Health Magazine March/April 2016 | Page 55

Scars Specialist Plastic Surgeon Dr. Abdul Majeed Makkiya points out that although motherhood can be one of the greatest gifts life has to offer, certain scars left over from a C-Section in addition to the after effects of pregnancy can take a lasting divided into two categories, as follows,” he says. Post C-Section Delivery These women can do a few abdominal exercises 10 to 14 days after delivery. “They should also aim to consume good healthy food, avoid fatty food, increase the amount of fruit and vegetables in their diet, and massage the abdomen with creams which contain vitamin E to help prevent stretch marks and keep the skin tighter,” he explains. Post Normal Vaginal Delivery In this case, there is commonly a wound which needs around two weeks to heal. Therefore, Dr. Makkiya urges during this time not to do any exercise or lift any weight to prevent hernia formation. He advises to include a healthy diet rich in fruit and vegetables and to begin simple abdominal exercises after one month and only lift weight after six weeks. “Also, use a good quality anti-scarring gel containing vitamin E to massage the abdominal scar and skin to soften the scar and enable tighter skin,” he tells. Other Skin Problems toll on your body, especially your breasts and abdominal areas. He adds, “Following child-birth, you may be left with stretch marks, sometimes unsightly scars after a C-section, weight gain in the hips, lower back, buttocks, and thighs.” Solutions The good news, tells Dr. Makkiya, is there are solutions for these problems. “These women can be According to Dr. Maria AngeloKhattar, MD, PhD, MSc Dermatology your weight is not the only thing that fluctuates in pregnancy. “Common problems that occur in pregnancy are due to the tremendous surge in female sex hormone levels; estrogen and progesterone. The skin reacts in various ways depending upon each individual case and it is not possible to predict the reactions,” she says. “The more uncommon skin problems that occur in pregnancy are broken capillaries and a generalized redness of the face, known as rosacea.” The skin can also become puffy due to edema which can be especially obvious in the eye area. Pigmentation In almost all cases, the high titers of female hormones predispose to the skin to pigmentary changes. “Therefore, it is imperative for pregnant women to be extremely vigilant as far as sun protection is concerned,” advises Dr. AngeloKhattar. “Also daily application and reapplication of a physical sunscreen is very important.” In fact, if an expecting mom is not careful, she can develop freckles and the dark patches known as melasma, which is butterflypatterned pigmentation on cheeks and forehead, on the chin, and around the mouth. Exposure to sunlight will darken the patches, making them more obvious. Be sure to get enough folic acid by taking a folic acid supplement as research suggests that folic acid deficiencies may increase skin discoloration. Increased Pigmentation Often areas that were already pigmented to begin with; freckles and tiny moles, may now become larger and brown spots or areas may have enhanced darkness. New moles may also appear. The areola and nipples of your breasts will become darker, unlike other areas of your skin, which return to their original color after pregnancy. Acne Another big problem for expecting moms is sometimes their acne gets worse. Breakouts are common, even for someone who may have never suffered acne, on their face, chest, or back. Itchiness Many expecting mothers feel itchy everywhere all the time which can be embarrassing and Mar/Apr 2016 53