COMMON SKIN DISORDERS IN ADULTS: BROWN MARKS AND CELLULITE
Brown Marks
Large, brown marks on the face and on the back of the hands are caused by long-term sun exposure. They are not due to age nor have anything to do with the liver, as the term ‘liver spots’ suggests. These marks can be readily treated with either liquid nitrogen (dry ice) or with a peeling solution of Trichlorecetic acid, which is done as an outpatient procedure and can be safely performed at any age. Fading and bleaching creams, however, are ineffective.
Cellulite
Cellulite refers to the lumpy fat and skin dimpling that is commonly seen on the thighs. In many women these fatty deposits are genetically determined, and weight loss and exercise do little to help. Many of these women also have a band of fibrous tissue connecting the fat to the skin, which produces the dimpling.
Although there are many creams advertised for eliminating cellulite, none have any proven benefit. There is also a vogue for massage and exercise treatments, which are not effective. The fatty deposits can be successively removed by liposuction, which is generally done under local anesthetic in day procedure centers. Liposuction, however, is not suitable for people who are generally overweight.
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