Camouflaging Techniques

Camouflaging
Techniques
Dr. Deniz Koral
MedicalPARK Göztepe Hospital- Istanbul
Vitiligo
is not a life-threatening nor a contagious disease but
it can be devastating if lesions are located over the
face :
* Social stigma
* Decreased quality of life ...
Vitiligo
Vitiligo
Michael Jackson is one of the most known vitiligo
patients in the world.
He couldn’t get cured himself enough so he tried to
bleached his skin thus he had several operations about
it.
Vitiligo
Vitiligo
A lot of treatment options...but ;
most of these therapies need long time to produce
good results...
Since these therapies are boring and exhausting for the
patients and usually did not get any good results,
alternative therapy procedures born.
One of them is Make-up ….. Camouflage…
Vitiligo
*The concept of skin camouflage developed during the
WW II to help conceal burn scars....
After WW II period camouflage techniques of some
dermatological disorders began to develop.
The ART of CAMOUFLAGE
Cosmetic camouflage can definitely improve quality of
life in patients.
Cosmetic camouflage can be very good adjunct to
other dermatological treatments for vitiligo..
Vitiligo
CAMOUFLAGE
1- Temporary * Liquid dyes
* Indigenous products
* Remedial cosmetic camouflage
* Self tanning products
2- Permanent * Micropigmentation/tattooing
Vitiligo
 LIQUID DYES….
Potassium permanganate, indigo carmine, Bismarck
brown and henna pastes were commonly used…
Disadvantage : - washed away very easy,
- color matching is very difficult…
Vitiligo
 INDIGENOUS PREPARATIONS…
(Traditional Indian Preparations)
Iron fillings (Lauha bhasma) and Suvarna Karini (Clay
mixed with henna and oils) were the most known
preparations..
Disadvantage : - color matching is very difficult..
Vitiligo
Vitiligo
 REMEDIAL COSMETIC CAMOUFLAGE
These are the most common daily use make-up
preparations… contains % 25 more pigment to normal
make-up.
There are four basic foundations :
- Oil-based (water-in-oil, pigments suspended in oil
such as mineral oil, lanolin alcohol or vegetable oilscoconut, sesame..) These are for dry skin..
Vitiligo
- Water-based (oil-in-water pigments suspended in large
quantity of water..) These are for normal and dry skin..
Most popular***
- Oil-free ( Contains other oily substances such as
Dimethicone or cyclomethicone..) These are for oily skin..
- Water-free ( Waterproof, vegetable oil, mineral oil,
lanoline, synthetic esters mixed with waxes to form a
cream… Titanium dioxyde with iron oxides combination
ultramarine blue..) These are for facial camouflaging..
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
Vitiligo
*These are manufactured in a variety of finishes ;
matte, semi-matte, moist semi-matte and shiny…
*These are manufactured in a variety of forms; liquid,
mousse, water containing cream, souffli, anhydrous
cream, stick, cake and shake lotions…
- Three basic approaches… * contour correction,
** color correction,
*** combination of both…
Vitiligo
Ideal camouflage ;
 Color , Opacity, Waterproof, Sweat resistant,
Holding power, Longer wear, Ease of application,
non-allergic/non-comedogenic/nonphotosensitizing, Sun-screening capacity, Ease of
removal, Cost-effective
Vitiligo
LIMITATIONS OF COSMETIC CAMOUFLAGE
 Difficult to apply to a large area,
 Good products are expensive,
 Smudging/wear off of creams ,because of friction,
 Difficult to apply with severe acne, infectious or
eczematous disease…
 SELF-TANNING PRODUCTS
 The most common products is Dihydroxyacetone
(DHA) – effective, cost-effective and safe for
recalcitrant vitiligo…
 Disadvantage ; difficult color matching,
allergic contact dermatitis,
DNA damage???
Vitiligo
Vitiligo
Vitiligo
Vitiligo
MICROPIGMENTATION/TATTOOING
• Permanent camouflage can be used in a wide range of
dermatological diseases…
• Inert, non-toxic, non-allergenic, tissue stable pigments (6
micron)
• Recalcitrant vitiligo ; especially digits, lips, wrists,
axillae, elbows…
• Pigment should be implanted between the superficial
and middle dermis and density of pigmentation for
good cosmetic results…
Vitiligo
Vitiligo
Vitiligo
Vitiligo
 Micropigmentation is rapid, not much expensive, can be
used for areas where other techniques are difficult
(eyelid margin), and not time consuming method…
 Disadvantage : - difficult the exact color match,
- color fading,
- infection,
- contact allergy,
- Transmission of HIV, hepatitis B ??
- Koebnerization,
- used only small, localized lesions
Vitiligo
 Thank you…

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