Fatima Ahmed, MBBS, MSc

Thanks for asking. The common treatment options to improve hypertrophied scars include silicon scar gel sheets, (but will take a long time to show improvement, or sometimes may not be effective enough), the other options are steroid injections with triamcinolone acetonide 10 mg per ml or 40 mg per ml, depending upon the size and response of the scar. Kindly see a dermatologist who is experienced in this treatment. Indentation and telengiectasia are most common risks involved, but done with a small amount of steroid with least strength in the expert hands can give good results. Wish you all the best.

Thanks for asking. All birth control pills have the ability to influence the growth and appearance of your scalp and body hair. While birth control pills may not affect your scalp hair at all, they can do so if you have a genetic predisposition to hormonal hair loss and/or follicle sensitivity to androgens (male hormones).

In these cases, the effect they have on your hair can either be positive or negative and this depends on the pill’s hormone combination and/or on your body’s metabolism. Interestingly enough, certain birth control pills are sometimes prescribed solely to combat hair loss as a hair loss treatment – such as Dainette in the case of hair loss associated with PCOS.

It’s important to note that androgens are present in all women, but in smaller amounts than men. However, some women’s hair follicles are sensitive to even normal or sub-normal amounts of male hormones, while others only experience hair loss when they have excess amounts – if at all. Examples of anti-androgenic contraceptive pills are Yasmin, Dianette and Cileste.

There are certain treatment options for hair loss, which include PRP or Excimer laser which can be tried to stimulate hair growth. All the best. It would be best to see a dermatologist. All the best.

Thanks asking. Botox for Migraine injected at specific points in the forehead and glabella (frown area) helps with the wrinkle reduction as well. Botox done for bruxism reduced the bulk of masseter by relaxing it so indirectly slims down the face slighlty. Botox is a very effective treatment for Migraine and Bruxism which can give added benefit of improving the wrinkles in those particular areas. Hope this helps.

Thanks for asking. Angular cheilitis is a common inflammatory condition affecting the corners of the mouth or oral commissures. Depending on underlying causes, it may last a few days or persist indefinitely. It is also called angular stomatitis, cheilosis and perleche (perlèche). It is best to see a Gp or dermatologist for prescription of the suitable medication.
The treatment options are: Topical treatments
Daktarin ® cream (miconazole) may be preferable as it treats candida, as well as having some Gram‐positive bacteriostatic action
If the skin is significantly inflamed consider a topical steroid combination product eg Daktacort ® cream (miconazole plus 1% hydrocortisone), or, the short-term use of Trimovate ® cream
If the skin is not improving, treat with Fucidin ® cream (fusidic acid) or Fucidin H ® cream (also contains 1% hydrocortisone), at least four times daily. Hope this helps. Wish you all the best.

Thanks for asking. From the pictures the lesion on the mid upper lip appears to be a venous lake. A venous lake is a common bluish soft macule or papule due to vascular dilatation. It would be best to consult a dermatologist and get it diagnosed, once confirmed it can be improved with a vascular laser. It can require few sessions but goes down effectively.