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Chemical peeling is one of the oldest Cosmetic procedures in the world and was performed by ancient Egyptians, Greeks and Romans. Prior to the twentieth century, almost all of these peels were performed by non-medical Personnel, such as Aestheticians, particularly in Europe where a great deal of refinement in the procedures occurred prior to bringing the procedure to the United States during the first part of this century.
Now these procedures are commonly performed by Dermatologists, Plastic Surgeons and Cosmetic Surgeons with the intention of producing younger looking, smoother, more even skin.
The basic concept of Chemical Peels is really rather simple. The pH of the skin (the measurement of its acidity) is 5.5 which is slightly Acid, so that anything that is applied to the skin deviating from the pH of 5.5 will tend to cause some irritation and "burn" the skin. The burning of the skin then causes a healing process. It is in the process of healing that the benefits are obtained.
An Alkali, such as Lye, could be used to increase the skin’s pH, but is not as reliable as Acid, therefore, all Chemical Peels are performed with Acids.
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What is Pigmentation:
Pigmentation is a congenital vascular lesion. Another name for port wine stain is “nevus flammeus.” Port wine stain is an irregularly shaped vascular malformation with prominent deep layer dermal blood vessels that are oftentimes present at birth and essentially do not disappear with time. Generally, the malformation is confined to the skin. The color of the port wine stain varies in hue from pink to red to purple. The shape is irregular and generally the distribution is unilateral. Most commonly, the face is involved but it may indeed incur at any cutaneous site. Pigmentation is the coloration of living tissues by pigment or, in other words it is the deposition of pigment in human beings. Some pigmentation problems are skin discolorations, appear as a blotchy, brownish pigmentation on the face and body. Skin discoloration is especially common in women aged 20-40.
TREATMENT:
The mainstay of therapy for pigmentation in today’s medical environment is the Candela flash lamp pulse dye laser, which is specifically designed to treat vessels in the epidermis and dermis of children and adults with Pigmentation. The fancy nomenclature for laser treatment of Pigmentation is “selective photo thermal lysis,” which simply means that the laser will specifically treat the dilated vessels and not injure the surrounding epidermis, dermis, and soft tissue structures other than the vessels. Chomogenex pulse dye laser treatment of Pigmentation typically requires several sessions, usually anywhere from one and ten. Treatment for Pigmentation first requires performing a laser response test, which determines the efficacy and response of an individual’s tissue to the laser. Several energy levels are tested and evaluated approximately six weeks later.It is of significant advantage to treat early on for a number of reasons; specifically, the port wine stain is not hypertrophied, not as well matured, and not as prominent.
Pigmentation Causes:
Repeated pregnancies, can intensify the pigmentation. Sun exposure, following the use of deodorant soaps, scented toiletries, and various cosmetics can also produce this mottled pigmentation. This is called a phototoxic reaction and is due to ultraviolet radiation being absorbed by the chemical substance (perfume, cologne and other types of fragrance) on the skin. This pigmentation often extends down to the sun-exposed areas of the neck and may be more pronounced on the right side of the forehead, face and neck due to sun exposure while driving a car (or the left side - if you drive on the right).
What is WRINKLE:
As skin ages, elastic fibers in the dermis break down, collagen fibers get "stuck" together, and there's a gradual loss in hyaluronic acid, the ground substance that gives skin its bulk and feel. The skin becomes stiffer and less elastic, and when subjected to repeated movement by the underlying muscles, such as in the forehead, and around the eyes and lips, wrinkles appear. Exposure to the sun greatly accelerates this process, and it occurs earliest in patients with thinner, lighter skin. The principal changes seen in the aging face include:
Skin changes, blotches, discoloration, textural changes
"Mimetic" wrinkles caused by movement of muscles
"Furrows" caused by loss of elasticity and laxity of underlying muscles and ligaments.
Sagging and jowling caused by loss of underlying fat cushions and skeletal structures.
There is no single technique that can correct all of these changes, but a systematic approach to treatment can significantly and often dramatically improve the aging face.
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Botox and Fillers
Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum. Scientists have discovered a way to use it to human advantage. Small, diluted amounts can be directly injected into specific muscles causing controlled weakening of the muscles. Cosmetic physicians have been using Botox for years to successfully treat wrinkles and facial creases.
In April 2002, Botox gained FDA approval for treatment of moderate-to-severe frown lines between the eyebrows - called glabellar lines. However, Botox is often used for other areas of the face as well.
What are facial dermal fillers?
Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike face lifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips (see section on lip enhancement) and lessen the downward slant of the corner of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars.
There are two classes of dermal fillers:
Permanent and temporary
The main permanent dermal filler in use today is silicone. There are a variety of temporary dermal fillers currently in use and several will be discussed below: Hydroxyappetite (Radiesse), hyaluronic acid (Restylane and Hylaform), sculptra, fat, and collagen. Temporary fillers are absorbed by the body over time, usually in 2-6 months and require repeated treatments to maintain the effect.
Other Skin Lessions
Removel of Skin Tags ,DPN ,trukles, Moles , Scars by CO2 Laser.
Glycolicpeels,Salycilicpeels,TCA peels, Agera peels for Acne ,past acne scars,Tan removal & Pigmentation.
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