Dr. Jaishree’s Skincare tips — What’s your skin type?

Skincare

Do you have loads of unused creams and lotions adorning your dressing table and not doing your skin any good ? Have you spent a bomb on a product which your friend swears by and on using the product, you see no benefits on your skin ?

The reason is simple. Every individual has a different skin type. Skin care depends on the the type of skin one has.

Skin types include normal, oily, dry, and sensitive. Some people also have a combination of skin types in different areas of their skin.

Your skin type can change over time. For example, as one ages, the skin which was normal can turn dry. Use of anti acne creams can make an oily skin type change to a dry skin type.

Skin types vary depending upon factors such as:

  • Water content, which affects your skin’s comfort and elasticity
  • Oil content, which affects your skin’s softness
  • Sensitivity level

Normal Skin Type

Normal skin is not too dry and not too oily. It has:

  • A radiant complexion
  • No pores or lines
  • No rashes or redness
  • No blemishes or acne

Combination Skin Type

A combination skin type can be dry or normal in some areas and oily in others, such as the T-zone (nose, forehead, and chin)

  • One with combination skin can have
  • Dilated pores,
  • Blackheads
  • Shiny skin on the nose and forehead

Dry Skin Type

People with dry skin have:

  • Dull, rough complexion
  • More visible lines
  • Uneven skin tone
  • Skin may feel stretched

Dry skin can be made worse by:

  • Genetic factors
  • Aging or hormonal changes
  • Weather such as wind, sun, or cold
  • Ultraviolet (UV) radiation from tanning beds
  • Indoor heating
  • Long, hot baths and showers
  • Ingredients in soaps, cosmetics, or cleansers
  • Medications

Care for dry skin:

  • Take shorter showers and baths, limit to once a day.
  • Avoid taking hot water showers as it will dehydrate the skin further
  • Use mild, gentle cleansing lotions or shower gels. Avoid deodorant soaps.
  • Don’t scrub or use a loofah or nylon brush while bathing.
  • Apply a rich moisturizer right after bathing on a slightly moist skin in order to trap the moisture in the skin.
  • Wear gloves when using cleaning agents, solvents, or household detergents.

Oily Skin Type

Those with oily skin have :

  • Enlarged pores
  • Shiny complexion
  • Blackheads, pimples

Oiliness can change depending upon the time of year or the weather. Oily skin can be caused or made worse by:

  • Puberty or other hormonal imbalances
  • Stress
  • Exposure to heat or too much humidity

To take  care of oily skin:

  • Wash your skin at least twice a day and after you perspire heavily.
  • Use a gentle cleanser and don’t scrub.
  • Don’t pick, pop, or squeeze pimples. This prolongs healing time & causes increased pigmentation.
  • Use products labeled as “noncomedogenic.” They tend not to clog pores.

Sensitive Skin Type

If your skin is sensitive, try to find out what your triggers are so you can avoid them. You may have sensitive skin for a variety of reasons, but often it’s in response to particular skin care products.

If you have sensitive skin, you may see:

  • Redness
  • Itching
  • Burning
  • Dryness

Use products which say hypoallergenic and fragrance free if you have sensitive skin

Often those who develop acne or whiteheads with creams think they have sensitive skin which is not true. These people have oily acne prone skin.

How to determine your skin type?

Wash your face with water. Pat the skin dry and leave it untouched for about 30 minutes. Then take a transparent tissue paper and wipe your face.

Spread the tissue and look through it.

  • If it is transparent , your skin is normal
  • If the tissue paper is opaque, the skin is oily
  • If the tissue paper is opaque at some areas, transparent in the others, it is combination skin type.
  • If  the tissue paper is translucent and has some skin flakes, the skin is dry.

By identifying your skin type, you can choose the most appropriate products to meet your skin care needs and learn what you should be doing on a daily basis to keep your skin looking as clear, young and healthy as possible.

As I mentioned in my previous post, pay attention to the basics of skin care

These tips will help your skin stay healthier no matter its type.

  • Use a broad spectrum sunscreen that blocks both UVA and UVB rays. Avoid direct sunlight and wear a hat and sunglasses.
  • Don’t smoke.
  • Stay hydrated.
  • Wash your skin thoroughly every day and never wear makeup to bed.
  • Moisturize your skin.
Do you have loads of unused creams and lotions adorning your dressing table and not doing your skin any good ? Have you spent a bomb on a product which your friend swears by and on using the product, you see no benefits on your skin ? The reason is simple. Every individual has a [...]
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DR. JAISHREE’S SKINCARE TIPS — Trouble in the form of skin care

SkincareHere are the 10 common myths of skin care.

Habit 1: Scrubbing the face everyday will keep the skin clean and smooth.

The skin’s outmost layer is known as the stratum corneum. The stratum corneum (SC) protects us from dehydration and external dangers. There are three lipids in the SC, namely ceramides, free fatty acids, and cholesterol. Free fatty acids and ceramides fuse together in the stratum corneum to form a continuous layer of lipids. This lipid bilayer plays a major role in maintaining the barrier properties of the skin. The SC also has a collection of water-soluble compounds that are known as Natural Moisturizing Factor (NMF). NMF components absorb water from the atmosphere and combine it with their own water content allowing the skin to stay hydrated despite exposure to sun, pollution and harsh elements. The lipid layer surrounding the skin cells prevent loss of NMF & help “lock”…

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Here are the 10 common myths of skin care. Habit 1: Scrubbing the face everyday will keep the skin clean and smooth. The skin’s outmost layer is known as the stratum corneum. The stratum corneum (SC) protects us from dehydration and external dangers. There are three lipids in the SC, namely ceramides, free fatty acids, [...]
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Deepavali skincare tips from Dr. Jaishree

Originally posted on The Kochi Post.:

 

Deepavali1. Moisturise and hydrate your skin.

Dry flaky skin makes the skin look dull and lusterless . The change of season and cold temperatures in the coming months can shrivel up your skin. Use a moisturizer frequently and drink plenty of water to hydrate your skin.

2. Limit your intake of sweets 

Try to keep your sweet consumption under control. If you overdose on sugary and fried food, in a few days it’ll start showing on your face : breakouts, dull skin, weight gain, not to mention allergies thanks to the artificial coloring and flavoring that goes into mass-produced sweetmeats.

3.Protect your skin from firecrackers 

Most firecrackers have high smoke emissions due to high magnesium and cordite content. These fumes and particulate emissions can settle on your skin and harm it, causing irritant reactions, chemical burns and allergies. Stay at least six to seven feet away from lit fireworks…

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Originally posted on The Kochi Post.:   1. Moisturise and hydrate your skin. Dry flaky skin makes the skin look dull and lusterless . The change of season and cold temperatures in the coming months can shrivel up your skin. Use a moisturizer frequently and drink plenty of water to hydrate your skin. 2. Limit your intake [...]
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Skin care for those working outdoors

Exposure to sun for long hours can be harmful to the skin. A lot of skin infections occur due to sweat. Secondly, sun exposure causes extrinsic skin aging. Signs of skin aging due to sun are : Dull skin, Uneven tone, Age spots and blemishes,Fine lines,Wrinkles.

Basic skin care for those outdoors :

  • Cleanse twice or thrice a day with a pH balanced face wash.
  • Do not step out without using a sunblock with SPF 30. Re-apply every 2-3 hrs if outdoors.
  • Keep yourself hydrated by drinking enough water.
  • Have brightly coloured fruits rich in anti oxidants to fight the free radicles in the skin produced due to sun exposure.
  • It is also wise to avoid smoking as cigarette smoke and tar deprive the skin of the nutrients and oxygen it needs ultimately leaving it looking dull and lifeless. Smoking & sun exposure lead to the formation of harmful free radicals and weaken the collagen and elastin fibres, with the result that the skin becomes prematurely wrinkled.
  • It is important to maintain a good hygiene, avoid tight clothing, change clothes in case of profuse sweating apart from skin care.

Common skin problems in those working outdoors

  1. Fungal infections : Fungal infections are more common in men working outdoors  mainly due to increased sweat accumulation. Armpits, groin and the area between our toes are the areas commonly affected.

Solution : Use an antibacterial soap for bathing. After bathing, dust some anti-fungal powder (clotrimazole dusting powder is available at any chemist) on your feet, underarms, all body folds & groin.

  1. Boils & pimples : Humidity causes our skin to sweat and attracts dirt and pollutants more easily. This attracts bacteria & results in boils. Secondly, pores get clogged & pimples appear.

Solution : When you step indoors, always clean your face to wash away the grime and dirt.  To avoid accumulation of sweat and dust particles, use wet wipes when outside for long hours.

  1. Problem : Dandruff & lusterless hair:  hair gets greasy while scalp gets itchy & flaky due to dandruff.

Solution : Use a shampoo containing 2% ketoconazole & zinc pyrithione to combat dandruff. Wash & condition your hair to get back the sheen Avoid hair mousse,wax & hair gels.

  1. Problem : Increased pigmentation on the face due to excessive sun exposure.

Solution : You must cleanse your face well and apply a sunscreen with an spf of
30 in the morning.At bedtime,you could also apply a skin lightening cream containing kojic acid,liquorice and arbutin on alternate nights. Take plenty of citrus fruits in your diet. If this doesnt help you, you could undergo alpha hydroxy peels or TCA peels once in 3 weeks.AHA peels will remove the blemishes,rejuvenate your skin and improve your skin tone. Microdermabrasion would also help. It removes the dead cells with the help of a vacuum assisted equipment and aluminium hydroxide crystals, thus making your skin much brighter.

  1. Problem : Increased lines and wrinkles

Solution : Use a moisturiser such as cetaphil cream during the day. Apply a sunscreen with an SPF of 30 at least 20mins before you step out in the sun. Use a cream with 6% glycolic acid or 0.025% retinoic acid on alternate nights. Botox injection is the best treatment option for dynamic wrinkles such as crows feet, forehead lines, frown lines.

Exposure to sun for long hours can be harmful to the skin. A lot of skin infections occur due to sweat. Secondly, sun exposure causes extrinsic skin aging. Signs of skin aging due to sun are : Dull skin, Uneven tone, Age spots and blemishes,Fine lines,Wrinkles. Basic skin care for those outdoors : Cleanse twice [...]
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Avoid Skin fatigue

Skin fatigue is seen as dull uneven skin tone, rough texture, visible pores, age spots, dry skin, fine lines and wrinkles, and loose sagging skin. This happens due to ageing of the skin. There are two distinct types of ageing. Ageing caused by the genes we inherit is called intrinsic [internal] aging. The other type of aging is known as extrinsic [external] ageing and is caused by environmental factors, such as exposure to the sun’s rays. As we age, the rate of loss of old skin cells from the uppermost layer of the skin [stratum corneum] slows down. The skin gradually becomes less translucent and does not retain water so well. All the skin functions take place more slowly. Collagen and elastin fibres begin to loosen up. This is intrinsic ageing which is also known as the natural ageing process. It is a continuous process that normally begins in our mid-twenties.

Extrinsic ageing primarily occurs due to ultraviolet [UV] rays. As most of us are exposed to sun, the ‘damage’ to the dermis can be seen through the dry epidermis as we age. ‘Photoaging’ is the term dermatologists use to describe this type of ageing caused by exposure to the sun’s rays and occurs over a period of time. With repeated exposure to the sun, our skin loses its ability to repair itself, and the damage accumulates. Scientific studies have shown that repeated UV exposure breaks down collagen and impairs the synthesis of new collagen. Other causes of skin fatigue are chemical pollutants, poor nutrition, starvation, diets, physical and mental stress, smoking, alcohol, inadequate sleep and lack of exercise.

Skin and nutrients

Skin is one of the most powerful indicators of health. The rate at which our skin changes also depends on what we inherit, how we treat it and how we look after it. Wrinkles, dry or oily skin, acne, and inflammation all are signs of poor health, often brought on by consuming unhealthy foods and avoiding skin-healthy nutrients.

Vitamins and minerals are necessary for healthy skin. Vitamin A to prevent dry and flaky skin, vitamin C for collagen and vitamin E to re-hydrate the skin, reduce inflammation and speed up the healing process.

  • Minerals and antioxidants combat free radicals and help retain youthfulness of the skin.
  • Proteins and biotin [found in liver, egg yolk, green vegetables, and whole grains] are required for healthy hair and nails.
  • Water, vegetables and fruits like watermelon, walnuts, olive oil contain antioxidant. Fish like salmon and mackerel contain omega-3 fatty acid. All these moisturise the skin.
  • Colourful berries like strawberries, blueberries and raspberries, and oranges and carrots [contain beta carotene] act as antioxidants and protect the skin from effect of the sun.
  • Fish with omega-3 fatty acids and proteins like chicken and lean meat as well as flax seeds are known to prevent fine lines and wrinkles.

Avoid smoking as the smoke and tar deprives the skin of nutrients and oxygen and makes it dull and lifeless. They also form harmful free radicals that weaken the collagen and elastin fibres and this causes premature wrinkles.

As you age

To prevent skin tiredness, regular protection against the sun from an early age, combined with the use of moisturisers, is necessary. Basic skin care should include cleansing, avoiding the sun, using a sunscreen and a night moisturiser. Well-formulated anti-ageing products help to fight multiple signs of ageing. As you age, it is better to use heavy duty moisturisers, particularly at night to keep the skin well-hydrated.

Use anti-ageing creams containing alpha-hydroxy acids that are known to speed up cell renewal. Creams containing retinol gently release pure vitamin A into the skin. It exfoliates the skin and encourages new cells to form while improving skin tone and texture. Using retinol regularly at bedtime, helps give a healthy youthful glow to your skin. Your skin looks firmer, smoother, and fine lines and wrinkles diminish. Retinol is non-irritant, and non-comedogenic [does not contain any ingredients proven to cause pore blockages], and hence safe to use.

Vitamin C serums, Antiageing creams containing peptides,Coenzyme Q 10, Vitamin E help in reduction of fine lines and improving skin tone.

15 Signs of skin fatigue

  • Age spots and blemishes
  • Fine lines, wrinkles, crowfeet, frown lines, forehead lines
  • Sagging skin and jawline
  • Prominent laugh lines
  • Bags under eyes, dark circles
  • Receding hairline
  • Lack of vitality and luminosity
  • Loss of underlying fat resulting in hollowed cheeks and eye socket
  • Inability to sweat sufficiently to cool the skin
  • Greying hair that eventually turns white, unwanted hair on face
  • Thin nail plate with ridges and without the half moons
  • Drooping of tip of the nose
  • Dark lips and lines
  • Bands on neck [chicken legs]
  • Wrinkled and loose skin on hands and feet.

 

Skin fatigue is seen as dull uneven skin tone, rough texture, visible pores, age spots, dry skin, fine lines and wrinkles, and loose sagging skin. This happens due to ageing of the skin. There are two distinct types of ageing. Ageing caused by the genes we inherit is called intrinsic [internal] aging. The other type [...]
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Brides & Grooms …get ready for the big day …get a radiant skin

 

You are the bride / groom to be. You have busy days ahead, days out in the sun, for shopping, for meetings etc. You need to protect your skin from any kind of damage due to the scorching heat. Acne/pimples, boils, fungal infections,sticky dandruff, patchy uneven skin tone, increased pigmentation are common in summer & you must do everything to avoid these unwanted problems on the D day. 

1. When is the right time to begin the skin care ritual?

Depending on the condition of the skin ( tone,texture, acne prone skin,pigmented skin) , the skin care should begin at least 3 months in advance. If the skin is pigmented or there is acne, a six month treatment is required before the big day

2. What advice would you give to brides who haven’t had the time to begin the beauty schedule well in advance?

Healthy low salt,low calorie,protein rich diet.
6-8 hrs of sleep everyday
Avoid sun exposure, ue anoil free sunscreen with SPF 30 about 20 mins before you step out in the sun.
Go for mild alpha hydroxy peels (lactic,arginine or kojic peels ) once in a fortnight for a glowing skin 
One or two sessions of skin polishing will clear the dead skin,dirt,grime & remove the tan.

3. How much in advance can a laser treatment be undertaken?

A hair removal laser treatment should be started at least 8 months in advance to remain hair free on the wedding day. One usually needs 6-8 sessios of laser once in 4-6weeks in order to get rid of unwanted hair.
Photorejuvenation of skin with laser can be done about 2 weeks before the wedding to get a glowing refreshed skin.

4. Treatments that one can take to make the skin glow before D Day?

Fruit peels & whitening peels 

Done to remove blemishes and superficial acne scars & also to give an even skin tone. Also done for anti aging since the peel solution stimulates collagen thus reduces and prevents fine lines & wrinkles. 

Skin polishing also known a microdermabrasion

Microdermabrasion is safe, quick, convenient and proven effective for all skin colors and types, from light to dark, dry to oily. This age-defying process can give a brighter, smoother appearance to any skin area in need of exfoliation such as face, neck, hands back, legs and chest. 

Vitamin Mesoglow therapy : It involves the micro-injection of a specially prepared mixture of vitamins, amino acids, and medications in the dermis (just millimeters under the skin) within a problematic area. This treatment modality is used for rejuvenation of skin, dark circles, fine lines and wrinkles or for just a party glow.

Photofacial : Here we use Nd Yag laser for instant glow of skin, tightening and closing of open pores. Our patients generally go for this procedure immediately before a function such as a party or marriage. 

Laser hair removal : Get rid of unwanted hair , ingrowths, boil… go for a laser treatment, either a diode or Long pulsed Nd Yag will do.

Botox : Do lines appear around your eyes & on your nose when you smile ? Do these lines make you conscious because they make you look much older than your age? Relax, You can take tiny shots of botox. Botox is a natural, purified protein that relaxes wrinkle-causing muscles & creates a more youthful appearance. It is extremely safe & US FDA approved. The results are seen best seen 7-10 days after injection. & last for about 4-6 months. Botox is given in children for cerebral palsy. Hence,age is no bar. 
Do you have a broad or a square jaw ? Do you want a chiselled jaw like the all new Kareena look? Botox is the answer. It isn’t painful,however the result takes 4-6 weeks to show.So take it well in advance before the wedding. 

Fillers : Want high cheek bones, plump lips , a sharper nose without surgery? It is possible in an hour. Dermal fillers are safe & can do magic. The filler substance is injected beneath the surface of the skin whereby it plumps the desired area.

5. What should be avoided days before the wedding?

If you have oily or acne prone skin,avoid facials and massage. this can stimulate sebaceous glands ,clog pores and cause whiteheads and blackheads right on the day of the wedding.
Alternative : skin polishing or laser photorejuvenation

Avoid bleaching just before the wedding.do a trial at least 8 weeks before the wedding.if it suits you,you could repeat it just a week before wedding

Avoid waxing ,threading,plucking if you are prone to ingrowths.go for a lasr hair removal instead

Avoid having salt, chocolates,caffeinated drinks, sweets,butter, fried food at least a month before the big day. Instead have colored fruits, lot of water,tender coconut water, butter milk in order to fight the free radicles, prevent water retention & puffiness as well as have a youthful glowing skin

Avoid sun exposure. Shopping etc should be preferabbly done after 5 pm or apply a finger tip unit of sunscreen with SPF 30 every time you step out in the sun.Reapply the sunscreen if you are out for more than 3 hours as the effect of the sunscreen wears away.

Avoid make up products which are more than 6 months old and products which belong to unknown companies. You never know,you may develop a rash.

Avoid crash dieting. Your Hb will drop down & so will your protein level.This will cause hair fall,brittle nails & dull dehydrated skin. So eat healthy in small portions every two hours, excercise 5 times a week

6. Should a bride experiment with new treatments for scars/ spots weeks before the wedding?

All experiments to be done at least 5-6 weeks before the wedding so that in case of any untoward reaction,the problem can be treated & the skin back to normal.

7. What can one do if you get boils/ pimples a day before the main function?

apply a gel containing clindamycin & adapalene on the pimple. Use a face wash containing salicylic acid to remove the dead cells & clear the pores. if too bad,take a course of azithromycin 500mg for 3 days. Alternately,your dermatologist may give you an anti inflammatory shot into the pimple to get rid of it in 12 hours.

  You are the bride / groom to be. You have busy days ahead, days out in the sun, for shopping, for meetings etc. You need to protect your skin from any kind of damage due to the scorching heat. Acne/pimples, boils, fungal infections,sticky dandruff, patchy uneven skin tone, increased pigmentation are common in summer [...]
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How to look 25 when you’re 35…!!! Dr. Jaishree Sharad

Amongst two sisters, one had flawless skin, looked young and beautiful at the age of 35. The other had uneven skin tone, wrinkles, pigmentation, under eye bags and seemed like she was about 45 years old. On talking to them, I found out that they were twins. So why the difference? The one who looked 25 at the age of 35 followed a healthy diet, excercised, came to my clinic for a consultation regularly, did not smoke, drank rarely, used a sunblock always and took care of her skin. The other was a chronic smoker and drank often. She ate a lot of junk food and never took care of her skin.
Skin is the largest organ of the body. It is made up of the outer epidermis and inner dermis. The epidermis has a number of layers of cells called keratinocytes and pigment cells called melanocytes. The dermis contains blood vessels, sebaceous or oil glands, sweat glands, nerves; all of which are bound together by elastin and collagen fibres. Factors like pollution, sun rays, stress, irregular food habits, smoking, drinking alcohol, inadequate sleep etc contribute to skin damage, eczemas, allergies and premature aging of skin.
Basic skin care does not involve use of expensive cosmetics and toiletries. One has to follow a very simple regime for skin care.
Diet: A diet rich in proteins, high fibre, antioxidants and low glycemic index does wonders for the skin. All brightly coloured fruits and vegetables are rich in antioxidants. One should avoid too much sugar, processed dairy products (except yogurt), alcohol, preserved food and smoking. Two litres of water a day keeps the skin hydrated.
Exercse: About 30 minutes of aerobics, walking, jogging or cycling at least five times a week is essential for a healthy skin. Exercise increases circulation and the flow of nutrients to your skin.
Sleep: Regular sleep optimises the natural secretion of human growth hormone to promote cell turnover and collagen production. It also prevents formaton of dark circles.
Stress busters: Activities like yoga and meditation help keep stress in check, which in turn reduces the release of stress hormones that worsen conditions like hair fall, eczema, rosacea etc.
Steps to daily skin care: Cleansing, toning (optional), moisturising, protecting from UV rays.
The surface of the skin contains oil, dead cells, sweat, grime, dirt, grease and pollutants. If this is not removed, the skin looks dull and flaky. Cleansing is an important part of skin care. Use warm water to loosen dirt and clogged pores. Use a dime-sized bit of cleanser, then rinse with cool or lukewarm water. At bedtime, make sure to take off your makeup with a proper makeup remover. Avoid bar soaps as they tend to dry out the skin. Choose a creamy cleanser if you have dry skin and a clear cleanser if you have oily skin.
Toners are meant to remove all remaining traces of oil, makeup and dirt. Only those with oily skin need to use toners. Avoid toners in winter. For the skin to look healthy and glowing, its uppermost layer called stratum corneum should contain more than 10% of the total water content of the body. Thus, comes the role of a moisturiser. People with dry to normal skin should use a moisturiser twice a day after cleansing. Those with oily skin should use an oil-free moisturiser once a day. A moisturiser should be applied on a moist skin surface in order to trap the moisture in the skin.
Many so-called anti-wrinkle, rejuvenating and cell renewal creams are essentially just good moisturisers. They reduce flakiness by making the stratum corneum cells stick together and make the skin appear smoother by plumping up the stratum corneum cells. The smoother surface also allows more light to be reflected so the skin looks brighter and less dull.
Sun Protection: UVA and UVB rays could be harsh on the skin. Apart from sun tan, one may develop sun allergies, increased pigmentation, freckles, premature ageing and even skin cancers. It is important to wear a broad-spectrum sunscreen that protects against both UVA and UVB rays with an SPF of 30 or higher, even on cloudy days, and re-apply every two to three hours if you are outdoors. People with oily skin should use a gel-based sunscreen to prevent clogging of pores & formation of blackheads or whiteheads. Don’t delay. Start your skin care now!!
Dr Jaishree will answer your skin-related queries every fortnight. Please send your questions to dna.navimumbai@gmail.com

Amongst two sisters, one had flawless skin, looked young and beautiful at the age of 35. The other had uneven skin tone, wrinkles, pigmentation, under eye bags and seemed like she was about 45 years old. On talking to them, I found out that they were twins. So why the difference? The one who looked [...]
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No needle mesotheropy is a medical boon..!!

The skin is like a mirror. It reflects everything as it is affected by everything which happens internally and externally over the body. It is affected by stress, environment, hormones, genetics and lifestyle. Although it is the largest organ of the body, it is just not a cover of the body which we scrub, wash, expose to sun and experiment all cosmetics and treatments on it. It is an essential organ of the body and needs nutrition to look healthy, glowing, flawless and work properly to prevent us from external and internal factors like sunlight, free radicals,etc.

Now the question arises how to nourish the skin.

So one should have a healthy diet , lot of water, avoid alcohol and smoking .Take vitamin C and E in your diet as they prevent from oxidative stress to the body and increase collagen synthesis Vitamin A also helps in rejuvenation of skin by forming new cells, decreasing fine lines and helps in acne prone skin by decreasing oil production. But whatever one takes in the diet,s not 100% of it reaches the skin as other organs of the body also needs the vitamins and minerals present in our food. So apart from diet there is a need to nourish our skin and that is not possible with just applying creams on the face. With the advancement of science & technology, microinjections of a cocktail of vitamins, minerals, fruit and vegetable extracts and hyaluronic acid were injected directly into the skin and gave good results in rejuvenation of skin. This procedure was called as mesotherapy but the procedure was painful, time consuming and with downtime. But now one can actually give 100% nutrition to the skin with the latest medical technique called MESOPORATION- no needle mesotherapy.

Mesoporation is a painless needle free aesthetic procedure by which essential vitamins, minerals, complex amino acids and hyaluronic acid are delivered deeper into the skin. It delivers 99% of prepared solution at the depth of 1 cm using electrophoresis. In this treatment, a solution containing vitamins, minerals, amino acids and hyaluronic acid is applied over the skin and then a cold massage is done with a probe. This massage creates channels into the skin known as mesopores which allows the solution to percolate into the skin. Moreover the opposite charges between the solution and the probe push the solution into the skin. This whole procedure take 15 -20 minutes. It helps in collagen regeneration, skin hydration, skin firming and toning. Its advantages over microinjection technique are that it is painless, less chances of infection, no downtime and it gives equally good results.

The meso-solution is a combination of Vitamin C, Vitamin E, hyaluronic acid and organic silicon.

Vitamin C works in two ways- Antioxidant action & collagen production. Ultraviolet radiation can generate free radicals that cause aging of the skin & Vitamin C acts against them. It also works as an essential factor for the normal formation, maintenance and structural stability of collagen. Vitamin C also protects against UVA and UVB damage such as redness, formation of abnormal cells and immunosuppression.  Vitamin E is also an anti-oxidant and works synergistically when used with Vitamin C. It also helps to reduce age spots, fine lines and wrinkles.

Vitamin E can enhance the effectiveness of sunscreens & because of its sun protection & antioxidant properties, it is also used as a part of skin cancer prevention.

Hyaluronic acid: The polymer hyaluronic acid is an important natural component of skin produced by skin cells, which decreases as you age. It is a natural compound found in skin that has many important functions, including holding in moisture, providing cushioning, aiding in tissue repair, holding together the skin structural components collagen and elastin, and helping create a protective barrier against microorganisms. Skin starts losing hyaluronic acid as early as age 18, but wrinkles and other skin damage from hyaluronic acid loss don’t generally show up until the late 30s or early 40s.Loss of hyaluronic acid causes sagging of skin and formation of wrinkles.

Organic silicon: Silicon is the major constitutive element of all body supporting structures. This active ingredient helps to restructure the connective tissue and to stimulate the skin cells to synthesize collagen, meanwhile protecting against the attack of free radicals. Because of this silicon can be used as an anti-aging treatment.

It is advised to do mesoporation once in a month to nourish the skin properly and have a healthy flawless skin. But remember it cannot compensate for the dietary nutrition as it is an adjunctive treatment. Mesoporation is a medical boon in the truest sense in proper hands.

The skin is like a mirror. It reflects everything as it is affected by everything which happens internally and externally over the body. It is affected by stress, environment, hormones, genetics and lifestyle. Although it is the largest organ of the body, it is just not a cover of the body which we scrub, wash, [...]
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Chemical peels for treating hyperpigmentation in the Indian skin colour

What is the basic structure of the skin and what is responsible for giving it a colour?

Skin is the largest organ of the body. It is made up of two layers, the upper ‘epidermis’ and the lower ‘dermis’. The epidermis and the dermis are further divided into other layers.

The lower most layer of the epidermis is known as the basal layer and it contains organelles called ‘melanosomes’. These melanosomes contain cells called melanocytes which produce a pigment called ‘melanin’. The colour of skin depends mainly on this melanin and the amount of melanin present in the other layers of the epidermis. The thickness of epidermis and vascularity of the epidermis are other factors affecting the colour of skin

What are the causes of hyperpigmentation (increase in skin pigmentation)?

Hyperpigmentation may either be due to increased melanin deposition in the epidermis or dermis.

Epidermal pigmentary disorders respond well to treatment while dermal pigmentation may take a long time to lighten.

Melasma : Seen as brown patches on the face, it is more commonly seen in females. It occurs due to hormonal changes in the body. The pigmentation increases on sun sun exposure.

Peri-orbital melanosis : Also known as ‘dark circles’ may be heriditary, due to stress or eye strain

Freckles and Lentigenes : These are tiny black spots on the face and are genetic in origin.

Photomelanosis : This is increased pigmentation due to sun exposure. The pigmentation occurs on exposed skin, commonly on the face, neck and the back. The pigmentation may be patchy or as diffused darkening of the exposed skin.

Sun burn (tan) : A condition commonly encountered in fair skinned people due to excessive sun exposure.

Post inflammatory hyperpigmentation : It may be seen in the following cases:

Seen after healing has occured, like in acne, eczemas, contact dermatitis etc.

Drug induced pigmentation.

Pigmentation due to cosmetics especially those containing fragrance.

Macular Amyloidosis

Systemic disease such as Addison disease, liver disease, pregnancy, pituitary tumours.

What is the treatment for hyperpigmented disorders?

Determining the cause of the hyperpigmentation is important in selecting the best approach for treatment. Hyperpigmentation is treated with the application of topical creams, chemical peels, lasers. Patients should avoid the sun by using sun-protective clothing and sunscreen to decrease the likelihood of pigmentary changes induced by UV light.

What is a chemical peel?

Chemical peeling is application of a solution/gel on the treatment area for a particular time period. It is an office procedure. It does not require any hospitalisation. After properly studying the skin type and its sensitivity, the dermatologist decides on the type of peeling agent and their concentration. The skin is first cleansed. The peeling agent is then applied gently onto the lesion or on the full face till the ‘end point’ is achieved.

During or shortly after the procedure, the patient might experience warmth or stinging sensation for a few minutes. The procedure can be repeated after 2- 3 weeks.

 

 

What are the latest peels used in dark skin with proven efficacy?

While Glycolic acid, TCA, Salicylic acid, Jessner’s, Baker Gordon’s peels are being used since a long time, newer combination peels are now commonly being used for hyperpigmantation as well as for anti-ageing skin treatments.

Nomelan Fenol : It is a Solution containing phenol, trichloroacetic acid, retinoic acid, phytic acid and a mixture of hydroxy acids (glycolic, ascorbic, salicylic, and mandelic). It is used to treat Acne, Post Inflammatory Hyperpigmentation & Facial Melanosis. A peel is repeated every 3 weeks & a total of 3-5 sessions are done to achieve good cosmetic results. The depth of the solution will depend on the applied layers. For dark skins (phototype IV-VI) one should not apply more than 2 layers at a single peel session. The end result is a renewed and bright complexion with homogeneous skin colour and texture.

Arginine & Lactic acid combination peel : It is used to treat peri-orbital melanosis. Arginine is an Amino Acid derived from Brown sugar. It stimulates protein synthesis & has an anti-inflammatory action with moisturising effect. It is a large molecule, hence there is no irritation even in thin skin areas such as under eyes. It is  safe in patients with sensitive skin. Lactic Acid is derived from fermented milk. It helps maintain skin pH and also useful in adjusting the pH of formulations. It moisturises skin as is the skin’s own natural moisturiser.
6-8 sessions repeated at biweekly intervals causes significant reduction of dark circles.

Retinol peel : A combination of  10% ascorbyl 2-glucoside, 15% lactic acid, 4% retinol & 1 % retinaldehyde available as Retises CT peel is used for photoageing, uneven skin tone, fine lines, open pores & stretch marks. It removes dead cells, causes cell renewal, stimulates collagen synthesis & increases natural moisturising factors of the skin.

Why Combination peels?

They are done to complement the efficacy of different ingredients, to improve the safety of formulations and to increase the range of action of a single ingredient.

Side effects are rare and seen as post inflammatory hyperpigmentation and scarring .These occur only if the patient selection is improper or if the method is wrong or if there is post peel sun exposure.

They are safe in Indian skin and give excellent cosmetic results.

What is the basic structure of the skin and what is responsible for giving it a colour? Skin is the largest organ of the body. It is made up of two layers, the upper ‘epidermis’ and the lower ‘dermis’. The epidermis and the dermis are further divided into other layers. The lower most layer of [...]
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Karva Chauth..

Lunch time treatments at Skinfiniti help you get the radiant & glowing skin back. All the beautiful ladies who are getting ready for Karva chauth, dont miss on the festive discounts. Call 9223219519 for appointments. Yours sincerely, Mithila, Manager, Skinfiniti Aesthetic skin and laser clinic….
Lunch time treatments at Skinfiniti help you get the radiant & glowing skin back. All the beautiful ladies who are getting ready for Karva chauth, dont miss on the festive discounts. Call 9223219519 for appointments. Yours sincerely, Mithila, Manager, Skinfiniti Aesthetic skin and laser clinic….
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SKIN CARE FOR WOMEN IN THEIR 30’S

SKIN CARE FOR WOMEN IN THEIR 30’S

As we age, our skin grows old and changes both in quality and texture. Moreover, it becomes increasingly susceptible to skin damage. It is in our 30s when one suddenly realise that they are not getting any younger as the years go by. Women in their 30′s have unique care needs as far as their skin is concerned. While they still may feel like teenagers because of acne prone skin, the concern of wrinkles is also on the horizon. Also, chances are good that they’ve tried a fair share of products in hopes of having perfect skin. Obviously, there is no way to completely stop the aging process in the human body.But it is possible to prolong the aging process and keep the skin healthy and beautiful with a proper skin regimen.

We are giving a few basic skin care tips (DO’S and DONT’S ) to maintain a healthy skin and postpone skin aging by a couple of years.

 

DO’S

1.       Nutrition

Leading a healthy lifestyle is an important element for a woman in her 30′s. As skin ages, it may be more susceptible to the harmful effects of cigarette smoke, a poor diet and dehydration. Making wise choices in your diet, drinking plenty of water and avoiding smoking will all help your skin look its best. The same goes for water and generous amounts of fruits and vegetables in your daily diet. Vitamins are essential for keeping your skin healthy, beautiful and young. Taking Vitamin C and E supplements will act as anti-oxidants and help erase the stress induced effects on the skin. Including Vitamin A in your diet will stimulate the growth of new cells in your skin and rejuvenate it.

2.       Cleansing

Daily face washing is a must at every age and certainly no different for a woman in her 30′s. If you have oily or combination skin, stick to a gel based or foaming cleanser. Those of you with normal or dry skin will do best with a cream based cleanser.  Using a water soluble cleanser that doubles up as make up remover is a good cleansing option. Toners are optional and look for alcohol free toners.  Do not use scrubs unless you have very oily skin and restrict its use to once a week.

  1. Sunscreen

Unprotected sun exposure damages the skin and enhances the appearance of wrinkles and fine lines. Moreover, the skin tends to become dry and lifeless. Never venture out in the sun without applying sunscreen. Use a broad spectrum sunscreen that offers protection against the UVA as well as the UVB rays of the sun. Higher SPF’s aren’t always necessary. Those with lighter skin will usually burn faster than those with darker or olive skin. If your skin starts to turn red fast, you’ll want a higher SPF. Apply sunscreen at least 15-20 minutes before you go out and keep reapplying after every 3-4 hours, no matter the SPF. If you have a oily skin, use a gel based sunscreen. For normal to dry skin, use a cream based sunscreen. For excessively dry skin, you may look for a sunscreen with additional moisturising properties. Don’t forget to apply sunscreen to your hands, as they are the real age teller.

  1. Moisturize

The skin begins becomes increasingly dry in the 30’s. Therefore, you need to hydrate your skin well. Moisturisers are available as creams and serums. A cream has larger molecule size than a serum. This means that a moisturizer will not penetrate the skin as far as a serum will. While serums deposit nutrients, creams will only hydrate your skin. If you have a problem with your skin that you’d like to improve, such as dark spots or early aging signs, a serum can help. But, if your skin is happy with your regular moisturizer alone, there is no need to buy a serum.

5.        Anti aging cream

Anti-aging skin care products contain active ingredients like Retinol, Alpha Hydroxy Acids, Vitamin C, Vitamin K. They boost the level of collagen and elastin within the skin and hydrate it intrinsically. As a result, they enhance the skin texture, diminish the appearance of wrinkles and fine lines and reduce puffiness and dark circles under the eyes. Retinol - increases cells’ turnover, exfoliates, currently the only ingredients that showed effective reduction of wrinkles. Using a Vitamin C serum daily will help brighten the skin complexion, hydrate and even the skin tone. It also reverses sun damage.
Vitamin E helps the skin to balance its hydration and improves skin’s elasticity.

  1. Eye Cream

The appearance of fine lines and wrinkles around the eyes often begins when a woman is in her 30′s. One needs to use an eye cream once or twice a day to attempt to thwart the onset of lines. Carefully dab the eye cream under your eyes, on the lids and around the sides. Doing this at night will be optimal since our skin tends to rejuvenate and repair itself while we sleep. While choosing a eye cream, look for contents such as Vitamin C, Vitamin K and retinol.

7.    Cosmetic

Use a liquid based foundation. Use loose powder instead of compact over your foundation. Always remember, what you put on your skin must come off, that’s one cardinal rule.

DONT’S

Cosmetic manufactureres, beauticians and fashion magazines continually give women distorted, inaccurate, and unrealistic explanations about skin care and makeup products. Here are some don’ts for your skin.

  1. You can’t get rid of open pores with facials. You need to consult your dermatologist.
  2. Facial massages in salons cannot tighten your facial muscles and prevent sagging. Actual tightening of muscles can happen only with radiofrequency.
  3. Exfoliating the skin does not regenerate skin or build collagen. It is good to exfoliate the skin but exfoliation doesn’t create new skin or get rid of wrinkles. Vigorous exfoliation can even trigger pimples or allergic reaction.
  4. Dry skin doesn’t wrinkle any more or less than oily skin. Oily skin may look less wrinkled, which means it can have a smoother appearance, but wrinkles are caused by sun exposure, genetic inheritance, or illness, not dryness. Moisturizers can’t change a wrinkle, moisturizers can only temporarily make dry skin look smoother.
  5. The amount of money you spend on skin care has nothing to do with how your skin looks. What you use does, however. Don’t fall for branded products in fancy jars.
  6. Many cosmetic companies market their products as day creams and night creams. They are just sunscreens named as day creams and moisturizer as night creams. Most of them do not contain any additional anti-aging component as promised.
  7. A great number of skin-care problems are caused by the skin-care products used to prevent them. Overly emollient moisturizers can clog pores; temporary face-lift products can cause wrinkles because of the irritation they generate on the skin; and products designed to control oily skin can make skin oilier. Allergic reactions are often caused by products that are too irritating, too drying, or too thick and creamy, or that contain plant extracts and oils.
  8. Your skin may become inflamed, dry, and blemished if you use too many scrubs, products that contain potentially irritating ingredients, or several AHA (Alpha Hydroxy Acid) or BHA (Beta Hydroxy Acid) products, either at the same time or in combination with one another. For example, an AHA product used with a granular scrub, or an astringent that contains alcohol used with an AHA product can damage your skin. If you use too many irritating products at the same time, you are likely to develop skin irritations, breakouts, dryness, and, possibly, wrinkles. Always consult a dermatologist before using a beauty product.
  9. For the most part, the fewer products you use on your skin, the better. The more you use, the greater your chances of allergic reactions, cosmetic acne, and/or irritation.
  10. It is wise to consult your dermatologist than your friend or beautician or the chemist to decide a skin care regime for you.
  11. Procedures like chemical peels done by a dermatologist will give you better and long lasting benefits than elaborate spa and facial sessions.

Skin care is a lifetime commitment! No cream or procedure is permanent as you need to keep repeating it to maintain the results.

SKIN CARE FOR WOMEN IN THEIR 30’S As we age, our skin grows old and changes both in quality and texture. Moreover, it becomes increasingly susceptible to skin damage. It is in our 30s when one suddenly realise that they are not getting any younger as the years go by. Women in their 30′s have [...]
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http://beauty.femina.in/featured/skin-care-bad-habits-you-must-kick-off-now/

Find Beauty tips and More at Femina.in – Expert Beauty Tip beauty.femina.in        
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A role model, An inspiration,An idol ,a truly humble,magnanimous,noble,warm @Srbachchan on http://bigb.bigadda.com/.

Dear Sir,
Read your blog on Nov 13th 2010 Day 938 http://bigb.bigadda.com/. Had tears in my eyes and a lump in my throat as I read it.So much depth, pain & love in your words. Reminded me of my Ma who we lost in 1997 when she was 47 yrs old ….I cant get over the fact that i wasnt by her side when she took her last breath. She was in a hospital in Jamshedpur.I was doing my post graduation in Balabhai Nanavati Hospital,Mumbai. She was hospitalised on 25th Dec 1997 due to sudden brain haemaorrhage.I was informed that evening. I didnt have money to take a flight. So i had was all set to leave by train the next day.But it was late.Ma decided to leave us before i could reach..was it my bad fortune ? or my karma ? I still cannot figure out. Born on 12th of Aug 1949, my ma was a surviver, a struggler against all odds & above all,she was a huge fan of “Amitji”.It was probably because of her that al three of us siblings grew on all the Amitabh Bachchan movies.We saw each movie not once but twice,thrice…usually on the front row of the cinema hall as the back seat tickets were expensive & we couldnt afford them. Zanjeer,Abhimaan,Mili & Silsila were her favourites. She loved Jayaji.She was infact in many ways like Jayaji or perhaps she imbibed Jayaji’s real & reel virtues.And actually she loved Jayaji more than Sir. She must have been one of the happiest persons on earth in 1973 when her two favourite stars got married to each other…As a child,I would write many letters to my favourite Sir Bachchan, my idol,My God & every time,I’d get a reply from Prateeksha,Mumbai, my Ma would be more thrilled than me ……..Two people I have always been inspired by all my life …My Ma and Sir Amitabh Bachchan…Had she been alive,she would have been on cloud nine on 9th Nov 2010,the day I met Mr Bachchan for a few minutes,thanks to my dear friend,Jitesh P.I think she may have still been very happy watching me from somewhere above….I think you did her happy as much as you had me ecstatic….Thankyou so much Sir. May you have a long long life…May you have all the happiness in the world.
Respect , salutes & love to all three angels who are watching & guiding us from above… your admirable & loving parents & My ma.

Dear Sir, Read your blog on Nov 13th 2010 Day 938 http://bigb.bigadda.com/. Had tears in my eyes and a lump in my throat as I read it.So much depth, pain & love in your words. Reminded me of my Ma who we lost in 1997 when she was 47 yrs old ….I cant get over the [...]
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Dermaroller Magic !!

http://www.consultingroom.com/Blog/Display.asp?Blog_ID=81&Medical-Skin-Needling-For-Asian-Skins

Skin Ageing

http://www.consultingroom.com/Blog/Display.asp?Blog_ID=114&Skin-Ageing:-The-Low-down

The Beauty of my profession

MGIMS Medical college, 1992: We were 2nd year medical students & had just begun our clinics. Going to the hospital wards, examining patients, having case studies everyday was exciting and a different new experience. As the days passed by, everything seemed mundane. The hospital didn’t have air conditioners; there were squeaking fans which did not stop us from us sweating like pigs in the hot summers. Our only saving grace was Dr Paul (name changed), professor in surgery, intelligent & witty. He had this terrific knack of making every boring lecture interesting. I would never ever bunk his lecture or clinic. He wasn’t good looking at all but there was something charming about him which made him the favourite of almost all the students of both genders. Moreover, every time he taught something, it made sense & actually made its permanent place in my grey matter. Two years passed by & I became one of his favourite students. Not because I was a good student but because I was one of the best orators & singers in college & my extracurricular activities seemed to impress him more. 1995: I graduated with a good score & gave a lot of credit to my teacher, Dr Paul. Soon, he was forgotten.
Skinfiniti Skin & Cosmetic Dermatology clinic, Mumbai, 30th April 2010: My husband called up asking me if I could do him a favour & squeeze in a patient amidst my huge list of appointments for the evening. There were about 40 patients I had to see in 5 hours. Any extras would cause havoc among patients who were anxiously waiting for me in the lounge. Sorry, can’t do you this favour hubby.
“ Please Monu, it’s for Dr Jason Paul. He wants to get his daughter for consultation.” Dr Paul?? As in Jason Paul from MGIMS? My heart skipped a beat. 14years since I had seen him. “Ok, send him but next time please don’t ask for such favours on a busy day!!!
I told my secretary not to make him wait when he’d come. I kept looking at the watch after every few seconds,waiting for it to tick at 7.30pm. He was there on time. I didn’t go out to receive him. I had to pretend to be the dignified Dr J. I was shocked. This man, bald from the frontal area of the scalp but with longish hair behind (I hate it when men grow their hair long!!!) , clean shaven (I always thought clean shaven men looked smarter but he used to be an exception in college, his moustache made him look intellectual) , deep sunken eye sockets, sagging jaw ( he did have a chiselled jaw line when I last saw him), dark forehead as if he had put some coal tar instead of talcum powder, crows feet & deep wrinkles; you could teach a kid cursive writing on those lines on his forehead. Hell no, is he the same man? “Hi Jaishree”. I recognised the voice. Yes, it is him. He seemed less confident, perhaps a little haggard too.
He looked more like a grandfather to his daughter. She claimed to have read all my columns in the various newspapers & magazines. Finally when she had a problem with her face, she insisted on seeing me. None of her dad’s dermatology colleagues suited her expectations! While I examined her, my grey cells were in a state of random agitation. I had to do something for him.
She fixed an appointment for Friday noon. She would do a laser hair reduction treatment for her face. Sir why don’t you do something too, I said casually. From the corner of my eye, I could see his raised eyebrows!! He was a professor in M.J.Medical college now & wanted to age gracefully. Age gracefully!!! Bull shit. At 50, he looked like he had the world’s burden over his shoulders. “Dad, you too should get stuff done, I want you to look like a dude for Amrita’s wedding.You just have 20days left Dad.But Dr J can do it. Look at the pics”. (I showed her some before & after treatment photographs. Advantages of a lap top switched on 24×7, apart from being able to send messages to your friends when you get bored of seeing patients)
I jumped at the opportunity. The changes would be subtle yet very charismatic, I convinced him. The next minute he was on the patient’s chair. I couldn’t believe it. The same teacher who taught me surgery is now my patient !!! J keep a straight face,I told myself… No expressions to be portrayed, that’s the pitfall of my profession!! I would do a Botox for his crows feet & forehead lines, a face lift for his jaw line & some peels for his dark forehead. I would get his hair transplant done by my friend who’s a transplant surgeon (and have his long hair trimmed ) I could also give him hyaluronic acid injections for his sunken eye sockets but that can wait. He isn’t aiming to be a bollywood hero. At least, he would look his age if not younger. (Actually, he would look 3-4 years younger) He has taken an appointment for Friday & I am actually feeling proud of my profession!!! He’s going to be the confident charming Dr Paul once again.

MGIMS Medical college, 1992: We were 2nd year medical students & had just begun our clinics. Going to the hospital wards, examining patients, having case studies everyday was exciting and a different new experience. As the days passed by, everything seemed mundane. The hospital didn’t have air conditioners; there were squeaking fans which did not [...]
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