Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 281
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: session_set_cookie_params(): Cannot change session cookie parameters when headers already sent
Filename: Session/Session.php
Line Number: 293
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 303
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 313
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 314
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 315
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time
Filename: Session/Session.php
Line Number: 316
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: session_set_save_handler(): Cannot change save handler when headers already sent
Filename: Session/Session.php
Line Number: 107
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Severity: Warning
Message: session_start(): Cannot start session when headers already sent
Filename: Session/Session.php
Line Number: 140
Backtrace:
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 173
Function: _ci_load_library
File: /home3/pariszim/public_html/application/third_party/MX/Loader.php
Line: 65
Function: initialize
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 55
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Base.php
Line: 60
Function: __construct
File: /home3/pariszim/public_html/application/third_party/MX/Controller.php
Line: 4
Function: require
File: /home3/pariszim/public_html/application/third_party/MX/Modules.php
Line: 123
Function: include_once
File: /home3/pariszim/public_html/application/modules/Amp/controllers/Amp.php
Line: 4
Function: spl_autoload_call
File: /home3/pariszim/public_html/index.php
Line: 292
Function: require_once
Ageing is a continuous ongoing dynamic chronological process.
History of the Patients:
Classification
1. GLYPHIC WRINKLES:
These are accentuated normal skin creases. They are common in young individuals with increased sun exposure for instance the farmers.
2. LINEAR FURROWS:
These are long grooves, straight or curved, seen horizontally on the forehead, radiating as crow’s feet from lateral canthus of the eye, or extending as creases from the nose to the corner of the mouth. They are seen routinely in elderly patients.
3. CRINKLES
These are very fine criss-cross wrinkles. They occur even in sun protected areas and are a universal phenomenon among old age people.
Wrinkles may also be classified as:
1) Static wrinkles: Follow normal facial expressions.
2) Dynamic wrinkles: Follow ageing and physical tension.
Principles of the Treatment:
1. Protection against UV Radiation
2. Patient education regarding the use of sunscreens (SPE>15), umbrella, hats and other protective clothing is important.
3. Mid-day sun exposure and reflected UVR (eg. from water, sand and snow) should be avoided as they are more photo-damaging.
4. Avoid sunbathing.
5. Use soap sparingly or switch to milder and glycerin based or neutral soaps to prevent dryness, which accentuates wrinkle formation.
6. Emollients should be a regular part of your daily skin care regime.
7. The choice of the treatment depends on the severity and type of wrinkles along with the aesthetic needs of the patients.
8. Cosmetic camouflage is an effective temporary mean of concealing ageing skin problem like wrinkles, mottled pigmentation and xerosis.
9. Associated medical disorders and treatment being taken (anticoagulants) should be inquired before contemplating therapeutic measures.
Skin Rejuvenation Schedule:
Everyone desires to maintain a youthful appearance and intends to delay the signs of ageing. It is becoming a common demand placed before the dermatologist.
A. Moisturizers
1. The occlusive moisturizers coat the stratum corneum giving emollient effect and preventing water loss.
2. The humectants draw water into stratum corneum from the atmosphere, deeper epidermis and the dermis, causing mild swelling of stratum corneum giving an impression of a smoother skin with fewer wrinkles.
B. Cosmeceuticals
1. Retinoids prevent collagen breakdown and stimulate collagen synthesis.
2. Hydroxyacids reduce corneocyte cohesion thereby hastening desquamation of pigmented cell and keratinocytes turnover rate.
3. Vitamin C stimulates collagen synthesis and by inhibiting melanogensis helps in producing depigmenting antioxidant property.
C. Antioxidants
1. These are free radical/reactive oxygen species (ROS)
2. They are produced by UV radiation, normal metabolic process, pollution, stress, smoking, inflammation, drugs or heavy metal.
3. These free radicals take electron from vital components leaving them damaged and inducing change in gene expression path, which causes degradation of collagen and elastic leading to ageing of the skin.
4. Antioxidants like vitamins (A, C & E) and trace elements (Zn, Cu, Mn, Se) neutralize these free radicals by providing another electron pair with oxygen, thereby stabilizing it.
5. Biological modulators such as tea extracts, oils, soy, aloe vera, ginseng etc.
D. Chemical Peels
1. Superficial and medium depth peels improve the texture of the skin, mottled pigmentation, fine wrinkles, surface roughness, freckles and lentigenes.
2. Superficial and medium depth peel are dynamic tools for treating photo ageing. They should be combined with UVR protection, retinoid and home care products for maximum efficacy.
E. PROCEDURAL MEASURES:
1. Antiwrinkle injections
2. Dermal fillers
3. Skin boosters
4. Iontophoresis
5. Dermabrasion
6. Radiofrequency face lift
7. Photofacial
8. Laser skin resurfacing
9. Surgical face lift
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*Disclaimer: The content on this website is for disseminating information and not intended to be taken for medical diagnosis or treatment. Every patient's case is unique and the post-treatment results are not identical, the results mentioned on the website may vary accordingly. All the website viewers take full and total responsibility for what is done with the information furnished by the website and any resulting outcomes.