October 2024

Opinion: How often to change a diaper?

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Disclaimer: This is an opinion piece – my opinion. This is not advice, this is not medically proven, this is not even a recommendation. It is just that – my opinion. How often to change a diaper? When they have pooped, as quickly as possible. Poop will irritate the skin much more quickly than pee, it carries the risk of fecal infection and obviously, it smells! But for a pee nappy, my answer is very controversial. Almost all the articles out there says that you need to change a nappy often, even just for pee. Obviously, in the case of vintage cloth nappies, this is the case, purely because the cloth can only absorb so much and pretty soon the clothes are wet, and the couch or carpet the baby sat on, etc. But, in the case of disposable nappies, and even modern cloth nappies, it is not the case. I have not been able to afford to change my babies’ nappies that often. So I didn’t. I raised 5 kids with an average of 3 nappies a day (first 2 months not included). I would let them walk with that nappy until it started to drag on the floor… well, I may be exaggerating a little. But I changed the nappies when they were hanging low or started to disintegrate, and jelly fluff formed a trail behind them. I was financially challenged, so you probably don’t need to go that far. But, if you have to, you could. I don’t see why you need to change a diaper every 90 minutes or 2 hours. At the nursery school they asked for 8 nappies a day. I couldn’t afford that. However, there are disclaimers. I used decent amounts of barrier creams on their bums, whether it be pure Vaseline, Fissan Paste, some pharmacy blend of zinc and castor oil or then my own Baby Bum Cream, I always made sure their bums were well protected. And, when they did develop a rash, I treated it quickly and changed the nappies often until the rash healed. I also increased water intake to dilute the intensity of the pee. I was privileged, my kids didn’t develop a lot of rashes. Except baby #4, but he suffered from allergies and eczema, which made his case unique. So, if your baby has a healthy skin, there is no need to change pee diapers that often. At night, let your baby sleep, unless it is a poo diaper, or unless the diaper leaks. Use your own discretion, and no matter what anyone else says: the health of your baby comes first.

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The Truth about Sculptra

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In recent years, cosmetic procedures have surged in popularity, particularly for individuals seeking non-invasive methods to maintain youthfulness. Sculptra, a poly-L-lactic acid-based dermal filler, has become a popular choice for many due to its promise of a gradual, natural-looking restoration of facial volume and reduction of wrinkles. The truth is, while Sculptra has shown benefits in numerous cases, it also comes with significant risks and side effects, as exemplified by a woman who endured severe consequences after opting for Sculptra cosmetic surgery. This paper explores her case, discussing the procedure’s purpose, its pros and cons, and why it might not be the best choice for everyone. It also evaluates Sculptra’s medical and aesthetic role, its risks, and the broader implications of using dermal fillers. The Woman’s Adverse Experience with Sculptra The patient in question was a woman in her early forties, eager to combat early signs of aging, such as loss of facial volume and the appearance of fine lines and wrinkles. Upon recommendation from a dermatologist, she chose to undergo a Sculptra treatment. Initially, the results were subtle but promising, as her face appeared more youthful and plump. However, within months of receiving the injections, the woman began to notice unusual and alarming side effects. Lumps formed beneath her skin, giving her face a misshapen and uneven appearance. These granulomas, a known complication of Sculptra, left her with facial disfigurement, forcing her to seek multiple corrective treatments. Her case highlights the potential for serious complications with Sculptra, which, while rare, can have lasting physical and emotional effects. What is Sculptra? Sculptra is an FDA-approved injectable that is commonly used to restore facial volume lost due to aging or medical conditions like HIV-associated facial fat loss. It is composed of poly-L-lactic acid, a biocompatible, biodegradable substance that stimulates the body’s natural collagen production. Unlike traditional hyaluronic acid fillers, which provide immediate results, Sculptra works gradually, with optimal effects usually becoming noticeable over the course of several months (1). The slow process allows the body to regenerate collagen in the injected areas, leading to natural-looking improvements in skin texture and volume. Sculptra is often considered for individuals looking for long-term facial rejuvenation with subtle, progressive results. It is especially recommended for people with significant facial volume loss, where surface-level fillers may not suffice. How Sculptra Works The poly-L-lactic acid in Sculptra is injected into the deep layers of the skin, where it acts as a collagen stimulator. As the body absorbs the synthetic material, collagen production is triggered, gradually filling in hollow areas and smoothing wrinkles. This process is advantageous for those seeking long-term benefits, as the results can last up to two years or more, depending on the patient’s metabolism and skin condition (2). Sculptra requires a series of treatments spaced several weeks apart. Patients often need three to four treatments to achieve their desired results. This gradual approach allows the results to build over time, providing a more natural outcome than the instant but short-lived effects of other dermal fillers like hyaluronic acid. Pros of Sculptra Cons of Sculptra Reasons to Use Sculptra For patients with significant facial volume loss, particularly those who have experienced fat loss due to aging or medical conditions, Sculptra can be a suitable option. It works deeper beneath the skin than hyaluronic acid fillers, making it ideal for addressing larger, more comprehensive volume deficits (5). Sculptra is also a good choice for those who desire long-lasting results without frequent maintenance. Given that its effects can last for more than two years, patients can enjoy a youthful appearance without needing constant touch-ups. Another advantage is its gradual effect. Some patients prefer the subtle nature of Sculptra, as it avoids the drastic and often noticeable changes that come with other fillers (4). Over time, friends and family might notice a person looks younger but won’t be able to pinpoint a sudden change, adding to the appeal of this filler. Reasons to Avoid Sculptra Despite its benefits, Sculptra is not suitable for everyone. The woman’s experience illustrates the potential risks, which, while uncommon, can be devastating. Individuals prone to scarring or keloids, or those with autoimmune conditions that affect wound healing, should avoid Sculptra as the risk of developing lumps or granulomas is higher (6). Moreover, for those seeking immediate results, Sculptra’s delayed onset of action may be frustrating. Other fillers, such as hyaluronic acid-based ones, provide instant improvements and are reversible with an enzyme called hyaluronidase. In contrast, Sculptra’s results are permanent for the duration of its effect and cannot be easily reversed if the patient is dissatisfied with the outcome (3). Finally, Sculptra is not recommended for superficial wrinkles or fine lines. It is best suited for significant volume restoration and may be ineffective or overkill for smaller corrections. Patients with minimal facial volume loss may benefit more from lighter fillers with fewer risks and shorter durations of effect (4). Conclusion Sculptra offers significant benefits for individuals seeking long-term, natural-looking facial rejuvenation. Its ability to stimulate collagen production provides lasting results, making it an attractive option for those with moderate to severe facial volume loss. However, as the case of the woman who experienced severe complications demonstrates, Sculptra is not without risks. While rare, side effects such as granulomas and lumps can have a profound impact on a patient’s physical appearance and emotional well-being. Ultimately, individuals considering Sculptra must weigh the pros and cons carefully and consult with a qualified medical professional to ensure the procedure aligns with their aesthetic goals and medical history. As with any cosmetic treatment, the skill and experience of the practitioner play a crucial role in minimizing risks and ensuring optimal outcomes. References:

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The Truth about Skin Cleansing

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Personal hygiene and skin cleansing have been an essential part of human culture for centuries. However, with the ever-evolving beauty and skincare industry, there is a myriad of opinions on the best way to clean and maintain healthy skin. Questions such as whether we really need to cleanse our skin, how often we should do it, and what products to use remain a matter of hot debate. In this article we seek to uncover the truth about soap and skin cleansing, answering the most common questions by reviewing both scientific data and expert advice. Do You Really Have to Cleanse Your Skin? Cleansing is a fundamental part of skincare – face and body. Your skin is your body’s largest organ, and it plays a crucial role in protecting you from external pollutants, bacteria, and irritants. Throughout the day, your skin accumulates dirt, dead skin cells, bacteria, and oils, which can clog pores and lead to conditions like acne, eczema, or dermatitis. Cleansing helps remove these impurities and allows your skin to breathe and function optimally (1). However, there is a difference between cleansing for necessary hygiene and over-cleansing, which may strip the skin of its natural oils and lead to irritation or dryness. Dermatologists suggest that individuals with oily or acne-prone skin may need more frequent cleansing, whereas those with dry or sensitive skin should limit the use of harsh cleansers to avoid damaging the skin’s natural moisture barrier (2). Thus, while the consensus is that cleansing is essential, the type of skin you have, your environment and your lifestyle should dictate how often and with what you cleanse. How Often Should You Cleanse Your Skin? How often you should cleanse your skin depends largely on your lifestyle, skin type, and personal hygiene preferences. For example, those living in urban areas where air pollution is high might need to cleanse their skin more frequently than those in rural settings (3). Although in rural settings there might be more dust, which could also warrant more regular cleansing. Additionally, individuals who exercise regularly or spend time in environments that expose them to dirt or sweat should cleanse their skin more often than those with sedentary lifestyles. The general recommendation from dermatologists is to wash your face twice a day – once in the morning to remove oils accumulated overnight and once at night to clear the day’s dirt and pollutants (4). For the rest of the body, daily or near-daily washing is often recommended, particularly after activities like working out or heavy sweating. However, for individuals with dry or sensitive skin, limiting showering to every other day may prevent stripping the skin of its natural oils (5). The truth is that a study from Harvard Health suggests that cleansing your skin daily isn’t strictly necessary for everyone, and in some cases, frequent washing can actually lead to skin issues such as dryness, itching, and eczema (6). They advocate for a more measured approach to cleansing, focusing on key areas like underarms, groin, and feet, rather than full-body washing each day. What Should You Use to Cleanse Your Skin? The type of cleanser you use matters. There is an ongoing debate between using bar soap versus body washes. Bar soaps, particularly those labeled as “antibacterial,” have been shown to be effective in removing bacteria and dirt. However, some bar soaps can be harsh and drying to the skin, as they may contain ingredients that strip away the skin’s natural oils (7). Body washes, on the other hand, tend to be more hydrating and are often infused with moisturizing agents like glycerin or shea butter, making them a better choice for those with dry or sensitive skin. For facial skin, which tends to be more delicate, using a cleanser that is gentle and suited to your skin type is important. Dermatologists recommend avoiding products with harsh sulfates, alcohols, or fragrances that can irritate the skin or lead to breakouts (8). Instead, opt for mild, non-comedogenic cleansers that support your skin’s natural barrier. Is Castile Soap Good for Cleansing the Skin? Castile soap has gained popularity as a natural, eco-friendly alternative to conventional cleansers. Made primarily from vegetable oils like olive or coconut oil, Castile soap is often praised for being gentle, biodegradable, and free from harsh chemicals (9). But is it good for cleansing the skin? Positives of Castile Soap: Negatives of Castile Soap: In summary, Castile soap can be a good option for those looking for a natural, eco-friendly cleanser, but it’s important to dilute it properly and monitor how your skin reacts, especially if it’s on the sensitive side. Bathing vs. Showering: Pros and Cons Bathing and showering are two of the most common methods of body cleansing, but which is better for your skin? Both have their advantages and disadvantages, and the choice often comes down to personal preference, skin type, and specific skincare goals. Pros of Showering: Cons of Showering: Pros of Bathing: Cons of Bathing: Conclusion Cleansing the skin is essential for maintaining skin health and preventing conditions like acne or irritation. However, the frequency and method of cleansing should be tailored to individual skin types, environmental factors, and lifestyle habits. The truth is that while daily skin cleansing may not be necessary for everyone, regular washing of the face and body, particularly after sweating or exposure to pollutants, remains important. Castile soap offers a natural and eco-friendly option for those looking to avoid harsh chemicals, but its alkaline nature may not be suitable for everyone. Lastly, when choosing between bathing and showering, consider your skin type, time, and personal hygiene needs to find what works best for you. Our Recommendation Our Shower gel and Baby Body Wash is made with pure castile soap, gently diluted with distilled water. Always moisturize after using any kind of soap. References

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