Take care of ur skin.!!!!!

SkinCare
Skin is the largest organ of the body, it forms the protective covering over our body and bears the brunt of all that we do and all that we consume. So, care of this protective covering is as essential as taking care of your cholesterol or your blood pressure though the ill effects of not doing so, are not fatal.

The condition of the skin also reflects about the general health of a person. When a person is happy and healthy you find people commenting on how glowing they look and similarly a person who is sick, they can be seen to have dry dull lifeless skin.

Basically, there is not much that it asks you to do for it and most of the time it looks after itself. Even in the ancient times all major civilizations have had their own methods of skin care, which have been written down in their texts. But going down to it, the basics have always remained the same.

But firstly we have to understand the different skin types. Normal skin is clear, soft, supple, uniformly textured & pigmented, neither too oily nor too dry. Normal skin is not too sensitive to climate, cosmetics or the body’s own internal environmentDry skin is dull, feels tight on washing, even with the mildest of soaps flakes, scales and chaps easily. Oily Skin feels relaxed and supple,but thicker,looks shiny and is much more prone to outbreaks of spots. Mature Skin is leathery and has wrinkles and folds, loss of elasticity.

Understanding the factors which damage or affect the skin will go a long way in understanding the care which has to be taken.

External factors most important of which is the sun, which causes photodamage to the skin because of UV rays and the next being pollution and dust. Apart from these, are air conditioning which causes dehydration of the skin, smoking , stress, late hours, etc all of which harm the skin.
Internal factors like diet which forms the major form of insult, not enough intake of water, minerals, vitamins and taking too much of junk food and alcohol. All these damage the skin or inhibit its reparative capacity, hence there is no time for the skin to recover from one insult before another is added.

Skin care can be divided into generalized care and then local care.

Generalized care- being in the form of eating healthy, drinking plenty of water at least 3 liters a day, eating plenty of green vegetables and fresh fruits, which have antioxidants. Avoiding smoking goes a long way in getting healthy skin because, apart from the fact that smoke harms the skin it also produces constriction of small blood vessels in the skin. Vitamin C is very good for the skin as it is important for regeneration as well as the fact that it is the most natural sun block one can get which acts from within the body.

Local care- basically consists of cleansing, toning and moisturizing.

Cleansing and toning - Wash the face with a mild unperfumed soap, lather briefly and rinse thoroughly. Because soap is an alkaline substance, washing will temporarily raise the ph of the skin, which is normally slightly acidic . Most skins have an inbuilt ability to readjust the balance within 20 minutes of washing, though sensitive skin types take longer. If the skin is oily, citrus based toning lotions or astringent can be used after cleansing.
If the skin feels dry and tight after washing, try using a super fatted soap that incorporates emollients such as lanolin or mineral oil into the soap base. Other causes of dryness are over washing, incomplete rinsing, hard water (calcium and magnesium salts in the water combine with the soap to form a drying scum on the skin) or sensitivity. In case of very dry skin try a cream cleanser.

Moisturizing - Moisturizing cream is used for dry skin and lotion for oily skin. All moisturizers can be made to work more effectively by dampening the skin first

The use of exfoliating agents to peel the epidermis & superficial dermis dates back to ancient Egypt. Sour milk baths were used by ancient Egyptians to soothe the skin. This helps by removing the dead cells which are clogging the new skin giving you a new glow to the skin. It can be either mechanical or using various agents commercially available in the market. This need not be done everyday.

Sun Protection- Dark skinned people have natural pigment which acts as protection but even then sun block will help prevent damage to the skin as has been proven by studies. Sun block or sunscreen with an SPF(sun protection factor) 20 to 30 should be used, unless you are planning to go to the beach or swimming when a higher SPF would be useful. The sun screen should be ideally applied at least 15 minutes before one goes out into the sun and should be reapplied every 3 hours.

Some people might say that they are in cold climates or if cloud cover is present, you don't need sun protection. the statement is False, UV damage can occur even other wise and reflected sunlight is enough to cause damage so using sun screen will go a long way in protecting your skin.

Taking care of your skin will go a long way in keeping it healthy and preventing the inevitable signs of aging from creeping in on you suddenly. Yes, turning back the clock or rather keeping it at the same hour for a longer time is possible to a certain extent naturally, by some simple measures.

So take that few minutes out from your daily routine and pamper the largest organ of your body.

Patient Talk- Post 1- Tummy Tuck

This was a feed back I got from a very sweet patient of mine. SO i thought I had to share with you all. And she even offered to talk to anyone who is contemplating a surgery.

I thank her for her kind comments. SO here goes.....She call's it...

Absolving the Ab

All my life, I had always been careful and particular about my appearance, though only to the point of looking well-groomed and neat. My self-esteem needed that and so did the job I was doing.

After my son was born, for ten years now, every morning, when I looked in to my wardrobe trying to decide what to wear to work, I would get in to a fit of depression. None of my favourite blouses fit well any more, my favourite trousers wouldn’t hide that bulge any longer. I am not fat as in fat, I was alright from the front but I hated my silhouette from the side as there was no hiding that tummy, the big fold of skin in the lower abdomen that no tights or body shapers could flatten. I would settle for clothes which were made of thicker firmer material, 2 sizes larger than what I should actually wear, desperately trying to hide the ab’s abnormalities.

I have been in to exercising for as long as I can remember, inconsistently yes, but enough to realize that no amount of crunching had any effect on those bulges. That’s when I read about abdominoplasty.

As the days went past, and fitness caught on as a raging fire in India, I saw more and more folks my age around me, doing things to get fitter and look better. I felt more compelled to do some thing and soon. Every time there was a milestone in my life, I would say this is the time to do it.

But then fear of pain from past surgeries (have gone through 2 earlier) and lack of enough awareness about these options, would scare me away. I would put it off.

Another reason I was putting it off each time, was because I was misguided in to thinking that I would need to take 4-6 weeks off to do this. Given my current commitments, there was no way I could afford to take this much time off for something that wasn’t mandatory.
So came another of that milestone thing and here I was reconsidering surgery. I said I would at least ask around and gather information afresh. That’s when I chanced upon the website of “Cosmesis India( www.cosmesisindia.com)” – a group of doctors in India, with a presence in Bangalore who were in to cosmetic and plastic surgery.

I decided to go for a consultation – a single consultation wouldn’t harm, would it? So I was talking to Dr. Surindher and I went to meet him. He confirmed the same inference – only surgery could get rid of that skin fold. When I asked him the benefits of this non-compulsory procedure, all he said was that his earlier patients came back and told him that they can now look at themselves in the mirror without hating themselves. He also said I would recover in 1 week – I could go back to normal routine in a few days as opposed to the 4-6 weeks I had heard earlier.

So this is quite feasible, isn’t it ? – I began thinking. The more I talked to the doctor, the more convinced I was that I wanted to do it now and with this institution.

I was very apprehensive about the whole procedure, knowing fully well what a surgery entails having been through 2 earlier. I knew I wanted to do it – been wanting to for years now. After talking to the doctor, I was quite convinced now that they only way to get rid of the ugly bump in my lower ab was through this surgery, but garnering courage to face it was quite a feat.

I must thank the doctors(anaesthetist included) for trying to put me at ease. They assured I will be covered by pain killers for the first few days. I am terrified of pain, so no matter what they said, I WAS terrified.

But somewhere at the back of mind, based on the diagnosis and explanation of the doctor, I knew I had to go through it. So I mustered courage and prepared to face it. Having thus made up my mind, I tried not think anymore about the decision…I did not let anyone talk me out of it.

I went through the pre-op motions like an automaton – trying not to let my mind think..blanking out completely. Actually on the operating table as I waited to get in to the OT proper..I shut my mind, closed my eyes and drifted off to sleep until a nurse woke me up.

Then I was asked to pose for “Before” pictures, I wish I could have seen my own dead-pan face at that time..pity the doctor took pictures of my ab only.

During my previous surgeries, I had tried to fight the anaesthesia…but of course nobody wins the fight, just that it takes longer to settle down in to that deep sleep and I used to come around out of it in quite a troubled way.. So this time, I just decided to give in to it quietly and calmly.
But I do know I was breathing hard out of tension, again both the Surgeon and the Anaesthetist tried to relax me. The Anaesthetist, true to his word, fixed the IV with little pain and then gave me heads up that he was going to give me anaesthesia. I then just closed my eyes and let myself fall asleep. And I did, real real quick.

When I came around, it was trouble less and peaceful this time. I looked around, strange surroundings, I knew I was in the post operative ward. I asked the nurses for the time, they said 3.00 p.m. and I was like..Wow…I remember only up to about 10.30 a.m. I kept feeling thirsty and wanted to keep sipping some water.

Not much of pain, just a weird feeling lingered. Then, they wanted to shift me to my room. This was quite a job and since they moved and jostled me a little bit, it hurt.

Then I was back in my room, but kept drifting in and out of sleep. Did not feel nauseous until the doc asked me if I was..then I did. Retched and puked a few times – this hurt too. The doc said that he thought I must have been cursing him. Truth is, I wasn’t cursing him, but the agony of it all had begun to catch up with me, and I was beginning to curse myself for the decision to get this surgery done.

Can I forget the mother of all surgical agonies ? The IV drip and the endless bottles the nurses keep changing ? Needless to add, the thrombosis and the coldness in the arm. I couldn’t sleep at all, kept looking at the fluid go drip drip drip into my other arm (cause the previous one had already bulged). My thoughts on whether all this was really worth it, began to strengthen. I begged the nurse to not add another bottle, but she wouldn’t give in. She finally did, at about 3 a.m., only after which, I fell asleep.

Second day – I woke up to a good cup of coffee. The nurse promptly came back and started the drip again. Legs and whole ab area felt like dead wood. I noticed there were two blood drain pumps on either side of me and one end of each… long tubes..were inside my ab!!! Yes, really inside. The nurses came frequently to clear the blood that collected in these pumps. Wasn’t a pleasant sight for sure.

And you know what was more frightening than the sight of those pumps ? The thought that they had to come out sometime and surely that wasn't going to be painless. Then another doctor came- I did not know what he was up to, but he was trying to get me to sit up. Sit up, can you imagine that on the very next day ? – he explained that it was necessary to move to ensure the seeping blood does not clot. But I just couldn’t, was feeling so tired and faint, not to mention the pain. It was such a big effort, thought I will just pass out. After a lot of hard work, I was finally on my feet, but then I couldn’t walk !! Fear..nothing else, the doctor assured me. He helped me sit in a chair, wasn’t too bad once I sat down, just a very tired feeling. So that was my first attempt at getting out of bed post surgery. Of course, I got back in to bed with some difficulty(nurses again helped me a lot here), vowing never to get up again !!

But no, come evening, and the doctor had a mind of his own !!! He promptly came and made me get up again, this time made me walk a bit too. Not too bad again. Slept peacefully that night because I had succeeded in cajoling them in to removing the IV drip even though I could still see a couple of bottles remaining on the table. To top it, he made me put on a tight garment on the abdomen as if the existing agony there wasn’t enough. He said that was important to keep the swelling in check. Yeah ok..whatever !!

Day three – so far so good. My worst fears were going to come true…the doctor came by again – this time with an agenda to remove those tubes stuck inside me. I was hoping he wasn’t serious but he was. He wouldn’t give me local anaesthesia, said it won’t pain much. It did – to be honest – not much though. But like I had been reassured, I was indeed feeling less constrained now and bolder to sit up, walk about a little more.

That night, I couldn’t sleep – was this all worth it ?? That question kept coming back to me.

Day four, woke up to renewed energy, got up, freshened up and was cleaning the room. Yes, cleaning the room myself, putting things in proper places. The Doctor walked in on me, he said he was happy to see me up and about. I forced a smile on my face.

He said I could go home.
So again, I went through the process of getting discharged like an automaton. Reached home – climbing 2 flights of stairs – was in deep pain.

Physically, I was a lot more comfortable now. And I actually began realizing that the tight pressure garment that the doctor gave me, was indeed helpful in feeling more secure about the tummy whenever I moved.

The medicines I was asked to take, covered most of the pain unless of course I was delaying the next dose. There was intense burning under the skin of my stomach some times. There was also the feeling of lots of creepy crawlies playing under the skin – this was something the doc had warned me about. If not for his warning, I would have surely been petrified by that feeling – since its truly weird and something one wouldn’t have experienced earlier.

A few more days passed. Each day, I was visibly feeling better physically. I was moving around more and more. But what about my mental state ? Still confused, as I was feeling like there is a big block of dead wood tied to my stomach. A few folks who visited me did say I looked like I had lost weight – that did not help much. Also, the next event – Suture removal, was on the top of my mind now. I had had a bad experience (appendicectomy) – a very painful suture removal it was. I now couldn’t think of anything else.

I talked to the doctor about it and he suggested I apply a local anaesthetic cream before going for it. So, I did that and went to see him..gingerly…tensed. But just as he said, it wasn’t bad at all. Only thing was, he revealed then, that there is an inside layer of sutures that he would remove a few days later. My heart sank again (how do you apply local anaesthetic cream for internal sutures ??)

So one week had now passed, I was back to doing my usual stuff at home but did not feel good enough to go to work – so I decided to take that week off too. Stayed at home, relaxed, read, ate, slept – blissful existence, coming to think of it. But wait, what about my mental state again ?

That was worse, none of my clothes fit – I was so miserable. Here I was thinking I would be trim again and may have to buy smaller sized trousers, etc – and none of my existing clothes fitted..they were actually tight !!! I cant explain in words, how disappointed I was. So was all this effort just to come to this point ???

I asked the doctor this, he said, it’s the swelling, which will subside soon and I shouldn’t worry. But to us women, unless we actually can get in to those sizes we want to and zip up easily, no amount of anyone else telling helps. I tried not to be miserable, kept trying to hope based on what the doctor said.

New years eve came, decided to get out of this place as I badly needed the change, the doctor said it was ok to travel short distances if I were flying. I did get a change from the miserable disappointing feeling I was having though I still couldn’t sit up or move around for too long without having to lie down flat on my back at regular intervals.

Second week was over too, had to go back to work – also had to remove those internal sutures. Again, I applied the local anaesthetic cream and went to see the doctor on my way to work that morning. Yes, it did hurt a bit more burning than pain though. Subsided quickly and I went to work.

So I went to work wearing my loosest pair of jeans – others still did not fit. Everyone I met remarked that I looked trimmer. But remember that supreme validation that only clothes can give to women ??? I wasn’t convinced still.

The first few days at work were trying. With every passing day, it improved dramatically. By the end of the third week, I was feeling almost normal. Buoyed by this feeling of normalcy, I began trying my other old clothes again. Voila, more were fiiting me now and better than before !!! This edged me on and I mustered enough curiosity to try the acid test – my sheer georgette saree – which I had long given up wearing since georgette has no mercy on unwanted bumps. I actually wore the saree, looked at myself in the mirror – and…and…. I couldn’t believe my eyes !!! It was so nice, my stomach and the whole mid-section looked so neat, due to which the saree draped so well !!! Cry, I did… I wish I could have danced too at that moment. So was this really true ? Had I gotten my contour back after more than 10 years ???? I kept rechecking to confirm. I was thrilled !!

I hadn’t felt that happy in a long time. Believe me, it does wonders to one’s self-confidence. The first person I shared this with was my doctor, without whose firm and gentle support, I couldn’t have gotten to this point at all – I would have chickened out some time earlier and continued to be truly miserable about my tummy for ever.

The fourth week has just ended – a very significant month has flown past !!! I did go and buy a pair of smaller size trousers and a blouse last evening !! And when I try them on now, I cant help spiraling around and preening in front of the mirror. I looked trimmer, firmer and shapelier – therefore younger.

The most impacting comment I got – my father remarking that he felt I was now looking more like his young daughter’s image that was imprinted in his mind (an image that had frozen a few years back for him). Did I need more validation ???

It was worth it after all !! Well and truly worth every moment of it !!

I feel on top of the world !!! Something has changed for me this year...can you guess what ???

Dr. Surindher, Cosmesis India and Bangalore Hospital, Cant thank you folks enough !!!!
I wish more and more women will come forward to help themselves. We are worth it !!

aashu

aashuthegreat@hotmail.com

Who's Up for a Makeover??

Often wondered about the whole " Cosmetic Surgery thing???"

Well here are a few questions answered and few points one should know before considering a cosmetic procedure.

Q. What is the difference between cosmetic surgery and reconstructive surgery?
A. Cosmetic surgery enhances specific features to improve one’s appearance and boost one’s self esteem. Reconstructive surgery is done to provide or improve / restore form and function in patients affected by birth defects, trauma, tumors, infection or developmental abnormalities.

Q. Who is a good candidate for cosmetic surgery?
A. A good candidate for cosmetic surgery is one who understands the procedure, is realistic about the expectations and risks of surgery and of course is motivated by his/ her own desire. Also, the candidates must be willing to follow orders and willing to tolerate unavoidable inconveniences like healing time, time for the swelling to come down, avoiding exposure to direct sunlight, refraining from smoking, etc.

Q. Will it hurt?
A. During the procedure our anesthetist’s will ensure that you are comfortable and feel no pain since you will be asleep. In cases where local anesthesia is used only the initial discomfort of a needle prick is felt. After surgery any pain or discomfort you experience will be dealt with by medication and usually subsides within a few days.

Q. How soon can I get back to work?
A. Depends on the procedure done. In procedures not requiring hospitalization, usually 2 – 3 days is enough, but larger operations may require some additional time away from work. But remember, you can rush urself and the doctor but u cant rush ur body to heal. So, give it the necessary healing time.

Q. How long before the final result can be seen?
A. This varies with the type of operation. Generally, there will be swelling and bruising for some time. 80% of the swelling abates within a few days, but it takes 3 – 6 months for the final results to be seen.

Q. Will there be scars?
A. Yes, but they probably won’t be noticeable. All efforts are made to keep the scars as minimal as possible and to try and hide them in natural lines and skin creases. In majority of the cases the scars settle with time and are barely noticeable. In few cases they might become hypertrophic, this depends on the person’s healing capacity. So, if you have any hypertrophic scars please bring it to the notice of the surgeon.

Q. Are there any risks and complications?
A. As with any operation, there are risks. But in an otherwise healthy individual there is no increased risk of any kind. The most common risks are anesthesia related, bleeding, infection and significant scarring. Though these are infrequent, they do occur sometimes. Since potential complications vary with each procedure, these are usually discussed with you at the time of the consultation.



Points to ponder before coming for a consultation:

# Take some time to think about the specific problem you have.
# Think and mark the specific attributes accounting for your dissatisfaction with your appearance.
# Have realistic expectations.
#Be ready to bear the inconveniences related to the procedure like healing time and to refrain from smoking temporarily.
#Examine the benefits and limitations of the procedure and carefully weigh your options before making a decision to undergo a procedure.
# Each patient, operation, surgeon and result is unique.

SO make it a pleasurable experience to yourself by taking care fo these things and preparing yourself for the procedure so you can enjoy the benefits of it.


Dr.Surindher
www.cosmesisindia.com