# The history of the toxin
Botulinum toxin has an interesting history. It was accidentally discovered in 1817 by physician Julius Kerner, who found an association between the number of deaths and poisoning by smoked sausages, which in Latin were called botulus. Thus, botulism was discovered.

At the end of the century, other doctors continued to explore botulism until they identified its pathogen and began testing treatments for different purposes, such as neuromuscular disorders. Doctors noticed that injecting the toxin temporarily paralyzed the muscles, stopping involuntary spasms and movement.

# The medical uses of botulinum toxin
To this day, botulinum toxin has applications in medicine other than aesthetics, such as in treatments for strabismus and hyperhidrosis, bruxism, hypersialosis, gummy smile, headache, and neck pain caused by muscle tension, among others.

As for its uses in aesthetic dermatology, the substance helps to slightly relax the facial muscles, causing a minor contraction of the structures over them as well, such as the skin.

Botulinum toxin can be used to prevent wrinkles and also as a treatment, helping to smooth out fine lines, leading to smoother skin. The injections give a lifting effect to the face, help arch the eyebrows, and improve face contour and sagging. It is the dermatologist's job to adapt the procedure to your case, meet your needs and desires, and deliver a natural result.

# Contraindications to the use of botulinum toxin
The toxin has some relevant contraindications. Applications should not be carried out in cases of lasting infections that are being treated, during pregnancy, and breastfeeding.

Another precaution is in cases of neurological conditions, as it is known that the toxin also acts on the nervous system. Dermatologists should also exercise utmost caution in cases of aggravated flaccidity because if the procedure is done improperly, it can worsen the issue.

# What about durability?
The effects of the procedure can last from 4 to 6 months, when another application may be necessary. When the product is well administered, its effects are smooth and natural and don't give that stretched look to the skin nor leave the patient completely expressionless.

Would you like to learn more about the toxin and evaluate the treatment for you? Get in touch with us on our contact tab here on the enviva.me website and schedule your appointment!


The toxin that turned out to be one of the main tools of rejuvenation in cosmetic dermatology

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Toxina botulinica

Botulinum Toxin: A Happy Accident

Collagen has never been talked about as much as it is today. Countless products and miraculous promises. But what is collagen, and what does it do?

# A type of protein
Collagen is nothing more than a type of protein. It is present in about 30% of our body and constitutes cartilage cells, bones, tendons, muscles, connective tissue, and blood vessels. It is responsible for the structure and firmness of the skin.

The body's production of collagen begins to reduce from the age of 30, requiring supplementation.

There are more than ten types of collagen, each responsible for a region of the body. The most commonly used supplements are type I, found in skin, bones, and tendons, and type II, present in joints, such as cartilage.

# Collagen Supplements
Collagen supplementation is still a hot topic in science, and there is much uncertainty and little evidence about the effectiveness of supplementation on skin quality.

What we do know is that supplementation is effective for bones and cartilage, but in clinical observations we can see an improvement in the appearance of the skin and patients' perception, noticing more firmness and smoother wrinkles.

There are supplements in many different types, from capsules, powders, to gummy bears and candies. Always be aware that the supplementary quality of these most popular products is low, has no proven efficacy, and contains sugar.

# What do we know works?
What we already know works in the replacement and stimulation of collagen synthesis is increasing protein intake through food. Ideally, this should be done under the supervision of a good evidence-based nutritionist, especially because there is a limit to how much your body processes proteins per meal. So, the ideal is not to ingest large amounts at once, but to spread the intake throughout the day.

The clinical treatments offered at enviva.me that aim to stimulate the production of collagen by the skin are highly safe, effective, and widely used in medicine, such as:
- Collagen Biostimulators: injectable treatments that generate inflammation in the skin, consequently increasing collagen production.
- Microneedling: it is used to aid in drug delivery in the penetration of actives into the skin, causing an inflammatory response that produces collagen.
- Fractioned radiofrequency: consists of the emission of electromagnetic waves that stimulate collagen production.
- Ablative fractional laser: also stimulates collagen production through laser shots in different layers of the skin, causing scaling and cell renewal.
- Micro and macro-focused ultrasound: it is the best for collagen stimulation, it can also be used in the body.

# The best solution is personal
Although we have many answers, the best indication we can give is individual consultation. In this way, we can meet the needs of each patient and evaluate each case with caution, being able to recommend the most appropriate treatments for each individual's particularities!


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Collagen: The Fountain of Youth?

One of the most versatile treatments we offer at the enviva.me clinic is the laser. Lasers are devices that produce electromagnetic radiation with monochromatic waves of a single length, with properties that allow a deeper or more superficial penetration through the skin - thus helping to treat various conditions, such as melasma, sagging, spots, wrinkles, stretch marks, and scars.

# We offer at enviva.me
The laser we offer at enviva.me is the Erbium 2940 ablative fractional laser: it is fractioned to reach deeper layers of the skin, and is ablative as it removes part of the epidermis, promoting cell renewal. The procedure is performed with an anesthetic cream beforehand, and patients receive topical treatment for their recovery at home.

Herbion is the most suitable option for treating wrinkles and offers a faster recovery time while bringing results as good as the alternatives.

# Intense Pulsed Light
Another treatment that we also offer at enviva.me is the intense pulsed light, which, unlike laser, is made of light bursts with waves of varying lengths, reaching different layers of the skin. IPL is best suited for attenuating melasma, blemishes, spider veins, superficial wrinkles, and photoepilation.

# Which one is right for me?
Each case needs an individual assessment. Therefore, without a thorough clinical consultation, it is not possible to make a medical recommendation. In fact, one of the most effective treatment measures is the combination of different procedures, hence the importance of personalized work.


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Laser Treatment and IPL

Orange December is a movement created by the Brazilian Dermatology Society in 2014 to encourage awareness and prevention of skin cancer, one of the most prevalent types in Brazil.

**Tropical Habit**
We know that, in Brazil, there is a habit of being exposed to the sun, after all, we have a great variety of beaches, and it is part of our culture to enjoy the hot summer days in the pool, the sea and the outdoors.

However, these habits can be harmful and increase the risk of skin cancer as there is augmented exposure to ultraviolet rays that can cause alterations in our cells, which, by chance, can multiply, causing skin cancer.

**Types of cancer**
There are three common types of skin cancer:

- Basal Cell Carcinoma (BCC): is the most common type of skin cancer and accounts for about 95% of all skin cancer cases, which usually appears as a small patch and grows over time. It is most common after age 40 and is characterized by a small wound that does not heal or bleed, has a "pearly" bump and visible blood vessels, or a small brown or red spot.

- Squamous cell carcinoma (SCC): appears mainly on the lips, tongue, and esophagus, in addition to the bald scalp, and is known by wounds that do not heal either, bleed continuously, or rough spots with irregular edges, brown or red that increase in size with time.

- Melanoma: originates in the melanin-producing cells, the melanocytes, and is characterized by spots with irregular edges that can grow anywhere in the body. It is more common in people with very light skin and eyes and is one of the most serious types, with a risk of metastasizing (spreading through other organs).

**How is the treatment done?**
After confirming the skin cancer diagnosis by the dermatologist, it is possible to treat it with several methods in addition to chemotherapy, radio, and immunotherapy:

- Excisional surgery: the tumor and a healthy skin edge are removed as a safety measure with a scalpel. The tissues are then examined under a microscope to make sure all cancer cells have been eliminated.

- Curettage: an instrument called a curette is used to scrape tissue, while an electric scalpel burns cancerous cells.

- Cryosurgery: liquid nitrogen is used to destroy the tumor. It is more utilized in cases of small and delimited tumors.

- Mohs Micrographic Surgery: the dermatologist does curettage and microscopic analysis multiple times until affected tissues are no longer found.

- Laser surgery: removes tumor cells using carbon dioxide or erbium YAG lasers.

- Photodynamic Therapy: a sensitizing agent is applied to the skin, which is then exposed to intense light that destroys cancer cells.

**Prevention is key**
Of course, technical knowledge is quite important for us to detect skin cancer early, but, above all, we at enviva.me value global care of our patients, which is why we carried out a month of the Orange December campaign in our social networks to spread information and promote the prevention of skin cancer, with the necessary measures to block the penetration of UV rays as much as possible.

Always be aware of the signs your skin shows, and, in addition, maintain a regular check-up routine with the dermatologist to monitor any changes and receive the appropriate guidelines.


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Orange December

We live in an increasingly stressed, anxious, and depressed society. Unfortunately, people suffer the consequences. The rise in cases of psychological disorders goes hand in hand with the appalling suicide rates we see growing around the world.
With increasingly alarming numbers, there was a need to create a way to fight suicide and everything that contributes to the growth of cases. But the answer is not simple, and it needs organization and unity to talk about this subject.
The Yellow September campaign was instituted in Brazil in 2014 by the Brazilian Psychiatric Association (ABP), in partnership with the Federal Council of Medicine (CFM), as the country's main resource to raise awareness about suicide.

# Data that tells stories
In absolute numbers, Brazil is the eighth country in suicide rates. In 2017, nearly 800,000 suicides were recorded worldwide, and the majority of victims are men. In addition, rates among young people have been growing exponentially.
Social aspects also reveal a lot. Less developed countries have a higher suicide rate, where there is also a greater presence of deep structural social problems.

#Risk factors
There is a funnel of risk factors that encompass individual, relational, community, social, and healthcare system aspects, the most comprehensive in terms of caring for the population. Each category of risk factors must be carefully analyzed to design an action plan that fits the appropriate context.
Some risk factors that draw the most attention include a history of attempted suicide, substance abuse, mental disorders, social isolation, financial loss, discrimination, trauma, wars, stigma associated with seeking help, and difficult access to a healthcare system.
In Brazil, fortunately, we have SUS (Universal Healthcare System), which guarantees free and universal healthcare for everyone. But the system must be prepared to adequately assist people in need of psychological and psychiatric care, and offer a look at the social and structural aspects that worsen these individuals' emotional conditions.

# A look at the totality
As we have seen, suicide is not a simple thing to manage. Structural problems linked to the economy and political aspects can result in a general deterioration in the psychological state of a population, which can be aggravated by hunger, unemployment, hopelessness, violence, and many other indices that end up increasing the incidence of mental disorders.
Systemic issues must be considered in the individual care of each patient, identifying their life context. As we cannot change the world's inequalities alone, we can make a difference in our daily lives, offering this empathetic and caring look to people around us.

# Ending the stigma
The search for help is still highly stigmatized, especially among men (the biggest victims of suicide), who suffer from the reinforcement of gender roles linked to masculinity - thus preventing many from seeking help, facing their hardships alone, and unassisted.
We must urgently break these stereotypes. We all need some help, and there's no shame in that. Men can create support networks just as women do and face mental health with less taboo and more awareness. Exercising empathy is a daily task for all of us. Paying attention to risk factors, as well as offering specialized care, can be the necessary actions to potentially save lives.


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Yellow September

In our blog post about collagen, we explain how this protein works to give structure to our skin. It also mentions that, over time, the amount of collagen in our skin decreases, especially after the age of 25.

If you haven't read our collagen article yet, it's listed in the "Blog" section here on the site!

But the good news is that there are resources to stimulate the production of collagen by the body that are scientifically proven and effective, one of which is collagen biostimulators.

# What are biostimulators made of?
Collagen biostimulators are made of substances that, when injected into the skin, cause a controlled (and desired) inflammatory response, which stimulates collagen production by connective tissue cells in the region where they were applied.

The result is firmer skin, with more freshness and smoother wrinkles, with improved skin support and density.

The treatment can also show excellent results when performed on other body parts, such as arms, thighs, buttocks, among others.

# The course of the treatment
Treatment with biostimulators depends on several factors that can only be analyzed in clinical consultation. In general, we analyze the patient's age, the overall appearance of the skin, and other individual needs that must be evaluated in a good anamnesis.

It usually takes at least three sessions with intervals of 30 to 40 days, with visible results around six months. It is recommended to get the treatment regularly, but the precise time will be determined by your dermatologist.

# Do healthy habits prevent collagen loss?
Yes and no. It is not possible to "naturally" change the body's aging rhythm with only healthy habits and without any medical interference, but it is clear that having a balanced diet, doing low-impact physical exercise, sleeping well, managing stress, and protecting the skin from sun exposure help to preserve collagen within what is expected according to your age.

Some practices are known for accelerating the aging process and can increase skin sagging, such as high-intensity physical exercise and exposure to the sun, especially without sunscreen. In addition, stress, poor sleep, and smoking also speed up collagen loss in the body.

Therefore, it is preferred to combine healthy habits with esthetic procedures in a balanced way to prevent aging from happening early and quickly.

# I am interested in the treatment!
Great! The first step is to schedule an appointment to conduct a detailed assessment of your case and the most suitable referral for you and your life context.

We use two highly recognized and very effective biostimulators:
calcium hydroxyapatite
poly-L-lactic acid

For more information, contact enviva.me using the Whatsapp number available on our website in the "contact" section.


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Collagen biostimulators

We live in a time when aging is treated as a disease and its signs as symptoms. Such a process is seen as something to be fought, disguised, and stopped at all costs. The social demands (especially on women) to remain young denote the villainization of aging in our current society. But is this perspective healthy?

# Re-naturalize aging
Contemporary standards of beauty promote an "alienization" of feminine beauty that can look scary. Extremely lifted faces and overfilled facial features give an unnatural, fabricated look. There is almost a phobia of getting older, so some people adopt an extreme appearance, trying to escape an inevitable process.

For this reason, we at enviva.me do not believe in or defend the villainization of aging. We don't speak of fighting the signs, but of aging management, facing this moment healthily and naturally.

# Love your skin
Wrinkles are nothing more than an external sign of the passage of time, signs of felt emotions, lived experiences, and a life of intensity and learning, smiling, feelings, and unforgettable moments that are imprinted on our spirit, translated into the skin.

The skin has movement and life! It covers our entire body and is our immediate contact with the outside world. We owe it respect, affection, and care, always thinking about health from the inside out. Therefore, it is possible to approach the treatment of wrinkles gently, as we like to work at enviva.me.

# Wrinkle prevention
Although wrinkles derive from a natural process of life, they can also be aggravated by some oversights, especially with sun exposure. To prevent the early and accentuated appearance of deeper expression lines, we recommend:

- Using SPF 30 or higher every day, reapplying after a few hours. The recommended amount for the face and neck is a full teaspoon or enough to cover your fingers. Look for one with a pleasant feel and incorporate this habit into your routine!
- Drinking 1.5 to 2 l of water and having a healthy and varied diet, focused on natural foods!
- Keeping your skin clean by sanitizing it at least once a day, before bed, and then apply a moisturizer suitable for your skin type!

# Wrinkle treatments at enviva.me clinic
Here at enviva.me we have some options for treating wrinkles:

- Chemical peels: can be done on the face, chest, hands, arms, and neck.
- Fractional laser: reaches the deep layers of the skin.
- Radiofrequency: gives more firmness by stimulating existing collagen.
- Toxins, fillers, and collagen bio-stimulus: smoothes the skin, improving its quality and restoring the volume that has been lost over time.
- Microneedling: a simple technique for fine wrinkles, has a quick and effective recovery.
- Micro-focused ultrasound: it can reach the deepest layers of the skin and muscles, improving their density.

Even our treatments are not intended to "eliminate" wrinkles (not only because there is no procedure capable of giving this result), only to soften them. We always recommend your treatment individually, and we strive for naturalness.


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About Wrinkles

On this summer vacation, fun should be a priority, but not without protection!

As fun as it is to be outdoors, spending too much time in the sun can cause serious problems for your skin, such as premature aging, blemishes, wrinkles, and even causing skin cancer.

So, we've separated some relevant tips and suggestions for you to incorporate into your vacation routine to keep you and your family safe!

**As Bial had already said, "wear sunscreen"**
Of course, we are being funny in the title, but the message is very serious! The use of sunscreen is essential and should be a daily habit, summer vacation or not.

Sunscreen should be used in sufficient quantities to form a protective film on the skin, the recommended amount for the face and neck being approximately 2mcg/cm², or a full teaspoon.

The sunscreen needs to be applied even on cloudy days and preferably reapplied throughout the day, especially after intense sweating or after getting wet.

**Use physical barriers**
Other physical protection mechanisms are also very efficient, such as t-shirts and clothes made from fabrics that filter UV rays, in addition to hats, caps, and visors. Canvases and umbrellas made of filtering and thick fabrics are also an interesting addition, as they provide an extra protective barrier for the whole body.

**Avoid peak hours**
It's a well-known but valid rule of thumb. Ideally, avoid peak hours and stay in the shade between 10 am and 4 pm. If you still stay outdoors and under indirect sunlight, sunscreen is still required: don't neglect it!

**Keep yourself hydrated!**
Beneficial not only for the skin but for the whole body, drinking water and staying hydrated is a huge contribution to your health! Drink plenty of water, and if you like coconut water, it's very refreshing on hotter days!

Have you taken note of these invaluable tips? We remind everyone to have a rest of 2021 full of love, peace and rest for the coming year - of course, with maximum protection!

A merry Christmas and a great New Year to everyone! Big hug,

enviva.me


If you're going to spend your summer vacation by the pool, on the beach, or anywhere else where there's sun exposure, you'll need these tips!

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Skin Care During Summer

Many people have heard of melasma: those brownish patches on the face that can cause significant discomfort.

Although it is a chronic skin disease, melasma is treatable and it is possible to prevent its worsening. Let's learn some more about it!


# After all, what is melasma?
Melasma is a skin condition characterized by dark spots on the face and body. It occurs when there is excessive exposure to solar radiation, which causes an increase in the production of melanin in specific areas that end up becoming more vulnerable.

It may be associated with pregnancy and contraceptive pill intake, although this is not a direct link. Stress has also been reported to worsen melasma.

# Is there treatment?
The good news is that yes, although melasma is not curable, it can be treated! The methods we have here at the enviva.me clinic are:

- Chemical peels: consist of applying substances that cause the skin to peel, bringing out "renewed" skin, without the blemish layers, called resurfacing.
- Fractioned laser: the laser must be done by trained professionals, as the heat from the equipment can worsen the condition. Therefore, light penetration must be of low intensity.
- Microneedling: like laser treatments, microneedling acts in collagen production and helps products penetrate the skin, performing drug delivery.

In addition to clinical treatments, we also recommend, in our consultations, continuing the process at home with topical creams to ensure the maintenance of results.

# How to prevent melasma?
The strongest recommendation for preventing melasma is the same as for many other skin diseases: sun protection!

Using sunscreen daily is essential to prevent stains. The ideal is to use the correct amount, 2mg/cm², or two teaspoons for the face and neck, and touch up throughout the day.

There are also combinations of oral antioxidants that are an interesting strategy to help further shield cells from the harmful effects of ultraviolet radiation.

# Watch out for dangerous "solutions"
In many cases, it is common for people, especially women afflicted with skin conditions, to go into a cycle of despair and resort to homemade solutions or internet recommendations.

There are always promises of miraculous results, but you must be careful: many of these products pose real health risks, and should not be used, especially on their own, without dermatological guidance!

The ideal is always to follow the recommendations of responsible professionals and based on scientific evidence so that you don't run the risk of aggravating a condition or contributing to the emergence of more problems.


Finding Spot Solutions and How to Avoid Them

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Melasma: Prevention and Treatments

#How about taking care of your skin?

Winter has arrived. This week we officially welcome cooler temperatures, drier weather, and cups of steaming hot chocolate in the middle of the day.

Some people like winter for the stylish outfits or the warm, comforting food. Others may struggle to get out of bed in the morning or to find the motivation to work out.

Regardless of your preference, the fact is that winter takes a toll on your skin. It is necessary to take care of yourself.

Ready for some top skincare tips?

 

#A protective layer

Dermatologists often hear their patients complain about skin issues at this time of year.

It is no wonder: there is a protective layer in the epidermis called the lipid mantle that can be easily broken down with the combination of long showers and hot water, and the use of harsh soaps.

When the skin barrier is damaged, there is a loss of water to the external environment, causing the skin to look ashy and dry or even scaly. You might experience the unpleasant feeling of skin tightness, irritation, or itching.

From an immunological point of view, the skin, in such conditions, is more susceptible to infections.

#The proper care

When we talk about the use of soaps that are suitable for the skin, we mean the use of products with a more neutral pH and free of detergents in their formulation. These are the so-called syndets that are less harmful to the skin.

The syndet soaps do not lather much, and even though they are less abrasive, they should be applied in small amounts and rinsed well.

There are also cleansing oils, which are less popular in Brazil but a great option to prevent skin dryness or for people with sensitive skin (such as eczema).

To complete the winter skincare routine, the application of moisturizers should be part of the daily ritual and, preferably, right after the shower, to help the skin to absorb its ingredients and prevent dryness.

There are several moisturizer textures, designed for specific body parts. For the face and areas with hair, lightweight and easily absorbed ones are recommended. For rougher areas such as elbows and knees, use moisturizers with denser textures and emollients.

There is a variety of active ingredients and fragrances in moisturizers, and dry skin is usually very sensitive; that is why it is important to talk to a dermatologist in order not to aggravate the situation.

#What about oily skin?

Another relevant detail is that even oily skin needs the application of moisturizers. Environment changes can trigger increased oil production—and that is exactly what happens if you experience oily skin in the winter. Oily skin can become extremely dry if you keep using the same astringent products of the summer season, or if you start taking long hot showers: the hot steam dries out the skin and, in an attempt to restore the barrier of protection, the sebaceous glands start to produce more oil. It is the so-called rebound effect.

So here's the message for those with oily skin: it's all a matter of adjusting your skincare routine to the seasons.

#Sunscreen Protection

Most people want to ease up on sunscreen use during the winter, as the sun feels weaker and they are less likely to burn. But that's a mistake.

The use of sunscreen in winter must continue.

Only one of the two UV perpetrators, UVB, is actually lessened by clouds and winter. The other, UVA, is very much present year-round.

Sunscreen protection in winter is especially recommended for people who have some disorder in skin pigmentation. Creamier, denser textures can also help soothe dry skin.

#The Skin Talks

If the body is functioning properly, the skin will also reveal whether the hydration level is ideal.

Therefore, we must reinforce the intake of liquids throughout the day, since during the winter there is a tendency to decrease its consumption.

To help those less accustomed to this habit, a good idea would be to include succulent fruits, which, in addition to providing fluids to the body, are sources of vitamins and natural antioxidants - so essential to our health.

#Winter and aesthetics

Is winter the best season for cosmetic procedures?

Dermatologists hear many such questions. But, after all, what is the recommendation?

Much of skin aging is caused by the accumulation of ultraviolet radiation over a lifetime.

Although it is not imperative, in general, it is suggested to the patient to try to have their aesthetic procedures during the winter. This is to speed up the skin's healing and recovery process.

Some procedures require the use of denser creams to restore the skin, which can be tricky in the summer.

For some people, it can be a huge sacrifice not to go to the beach or to go swimming in the club during the recovery period, as well as wearing more clothes to cover and protect the treated area.

Some procedures, such as laser and microneedling, also lead to temporary swelling. And lower temperatures help swelling regress more quickly.

Another important point is that some of these procedures cause cell renewal, which leads to desquamation of the “dead skin”.

Therefore, as new skin is more sensitive to the sun, it is essential to avoid sun exposure for the time estimated by your doctor.

Anyway, the idea is to plan the treatment with the dermatologist, so that the sequence is followed and the results achieved.

Each skin type has a particular need and responds uniquely to procedures. Some even require prior preparation before the coming of winter.

 

#Final Considerations

Now that you have realized the importance of keeping a skincare routine and adjusting it to the winter days, how about going to a specialist who will recommend products that are specific to your skin type?

Self-care should be an act of self-love and generosity with oneself.

 

So, tell us... how is your skin now?



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Welcome, Winter!

August is the month of breastfeeding incentive. Breastfeeding creates a bond between mother and baby and offers many health benefits.

# The importance of skin-to-skin contact
The birth is marked by the baby's abrupt transition from the mother's silent, warm womb into the world. The mother suffers from the pain and difficulties of childbirth. This initial separation must be followed by acceptance and love. At this point, skin-to-skin contact is developed, when the mother holds the baby naked or dressed only in a nappy against her skin. Having skin-to-skin contact with the baby straight after giving birth helps to keep them warm and calm and steady their breathing. The newborn must stay for at least one hour in the arms of the mother (or as much as possible), connected in a unique moment when the two meet for the first time.

During this contact, instincts align so that natural behaviors manifest themselves: there is a synchronization between baby and mother so that the baby signals its hunger, and the mother receives the stimulus to produce breast milk.

# Rich in life
August is "golden" for a reason: the color chosen is an ode to the richness in nutrients of breast milk and its unique role in the baby's development. Breastfeeding is recommended exclusively for about six months of life and complemented with other foods for two years or longer.

It is through breastfeeding that the baby develops immunity and its diverse microbiome and becomes more protected against diseases and allergies. Breastfeeding also improves cognitive development - not to mention the affective bond established with the mother, helping emotional growth throughout life, to the extent to which the baby can place itself as an individual in the world.

# Not always an easy task
It is common to hear romanticized stories about motherhood and all of which concern this remarkable moment in the life of a woman. Women are overwhelmed by unrealistic portrayals that show the experience without mentioning the difficulties. Complications can happen when breastfeeding - for example, if the baby is not positioned and attached properly at the breast. 

High expectations can cause pain and discomfort to the mother. She can be affected by a feeling of guilt for believing that she is unable to feed her baby. But that guilt is not justified. After all, each experience with motherhood is unique and challenging. Naturally, some things may not go smoothly. So, it is crucial to offer the mother a welcoming environment, support system, and professional help to guide her in nursing her baby.

Cracks in the nipple and areola, pain when breastfeeding, dryness, and cracking are some problems that the mother can experience. Wash the area with warm water and liquid soap during the shower and dab the nipple and areola with a little expressed breast milk before and after the feeding to keep the area hydrated and strengthened. Such actions also protect the skin against the proliferation of bacteria.

# "Put life in me"
One of the meanings of the name enviva.me is "put life into me", a phrase that perfectly describes the role of breastfeeding and its importance. By breastfeeding the baby, the mother feeds life and all the most precious resources into the formation and growth of a healthy and complete individual, with overflowing love and companionship.


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Agosto Dourado

Golden August

# **Far beyond aesthetics**
In multiple cases, when thinking of Dermatology as a medical specialty, aesthetic procedures are usually involved, quite frequently, among the main topics.
It is not wrong to correlate dermatology with aesthetics, but we must remember that working with aesthetics is not all dermatologists do. After all, the skin is the largest organ in the human body.
The Brazilian Society of Dermatology (SBD) defines Dermatology as the medical specialty that works in the diagnosis, prevention, and treatment of diseases related to the skin, hair, mucous membranes, hair, and nails.

# **Inside Dermatology**
The skin has very specific and essential functions, such as protection against external aggressions, tactile (sense of touch), regulation of external temperature (through sweat glands), and protection of internal organs. Routine care and attention are needed to keep it healthy, which includes regular visits to the dermatologist.
Hair loss and brittle nails, for example, are two of the main indicators of low immunity and a sign that you are not getting the vitamins and minerals your body needs. Some other diagnoses can also be identified in these consultations.
There are approximately about three thousand skin-related diseases that can affect children, adults, and the elderly.
People of distinct ages and skin types can be more or less prone to show different skin problems, such as:

-  Skin cancer
-  Hair loss
-  Acne
-  Stretch marks
-  "Allergies"
-  Psoriasis
-  Vitiligo

Dermatologists must have a broad knowledge of other medical specialties as well. Some signs and symptoms that affect the skin may indicate that other organs and systems are involved in the diagnosis. Generalized itching, for instance, can be indicative of kidney disorder.
In addition to the above-mentioned qualifications, dermatologists can perform minor procedures, such as the surgical removal of signs and "warts".
The dermatologist is, therefore, the specialist who is best qualified to listen to the patient's complaints related to the skin, make diagnoses, and seek the best solutions and treatments.

# **Taking care of health**
It is highly advisable not to wait for a skin condition to worsen before seeking expert help. In the vast majority of cases, the sooner help is sought, the better the chances of successful treatment. An annual check-up with the dermatologist is recommended, essentially for people with very fair skin, hair, and light-colored eyes, as they are more inclined, for example, to have diseases caused by excessive sun exposure.

After reflecting on the importance of Dermatology, how about making an appointment with one of our specialists? 


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Dermatology on Behalf of Health

Botulinum Toxin: A Happy Accident

The toxin that turned out to be one of the main tools of rejuvenation in cosmetic dermatology

The history of the toxin

The medical uses of botulinum toxin

Contraindications to the use of botulinum toxin

What about durability?

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