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Home Eminent Columnists Derma Column I have been a chain-smoker

I have been a chain-smoker

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I am in my mid-forties and have been a chain smoker for the past 15 years or so. I have consulted a doctor to get rid of my smoking addiction. The doctor says that I have heavy facial wrinkling which may signal Chronic Obstructive Pulmonary Disease (COPD) which usually occurs in smokers. Under these circumstances, would you suggest a facelift? - Pavan.
Puffiness of face or solid edema of face can occur in patients with long standing lung diseases. It is necessary to see the skin thickness before saying if at all any skin rejuvenating procedure would help or not. Kindly consult a dermatologist for proper assessment. If there is no skin edema one may try skin rejuvenating procedures such as non-ablative photo facial, micro-dermabrasion, peels or any other procedures.
 
I am a sports person and have always been keenly involved in sports a lot, mainly tennis. I have varicose veins on my left leg which bothers me physically sometimes but not always. Is treatment always necessary? What procedures are available to treat varicose and spider veins? I am asking this since it looks very ugly when I have to play tennis. Please suggest a
remedy. - Anupama.
Varicose veins are tortuous appearing or prominent appearing veins on the legs. They may be physiological in people with strenuous work or exercises. They can also form/occur if there are defective valves along the path of these veins. They are common in patients who have prolonged sitting or standing posture in their occupation. When there are no symptoms there is no need for treatment, a simple method of foot end elevation (that is, to put the feet in elevated posture when reclined on pillows) helps the patient. Elastic stockings also help patients. In case of recurrent itching, pigmentation, or swelling of the feet one may plan medical management with drugs such as pentoxiphylline or oxerute, topical calcium dobesilate etc. Surgically one can go for extirpation of the vein. Sclerosant agents can be given into the vein. Laser treatments or intense pulsed light therapy can be used for smaller spider veins. You may consult a surgeon or dermatologist for further management.

I have a blister which is filled with clear fluid and is less than one-half inch in diameter. It is also accompanied by pain, redness and itching. Initially I was not worried about it, but now with the pain what do you suggest I do? - Shiva.
There is no description of site of the lesion, whether this is the first time etc. Since this seems to be an acute problem I suggest you to immediately contact a dermatologist.

I injured my left hand in an accident a couple of years ago, and have six stitches on the upper side of my arm. It has left a huge scar. I have heard that radiotherapy works wonders for this. Would you suggest that or surgery to make the scar a little less visible than what it is now? Please help. - Carole.
You must be having a keloid or hypertrophic scar on your arm. You can go for intralesional triamcinolone acetonide injection which reduces the scars considerably. You can try topical silicone gels or sheets as well. There are several newer scar reducing topical drugs which can be helpful in reducing the scars. I would suggest you to meet a dermatologist for appropriate choice of treatment.


Month: November 2010.

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