Skin cancer - PrudENT Rhinoplasty and Facial Cosmetic Surgery

A Comprehensive Guide to Skincare and Anti-ageing treatments

A COMPREHENSIVE GUIDE TO SKINCARE AND ANTI-AGING UNDERSTANDING YOUR SKIN Before you begin creating a skincare routine, it’s important to determine your skin type. Identifying your skin type ensures that you choose products that cater specifically to your skin’s needs. Generally, skin types can be categorized as: Dry Skin: Feels tight and may flake, often prone to irritation and redness. Oily Skin: Has a greasy sheen, especially in the T-zone (forehead, nose, and chin), and may be prone to acne. Combination Skin: A mix of dry and oily areas, often with an oily T-zone and drier cheeks. Sensitive Skin: Reacts easily to products, sun, and environmental factors, often appearing red and irritated. Normal Skin: Balanced and not prone to significant dryness oroiliness. Knowing your skin type helps in selecting the right cleansers, moisturizers, and treatments that work best for you. Once you understand your skin, you can start to build a routine based on key skincare ingredients. SKINCARE INGREDIENTS Antioxidants: Antioxidants protect the skin from free radicals and environmental stressors like pollution and UV rays. These ingredients promote collagen production and combat the visible signs of aging. Vitamin C: Boosts collagen, reduces dark spots, and protects from UV damage. Vitamin E: Enhances skin barrier function and works with Vitamin C for added antioxidant protection. Green Tea Extract: Contains polyphenols that reduce inflammation and calm irritated skin. Ferulic Acid: Works well with other antioxidants like vitamins C and E to stabilize and boost their efficacy. Retinol (Vitamin A Derivative): Retinol is one of the most powerful anti-aging ingredients. It promotes collagen production, improves skin texture, reduces fine lines, and can help with acne. How it works: Retinol accelerates cell turnover, making skin appear smoother and firmer over time. Usage: Start with a lower concentration (around 0.25% or less) and gradually increase as your skin builds tolerance. Peptides: Peptides are short chains of amino acids that act as building blocks for proteins like collagen and elastin, which help keep skin firm and elastic. Copper Peptides: Not only do they stimulate collagen production, but they also help with wound healing and reducing inflammation. Hyaluronic Acid: A naturally occurring substance that hydrates the skin, reducing the appearance of fine lines and wrinkles. This powerful humectant draws moisture into the skin, hydrating and plumping it. Hyaluronic acid is often found in serums and moisturizers, providing an instant improvement in the appearance of fine lines. Usage: Suitable for all skin types and works best when applied to damp skin to lock in moisture. Alpha Hydroxy Acids (AHAs): AHAs are water-soluble acids that help exfoliate the skin’s surface, promoting smoother texture and more even skin tone. Glycolic Acid: A smaller molecule that penetrates deeply to improve texture and reduce fine lines. Lactic Acid: A gentler AHA that exfoliates while hydrating, ideal for sensitive skin. Beta Hydroxy Acids (BHAs): Exfoliate the skin and penetrate pores, making them effective for treating acne. Has, such as salicylic acid, are oil-soluble and can penetrate the pores, making them effective for treating acne-prone skin. Salicylic Acid: Unclogs pores and prevents breakouts, while also exfoliating the skin. Niacinamide: A versatile ingredient that improves skin texture, reduces hyperpigmentation, minimizes pores, and strengthens the skin’s barrier function. Additional Benefits: Anti-inflammatory properties make it suitable for sensitive and acne-prone skin. Ceramides: Ceramides are lipids that make up the skin’s barrier. They help to lock in moisture and protect the skin from environmental damage. Strengthen the skin’s barrier, preventing moisture loss and improving resilience. Usage: Essential in moisturizers for dry or compromised skin, especially after exfoliating treatments. SKINCARE PRODUCTS AND ROUTINE Once you’ve identified the ingredients that suit your skin’s needs, it’s time to structure your skincare routine. A typical routine involves a sequence of products designed to address specific concerns. Here’s how to layer your products for maximum efficacy: Cleanser: Start with a gentle cleanser suited to your skin type to remove dirt, oil, and makeup. Look for: Gel-based: Ideal for oily and acne-prone skin. Cream-based: Suitable for dry or sensitive skin. Foaming cleansers: Effective for combination and normal skin types. Toner (optional): A hydrating or clarifying toner can help restore the skin’s pH and prepare it for serums. Serum: Apply serums with active ingredients targeting your concerns (e.g., vitamin C in the morning, retinol at night). Moisturizer: Choose a formula that hydrates and supports your skin barrier. Lightweight gel or lotion: For oily or combination skin. Rich creams: For dry or mature skin. Sunscreen: Apply a broad-spectrum sunscreen (SPF 30 or higher) daily. Sun damage is one of the leading causes of premature aging, so even on cloudy days, sunscreen is essential. Exfoliator (1-2 times a week): Gently exfoliating can remove dead skin cells, but avoid over-exfoliating as it can cause irritation and compromise the skin barrier. Eye Cream: If fine lines, puffiness, or dark circles around the eyes are a concern, an eye cream can be beneficial. Look for products with peptides, caffeine, and hyaluronic acid. Apply a dedicated eye cream to address fine lines, wrinkles, and puffiness around the delicate eye area. Sunscreen: Use a broad-spectrum sunscreen with an SPF of 30 or higher daily to prevent premature aging and skin damage. Masks: Use masks to address specific skin concerns (e.g., hydrating, purifying, brightening). ANTI-AGING TREATMENTS While a good skincare routine can delay signs of aging, professional treatments can help achieve more dramatic results. Laser Skin Rejuvenation: Lasers stimulate collagen production and improve skin texture by targeting deeper layers of the skin. They are used to treat fine lines, wrinkles, hyperpigmentation, and sun damage. Chemical Peels: Chemical peels use acids (like glycolic or salicylic) to exfoliate the top layer of the skin, promoting cell turnover and revealing smoother skin underneath. Microneedling: This minimally invasive procedure uses fine needles to create tiny punctures in the skin, triggering the skin’s healing response and boosting collagen production. Dermal Fillers: Injectable fillers, like hyaluronic acid or poly-L-lactic acid, are used to restore lost volume in areas like the cheeks and under the eyes, reducing the appearance

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The Ultimate Guide to Skin Masks

THE ULTIMATE GUIDE TO SKIN MASKS: TYPES,USES, AND INDICATIONS Skin masks have been a staple in skincare routines for centuries, offering various benefits for different skin concerns. With numerous types of masks available today, knowing which one is right for your skin can be a game-changer. This guide explores the different types of skin masks, their uses, and when to include them in your skincare regimen. 1. CLAY MASKS Best for: Oily and acne-prone skin. Key Ingredients: Kaolin, bentonite, and French green clay. Uses and Benefits: Clay masks are excellent for drawing out impurities, excess oil, and toxins from the skin. They deeply cleanse and purify pores, reducing the occurrence of breakouts. Over time, they help regulate sebum production, leading to less oily skin. Indications: Excessive oil production. Acne-prone skin. Enlarged pores. Congested skin. 2. SHEET MASKS Best for: All skin types, especially dry and dull skin. Key Ingredients: Hyaluronic acid, glycerin, vitamins, and various plant extracts. Uses and Benefits: Sheet masks are fabric or paper-based masks soaked in a serum packed with hydrating and nourishing ingredients. They are designed to infuse the skin with moisture and active ingredients, leaving it plump and radiant. Sheetmasks provide a quick boost of hydration and are perfect for when your skin needs an instant pick-me-up. Indications: Dehydrated or dry skin. Dull complexion. Fine lines and early signs of aging. Irritated or sensitive skin. 3. EXFOLIATING MASKS Best for: Dull, uneven, or textured skin. Key Ingredients: Alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), enzymes (papaya, pumpkin), and scrubbing particles. Uses and Benefits: Exfoliating masks are designed to remove dead skin cells, promoting smoother, brighter, and more even-toned skin. They help minimize dark spots, rough texture, and clogged pores. AHAs and BHAs work to gently dissolve dead skin, while enzymes offer a more gentle exfoliation for sensitive skin types. Indications: Dull or uneven skin tone. Rough texture. Hyperpigmentation and dark spots. Clogged pores. 4. GEL MASKS Best for: Sensitive, dehydrated, or irritated skin. Key Ingredients: Aloe vera, cucumber extract, hyaluronic acid, and green tea extract. Uses and Benefits: Gel masks provide a soothing and cooling effect, making them ideal for calming inflammation, irritation, and redness. These masks are lightweight and non-greasy, delivering hydration without clogging pores. They’re also great after sun exposure to cool and calm the skin. Indications: Sunburn or irritated skin. Redness and inflammation. Sensitive or reactive skin. Dryness or dehydration. 5. CHARCOAL MASKS Best for: Combination to oily skin. Key Ingredients: Activated charcoal, clay, and salicylic acid. Uses and Benefits: Charcoal masks are known for their detoxifying properties. Activated charcoal works like a magnet to attract and remove impurities, toxins, and excess oil from the skin. These masks are great for deep-cleansing pores, making them ago-to for those with blackheads and congested skin. Indications: Acne and blackheads. Congested pores. Oily T-zone (forehead, nose, and chin). Pollution-exposed skin. 6. CREAM MASKS Best for: Dry or mature skin. Key Ingredients: Shea butter, ceramides, peptides, and essential oils. Uses and Benefits: Cream masks are rich and nourishing, making them ideal for dry and aging skin. They provide deep hydration and help repair the skin barrier. These masks are also formulated with anti-aging ingredients like peptides and ceramides to firm the skin, reduce the appearance of fine lines, and restore elasticity. Indications: Dry, flaky skin. Mature skin showing signs of aging. Loss of firmness. Fine lines and wrinkles. 7. PEEL-OFF MASKS Best for: Oily, combination, and acne-prone skin. Key Ingredients: Fruit extracts, vitamins, and activated charcoal. Uses and Benefits: Peel-off masks are known for their ability to remove dead skin cells, dirt, and blackheads by physically lifting impurities offthe skin when peeled away. They leave skin smoother and clearer, and some also contain brightening ingredients to improve skin tone. Indications: Blackheads and whiteheads. Dull complexion. Uneven skin texture. Enlarged pores. 8. SLEEPING MASKS Best for: Dry and tired skin. Key Ingredients: Hyaluronic acid, peptides, and antioxidants. Uses and Benefits: Sleeping masks are designed to be left on the skin overnight, delivering long-lasting hydration and nourishment. These masks help repair the skin’s barrier while you sleep, ensuring you wake up with refreshed, hydrated, and glowing skin. Indications: Dehydration and dryness. Dull or tired complexion. Loss of skin elasticit. Fine lines. CHOOSING THE RIGHT MASK FOR YOUR SKIN Each type of mask offers unique benefits tailored to specific skin concerns. When selecting a skin mask, consider your skin type and current concerns. Whether you need hydration, exfoliation, or a deep detox, incorporating the right mask into your skincare routine can enhance the health and appearance of your skin.Remember, consistency is key! For the best results, se skin masks regularly and complement them with a complete skincare regimen.

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Type of Facial Moles

TYPE OF FACIAL MOLES Facial moles, or nevi, come in various shapes, sizes, and colours, and are often a distinctive part of one’s appearance. While many are benign and harmless, it’s essential to understand the different kinds and what they may indicate. COMMON TYPES OF FACIAL MOLES CONGENITAL MOLES Present from birth, these moles vary in size and shape. Large congenital moles can increase the risk of developing melanoma and often require monitoring. ACQUIRED MOLES These appear during childhood or early adulthood. Most are benign, but an increase in number or a change in appearance warrants a check-up. JUNCTIONAL MELANOCYTIC NEVI Examples of melanocytic nevi: (A) junctional nevus, (B) intradermal nevus, (C) compound nevus, (D) dysplastic nevus.  JUNCTIONAL MELANOCYTIC NEVI Flat and brown, these moles occur where the epidermis and dermis meet. They’re generally harmless but should be observed for changes. COMPOUND MELANOCYTIC NEVI Slightly raised and light brown, these moles have cells in both the epidermis and dermis. They’re common and typically non-cancerous. DERMAL MELANOCYTIC NEVI These moles are usually raised, flesh-coloured, and contain nevus cells primarily in the dermis. They might have hair growing from them. DYSPLASTIC NEVI (ATYPICAL MOLES) Larger than average and with irregular borders and mixed pigmentation, atypical moles can be familial. They carry a higher risk of becoming malignant, so regular skin checks are advised. HALO NEVI Recognized by the white ring or ‘halo’ that surrounds them, these moles occur when the body’s immune system attacks the cells in the mole. BLUE NEVI They appear blue because of the pigment deep within the skin and are usually benign but should be monitored for changes. MONITORING AND MANAGEMENT WHEN TO SEEK MEDICAL ADVICE To assess whether your mole may be cancerous, you can look for certain indicators, such as: A: Asymmetry. A mole that appears uneven or imbalanced could potentially be cancerous. B: Borders. Clear, well-defined edges on a mole are generally a good sign, whereas irregular or blurred borders could indicate cancer. C: Colour Variation. A mole that has multiple colours or is inconsistent in its coloration might be a warning sign of cancer. D: Diameter. A mole larger than 6mm across might be a cause for concern. E: Evolution or Expansion. Growth or change in the size of your mole may suggest it is cancerous. If any of your moles exhibit the above changes or they develop characteristics like itching, bleeding, or colour change, it’s important to seek medical evaluation. TREATMENT OPTIONS For benign moles that cause discomfort or cosmetic concern, removal options include surgical excision, laser therapy, or cryotherapy. Malignant moles require more extensive treatment, often involving surgery and oncological management. LIVING WITH FACIAL MOLES COSMETIC CONSIDERATIONS Some people choose to embrace their moles as beauty marks, while others prefer removal for aesthetic reasons. Consultation with a dermatologist can help decide the best course of action. SUN PROTECTION Protecting skin from the sun is crucial to prevent the development of new moles and changes in existing ones. Sunscreen, protective clothing, and avoiding peak sunlight hours are effective strategies. REGULAR CHECK-UPS Especially for those with multiple or atypical moles, regular skin checks with a dermatologist are essential for early detection of any issues. CONCLUSION Facial moles are unique to each individual and usually harmless. Understanding the types and practicing vigilant monitoring is key to maintaining skin health. If you have concerns about your moles, a dermatologist can provide guidance tailored to your needs. Whether you choose to remove them or wear them proudly, the most important thing is to ensure they remain benign and healthy. BOOST YOUR CONFIDENCE: SPECIALIST MOLE REMOVAL BY DR SANDEEP Feel like moles are overshadowing your natural beauty? Whether it’s a prominent mole that’s drawing unwanted attention or a changing mole that’s causing you concern, we recognize the personal impact it can have. That’s why our Mole Removal Service is dedicated to addressing your unique needs with precision. We aim to amplify your skin’s inherent allure while ensuring your wellbeing with our compassionate and skilled approach. Embrace the radiance of your true self, unmarred by moles. Start your path to flawless skin today. Schedule a personalized mole removal consultation with Dr Sandeep. UNDERSTAND YOUR MOLES: BOOK YOUR SKIN ASSESSMENT TODAY! Get a clear understanding of the moles on your face with a professional assessment. This evaluation is essential for distinguishing between cosmetic concerns and potential health issues. Consult with our seasoned Facial Plastic Surgeon, Dr Sandeep, to determine the nature of your facial moles. Whether they’re a sign of your unique beauty or need medical attention, our clinic offers thorough examinations using the latest dermatological techniques. Schedule your appointment now to ensure the health and beauty of your skin are maintained.

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Skin Cancer Prevention: a Comprehensive Guide

SKIN CANCER PREVENTION: A COMPREHENSIVE GUIDE Skin cancer is one of the most diagnosed types of cancer worldwide. While certain risk factors like genetics and age cannot be changed, many lifestyle choices can significantly reduce the risk of developing this disease. This guide aims to offer comprehensive advice on the prevention of skin cancer. Sun Protection Sunscreen Usage: Apply a broad-spectrum sunscreen with at least SPF 30 to all exposed skin, even on cloudy days or during winter months. Reapplication: Every two hours and immediately after swimming or sweating. Protective Clothing Clothes: Wear long-sleeved shirts, long pants, and wide-brimmed hats. Sunglasses: Choose sunglasses that block both UVA and UVB rays. Shade Avoid Sunbathing Seek shade especially between 10 a.m. and 4 p.m., when the sun’s rays are strongest. Avoid Tanning Bed Ultraviolet (UV) light from tanning beds can be more intense than natural sunlight and should be avoided. Avoid Tanning Avoid intentional tanning; a tan is a sign of skin damage. Regular Skin Checks Self-examination Examine your skin monthly, paying attention to moles, freckles, and any changes or new growths. Clinical Examination: Have a skin check-up by a healthcare provider annually, or as recommended based on your risk profile. Antioxidants: Foods rich in antioxidants like Vitamin C and Vitamin E can protect skin cells from damage. Hydration: Adequate hydration can help maintain skin health. Know Your Risk Family History: Having a family history of skin cancer increases your risk, so take extra precautions. Skin Type: Fair-skinned individuals are at a higher risk and should be more vigilant about sun protection. Previous History: If you’ve had skin cancer or precancerous lesions before, you’re at higher risk for a recurrence. Chemical Exposure: Limit exposure to carcinogenic substances like arsenic and coal tars. Use protective gear if occupational exposure is unavoidable. Vaccination: Some forms of skin cancer are linked to viruses like Human Papillomavirus (HPV). Consider getting vaccinated if you are eligible. Emotional and Mental Wellbeing Stress management through exercise, meditation, and other means may indirectly contribute to cancer prevention by improving overall health. CONCLUSION While it’s impossible to completely eliminate the risk of skin cancer, taking these preventative measures can significantly reduce your likelihood of developing it. A holistic approach that includes sun protection, regular skin checks, a balanced diet, and emotional wellbeing is the most effective strategy for skin cancer prevention. Always consult your healthcare provider for personalized advice. VIGILANCE AND ACTION: SKIN CANCER CONCERNS ADDRESSED BY DR SANDEEP Worried about skin cancer? It’s time to take control. Schedule an appointment with Dr Sandeep for a thorough examination and expert advice on skin cancer prevention and management. We’re here to address your concerns with proactive assessments and preventive care. Don’t wait to take charge of your skin health. Secure your peace of mind by making an appointment today. Click here to access our booking system.

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Mole Removal

MOLE REMOVAL Moles, also known as nevi, are frequent skin formations that can appear individually or in groups anywhere on the skin or mucous membranes. They typically manifest before one reaches the age of 20.  They come in a variety of shapes, sizes, and colours. While most moles are benign (non-cancerous), it’s essential to be aware of the different types and their characteristics. Here are some of the common types of moles: TYPES OF MOLES COMMON MOLES These are minor skin protrusions with hues varying from your natural skin colour to shades of brown or black, usually with well-defined borders. They are uniform in colour, which can range from pink to brown, and are less than about 5 millimetres in size. They can be flat or raised and are usually round or oval. CONGENITAL MOLES These moles are present at birth and vary in size. They are generally larger than common moles and can range from less than one inch to larger sizes that cover a significant part of the body or face. These are the moles you have from birth and carry a higher risk of evolving into melanomas, a form of skin cancer, compared to moles that develop later in life. ATYPICAL MOLES (DYSPLASTIC NEVI) These are larger than common moles, hereditary moles with irregular shapes and inconsistent coloration—darker at the centre and fading towards the edges. These moles have a higher risk of developing into melanoma, a form of skin cancer. ACQUIRED MOLES These are moles that appear after birth, typically before the age of 30. They are usually a result of sun exposure and are generally harmless, though any new moles should be monitored for changes. SPITZ NEVI These are raised, reddish moles that appear mainly in children but can also be found in adults. They can look alarming because they may resemble melanoma, but they are generally benign. INTRADERMAL NEVI These are flesh-coloured moles that are generally raised and can be found anywhere on the body. They are most common in adults and are usually benign. JUNCTIONAL MOLES These moles are generally flat and can be brown or black. They occur when melanocytes, the cells responsible for skin pigment, accumulate at the junction between the dermis and epidermis layers of the skin. COMPOUND MOLES These are a combination of intradermal and junctional moles. They can be raised, flat, or somewhat raised and have a central raised area. They can be of various colours including brown, tan, or pink. BLUE MOLES These are generally benign and appear as smooth, blue to blue-black spots. They are usually found on the head, neck, or arms. HALO MOLES These moles have a white or light “halo” around them. They are generally benign and can sometimes disappear entirely. It’s essential to have any new or changing moles examined, especially if you notice any signs such as asymmetry, irregular borders, colour changes, or a diameter larger than a pencil eraser. These could be indicators of melanoma or other skin conditions that may require immediate attention. WHAT LEADS TO THE FORMATION OF MOLES? Moles arise when melanocytes, the skin cells responsible for pigmentation, accumulate in specific areas rather than being uniformly spread across the skin. HOW CAN I DETERMINE IF MY MOLE IS MALIGNANT? To assess whether your mole may be cancerous, you can look for certain indicators, such as: A: Asymmetry. A mole that appears uneven or imbalanced could potentially be cancerous. B: Borders. Clear, well-defined edges on a mole are generally a good sign, whereas irregular or blurred borders could indicate cancer. C: Colour Variation. A mole that has multiple colours or is inconsistent in its coloration might be a warning sign of cancer. D: Diameter. A mole larger than 6mm across might be a cause for concern. E: Evolution or Expansion. Growth or change in the size of your mole may suggest it is cancerous. If any of your moles exhibit these characteristics, it’s important to seek medical evaluation. REASONS FOR MOLE REMOVAL Mole removal is typically pursued for either medical reasons, such as testing dysplastic moles for cancer, or for aesthetic purposes when a mole affects personal appearance or self-esteem. MOLE REMOVAL PROCEDURE Mole removal is generally considered a simple outpatient procedure and performed under local anaesthesia. The method chosen for removal will largely depend on the type, size, and location of the mole, as well as whether it appears to be benign or malignant. Here’s an overview of common mole removal procedures: SURGICAL EXCISION Preparation: The area around the mole is cleaned, and a local anaesthetic is applied to numb the area. Excision: Dr Sandeep uses a scalpel to cut out the mole along with a small margin of the surrounding skin. Stitches: The wound is then closed with stitches, which may be dissolvable or may require removal later. SURGICAL SHAVE Preparation: The skin is cleaned, and a local anaesthetic is applied. Shaving: A scalpel is used to shave the mole off, flush or slightly below the level of the surrounding skin. Sometimes a loop cautery may be used instead. Cauterization: The area may be cauterized to stop any bleeding. LASER REMOVAL Preparation: The area is cleaned, and a topical anaesthetic may be applied. Laser Treatment: Pulses of laser light are used to break down the mole cells. Healing: A scab forms over the treated area and falls off over time.   ELECTROCAUTERY Preparation: The area is cleaned, and a local anaesthetic is applied. Burning: An electric current is used to burn away the mole tissue. Healing: The area may scab over and will heal over time. AFTERCARE Regardless of the method, proper aftercare is crucial. You may need to: Keep the area clean and dry. Apply an antibiotic ointment as prescribed. Avoid direct sunlight on the treated area. Follow-up for stitch removal, if needed. DIAGNOSTIC If the mole is suspected to be cancerous, it will be sent for histological examination to confirm the diagnosis to ensure they are benign and take appropriate steps if otherwise.

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