Next Generation Sunscreens

Next Generation Sunscreens
Next Generation Sunscreens UV light can severely damage the skin and cause premature aging. Photoaging can be characterized by visible wrinkles, hyperpigmentation and uneven pigmentation of the skin, coarseness, laxity, telangiectasias, lentigines, and atrophy. The UV rays blasting down from the sun do more than burn your skin. They attack you right down to your DNA. That's why there's such a strong link between sun exposure and skin cancer. If you could somehow repair the sun-damaged DNA in yo...
More

Is the end near for Minoxidil era?

Hair loss
Is the end near for Minoxidil era? Medical treatment of Androgenic alopecia has been dominated by two drugs Minoxidil and Finasteride. Treatment with finasteride and minoxidil should be life-long as its interruption is followed by gradual hair loss, with return to the pre-treatment status within 1 year. Though Minoxidil and Finasteride are effective in only about 40% of the patients increasing concentration to achieve results can be disastrous. Minoxidil has compliance issues when used in higher...
More

Science behind Vampire Face Lift

Science behind Vampire Face Lift In this anti-aging age, perhaps it’s unsurprising that vampires — ancient, but with forever-young skin — are a cultural obsession. Twilight books and films promoted the idea of living forever. Now a cosmetic treatment to fill in wrinkles or to plump up hollow cheeks is being marketed as a “vampire filler” or a “vampire face-lift.” Volume deficiency in areas of deeper folds, such as the nasolabial folds (NLFs), typically is treated with injectable dermal fil...
More

Hand Rejuvenation- Tips and Tricks

Hand Rejuvenation
Hand Rejuvenation The hands, just like the face, are highly visible parts of the body. They age at a similar rate and demonstrate comparable changes with time, sun damage, and smoking. Just like in the face, volume loss in the hands is a common indicator of age. Both intrinsic and extrinsic factors infuence aging of the hands. The epidermis of  the skin thins; lentigines, dyschromia, and textural roughness appear; and seborrheic  and/or actinic keratosis may develop. The quantity and qua...
More

Topical Botox Current Evidence

Topical Botox Current Evidence Originally approved for the treatment of eye muscle disorders like blepharospasm and strabismus, Botox has become an increasingly popular cosmetic procedure. According to the American Society of Plastic Surgeons (ASPS), botox injections were the single most popular minimally invasive cosmetic procedure performed in the United States in 2015. The ASPS report found that 7.3 million injections were given in 2015, up 3% from the year prior. The problem Although cosm...
More

Dimple creation Tips and tricks

Dimple creation
Dimple creation Tips and tricks Dimples have always been seen as a beauty symbol which is very attractive to all. Dimples tend to accentuate a smile, thus increasing the perception of attractiveness, sociability, and facial beauty. This is a characteristic inherited in an autosomal dominant fashion; the cleft chin dimple is on chromosome 5 and cheek dimples are on chromosome 16, with variable penetrance. Dimples can be transient or permanent, depending on the cause or factor responsible for ...
More

Botox For Scars and Keloids Current evidence

Botox keloid
Botox For Scars and Keloids Facial scar management is considered one of the difficult problems that cosmetic surgeons face. Several factors act to influence the final outcome of their management. The unique character of facial expression muscles which attach themselves to the dermis put the scar under continuous stress during the healing phase with subsequent complicated wound healing. The  role of Botulinum  toxin A  in  induction of facial muscle weakness is now well recognized in facial aest...
More

Lip Rejuvenation- Tips and tricks

Lip Rejuvenation
Lip Rejuvenation Lips are a central part of facial aesthetics due to their color, surface texture, and shape. Well defined and full lips represent attractiveness and beauty. Loss of volume and elasticity of subcutaneous soft tissue, retraction of lip red, bone resorption, loss of teeth, smoking, and ultraviolet exposure contribute to perioral aging and loss of attractiveness. Furthermore, lips are exposed to irritants and environmental factors that challenge the barrier function of their th...
More

Non Surgical Brow Lift- Tips and tricks

Non Surgical Brow lift
Non Surgical Brow Lift Over time, factors such as our lifestyle, environment, and even genetic makeup contribute to the development of various signs of aging on the brow and forehead. Some of the most common of these aging symptoms include wrinkles and creases on the forehead, furrows between the eyebrows, drooping of the brow and upper eyelids, and loss of the brow’s natural arch. Luckily, brow lift (also known as forehead lift) can often be a great solution for minimizing these aesthetic ...
More

PDO Thread Lift- Tips and Tricks Part 1

PDO Thread Lift
PDO Thread Lift There is a growing trend nowadays for patients to seek the least invasive treatments possible with less risk of complications and downtime to correct rhytides and ptosis characteristic of aging. Nonsurgical face and neck rejuvenation has been attempted with various types of interventions. Suture suspension of the face, although not a new idea, has gained prominence with the advent of the so called ‘‘lunch-time’’ face-lift. Surgical lifting with excision of excessive skin has bee...
More

Injection lipolysis in subcutaneous lipoma- Tips and tricks

Injection lipolysis in subcutaneous lipoma
Injection lipolysis in subcutaneous Lipoma- Tips and tricks A lipoma is a benign tumor composed of adipose tissue (body fat). It is the most common benign form of soft tissue tumor. Lipomas are soft to the touch, usually movable, and are generally painless. The patient presents to physician for removal of lipoma for cosmetic reasons. Surgical excision and Liposuction are two most common methods of treatment of lipomas in accessible areas. Surgical excision though preferred leaves a scar and ...
More

Non Surgical Rhinoplasty- Tips and tricks

Non Surgical Rhinoplasty
Nonsurgical Rhinoplasty or Medical  Rhinoplasty   Unlike many other facial plastic surgery procedures, there are few non-surgical alternatives to rhinoplasty surgery. The only way to make permanent nose shape changes is to alter the underlying bone and cartilage framework. Such alterations ultimately get reflected on the outside as the nasal skin adapts. The search for a less invasive way to change the shape of one’s nose has only more recently been possible through the use of injectabl...
More

Hyperbaric oxygen therapy in orthopedics

Hyperbaric oxygen therapy in orthopedics Hyperbaric oxygen treatment involves intermittent inhalation of 100% oxygen at greater than atmospheric pressure. This treatment is administered in a hyperbaric chamber, which is compressed with air, while the patient breathes oxygen at ambient pressure through a mask. Inspiration of oxygen at high pressure increases the amount of oxygen dissolved in the plasma in direct proportion to the rise in ambient pressure. Thus, when oxygen is inhaled at 2 to 2.4...
More

Advances in Achilles tendon repair

Advances in Achilles tendon repair Achilles tendon pathologies include rupture and tendonitis. Achilles tendon rupture, a complete disruption of the tendon, is observed most commonly in patients aged 30-50 years who have had no previous injury or problem in the affected leg and are typically "weekend warriors" who are active intermittently. Achilles tendon pathologies include rupture and tendonitis. Many experts now believe, however, that tendonitis is a misleading term that should no longer...
More

Prevention and Management of Heel ulcer in Orthopedics

Prevention and Management of Heel ulcer in Orthopedics The Danger of Heel Ulcers Pressure ulcers and, in particular, heel ulcers are common facility-acquired skin tissue injuries that occur most frequently among immobile patients in long-term, acute care facilities. Surgical patients are among the most susceptible. Heel ulcers are painful and physically debilitating. Left untreated, they can lead to serious complications, such as infection, cellulitis, osteomyelitis, septicemia, limb amput...
More

Changing Trends In DVT prophylaxis in Orthopedics

Changing Trends In DVT prophylaxis in Orthopedics Venous thromboembolism (VTE) has been identified as an immediate threat to patients undergoing major orthopedic procedures such as total hip arthroplasty (THA) and total knee arthroplasty (TKA). Given the known dangers of VTE, arthroplasty surgeons are sensitive to the need for VTE thromboprophylaxis. However, the modalities of thromboprophylaxis used to minimize the risks to patients have been variable. Clinical practice guidelines have been pu...
More

Morel Lavallee lesions in orthopedics

Morel Lavallee lesions
Morel Lavallee lesions in orthopedics   A Morel Lavallee lesion is a post-traumatic soft tissue degloving injury, originally described by French surgeon Victor Auguste Francois Morel-Lavallee in 1863. These lesions result from direct or tangential shearing forces that separate the skin and subcutaneous tissues from the underlying fascia. These shearing forces can disrupt perforating vessels and nerves, creating a potential space that fills with blood, lymph, debris, and fat (necrotic an...
More

Optimizing use of Tourniquet in Orthopedics

Optimizing Tourniquet use in orthopedics
Optimizing use of Tourniquet in Orthopedics Tourniquet is invaluable instrument to plastic, hand and orthopedic surgeon. It helps create a bloodless field for easy operation and reduces operative time. The advantages of tourniquet is no without its share of complication including nerve and skin injuries and devastating vascular lesions leading to amputation or death. A thorough understanding of the local and systemic effect of tourniquet is essential to minimize the complication. Various physic...
More

Minimizing Blood Loss in Orthopedics

Minimizing Blood Loss in Orthopedics "Every blood transfusion is like a miniature organ transplant, with the potential for reactions, errors and infection."     In modern day orthopedic surgeries, apart from the complications directly related to fractures and implants, a surgeon faces numerous perioperative complications. These range from excessive intraoperative and postoperative blood loss, infection, poor wound healing, electrolyte imbalance to even acute renal shut down...
More

Avoiding Malpractice Claims in Orthopedics

Avoiding Malpractice Claims in Orthopedics
Avoiding Malpractice Claims in Orthopedics     Orthopaedic surgery ranks fifth among medical specialties in the total number of claims filed and also fifth in the cumulative amount of financial payments. Approximately 30% of filed cases ultimately result in some form of financial payment. The driving force behind litigation is financial gain for patients's lawyers and compensation for patients. The motive is not the improvement of medical delivery systems or individual doc...
More

Online presence for doctors

Online presence for doctors   Let me start off by saying why I am writing this. I happened to search the name of a laparoscopic surgeon on Google the first thing that came up was a website Mouthshut.com where people write reviews on various products and services. The two people had used foul language to describe the doctor and attacked his credibility for reasons unknown. I happen to know the doctor as being of high repute for his skills and academics and popular among other laproscop...
More

Heroic reconstruction or amputation in limb trauma.

Heroic reconstruction or amputation in limb trauma. Before I start off the article would like  people have a different perception about  prosthesis. Can Prosthetics Outperform Real Limbs?   Salvage or amputation? One of the most difficult decisions an orthopaedic surgeon may face is that of whether to salvage or amputate a severely injured limb. Such a decision is rarely clear-cut. Several factors require consideration: the degree of damage to the extremity and the severity of ...
More

Management of Fasciotomy Wounds

Management of Fasciotomy Wounds
Management of Fasciotomy Wounds Acute compartment syndrome occurs when the tissue pressure within a closed muscle compartment exceeds the perfusion pressure and results in muscle and nerve ischemia. It typically occurs subsequent to a traumatic event, most commonly a fracture. The cycle of events leading to acute compartment syndrome begins when the tissue pressure exceeds the venous pressure and impairs blood outflow. Lack of oxygenated blood and accumulation of waste products result in pai...
More

Wound Closure in Orthopedics- Current evidence

Wound closure orthopedics
Wound Closure in Orthopedics Surgical wound complications are a significant problem in orthopaedic surgery with wound infection, dehiscence, and poor cosmesis contributing significantly to patient morbidity. Surgical techniques and adjunctive modalities continue to be introduced with the goals of avoiding these issues, and an increasing number of research studies have been undertaken to characterize clinical outcomes. A thorough understanding of surgical wound closure strategies and the efficac...
More

Role Of Ultraviolet C in Orthopaedics

Role Of Ultraviolet C in Orthopedics Maintaining quality of life for our ageing population increasingly involves provision of surgical solutions to ease discomfort and impaired mobility associated with musculoskeletal degenerative disorders. Although rates vary considerably between nations, increasing numbers of hip and knee replacements are being undertaken in most countries. As such, management of this demand and minimizing risk of complication, including infection, are ever more pressing. ...
More

Correction of Pin Tract Scar

Correction of Pin Tract Scar External Fixator and Distractors are commonly being used for management of complex fractures. A good alignment and  bony union is the main concern of the orthopaedician. Prolonged placement of pin causes epidermal in growth and also tethering of scar to underlying bone. Though cosmetic appearance may not be the prime concern for the doctor, patient do complain of unsightly scar over limbs. Also a tethering of skin to bone or muscle does not permit gliding of skin le...
More

Glutathione Skin Whitening: Facts and Fiction

Glutathione Skin Whitening: Facts and Fiction   Skin lightening has a controversial background. Ideas equating skin lightness with desirability, beauty and even class/caste are prevalent in some cultures. Shadeism (or colorism) is a term used to describe discrimination based on skin tone within a community, with lightness being perceived as more desirable. The marketing of skin lightening products is widespread, as is their use. Worldwide, this is a billion-dollar industry, one with...
More

3D Printing In Orthopaedics

3D Printing In Orthopaedics The 3D printing technology is penetrating the healthcare field at an astonishing rate. Although there is still a long way to go to realize organ printing and despite the constantly existing ethical and technical changes. Orthopedic implants are artificial devices incorporated into joints and bones to restore normal functions. They are widely used for patients suffering from bone damage caused by injury or disease, such as osteoarthritis, which causes pain and stiffn...
More