Skin textural changes

Persistent Pigmentary changes Scarring Persistent erythema Sensitive skin Textural changes Skin thinning Milia ... 

Changes in skin texture, pigmentation, vascularity, and hair and nail appearance are indicative of possible toxic exposures. 

Topical applications of retinoic acid derivatives reduce the visible signs of aging and of photodamage,266 though there is little correlation between the histologic changes and the clinical appearance of the skin. Initial improvement in fine wrinkling and skin texture correlates with the deposition of HA in the epidermis. 

Damage to growing cells may cause temporary loss of hair (alopecia), skin rashes, changes in the color and texture, or loss of fingernails and toenails. These toxicities are usually reversible. 

Atrophy of the skin and textural changes Allergic reaction to the chemicals Milia... 

Textural changes These are most often seen after deep peeling and produce a porcelain skin appearance The only treatment is camouflage. 

Shagreen skin is another chronic reaction to pitch products. This entity coined by Prosser White is characterized by keratosis, pigmentation, telangiectasia, superficial capillary dilatation, and alteration of skin texture with areas of hypertrophy and atrophy. Superficial fissuring and possibly papillomata may also occur. This condition which mainly affects the dorsal forearms, hands, face, and neck generally appears after 10 years or more of CTP exposure (Ross 1948). This condition is usually asymptomatic, and treatment is essentially preventive as the changes are permanent. 

The soft tissues of the thoracic area should be palpated for texture changes skin, fascia, subcutaneous tissues, and muscle. Large muscle hypertonicity or small localized areas of muscle tension should be noted. Areas of tenderness or specific Jones tender points or trigger points should be noted. 

The interactions of surfactants with the skin can produce any number of clinical manifestations, including skin dryness, changes in skin texture, modification of permeability properties, and inflammation [111]. In this section, the skin s response to surfactant exposure will be reviewed. 

The success of a chemical peel depends on a careful selection of patients and individualization of the treatment. Skin texture, thickness, degree of photoaging, severity of facial rhytids and scars, and age-related gravitational changes must all be considered. It is very important to choose chemical peels that are safe and effective in darker skinned patients since these individuals are at greater risk of pigmentation abnormalities or other complications after peels. 

Peel depth, no matter which modality used (TCA or phenol), should be selected to address the depth of the problem in the skin while not going so deep as to create pigmentary alteration or textural change. 

The Baker-Gordon formula resulted in impressive clinical outcomes but was fraught with about one year of postoperative erythema followed by permanent hypopig-mentation. There was also a substantial risk of scarring or textural change. This limited the use of this solution to older, very fair-skinned patients. 

Clinically, photodamaged skin is characterized by coarse and fine wrinkling, mottled pigmentary changes, sallowness, textural rough-... 

Clarity, suppleness, and elasticity characterize skin during youth, due in part to continuous regeneration as new skin cells replace old ones. As people age, however, this regeneration ability slows. In addition, chemical and physical insults and other factors can change the texture, smoothness, and even the appearance of skin. 

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