Wednesday, December 16, 2015

I Have Warts On The Sides Of My Neck

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Skin Specialist in Delhi Dr. Sirisha Singh of Theskincentre in often encounter people who complain that they have warts on the sides of their neck. Although one could have warts in that area, the common problem in this area is skin tags. Skin tags are extra bags of skin that herniate out of the skin. It happens as a function of increasing age but is very common in people at a high risk of diabetes. If one has several skin tags or skin tags at a very young age, they should have an annual fasting blood glucose test. A traditional method of treating skin tags was to tightly tie a strand of hair at the base of the tag. This cuts off the blood supply to the tag and it falls off in a few days.

Warts are lumps on the surface of the skin that happens due to a virus infection of the skin says Dermatologist and Skin Specialist Dr. Sirisha Singh. The virus causes the skin cells to grow out and form lumps. This virus is ubiquitous, that is it is present everywhere and infections are very common. Many of us harbour the virus in the skin for several months before developing the warts. Hence eliminating the virus from the system is also a challenge as the virus may be present in seemingly normal skin.

So, what can one do about skin tags once they have developed them? There are many options to get rid of the skin tags.

1.Chemical Cautery: A medical grade acid like Tri-chloro-acetic acid is touched on the surface of the tags. This can work especially in small sized warts. It causes a mild stinging sensation for about 15-20 mins. The tags become very hard for about a week and then fall off. They do not leave any scars.

2.Electrocautery: Radiofrequency energy is used to destroy the extra skin tissue. The procedure is done under a numbing gel if the tags are very small. In case of bigger tags, an injection may be given just below the tag to numb the area of the tag. The process is painless and leaves no scar. The tissue heals completely in under 2 weeks.

3.LASER: Carbon dioxide LASER energy is used  to vaporize the extra fold of skin. The process can be done under a local numbing gel or a numbing injection just below the skin tag. The process is painless and heals with no scarring.

4.CRYOTHERAPY: The skin tag can be frozen with liquid nitrogen. The tag is sprayed with liquid nitrogen. It feels like touching ice on the skin, there is a slight sting for about 10 minutes and then it settles down. The skin tag feels very hard for about 2 weeks and then falls down. When targeted carefully, it is a safe procedure but if done  on tags which are very tiny, the liquid nitrogen also touches the surrounding normal skin and can lead to a small area of skin discolouration.

Apart from chemical cautery, the other 3 procedures mentioned above can also be used for the treatment of
warts. Warts can sometimes be very resistant to treatment and may sometimes need multiple cycles of treatment for complete healing.

      There are chances of the tags or warts recurring in the same area. Skin tags usually take a few years to
develop. Warts may develop earlier. In people with multiple or extensive warts, homeopathy may also be effective and advise may be sought from a qualified homeopath says Skin Specialist in Delhi Dr. Sirisha Singh.

Friday, November 20, 2015

Skin Treatment in Delhi @ TheSkinCentre

As a Dermatologist in private practice for several years, it breaks my heart every time I see a young girl or boy with scars due to acne. The scars undermine their self confidence and self esteem and sometimes also reduce their performance in life (academics and work). I often see many teenagers and young adults with severe acne, very often under treated for fear of side effects of medications. What one forgets is that the side effects of not treating the pimples i.e. the scars are much more disastrous and have a lasting impact on the individual.

I prefer to treat acne early and aggressively as this gives one the best chance of a scar free face. Acne is not a simple problem, it can be quite a tricky issue and needs a detailed assessment of the individuals skin type, the kind of pimples, the lifestyle being followed and the skin care routine. Some people may also need to get some blood tests and ultrasound to rule out an underlying hormone imbalance.
Based upon all the above the management may include one or more of the following.
Cleanser: depending upon the extent of oiliness of the face and the other medication which is going to be given, we may recommend either a pH neutral cleanser or a salicylic acid based cleanser to be used 2 times a day. Cleansing should be done with either lukewarm water or cold water. Hot water should be avoided. Frequent cleansing of the face should also be avoided.
Medicated Creams: Depending upon the type of pimples, we may prescribe some medicated creams. Most people usually get a cream to be used overnight which unplugs the acne and helps it drain out freely on the skin surface. In addition, we may prescribe an antibiotic cream to be used during the day if one has red, angry looking pimples.
Tablets: Oral antibiotics may be used with benefit in some people. They need to be used over a long duration to be effective. They are usually a safe option with very few side effects. Some people may get prescribed hormonal supplements especially if they have a hormonal imbalance. Another very commonly used medication is a synthetic analogue of Vitamin A. This is a very effective medication but may have some side effects and hence needs to be used cautiously and under medical supervision. For the right candidate, this is the most effective medication to reduce the chances of scars.
Chemical peels: We usually combine them with other acne treatments like medicated creams or tablets to drain out the pimples early and minimize the chances of scarring.
LASER: We use the Intense Pulsed Light. This is very effective in killing the bacteria responsible for pimples. It is also very effective in people who have some redness after the acne has cleared.
These are the various skin treatment options. We usually combine these with lifestyle advise for optimal benefit. To summaries, Get your acne treated early and effectively to reduce the chances of scars and the pain associated with a scarred face.