At Home Christian Jessen 2014 - 113

| awkward ailments|

Bunions

dr
christian
says

'Embarrassing
problems vary
between men and
women. For men,
it's usually the
obvious - anything
to do with sex,
genitals and
bottoms brings on
the blushes, while
for women, it's
more often skin,
hair and nail issues
that cause the most
embarrassment.'

Words: georgina maric | photographs: getty images

Late acne

An estimated 20% of women in their
twenties through to their forties
experience acne, so what was once
thought of as an adolescent affliction
can affect you later on in life.
Acne happens when sebum, a waxy,
oily material that keeps the skin supple
and moist, is excreted through the hair
follicles. However, the problem kicks
in when sebum production increases
and this happens most notably during
puberty, pregnancy, as part of the
menstrual cycle and during menopause.
What happens is the affected
follicles eventually become plugged
up and the combination of sebum,
bacteria, pigment and dead keratin
cells (the top layer of the skin) creates
clogged pores. It is this that leads to
acne outbreaks. These can manifest
themselves as whiteheads, blackheads
or papules which are red, swollen
pimples. Pustules are pus-filled
inflammations which are the most
visible form of acne.
Some acne can leave long-term
scars, too, and there are a number
of treatments and procedures that
will help to smooth these out.
TreaTmenT soluTions

Dermabrasion is when your face is
'sanded down' by a hand-held

machine which takes off the surface
layer of the skin. You will have
a local anaesthetic to numb the area
and once the skin is smoothed,
superficial scars can be removed
completely and the appearance of
deeper scars much improved. It
can also reduce the appearance of
whiteheads and blackheads. The
downside is that it can be painful and
can leave skin feeling raw for months
afterwards. After a dermabrasion,
sun exposure can cause problems
with darkening of the skin, too.
Mild or superficial chemical peels
that gently remove a top layer of
skin cells are done with trichloroacetic
acid or alpha hydroxy acid. For
severe acne conditions, doctors use
phenol peels, which are usually
administered under general
anaesthesia by cosmetic surgeons
and have a longer-lasting effect.
For average scarring, you might
get a trichloroacetic acid peel,
administered by a doctor, that works
well on reducing the appearance
of shallow scars by smoothing the
texture of skin. Laser and light
therapy treatments work well on
acne scarring but like dermabrasion,
it is best to avoid direct sunlight after
a year following treatment.

Also known as hallux valgus,
bunions are painful deformities
of the big toe joint. They develop
when the foot angles towards the
second toe, creating a bony bump
at the side. Bunions tend to rub on
shoes and they can become extremely
inflamed, swollen and painful.
The majority of bunions are
believed to be caused by ill-fitting
shoes but there are other factors,
too - there may be some genetic
tendency towards a weakness in the
affected joint, and some forms
of arthritis may make people more
susceptible to the condition.
TreaTmenT soluTions Bunion
pads and painkillers can help to ease
symptoms. If your bunion is related
to arthritis, other drugs may be
recommended. Surgery is an option
in severe cases, which improves the
alignment of the big toe. The way
in which your foot loads during
walking can place excess stress on
the big toe joint and special shoe
inserts (orthotics) can relieve this
stress and reduce pain.
There are ways you can prevent
bunions from getting worse - and
even more painful - which include:
* Wear shoes that fit your feet
properly - the wider the better so
that your toes are not squashed
* Choose shoes that have a round
toe rather than a pointy one to
give your toes more space
* Wear lower heels or opt for
a wedge or a chunky heel over
stilettos, which will provide a lot
more support to your foot
* Get your feet properly measured
by a professional - many people find
that they have been wearing the
wrong size shoes for years
* Visit a podiatrist who can give you
advice on suitable footwear >

www.athomemagazine.co.uk JULY 2014 | 113


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At Home Christian Jessen 2014

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