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Problems under the skin
The skin, that limiting layer of the body, essential for life, constitutes an effective protective heat shield before the aggressions of the environment. In conjunction with this property, presents a wide range of functions. For their thermoregulatory capacity to maintain stable body temperature while stalking the winter, or summer haunts. It acts as a barrier to harmful microorganisms and chemicals, from those contained in Articles cleaning so common in every home to complex environmental contaminants.
Thanks to the ability of pigmentation or "tan" skin filters out ultraviolet radiation from the sun. And, in turn, helps strengthen bones because of their ability to synthesize vitamin D, essential to fix the bone calcium in the plot.
The sharp richness and diversity of their nerve endings enables perceive rude contacts, so as to enjoy the pleasant sensation of fondling, and differentiate between itching and pain so they can demonstrate the most appropriate responses to each situation.
All this is possible thanks to its structure. The skin is not a single sheet but is made up of three overlapping layers, each with specific functions. Since the outer, one that interacts with the environment, to the deepest, which comes into contact with the muscles, are called epidermis, dermis and hypodermis.
What is the hipodermitis
The hypodermis is the deepest layer. Is mainly composed of fatty tissue, also known as fat mass. That panicle that causes so many problems when it accumulates aesthetic by others in buttocks, legs or abdomen, is very useful as a buffer from shock and reservoir of energy. But sometimes the hypodermis ignites. It occurs so, a hipodermitis or panniculitis.
How is a flagrant hipodermitis? According to the book Keys to the Diagnosis in Clinical Dermatology, Professor of Jose Maria Mascaró, professor of dermatology at the School of Barcelona, Spain, the hipodermitis appears as a raised-rounded nodules of skin-reddish or violet, appearing mainly in the lower extremities. These nodules usually disappear spontaneously in three weeks, but it may reappear other similar outbreaks. Leave no visible scars, and only in some cases it is a discreet residual brownish color. Rarely ulcers and generally does not hurt, but sometimes can be sensitive.
If they suspect or hipodermitis panniculitis, the diagnosis usually requires a biopsy for confirmation. It is imperative to speak with the patient in order to calm the anxiety generated by the word biopsy, and that people associated with malignant disease, and hipodermitis generally is a condition that causes mild meets. However, this study is necessary not only to obtain an accurate diagnosis, but also to guide towards generating cause of the inflammatory process.
Triggers
Talking about hipodermitis or panniculitis is like opening a big fan, which causes ranging from those impossible to determine, called idiopathic-through other simple home, to the most serious, which may be a reflection of major diseases. According to Fitzpatrick says in Dermatology in General Medicine, among the causes which have no gravity can cite exposure to cold. Usually affect people who perform work or sports-sky at low temperatures, motorcycling, horseback-by time, exacerbated by the use of tight clothes and no insulation.
The introduction into the skin of chemicals, such as oily or silicone injections, formerly used for beauty treatments, produce formation of inflammatory nodules in the hypodermis which tend to persist indefinitely and even ulcers.
On the other hand, direct injuries to certain parts of the body such as breasts in obese women, can lead to the emergence of strong nodules, who come to retract the skin and give the feeling of orange peel. While showing the same clinical appearance that breast cancer, which should differentiate the hipodermitis by trauma pose no health risk to the patient, and usually disappear spontaneously leaving a scar depressed.
Already in ascending order of seriousness, we must not forget the hipodermitis associated with the disease of the pancreas, often linked to alcoholism. In this case the hipodermitis is one element within a florid symptoms, for example, acute abdominal pain, which requires the urgent placement of the patient.
The most common hipodermitis is called erythema nodosum, with priority location in the lower limbs of young women. The factors initiators of this eruption of reddish nodules are medicines, including amiodarone, used in the treatment of cardiovascular disease-bromide-present for sedatives and expectorants-and-sulfonamide antibiotics. In the latter case, it is often difficult to tell whether the cause of erythema nodosum is the medication, or infection which was prescribed-pharyngitis, among others. But in order of frequency, are oral contraceptives which top the list as the causative agent.
In second place are located infections estreptocóccicas of ways aréreas higher-pharyngitis, tonsillitis, and, finally, the most Specifications such as leprosy, tuberculosis and sarcoidosis.
As for leprosy, there is a misconception that leprosy has been eradicated. Any physician, either clinical or dermatologist must remember that in America there are areas of endemic infectious disease, such as coastal river in Argentina. Therefore it should be suspected in patients diagnosed with erythema nodosum from these geographic areas.
How is
While the treatment depends on the cause, we must remember that in most cases the lesions of hipodermitis are resolved spontaneously. In the most severe cases or that recur with some frequency, are useful non-steroidal anti-inflammatory drugs like aspirin, ibuprofen and indomethacin. Of course, when erythema nodosum is part of a serious illness, requires the placement of the patient and study by a team doctor.
But there is no cause for alarm. As the most frequent cause of hipodermitis are drugs, especially the use of oral contraceptives, enough medicine to the suspension of the lesions disappear.
The new worshipers of the Sun (Part I)
Sun and its affect to skin
The Egyptians, Aztecs, the Incas, and most ancient cultures worshiped the sun. But over the centuries seems to have been born a new form of worship. Just observe the squares of cities just check in the spring. There, people lying on the floor or lying on the banks as sacred offerings, exposing your skin to the sun.
This new form of worship of the sun came from the hand of fashion. The paleness of skin, characteristic of the early twentieth century, today is replaced by tan Caribbean as a symbol of youth and healthy life. But the culture that encourages tan sunbathing in improperly carries serious health risks.
Adored the sun
Solar radiation reaching the earth include, in addition to visible light, ultraviolet (UV) and infrared. While ultraviolet are the higher-power energy and, therefore, the most harmful, visible light and infrared can accelerate the damaging effects of ultraviolet light on skin. In addition, infrared rays, being calorie, are responsible for the unpleasant symptoms of heat stroke.
Visible light, ultraviolet rays along with (UV), when integrated with the skin promotes the synthesis of vitamin D. The UV are of three types: A, B and C. Fortunately the part of C and B fail to reach the earth's surface through the protective atmospheric ozone. But most of the A reaches the skin and produces a tan immediately that, over the years, leading to photoaging. Both UVA and UVB caused the reactions in all layers of the skin, stimulates the production of new pigment, forming free radicals, causing cell death and, above all, mutations in the DNA.
If one takes into account the damage suffered by the ozone layer, it is deduced that big unavoidable mass population are increased risks of suffering from diseases caused by solar radiation as a whole.
How defends the skin
Scientific studies conducted in recent decades show that before the assault solar all components of the skin reacting defensively. The skin becomes thicker, the vessels of the dermis dilate, giving the red tomato. After sunbathing, there is edema and suppression of the immune system, the local body's own defenses. There are also free radicals, molecules that are capable of launching chemical reactions and cause cellular damage. Normally, certain enzymatic processes keep them in concentration compatible with the proper functioning of cells. But the most important defensive mechanism is effective and melanogenesis.
This is the process by which cells that produce the pigment melanin - melanocytes, as summarized in greater quantity and distribute it to skin cells, depositing a cap on the way to protecting the cell nucleus DNA.
Therefore, the coveted bronze, far from being a sign of health, represents a response of the skin before the assault of ultraviolet rays.
All defense mechanisms diminish with age and with repeated exposure to solar radiation. When these systems are becoming insufficient due to excessive exposure or lack of adequate protection, signs of damage to the skin become visible.
Sun and burns
Within hours of taking in the sun without protection or prolonged, the skin becomes red and then appear edema-swollen skin and blisters. According to J. R. Michans, author of the book Surgical Pathology, the severity of a burn depends on its length and depth. The greater these factors will be more severe. Furthermore, it takes into account the thickness of the skin to classify them in partial or total.
The more it is a superficial burn, the more chance you have to heal itself with the right treatment. A greater depth this is more difficult, so the total thickness is needed skin grafts to achieve healing of the injury.
The solar ultraviolet radiation burns were, until 10 or 15 years, simple solar erythema, that is, flushed skin, irritated with intense pain on minimal contact. Today they are increasingly blistering lesions, and this is because radiation is increasingly dangerous.
In extreme cases, the person may suffer vomiting, headache and fever, and even take steps to require placement of hydration, just to take a little sun.
Experts warn that we must take special care with young children, more prone to imbalances in balance-of hydroelectrolytic water and minerals from the body.
Faced with a burning and painful skin, it is recommended to wash the burned area with water and mild soap glycerin compresses and then add cold water, not necessarily ice, to relieve pain. Experts warn emphatically than ever to be applied homemade recipes as butter, yogurt, tomato slices, or because they can contaminate the injury.
To enjoy the benefits of the sun, just go out and walk fitted with adequate protection. The tan acquired after prolonged and repeated exposure to sun, especially if there were burns, carries a serious risk to health. For more good information about skin care, you can visit:
Skin care tips for women and men
The new worshipers of the sun (Part II)
Sun and its affect to skin
The tumor basal cell or basal cell carcinoma is the most common malignant lesions in the skin, but with only local aggressiveness, which appears in areas chronically exposed to the sun such as face, neck or arms. In contrast, the squamous cell carcinoma is more aggressive with local extension and with the capacity to give distant metastases.
Usually the tumor is based on a precursor lesion, actinic keratosis, which appears as a reddish stain covered by a small scale that the patient usually start with the nail but repeatedly returning to reappear.
Moon suspects
But the most serious injury and worrying, whose incidence is rising continuously in all parts of the world, is melanoma.
Melanoma cells migrate to the lymph system, where they can be retained, and then metastasis to other organs after a few years, although the initial injury has already been extirpated.
While it may appear on the skin heals, so does on pre-existing moles. But not just any mole is suspected of malignant transformation, but must submit changes in its symmetry, irregular edges, varied color with black areas, various shades of brown, even red or white and diameter greater than 5 millimeters.
Although there is a need for self-examination, the dermatologist who must evaluate the injury and early removal. In these cases the prognosis is excellent.
There are many factors in the onset of skin tumors and melanoma in particular, as there is ethnicity-more likely in people of fair skin, clear eyes and blond hair, and the red hair. The climate and the amount of light also affect time. In this way there are between 5 and 10 times more melanomas in areas of Australia and the United States closer to Ecuador, which in northern European countries.
Currently, the number of cases of melanoma increased even in dark skinned people. Also, this type of malignant tumor appears increasingly at younger ages: from age 20.
On the other hand, also affect the genetic predisposition and environmental contaminants, among other factors. But the unanimous agreement among researchers is that the greater risk of melanoma is contracted with sunburn occurred in childhood and adolescence.
Photoaging
Aging is a natural and inevitable process of the whole organism. But in the skin align external factors that accelerate aging given by the normal passage of time, as an inadequate diet and smoking. However, 90 percent of skin damage are caused by solar radiation.
The photo brings a number of changes in the skin. This becomes thicker, the effect of the stimulation site, with an alteration in its normal architecture and with accumulations of melanima. Cells vary in shape and size and may have nuclear atypia-cores of shapes and sizes and shapes of the division of genetic material abnormal, precancerous lesions of the base as actinic keratosis. The collagen fibers are diminished and, conversely, increased elastic fibers, which are entangled and bind until converted into an amorphous mass.
It also reduces the vascularization of the dermis, and there are installed inflammatory cells to produce a state of chronic inflammation.
Better to prevent ...
There is no doubt about the adverse effects caused by the sun on the skin, which is essential to take a series of measures to avoid, where possible, their suffering.
Ideally, avoid direct exposure to sunlight, but in today's society, this seems like a utopia. However, experts point out that it should not be exposed to solar radiation between 11 hours and 16, time of day when the rays impinge perpendicularly on the Earth. Under these conditions, the radiation passes through less atmosphere, and therefore there is less filtering of ultraviolet rays.
A good way to remember the schedule is planned to test the shadow that the body: when the shadow is shorter than the height, the greater the radiation. It would also be useful to rescue the siesta, custom into disuse in the cities, in addition to responding to a physiological reason, it helps to avoid the most dangerous solar hours.
The exposure time is important, it must be brief and progressive increase. It is not desirable deliberately exposed to the sun, but outdoor activities seeking to protect themselves from the sun and heat. It is necessary to bear in mind that you can not get in a few days of vacation which would require weeks.
And something fundamental: before each sun exposure should be applied photoprotectors suited to skin type of each person. These, in the form of creams or gels, they absorb ultraviolet radiation and reduce its harmful effects.
The effectiveness of these products is measured by the sun protection factor SPF, which is defined as the ratio between the minimum amount of energy that produces erythema-enrojecimento-on skin with sunscreen, and the energy required to produce erythema in the skin without the application of the protector. That is, could be regarded as "the time at which a person could be exposed to the sun without burning."
According to the Australian Cancer Society, to calculate the time would affect many factors such as time of year, time of day, cloud cover, ozone levels and the reflection of surrounding surfaces, because the bright areas, sand and water reflect UV radiation And impinge directly on the skin. It also affects the degree of pigmentation and thickening of the skin. Therefore there is no linear relationship between the number of FPS and the reduction of radiation.
It is a form of prevention, but in no way makes a lot of time being exposed to the sun.
Recently. The Food and Drug Administration of the United States (FDA) has been suggested as lower limit SPF 30.
Photoprotectors what should be placed 20 minutes before exposure to the sun and renewed every two hours, as well as after the bath. And to be effective should cover the entire spectrum of ultraviolet radiation.
Nor should we rely on cloudy days, since the ultraviolet arrive alike. If summer in the mountains, it is important to use products of FPS higher because there is less filtration UVA.
The lips also need protection through special products. In no way is to use homemade preparations, such as oils, glues drinks, or herbal tea, such as harsh as it can cause severe skin reactions.
And something fundamental, children under 6 months should never sunbathe, as their skin, still immature, does not support the use of photoprotectors, risk of toxicity.
In children aged up to 20 years and the protection must be extreme. It is imperative to remember that burns in these periods of life predispose to future diseases.
According to experts consulted, the apparel is also important, loose clothes, preferably dark and light fabrics that cover large parts of the body are the most recommended.
It is also useful to use hats to protect the head, and some sunglasses with proper filter for ultraviolet rays, as the eyes and suffer the brunt sun may suffer from cataracts and keratoconjunctivitis.
With regard to the use of artificial radiation emitting ultraviolet-tanning booths to keep a tan-Caribbean year-round, are highly detrimental. As the lamps are starting to wear down A and B emit radiation simultaneously, so that the damage may be greater than the exposure to sunlight. Moreover, by issuing ten times more radiation that natural source, and to be the agent issuing very close to the skin, the likelihood of suffering from cancer is increased.
Aesthetics as opposed to health. Is it worth it look tan?
Tattoos and body piercing: the language of the body
Tatoos
The trend gained hundreds of followers among adolescents and young Latinos during the past five years, but this fashion from the United States and Europe do not mind, in most countries, with the relevant health regulations. In addition, anywhere in the world pierced the body or inject a dye into the skin involves a self agency, which can result from simple reactions passing up serious complications or definitive consequences.
The tattoo is the application of a substance intradermal pigment, vegetable or mineral. If it's done by skilled professionals there are no major risks. There are hundreds of thousands of tattooed people and the prevalence of complications are low. The tattoo aficionado occurs frequently in prison, and can be done with anything sharp and ink. It is more rustic and presents more health risks.
The specialists differed little from the decorative tattoo covering much of the body, which is seen as a sign of personality disorder. People who apply tattoos and rings in quantity, they are far from giving the sense that it is the custom in some indigenous communities. In general, these excesses and self-body stem from psychological disorders.
An indelible imprint
Experience shows that with the same despair that a teenager wants to be a tattoo on his body sooner or later you want to remove. Either because the mature person realizes that it does not feel comfortable with the brand or because it brings problems in its integration in employment. But going back is not so easy.
Many people get to the hospital to remove the tattoo because it does not work for this reason. To get a tattoo, several methods are used, everything depends on the site where the body surface and compromised. If it is small and linear, as a name, makes a simple resection of the skin and a suture, then the tattoo is replaced by a small linear scar. But when they are very large, covering chest, back, arms or legs, we have to make a resection with a knife and then put a skin graft to the patient, obtained from another part of his body. In fact, this is a patch which involves the risks of any surgical intervention.
The application of laser is another option for disguise tattoos. It produces a burn of the ink, but that leaves the tour of the drawing. The method is expensive and does not guarantee a hundred percent effective. With this you can not play. The laser is also an assault on the body and not all dyes can burn with this technique.
Ornaments dangerous
Nose, ear, eyebrow, nipples, genital area, mouth, arms, belly button, any body part can be punctured and crossed with a ring of various sizes and materials. In an edition of Emergency Medicine, Dr. Charles Stewart of Colorado Springs and the Dakota Heartland Hospital, summarized the complications that have been observed as a result of various types of drilling.
The most common allergies are caused by the placement of bijouterie made with metals that cause contact dermatitis in some people. Typically, the allergy was presented as lesion with a scab and itch.
Infections When sterile techniques are not used, it can introduce bacteria and viruses in the bloodstream, including hepatitis B, which can cause chronic hepatitis and liver cancer, HIV, the virus that causes AIDS. In people born with defects of the heart valves can be generated a potentially fatal heart infection called bacterial endocarditis. The areas of mucosa (mouth, nose, tongue and genitals) are more susceptible to infection permanent.
Injuries are body parts as the tongue, navel, the nipples, lips, genitals, which are more vulnerable to uprooting either by attrition or because the ornament can be easily hooked on clothing. The drilling of the tongue can result in permanent loss of sensation, difficulty speaking, loss of the ability to capture the flavor and breathing problems if swelling is severe.
Hipertróficas. También scars called keloids. In some people are very unsightly and require surgical intervention.
Recommendations of specialists to prevent complications
Having applied the tetanus vaccine.
Not taking any kind of disease or infection at the time of the tattoo or body piercing done. The fact of suffering, either a cold or a toothache, it implies that the person has a weakened immune system. Anything strange incorporate it into the body magnifies the immune depression.
Perform the procedure on healthy skin. Without burns, allergic reactions, skin diseases or chronic.
Have no significant allergy.
In the case of tattooing verify that vegetable dyes are used.
If it is placing a ring, which is preferably gold, silver, or surgical steel. Internalized on the appropriateness of the professional and aseptic conditions of the cabinet.
Check if you use gloves, discarded material and if you have stove for sterilization. Eventually you can take the needles.
Ask for a bill payment service.
Make good hygiene prior to the area to be treated. Wash with soap and water and some antiseptic. Then, the tattoo or piercing perform cures until the inflammatory process of normal skin disposes. Apply an antiseptic cream or liquid at least during the first 48 hours. Do not expose to the sun the first few days.
Controlling the area and immediately resorting to a doctor before symptoms such as fever, redness and / or inflammation of lymph vessels surrounding pain or discomfort.
In the case of body piercing avoids the most sensitive parts of the body as described above. If you're going to tattoo chest, shoulders or shoulder blades, remember that these areas of the body usually heal badly (with keloids), if you want the tattoo removed. The face and back of your hands are two parts of the body that should neither tattoo or pierced, they stress specialists. Both through their physical and social, many people repent soon after having damaged.
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Cosmetic comments

The use of cosmetics is as old as human history. From its beginnings, men and women are pigmented skin with vegetable dyes and minerals. This ritual makeup of his face and body are usually used on three occasions: for the preparation of religious rituals, to attend the war or constantly, as a symbol of power.
Cosmetics historically been associated more with aesthetic factors, that the protection and health, creating a gap or dichotomy between these aspects. Thus, people tend to separate their choice of makeup products and protection, when processes are not necessarily isolated.
The approach of cosmetics, which favors the beauty that often makes obvious the process of analysis about the cosmetics suitable for every type of person, according to their age and physical characteristics.
Much of the consultations are due to two main factors: first, for not having done an analysis on the benefits and drawbacks of each product. Secondly, errors in use. Thus, the excess product on the skin or lack of knowledge on how it should be withdrawn cosmetics, can alter the stability of the epidermis.
One of the best examples of these anomalies is acne in women who, on occasion, is not determined by hormonal or dietary factors, but by excessive makeup, capping the respiration of the skin and generating clusters of fat that give rise to outbreaks. In the same way, there can be various reactions in the skin that may include, but are not limited to, dermatitis, rashes, itching and sensitivity in the skin.
¿Knowing the problems they can cause, are good for skin cosmetics?
The answer from experts is categorical: not only are good, but they are indispensable for four main reasons:
The makeup gives the skin elements that allow smooth
The makeup makes active ingredients for the regeneration of cells
The makeup provides water and other elements to moisturize the skin
The makeup provides food for the skin
However, a mistake in the selection process can be fatal. For example, if a moisturizer for oily skin, is used by someone with dry skin can cause rashes and itching, since it contains active ingredients, whose function is to dry and heal the dermis.
The cosmetics core
There are two basic types of cosmetic creams, facial and body makeup: Everyone must use facial creams from an early age. Since childhood and, without exception, you must use a sunscreen if you want to avoid problems associated with skin cancer and premature wrinkles. During this phase must start to build on people in the habit of cleaning his face in the morning and at night.
During adolescence apart from the people properly clean the skin as possible to avoid the appearance of acne youth must begin to apply gentle moisturizing creams day and night. These creams may be trademarks not necessarily expensive, which are found in supermarkets for general sale. These creams are characterized by their soft fur and usable by young and insensitive. Below for each type of skin creams used to be special.
When the skin is becoming mature is demanding higher quality of treatment. For this reason, people after the age of 30 must start using specialized creams, extracts obtained from vegetable or mineral usually hypoallergenic. They are well, creams and gels for the eyes to the neck, the wrinkles of the mouth and face and creams for skin oily, dry, normal or mixed.
The makeup is another kind of cosmetic commonly used by women. Although not everybody knew how to use or how to buy, your choice depends on the purchasing power of the person who buys it, the quantity and taste of it and above all, the current fashion.
With regard to products that are on the market, there are articles of high quality Supplied in supermarkets and natural moisturizers that include hypoallergenic ingredients in fashionable colors. There is also a wide range of items more expensive kits that include more sophisticated and / or natural ingredients that make extras see the makeup softer and thinner.
For higher cost, higher profit?
You can not say that the more expensive products are best for your skin. However, the most famous houses and traditional beauty, which generally handle high-price products offered in very good quality, since most factories to be production units, constant research on the skin. These same firms, they understood that the gap between beauty and health needs to close.
The search for a dermatologist and a beautician should be the starting point for the decision of a line of products. Knowing the physical characteristics of skin and relate to trends in fashion possible, provided that there are people giving expert advice on the use of cosmetics.
Stretching facial: return to the complexion of adolescence
Stretching facial
For those with extremely loose skin, stretching the facial remains the only option, however, the rest can opt for exfoliation with a laser to remove wrinkles around the mouth, lower eyelids, eyes and lines and wrinkles of the lips.
The Carbon Dioxide Laser utilized in the ablation works for exfoliation (shedding) of the skin. While other lasers can penetrate through it reaching its goal as a tattoo or a blood vessel, the CO2 laser interacts with water. As soon as it reaches the skin, which has a high content of water, heated and vaporizes. The process resembles a burn that causes an immediate contraction of the skin.
The recovery takes time. Patients can expect scaling of the skin and crusting in the face for about a week, followed by a period of redness that can last several weeks. The color pink may take up to several months, but may be covered with makeup.
Despite the difficult recovery, many patients report excellent results. The exfoliation with laser is the best way to eliminate wrinkles around the mouth and eyelids and lower in some patients can avoid stretching the facial higher risk in their future life.
However, this procedure has its risks. You can leave scars if the laser is applied too deeply. There is the possibility of hiccups or hyperpigmentation, so that the skin takes on a different hue to that of its surroundings. Patients with a history of herpes, for example, must receive a preventive medication as it could be revived by infecting the entire face.
While the CO2 laser penetrates well into the dermis, the exfoliating chemicals only work in the surface layers of the skin. There are different types of chemical peelings available, including alfahidroxi acid (Glycolic acid and lactic acid) and the ACT or trichloroacetic acid, which exfoliate the skin. Many alfahidroxi acids, at concentrations between 5 percent and 10 percent are sold freely and are useful in the everyday care of the skin. However, those used by doctors, with concentrations between 20 percent and 22 percent, are most effective.
At present in the United States is the most recent microdermabrasion, a treatment in which crystals of aluminum hydroxide are released in the face and subsequent sniffing. The microdermabrasion is not as deep as the exfoliation with a CO2 laser or chemical, but it works for exfoliation, removing the dead cells of the skin of the surface layer. No time for recovery, there is no burn or enrojeciemiento prolonged. When does the procedure, the patient can apply their makeup and return to his job.
According to doctors, people today, on the whole, live longer and are healthier. Just want to appear as good as they feel. That may be the case. But do not be surprised if you get the bill. The exfoliation facial laser costs about $ 2700. The cost of microdermabrasion varies greatly, but is about U.S. $ 120 per session. Often recommended six sessions.
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