Chasing The Curse Of Sweaty Armpits

WE ALL sweat…. it is an essential process through which our body regulates temperature, but in certain genetically predisposed individuals (1-5% of population) perspiration can get so excessive that it cannot be controlled by even the strongest antiperspirants. In such cases that are sweating bullets constantly the drenched armpits exhibit the tell tale and embarrassing hallmark of “focal excessive sweating”. The prospect of ugly sweat patches appearing on clothes all the time can make any person very self-conscious and constantly battling with such a condition can eventually affect work as well as other social aspects of life. Today we’ll get you comfortable with the condition and introduce you to remedies that are available to function sweat free.

Hyperhidrosis is the medical name for such abnormally excessive sweating. It mostly affects the armpits, hands and feet.

Why I Sweat All The Time? It is thought that the nerves that trigger sweating malfunction causing the sweat glands to produce much more than required. What causes them to malfunction is not clear but up to two thirds of patients have a family history of the disorder suggesting, it may have a genetic cause and the trait usually appears after adolescence.

Secondary hyperhidrosis can also be triggered by some medications such as the antidepressant venlafaxine, the breast cancer treatment tamoxifen, and gonadotrophin-releasing hormone antagonists, a class of drugs used to treat fertility problems and prostate cancer.

Fighting Excessive Sweating

Standard Treatments include strong “prescription-only antiperspirants” and drugs such as propantheline or oxybutynin that work by blocking messages from the nerves that control the sweat glands. Unfortunately side effects of these medications can include a dry mouth, blurred vision, and problems with urination, hence they are not very popular for regular and long term use.

Iontophoresis works by sending low electronic waves through the skin passed through water or a wet pad, which helps to block the sweat glands. Mostly hands and feet are ideally treated by iontophoresis. Treating underarm hyperhidrosis with iontophoresis is not as common (although some people can have success with it) because the skin in the armpits is likely to be irritated by the process and because the physical structure of the underarms makes iontophoresis difficult to accomplish.

Sympathectomy Patients suffering from extreme sweating in some cases undergo an operation known as “Endoscopic Thoracic Sympathectomy”, which involves cutting into both armpits and collapsing the patient’s lung in the process to destroy the nerves activating the sweat glands in the armpit region. This is no doubt a risky surgical procedure and that’s why a very few number of patients opt for such an extreme measure to zap sweating.

Botox Injections have transformed excessive sweat treatment options since the past few years. The procedure works and is quiet safe the only catch here is that the injections have to be repeated two to three times a year and the cost of the procedure is on the expensive side.

Laser Dry is a minimally invasive and relatively quick procedure, which has become quiet popular among hyperhydrosis patients since the past 3-5 years. It takes less than an hour or so to perform, a solution containing a local anesthetic is infused into the fat layer of the skin in the axillary (armpit) area where the sweat glands are located. This fluid numbs the area locally. Next, a laser cannula measuring 2mm in diameter is inserted under the skin. The laser heats and melts the sweat glands and the surrounding fat, permanently reducing the ability of the sweat glands to produce sweat. The recovery from this procedure is quick and post-operative pain minimal. After the procedure patient has to wear a compression garment for 3-4 weeks and exercise is off limited for one week.

MiraDry is a new and quick procedure (1 – 1.5 hours) performed in a medical clinics, and it doesn't involve any surgical incisions or cuts. MiraDry works by delivering precisely controlled electromagnetic energy to the underarm area, eliminating the underarm sweat glands. Following local anaesthetic cream, the glands are suctioned to the surface and then eliminated after being blasted with electromagnetic waves. Patients need one or a maximum of two sessions for sweating to be stopped almost completely for ever. Done under expert hands side effects from Miradry are limited but those undergoing treatment are likely to experience swelling for several days. Patients are advised to put ice packs under their arms and take ibuprofen for 2-3 days.

Biologic Treatments In Dermatology Beyond Psoriasis

Here’s a very informative catalogue of the off-label use of biological drugs in Dermatology by Martinez Leborans et al. which was shared with the dermatological community as Poster at EADV Annual Meeting 2015 – Copenhagen, Denmark

The Off-Label Use Of Biological Drugs In Dermatology  - Our Experience In The Last 10 Years

Biologics have a targeted action against very specific molecules involved in the pathogenic mechanisms of the disease.

For instance, psoriasis treatments often target cytokines involved in the pathogenic pathway, such as Tumor-Necrosis Factor (TNF)

In this study from Spain spanning from 2002 to 2014, 45 different biologic drugs were given for off-label indications in 38 patients (25 male, mean age 41.7 years old)

In which indication were the biologics used ? (percentage of total)

-47% = hidradenitis suppurativa (HS; Verneuil’s disease)

-22% = pemphigus vulgaris (PV)

-11% = Pyoderma Gangrenosum

-9% = Atopic dermatitis (AD)

-3% = Behcet’s disease

-2% = Pityriasis Rubra Pilaris (PRP)

-2% = Psoriatic arthritis (PsA)

-2% = Eosinophilic Folliculitis (Ofuji’s disease)

-2% = Bullous Pemphigoid

Which biologics were used ? (percentage of total)

-44% = Infliximab (Remicade)

-24% = Rituximab (Mabtera, Rituxan)

–18% = Adalimumab (Humira)

-9% = Estekinumab (Stelara)

-5% = Etanercept (Enbrel)

What were the response rates ? (percentage of total)

-25% = total response

-37% = partial response

-20% = no response

-18% = loss of efficacy

Was it safe ?

1 patient had a severe adverse event (AE), and only 8 did not respond

Comments

-This study shows that biologics are given for off-label indications

-Although some biologics have shown indications for off-label treatments, there is no specific data shown in this study…it does however show that they are effective.

Spring Cleaning For Summer Affiliated Skin Afflictions

Summer is "officially" almost over and what we are dealing with right now is the after math —in the form of different skin afflictions. Yup we’ve all been there —you’re staring at that funny patch of skin and frantically Googling the possible causes. But before you diagnose yourself with a rare ailment, check to see if your symptoms match up to anything on this list of slightly embarrassing, but totally common —post summer skin issues.

Tinea Versicolor

Folks this ailment is particularly prevalent in places that are humid all year round like the tropics, but in the summer can be seen across the globe —roughly 1 in 1000 people are usually affected. Typically it manifests its self in the form of light and dark patches of blotchiness on the skin. (Fun fact: The name versicolor actually means varied color). They’re often mistaken for sunspots, but this uneven skin tone is actually caused by a fungus that normally lives on the surface of your skin. When people sweat a lot, the fungus can take over, which is why symptoms tend to crop up during the spring and end of summer.

Prevention And Treatment

This yeast bonanza can be prevented by staying clean. The best preventative measure is to rinse off after a particularly sweaty day. Hop into the shower ASAP after exercising in humid weather.

For mild cases of tinea versicolor, you can try applying Selsun Blue or Nizoral Shampoo to the affected areas, leaving for 10 minutes, and then rinsing. If you want a guaranteed fix, your dermatologist can prescribe an antifungal medicine, either a pill for more serious all-over cases, or a topical foam that you rub on smaller patches of affected areas. (Tip: make sure to put foam on the splotches as well as beyond the borders of it.) The unexpected last step is getting a dermatologist-approved tan, as the fungus produces enzymes that leave skin hyper or hypo pigmented. Your skin won’t even out in color until you venture back out into the sun.

Folliculitis

If you live in workout clothes or spandex, you could be at risk for developing folliculitis. It is particularly easy to contract this bacterial infection in the summer months. Bacteria, like yeast, love the warmth. They thrive in warm, moist dark conditions. Essentially summer sweat is bacteria’s dream but it’s definitely not ours. Folliculitis tends to look like red bumps or pustules and is commonly found on shoulders, thighs and bottoms. Folliculitis can be itchy or burn. It is especially common in patients that are wearing tight clothes, if you are wearing spandex on the upper thighs and that compresses the hair follicle bacteria is more likely to grow there. Folliculitis can also be contracted in hot tubs or hammam maghrabi (Morrocan or Turkish baths). It is important to be sure that your bath place uses good sanitary and hygiene measures and every hot tub you spend time in should be properly chlorinated.

Prevention And Treatment

After sweating exercise it’s important to change out of tight clothes after working out and try not to wear spandex all day in the summer months. Do your best to shower right after a work out. If you know you will be out for the whole day and it is very hot outside, bring a change of clothes. To nip the evil in the bud its wise to invest in an antibacterial cleanser that can prevent and treat folliculitis. If you notice something that looks like folliculitis contact your health practitioner, more severe cases require an oral antibacterial.

Molluscum Virus

It is seen most often in children, while not particularly dangerous, mollusum is annoying. It causes whitish translucent tan bumps anywhere on the body. These bumps can last for up to four years. Molluscum thrives in under chlorinated water, which is why it occurs so often over the summer. The virus can be passed from skin-to-skin contact. The reason why kids get it so commonly and adults don’t is because the immune system mounts a reaction to the virus. Eventually you can be exposed and not get the bump because your immune system knows how to fight it. When kids are first exposed to it, the body's immune system reacts, and this reaction leads to the bumps.

Prevention And Treatment

Preventing molluscum can be tricky. No one wants to avoid pools all summer, let alone stop kids from jumping into a pool. Check with the pool owner to make sure that they are properly chlorinating it. It is also important to wash off as soon as you get out of the pool. Maintaining good hygiene is a way to prevent molluscum (as well as many other viruses.)

Pesky Bug Bites

Ouch! They are downright annoying but can also lead to some more serious health issues like malaria, dengue fever, Lyme disease or West Nile virus. Scratching a bug bite until it bleeds can also lead to infection. Hot weather means fewer clothes, more bugs and more bug bites. Bug bites can range in size from barely there specks to massive welts. Bug bite size does not correlate to bug or bug size. The idea that the size of the bite is determined by the bug is a misleading urban myth, that’s why most of the times just by looking at the bitten area it is difficult for your dermatologists to determine the bug’s specific species.

Initially the “cause” of a bug bite seems pretty straightforward. However the bug’s decision-making process is more complicated than just easy access to human blood. There are two major reasons why people get bitten by bugs, one: Carbon dioxide production, and second: the lipid mix on the surface of the skin. Mosquitos find humans by determining where carbon dioxide is being produced. As humans, producing carbon dioxide is pretty much unavoidable (we can’t exactly stop breathing to prevent a mosquito bite). Each person’s lipid mixture is a bit more varied. Everyone has a different composition of lipids on the surface of the skin. This mixture is made up of cholesterol, triglycerides, ceramides and other fats and certain lipid mixtures are more appealing to bugs. This is why it is common for some people to get bitten more than others.

Prevention And Treatment

Unfortunately, your skin’s lipid mix is based on genetics. You can’t change your DNA, but there are some preventative measures that everyone can take to avoid summer bites. The CDC recommends using bug repellents that contain DEET, picardin or oil of lemon eucalyptus. If you are into all organic and natural repellant try Para’Kito a green and safe solution to repel bugs. In addition it is important, especially in the bug season to sleep inside or in a screened in area (like a tent). 

If you have a bug bite that is unusually itchy or feels painful, contact your doctor or dermatologist.

PCOS — My Skin & Me

September is the PCOS (Polycystic Ovarian Syndrome) awareness month, so I’d like to wave goodbye to September by shedding some further light on the syndrome and sharing with our readers some information that might help ladies reach an early diagnosis as well as some skin related management tips for this difficult multisystem disease. It’s a grim fact that worldwide PCOS affects 6% to 10% of women, making it the most common endocrinopathy in women of childbearing age. 

Early diagnosis and establishing a good management plan are key to managing cosmetic issues and preventing long term health consequences, as there is no cure for PCOS.

PCOS At A Glance

Common symptoms of PCOS include irregular or no menstrual periods, acne, obesity/weight gain/inability to lose weight, breathing problems while sleeping, depression, oily skin/acne, infertility, skin discolorations, high cholesterol levels, elevated blood pressure, excessive/abnormal hair growth and distribution, pain in the lower abdomen and pelvis, multiple ovarian cysts, and skin tags. Some women have only a few symptoms, while others have several.

How Do You Know If You Have PCOS?

You can be diagnosed with PCOS if you have at least 2 of the following 3 criteria

1. Irregular or absent periods,

2. Blood tests or physical signs that show high androgens,

3. Polycystic ovaries.

Health Risks With PCOS

Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. Recent studies found that:

·      More than 50 percent of women with PCOS will have diabetes or pre-diabetes (impaired glucose tolerance) before the age of 40.

·      The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.

·      Women with PCOS are at greater risk of having high blood pressure.

·      Women with PCOS have high levels of LDL (bad) cholesterol and low levels of HDL (good) cholesterol.

·      Women with PCOS can develop sleep apnea. This is when breathing stops for short periods of time during sleep.

·      Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.

·      Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer.

Skin & PCOS

Being a dermatologist I’d like to focus on the skin-related symptoms of PCOS, which include oily skin, adult acne, increased/abnormal hair growth, skin tags, and dark velvety skin patches on neck known as acanthosis nigricans.

Acne and oily skin:

One of the earliest signs of PCOS is acne and oily skin which are primarily the result of hormonal disorders caused by androgens (male hormones). PCOS-related acne tends to flare in areas that are usually considered “hormonally sensitive,” especially the lower third of the face. This includes your cheeks, jawline, chin, and upper neck. Ladies with PCOS tend to get acne that involves more tender knots under the skin, rather than fine surface bumps, and these acne lesions tend to flare before the menstrual period. This type of cystic acne doesn’t resolve quickly and takes time to go away.

Unwanted Hair Growth:

Unwanted hair growth is also triggered by an excess of male hormones leading to excessive growth of facial hair, as well as hair on the abdomen and around the nipples. The same hormones are also responsible for hair loss on scalp, which is why ladies suffering with PCOS struggle with thinning hair on scalp and increased hair on face and body at the same time. Shaving, waxing, depilatories, and tweezing are all options, but each has its limitations and each demands ongoing efforts. Vaniqa cream has shown promising results to reduce facial hair growth. Laser hair reduction is another good long-term option.

Medications called anti-androgens may reduce hair growth and clear acne. Spironolactone (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (Propecia), a medicine taken by men for hair loss, has the same effect. Anti-androgens are often combined with birth control pills.  These medications should not be taken if you are trying to become pregnant.

Metformin (Glucophage) reduces insulin levels, and this change, in turn, reduces the ovarian testosterone levels by competitive inhibition of the ovarian insulin receptors. This drug is effective in treating increased hair in women with PCOS.

Hair Loss:

The type of hair loss women with PCOS experience is directly related to the excess production of male hormones caused by the disorder. Referred to as male-pattern baldness, it can be successfully treated with over-the-counter medications containing Minoxidil or Saw Palmetto along with oral contraceptive pills (Diane 35) and anti-androgen (Spironolactone) medication.

Skin Darkening:

The brown skin discolorations that occur with PCOS are unique, and are called “Acanthosis Nigricans”. They appear as darkened, velvety swaths of dark brown patches that most often develop on the nape of neck, armpits, inner thighs, or under the breast areas. Although these discolorations are not related to sun damage, the treatment is the same: daily exfoliation, sunscreen, and use of a topical over-the-counter skin-care product with 2% hydroquinone or other skin lightening agents. For stubborn cases, you may need a prescription-strength skin lightener that contains 4% hydroquinone.

Skin Tags:

Fleshy skin growths in the armpits and neck regions are commonly spotted in PCOD. Once the hormones are fixed we can surgical remove or cauterize these growths.

Management Plan

Lifestyle modifications are considered first-line treatment for women with PCOS. Such changes include the following:

·      Diet - Low-fat, high-carbohydrate diets may increase insulin levels, so you may want to consider a low-carbohydrate diet if you have PCOS. Don't severely restrict carbohydrates; instead, choose complex carbohydrates, which are high in fiber. The more fiber in a food, the more slowly it's digested and the more slowly your blood sugar levels rise. High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur wheat, barley, brown rice, and beans. Limit less healthy, simple carbohydrates such as soda, excess fruit juice, cake, candy, ice cream, pies, cookies and doughnuts.

·      Exercise - Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and participating in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control.

·      Weight loss - Obesity makes insulin resistance worse. Weight loss can reduce both insulin and androgen levels and may restore ovulation. No single specific dietary approach is best, but losing weight by reducing how many calories you consume each day may help with polycystic ovary syndrome, especially if you're overweight or obese. Use smaller plates, reduce portion sizes and resist the urge for seconds to help with weight loss. Ask your doctor to recommend a weight-control program, and meet regularly with a dietitian for help in reaching weight-loss goals.

Medications used in the management of PCOS include the following:

·      Oral contraceptive agents (eg, ethinyl estradiol, medroxyprogesterone)

·      Antiandrogens (eg, spironolactone, leuprolide, finasteride)

·      Hypoglycemic agents (eg, metformin, insulin)

·      Selective estrogen receptor modulators (eg, clomiphene citrate)

·      Topical hair-removal agents (eg, eflornithine)

·      Topical acne agents (eg, benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%)

The optimal management for PCOS is a multi-factorial approach involving diet and lifestyle modification along with appropriate medication. If you think that you have any symptoms which point towards PCOS speak to your GP as soon as possible.

Celebrity Beauty “Secrets” — Good Genes Or Great Skincare

I kept being asked, “How do the celebs look so flawless day in and day out?” my answer is simple and realistic it takes a village to perfect a red carpet look. Most celebs work with a team of people dedicated to helping them look flawless — aestheticians, dermatologists, makeup artists, and photographers. I speak from professional experience when I say that the stars are just like everyone else: They experience dark circles, cystic acne, blackheads, and brown spots. But, since their physical appearance is an important and integral part of their careers, they spend a lot of time and money doing whatever they need to put their best face forward.

Myth Busted: “Celebs have Good Genes”

While good genes definitely play a role in certain skin conditions like oiliness, skin color, and skin thickness, you might be surprised to learn that approximately 30% of aging can be attributed to genetics and 70% to personal habits. This fact is clinically proven by studies that evaluated how identical-twins age. If it were all left to genetics, it would make sense for twins to age in the same manner and at the same rate, but research has shown us that lifestyle factors play a huge role. For example, if one person smokes or works in a profession that forces them to have more exposure to UV rays, one is bound to age faster than the other non-smoking twin who is rarely exposed to harmful UV rays. 

Most skin experts agree on the fact that good genes definitely play a role in how skin looks and acts, but, ultimately, it's how you take care of your skin on a daily basis that's a reflection of your age.

Real “Secrets” Of Celeb Skincare

Celebs do have a few tricks up their sleeves, which help them keep their skin flawless. Here’re a few cardinals rules that you can adopt to give your self an edge on the rest of the nescient populace.

Understand Your Skin Type And Stay Loyal To Your Skincare Routine

The first and most important rule to achieve good skin is: understanding your skin type — normal, dry, oily, pigmented, sensitive or a mix. Second rule to be on your way to achieve skin perfection is: using products created for your specific skin type only. If people with oily skin will use products for dry skin only a disaster and an acne flare can come out of that. If you are unable to match your correct skin type to your skincare routine get professional help and see a dermatologist. Once you find the winning formula stick to it don’t change for the heck of changing. If your skin is changing, then and only then is it time for a change. In your daily skincare routine look for products with active ingredients like retinol, vitamin C, peptides, and salicylic acid, find a well-formulated moisturizer with sunscreen and apply it generously to the face and neck 365 days a year. Sunscreen is absolutely the most effective anti-aging product available.

Professional Skincare Treatments

Chemical peels, oxygen treatments, bio-brasion, ultrasonic exfoliation, Mesotherapy, LED light, micro-current, RF facials Ultrasound facials…they do it all, oftentimes on a weekly basis. Of course, for a lot of us, this isn't realistic — or affordable — but good skin maintenance is something we can all manage. And, if you can't make it into a med spa or dermatologist’s office for monthly treatments, look for at-home treatments that can boost your skin similarly.

Stay Out Of Sun

Number one cause of wrinkles and skin pigmentations is UV rays from the sun, wearing an SPF moisturizer on the face and neck, 365 days a year, rain or shine, inside or outside is imperative. And, whenever possible (and assuming you’re interested in avoiding premature wrinkles), limit your time in the sun. Your skin will thank you and you’ll keep a smooth, healthy-looking, and even-toned texture.

Don’t be a starry-eyed fool next time you see a celebrity in a magazine. Their beauty routine is likely anything but easy and effortless.

Acne 101 — Take Your First Step Towards Unblemished Beauty

Acne is a very common and pesky skin affliction that affects most people with combination to oily skin at some point in their life. In most cases acne usually debuts early in life (around puberty) and we call it teenage acne, but in some cases it appears later in life (past 20 years of age) and we call it adult/hormonal acne. Acne causes spots to develop on the skin, usually on the face, back and chest. These spots or blemishes can range from papules, black heads and white heads — which are often mild — to deep, inflamed, pus-filled pustules and cysts, which can be severe and long-lasting and lead to scarring.

Why Do You Get Acne?

Acne is linked to your genetics and known to run in families. If both your mother and father had acne, it is likely that you will also have acne. It is most commonly linked to the changes in hormone levels during puberty, but can start at any age.

Acne affects the oil-producing glands next to the hair follicles in the skin. Certain hormones cause these glands to produce larger amounts of oil  (sebum). This abnormal sebum changes the activity of a usually harmless skin bacterium called P. acnes, which becomes more aggressive and causes inflammation and pus. The hormones also thicken the inner lining of the hair follicle, causing blockage of the pores (opening of the hair follicles). Hormonal changes, such as those that occur during the menstrual cycle or pregnancy, can also lead to episodes of acne in women.

Using wrong skin or hair products (comedogenic) can exacerbate acne.

Some medications also cause acne.

Friction or rubbing the skin (helmet, hat, tarha/scarf) can also cause acne

There is some evidence that stress and diet also play a strong role in acne.

What Can You Do If You Have Acne?

Keeping your skin clean is important, but will not prevent new spots from developing. Wash the affected area twice a day with a mild soap or cleanser, but do not scrub the skin too hard to avoid irritating it. If your skin is dry, use a moisturizer. While choosing your emollient make sure the product is dermatologically tested and labeled oil-free and non-comedogenic, so it doesn't cause spots.

Sad fact about acne is that it can't be cured permanently, it can be controlled with treatments and proper skincare. Several creams, lotions and gels for treating spots are available at pharmacies.

If you suffer at the hands of acne, it's a good idea to speak to your dermatologist for skincare advice and prevention. Products containing a low concentration of benzoyl peroxide or retinoic acid may be recommended (be careful as these can cause skin irritation and bleach clothing).

If your acne is severe, is leaving behind PIH and scarring or appears on your chest and back, it may need to be treated with antibiotics or stronger treatments that are only available on prescription.

My Acne Prescription

As we have already established there is no cure for acne but it can be controlled by judicious use of skincare and medications here’s my advise on how to keep your skin unblemished and clear even if your gene

For severe and cystic acne that affects the face as well as body and leaves behind scarring you better see a dermatologist as soon as possible before any permanent damage to your skin happen.

If you have acne, you will probably have to treat it for a long period of time — not just during an acne breakout. Work with a dermatologist to determine the most appropriate treatment for your acne, and how long you should follow the treatment regimen. It's important not to stop acne treatment before your doctor says it's okay — otherwise, you run the risk of having another acne breakout just when your skin starts to clear.

Lets Get You Leg Flashing Attire & Calf Sandals Ready

Des jambes sexy as the French say it, or the quintessential slim, contoured and sexy supermodel gams that shine in every attire and are ever so flattering with gladiator sandals “Are” and “Will Always Remain” the iconoclastic beauty asset that females across the board covert. The math in today’s lean and lanky leg obsessed world is very straightforward — all women want them and all men admire them.

In terms of claiming bragging rights most people think either you are born with them or you have to work really hard to achieve them — which by the way is not entirely true. Here’re some insider secrets that can fast track you on your way to getting a leg up in the gracile world of “Beautiful leg Goddesses”.

No Knife No Needles — Energy based Devises: Thunder thighs, cellulite as well as smaller pockets of fat like inner knees, ankles and calves can be difficult to reduce and sometimes diet and exercise are not enough to make a noticeable difference. Now, dermatologists & cosmetic surgeons are finding that the introduction of non-invasive fat removal technologies is opening the doors for more people who are not candidates for liposuction to remove stubborn fat, safely and effectively.

Radiofrequency & Cryotherapy Technologies Fat cells are by nature very different than other cells, particularly in how they respond to stimuli such as temperature. Most of the new technologies recently introduced for fat removal have been developed based on this knowledge and, as a result, can target specific areas of body fat using energy delivered as either heat or cold. Clinical cases and studies have proven that that these technologies deliver consistent results with very little side effects.

Ultrasound Technologies: Ultrasonic energy can be delivered in two different forms: Focused and Non Focused. Non-focused delivery can bring about scattered damage in fat cells with a minimal amount of the energy reaching the fat cells, focused on the other hand is the ideal method in terms of achieving lipolysis and skin tightening.

Laser Liposuction: Lipoplasty over time has become a popular cosmetic procedure for sculpting the thigh, ankle and calf regions, and though classic liposuction may also be efficient for this indication, in experienced hands, laser liposuction is more precise and can result in much superior aesthetic outcomes.

Liposuction is a technique that allows cosmetic surgeons to remove stubborn layers of fat that cannot be handled with diet and exercise. It works by painlessly melting the fat, which is later removed by a device called a cannula (a hollow tube attached to a suction machine that removes the fat through a tiny pinhole incision). The procedure involves making multiple small incisions and injecting a special tumescent anesthesia under the skin to numb the area. Then a small laser fiber is inserted under the skin to break down fat as well as stimulate skin tightening. Unwanted pockets of fat are then sucked out using small vacuum controlled cannulas. A compression garment is applied at the end of the procedure, which has to be worn for 2-3 months post procedure. The treated areas feel sore and bruised for few days, but with the use of laser during liposuction the recovery is much faster compared to the traditional liposuction.

MesoTherapy: Mesotherapy relies on repeated injections just under the skin using specific compounds to kill fat cells reducing the bulk of the area. The compounds injected depend upon what we are trying to achieve — treat cellulite OR reduce fat pockets. The treatment has been used in France for decades, but clinical studies are just beginning in the U.S (Kythera Biopharmaceuticals Inc. has recently won FDA approval for Kybella (deoxycholic acid) to be used for double chin reduction).

Botox®: For people looking for a milder form of calf reduction, Botox may be a good option. Botox works by partially paralyzing the over sized calf muscles reducing muscle activity and causing them to shrink in size. The effects of Botox are temporary, which gives you the opportunity to “sample” the shrinkage it provides. If you like the results, you can repeat the procedure every 6 months or later opt for a more permanent procedure like Radiofrequency based thermal destruction of nerves for the bulky calf muscles.

Beauty Ideals: Physiologists from the University of Liverpool back in 2006 meticulously researched the beauty of women’s legs. After screening the planet thoroughly to find a pair of most beautiful women’s legs on Earth, these scientists concluded that movie star Nicole Kidman happens to be blessed with the golden pins with perfect proportions. The length of Kidman’s legs makes up 1.4 meters of her body length, which according to the researchers is the ultimate correlation for women.

As far as the length of the legs is concerned it still stays very much within the domain of what God had bestowed upon you, but thanks to the creative handiwork of shoe artisans you can always make use of a well-heeled shoe to gain the illusion of legs that go on for days.

Sculpt a little and lift a little — now you can display your prized stems making the couture world your oyster.