Her face was full of open pores and acne scars. She had tried various medicines with no results. Adding further to her disappointment we denied any medicines.
"But doctor i want to get rid of these pores and pits, please do something" She was desperate.
" Open pores are openings of normal skin glands , how can any cream make them disappear" We were reluctant.
Then we started fraxional co2 laser to resurface the face and to improve the appearence of her face however we ourselves were not sure about results.
And after almost 10 months of regular sessions, here she is today......smiling with confidence.
We are surprised to see the magic of fraxional laser.
Friday, March 27, 2015
Skin resurfacing
Thursday, March 26, 2015
Innovations with available resources.
"En coup de sabre" literally means "a mark by an axe". Technically it is localised scleroderma where all the layers of skin including fat and sometimes bone too gets atrophied.
Until recently there was no medical option available other than a few creams to lighten the mark
We started platlet rich plasma injections in affected area and found good results. It stimulates local tissue formation and gives a wonderful fullness effect. Now we are planning to do it for all such problems with loss of skin tissue or fat to produce a natural fullness from within.
Projection of the guilt
"Look doctor i never had any leukoderma....its when i started homeopathic medicines i got these white spots within few days. I stopped the medicines but the effect of medicine was so strong that new lesions are still appearing even after 5 years of that incident" she was very hopeless when she first came to us.
Is it true? Is it possible? We tried to explain her that its an autoimmune disease and it has nothing to do with what you had 5 years ago for a few days.
It was a case of projection of gereral guilt in form of false accusations. No doubt Vitiligo have such a strong impact on ones psyche.
We started the treatment along with some relaxing medications, knowing the fact that if it would increase again we would be her next target .
Oh man, God bless you!
"Doctor i have got melasma ! And now see i am developing acne too ! And my eyelashes are getting gray !" She was explaining the things endlessly and i was searching the things i can treat actually.
There was no pigmentation. There were hardly any pimples. And if there is just one gray hair all over your body is it necessary to bother your doctor for that ?
This was a case of dismorphophobia.
And then i saw her husband ! Oh man , you got a lady who has habit of complaining about the things which are not there ! God bless you .
Just common sense
"Doctor you are genius, your diagnosis was absolutely correct, see i am all improved". He came with a wonderful smile on his face this time . I remember last time on his first visit he was quite apprehensive regarding our diagnosis and treatment.
He had very thick skin lesions of lichen simplex over his legs and he had shown to many renowned dermatologists .
I wanted to tell him that neither our diagnosis nor our treatment was unique . Skin was so thick that the same medicine in creams or tablet forms was not penetrating in. So all we did was that we injected the same medicine inside his skin lesions. Just common sense no rocket science.
Tuesday, March 17, 2015
Cleaning away some trauma?
She had macerated,wet ,scaling , sore palms. She knew how it happened. And everyone else in her home as well. We explained her to stop washing her hands so frequently because its leading to fungal infections. She smilingly admitted the fact, but was unable to stop. It was obsessive compulsive disorder leading to skin infections.
Does this reflects some suppressd psychological truma in her subconcious? Was it an effort to clean the soul ?
Can't stop herself
She had many lesions over her face , repeatedly scrached and nonhealing wounds. We diagnosed it as Acne excorie. We tried to reassure her that spots are not disaapearing just because you have habit of touching and scratching it. She denied. We gave "Relaxing tablets" to ease her stress and it worked.
Its amazing fact that our face is so much important factor. It can dominate our whole thought process and philosophy of life.