Skinrepublic

Dear Dr. Jen,

I get pimples along my brow area after I have threading performed.  How do I prevent it from breaking out?

Jackie

Dear Jackie,

When hair is suddenly removed by plucking or threading, a cavity remains until new hair is formed.  The resident bacteria on your skin can enter this hole and produce and infection.  Usually you can see a red bump a few days after. 

Application of antibiotics such as mupirocin, bacitracin or fucidic acid twice daily for a few days after threading can help avoid folliculitis.  Also, cleaning the area with alcohol before the actual threading will go a long way. If you’ve already developed the red bumps along the brow, best to see your PDS dermatologist to apply stronger medication and even inject the pimples.

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Dear Dr. Jen,

My father is 70 years old and keeps on picking on the mole on his face which often bleeds.  I’m worried it might be cancerous but he refuses to go to the dermatologist.  How can I tell if it is a malignant lesion or not?

Carl

Dear Carl,

Although Filipinos are not very prone to having moles that develop into malignant melanoma, it is always good to be sure.  A skin biopsy is the best way to find out.   If you can’t bring the mole to the doctor, then the next best thing is to bring a picture (and measurements) of the mole to the doctor. 

There are some clues that may help you confirm your suspicions.  The ABCD’s of melanoma is a simple guide.  “A” is for asymmetry, when one half does not match the other half. “B” is for border that is uneven. “C” is for color that is variegated(different shades of brown).  “D” stands for diameter more than 6mm.  If any or some of the criteria fit into your dad’s mole, then it’s best to have a skin biopsy done.  

Your father probably dreads the wait at the doctor’s office. I usually give priority to disabled or senior citizens who come to my clinic as I’m sure the other doctors do (except maybe those who practice geriatric medicine!).  If you explain it to the receptionist, they can give a consideration to your dad and have him served first.