Human is a social being and socializing in our age is much more important than before. We are constantly in contact with other people, whether in our business or private lives. It is a need for all of us to look good, be healthy and well-groomed in meetings, business meetings, travels, meetings and all of them. Our face and skin constitute the most important part of our appearance. When we look in the mirror, we do not want to see pimples, blemishes, scars or wrinkles on our face. But the truth is that anyone can have such problems. Acne may be a problem during adolescence and sometimes until the age of 40. Sometimes, when these acne disappear, many spots and scars remain in their place. Sometimes, the biggest problem of a mother who holds her baby in her arms is the brown spots that remain as a souvenir from pregnancy. These and similar problems can negatively affect the person both physically and psychologically. When we have healthy and shiny skin, our cat feels good. Appreciating one's appearance and being at peace with oneself definitely increases one's self-confidence and enables one to communicate with people more comfortably and healthily and to be more successful in one's social life.
Many patients who apply to a dermatologist with complaints of spots on their face say, 'My skin was very bright when I was young. "It was beautiful, it was spotless, all these stains came out later," he complains. Indeed, age is an important factor in blemish problems on our skin. Getting older means; In women, it means experiencing hormonal changes such as pregnancy, use of birth control pills, and menopause. Again, it occurs in both men and women as the damaging effects of sunlight exposure over the years accumulate. These harmful effects of the sun manifest themselves, especially in the 40s, with sunspots, coarsening and thickening of the skin, which we call actinic damage, redness and crusting in certain areas, and even the formation of benign skin tumors. In those who love sunbathing and have sunburn, large brown spots may appear on their shoulders later. The spots seen on the arms and legs, especially in the area below the knees and elbows, and on the hands due to excessive sunlight exposure, have a water drop shape, unlike other areas. It may be dark and white in color.
In order to prevent all these stains from occurring, it is important to be protected from intense exposure to sunlight, starting from an early age. For this purpose, it is especially necessary to use sunscreen creams, accessories such as hats and umbrellas, to avoid natural or artificial ultraviolet rays, and not to tan.
However, if the stains have already formed, winter will be the right time to fight. Correct applications selected along with appropriate blemish lightening creams can save the person from existing blemishes.
Methods such as chemical peeling, carbon peeling, enzymatic peeling and fractional laser skin peeling, platelet-rich plasma (PRP) injection, blemish mesotherapy, dermaroller for blemish treatment. can be done. Individual factors such as the person's skin color, sensitivity, age, and depth of the stain must be taken into consideration when determining the method.
For example, the right method to be preferred for those with light skin color, light brown freckles and freckle-like but larger spots; It may usually be 4-8 sessions of carbon peeling or light doses of fractional laser resurfacing. Carbon peeling; It is a laser-based method that not only removes blemishes on the skin but also tightens the pores and reduces superficial wrinkles by renewing the collagen fibers in the lower layer of the skin. In this method, there is no visible crusting or peeling on the skin. Immediately after the procedure, the person can apply sunscreen and return to daily life. In fractional laser skin peeling, there will be redness on the skin on the same day after the procedure, and slight brown crusting and then flaking on the skin in the following days. At the end of 5-7 days, a bright, blemish-free, vibrant, fresh skin is obtained, free from pores and fine wrinkles. This method can also be applied to the entire face, neck and décolleté. The results will be worth the patience for the approximately 1-week healing process.
For people with darker skin color, aggressive (strong) peeling methods may be risky to remove blemishes. Because in these cases, the spots are located in the lower layers of the skin and the number and activity of the color-producing cells we call melanocytes increase. is. For this reason, on the contrary, there is a possibility that the stains may darken or that the stain may return over time, even if it improves at first. In order not to risk the patient in such cases, we prefer safe laser applications such as carbon peeling, enzymatic methods, rollers and PRP, and spot mesotherapy depending on the situation.
In congenital scars and spots, if the condition causing the spot is the accumulation of melanin, the pigment that gives color to the skin, it should be determined in which layer of the skin it is and the right method should be chosen accordingly. In some cases, this method may even include scraping that layer of the skin with ablative laser. Sometimes these congenital spots have a vascular structure and in this case the method will change completely. Vascular lasers need to come into play.
When we look at the blemish problem from the perspective of a dermatologist, I can say this; Yes, there is a lot that can be done to have healthy and blemish-free skin. We are not doomed to blemishes, as long as we do not spare our skin the necessary care and sensitivity..
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