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There are more than 4,000 chemicals found in tobacco smoke; many of these harmful chemicals encourage the destruction collagen and the elasticity of the skin. Even being around second hand smoke can cause deeper wrinkles and sagging of the skin.
Now let's discuss how smoking physically affects the appearance of your face and body. Smoking loosens the skin around the eyes, causing deep wrinkles and crow's feet. Deep lines and wrinkles can also develop around the mouth from dragging on your cigarette; this look is also known as the "smoker's pucker". Your breast can also begin to droop and fall prematurely. The skin on the back of your upper arms can also start to sag. You are also more prone to develop age spots (liver spots) on the face and body. Your fingers and fingernails can begin to turn yellow or brown after years of smoking; however, these stains will begin to fade after you quit smoking. Smoking also increases your chances to develop alopecia (hair loss).
Now that you know how the use of tobacco products affects can your appearance, lets look at some of the benefits of quitting smoking. Once you quit smoking, your circulation improves; this leads to an increased amount of oxygen and nutrients delivered to the skin. Some of the damage from smoking can be reversed by using retinoids, antioxidants (such as A and C vitamins), and chemical peels. Make an appointment with your dermatologist to see what skincare regimen is best for you.
Here are some overall health benefits that com with the cessation of smoking. After twenty minutes, your blood pressure and heart rate decrease. After twenty-four hours, your risk of a heart attack begins to drop. After a few weeks the cilia will begin to sweep impurities from the lungs again. After a year, you decrease your risk of a heart attack by half. If you want to quit smoking and you are having trouble, consult your physician.View Thread

Congratulations on your new hair growth! Your objective at this time is to maintain and nurture your current hair and scalp. Just like our body requires nutrition, so does your hair. Essential nutrients such as biotin, magnesium, folate, and zinc are required to maintain optimum follicle growth.
It's important to maintain the natural oils in your scalp and avoid excessive drying of your scalp. Do not wash your hair more than once or twice per week. When you wash your hair use a leave in conditioner and apply vitamin E oil, almond oil, or avocado oil to the hair shaft. This will help keep the hair shaft soft, smooth, and lessens the amount of brittle dry ends on your hair.
Before you go to bed wrap your hair with a silk scarf this will help hold in moisture. Do not dye and perm your hair simultaneously. This combination can be very destructive to your hair shaft. If you follow these tips, you will notice that there will be less split ends and breakage. Therefore, you will only need to trim your hair as needed. In general, frequent trimming of your hair does not make your hair grow faster.
Best
Dr. EvansView Thread

Cleansing your face should remain a simple process. The first step is to wash your face no more than twice per day with a gentle soap and warm water.
Step 2: Exfoliate the dead skin cells with an exfoliating agent that contains a mild salicylic acid or glycolic acid.
Step 3: Rehydrate your skin with natural oils that will not clog your pores such as almond oil or avocado oil. Moisturizers should be applied lightly, primarily to seal in the moisture, but not to clog your pores.
Best
Dr. EvansView Thread

Your first step should be to exclude any underlying medical issues or nutritional deficiencies that may be contributing to your hair loss. Thyroid disease, for example, can effect your hair growth.
If there are no medical issues then you should review your current hair care regimen. Overuse of perms, relaxers, and hair dyes will damage your hair follicles and lead to hair loss.
Optimum hair growth requires adequate nutrition for your hair. Certain supplements are required for keratin (the building blocks for your hair) production. Make sure that your diet is supplemented with magnesium, zinc, folic acid and biotin.
Best
Dr. EvansView Thread

The first step you can take toward softer soles is making a warm foot bath. Add about half a cup of Epsom salt to the water. Epsom salt contains the mineral magnesium sulfate; which helps to soften rough dry skin. Simply soak your feet and relax for as long as you like; if the water becomes too cool, you can add more warm water for your comfort. You may also opt to invest in a foot spa to soak your feet. A foot spa's whirlpool action can be even more soothing for your feet, especially if you have been on your feet all day. Most foot spas also feature temperature controls to keep the water warm for prolonged soaking enjoyment.
After you soak your feet, use a pumice stone to exfoliate the dry skin from your heels. Wet your pumice stone with warm water first. Next, rub the pumice stone in a back and forth or side to side motion on the calloused areas of your soles. Do not rub the skin too hard because it can be too abrasive for the skin on your feet. Be patient if you do not receive the results you were looking for the very first time, it may take more than one treatment. You can pumice your feet two to three times a week to gain and maintain softness for the soles of your feet.
After you exfoliate the skin on your feet, you can apply a foot cream to your feet. You can find foot creams in the foot care aisle of your local drug store. Gold Bond Foot Cream is great to apply to your feet to keep them soft. Applying foot cream and putting on socks before going to bed will allow you to awaken with soft, beautiful feet.
One more word of advice, try not to walk around bare foot. Instead, you should wear slippers or socks to protect your feet when you are indoors. If the condition of your feet does not improve, make an appointment to see your dermatologist.
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Many manufactures will place an expiration date on their products. The reason for this is that some makeup products contain active ingredients or preservatives that may not be as effective past a certain date. Clearly if the packaging has been opened or tampered with you should not use it. Using a product beyond the expiration date may run the risk of a potential allergic reaction or bacterial contamination .
The fact that you are wondering if you should use it implies that you are already concerned. Using an outdated product because of the "price" may not be the best choice.
Best,
Dr EvansView Thread

The daily application of a moisturizing sunscreen can help protect your skin from harmful UV rays. Wearing sunscreen can help prevent age spots (liver spots) from forming on your hands. If you already have age spots, your dermatologist can prescribe a hydroquinone cream to help lighten up the spots and even out the pigment on your hands.
When you perform chores around your home, you should wear gloves to protect your hands from the harsh chemicals found in house many hold cleaners; washing dishes can be especially drying to the hands. Gloves should also be worn to protect your hands and keep your nails clean while gardening.
During the winter months the cold air can be particularly drying to your hands, so your hands need a little extra care. About two to three times per week you should apply a scrub treatment to your hands before bedtime, this will exfoliate the dry skin from your hands. Next, apply an emollient to your hands for a deep moisturizing treatment that helps keep them soft and younger looking. Wearing gloves when going outdoors will protect your hands from the cold winter elements.
Aesthetic dermal fillers, such as Restylane, can help to restore and smooth out your hands. As we age we lose some of the subcutaneous fat in our hands, revealing the veins and tendons on top of the hands. A filler can help to rebuild and fill out the decreased volume to the dorsal aspect of your hands. Fillers can last from about six months to a year. Before making an appointment, be sure to choose a dermatologist that is familiar with performing this procedure for the best possible results.
Best,
Susan Evans, MD
View Thread

Thank you for sharing your story. Your situation appears to be quite complex. Your prior injuries have placed a significant impact on your body's natural ability to regulate the circulation in your lower legs. Individuals that have sustained complex fractures compounded by peripheral neuropathy will on occasion have a diminished capacity to regulate their fluid and venous return, which leads to chronic lymphedema and subsequent wound healing problems.
For the chronic open wounds you may want to have your legs evaluated by a plastic surgeon that specializes in wound care. Your surgeon may be able to share options for optimum wound care including possible skin grafting. Once your wounds are closed, some of your discomfort may subside.
Another issue that will need to be addressed is your lymphedema . As long as you have severe lymphedema, your ability to heal chronic wounds is diminished. Your plastic or vascular surgeon should provide you options to help improve your lymphatic drainage.
Best,
Dr EvansView Thread

Your description can be a number of things. Unfortunately without a direct examination or a photograph of your skin it will be difficult to know for sure. Based on your description you differential diagnosis may include an infectious process such as fungal infection or "ringworm " which may present as a circular lesion with a central area of clearing.
Another condition that resembles the appearance of "ringworm" is pityriasis rosea . Each of these conditions have there own treatment protocol.
Hopefully, this will be a start. However, as always, I suggest that you have your dermatologist take a look.
Best,
Dr EvansView Thread

There are several symptoms to look for when dealing with traction alopecia. If your hair is corn rowed or braided and you need to take aspirin afterward for the pain, your braids are definitely too tight. Another red flag to look for is if you have small bumps and redness around the hairline after styling your hair. You may also notice that your hairline has been gradually receding or thinning overtime after wearing tight hairstyles on a regular basis.
There are a few treatment options available for temporary and permanent hair loss. First, it is very important to change your hairstyle to a looser hair style to keep the strain off your hair follicles. This will help to prevent any future hair loss. The next step is to make an appointment with your dermatologist. Your physician can evaluate your hair line and offer treatment options such as cortisone injections. Cortisone can be administered monthly to the affected area by your physician. One should begin to see results about four weeks after beginning treatment.
Rogaine is another treatment option that is now available without a prescription; this product can be purchased from your local drugstore. Rogaine is applied to the scalp on a daily basis and regrowth of hair can be seen in about twelve weeks. However, Rogaine does not work for everyone. Be sure to consult with your physician before trying this product.
For permanent hair loss, you can opt for a hair transplant. This procedure can be expensive and is not usually covered by insurance. This is an out patient procedure in which a small section of the scalp is shaved and removed; the scalp is then sutured back together. The donor portion of the scalp is harvested to replace the section where you experienced the traction alopecia. You should expect to see full results up to twelve months after your procedure.View Thread
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