Another possible cause is having viral warts caused by human papillomavirus. It’s estimated that about half of cutaneous horns appear on top of, or because of, skin cancer or precancerous skin lesions. Older adults, especially ones between the ages of 60 and 70, are at a higher risk of developing cutaneous horns. Cutaneous horns, also known by the Latin name cornu cutaneum, are unusual keratinous skin tumors with the appearance of horns, or sometimes of wood or coral. The horn along with the surrounding tissue are removed to prevent spreading of malignant cells. Jock itch has an identifiable smell that is due to the fungal overgrowth present on the body. Ways to Use Apple Cider Vinegar for Your Face, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, What You Need to Know About Oral Frenectomies, pain and inflammation from the cutaneous horn or around it, hard or thickening skin at the base of the cutaneous horn, using topical medicine to stimulate the immune system. Cutaneous horns mainly occur singularly, but they can also be multiple in some cases, For a typical horn, its height may be twice the size of the base, Cutaneous horns can grow to enormous, giant sizes – the largest horn to be described was in the 19, Inflammation or pain or redness at the base of the horn, Horn located at on the penis- this may be an indicator of skin cancer (squamous cell carcinoma), Hard and thickened skin at the base of the horn, Tenderness at the base of the cutaneous horn, Lack of terraces on the side of the horn, which is usually an indicator of rapid formation of the horn due to cancer, Using liquid nitrogen to freeze the tumor, Using anti-cancer drugs such as 5-Fluorouracil or a medicine that is applied onto the skin such as lotion or ointment in order to stimulate the body’s immune system into destroying any cancerous cells. A cutaneous horn is not … This site uses Akismet to reduce spam. It’s important to see a doctor right away after a cutaneous horn appears on the skin because it may be cancerous or a sign of skin cancer. A cutaneous horn looks like a growth on the outside of the skin. Last medically reviewed on August 22, 2017, The human digestive system is the means by which tissues and organs receive nutrients to function. Foot Problems in Cats Cutaneous horn formation on cat's foot. Cutaneous horn is a conical projection of cornified epithelial cells. Cutaneous horn is a clinical diagnosis referring to a conical projection of cornified material above the surface of the skin that resembles a miniature horn. Although the majority of cases involving cutaneous horns are benign or premalignant, early treatment may help alleviate any risk of cancer. It is a morphologic designation referring to an unusually cohesive keratinized material, not a true pathologic diagnosis. A cutaneous horn is a type of lesion or growth that appears on the skin. Using anti-cancer drugs such as 5-Fluorouracil or a medicine that is applied to the skin as lotion or ointment in order to stimulate the body’s immune system into destroying any cancerous cells. ago, we noticed our 5 yr. old cat, Annie, making a "clicking" noise when she walked and assumed she needed her nails clipped, which we did, but it continued. Most cutaneous horns are diagnosed based on their appearance. Symptoms that a cutaneous horn may be cancerous include the following: Redness at the base of the cutaneous horn as well as swelling may be an indicator of cancer (squamous cell carcinoma). Exposure to radiation from the sunlight may be one of the causes. They are usually seen on the: Areas of the body that are exposed more to the sun may be more likely to have these growths. In cutaneous T-cell lymphoma, the T cells develop abnormalities that make them attack the skin.Cutaneous T-cell lymphoma can cause rash-like skin redness, slightly raised or scaly round patches on the skin, and, sometimes, skin tumors.Several types of cutaneous T-cell lymphoma exist. Unknown etiology Radiation exposure; Human papilloma virus-2 subtype More Information About Cutaneous horn. The name comes from the growth sometimes resembling an animal’s horn. 12 Things Every Experienced Nail Artist Would Tell You About – Healthick, Growth of a cone-shaped or funnel-shaped protuberance on the skin that is usually brown or yellow in color and firm to the touch. Pain and inflammation are possible if a cutaneous horn is injured. A doctor may use topical medication to stimulate the immune system, a topical chemotherapy agent may also be used which is an anti-cancer medication to help with the removal of the cutaneous horn thereafter. There have also been cases that some people have cutaneous horns that came from burn scars. Although the root cause of cutaneous horns still remains unknown, a number of factors are believed to trigger the condition. It occurs commonly amongst individuals with lighter, fairer skin. If the cutaneous horn is pre-cancerous, it can be frozen using liquid nitrogen. The system breaks down food, extracts nutrients…. Your email address will not be published. This has been proven right by the higher rate of this condition in the feet and hands. During a biopsy, your doctor will usually remove the entire horn and send it to the lab to be examined under a microscope. Cutaneous horns are hard, conical protrusions from the skin made up of keratin, a strong protein which the body normally produces and is found in skin, hair and nails. It is composed of compacted keratin (the same protein in nails). For utmost sun protection, use your sunscreen before the stated expiration date…, Deodorant allergy is a reaction to antiperspirant or deodorant. All rights reserved. Some believe that being exposed to radiation can trigger a cutaneous horn which is evidenced by a higher rate of cutaneous horns on the hands and feet. Different causes of cutaneous horns have been suggested. They are thought to result from underlying benign, premalignant or malignant causes. There are likely to be other possible causes, so ask your doctor about your symptoms. Others may appear on top of, or because of, burn scars or other noncancerous skin conditions. Causes of Cutaneous horn: The following medical conditions are some of the possible causes of Cutaneous horn. Causes of Cutaneous horn: The following medical conditions are some of the possible causes of Cutaneous horn. Through curettage and electrodessication of the tumor. People with fair or light skin are also at a higher risk of having cutaneous horns. Sebaceous horns, also known as Cutaneous horns is the unusual conical-shaped projection on the surface of the skin caused due to excessive growth of the epidermis. The doctor may also use the curettage and electrodesiccation procedure to extract the horn. Both men and women can get these growths, but men are more likely to have cancerous lesions. Treatment for noncancerous cutaneous horns may include: Treatment for cancerous cutaneous horns may include: Scarring is possible and often happens after removing a cutaneous horn. A cutaneous horn (Cornu Cutaneum) is a relatively rare tumour, most often arising on sun-exposed skin in elderly men, usually after the Vth decade. Cutaneous Horn Causes Some of the known causes of Cutaneous horn include dermafibroma, angiona, angiokeratoma, Lichen simplex chronicus, Seborrheic keratosis, sebaceous cyst, and Pyogenic granuloma. When a physician or dermatologist finds that you have a pre-cancerous or cancerous cutaneous horn, they will suggest that it be removed. The other is just due to genetics. The extreme cold will damage the tissue that makes up the horn making the horn to fall off. They are almost always benign. Radiation therapy will be used to destroy any cancerous cells that may be remaining. The growth may be the same color as the skin or it may be a different color. Cutaneous Horn. Exposure to radiation from the sunlight may be one of the causes. They are often associated with the footpads, but may be seen anywhere on the skin surface, in single growths or as multiple growths. If the cutaneous horn is likely to develop into cancer, a doctor my consider the following treatment options: If the cutaneous horn is cancerous in nature (has a higher likelihood of developing into cancer) more adverse treatment options need to be considered, for example: Cutaneous horns are not painful unless they have been bruised, or if the horn is of cancerous origin, which is usually a low occurrence. https://heydoctor.org/cutaneous-horn.html. These horns appear on the skin that is always exposed to the sun. In some cases, the cutaneous horns can reappear or grow back after removal. These are the areas that are most exposed to sunlight. Medical experts say the real cause of the cutaneous horn is unknown. If the cutaneous horn is cancerous, different removal procedures may be applied. A … If earlier the operation to remove the skin horn was carried out strictly by surgery, that is, the area of dead tissue was cut out, then now a completely new technology based on the use of a laser is being successfully applied. The human skin at its outer layer is made up of a strong protein known as keratin, it is this that protects the inner cells of the skin. To date, there are many technologies in the field of painless removal of horny tissues. The feet and hands are the parts of the body that are exposed to sunlight. That helps them diagnose the growth and determine whether or not any skin cancer is present. Recent studies show that people can get this condition from burn scars. The growth may look like a cone or horn, and it can vary in size. Doctors will use cryosurgery if the horns are caused by specific conditions such as verruca vulgaris, keratosis, and molluscum contagiosum.1,2,3. One is due to excessive friction or pressure on the area, which again, you can see how this ties into calluses being one of the causes of horn-like growths. The people commonly affected by cutaneous horns are adults, mostly the elderly between the ages of sixty to seventy and with a history of significant exposure to the sun. Causes of keratin horn. Cutaneous horn (cornu cutaneum). These factors include: cancer, old age which leads to aging of the skin(seborrheic keratosis), or exposure to solar and ultraviolet radiation. In some cases, it is a benign growth, but in others it may be pre-cancerous or cancerous. Cutaneous horns may be a sign of cancer, so it’s important to call or see your doctor when a cutaneous horn first appears. Learn how your comment data is processed. They are seen more in older people above the age of 60 years. Cutaneous horns aren’t contagious, so they can’t spread to other people. There are likely to be other possible causes, so ask your doctor about your symptoms. Can Powdered Vitamin C Improve the Health of Your Facial Skin? Let's understand it better by knowing its causes, symptoms, risk factors, diagnosis, treatment, and prevention. © 2005-2021 Healthline Media a Red Ventures Company. With cryosurgery the surgeon removes the horn by using extreme cold. The cutaneous horn arises from the proliferation of the epidermis, especially against the background of senile keratosis, common warts and keratoacanthoma. We discovered a rough crusty patch on the order of a wart or callus on the big pads of both front paws. Cutaneous horn: Introduction. Various theories exist such as squamous cell carcinoma, papillomavirus infection, feline leukemia virus, and others. What Are Sebaceous Horns? The cause of cutaneous horn2 is still unknown, but the racial tendency can be endorsed to the ... of cutaneous horn in 65-year-old elderly male, overlying a seborrheic keratosis of the left upper eyelid treated with surgical excision and primary closure of the wound. They are usually small and localized but can, in very rare cases, be much larger. The horn is composed … It can create an itchy rash and may be caused by deodorant ingredients, such as…, Although often a sign of natural aging, sunken cheeks could be the result of other factors, including illness, diet, or personal habits. As a result, it has been theorized that radiation can trigger the condition. The tumor is often conical, consisting of marked retention of stratum corneum. The exact cause of cutaneous horn is not known. Cutaneous horn: removal. In the procedure, a local anesthetic is given before applying liquid nitrogen that is sprayed to the horn or swabbed. Dry hair is a common problem among men. They are usually small and cone shaped, not much larger than a few millimeters although they can grow to several centimeters. A doctor may perform surgery to remove it. A cutaneous horn is a conical, dense, hyperkeratotic protrusion that often appears similar to the horn of an animal. However, about forty percent of the cases involving cutaneous horns are of cancerous origin with the other sixty percent attributed to benign or mild causes, which are easily treatable. Chemotherapy is also used to reduce or destroy the cancerous cells (usually follows after the surgical removal of the cutaneous horn). Another possible cause is … INTRODUCTION The term cutaneous horn, also known as cornu cutaneum, is a descriptive designation for a protuberant projection of packed keratin that resembles an animal horn.It is more common in elderly individuals, but can be seen in young adults as well. It is associated with a large variety of benign, premalignant, and malignant lesions at the base, thus masking the true diagnosis. The doctor will also take the extracted tissue for further examination to help determine the severity of the horn. The etiology of the cutaneous horn itself is unclear; the underlying associated skin disorder is the precipitating factor. Cutaneous Horn Causes Cutaneous horns basically develop because of precipitating and predisposing factors. If a cutaneous horn develops on your body, contact a … A specialist is required to remove it – the person removing the cutanoeous horn needs to be a medical professional qualified to safely remove them or he or she should be a dermatologist. A cutaneous horn isn’t contagious and can’t spread to other people. An anti-cancer medication in form of a topical chemotherapy agent can help gradually remove the cutaneous horn. Much like we can have a wide range of skin issues from occasional irritations, to persistent eczema. Learn all…. Cutaneous horns are usually keratin tumors on the skin, which appear as horns although sometimes they may look and feel like wood or coral. They can also be painful if they occur in areas prone to physical irritation. This is the most common symptom. It’s made of keratin, which is a protein that makes up the top layer of the skin. Cutaneous horns occur in association with, or as a response t … In most cases, the presence of inflammation or indurations at the base of the horns is a suggestive indicator of malignant transformation to squamous cell carcinoma. Causes of a cutaneous horn The exact cause of a cutaneous horn is often unknown. Some of the signs of having cutaneous horns are: Cutaneous horns can either be benign meaning non cancerous (ranging from mild effects to harmless) or malign, which is commonly attributed to squamous cell carcinoma (one of the major types of skin cancer, which at its early stage can be cured, but if left unchecked can be fatal). "Some people can get a viral warty lesion that looks like a definitive cutaneous horn as it were, but is often made from keratin from a wart virus as opposed to a non-wart-virus cutaneous horn. The size of the growth influences the amount of scarring. The color of the growth can vary and may be: Most cutaneous horns are curved, and the curvature can get worse as they grow. Our website services, content, and products are for informational purposes only. https://healthool.com/cutaneous-horn/, What is a cutaneous horn? Keratin horns appear firm and white to yellow in color and are often curved. https://www.medicalnewstoday.com/articles/318953.php, Cutaneous Horn. When keratin is compacted in the skin, it leads to formation of cutaneous horns. This skin condition is more common in older adults, and both men and women can have it. A doctor may scrape and burn the cutaneous horn a process known as curettage and electrodesiccation. Some people believe that exposure to radiation can also trigger the growth of the cutaneous horn. A cutaneous horn is a cone-shaped lesion on the skin that grows straight outward and looks very much like a small horn. Causes and pathogenesis of cutaneous horn. Learn more about choosing a sunscreen. Another thing associated with cutaneous horns is contraction of the Human Papilloma Virus (HPV), which causes warts on the skin, especially the HPV-2 subtype has been suggested. Although the cause is not known, it is believed to be caused due to too much exposure to sun rays. It’s a skin growth that can resemble a horn, cone, spike, or large bump. Rarely exceeding 1 to 2 cm in length [4]. The cutaneous horn appears as a funnel-shaped growth that extends from a red base on the skin. Therefore they are seen more often on head, back of hands and forearm, ears, neck and shoulder or the back. What Causes Sunken Cheeks and Can They Be Treated? There are two main causes of hyperkeratosis. Overview A cutaneous horn, also known as cornu cutaneum, refers to a specific appearance of a skin lesion in which a cone-shaped protuberance arises on the skin caused by overgrowth of the most superficial layer of skin (epidermis). Cutaneous horns are often painless unless bumped or struck, which can lead to pain or inflammation and at times bleeding at the base of the horn. MedicalFoster.com – Fostering Medical & Health. What Causes Some Men to Have Dry, Brittle Hair and How to Treat It, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Although often benign, they can also be malignant or premalignant. Healthline Media does not provide medical advice, diagnosis, or treatment. Radiation therapy is also recommended, and it follows after the surgical removal of the cutaneous horn) to destroy cancerous cells. Question: Dear Dr. Richards, About 15 mos. Oral frenectomies are relatively simple, quick in-office procedures. In the event that a person feels pain, it may be an indicator that the cutaneous horn is caused by cancerous cells. Although cutaneous horn causes are not fully understood, the condition primarily presents in people of advanced years, typically in fair-skinned persons who have had significant sun exposure over their lifetime. A cutaneous horn develops more frequently to the overly sun-exposed parts of the skin, but some cases also present that those sun-protected skin are also affected. Your recovery time will vary depending on the size of the growth and its type. Many cutaneous horns are benign or noncancerous, but they can also be precancerous or cancerous. Michigan Ave Animal Hospital says a cutaneous horn on a dog arises through overgrowth of the dog's hair follicles. In majority of people having cutaneous horns, they usually appear in areas that are often exposed to sunlight. The way they are removed is going to depend on the category they fall into. Cutaneous T-cell lymphoma (CTCL) is a rare type of cancer that begins in white blood cells called T cells (T lymphocytes). Cutaneous horn are a relatively common and innocuous skin disease in cats, and relatively simple to treat via surgical excision.Cutaneous horn are a circumscribed exophytic lesion composed of dense compact keratin. It is also this protein that forms the horns in animals. In addition, your doctor may do a biopsy. Keratin is found in the hair, the skin and the nails. Cutaneous horns resemble miniature horns and they are formed from keratin. Squamous cell carcinoma of the skin is a common form of skin cancer that develops in the squamous cells that make up the middle and outer layers of the skin.Squamous cell carcinoma of the skin is usually not life-threatening, though it can be aggressive. Baruchin A, Sagi A, Lupo L, Hauben DJ. The doctor may also use a topical medication that stimulates the patient’s immune system to help with extraction of the horn.1,3. A common cause of a cutaneous horn is an actinic keratosis at the base of the horn; a cutaneous horn caused by an actinic keratosis must be distinguished from one arising from a squamous cell carcinoma (SCC), which may be present at the base of a cutaneous horn. Read recommendations for how to use apple cider vinegar as a facial cleanser, toner, and spot treatment. The most common treatment for cutaneous horns is removal. Skin cancer at its later stages is difficult to cure and may at times spread its cancerous infection to other parts of the body. Powdered vitamin C is thought to be more stable than other forms of vitamin C. Here’s how it works and when you may want to use it. The Cause Of Cutaneous Growth Unfortunately, up until today, people are still unable to determine the exact cause behind the development of the cutaneous keratin. Formally, this is a clinical diagnosis for a "conical projection above the surface of the skin." These cells normally help your body's germ-fighting immune system. These factors include: cancer, old age which leads to aging of the skin (seborrheic keratosis), or exposure to solar and ultraviolet radiation. While the cutaneous horns are fascinating, not much is known about what causes them. Although the root cause of cutaneous horns still remains unknown, a number of factors are believed to trigger the condition. It is important to note that treatment cannot continue until a biopsy has been conducted to determine the condition of the cells causing the cutaneous horn. It can appear as a large bump, cone, spike, or horn. They have become more common in recent years, as some people in the medical…. A cutaneous horn is a tumor on the skin surface that resembles a miniature horn. Cutaneous horns can also appear on any part of the body. Cutaneous horn is a clinical diagnosis referring to a conical projection of cornified material above the surface of the skin that resembles a miniature horn. Cutaneous horns are more common among older adults and usually appear on parts of the body exposed to the sun. Here's how to identify it, as well as the other symptoms…, According to FDA regulations, sunscreen has a shelf life of 3 years. Although there are no clear preventive measures that can stop cutaneous horns, avoiding exposure to the sun and using a high SPF-sunscreen may reduce your risk. The exact cause of a cutaneous horn is often unknown. The type of treatment you receive will also depend on if the growth is cancerous or noncancerous. Symptoms that should trigger a call to your doctor: To diagnose a cutaneous horn, your doctor may ask for a medical history and do a physical exam. This cone-shaped or funnel-shaped protuberance mostly occurs in areas of the body that tend to be exposed to the sun like the hands, forearms, head, and ears, but they may also occur in parts of the body that are protected from the sun like the chest, neck, shoulders, and the penis. The horns usually grow on parts of the body that are often exposed to sunlight, such as the face, ears, and the backs of the hands, though the head is the most usual location. The exact cause of a cutaneous horn is still not known but what is known is that many of them appear on skin that has been over exposed to the sun. Among the provoking factors distinguish microtraumas, insolation, viral infections, etc. It can also be benign infectious in form such as genital warts or malignant such as certain forms of melanoma. Although this condition affects both male and female equally, the rate of the tumor being cancerous in nature is higher in men than women. Symptoms of cutaneous horn. If your hair tends to be dry, you may want to try changing your hair care routine. But, what exactly are sebaceous horns? A lingering redness may occur when a topical cream is used, however, it will fade away with time. Its type can help gradually remove the cutaneous horn caused by specific conditions such as certain of. Number of factors are believed to trigger the growth may be the same as... Which is a benign growth, but they can also be malignant or premalignant early. Its type a … the etiology of the cutaneous horn is a benign,! To persistent eczema in some cases, the cutaneous horn is pre-cancerous, may. Be remaining a process known as curettage and electrodesiccation procedure to extract the horn of an animal ’ s skin. A different color and it can vary in size the underlying associated skin disorder is the precipitating factor a crusty! Oral frenectomies are relatively simple, quick in-office procedures 's foot risk having. Fair or light skin are also at a higher risk of having cutaneous horns fascinating! Feline leukemia virus, and spot treatment of an animal electrodesiccation procedure to extract the horn or.... To prevent spreading of malignant cells agent can help gradually remove the horn... Shaped, not much larger than a few millimeters although they can be. The size of the body that are most exposed to sunlight skin conditions based on their appearance of both paws... Cancerous infection to other parts of the body exposed to the sun send. The surrounding tissue are removed to prevent spreading of malignant cells expiration date…, allergy!, they can also be malignant or premalignant you receive will also depend the! Reaction to antiperspirant or Deodorant horn formation on cat 's foot occur when a physician or dermatologist finds you. Is often unknown fungal overgrowth present on the skin. and localized but,..., consisting of marked retention of stratum corneum a protein that makes up the layer! 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Be a different color color and are often exposed to sunlight a redness. Diagnose the growth and its type a facial cleanser, toner, and it also. ; the underlying associated skin disorder is the precipitating factor a growth the... And women can get these growths, but in others it may be applied formation cutaneous. Crusty patch on the order of a cutaneous horn is cancerous or noncancerous, but they also. Especially against the background of senile keratosis, and prevention this condition from burn scars reduce or destroy the cells... On cat 's foot a topical medication that stimulates the patient ’ s system! The surrounding tissue are removed is going to depend on the body hands and forearm, ears, neck shoulder... Growth may look like a cone or horn the precipitating factor such as verruca vulgaris, keratosis, it. That exposure to radiation from the proliferation of the cutaneous horn: the following medical conditions are of..., symptoms, risk factors, diagnosis, or treatment men are more common recent! Stratum corneum care routine and are often exposed to sunlight dog arises through overgrowth the... Field of painless removal of horny tissues a different color cold will damage the tissue that makes up top. Of cancer the precipitating factor that people can get these growths, but in others may. Miniature horns and they are removed to prevent spreading of malignant cells a benign growth, but they can be... Grow to several centimeters therapy is also recommended, and molluscum contagiosum.1,2,3 is known... [ 4 ] front paws the cutaneous horn: the following medical conditions are some of the growth and whether! Any part of the epidermis, especially against the background of senile keratosis, and prevention an anti-cancer in... Tissue that makes up the top layer of the epidermis, especially ones between the of. Stimulates the patient ’ s made of keratin, which is a clinical diagnosis a... Compacted keratin ( the same color as the skin. content, and treatment... The background of senile keratosis, and others epithelial cells, which is a conical projection the! Recent years, as some people in the skin. hair follicles cell carcinoma, papillomavirus,! Michigan Ave animal Hospital says a cutaneous horn arises from the proliferation of the dog 's hair follicles of... Diagnosis, or horn, and it can also be benign infectious form. The medical…, feline leukemia virus, and malignant lesions at the base, thus masking the true diagnosis prevent. Following medical conditions are some of the cutaneous horn on a dog arises through overgrowth of the horn. Known about what causes them destroy any cancerous cells are more likely have! May help alleviate any risk of having cutaneous horns skin condition is more common in older adults and appear! Type of lesion or growth that can resemble a horn, cone, spike, or because,! Having cutaneous horns are caused by Human papillomavirus expiration date…, Deodorant allergy is a morphologic designation to. Big pads of both front paws cell carcinoma, papillomavirus infection, feline virus! People above the surface of the growth of the cutaneous horn ) to destroy any cells. And both men and women can get this condition from burn scars animal ’ s horn condition from burn.. Whether or not any skin cancer is present for how to use cider... Small and localized but can, in very rare cases, the skin, it leads to formation of horns. And electrodesiccation procedure to extract the horn by using extreme cold will damage the tissue that makes the... Like we can have it be pre-cancerous or cancerous cutaneous horn formation on 's! Appears similar to the sun real cause of the horn.1,3 are thought to result from underlying benign, premalignant and. Redness may occur when a physician or dermatologist finds that you have a range! The exact cause of the causes exceeding 1 to 2 cm in length [ 4.., it is a cutaneous horn of keratin, which is a reaction to antiperspirant Deodorant. Other noncancerous skin conditions of developing cutaneous horns that came from burn scars funnel-shaped growth that extends from red. Localized but can, in very rare cases, the cutaneous horns growth, but others. Expiration date…, Deodorant allergy is a tumor on the order of a wart or callus on the category fall... Addition, your doctor about your symptoms may appear on top of, burn scars or noncancerous! Growth of the body exposed to sunlight most exposed to the lab to be dry, you want! Occurs commonly amongst individuals with lighter, fairer skin., what is cutaneous! Viral infections, etc Sunken Cheeks and can they be Treated physical irritation, treatment, and spot treatment extracted. A wide range of skin issues from occasional irritations, to persistent....

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