dr_jyotishah
�Dermatologist (MD)
�Specialist
�Hair
�Aesthetics
�Nail
�Skin
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Team aesthetic aura skin & hair clinic
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Hyperhidrosis is a disorder of excessive sweating due to the overstimulation of cholinergic receptors on eccrine glands. This disorder is characterized by sweating beyond what the body uses for homeostatic temperature regulation. Eccrine glands are concentrated in areas such as the axillae, palms, soles, and face; therefore, these are the areas most commonly associated with hyperhidrosis.
Causes: Genetic
Drugs
Hormonal imbalances
Diabetes
Neurological
Tumors
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Diet and hair loss: effects of nutrient deficiency. Patients presenting with hair loss should be screened by medical history, dietary history and physical exam for risk factors for nutrient deficiency. If warranted, laboratory studies may be performed. For patients with nutritional deficiencies, it is clear that those deficiencies should be corrected.
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Acne scar • Has inflammatory (swollen, reddish, and painful) acne
These often include acne cysts and nodules. This type of acne tends to pe*****te deep into the skin, which damages the skin.
• Delays or does not treat inflammatory acne
The longer a person has inflammatory acne, the greater the risk of scarring.
• Picks, squeezes, or pops acne
This increases inflammation, which increases the risk of scarring.
• Has a blood relative who developed acne scars
Genes play a large role. Treatment: retinoid ; salicylic acid; chemical peel; Microneedling; CO2 fractional laser; PRP
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Patterned Hair Loss Male patterned & Female patterned hair loss Patterned hair loss is the most common cause of hair loss seen in both the sexes after puberty, typically presenting with progressive thinning, miniaturization, and loss of hair at the affected sites. The hair loss varies in extent and severity and numerous stages exist between the stages of early frontotemporal recession to the stage of residual occipital band. Numerous researchers have proposed different classification systems for patterned hair loss in both males and females based on the evolutionary stage of hair loss ranging from a simple two-stage classification proposed by Beek in 1950 to the recent advanced basic and specific (BASP) classification.
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Geographic tongue is a benign oral inflammatory condition characterised by loss of epithelium, particularly of the filiform papillae on the dorsum of the tongue.
Geographic tongue is also called benign migratory glossitis because the signs move around.
Causes: Unknown but geographic tongue occurs more often in patients who have psoriasis, especially pustular psoriasis.
food allergy, allergic contact dermatitis, asthma, atopic dermatitis, reactive arthritis, anaemia, hormonal disturbance, emotional stress and in patients with early-stage of type 1 diabetes.
Treatment: The outcome of geographic tongue is good.
In most cases, it resolves over time without treatment.
![](https://img5.findglocal.com/142/198/113646161421985.jpg)
Herpes zooster (shingles) Herpes zoster is viral infection that occurs with reactivation of the varicella-zoster virus. It is usually a painful but self-limited dermatomal rash. Symptoms typically start with pain along the affected dermatome, which is followed in 2-3 days by a vesicular eruption. Classic physical findings include painful grouped herpetiform vesicles on an erythematous base. Signs and symptoms of herpes zoster
The clinical manifestations can be divided into the following three phases:
Preeruptive phase (preherpetic neuralgia)
Acute eruptive phase
Chronic phase (PHN) Treatment includes antiviral medications such as acyclovir, famciclovir, and valacyclovir given within 72 hours of symptom
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Melasma Melasma is a common acquired skin disorder that presents as a bilateral, blotchy, brownish facial pigmentation.
This form of facial pigmentation was previously called chloasma, but as this derives from the Greek meaning ‘to become green’, the term melasma (brown skin) is preferred. It was also known as the ‘mask of pregnancy’.
Melasma is more common in women than in men, with an onset typically between the ages of 20 and 40 years. Melasma is most common in people who tan easily or have naturally brown skin (Fitzpatrick skin phototypes III, IV). It is less common in people with fair skin (Fitzpatrick types I, II) or black skin (Fitzpatrick types V, VI). Factors implicated in the development of melasma include:
Family history — 60% report affected family members
Sun exposure — ultraviolet and visible light promote melanin production
Hormones — pregnancy and the use of oestrogen/progesterone-intrauterine devices, implants, and hormone replacement therapy ; thyroid disorders can be associated with melasma
Medications and scented products — new targeted therapies for cancer and perfumed soaps, toiletries, and cosmetics may cause a phototoxic reaction to trigger melasma
Researchers are examining the roles of stem cell, neural, vascular, and local hormonal factors in promoting melanocyte activation. Types: Epidermal melasma Dermal melasma and mixed melasma Treatment: Sunscreen. Topical therapy: Azelaic acid
Kojic acid
Cysteamine cream
Ascorbic acid
Methimazole
Tranexamic acid
Glutathione
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Before and after botox. Let's start with what Botox is??? Botox is the brand name for Onobotulinumtoxin A, a neurotoxin derived from Clostridium botulinum. There are currently four different types that are FDA-approved for cosmetic facial wrinkles. These include Botox, Xeomin, Dysport and now Jeuveau. They all work by blocking a signal from the nerve to the targeted muscle that prevents it from contracting. By preventing the contraction of these specific muscles, there is less action or pull on the skin and a decrease in the formation of wrinkles. Neurotoxins generally take effect in 3-5 days but it is common to not see your full and final results for 7-10 days. Botox lasts 3-4 months.
![Photos from dr_jyotishah's post](https://img3.findglocal.com/816/957/112836948169573.jpg)
Before and after botox Let's start with what Botox is. Botox is the brand name for Onobotulinumtoxin A, a neurotoxin derived from Clostridium botulinum. There are currently four different types that are FDA-approved for cosmetic facial wrinkles. These include Botox, Xeomin, Dysport and now Jeuveau. They all work by blocking a signal from the nerve to the targeted muscle that prevents it from contracting. By preventing the contraction of these specific muscles, there is less action or pull on the skin and a decrease in the formation of wrinkles. Neurotoxins generally take effect in 3-5 days but it is common to not see your full and final results for 7-10 days. Botox lasts 3-4 months.
![](https://img4.findglocal.com/832/070/111325598320708.jpg)
Malar rash
The image shows an erythematous rash sparing the nasolabial folds which coupled with clinical history points to diagnosis of SLE.
![](https://img5.findglocal.com/165/445/111321471654454.jpg)
Geographic tongue is a benign oral inflammatory condition characterised by loss of epithelium, particularly of the filiform papillae on the dorsum of the tongue.
Geographic tongue is also called benign migratory glossitis because the signs move around.
Causes: Unknown but geographic tongue occurs more often in patients who have psoriasis, especially pustular psoriasis.
food allergy, allergic contact dermatitis, asthma, atopic dermatitis, reactive arthritis, anaemia, hormonal disturbance, emotional stress and in patients with early-stage of type 1 diabetes.
Treatment: The outcome of geographic tongue is good.
In most cases, it resolves over time without treatment
![](https://img5.findglocal.com/503/879/110811365038798.jpg)
Causes
Black hairy tongue typically results when projections on the tongue called papillae grow longer because they don't shed dead skin cells like normal. This makes the tongue look hairy. Debris, bacteria or other organisms can collect on the papillae and result in discoloration.
Although the cause of black hairy tongue can't always be determined, possible causes or contributing factors include:
Changes in the normal bacteria or yeast content of the mouth after antibiotic use
Poor oral hygiene
Dry mouth (xerostomia)
Regular use of mouthwashes containing irritating oxidizing agents, such as peroxide
To***co use
Drinking excessive amounts of coffee or black tea
Excessive alcohol use
Eating a soft diet that doesn't help to rub dead skin cells from your tongue