Your Beautiful Magazine!
Page 20
Female Focus
1/ Dear Dr. Poole. I am a 53 years old woman and I had a cesarean operation when giving birth to my last child 20 years ago. I have always had a horizontal flat scar, but recently it seems that it has become deeper, forming a fold over it, which makes me feel embarrassed when I have to undress or wear a bikini. Would it be possible to remove it?
Hello, from what you are telling me I can imagine that what you have is the so called ‘Pfannenstiel’ incision widely used in gynecology. It is a horizontal incision one or two inches above the pubic hair area. Sometimes the skin covering the wound heals attaching directly over the abdominal muscles
instead of over a cushion of celular or fatty tissue. Time given, the rest of the surrounding skin may give way or some fatty tissue can be accumulated underneath causing a fold or sort of ‘apron’. This can be corrected by removing the scar tissue and re-stitching the wound, approaching the subcutaneous layer first. Sometimes we take the opportunity to make a mini tummy tuck as it is basically the same operation.
2/ Dear Dr. Poole For many years I have had warts or verrucas on my neck that I believe have extended and got bigger. Is there any thing you can do with them?
Hello, Verrucas are caused by viruses of the family of papillomavirus and are contagious. There are hundreds of them in the family (some are now known to be responsible for cervical cancer) and they live on warts, when they bleed, some of these viruses may spread, together with the blood, causing new warts to appear. This is more common on men when shaving and on women with the use of necklaces. Warts can be easily removed under local anaesthesia by electrocauterization. Only when they exceed a certain size is the use of a scalpel necessary. The main aim is to remove them all in one session.
3/ Dr. Poole, I have noticed that the nails on my toes are growing thicker and darker. I have been told that I have a fungal infection on them and that they need to be removed completely. Is there any thing you may suggest?
Hello, your condition is called ‘Onychomycosis’ and yes, it is caused by a form of fungal infection. Fungus grow on dead skin and also on nails. It may totally invade the nail tissue where there are no living blood cells such as lymphocytes, and oral medication does not get there, making the treatment extremely difficult. Many years ago nails were removed and antifulgal treatment given so they would grow back as normal, but nowadays this is not often done. The actual treatment is both local and general. With the local treatment the nails are gently skinned and topic anti fungal agents are applied. At the same time, oral antifungals are given that will gradually be deposited on the nail bed and grow along with it. It is a long treatment to be successful as it takes from 9 to 12 months until the new nail tissue reaches the tip. This treatment can be done at home but is always advisable to have it supervised by a chiropodist that will slowly cut off the nails as they grow. Some antifulgal agents can affect the liver so it always recommended that you ask your GP who may well request regular blood tests to check your liver function.
Information supplied by
Dr. I. Poole, Clinica El Arenal. found at Av. Arenal 2, Jávea. Tel: 965 792 418 11am - 1pm
clinicaarenal@gmail.com
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