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This is a very interesting topic, and one which might at first might appear ridiculous. Often times we all are presented with patient's who are either dark skinned or olive skinned with prior issues with HD's. They have all tried corn removers, paring, etc, only to find that after time the melanin component is removed from their skin leaving unsightly circles of depigmentation. As far as I know there is no way to bring this back.
The chief complaint usually revolves around unsightly toes in sandals etc. I believe doing surgical excision of the areas in a 3 : 1 ratio is probably overkill. Lately, I am toying with the idea of cosmetic tattooing of these. I have contacted my local board of health. Interestingly, they said that since physicians "subscribe" to a higher level of care, no special licenses are needed if we do it ourselves.
Since this is a nonpermanent correction, and we have the ability to anesthetize the area prior to treatment, this might be a viable method.
My query is this.....Has anyone else thought of this, or is anyone else doing this? I have researched the equipment, and it is fairly inexpensive. It also includes "how to videos" as well as practice "skins". In the past I have referred patients out for this, and each and every one of them was more than pleased with the results.
I do find society's growing obsession with achieving "perfection" via cosmetic surgery to be ridiculous...what's wrong with keeping the evidence that you've lived your life?
what's wrong with keeping the evidence that you've lived your life?
I agree, but nevertheless there are a significant number of people who wish to have things done. While I disagree with the women or man for that matter who is "ADDICTED" to cosmetic procedures, we all have to look in the mirror from time to time.
Years ago when I was training, one of my clinical instructors mentioned the foot to be a very sensual part of the body. I pooh poohed it at the time, but after 20 years, I think he was really on to something.
In addition, just wanted to let you know that the complaints about the depigmentation I see are probably only 60% women with the rest being men.
Cosmetic Tattooing
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