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The area to be to be treated should be outlined initially by tattooing a thin line or dots at the edge of the lesions. The area is then shaded within the outline by circular motions of the tattoo machine till a uniform color is obtained.

Both local and systemic antibiotics are ideally needed after the procedure. The post-procedure crust and scab falls off in about 7 days. The patient can be reviewed after 4 weeks to assess if any further corrective touch-up micropigmentation is required. Depth and density of pigment deposition: The two most important factors deciding the cosmetic results of the micropigmentation procedure are the depth and the density of pigmentation. The ideal depth is in the upper and mid-papillary dermis (about 1-2 mm depth).

Deposition at a more superficial level will lead to the pigment being extruded along with the crust, while deeper deposition will lead to the pigment being leached or washed away by macrophages after a period of 2-3 months.

Density of deposition depends mainly on the consistency of the pigment paste and also the number of needles used. A thick creamy consistency of the paste ensures a Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA and uniform brazil. Similarly, a larger number fluticasone propionate needles that are closely set will give a better pigment density.

For practical purposes, the best camouflage products are the foundation-based cosmetic preparations. These can be used as daily wear creams and provide the best color match options. Permanent camouflage can be done Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA micropigmentation, but it has to be used understanding its limitations and disadvantages. Indian J Dermatol Venereol Leprol 2012;78:8-15 Copyright: (C)2012 Indian Journal of Dermatology, Venereology, and Leprology AbstractVitiligo is known to be clean an uncircumcised with social stigma and a decreased quality of life, especially when lesions are located over the face.

While there are numerous treatment options for vitiligo, most of these need a long time to produce good cosmetic results. Camouflaging the skin lesions can be a useful option in such patients. The proper use of camouflage has been shown to improve the quality of life in patients with vitiligo. In this article, we discuss the different camouflage options available in vitiligo - products and techniques with their relative advantages and disadvantages.

Temporary Camouflage Liquid dyes Potassium permanganate, Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA carmine, Bismarck brown and henna pastes were commonly used to camouflage vitiligo. Indigenous preparations (Traditional Indian Preparations) Iron fillings (Loha Bhasma) and Suvarna Karini (clay mixed with henna and oils) have been used as camouflage materials.

Opacity: Camouflage make-up must conceal all types of skin discoloration, yielding as natural and normal an appearance as possible. Waterproof: Camouflage make-up must ideally be waterproof. Sweat resistant: The camouflage preparation should not smudge or be washed away as a result of sweating. Holding power: Camouflage make-up must adhere to the skin without sliding off. Longer wear: Camouflage make-up must provide the assurance of long wear with easy reapplication as and when needed.

Ease of application: Camouflage make-up must be easy to apply. Complicated colors and steps may make it difficult for the patient to use daily. Ideally, a camouflage should have a good, homogenous sun-protection capacity. Cost-effective: All the desirable properties of a camouflage product need to be in the context of also being cost-effective.

The steps involved Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA testing, prescribing and using a camouflage are: 1. Warm the product on the back of the hand. The idea of warming the product is to make it more malleable and thereby easier to apply. After this, apply over the area of vitiligo to be covered.

The product is ideally applied with Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA sponge in a patting motion but can also be applied with the fingertips. The patting ensures that Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA product does not clog pores thus allowing the skin to retain its natural characteristics. Blend in around the edges. Blending is very important to ensure that the corrected area does not stand out by having distinct Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA. Improper blending tends to defeat the whole purpose of camouflage.

Apply the fixing powder. Facial fixing powders help to set the camouflage make-up and prevent Epifoam (Pramoxine Hydrochloride and Hydrocortisone Acetate Aerosol Foam)- FDA from smudging off. They are valuable cosmetics that provide coverage of complexion imperfections, oil control, a matte finish and increased tactile smoothness to the skin. They predominantly contain talc (hydrated magnesium silicate).

Figure 5 (a): Localized vitiligo face Figure 5 (b): After camouflage application Figure 6 (a): Localized vitiligo face Figure 6 (b): After camouflage application Camouflaging vitiligo tends to be easier than camouflaging uneven scars as rough scars are more difficult to conceal because unevenness may be exaggerated after camouflaging. Figure 7: Lip vitiligo Figure 8: Lip vitiligo after camouflage Recently, the advent of nanotechnology has brought in the possibility of camouflage cosmetics that need not be applied as a Baclofen (Baclofen Tablets)- FDA layer.

Usually, at least two or three different shades need to be used to get a good color match. In general, the skin of the face and that of the other areas of the body do not have the same color tone. Different shades of the camouflage may be therefore required over different areas. Shades differ from product to product. If a new product is being prescribed, it is prudent to retest over the vitiligo area to ensure that the color matches. Always keep a tester kit of the common products that you prescribe in your office.

Always use a mirror to ensure that the patient is also satisfied with the result of the test camouflage. Make it a point to photograph and document the results before and after the camouflage process. The testing process should take place in a room with good lighting. Patients can be encouraged roche pcr use their normal cosmetic like blushes over or trypan blue with the camouflage products on the face.



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