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Blending is very important to ensure that the corrected area does not stand out by having distinct edges. 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 it 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 savella 25 mg 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 thick 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 savella 25 mg different areas.

Shades differ from savella 25 mg to product. If a new product savella 25 mg being prescribed, it is prudent to retest over the vitiligo area to ensure that the color matches.

Always keep a savella 25 mg 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. Savella 25 mg 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 to use their normal being taken advantage of like blushes over or along with the camouflage products Questran (Cholestyramine)- Multum the face.

This will help to accentuate their better features and takes focus away from the vitiliginous areas. In patients savella 25 mg extensive vitiligo on the exposed body areas, it should be understood that the patches tend to look conspicuous because of savella 25 mg sudden contrast from the dark skin to the white patches caused by the disease.

One option for such extensive lesions is to blur the border showing sudden contrast with a graded color cover up without the need to cover up whole vitiligo patches.

This gives good results, takes less time and needs much less camouflage product. Savella 25 mg that are more smudge free and have better water-proof qualities should be preferred.

Limitation of cosmetic camouflage Difficult to apply over larger surface area. Good products are relatively costly. Difficult to apply in patients with open lesions, severe acne and infectious skin conditions.

Micropigmentation Tattooing for cosmetic and medicinal purposes, referred to as either micropigmentation, dermatography or medical tattooing, may ensure permanent camouflage in a wide range of dermatological diseases.

Ensure that the tattoo needles and pigment are sterilized before each procedure. The process of color matching takes some skill, and a steep learning curve may be involved.

Color fading - The original color tends to fade gradually and, in some patients, an unsightly bluish discoloration is seen because of the black pigment dropping down to lower levels in the deeper dermis (a "Tyndall effect" is produced imparting a slate blue discoloration). Similarly, tattoos containing certain metal oxides can become oxidized and turn black. It is often difficult to remove this pigmentation savella 25 mg with lasers.

These include ecchymosis, crusting and edema lasting for a few days, reactivation of herpes simplex savella 25 mg infection and secondary bacterial infection.

Photo-aggravated reactions are most commonly caused by yellow (cadmium sulfide) tattoo pigment. Most commonly, mercury (red pigment) is associated with a granulomatous tattoo reaction; however, several reactions involving chromium (green pigment) and cobalt (blue pigment) have also been reported. Chromium in green tattoo pigment is associated with localized eczematous reactions at the site of the pigment, eczema of the hands and generalized eczematous reactions. Koebnerization of underlying skin diseases like lichen planus has been reported.

In: Draelos ZD, editor. Cosmetic savella 25 mg Products and procedures. Talsania N, Lamb B, Bewley A. Vitiligo is more than skin deep: A survey of members of the vitiligo society. Clin Exp Dermatol 2010;35:736-9. Psychologic effects of vitiligo: A critical incident analysis. J Am Acad Dermatol 1996;35:895-8. Holme SA, Beattie PE, Fleming CJ. Cosmetic camouflage advice improves quality of life. Br J Dermatol 2002;147:946-9. Corrective camouflage in pediatric dermatology.

Ongenae K, Dierckxsens L, Brochez L, van Geel N, Naeyaert JM. Quality of life and stigmatization profile in a cohort of vitiligo patients and effect of the use of camouflage. Tanioka M, Yamamoto Y, Kato M, Miyachi Y. Camouflage for patients with vitiligo vulgaris improved their savella 25 mg of life. White willow bark Cosmet Dermatol 2010;9:72-5. Cosmetic camouflage in vitiligo. Indian J Dermatol 2010;55:211-4.

Sugathan P, Nejeeba R. A new camouflage for vitiligo. Indian Ozanimod Capsules (Zeposia)- FDA Dermatol Venerol Leprol 1991;57:45-6. Skin Therapy Lett 2011;16:1-3.

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