and to maintain remission induced by previous treatments. In cases not responding or even as a first approach, especially in severe forms papulopustolose can 'be useful to use of isotretinoina average daily dose of 0.5 mg / kg. In several clinical experience, however, the daily dosage used, and 'was extremely variable, as well as the duration of therapy. (12 to 28 weeks). The answer seems, at least in part, is not closely related to dose. A significant clinical improvement involves the inflammatory lesions, the shearing component edema and rinofima, while smaller or much delayed effects are sull'eritema. The results are maintained for a variable time after the end of therapy, with a follow-up generally negative after one year of suspension, but not's infrequent occurrence of relapse, as also occurs with other treatments used in our rosacea. Experience a treatment with 0.5 mg / kg / day of oral isotretinoin for 8 weeks and 'sufficient to cure most patients. The drug is tolerated very well, and cheilitis and dry skin mucus-are almost's constant. About the mechanism of action in rosacea of isotretinoina you can 'assume that at least in part be due to the effects of anti-inflammatory drug. It's s not known whether the action sebostatica can play an important role or only secondary to the clinical response, as in rosacea, unlike of acne, not' demonstrated a significant pathogenetic role of the sebaceous glands or iperproduzione of sebum. Isotretinoin and 'can also exert various effects on the immune system that may contribute to its mechanism of action. Can not be 'ruled out that the drug may stabilize function' microvascular, as the action on these structures has not yet been well elucidated. Even forms and combined granulomatosis and rinofima seem to respond well all'isotretinoina hearing. However, in rinofima isotretinoin particolarirnente would be effective if used with the same doses as those of acne, but for more time 'long. A rare complication of rosacea, the lymphedema can 'be treated in the opinion of Jansen and Plewig with isotretinoin (0.1-0.2 mg / kg / day) for 24 months, possibly associated with chetotifene. Would have been even more alternative treatments used on small case studies and uncontrolled manner. As regards oral therapies include, for example, experience with spironolactone in patients of male and with dapsone in granulomatous forms. Other principals are topical alternative: Azelaic acid 20%, permethrin and thiabendazole. Although the association between rosacea and Helicobacter pylori infection is still controversial, some authors believe that the eradication of the bacterium may have significant effects on dermatitis. The treatment of elective rinofima mode is done through 'various types of surgery (laser therapy, cryotherapy, dermabrasion, electrocautery, surgical excision of pathological tissue) while teleangiectasiche lesions respond to treatment with vascular lasers. Among those most's recent introduction, we mention the laser diodes with a wavelength of 810 nm, which has a good profile of efficacy and tolerability'. A precaution to be taken in patients with rosacea and 'abstention from the use of topical corticosteroids, which can cause a worsening of the dermatitis. The only form of rosacea in which corticosteroids are given and 'the rosacea fulminans. Defined in the past "pyoderma face ', and' a rare variant of rosacea, very debilitating to an aesthetic point of view, which affects female subjects, often in eta 'postadolescenziale with iperseborrea base. It's characterized by a sudden onset and the presence delI'eritema persistent, and above all of teleangiectasie of inflammatory lesions (papules and nodules) confined to the face and tending to confluence. The disease does not relapse if treated properly. Is very sensitive all'isotretinoina oral, associated in the early stages to systemic or topical corticosteroids to induce a more 'rapid and impressive improvement inflammatory component. Some Authors suggest to use for 2-4 months, a dose of 0,2-0,5 mg / kg / day, gradually increasing it if necessary ', while on systemic steroids are administered for 10-14 days at full dosage (prednisone 0.5 ~ 1 mg / kg / day) and then reduced gradually.
- Acne Rosacea
- Red nose and face are the typical manifestations of acne rosacea but not all. Even alcoholics, in fact, have, more often than not, the same aspect. A phenomenon that affects the general perception and leads often to stigmatize patients with rosacea, accused of indulging in a glass, even when more is not the problem. But there is really some combination of the two conditions? If they have occupied a recent survey of the U.S. National Rosacea Society reiterating that alcohol does not cause the skin condition. I wish the black leather The acne rosacea, it must be remembered, is a chronic dermatitis characterized by redness of the face permanent, nose, cheeks, chin and forehead, in particular, in red intermittently. A redness that with time, the disease usually occurs after thirty years, become more aggressive and persistent to make up the visible blood vessels. If the disease is not treated and boils are formed protuberances and in most cases, the nose is more voluminous. As you now know the disease is caused by a genetic predisposition and ethnic, that is, occurs most easily in populations of light-skinned, Irish, Scandinavian, Scottish and English. But alcohol is a condition that can worsen the disease in some patients. Is, in fact, just after the sun, heat and environmental stress, and recent research has highlighted as an alcoholic drink can trigger problems in at least two out of three patients. And the investigation by the National Rosacea Society does not confirm that with even more precision pointing which alcohol has more responsibility. Head in red wine that has caused skin reactions in 76% of patients. Then the white wine, beer, champagne until scotch manager rash only in 21% of examinees. Not only. The most significant observation of the study concerns the patients, 9 out of 10, which has limited the consumption of alcohol because of their rosacea. 90% of these, in fact, has shown significant improvement in redness. It is important, "says the head of research" that there is no confusion. Rosacea and effects of alcoholism may appear similar but their association is not automatic. However in the management of the disease should be kept in mind that alcohol can be considered one of the factors triggering or aggravating the condition. The trigger also is no shortage and numbered among them are several foods, cheese dall'avocado but also beverages like coffee, tea or even products for skin care or exercise. Beware of the red wine A search, such as that conducted by the U.S., is on the main you have established a hierarchy of risk among alcoholic beverages. The science is not a novelty. Alcohol, as noted, dilates the vessels, making the face red and more red wine contains more histamine-like substance called tyramine, which dilate the vessels further. So no red wine for patients with rosacea? Depends on "the researchers conclude" given that this is a subjective matter and as such should be managed. And if you wanted to drink wine a suggestion may be to drink cold water immediately after, a way to turn off the 'skin fire. " A tip that applies to those who do not have rosacea, the water is excellent to prevent the sequelae of drunkenness.
- Pimple that depresses
- Although an appointment almost inevitable after puberty, acne is not "with the philosophy" by those affected. Treatments there are, even if the therapies of attack should be reserved for medium to severe cases. Just one of the most effective treatments, the isotretinoita (a derivative of vitamin A) was several times accused of causing the type of neuro-psychiatric. Now do not think a tragic facts: it is the headache and depressive symptoms. In general, according to the analysis of the database of adverse reactions to drugs the Food and Drug Administration, headaches and depression are frequent side effects for all medications, and you can find also a significant correlation between pain head and depression together. Apart from the statistical analysis, has recently published a study that took into account a hundred cases of medium to severe acne, all male and female adolescents aged between 12 and 19 years. All these children had gone to specialized centers to receive an anti-acne treatment and all were subjected, before and after initiation of treatment, a test to determine the presence and, possibly, the intensity of depressive symptoms. The sample was then divided so that part was treated with conservative therapy (oral antibiotics and local retinoids local) and the other with the oral isotetinoina. The choice, however, was not causal, but depending on the situation of the patient, the possibility that the drug could be paid from insurance and more. The frequency of depressive symptoms at the beginning of the study was similar between the two groups, and monitoring after three months of therapy, the presence of new cases of clinically significant depression was almost identical with both treatments: 4.1% in group of isotretinoina, 3.8% in that of traditional therapy. And if you compare these figures with those of departure, is also known that treatment with oral retinoids tend to reduce the depressive traits. This should not much surprise: see his disfigured face is not for a teenager boy or girl, a condition that improves the mood: in view of the effectiveness of treatment, the improvement of the skin probably should have done the difference. That said, an editorial appeared in the same magazine that hosted the study posed a minimal need for caution. Maybe administered isotretinoin to those who already suffer from headaches requires a few precautions and a more attentive.
- Psyche and skin
- There are pathological conditions including mental disorders in general that sometimes occur through the skin. That is, the skin is the only tissue that can clear out to show an emotional state. Or perhaps better yet, a psychological problem also latent for a period of time more or less long, we can reveal with a rash of different aspect. By the way, also happens often enough that a patient who is already receiving treatment for a psychiatric disorder, such a state of depression or anxiety neurosis, should also consult a specialist dermatologist. This does not necessarily mean that the cause of a skin problem you should look for in an emotional event, but sometimes in the medical history of these patients is a recent psychic trauma (loss of a relative or emotional abandonment that can associate with a form of alopecia aerated, ie hair loss in patches). Assumptions aside, actually, both dermatologists and psychiatrists have studied this troublesome relationship between the skin and psyche. You are able to identify (according to the experience of Professor Roberto Bassi Venetian dermatologist) four groups of patients. In the head and tail are two categories of persons who are represented by a party by psychiatric patients already known that the event came from the dermatologist and on patients with severe diseases of the skin that inherited or acquired in the course of their disease background they also suffer from a mental disorder. In between there are two other classes. The first is that of people who do not mentally prepare the causes of their discomfort, but reflects directly on the skin (a typical case of psoriasis is that it is continuing that form of skin desquamation). Finally, another group is that of neurotic manifestations in the skin which alternate with the psychic in this case, people who regularly do not come home for the appearance of cutaneous manifestations (urticaria and eczema) who make them feel ashamed and that in During a strong psychological impetus (for example the need to introduce themselves to a job interview) see disappear skin alteration. With these last two categories of patients, according to Bass, it is difficult to arrive at final solutions, because for the first settle yourself sick and the latter because the basic neurosis is a way to express their nell'eruzione skin. However, psychotherapy and treatment with psychotropic drugs regularly can help the nerve-racking, but for everyone else that there is the possibility of coexistence, sometimes very uncomfortable, and some palliative cream. Finally, if you are predisposed to a vent in an eruption psychological maculata and / or itchy, maybe you can avoid the worst (that it is better to let the skin) into the more confident of a specialist and first of all the advice from your family doctor who, more often than not, is that we know better than any other. Provided that you do not believe having to run by a psychologist and / or dermatologist for a single boil on the nose!
- Light and heat control of acne
- Among the various proposed therapies for the treatment of acne is gaining momentum that uses a particular wavelength of light along with heat. And the results look positive Acne and 'inflammation of the units' pilo-sebaceous some areas of the body, particularly the face, which is the most' frequently in adolescence and with increased incidence in male subjects. Acneiche injuries are the result of the interaction between ipercheratinizzazione follicular sebum production and presence of bacteria in the follicular canal. The process begins acneico, by interaction between sebum and bacteria, with the formation of microcomedone, step more 'low-expression acneiche. On this particular condition fits the intense activity increased due seborrhoea 'function of the sebaceous glands, and the greater number' of sebum produced is converted by bacteria through the production of lipase, fatty acid. Oil and fatty acids cause a sterile inflammatory reaction of UNITA 'pilo-sebaceous who, through of ipercheratinization of keratinocytes which are the leading follicle, it creates a bottleneck, visible with a black or a white dot, depending on whether or not there is an outside outlet. The walls of the follicle at this point can break disseminating content in the dermis and causing the appearance of papules, pustules and / or nodules, and from a more 'mild to a more' severe. Inflammation and 'much more' violent and the more 'the immune response to P. Acne, Propionibacterium granulosum to, at Stafilococcus epidermidis, the Malassetia furfur. Acne skin anaerobic bacteria are slow growing, generally are unable to multiply in follicles in which the speed 'of secretion of sebum and' high because 'their products are disposed of by the flow of sebum, where, however, the follicle is clogged, it becomes a closed culture system in which bacteria and terminal products may not be removed, and the accumulation to toxic levels, damaging the wall of the follicle generating the inflammatory response. Although 'the pathophysiology of acne has virtually no more' secrets, it remains a very common disease and often highly debilitating for the life of the subject report that's and' affection in the most's needs related to modern styles life pushing patients to seek new solutions that are fast and secure efficiency. The medical therapy of acne can 'be topical and / or systemic, the first relies mainly antibiotics, alpha hydroxyacids and retinoids, systemic therapy instead of using antibiotics and isotretinoin. Patient can 'be useful to intervene with the application of chemical peeling with AHA. The limits of medical treatment, but's are many, both those of a topical or systemic ones, because the former often give rise to awareness and redness, while the latter often leading to the development of antibiotic resistance with possible phenomena intolerance and / or annoying side effects. An alternative solution 'now represented by the light through the use of pulsed power and heat (LHE). The technology used is based on a lamp that emits a non-coherent light, with wavelengths between 430 and 1100 nm, with a width of 35 ms, a maximum fluence of 9 J/cm2 per pulse and with a spot of 22_55 mm . Treatment is aimed directly to the cause of acne acting on molecules synthesized in large quantities' from P. Acnes, that's the porphyrins: these make the bacteria sensitive to light. When the porphyrin and 'exposed to visible light it becomes chemically active and reaches an excited state resulting in the formation of singlet oxygen that binds to cell membranes and destroys the P. Acnes and the sebaceous gland cells. Like any other photochemical reaction efficiency of the procedure and 'related to the concentration of porphyrins and of photons, the temperature at which the photochemical reaction, and the wavelength used. In particular, and 'useful to keep in mind that: - A source of pulsed light (PW) and 'more' efficient than a continuous light wave (CW), because 'the Court provides 10,000 times more' photons that the source of continuous waves. - The effect of the reaction described by the Arrhenius to an increase in temperature of 10 ° C leads to a doubling of the effect of a chemical reaction, also the increase in skin temperature of 10 º C for a short time, 35 msec, does not entail any negative effect on health of the patient. - Light blue and 'theoretically the most' effective wavelength visible for most of the endogenous porphyrins P. Acnes, because 'the band between 407 - 420 nm and' the range of wavelengths that can cover the whole of the absorption spectrum of porphyrins. But the blue light has a low depth 'penetration into the skin. In contrast, the red light and 'less effective for fotoeccitare the porphyrins, but penetrates more' deeply into the fabric. In addition, the red light compared to blue light can 'properties also have' anti-inflammatory for the influence of cytokines released by macrophages. But one of the main limitations of light therapy for acne and 'the fact that the photons must penetrate nell'epidermide before it can reach the depth' required for the activation of porphyrins. The depth 'to reach for the follicles on the face and' of about 3 mm. The calculation of depth 'in the penetration of light showed that the blue light in the range of 400-430 nm penetrates the skin to the depth' of 0.25 mm. So 'even if the coefficient of excitation of porphyrins in the band and' very high this light is not's preferential treatment of acne. In contrast to the phototherapy lights green and red lights, used to treat of acne, presents a good degree of penetration of photons in the follicles of the face and neck (at least 3 mm), even if it offers a coefficient of excitation of most porphyrins 'bottom of that available from a combination of light blue and red. Consequently, the combined use of light to green and red light and energy, through a patented technology which LHE, can 'be supported by increases in temperature in order to double the capacity' of reaction to produce oxygen porphyrins can destroy P. Acne, without that increase in temperature, for a time of 35 msec, would have any adverse effects for the patient. LHE also uses a dual path for the energy of light and heat, allowing for greater control of temperature is reached on the skin, eliminating the need for 'cooling and reducing any side effects. The LHE is used in patients with acne in various stages and of varying extension for a period of 8 weeks and have every biweekly meetings during the session is a first step on all the affected areas, interspersed with 10 min. pause after which there is a second step. From the second week are the first obvious improvements: decrease the degree of inflammation of injuries and slight decrease in the number of injuries. In our experience, at the end of treatment almost all the lesions have disappeared, while the remaining, now no longer 'in the active phase encounter in the weeks following resolution. The results remain for a long time, even in the follow up on in the months following treatment, during which the patient does not follow any medical support. The lesions tend to recur and there is no 'always a progressive improvement of the acneico.
- Remove acne scars - gently
- Acne occurs at puberty ', with the increase in sex hormone that promotes the production of fat. The pores of the skin closed by necrotic cells accumulate fat points leading the so-called blacks. The situation worsens for the presence of microbes with rashes and infections, washing too frequent and energetic, fatty ointments, abrasive treatments. Moreover, the practice of squeezing the pimples and 'head of furrows on the surface of the skin gradually more' profound and obvious, repository of viruses and bacteria. The fight against skin blemishes can 'count on even today and its bio-engineering techniques that act directly on cellular mechanisms, otherwise unreachable by creams and lotions, solving the result of acne, without scalpels, needles and cannulae, and above all without suffering, but including wrinkles, hyperkeratosis, other scars. So far, the best treatment's for polishing a face covered with small and large scars and' was dermabrasion, or e 'appeals to aggressive chemical peeling, but we must recognize that the results were quite poor. For several years, however, have shown a success rate of up to 86% using a method very Italian: the dermoelettroporazione, a process that leverages the power of micro-crystals of corundum and minor vibrations and electrical pulses to open with an energetic massage performed on the surface, the more layers' deep dermis of the real - channels - between cells, through which are conveyed vital substances and remedial as elastin, collagen, hyaluronic acid or their precursors. The treatment involves 4 - 5 sessions per year which will be followed by the - references - the maintenance associated with lymph drainage to stimulate the regeneration of the stroma and connective matrix. From an operational point of view is as in all other skin diseases with the difference that in the case of the acne scars by dermabrasion prior reaches more layers' of the deep dermis to eliminate and address the many irregularities' of the skin and get to the cells curative substances. In this way, we aim not only to better target hit by disease, but can reach to a very gentle and bloodless because there is no ne 'ne injections' cuts, but the entry in depth' of active substances takes place through a vibrant's caress' electromagnetic button, their strength and' calibrated to the necessary place where it's needed, and without passing disperse, with side effects in other districts of the organism. In addition you can also create blends or combinations of drugs that other types of administration would not allow it's , however, would suggest.
- Pyruvic peeling
- Pyruvic peeling of the acid for the treatment of acne Journey to the discovery of a new formulation in the treatment of mild to moderate aging and photoaging Pyruvic Acid and 'a substance used for years successfully in clinics and hospital day of dermatology in many Italian hospitals where she' stated as the reference molecule, alone or in combination, in treatment of active phase in and its outcomes, of aging and photoaging. In that regard, there are numerous scientific publications made on national magazines and international (Dermatology outpatient JEADV Dermatologic Surgery Dermatology Times, etc). Because of its peculiar features in recent years, and 'began to assert in aesthetic medicine, becoming an additional means for the medical aesthetic that has widened the indications and the field of use. Pyruvic Acid (CH3COCOOH) and 'an alpha ketoacidosis to three carbon atoms, which has always been regarded as a discrete hydrogen power, having a pKa of 2.39 (logarithmic constant of dissociation), which makes it more' powerful glycolic and salicylic but less aggressive trichloroacetic boasting a pKa of 0.69. It's is naturally occurring in fermented fruit, apple vinegar and enters the Krebs cycle. Its corresponding alpha hydroxyacids and 'Lactic Acid (CH3CHOHCOOH), with whom and' always in dynamic equilibrium: therefore Pyruvic possesses both the characteristics of an acid than a ketone. It's a molecule' small 'and that' allows it to penetrate easily and effectively in most layers' deep in the skin. Another peculiarity 'of Pyruvic and' his lower capacity 'is associated with water molecules when compared to the family of alpha hydroxyacids. This "lipophilicity" gives great ability 'to enter the follicle where pilosebaceo can make bacteriostatic action, sebostatica and comedolitica. It's immediate deduction that the treatment of skin and oily or seborrheic decided draws benefit from treatment with topical Pyruvic. In the skin Pyruvic acid induces a decrease in intercellular cohesion corneocitario with detachment and consequent epidermal renewal. In dermal and 'proven his ability' to stimulate the activity 'of fibroblasts resulting in increased synthesis of collagen, elastin and gags and remodeling of the dermis. At high concentrations (60%, 70%) Pyruvic acid can 'give effect more' deep, how intense erythema and epidermolysis with dermo epidermal separation, manifested by the appearance of white frost. In my experience with Pyruvic acid peeling solution I used formulations of well balanced and varied in their potency due to exclusivity 'of the vehicles, so as to be very flexible, manageable and easily manageable. The broad availability 'of mergers (40% - 50% - 60%) allows to vary the depth' of the peeling and adapt with ease 'all'inestetismo the effect to be treated. In those circumstances the peeling of the acid Pyruvic located in aesthetic medicine indications in the treatment of seborrheic skin, impure, a trend acneica, thick skins, anaelastiche with texture and enlarged uneven pigmentation, scarring results in of acne and reduction of superficial wrinkles. Clinical studies performed on patients with acne in active mild to moderate photoaging and mild to moderate show that after a cycle of 6 peeling with Pyruvic acid solutions and 'possible to appreciate a significant clinical improvement of patients with acne associated with a clear decrease in seborrhoea, without notice a significant decrease in skin hydration. Colorimitreci examinations carried out before, immediately after and 15 days away from peeling made it possible to observe a greater light's skin of the face, the greater homogeneity' pigmentation, the net reduction of hyperpigmentation of periocular and perioral wrinkles, showing that in no subject was found a tendency towards hyperpigmentation. The technique requires first of all peeling cleansing of the skin surface with solution and removal of the film hydrolipidic with alcohol or acetone, this operation much more 'important on thick skin and less oily and dry on those subtle, but nevertheless useful for remove any residual water which would change the corresponding nell'idrossiacido Pyruvic: The Lactic. Following the application (brush or gauze) in the concentration of Pyruvic appropriate depending on the type of skin el'inestetismo who must deal with approximately 40% for one share more 'superficial, 50% or 60% at a Action more 'deep. The time of application and 'very variable (from one to however many minutes) during treatment and' the need to monitor skin surface until the appearance of intense erythema and homogeneous layers, where appropriate, the substance on the areas most in 'slow penetration. And 'do not "look" a widespread frost with Pyruvic acid because' they do not need the results of clinical outcome. Reached the desired degree of erythema Pyruvic acid is inactive with a solution of baking soda and water, then remove everything with a simple rinse of the face. The neutralization of dovra 'from areas of skin that are more' reactive, such as around the eyes and sides of the nose or where you want to achieve a more 'superficial. It should be remembered that in some conditions, such as injuries acneiche being active, the Pyruvic acid has a higher degree of penetration and can 'and then determine the rapid appearance of frost in the follicle. This event and 'to be considered perfectly normal and conducive to a rapid improvement of the skin. Seguira 'the application of soothing cream-moisturizer with sun protection factor and the prescription of a home therapy with moisturizing products for the first few days, and subsequently with Pyruvic acid in low concentrations. With regard to side effects during the application you can 'have a burning sensation too intense at times by the patient who disappears immediately with the inactivation and vapors may be emitted pungent for conjunctival mucosa and upper respiratory. A session with Pyruvic acid can 'be repeated every 15-25 days for a period depending on the cases and claims, to obtain the desired result. What pleasantly surprised with this kind of peeling and 'rapid resolution of eritema, the appearance after 2-3 days of flaking a thin type furfuraceo easily be disguised with cosmetics, which lasts a few days but not least the forces patient to change lifestyle, and with a good compliance by the patient. It's also a peeling that no contraindications except in recurrent herpes, in diseases of connective and allergic dermatitis and irritation. It's peeling an effective, manageable and secure, with a unique mechanism of action due to its high lipophilicity, has minimal side effects, offers a wide scope and it poses as an additional tool available to the medical aesthetics than with scientific rigor turns to the solution of the imperfections of the face.
- Surgeon in the care of acne
- Most people who suffer from acne is not directed to the dermatologist. Increases as' the risk of scarring that results will mark the life of the patient's face. And that will force him to seek help at the cosmetic surgeon What can 'make the surgeon? For the treatment of acne being active 'state developed a revolutionary system that is called ClearLight. and 'a device that emits a light blue narrow-band, capable of destroying the bacteria responsible of acne (Propionibacterium acnes). This is an exciting treatment, the more 'effective than the treatment methods applied to date, capable of reducing up to 90% of the lesions in only 8 seats (two treatments per week). But what is more 'surprise' that this therapy has no side effects compared to traditional methods such as topical applications (which often irritate the skin and the results are extemporaneous) or oral antibiotics (harmless to 40% of the bacteria of acne and still be taken for a long period). If acne has already 'left heavy marks on the skin, you can' use of an aesthetic surgery microsurgery, which we call a mosaic, to remove the post acne scarring outcomes (and, in general, all the outcomes of scarring) without leaving traces on the skin aesthetically significant.
- The laser erases the tracks of acne
- The hassle of acne are not limited to the acute phase. In the most severe forms it is not uncommon that, perhaps for the delay in treatment, you have permanent injuries. In general they are scars, areas of atrophic skin. You can of course intervene so invasive, relying when necessary also to plastic surgery. Today is proposed even less invasive alternative to dermabrasion. These are the areas concerned in the light emitted by a particular type of neodymium YAG laser (with a wavelength of 1064-nm). The purpose of the application does not remove the skin is atrophic, but send heat to the layers immediately below the dermis, and thus it causes damage, not visible externally, which forces the cells of the dermis to implement the mechanisms of repair, particularly the formation of collagen. This mechanism, called remodeling, is the same on which the dermabrasion, but in this case we limit the inconvenience to the patient (including pain). A cycle of five applications The treatment, based on five subsequent applications, has now been put to the test in 11 patients who had mild atrophic scars media entity on the face. The audit was conducted with very sophisticated methods, which have helped to quantify the improvement. Through a series of images of skin taken from different angles, the researchers have reconstructed a three-dimensional visualization of the skin in order to objectively evaluate the roughness. In patients treated, there was an improvement of the skin surface are half of the treatment cycle, a reduction of roughness equal to 8, 9%. After a month of the end of the five applications of the laser compared to the condition of departure was more than 23%. Between the end of the first month and the third notes the most obvious improvement (31.6%). From that moment on, the regeneration of the skin slows down and six months after you stop, but the improvement is substantial: about 40%. Obviously, after this period, the processes of regeneration induced heat from the laser stops. Less disruption in public The laser is not the only means which can be used to deliver heat in a targeted way: have been tried also other light sources different, as are radio waves. However, this is the first study in which they were shown the positive results and has also been able to determine the size. It's was also confirmed the safety of the procedure, side effects were very limited and it was just localized erythema, petechiae small punctiform pain or content. The great advantage of this non-ablative treatment, without removal of tissue, is its greater acceptability: the patient should not be medicated and the skin has a virtually normal appearance, which does not interfere with life. If the point of departure is not too disfiguring, this seems a decidedly advantageous.
- Laser resurfacing
- In general, best results are obtained with a CO2, more invasive, rather than the Herbium, which is a po 'più "soft". During the first session is obtained the removal of the superficial skin layer, in subsequent sessions (2 or 3) the laser stimulates the synthesis of collagen remodeling by promoting a skin. Dermabrasion: peeling, that is exfoliative, mechanical. Under local anesthesia, the skin is smooth with a small cutter which has a work surface like sandpaper. Today we tend to combine this practice with chemical peeling. Chemical Peeling Glycolic acid or other alpha-hydroxyacids, is made aesthetics (concentration 20-30%), smooths the skin but does not arrive in depth then the result of scarring is low. Better peeling with glycolic acid 70%, or trichloroacetic acid, or resorcinol (phenol), which can be executed only by the dermatologist. The skin appears smoother and more luminous, but the optical effect lasts only 12 months, then treatment must be repeated. Not all subjects also tolerate these chemicals, some people may be allergic to the acid used. Filling is a technique that uses different materials to fill with subcutaneous microinjection, the furrow of the scar. It works only for atrophic scars (dug) and not for those hypertrophic (raised and thickened skin). The substances used, hyaluronic acid, collagen, silicone, GoreTex, autologous fat (taken from other tissues of the patient), are all safe but with time (6-8 months) these substances are absorbed and the aesthetic effect is not. If the scar is very deep, however, the effect will be significant.
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