Articles

Hyaluronic Acid

As time goes by and conditions of our lives change, our complexion becomes more fragile and less flexible. Our face may bear the signs of time and lose its volume and radiance.

One of the fundamental factors of the alterations to our face is the decrease in the hyaluronic acid of our skin. A substance that bequeaths natural moisture to our skin.

Hyaluronic acid is a polysaccharide that exists in our body. In our youth, there is ample in our skin as well as in other parts of our body, such as the joints. As time goes by, it gradually diminishes.

The hyaluronic acid which we use for therapeutic injection is produced in the laboratory. It is not of animal origin and subsequently, it is hypoallergenic, stabilized, biodegradable and very similar to which our body produces.

It can be used for a number of interventions on our face according to our needs, such as complexion rejuvenation, covering of wrinkles, augmentation of cheekbones and even amelioration of the outline and volume of the face or lips.

The final result is immediately visible and long-lasting.

Thus, according to your wishes to enhance your looks the following therapies can be implemented:

Wrinkle Elimination

‘Lines”, wrinkles which can be very troubling, appear on our face with relevance to our age, lifestyle and every day facial expressions

These “lines” are at times slightly perceptible and in other cases more intense and dispersed all over our face.

The application of hyaluronic acid for the enhancement and elimination of wrinkles is a popular choice, offering decrease of the signs of facial ageing and effectively aiding to a more radiant and juvenile face.

Cheekbone augmentation

Raised cheekbones are a telltale sign of youth. In contrast, when flat and loose, they refer to and older and tired face.

Cheekbone augmentation is recommended all the more by plastic surgeons to women over the age of thirty, especially in cases when they do not naturally possess intense cheekbones and are thus in need of more defined lines.

Enhancement of cheekbones is achieved through hyaluronic acid injections as it is a soft and malleable substance which offers an absolutely natural result. The substance used to delineate cheekbones is similar to the one used to fill wrinkles, not so viscous though.

There exists in its formula a more powerful molecule of the same substance which endows further volume and lasts longer.

Outline- Lip volume increase
Lips and smile in particular often become the center of attention.

Fuller and better rimmed lips can be acquired with the use of hyaluronic acid which also intonates the outline in an absolutely natural, non-evasive manner.

Facial outline- Liquid Lift
Intonation of the outline of our face allows us to recover a youthful and more robust appearance.

With the aid of specially designed hyaluronic acid and through applying a particular technique we can ameliorate the oval shape of the face in a non-evasive and mild manner.

We refer to a form of hyaluronic acid of high molecular weight, suitable to recover the lost lines of the face. Compared to the rest of the injectable implants it is more viscous and specially designed to restore (fill in) bulkier tissue deficiencies, while it lasts longer.

Vaginal tightening and rejuvenation

A fulfilling sexual life depends on a number of factors. One of the most important ones is the sense of the erotic act. Loosening of the vagina can prove enough to distance two partners.
Women have come to require vaginal rejuvenation for three major reasons:
1) To improve and invigorate their sexual performance
2) To tackle the results of vaginal atrophy (vaginal dryness, pain during the sexual process and repeated vaginitises)
3) To tackle the symptoms related to pelvic loosening

There exists a contemporary, painless and non-evasive method which offers tightening of the vagina and restores decreased feel during sexual intercourse.

The treatment is applied with the use of Laser CO2 which in the form of a particular head is inserted in the vagina, applying a rotational move through all the length of it, fully covering the tissues. The energy of the laser is absorbed by the fibroblasts and thus stimulates the production of collagen, which together with elastin compose the auxiliary structure of the skin. In this way the laser thickens the epidermis. After a period of two to three days, the new collagen fibers come to reinforce the sense of tightness and rejuvenation even further.

An immediate return to everyday activity and a new sexual life in a matter of a few days is the prize offered to the couple.

Non-surgical rhinoplasty

Consider the possibility of rectifying the shape of your nose by implementing a non-evasive, 10-minute process, at minimal cost and at the same time being able to observe the process and intervene regarding the aesthetic results.

Another remarkable advantage of the method is that the result is absolutely reversible if required and can also be applied for rectification of the shape of the chin and the lower jaw in general.

The procedure is performed with the use of injected substances (fillers) beneath the complexion of the nose and solely aims at reshaping and /or augmenting the shape and size of the nose, as decreasing the size would require surgery.

The duration of the result is usually over one year and after a few repetitions this duration can be substantially increased, even become permanent. Hyaluronic acid, the substance used at the surgery of a plastic surgeon is one of the safest substances in the field of plastic surgery.

It is imperative that the doctor who performs the technique is versed at rhinoplasty and particularly at this process there are certain particularities.
There is no need to apply anesthesia and there are no scars on the nose.

Prp And Fractional

Through fractional laser we can activate the collagen of the skin. The laser acts on the deeper layers of epidermis and “awakens” the cells which produce collagen and elastin resulting in a more radiant and younger complexion. After Autologous platelet mesotherapy (PRP) healing is reinforced as well as the production of new collagen which offers radiance to the face.

To perform mesotherapy a small amount of blood is required to be taken from the patient, which is in turn put in the centrifuge machine so as to separate the plasma, which is full of platelets, and go on to apply them to the area. The results are obvious from the very first treatment. The treatment is painless and there is no risk of side effects, since the substance infused, namely plasma, is extracted from our own body.  

HPV

The virus HPV compiles the commonest sexually transmitted disease which affects both women and men. There are usually no symptoms, which makes it hard to detect if there is no preventive control through Pap smear.

About 40 different genotypes of HPV infect the lower genital system and the cervix. They are divided into low and high risk. Some types may become visible or palpable in the outer surface. Treatment in such cases is simple and painless. It concerns an easy method which has been in use during the last 50 years for treatment of kondylomas.

The deformities become frosted in a direct way with the use of liquid nitrogen in the form of spray. It is an absolutely safe treatment which can even be applied on pregnant women. The HPV need not “spread” panic. Through precaution, control and identification of the virus, any malignancy can be prevented.

Fractional

Through fractional laser, laser beams are divided into tens of thin bands which perform selective scanning of all the area of the skin. It activates the deepest layers of epidermis and “awakens” the collagen producing cells and the cells that produce elastin, turning our skin more radiant, younger and tight. The areas of application are the face, the perimeter of the eyes, the neck, the bosom and the arms.

Fractional is ideal for:

  1. Skin reconstruction
  2. Wrinkle therapy
  3. Stretch mark therapy
  4. Face tightening
  5. Spots and blotches
  6. Acne scars etc.

It can be applied to all ages and all parts of the body. It is painless and the patient can immediately resume duties. The results are apparent from the very first application and follow up sessions which may be needed depend on the quality of the skin and the needs of the patient.

Papillomas In Children

Certain dermatic ailments such as skin folds which appear along the middle line forward of the anus may appear on children of a young age. These ailments are more common in girls. The ailment may subside with time and no treatment is necessary. Nevertheless, if the diagnosis of such impairments is different the possibility of child abuse should be examined as well as hemorrhoids, genital warts etc. in this case the child should immediately be examined by the doctor for proper treatment.

Nutrition And Hair

Nutrition plays an important role in the development of the hair. In many cases we are undernourished for loss of weight, we do not intake all the necessary vitamins, proteins and minerals for our body, which results in extensive hair loss and weakening of our hair. Proteins are a major component of the hair tissue. Vitamins A, B, B12, C, ferum, zinc and copper are some of the indispensable elements which we have to make sure to include in our diet so as to avoid alopecia or hair weakening and thus acquire strong, radiant, hydrated hair full of health.

Hair Loss in Children And Adolescents

Hair loss in infants, children and adolescents is an altogether different problem from that of the adults. Alopecia may appear from birth or appear in the very first months of life. There are a number of causes which can result in alopecia in children.

Such as:

  1. Growth disorders and hereditary ailments
  2. Burns, wounds
  3. Microbial inflammations
  4. Neoplasms
  5. Lichen
  6. Lupus, scleroderma etc.

Hair loss during adolescence, and particularly for boys 18 to 24 is a very frequent occurrence and is mainly due to the presence of an enzyme in the hair follicle. The presence of the particular enzyme is genetically regulated and inherited by both parents. The result is that the scalp hair falls faster than normal, the new hair coming out thinner and the final result being a little fuzz or even nothing. There are significant therapeutic choices nowadays both for the prevention of alopecia as well as its effective treatment.

Scars

Scars appear after acne or wounds or surgery. Scars may be of the following kinds. Keloid, burn scars, atrophic, acne scars etc. Laser fractional is the solution to the problem. This is the way we can eliminate any scar and acquire radiant clean skin at minimum time, easily, fast and free of side effects. Fractional is a non-invasive therapy, thus the patient may resume his everyday activities immediately after treatment. The results are obvious from the first treatment.

Chlamydia

It affects both men and women. It is a sexually transmitted infection. The symptoms for men are primarily a burning sense during urination, secretions from the penis, sensitivity or pain of the testicles. For women the disease is asymptomatic but in some cases it may appear as cervicitis.

It is very likely that the infection from chlamydia is accompanied by gonorrhea or syphilis, this is why it is considered proper in the case of a verified sexually transmitted disease that checkups for other sexually transmitted diseases should be carried out.

Sexual partners should also be examined for chlamydia. The regular use of condoms as well as timely briefings will decrease incidences of this particular disease.

Deep Cleansing With Microcrystals

Dermabrasion with microcrystals is the ideal and easiest treatment for a clean, shiny and soft skin. Diamond cleansing drives away dead cells from our skin, removes blackheads and reduces open pores. It is a painless, safe, side effect free treatment. After dermabrasion deep hydration with the application of cream is performed. The treatment may be applied on both men and women. Through microcrystal therapy we can achieve:

  1. Deep medical cleansing of the face, chest or back
  2. Exfoliation and removal of dead cells of the skin
  3. Smoothening and enhancement of the texture of the skin
  4. Radiance and decrease of blotches
  5. Smoothening of wrinkles and thin lines
  6. Enhancement of acne scars
  7. Regeneration and tautness through the creation of new collagen
  8. Ameliorated lymph flow and decrease of swellings

Lichen

Lichen planus is characterized by a papulous itching rash of characteristic appearance of the papules and locality. The cause of the disease remains unknown. It appears between 30 to 60 years of age but generally all ages may be inflicted, although the disease is rare to the very young and old individuals. There is no gender variation. Lichen planus is characterized by shiny, planar, polygonal papules of a few millimeters which may appear deep in the center.

The deformities are usually symmetrically distributed. They are located on the wrists, forearms, sides of the neck, thighs, lower part of the back, mucous membranes of the mouth and genitals. Itching is one of the most common manifestations of the disease. In acute cases damages may expand very quickly but two to four weeks or more than four months are more frequently required after the appearance of the first deformity.

The course and duration of lichen planus depends on the extent and the location of the disease infliction. It may last from months to a few years. In 1/3 of these patients the disease may retract automatically within 8 to 12 months.

Acne

Acne is a skin disease of a multiform clinical presentation which afflicts more than 80% of the general population. The first symptoms of the common form of the disease appear a few years before puberty and last until about 20 or 22 years of age. Many factors contribute to the formation of acne, the exact etiopathogenetic mechanism of the disease not being yet known. These factors may be:

    1. Genetic
    2. Microbiologic
    3. Functional (activity of sebaceous glands)
    4. Medication
    5. Hormonal
    6. Unknown

Common acne but generally almost all forms of disease, are mainly located on the face but also the shoulders, the back, the chest and more rarely the torso and the limbs. Acne may also appear on the thighs or the crurogenital folds.

The spots of acne disappear painlessly, without side effects, easily and fast with the use of fractional laser. The results are visible from the first session.

Ichthyosis

Ichthyosis is a hereditary disease its main characteristic being dry and scaly skin (like the scales of fish). It is classified according to the type of heredity. The disease is transmitted through autosomal dominant type of heredity. The patients are of normal physical and mental development. It usually appears during the first year of life and lasts lifelong, often with gradual improvement for common ichthyosis and gender related common ichthyosis. Common ichthyosis is clinically characterized by intense dryness of the skin combined with scales which may be small, thin, flour-like or big, thick and leaf-like. In between scales the skin is thin and forms folds. The secretion of perspiratory and sebum glands is decreased resulting in intolerance during warm and humid days. The rash may be generalized and is usually symmetric. It mainly covers the torso and the expanded surfaces of the limbs. The lack of skin damages on the major joints (elbows, knee and arm cavities) is characteristic of the disease.

More than often, common ichthyosis coexists with atopic dermatitis, allergic rhinitis or asthma. Follicular keratosis commonly coexists while damage of the cornea more rarely appears.

The disease evolves lifelong, without relapses, while gradual improvement may be observed. Softeners are used as symptomatic treatment which decreases dryness of the skin. Keratolytic medication is used in severe cases. The disease lasts lifelong without improvement. During the second to third decade of life, blurring of the cornea may appear. Softening ointments, wet dressings or starch baths are used as symptomatic treatment. The use of oral retinoid medication is also prescribed while keratolytic medication is rarely used.

Urticaria (Hives)

It is a form of allergic reaction of the vessels to various stimuli, which manifests itself on the skin and the mucous membranes in the form of temporary or chronic redness or whitish papules which we call hives. The hive is formed by serum and protein oozing within the chorion after certain substances have reacted on the walls of the capillaries and minor vessels of the skin with the result of the increase of the permeability of the vessel endothelium.

Hives have various sizes, their shapes are round, oval or linear. Sometimes they compile and give the impression of a geography map. They won’t last for more than 12 to 24 hours. In the initial phase of their formation, itching and burning sensation accompany. Hives may be located on a small part of the body but it may also cover the whole area. More than often, mucous membranes are also infected resulting in hoarsening of the voice, respiratory impediment, abdominal pain etc. Swelling appears on the mucous membranes, more often on the lips, eyelids, genitals and it can become dangerous if it is located on the upper part pf the respiratory system, such as the tongue, epiglottis and the larynx.

Causes of hives in short are:

- Food and drinks

- Chemical substances (medicines, pigments, preservatives etc.)

- Natural factors (low or high temperature, pressure, friction, radiation)

- Infections

- Insect and parasite bites

- Systemic illnesses

- Psychogenic factors

- Hereditary abnormalities

- Unknown causes

Treatment is based on antihistamines and anticholinergic medicines.

Leprosy

Leprosy is a chronic infection caused by the Mycobacterium Leprae which infects primarily the peripheral nerves and then the skin and some other tissues. The incubation period of the disease ranges from 2 to 7 years and it is transmitted through droplets of the rhino pharyngeal mucosa from bearers of lepromatous leprosy.

The Mycobacterium of leprosy has a particularity for the nervous tissue and for the peripheral nervous system in particular, where the first manifestation of the disease more frequently occurs. The disease is classified into four clinical forms. The criteria of classification are: clinical presentation, microbiological findings, lepromin reaction and histological presentation. It must be stressed that after the individual has been infected, the major role as to whether he/she will manifest the disease in the clinical form lies on the immune condition of the individual and particularly the cell immunity. Indeed, the condition of the cell immunity of the individual is what will define the type of leprosy. The clinical forms are: a) lepromatous leprosy b) intermediate c) tuberculoid and d) borderline.

LEPROMATOUS LEPROSY

It is the gravest and most contagious form of the disease. It develops straight from the beginning or is the result of the intermediate or other forms of the disease. The manifestations compile spots, papules, nodules, plaques or all the above.

TUBERCULOID LEPROSY

It is the most benign form of the disease and it is not infectious. The only tissues that manifest clinical symptoms are the nerves and the skin. The skin damages are few and more than often solitary.

INTERMEDIATE LEPROSY

Intermediate leprosy lies between lepromatous and tuberculoid. Skin damages are intermediate in numbers between the two extreme types of leprosy, depending on the location of the individual on the spectrum of the intermediate. In regard of distribution, damages are asymmetric and may take the form of spots, plaques.

BORDERLINE LEPROSY

This primary and transient stage of leprosy may last for months or even years before it manifests itself in one of the previous forms and this is the reason why we should be skeptical in terms of prognosis. This form is characterized by spots while plaques or nodules never occur. The spots, sole or few in numbers, are slightly hypopigmented or reddish and may present slight aesthetic disorders

Scleroderma

A) Limited Scleroderma diversifies into:

1. Morphea Scleroderma, characterized by dermatic nodular deformities surrounded by areolas of velvet colouring, in the form of patches of various shapes and sizes. As time passes the deformities develop into hard hyperpigmented plaques of smooth and atrophic skin.

2. Linear Scleroderma, which usually appears on upper and lower limbs but also on the forehead causing deformities in the form of "sword blows" and permanent alopecia on the infected area of the scalp.

3. Guttae Scleroderma or white atrophic lichen in the form of scleroderma.

B) Diffuse Scleroderma

It more frequently infects women between 35 and 50 years of age, but it can also appear at any age. In its most common form, the ailment commences as sclerodactyly. The skin of the fingers gets thinner with time and the fingers themselves become more acute, suffer immobility of the distal phalanx or necrosis and absorption of the nail bearing phalanx.
Simultaneously sclerosis of the subcutaneous layer of the upper limbs develops, which gradually makes its way towards the neck, the torso and the face. Similar symptoms develop on the toes, extend through the calf and force patients to move in small steps. The face turns immobile, deprived of expression, the skin taunted and attached to the bones below. The tip of the nose turns acute; the lips wrinkle with vertical folds, the mouth opens hard and in a limited fashion.
The disease affects all tissues and organs containing collagen, particularly the alimentary canal, the lungs, the heart and the kidneys. It develops in a slow rate and finally results in death.

Scabies

Scabies is an infectious parasitic dermatopathy which is the result of the mite of scabiei and is transmitted between humans through direct or indirect contact. The mite of scabies shows preference to skin areas which are thin and hairless. On the contrary, it avoids areas of high hair density most probably as they inhibit its course on the skin during burrowing.

It is characterized by itching and burrowing formation which develop mainly in the area of the finger webs, the palms, the wrists and the knee joints. The burrows are formed by female mites which penetrate the skin and deposit their eggs of which new parasites will emerge. The patient should be particularly meticulous in following the instructions. All the members of his/ her family should undergo treatment along with the patient. No commitment to treatment is necessary for individuals who had any casual contact with the patient, such as a handshake. To be on the safe side, linen, underwear and all garments used by the patient and his family should be disinfected and dry cleaned at high temperature.

From the beginning of symptoms of scabies and until it is diagnosed there is usually a period of time of intense itching. The patient should not use hard sponges and brushes during bathing. The patient is relieved of the symptoms of scabies within three days from the beginning of treatment and ceases to transmit the infection about 24 hours after the completion of the treatment with an effective anti-scabies agent.

Scabies deformities are not observed either on the face or the back or the scalp. Treatment should be extended to all individuals who live or come in close contact with the patient. Regular washing of hands, daily bathing and avoidance of other people's garments can prevent scabies.

Syphilis

Syphilis is one of the gravest and most subtle sexual transmitted diseases. Many patients manifest no symptoms and if there is no timely diagnosis and proper treatment the disease becomes chronic and systematic, manifesting itself in diverse ways, afflicting the skin, mucous membranes, the intestine as well as the circulatory and the nervous systems. The patients who manifest no symptoms are by no means considered as no carriers of the disease.

Syphilis is caused by an exceptionally infectious bacterium called spirochete pallidum which appears in the ancient times in Greece, Rome and China and is referred to as “venereal plague”. Indirect infection is uncommon since the bacterium is destroyed in environmental conditions. It is sensitive to medium heat, cold, dryness, disinfectants and antibiotics. The disorders stemming from syphilis are almost solely attributed to the inflammatory immune reaction of the body. The disease is transmitted:

a) During intercourse through secretions and erosions and is favored by heat and humidity of the genitals and the mouth. There is a 33% chance of infection after an intercourse with a bearer.

b) After contact with the blood of a bearer.

c) Through blood transfusion.

d) During pregnancy if the mother is ill while the embryo may be infected via the placenta or during childbirth.

One third of the individuals who come in contact with the bacterium will develop the disease.
Within 20 days of the infection syphilic ulcer will appear mainly on the genitals, the tongue, the lips, the tonsils, the fingertips but also on other parts where an abrasion may aid the entrance of the bacterium. The disease appears mainly in men aged 20 to 40 and consists of three stages.

Stage one (primary syphilis) the ulcer appears within 2 to 3 weeks after infection. Even without treatment 75% will heal spontaneously and the patient will not realize it particularly when the ulcers are internal (vaginal- anal).

Stage two. 35% of those who did not receive treatment for stage one will pass on to stage two within six weeks. The patient manifests symptoms resembling common flu (fever, fatigue, rash, muscle and joint aches, loss of appetite) as well as other symptoms including enlarged lymph nodes and enlarged liver and spleen. The ulcers may persist for months and spread bearing further skin damages but a complete absence cannot be excluded.
The patient develops rashes in the palms and soles of feet, torso, as well as loss of hair of the scull and beard.
The symptoms of the second stage if not treated will subside and remain latent for a period up to four years. It usually concerns patients (about 25%) who received no treatment during the second stage of the disease.
The patient may not manifest symptoms but he remains a bearer. He ceases to be a bearer within 1-2 years since the commencing of the disease. One third will enter the third stage syphilis which comprises the final stage of the disease.

Stage three. The disease may infect the cardiovascular system, the central nervous system and may lead to the development of gummas on various organs of the body.

a) Gummatous/ benign (16%) within 1 to 46 years

b) Cardiovascular (10%) within 20 to 30 years

c) Neurosyphilis (7%) within 3 to 50 years following infection

 

Treatment

Apart from clinical manifestations which may not be clear, diagnosis may be carried out through blood tests (VDRL, RPR and FTA-ABS) which trace substances released by the syphilis bacterium. The treatment is based on antibiotics and varies according to stage.
The patient must also be submitted to serological tests during the third, sixth, twelfth and twenty-fourth months after the diagnosis of the illness to check on the resolution of the infection. Sexual intercourse must be avoided until two consecutive serological tests prove that the infection has been cured.

Blue Light

Acne is one of the most common dermatologic problems which torment not only adolescents but also adults. It is located mainly on the face, the back and the chest.

Sebum trapped in the pore gets red as microbes accumulate and inflames the area causing ugly pimples, which in turn may expand and, depending on the kind of acne, cause even scars.

Blue Light is a light source which activates the defensive white cells of the body, resulting in sedation of the inflammation. As the area gets red the body produces the so-called porphyrins. Blue light aims directly on these pigments and as a result destroys microbes and soothes the whole area.

It is a safe, non invasive treatment, free of medication and side effects and can be applied all year round, even in summer. It is so safe that it can be applied even on children.

The power of Light, goes beyond medical treatments which are administered to patients. This method is free of side effects and drawbacks of medications like adverse effects, development of resistance to antibiotics, deviation from medical prescriptions or other factors which discourage the patient or forbid him/her from following a pharmaceutical treatment.

It can be applied according to every case, but the usual proposed treatment is one therapy per week, for one month.

Other weapons against acne are: 

  • Assorted peelings (TCA, fruit acids, glycolic, etc. ) which can be proposed by the dermatologist in accordance with the needs of the individual and which are applied from autumn to spring
  • Microdermabrasion (peeling with micro crystals) which enhances the cleansing of the area and expulsion of dead cells which clog the pores of the skin and can be applied all year round.
  • Photodynamic acne treatment not including UVA or UVB radiations and aiming at the destruction of bacteria responsible for the appearance of acne.
  • The use of Low Level Laser on the one hand contributes to the decrease of the inflammation and swelling by destroying P. Acne bacteria and on the other hand by applying thermal influence on the sebaceous gland aims at the long term decrease of sebum production.
  • Fractional laser regulates sebaceous glands causing acne to disintegrate at the same time

Sun and protection

    Summer is here and the sun has started to “grind its teeth”.  The desire for fast tropical tanning combined with carelessness and indifference sometimes beholds ugly surprises. 

It is now known that exposure to the sun on the one hand supports vitamin D composition, but indiscriminate exposure can cause premature ageing, malignancies and disfigurations of the skin and, at younger ages, enhances the possibility for developing melanoma.

The use of sunscreens of high index is considered necessary. There are many who use sunscreens but do not renew them every two hours as they should. Sunscreen should be applied on the face and body half an hour prior to exposure and be renewed every time we come out of the sea or the pool. This applies even to the ones described as waterproof.

There are sunscreens of synthetic and natural filters on the market. Synthetic filters, depending on the substances they contain, require some care as by absorbing UV rays they may cause allergic reactions and irritate the skin and mucus membranes, causing dermatities and skin flaking. The problem is aggravated when they block the protective mechanisms of the skin resulting in the skin becoming even more sensitive.

On the other hand, sunscreens of natural filters cannot offer specific result since their protection indexes are not fully definable. There are protection indexes even for cosmetics with natural protection filters which reflect radiation. 

It is better to begin with high protection indexes and synthetic sunscreens, depending on the type of our skin and in the process to decrease the indexes and go on with sunscreens of natural protective indexes. We should restrict our exposure to the sun, particularly between 12 noon and 4 in the afternoon. Refrain from sudden exposure to the sun during the hours of intense sunshine and wear hats and light coloured clothes.

Sunburn is usually accompanied with reddening of the skin, itching, with or without tiny boils, even pain. First aid include cold dressings, even ice wrapped in a towel, special lotions which assuage the skin and obviously no further exposure even when redness and itching appear to subside. In cases of extensive damage it is better to refer yourselves to a dermatologist, since such damages, more than often, require systematic treatment.

A good summer is one when our complexion has a good time as well!!!

Dilated capillaries

A great number of women (1 in 2) develop these ugly tiny veins or trichoid or linear vessels on the legs, even from adolescence.  This does not mean that the problem is of no concern to the male sex.

Genetic predisposition is the commonest cause of their appearance but hormonal disorders (pregnancy, menopause), estrogen intake, pharmaceutical treatments, injuries (massage- blows), prolonged standing as well as sedentary life and excess weight and also the use of extremely hot water are other contributory factors which aggravate and increase the problem of their appearance.

Depending on their appearance they are characterized as dispersed, linear, arachnoid (spider), even dotted.

Intense dilated capillaries appear more than often in a radial form on ankles, calves and thighs in red or blue colour. 

Until very recently they were treated by an injection therapy (sclerotherapy). Nowadays though, developed lasers exist which, through a selective photothermolytic process, break down this stagnant blood and then the body absorbs it through phagocytosis within a few sessions.

These developed, against dilated capillaries, lasers are applied according to the size and colour, act selectively and provide safety, deprived from substances, scars, bloodlessly and fast.

 

Tinea (Pytiriasis) versicolor

Pytiriasis versicolor is a non inflammatory, superficial fungal infection of the skin.

It is a non contagious ailment caused by the Malassezia furfur fungus which selectively afflicts mainly the back and the chest.

It is identifiable, after exposure to the sun, by light brown and dark spots, with in between discoloured spots. It manifests itself mainly on young individuals of both sexes. The fungus turns pathogenic on particular individuals developing to dermatic illness which depends on different factors favoring it such as:

-perspiration

-heat and humidity

-synthetic fabrics

-hormonal disorders

- oversecretion of sebum

-hereditary predisposition

-assorted immune disorders

-use of oils and other oily substances such as body creams

Pytiriasis versicolor is a persistent form of fungal infection which must be treated by a dermatologist with the use of assorted anti fungal medications. 

Pytiriasis Rosea

 

Pytiriasis rosea is a very common dermatic ailment which is mostly located on the torso and limbs and afflicts individuals mainly from 10 to 35 years of age and particularly women. It is attributed to HSV7 virus and is not contagious. Individuals who have been ill do not relapse since they have developed antibodies and have acquired permanent immunity.

It manifests itself in an oval rash patch of pink-reddish colour covered with scales and less often with boils. In the center, the skin is thinner and wrinkled. 

The primary manifestation of the ailment may become apparent on whichever part of the body but mostly on areas covered by shirts, light blouses and short pants. Most often afflicted areas are the neck, chest, abdomen, back and thighs.

When the individual develops itching it is recommended for him/her to avoid hot bath and it is better if he/she uses special soaps without sponge and rubbing in general. Intense physical exercise should be avoided if it aggravates the rash. 

In cases when itching does not coexist, the rash subsides gradually without treatment within 3-8 weeks or more (rarely more than two months). Summer sun, in particular, enhances light damages to subside.

The use of cortisone based medications is sometimes prescribed and it is a very effective treatment, able to hinder the natural course of the ailment.

Stretch Marks

When we refer to stretch marks we are discussing a kind of linear scars formed after a violent expansion of the skin, resulting in fibers of the chorion lying under the skin to break. This expansion could be described as a vertical fracture which reaches all the way up the surface layer of the skin, deforming and making it appear thinner and wrinkled.

It comprises an aesthetic problem concerning both men and women even at young ages, when growth during puberty comes abruptly or following a sudden increase or decrease of weight.

As a result we observe boys and girls who gain height abruptly form stretch marks along their waist, thighs or even calves. Most women, in our days, are puzzled during pregnancy not only by the tension exerted on the abdomen but also on the sides of the thighs and on the breast as a result of the increase in weight.

Men also face the problem of stretch marks, when they exercise vigorously to increase their muscle mass which results in them developing stretch marks on their arms, chest and back sides as well as worked out muscles.

The fact that not everyone develops stretch marks depends on quality of elastin and collagen, diet, existence of important vitamins, hereditary factors, cortisone medical treatments, Cushing syndrome and even hormonal factors.

Early on they take on a pink, reddish or even purple colour, since capillaries which lie under the chorion of the skin become visible. This is the stage when, if dealt promptly and correctly with special lasers, we can have final and complete eradication.

More than often though, most people are not alert or take no heed of them and as time goes by they lose colour, the skin declines on the surface, gets thinner and stretch marks acquire a coloration whiter than the rest of the skin.

A few years back no particular options of dealing with the problem existed. Only some kinds of peeling which gave a false sense of improvement.

Nowadays, treatment of stretch marks is carried out with micro-crystal therapies (microdermabration) and with the use of state of the art lasers (or combining the both), the results of which being quite spectacular.

We aim at activating fibroblasts which produce collagen and elastin deep down so that the damage is minimized and the texture and sight of the surface layer of the skin is significantly improved, namely where the problem lies.

Kind of treatment and number of sessions is scheduled after the first session and each case is different.

 

Mole Mapping

 The digital, full body mapping of moles is a safe method for prevention of malignant melanoma. With the aid of a special camera we photograph all the moles panoramically and analyze them one by one.

Moles which require a more extended analysis are photographed separately with the aid of digital technology combined with a special dermatoscope (a microscope of the skin) . The Dermatoscope allows us to examine the particular structural characteristics of a mole which are not visible to the naked eye. Thus, diagnostic precision is highly enhanced.

All recordings are stored in a computer. This enhances comparison of the old to recent depictions and possible alterations in size, colour, shape, texture and all relevant can be performed and further diagnostic procedure can be launched for immediate surgical removal.

If a mole presents one of the following signs, according to the evaluation code, it should be immediately examined by a dermatologist and enter diagnostic procedure:

- Changes in colour (darker or multi-colouring such as blue, red, purple, white, pink or grey)

- Asymmetry with dispersion of corners

- Increase in size or thickness

- Changes in the perimeter of the mole (e.g. becoming red, swelling, ulcers and hemorrhaging without any apparent cause)

- Itching or any other sensation

- Hemorrhaging

 

Hyperhidrosis

Perspiration released by our pores has a purpose to regulate body temperature when we warm up. So then hyperhidrosis appears this “cooling mechanism” has, in some way, been disrupted.

Hyerhidrosis is a condition affecting both sexes similarly and concerns 1-1, 5% of the population. It appears symmetrically on the face, arm pits, hands, feet and torso. 

Only the ones who suffer from it can realize the social, professional, emotional and as a result, psychological implications of this ailment.

Primary hyperhidrosis usually originates during childhood-adolescence and may be hereditary (50%). It is focal and due to a malfunction of the sympathetic nervous system.

Secondary hyperhidrosis is due to other malfunctions (endocrine problems, menopause, medication, etc)

Diagnosis of hyperhidrosis is based on obtaining a detailed medical record of the patient and the ailment. Clinical examination as well as supplementary laboratory tests help in pinpointing the cause of the ailment. 

The ailment is aggravated not only by the increase in temperature but also by intense movement-work-out, alcohol, coffee, spices, medicine, etc consumption and of course by stress.

The quality of life of the patient is dramatically decreased. This has an impact in his/her social life. Although hyperhidrosis does not necessarily mean odour, the patients are stigmatized by the stain of perspiration on their clothes. 

The ways of dealing with the ailment in the past are now recorded as older methods of low effectiveness and more than often of inappropriate results (pharmaceutical treatments, iontophoresis, local treatments, removal of perspiratory glands). 

Currently, injection of botulinum toxin (e.g. Botox- Vistabel) is considered as the most important modern method of rectifying hyperhidrosis. It is an absolutely safe and rapid treatment.  The patient devotes 15 minutes of his/her time to the experienced dermatologist for the application to be carried out and can see the difference in the course of the following days and is rid of pestering hyperhidrosis for about 6-8 months.

Hair Loss And Menopause

 There are three phases in which a woman may develop a hair growth problem and these are puberty, pregnancy and menopause.

Menopause, one of the natural and expected events in the life of a woman.

 During this phase a woman passes from her productive to her non productive period. This means her ovarian follicles are depleted and no more hormones are secreted (Estrogens-Progesterone), which are responsible for the menstrual cycle.

For 95% of women menopause commences from 39 to 51 years of age approximately.

According to each case this period may last for several months or even years and presents various organic and emotional symptoms among which are sleep disorders, hot flashes, perspiration, lack of energy, stress, depression, emotions of sorrow and loss but we also observe changes in hair growth not only concerning the scalp but other parts of the body as well.

13% of women develop hair thinning prior to menopause. After menopause percentages rise to 37%. Hair loss is located on the upper and parietal areas of the head (androgenic type of alopecia) as well as the pubic area. 

Due to hormonal changes the hair lost is more than the body regenerates, while other parts which bore no hair start developing gross hair growth (such as the upper lip and the chin).

Hair growth is a great and important chapter for a woman and has a negative influence on her psychology, resulting in the aggravation of the problem.

The sooner she takes interest in it, the better.

Hair treatments should commence rapidly, as they aim at halting hair loss. Time plays a very important role.

Unfortunately most women refer to their dermatologist quite belated, when thinning is visible on the mirror. This means that hair loss has exceeded 20%.

Hair becomes gradually thinner and fuzzy up to a point when some areas are covered by a layer of very thin and weak hair.

What characterizes female hair loss is that the front line of the hair is maintained and thinning is located mainly on the top and parietal areas of the head.

When we refer to hair treatments we do not mean cosmetic treatments which one can obtain from a super market or their neighborhood hair dressing parlor but to medical treatments (mesotherapies, Laser,  plasma therapies PRP, etc) affecting the roots of hair offering all the necessary substances which hormonal disorders gradually deprive.

They are not magic potions or a medication prescribed for a viral infection. 

Initially, treatments help in halting hair loss and improving the state of hair so as for it to regain lost volume and appear rich and healthy again.

In areas there loss is irreversible and thinning has appeared, solution is offered through hair implant.

Concerning hair implant, the developed technique FUE offers women with hair loss the possibility to thicken or to fill up in a hair-by-hair fashion the empty areas of their scalp. So they regain new healthy  hair!