Skin Republic

Dear Dr. Jen,

                What is the first aid I can perform if I cut myself?

                                                                Darren

Dear Darren,

                This is a very practical question.  There are three simple steps you can follow.

                First, stop the bleeding by applying pressure using a clean cloth for about ten minutes.  If there is no bleeding, you can go to the second step, which is washing the wound with clean soap and water.  This should rinse out any dirt that is stuck on the abrasion. Third step is putting an antibiotic ointment (one you are not allergic to) and covering up the cut with either a band-aid or gauze.

                When do you decide whether to get stitches or not?  A good measure is the depth of the wound.  If you see yellowish tissue, probably about 6mm deep, then you need stiches. The reason why stitches are needed is to promote healing, discourage infection and to avoid ugly scars.

                Go to the doctor if you are diabetic.  If there is uncontrolled bleeding, or if the wound was caused by animal bites, you will need to seek professional help. Also, if there is dirt that won't come out of the wound, then a doctor may need to remove it for you.  Best of luck!

Dear Dr. Jen,

                How do I make my underarms whiter?

                                                                Sarah

Dear Sarah,

                Oh boy! Dark underarms, to many Filipinas, is the bane of their existence. This entails a lengthier discussion as to determine the cause, removal of the cause and then treatment. 

                Use of very harsh deodorants, plucking, waxing, shaving, scrubbing and exfoliating can all contribute to the darkening of the armpits.  Excessive weight gain may also lead to dark armpits.  Lessening or removal of all these factors can already lighten the underarms to a considerable degree.  Permanent laser hair removal can also be done if waxing or plucking are your causative agents.  However, be wary of laser machines that are not FDA-approved because it may lead to more darkening of the underarms!

                If you are looking for a speedier outcome, you can look to getting gentle whitening peels every 2 weeks.  Your PDS dermatologist can also mix some mild whitening agents (such as licorice) into an anti-perspirant or you can opt for a mild whitening cream.  Never use retinol or hydroquinone on your underarms because this may bring about inflammation to the sensitive skin in the armpits. I hope this will guide you in choosing which course of action to take regarding your condition.

Dr. Tan is a diplomate of Philippine Dermatological Society (PDS) and is affiliated with Perpetual Succour Hospital (PSH). For information on PDS, check http://www.pds.org.ph/. For questions or concerns, please text to: 0932 857 7070; or email to: [email protected]; or call The Freeman: (032) 2531276, or PSH: (032) 233 8620 and 232 5929. Your inquiries will be forwarded to Dr. Tan.