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Filomeni, G., De Zio, D

James Song, MD, Director of Clinical Research at Frontier Dermatology in Bothell, WA., tells The Dermatology Digest that acne remains one of the most common reasons patients seek dermatologic care, yet management can be varied and often based on anecdotal experiences. He continues, Dr

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The dominant factor is identified by where the bulge appears and how it behaves: - Sharp ledge fixed at the C-section scar scar tethering is dominant - Broad midline bulge that worsens with straining or sit-ups muscle separation is contributing - Loose fold that collapses when bending forward skin laxity is dominant - Soft fullness without a defined step fat contribution may be present If a bulge changes markedly with coughing or straining, assessment is needed to exclude a hernia