Melasma management in primary care.

Background: Melasma, a condition characterised by hyperpigmented patches on the face, is one of the common skin conditions in women seeking treatment from primary care practitioners (PCPs). Several treatment modalities are available for PCPs as well as dermatologists. Each treatment option has its pros and cons, including accessibility and cost.

Exaggerated lower frontalis and glabella after Botox injection.

Botox is well known to be safe and effective; however, in some rare instances, there are unwanted side effects that every clinician should be aware of and can address to their clients. A rare encounter in the upper face is mild ptosis of the forehead along with mid-horizontal line that divided and parted the forehead into two distinctive nearly equal horizontal portions. A woman experienced a deep furrow line across her forehead post-Azzalure injection by a week, with noticeable glabella projection.

Tattoo removal "the artistic state of the art." Tattoo on forehead, nose, and chin: Successful removal with modified R20 technique using low-fluence Q-switched Nd YAG laser: A case report.

Background: Tattooing is an ancient practice that has been performed all over the world which is used to beautify the skin and augment beauty. Regrettable tattoos are treated with Q switch lasers, in many sessions, and the effectiveness is doubtful.

Objectives: The aim of this paper is to demonstrate how a unique protocol of R20 Q switch Nd YAG laser, can be employed successfully in removing long standing facial tattoos, in skin type IV, in an effective disciplined timing and cost wise modalities.

Platelet-rich plasma, the ultimate secret for youthful skin elixir and hair growth triggering.

The clinical application of platelet-rich plasma (PRP) is based on the increase in the concentration of growth factors that are released from alpha-granule of the concentrated platelets and in the secretion of proteins which are able to capitalize on the healing process at the cellular level. It has been invented to restore the natural beauty by starting the natural rejuvenation process of the skin and aiming to make it function as a younger one and to keep the skin youthful and maintain it. Besides that, it is also emerged to include hairs as a new injectable procedure to enable stimulating hair growth locally and topically; preventing its fall; improving hair shaft, hair stem, and its caliber; increasing its shine, vitality, and pliability; and declining hair splitting and breakage.

Tinea Capitis in Children and Trichoscopic Criteria.

Tinea capitis is the most common pediatric superficial dermatophyte infection. The causative species vary, as for instance, Microsporum canis predominates in Europe, while Trichophyton tonsurans predominates in North America. Tinea capitis does not respond well to topical therapy alone, thus oral therapy is requisite.

Black peel in facial dermatoses.

Background: Melasma (facial dermatoses) is an acquired chronic disorder of hyperpigmentation over sun exposed parts and continues to be a therapeutic challenge due to the presence of melanin at varying depths in the epidermis and dermis, and many researchers are working hard to find a solution. The main culprit to remain is direct sun exposure, with other factors like drugs, genetic predisposition, thyroid abnormalities, pregnancy, phototoxic and photoallergic cosmetics. Melasma continues to have a remarkable impact on the well-being of affected patients causing deep psychological and social anguish, and with the expansion of cosmetic dermatology globally, treatments that are successful against skin diseases and boost beauty without prolonged recovery periods, or exposing patients to the risks of surgery, are increasingly recognised and acknowledged.

Idiosyncratic Findings in Trichoscopy of Tinea Capitis: Comma, Zigzag Hairs, Corkscrew, and Morse Code-like Hair.

Dermoscopy is a method of growing significance in the diagnoses of dermatological pigmented skin diseases. However, in my case, mycology culture was negative and successful treatment was given on the basis of trichoscopy and wood lamp examination. I hereby describe a young boy with tinea capitis, multiple "comma hairs" and "zigzag hair" and a subtle additional feature "Morse code-like hair" when intensification was applied.

Idiopathic hirsutism: excessive bodily and facial hair in women.

Hirsutism is the excessive and increased bodily and facial hair growth in women in locations where hair is normally minimal or absent. It refers to the growth of hair in a pattern normally occurring only in men, and therefore primarily raises psychological, cosmetic and social concerns. Idiopathic hirsutism (IH), where the cause of excessive hair growth is unknown, is considered to be the most common form of hirsutism.

Polycystic ovary syndrome and female reproduction.

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. The presentation is diverse. There is no single, unified definition of PCOS, no single diagnostic test and no consensus on the diagnostic criteria.