How to Cure Skin Problems

Our skin is known to be the largest organ of our body. It also plays a huge part in keeping us healthy. Our skin serves as our shield from all the dust and dirt coming from the environment. Apart from that, it also guards us from the effects of all the chemicals, change of temperature and microbial attack which might cause damage to our health. Most of all, it is the reason why we manage to have nutrients in our body because it actually prevents its loss. There are countless of reasons why the skin is so important to the human body. That’s why it is just essential for us to take care of it. But sometimes, no matter how good we are in taking care of our skin, there could be factors which could trigger skin infection. When this happens, natural skin care will not be enough. Good thing, skin medicines such as Trofodermin exists in the market to help solve all our problems.

Trofodermin is a skin antibiotic designed to treat skin ailments caused by bad bacteria. It also prevents the infection from getting worse. This skin antibiotic is made up of Neomycin Sulfate and Clostebol Acetate which is also known as a synthetic anabolic androgenic steroid. Trofodermin is an aminoglycoside antibiotic, meaning, it hinders the bacteria to produce proteins which are essential to its growth. Trofodermin has the ability to heal the damages of the infection with its antibacterial and anti inflammatory effect.

This skin antibiotic can resolve several skin problems such as skin cankers and sores, skin ulcers, wounds and even ailments like decubitus. It can also help reduce erosive infections of skin and mucous which includes piogenic infections and herpes. Moreover, Trofodermin is your solution for contaminated wounds, burns and cracks in private areas. Long healing wounds can also be treated by this skin ointment and problems including skin dystrophy and beam dermatitis will surely be minimized.

You may apply the antibiotic on the infected area for one to two times a day. It is best to cover it with sterilized gauze to protect it from other bad bacteria. For better results, it is advisable for you to visit a dermatologist before purchasing the product. Several conditions may affect the number of dosage you have to take and side effects may occur once you took the wrong one.

Our skin, like any other part of our body, is vital to our health and to our whole being. Infections may occur but it does not mean it can’t be stopped because Trofodermin, has the solution in all sorts of skin dilemma.

Reaping the Benefits of Facials

Many may think that having a facial is just a pampering experience and one that only those with money and time to spare can afford. This is not necessarily true, as facials have proven to give you a lot of positives aside from the pampering aspect. It is true that we need to give ourselves a treat now and again, and a facial is a great way to feel good about ourselves but they come with a few other health benefits as well.

The first thing about a facial is that it will incorporate massage into the mix. We know that massages are great for the body as they increase blood flow and circulation and they also help to relieve stress. Think of a facial as a face massage and you’re on the right track as the same thing holds true. A facial will improve blood flow to your face and help with lymphatic drainage at the same time. It will relax your facial muscles and get you a healthy dose of oxygen rich blood circulating around.

Facials of course also cleanse your skin. They help to remove toxins that we have picked up from pollution and also release all the dirt and grease that builds up naturally in the pores. A facial will open the pores and remove the dead skin cells and toxins that will leave you with a fresh feel and incredibly clean skin. They also tighten and firm the skin and can reduce puffiness, sagging and slow the onset of wrinkles.

Facials come in different scents and have different ingredients in them so you can choose the one to specifically target your problem areas or the one that gives you the best aromatherapy experience. All of this leads to relaxation and contentment which will transfer to the rest of your body as well.

A facial is done by an experienced professional who, just like your massage therapist or hair dresser is there to answer all of your questions. They can tell you what the different ingredients will do for you and also check for any allergies you may have before they start.

In short, a facial is a pampering experience that allows you to gain relaxation, contentment, and get great looking and feeling skin at the end of the session. Should you have more than one facial? Absolutely! Getting into the regime of regular facials will keep you looking great for years to come!

Chemical Peel and the Pathology Behind It

Definition – Chemical peeling is a medical procedure which includes application of a chemical agent to the skin, causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues.

In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or combination of agents of defined strength are applied the skin causing a controlled destruction of layers of the skin. This is followed by regeneration and remodeling leading to improvement of texture and surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and imperfections.

Skin Histology

Skin is considered the largest organ of the body and has many different functions. The skin is divided in two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also called subcutaneous connective tissue.

Epidermis – It is the most superficial layer of the skin. The first barrier of protection from the invasion of foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum, stratum spinosum and stratum basalis (basal layer).

Dermis – It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.

Classification of peels according to histological depth

Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.

Superficial peel – Destruction of the full epidermis, up to the basal layer

Medium peel – Destruction of the epidermis, papillary dermis and up to the upper one third of the reticular dermis.

Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid reticular dermis.

Classification of chemical peeling agents

Very superficial Peel:

Glycolic Acid 30-50% applied for 1-2 minutes

TCA* 10% applied as one coat

Jessner’s solution 1-3 coats

Superficial Peel:

Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)

TCA 10-30%

Jessner’s solution 4-10 coats

Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring, fine lines, and sun spots.

Medium Peel:

Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)

TCA 35-50%

Glycolic Acid 70% plus TCA 35%

Jessner’s solution plus TCA 35%

Deep Peel:

Phenol 88%

Baker Gordon phenol formula

Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced wrinkles, skin tightening and pigmentary dyschromia.

Reason behind chemical peeling:

Wound healing process is an important reason for rejuvenation. The phases of wound healing after chemical exfoliation are apparent:

• Inflammatory phase (1-5 days) – This phase is evident after peeling as erythma and swelling on the skin

• Proliferative phase (2-21 days) – In superficial peels, the basement membrane is intact, hence normal epidermis is restored in 2 to 3 days. In medium to deep peels, wound is below basement membrane and re-epithelialization takes time.

• Remodeling phase (3 weeks to 2 years) – collagen remodeling is the main reason that chemical peels cause rejuvenation and reduce wrinkles.

Indications for peels:

1. Pigmentary disorders

a. Resistant melasma

b. Pigmented cosmetic dermatitis

c. Freckles

d. Lentigines

e. Post inflammatory hyperpigmentation

2. Acne

a. Comedonal acne

b. Post acne scars

c. Acne cosmetic

d. Acne excoriee

3. Cosmetic

a. Photoageing

b. Fine wrinkling

c. Skin glow and rejuvenation

d. Oily to rough skin

e. Actinic keratosis

4. Miscellaneous

a. Keratosis pilaris

b. Macular amyloidosis

c. Dilated pores

d. Seborrheic keratoses

Contraindications:

• Active bacterial, viral and fungal infection and open wounds

• Oral isotretinoin use within the past three months

• Pregnancy and breast feeding

• History of keloid formation

• History of taking oral contraceptive and photosensitive drugs

• Unrealistic patient expectation

• Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine

• For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the last six months.

How to choose a patient:

A patient should be chosen depending upon 4P’s:

P – Pathology

P – Point of depth required

P – Patients skin

P – Previous peeling agents

Newer peels:

Many peels like mandelic acid, kojic acid, lactic acid, citric acid and many more have been introduced in the market which are also available in combination. These peels are not only more skin friendly but also more patient friendly. They have buffering agents like licorice extract and willow bark extract to minimize irritation to skin and antioxidants to infuse the skin with restorative nutrients. The change in the skin often occurs at cellular level and are not apparent to the naked hence making it more popular amongst busy patients who are seeking effective treatments quickly with little or no downtime.

Benefits of chemical peels:

• The skin becomes noticeably smoother and rejuvenated.

• It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and enlarged pores.

• Removes dead and damaged skin cells and improves skin texture

• Helps in removal of tan

• Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the epidermis but also collagen remodeling.

Pre peel and post peel precautions:

• Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the indication and type of peel) every 2-3 weekly to get the desired result.

• Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of atleast 7 days before and after the peel should be maintained.

• Patient should use a mild soap/ non soap cleanser after the peel

• Broad spectrum sunscreen and moisturizer should be used liberally, atleast 2-3 times a day and sun exposure should be avoided.

• Patient should be strictly prohibited from scratching, picking or scrubbing the skin.

Take home message:

Chemical peeling is a simple office procedure for the treatment of acne, pigmentation, skin rejuvenation and photoageing. These are not one time procedures but require 6-8 sessions and maintenance peels to achieve maximum improvement and prevent recurrences. The newer peels are safer and effective.

Abbreviation used:

TCA – Trichloroacetic Acid

How to Make a Homemade Toner

Skin products are becoming more expensive each year. There might be some places such as cash and carry wholesalers that you could give you a bulk discount. This is ideal for retailers but if you don’t require that much then you probably need to make another plan.

Homemade toners are a good way to save money. You could have the ingredients in your home already which means that you don’t need to research ingredients that you’ve never heard of.

Most recipes for homemade toners often include some sort of drying agent or acid. Be sure to avoid these if you have dry skin. In fact, dry skin doesn’t need toning; it only needs hydrating and moisturising. Some toners may need to remain on your face a bit longer as there are not as many harmful chemicals in the natural solution.

To make a toner you need to add an ingredient to disinfect or clean out the dirt on your skin. This ingredient could be lemon, tea tree oil, salt or vinegar. To even out the acidity level these ingredients have to be combined with an opposing substance.

Lemon juice should be washed off after ten minutes with normal water. The acidity could damage your skin if not removed but with water that alkalises the acid makes your skin look rejuvenated.

Vinegar based toner is used as a leave-on substance. All you have to do for this mixture is to add water that is equal to the amount of vinegar that you’re adding. This toner mixture might be your best option. Make sure that the vinegar used is either apple cider or white vinegar.

Salt is a good natural disinfectant but it should be combined with an essential oil; avoid tea tree oil though. Essential oils need to repair skin and where the salt may dry it therefore these two ingredients balance each other.

Tea tree oil can be added to your moisturiser as an all in one beauty routine. Tea tree oil can dry out your skin if it is very oily. By adding a couple of drops to your facial cream you can balance your oily skin with a moisturiser.

As a do-it-yourself person you need to make sure you know which chemicals work with your skin. Always remember that if you notice any form of irritation on your skin you have to stop using it immediately. If you are uncertain about your skin type and the products you can use, make sure you ask a skin specialist before going to your cosmetic supplier.