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HYALURONIC ACID

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It is a component of our skin which creates a barier protecting tissues against a  bacterial infection. When we get older its quantity diminishes , our skin loses its pliability , wrinkles appear. It is one of the best moisturizing components, given in subcutaneous injections firms and moisturizes our skin, fulfils wrinkles and furrows. The effect is likely to be visible just right after the treatment (perpetrates after 3-4 weeks) and lasts approximately 8-12 months.

Applications:

>> wrinkles correction

>> modelling and enlargement of lips

>> dark circles removal

>> face remodeling

BOTOX

Purified botulinium toxin

If it is applied to a muscle, it impedes nerve conduction. As a consequence –the ability of muscle contraction, what prevents the mimic wrinkles from appearing. The most frequently  it is applied to upper parts of our face (around  eyes, crow’s feet,  forehead). The area of application can be anaesthetized with some ointment, cream or it is possible  to cool it down. Full effect is visible  after 4-14 days and lasts about 6 months.

Contraindications:

>> pregnancy, breast-feeding, autoimmune diseases, taking some pharmaceuticals

Application:

>> mimic wrinkles correction (deep forehead wrinkles, “the lion’s wrinkles”, crow’s feet around eyes, “smoking” wrinkles)

>> raising the drooping upper eyelids

>> raising mouth corners

>> raising a hook nose

>> masseter muscle hypertrophy

>> treatment of armpit, hand and forehead diaphoresis

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LASER HAIR REMOVAL

Laser hair removal is a method which enables to remove unwanted hair around armpits, bikini, on the chest and face as well. Nowadays, it has been presumed that the pulse laser is the safest and the most effective one. The impact of lasers used in depilation is superficial; the beam penetrates only 2 mm into the skin causing the damage of the hair follicle and its disappearance. As a result –a hair loss.

 

Is laser  depilation effective?

Laser radiation is absorbed by the pigment of the skin (melanin), which is located both in the skin and hair follicles. That is why, the treatment is more effective as far as dark hair are concerned (higher amount of melanin). During one laser treatment hairs which are in the growth phase (anagen) are damaged . The other part of hairs being in the resting phase (kelogen) is not damaged . That is the reason why we ought to conduct the laser treatment again. It is assumed that during the first treatment we are able to reduce  approximately 20-50% of body hair. It is advisable to carry out from 3 to 5 treatments. Then it is likely to reduce even 70% of body hair.

Although we are not capable of reducing 100% of body hair with this method , the hairs which grow out are more delicate and much  lighter.  As a result the clients’ comfort boosts. A dermatological consultation  should precede the  laser depilation. During a dermatological consultation a doctor carries out an interview, evaluates the skin condition, informs about recommendations before and after the treatment. The patient who  makes a decision to use laser depilation should be informed that directly before the treatment they mustn’t  depilate their hairs mechanically and sunbathe (both before and after the treatment, minimum from 4 to 6 weeks during depilatory sessions).

 

Can we sunbathe after the depilation?

Directly after the treatment we have to protect our skin against sun using high factor protective creams. We should not  peel our skin (both medically and at home) and use creams with retinol for the first month.

 

How long is the laser depilation treatment?

The time of the treatment is dependent on the amount of hairs to remove

 

Is it painful?

During the treatment a patient feels a slight burning sensation of the skin but it depends on individual sensitivity and a spot which is depilated.

 

Does laser depilation leave any marks?

Redness, an oedema around the hair follicles covering an area which has been depilated and sometimes discoloration can be  side effects of laser depilation. These symptoms are transient and recede after a few days (they can seldom  last several weeks).

TELEANGIECTASIA

Colloquially called “spider veins” or “broken capillaries”.

 

Where are they come from?

“Spider veins” are a permanent skin defect which is possible to remove using laser treatment or IPL.

People who suffer from teleangiectasias have so-called vascular skin. What is more, they may be affected by acne rosacea. Vosolidation is much stronger when exposed to sun, frost influence and frequent visits at solarium as well. Capillaries may create a delicate vascular network of red or blue coloration.

 

How is it possible to get rid of “spider veins”?

We are able to obtain the best effects of laser treatment getting rid of “spider veins” which have appeared on the cheeks. Capillaries within the nostrils react much worse to laser treatment and unfortunately tend to recur. Usually during the first laser treatment we are able to get rid from 40% to 60% of them so it is required to repeat the treatment (from 1 to 3 treatments 8 weeks apart).

KTP lasers (potassium-titanium-phosphate), IPL, PDL (Pused dye laser) are additionally used to remove the changes.

A FEW WORDS ABOUT MOLES

What are moles?

They are pigmented moles which may appear on our skin but in varying amounts. The quantity of them depends on genetic factors. If there are a lot of moles it is advised to check the skin regularly both by yourself and by a dermatologist at least once a year. What is more, the proper education of patients and parents is very important as far as self-observation and protection is concerned. Even though visual examination of moles can be made during a doctor’s appointment , the best method to carry out diagnostic evaluation of them is dermatoscopy. It involves watching the moles under magnification by an optical device which is called a dermatoscope. To a large degree, dermatoscopy enables to exclude the presence of melanoma.

 

Is it necessary to remove all moles?

Most of the pigmented moles are mild and require only to be observed by the patient themselves , sun protection and regular dermatological monitoring, especially in case the localization of moles makes self-control impossible (the back, armpits, the places which are inaccessible). Suspicious moles (pigmented moles which enlarge quickly , change the colour, have irregular edges , multicoloured, with a diameter greater than 5 mm, emphasizing above the level of epidermis and where itiching and/or bleeding appears as well ought to be particularly observed) should be removed surgically  what enables the microscopic evaluation (histopathology). Only a surgical removal  of suspicious moles   remains the guarantee of  a suitable diagnosis and exclusion of melanoma. On the other hand, skin changes which do not arouse any suspicions can be treated using laser. Frequently the decision to remove the moles is made due to aesthetic reasons.

SCARS CAN BE TREATED

A lot of patients who come to dermatological surgeries have got scars related to acne problems and connected with surgeries  or injuries as well. Dermatology knows the scars of different kind. There are hypertrophic scars above the skin surface but not protruding the original site of an injury and keloids which occupy an area which has not been covered by skin trauma. Atrophic scars are the opposite to hypertrophic ones and characterize in not filling the entire loss resulting from trauma. Moreover, they have a clearly marked border. Acne scars are an example of atrophic scars.

 

How to treat scars?

 Treatment methods:

  1. Medical peelings - are the common method to treat scars and refer to both chemical peelings and mechanical ones such as microdermabrasion and dermabrasion.
  2. Mesotherapy -it is a therapy which we can combine with peelings and includes  numerous injections in the scar area what stimulates the process of collagen and elastic fibres synthesis.
  3. Lasers - there are different sorts of lasers used to treat scars including ablative (CO2 and yerba-yag lasers) and vascular ones in the event of scars which show high vascularization. Fractional laser is the latest method to remove scars.
  4. Surgeries.
  5. Ultrasound treatment and softening preparations.
  6. Drugs such as ointments, creams or gels to use at home.
  7. Treatment with sterids or in combination with cytostatic drugs.

In most cases the methods mentioned above enhance the scar look. Unfortunately in many cases it is impossible to remove the scars utterly.

ACNE – IT IS NOT A LIFE SENTENCE

What is acne?

Although acne is a disease which the most often concerns young people, it happens to be a problem of adults as well. There are a lot of factors which play a significant role in developing acne such as hormones, complexion type which is genetically determined and bacterias. There are several types of acne depending on a sort of skin eruptions. For instance there are follicular, punctate, postular, nodules and cysts acne.

How to treat acne?

The treatment method is adjusted to the cause and symptoms of skin problems. In the event of changes of a low degree of severity, dermatological medicaments for topical use only are advised and a proper skin care. Patients with more intense problems require oral antibiotic therapy and/or oral contraceptives.

Very difficult cases are treated with oral isotretinoin which in general gives  a permanent positive effect and effectively prevents the skin from scars.

Medical peelings can be used as complementary treatment which has a positive impact on both changes in the active forms of acne, post-inflammatory hyperpigmentation. What is more, they enable to obtain an improvement as far as acne scars are concerned.