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facial nerve Facial Nerve

MEEI-Facial Nerve Find a Disease/Condition | Employment | Contact Us | Site Map | The menu has downgraded. It is at the bottom of this page. home otolaryngology department facial nerve Facial Nerve Disorders Causes of facial nerve problems can include: Bell's Palsy Facial Paralysis After Acoustic Neuroma Removal and Other Skull Base Tumors Facial Palsy from Parotid Tumors Melkersson-Rosenthal Syndrome Facial Paralysis After Head Trauma Lyme Disease and other Inflammatory/ Infectious / Metabolic Conditions Facial Palsy from Birth Genetic Syndromes Birth Trauma Facial Paralysis with Chronic Ear Disease Synkinesis and Facial Spasms Bell's Palsy Bell's palsy is a rapid onset paralysis ofthe facial musculature on one side of the face, without an apparentcause. It ordinarily affects all branches of the nerve, from theforehead to the neck. A viral illness preceding the paralysis, earpain, changes in taste, facial numbness, and tongue numbness arecommonly associated symptoms. The cause of Bell's palsy is uncertain, asits other name, idiopathic facial paralysis, reflects. There isevidence to suggest a viral cause, with most data pointing toinfection with herpes simplex virus (HSV). While it is difficult toprove this cause and effect relationship conclusively, the factthat Bell's palsy appears to respond to antiviral andanti-inflammatory medications further supports the relationshipbetween HSV and Bell's palsy. Treatment Most cases of Bell's palsy resolvespontaneously, with no noticeable change in facial expression seenafter recovery. However, it has been shown that treatment withsteroids can either improve or speed up complete recovery, and itis very frequently prescribed for this condition. It has also beenshown to cause a decrease in Bell's palsy associated pain. Steroidsdo have some potential side effects. Therefore, in patients withother health problems, steroid use may not be indicated. Among thepotential problems are altered blood sugar levels, stomach ulcers,and mood and personality changes. A large study examining whether the antiviral agent, acyclovir,would improve recovery in Bell's palsy, showed that if themedication is begun within three days of the onset of theparalysis, it appears to improve recovery. However, the beneficialeffect does not appear to be dramatic. There is much controversysurrounding the role for antiviral medication in the treatment ofBell's palsy. Since the evidence points to an inflammatoryprocess causing destruction within the nerve, and since the facialnerve travels in a tight bony canal from where it exits the brainto where it enters the face, attempts have been made to open up thebony canal during the acute inflammatory phase of Bell's palsy. Therationale for this approach is that if the nerve gets inflamed, itswells, and swelling inside a tight canal will then choke off theblood vessels to the nerve, and cause additional damage bydepriving the nerve of its blood supply. The surgical procedure toopen the bony canal is called total facial nervedecompression. A multi-institution study using thistreatment showed that a subset of patients with severe Bell's palsydid benefit from decompression surgery, if it was performed soonenough after the onset of the paralysis.However, to perform totalfacial nerve decompression is a serious undertaking, and is notwithout risks and complications, one of which is inadvertent damageto the facial nerve. Therefore, the decision to proceed withdecompressive surgery is one that needs to be made jointly betweenpatient and surgeon, with a full understanding of potential risksand benefits. For recurrent Bell's palsy, or unsatisfactory/ prolonged recovery, see other options in the Facial Nerve Disorders Treatment Options section. Phases of Recovery The recovery from Bell's palsy tends to followone of two pathways. The majority of patients begin recovery withinthree weeks of the onset of paralysis. These patients tend torecover fully and represent approximately 85% of all Bell's palsypatients. This is known as the "rapid recovery" group. A smallerset of patients experiences delayed or incomplete recovery, andrequires additional therapy to improve outcome. This "delayed /partial recovery" group represents roughly 15% ofpatients. Generally, those patients with return of somefacial nerve function by the third week, or who don't experiencecomplete paralysis, tend to follow the rapid recovery pattern,while those who have complete paralysis extending beyond threeweeks tend to follow the delayed recovery pattern. Facial Paralysis After Acoustic Neuroma and Other Skull Base Surgery Sometimes removal of an acoustic neuroma, orother skull base tumor in a similar location, results inpostoperative facial palsy. This is related to manipulation of thefacial nerve during tumor removal. Nerves are extremely sensitiveto any manipulation, and can be either temporarily or permanentlyaltered by any surgical procedure around them. Tumors are sometimes closely associated withthe facial nerve, and may even be adherent to it. The removal oflarger tumors has a higher probability of causing facial nervedysfunction than the removal of smaller tumors. Occasionally,tumors distort the anatomy so that key structures are difficult orimpossible to identify. Sometimes the degree of function of thefacial nerve or recovery ability cannot be determined. The recovery phases that follow differentdegrees of neural injury are outlined below. These can be followedwhen the status of the nerve is known, though occasionally thestatus of the nerve is not known at the conclusion of surgery,making management of the resulting facial palsydifficult. Recovery Phases There are three recognized phases of recovery. Nerve intact, slightly stretched duringtumor removal. Near complete to complete recovery expected over weeks tomonths. Nerve intact, severely stretched duringtumor removal. Partial recovery expected over months to a year. Nerve cut for tumor removal. Grafted - Partial recovery expected over 1-2years. Not grafted - No spontaneous recoveryexpected. Utilize other methods of facial reanimation. Facial Weakness From Parotid Tumors (Before and After Surgery) Facial Weakness Before Parotid Surgery When facial weakness develops in the presence of a parotidgland tumor, it suggests that the tumor is affecting the functionof the nerve. Tumors tumors that affect function are more likely tobe malignant cancers rather than benign growths. For complete malignant tumor removal withpreoperative facial nerve weakness, a portion of the facial nervemay need to be removed. If this is the case, the nerve is usuallyreconstructed to permit regeneration if possible. Facial Weakness After Parotid Surgery When facial nerve function is abnormal followingparotid surgery, it is important to distinguish the cause of theweakness. The most common cause is nerve stretching that occursduring tumor removal. In that situation, complete recovery islikely. The degree of nerve weakness appears at the time ofrecovery. Complete facial paralysis takes longer to recover fromthan mild facial weakness. Occasionally, and more frequently withmalignant parotid tumors, the facial nerve must be cut toadequately remove the entire tumor. Sometimes it is possible toperform a neural graft at the time of surgery, in order to promoteregeneration from the native facial nerve stump. In situationswhere the tumor extends deeply along the nerve or extensively intothe facial musculature, grafting is not feasible, and delayedfacial paralysis management is employed. Melkersson Rosenthal Syndrome Melkersson Rosenthal syndrome is characterized by a triad of symptoms, including relapsing facialparalysis, facial edema, and a fissured tongue. It appears to havea familial inheritance pattern, though the specific mode ofinheritance has not been established. With repeated episodes offacial palsy,recovery can diminish. For this reason, some doctorsfeel that facial nerve decompression is indicated since it appersto decrease the severity of the facial palsy in subsequentepisodes. This approach is generally reserved for severe cases withimpending long term facial dysfunction, rather than for routinecases. Recovery phases from bouts of facial palsycaused by Melkersson Rosenthal syndrome follow a similar timecourse to recovery from Bell's palsy. Later bouts may recover moreslowly and less completely. Facial Paralysis After Head Trauma Facial paralysis that occurs following headtrauma can be due to several different injuries. Most commonly,fractures of the temporal bone through which the facial nervetravels (These are also called Skull BaseFractures.) , lead to either temporary or permanent damage tothe nerve. Less commonly, direct brainstem injury or a strokerelated to the trauma can lead to central nervous systemmalfunction, so that the facial muscles do not work properly, evenif the nerve itself is intact. Temporal Bone Fractures Temporal bone fractures are classified into either longitudinal ortransverse fractures, depending on their position through thebone. Longitudinal Fractures Longitudinal fractures are the more common ofthe two, and account for 80% of all temporal bone fractures. Theseare usually sustained from a blow to the side of the head. It mayrupture the tympanic membrane (ear drum), and can result inbleeding from the ear. In about 20% of these, the facial nerve isinjured in the temporal bone.More commonly the cause of the facialparalysis is from swelling within the bony canal through which thenerve runs. Since there is no room for swelling to occur, the nervegets "squeezed" within the facial canal. The blood supply getschoked, and the nerve malfunctions as a result. If this is the case, the facial muscles aresometimes seen to be working normally immediately after the injury,but become weak in the ensuing several hours to days, as swellingsets in. When a patient is badly injured with head trauma, thehealth care providers are often occupied in managing the lifethreatening injuries in the first hours after any serious accident,and facial nerve function is not noted until the patient isconscious. Measures to decrease swelling, such asadministration of steroids, can hasten recovery. Another approachto relieve the squeezing phenomenon on the nerve is to perform afacial nerve decompression, though some feel this is a largeoperation for a problem likely to resolve on its own. It isimportant to emphasize that in cases of delayed facial nerveweakness, standard management is eye protection and patience.Regeneration falls along a spectrum, and facial nerve recovery cantake months to a year. Transverse Temporal Bone Fractures Transverse fractures comprise 20% of temporalbone fractures, and usually result from a blow to the front or backof the head. These tend to be more severe injuries, since the forcerequired to fracture the temporal bone in its transverse dimensionis greater than that required for a longitudinal fracture. Thepathway for these fractures may be directly through the inner ear(containing the hearing and balance organs), so hearing loss andvertigo are common. The facial nerve canal is also more commonlydisrupted, and there is a 50% incidence of facialparalysis. The immediate occurrence of facial paralysis with a transverse temporal bonefracture, suggests disruption of the nerve, and may be repairedwhen the patient is medically stable. The complicating factor isthat often other life threatening issues exist, and requireattention before the temporal bone fracture is addressed. Moreover,the best assessment of facial function requires a cooperativepatient, and many patients are comatose following head trauma,making this impossible. Patient with transverse temporal bone fracture, attempting to smile. Patient with transverse temporal bone fracture, attempting to grimace. Infectious / Inflammatory / Metabolic Disorders Many infectious and inflammatory processescan change facial nerve function. This occurs either through directeffects on the nerve, or because generalized inflammation causesswelling in the tight bony canal through which the facial nerveruns. This chokes the nerve of its blood supply, and causes it tomalfunction from lack of nutrition. Some diseases affect the facialnerve in well understood ways, and others are poorly understood.Below some of the diseases whose pathophysiologic effects on thefacial nerve are understood. Lyme Disease Lyme disease is a spirochetal infection caused by the organism Borrelia Burgdorferi.It is ordinarily transmitted through a deertick vector, and is recognized by a characteristic "Bull's Eye"lesion at the site of the tick bite. In the acute phase of thedisease, this round red mark with a pale center can appear, thoughin up to 50% of infected individuals the lesion goes unrecognizedor does not develop at all. The second phase of the disease,presenting 3-6 weeks after infection, is characterized by migratingjoint pains, fatigue, generalized weakness, and cranialneuropathies. It is during this phase that facial palsy may occur.It can be an isolated symptom, or occur in conjunction withdysfunction of the other cranial nerves. A blood test for thedetection of Lyme disease is available, and it is treated withantibiotics. Multiple Sclerosis Multiple Sclerosis (MS) is ademyelinating disease in which the sheaths surrounding myelinatedmotor nerves are broken down, preventing them from conductingsignals appropriately. It can affect any motor nerve, including thefacial nerve. It may wax and wane substantially, so that nervefunction fluctuates according to the activity of the disease.During periods of disease remission, neural function often returnsto normal. Diabetes Mellitus Diabetes Mellitus (DM) is a lack of internal control overblood sugar levels, based on failure of the islet cells in thepancreas to produce insulin. Blood sugar levels are critical formaintaining proper homeostasis,* and lack of proper control overthese levels causes many organ systems to develop diseaseprematurely. Among these is the nervous system. Neuropathies arecommon in later stages of DM. The facial nerve, like any othernerve, is susceptible to malfunction on the basis of thisDM-associated neuropathy. Facial Paralysis From Birth There are several causes of congenital facialparalysis. These include genetic problems, in utero problems thatdevelop during pregnancy, or paralysis resulting from trauma atdelivery. It is important to try and identify the cause of theparalysis, since management differs according to etiology. Genetic Syndromes Certain geneticallydetermined syndromes have facial paralysis as a phenotypicfeatures. The best known of these is Mobiius Syndrome, in whichthere is a congenital absence of the facial nerve on both sides.This results in a dense bilateral facial paralysis with nopossibility of spontaneous function of the facialmusculature. Mobiius Syndrome These represent the typical features of Mobiius Syndrome. Goldenhar's Syndrome Goldenhar's Syndrome is a maldevelopment ofthe first and second branchial arches, leading to hemifacial microsomia and facial nerve abnormalities. In some cases, there isevidence pointing to an early in utero problem that contributes to the development of hemifacial microsomia. Birth Trauma When a newborn has completely normal anatomic development, but a facial palsy ispresent at birth, the possibility of birth trauma to the nerve mustbe considered. Cases of facial nerve damage from skull basefractures, from forceps delivery, and from shoulder dystocia have been reported. Injuries arevirtually always crush injuries rather than transection injuries,and the prognosis for spontaneous recovery is good. Facial Paralysis with Chronic Ear Disease Facial nerve dysfunction can be seen inpatients suffering from acute and/or chronic otitis media. Thereare a number of ways that the nerve can be affected. Usually thestate of nerve function and the likelihood of full recovery aredependent on the time of onset of facial nerve symptoms during thecourse of the ear disease, and the facial nerveparalysis. Facial paralysis of sudden onset during anacute ear infection is indicative of an acute inflammation leadingto malfunction. This tends to occur in infants and young children,because infection spreads through small gaps in the bony canalsurrounding the nerve. Ordinarily, prompt treatment of theinfection, including removal of infected material in the middle earvia a temporary hole in the ear drum, will lead to resolution ofthe reversible nerve dysfunction. Facial Paralysis in the Immediate Postoperative Setting Facial paralysis or paresis (partial paralysis) immediatelyfollowing ear surgery can be related to one of several things. The administration of local anesthetic cancause a temporary paralysis, lasting for several hours after theprocedure. Removal of all diseased tissue in the middleear and mastoid surgery necessitates exposing a segment of thefacial nerve in its bony canal. This exposure can result in nerveinflammation which can lead to temporary facial nerve paralysis.This type of injury generally shows recovery within weeks tomonths. It is possible to inadvertently nick orsever the facial nerve during middle ear and mastoid surgery. Thisis characterized by immediate, complete paralysis. If the injurywas unrecognized during the operation, re-exploration fordecompression, assessment of the extent of injury, and possiblerepair or grafting is warranted. Sudden facial paralysis in the setting of chronic ear diseasesuggests compression on the nerve. Pressure on the nerve can occurif the disease involves erosion of bone, as is seen withcholesteatoma. Prompt surgical intervention, with the removal ofdiseased tissue, and nerve decompression may result in fullrecovery of function. Synkinesis, Facial Spasms Synkinesis and facial spasms refer tohyperkinetic facial syndromes, and both involve involuntary musclecontraction. Synkinesis refers to the phenomenon wherebydeliberate movement of one segment of the face results in movementin another segment of the face. The classic example of this is whenintended eye closure results in a turning up of the corner of themouth, and when a spontaneous smile results in unintentional eyeclosure. This occurs following facial nerve damage, when the fibersthat are regenerating are misdirected, ultimately reaching targetmuscles for which they were not intended. Facial spasms refer to involuntary, intermittent or persistentcontractions of the facial musculature. It can involve selectedmuscles (orbicularis oculi in essential blepharospasm, forexample), or the entire hemiface (hemifacial spasm). page updated: 10/06/05 Facial Nerve/Disorders First Consult Research Links Clinical Staff Contact Us Facial Nerve/Treatment Options Need Help with Understanding a Word or Condition? Massachusetts Eye and Ear Infirmary 243 Charles Street Boston, MA 02114 TEL 617-523-7900 TDD 617-523-5498 MEEI Suburban Locations Directions | Privacy Policy | Legal Disclaimer | Notice of Patient Privacy Practices website updated: January 26, 2006 © 2000-2006 Massachusetts Eye and Ear Infirmary contact webmaster We comply with the HONcode standard for health trustworthy information: Verify here . Home Patient Info. About the Infirmary Appointments Appt. International Billing Questions Directions/Maps Find a Doctor Insurance International Office Medical Records Medications Places to Stay Patient Education Patient Services Patient Rights Pre-registration Privacy Practices Send Us Feedback Support Groups Things to Do in Boston Clinical Areas Otolaryngology (ENT) Find by Disease/Condition Facial/Cosmetic Surgery Facial Nerve General ENT Head/Neck Surg.Oncology Hearing Aid Center Hyperbaric Medicine Laryngology (Throat) Otology (Ears) Pediatric Airway Cntr. Pediatric ENT Reconstructive Plastics Sinuses Sleep Disorders/Snoring Vestibular/Balance Disorders Voice/Speech Ophthalmology (EYES) Find by Disease/Condition Cataract Surgery Comprehensive Eye Care Contact Lenses Cornea/Refractive Surgery Emergency Eye Care Eye Plastics Glaucoma Low Vision/Rehab Neuro-ophthalmology Ocular Oncology Optical Shop Orbital Surgery Pediatric Eye Retina/Diabetic Eye Uveitis Anesthesiology Audiology/Hearing Medical Unit Nursing Radiology Social Services For Physicians Conferences (Residents) Cranial Base Eye Pathology MEEI Alumni MEEI Library Physician Orders Refer a Patient Special Conferences Staff Listing Temporal Bone Registry Training/Education Research Administration Clinical Trials/Studies Conferences (Residents) Epidemiology Laboratories Ophthalmology Otolaryngology How to Give

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greatskin Reviews and Store Ratings at BizRate Log in to your account Bookmark this page! Home Home & Garden Computers Clothes Toys Electronics Kids Jewelry Store Ratings All Departments I'm shopping for in Store Ratings Special Offers All Departments Welcome to BizRate.com's free comparison shopping site! We help you find the best deals on the biggest selection of products from all of the top-rated stores. Compare products, read reviews, and compare prices to make sure you quickly find the right product at the right price every time! Shop smarter at BizRate. Home > Store Ratings > greatskin Email this page greatskin Customer Reviews Store Details Customer Reviews Detailed Store Ratings Store Information Write a review for this store Go to store Store Ratings Summary Overall Rating: greatskin Customer Certified Over 1,000 customers have rated this store since 2003 Would Shop Here Again On Time Delivery Customer Support Products Met Expectations Overall Rating Summary Past Week Past Month Past 3 Months Positive 100% 95% 98% Neutral — — — Negative — 5% 2% See detailed store ratings Symbol Key Customer Certified denotes stores that provide satisfactory service and are proactively committed to monitoring their customer's satisfaction by allowing every customer to provide feedback to BizRate.com directly at the point-of-sale check-out. 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acne cream. Conceal it:

Skincare guide to deal with spots and blemishes Banish the blemish Don't panic! Little skin flare-ups can be prevented, cured and concealed following this easy-to-follow advice for a variety of common pimple problems. There's lots of good over-the-counter help and other safe solutions to try. Consult our guide for the best ways to keep your complexion clean and clear. Whitehead Blackhead Red/inflamed blemish Erupting spot Small spot Feel-it-coming blemish Whitehead Cure it: Whiteheads are closed comedones (the official word for blackheads) and should be extracted only by an experienced beautician or dermatologist. If you try it yourself, you may risk infection, making the situation worse and even causing scarring. As an alternative, try applying a gel or cream containing salicylic acid, which may help you to unplug the pores. Conceal it: Using a cotton bud or small, pointed concealer brush, apply a dot of thick concealer to the centre of the blemish, then lightly spread it to cover. Brush over with translucent powder. Prevent it: Regular facials can help prevent whiteheads because they will keep your pores clean. Dermatologists often prescribe a topical drug, either antibiotic creams or retinoids (like Retinova, Retin-A or Differin) to prevent whiteheads. You may also keep them at bay by washing with a mild cleanser that contains benzoyl peroxide or salicylic and glycolic acids. Blackhead Cure it: You may try using Pond's or Bioré Pore Strips to lift some blackheads. If you attempt to extract them yourself, be really careful. First, apply a hot (but not too hot) compress to soften the pores. With a tissue around your two fingers, gently squeeze the pore. If the oil plug isn't released, stop squeezing. Never squeeze facial skin hard enough to leave an imprint. Conceal it: Use a liquid spot-touch concealer. Dot the concealer on the area and blend with your fingers. If your skin is shiny, dust the area with powder. Prevent it: It's almost impossible to prevent blackheads. Once a week, steam your face to soften the oils that clog the pores and cleanse skin deep down using a mask. Use products that include salicylic or glycolic acids to keep pores clean. You might want to consider getting a facial every month to deep-clean pores. What's on next page? Red/inflamed blemish Cure it: Squeezing is a definite no-no. You can apply a good, topical benzoyl peroxide from Oxy or Neutrogena. A clay mask or drying lotion will also help draw out any impurities. Conceal it: It's difficult to cover an inflamed blemish, so you need a concealer that stays put. Dermablend is a good one to try because it has a thick consistency and is packed with pigment so it covers well. Always start with the smallest amount of concealer, and then build. Dab the concealer to the blemish with a small concealer brush or cotton bud, then gently cover. Clean the brush well after use to avoid re-infection. Prevent it: If red and inflamed pimples plague you it's time to see a dermatologist for a course of oral and topical treatments to prevent the condition. Once your acne is under control you can often prevent recurrences using over-the-counter products containing benzoyl peroxide, salicylic or glycolic acids. But a doctor can help you get to that point. Erupting spot Cure it: Cystic acne has the potential to leave deep scars and should never be squeezed. If it's an open pimple, apply an acne drying gel or lotion and let it run its course. If you have frequent outbreaks, visit a dermatologist for appropriate treatment. Conceal it: Sorry, you must not touch an erupting spot. Keep it clean with an astringent, but leave it alone until it dries out. If it is dry, apply a dab of a heavy concealer to the blemish with a cotton bud or a small acrylic-tipped brush. Prevent it: An occasional eruption can't be avoided. Dermatologists advise you to let it drain, keeping it covered with a benzoyl peroxide cream (or antibiotic like Neosporin). Never, never squeeze it. It will not make it go away or prevent future outbreaks. If you squeeze you are likely to break the swollen pore under the skin, causing a worse eruption. If they are common occurrences for you, you may have cystic acne; so make an appointment with a doctor. A dermatologist can prescribe antibiotics or give you other ways in which to control it. What's on next page? Small spot Cure it: Don't touch it. Wash the area gently and try a homeopathic acne cream. Conceal it: Cover the blemish with a dab of liquid foundation using a small concealer brush. Brush lightly with translucent powder to hold. Prevent it: It's bound to happen once in a while no matter what you do. Keep your skin clean and use non-comedogenic moisturisers and sunscreen (this means that they are tested to ensure they will not clog the pores). Make sure all your make-up is oil-free. Wash make-up brushes frequently and keep your hands away from your face. Feel-it-coming blemish Cure it: Ask your GP if an over-the-counter anti-inflammatory drug might help ease the swelling. Sometimes applying ice to the area, whenever you feel like touching it, helps. Other than that, keep your hands off. Conceal it: Cover with a lightweight concealer cream or liquid foundation. Dab the cream on the area, and blend with finger. Prevent it: Use cleansers and moisturisers designed to prevent acne. And always remember to keep your hands away from your face. If what you feel coming is a large deep blemish that occurs frequently, it's time to see a dermatologist. These kinds of pimples can leave a scar. A dermatologist will recommend drugs that keep infections that cause acne from happening.

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Amazon.com: The Thymes Body Lotion: Beauty Your Store Beauty See All 32 Product Categories Your Account | Cart | Wish List | Help | Browse Brands & Products | Free Gifts & Special Offers | Fragrance | Makeup | Skin Care | Bath & Shower | Hair Care | Men's Grooming Search Amazon.com Beauty Skin Care Makeup Fragrance Bath & Shower Hair Care Men's Grooming Health/Personal Care Web Search This item is not eligible for Amazon Prime, but over a million other items are. Join Amazon Prime today. Already a member? Sign in . This item is currently not available. A9.com users save 1.57% on Amazon. Learn how . See larger image Share your own customer images The Thymes Body Lotion Other products by The Thymes More about this product Availability: This item is currently not available. Colors: Eucalyptus 2 oz Lavender 2 oz Eucalyptus 8.75 oz Fresh Basil 8.75 oz Ginger Milk 8.75 oz Fig Leaf and Cassis 8.75 oz Green Tea 8.75 oz Lavender 11.5 oz Pump Lavender 8.75 oz Olive Leaf 8.75 oz Limon 12 oz Pump Customers who viewed this item also viewed Sleep Soothing Mist philosophy amazing grace perfumed shampoo, bath, and shower gel philosophy amazing grace perfumed hair conditioner philosophy purity made simple facial cleanser Explore Similar Items Product Description Product Description This smooth, fragrant and non-greasy formula absorbs quickly leaving skin soft, nourished and lightly scented with a fragrance that refreshes throughout the day. Product Details Note: Gift-wrapping is not available for this item. ASIN: B0007Z7F42 Amazon.com Sales Rank: #4,416 in Beauty (See Top Sellers in Beauty ) Yesterday: #4,364 in Beauty This page was created by a seller. Customer Reviews Be the first person to review this item . So You'd Like to... boys see you as your sweet self? (Girly girls) PART 1 : A guide by Shanti R. , Girl who never had a BF Create a So You'd Like to... guide Look for similar items by category Beauty > Products > Men's Grooming > Skin Care > Body Beauty > Products > Skin Care > Body > Moisturizers > Lotions Beauty > Products > Skin Care > Men > Body This Item and You Write a Review | Write a So You'd Like To... Guide | Tell a Friend About This Item | Rate This Item Suggestion Box Your comments can help make our site better for everyone. If you've found something incorrect, broken, or frustrating on this page, let us know so that we can improve it. Please note that we are unable to respond directly to suggestions made via this form. If you need help with an order, please contact Customer Service . Please mark as many of the following boxes that apply: Product information is missing important details. Product information is incorrect. The page contains typographical errors. The page takes too long to load. The page has a software bug in it. Content violates Amazon.com's policy on offensive language . Product offered violates Amazon.com's policy on items that can be listed for sale. Comments or Examples: Examples: Missing information such as dimensions and model number, typos, inaccuracies, etc. Where's My Stuff? • Track your recent orders . • View or change your orders in Your Account . Shipping & Returns • See our shipping rates & policies . • Return an item (here's our Returns Policy ). Need Help? • Forgot your password? Click here . • Redeem or buy a gift certificate. • Visit our Help department . Search Amazon.com Books Popular Music Music Downloads Classical Music DVD VHS Apparel Yellow Pages Movie Showtimes Toys Baby Computers Video Games Electronics Camera & Photo Software Tools & Hardware Office Products Magazines Sports & Outdoors Outdoor Living Kitchen Jewelry & Watches Beauty Gourmet Food Musical Instruments Health/Personal Care Pet Supplies Travel Cell Phones & Service Outlet Auctions zShops Everything Else Automotive for Amazon.com Home | Directory of All Stores Our International Sites: Canada | United Kingdom | Germany | Japan | France | China Help | Shopping Cart | Your Account | Sell Items | 1-Click Settings Investor Relations | Press Room | Careers Conditions of Use | Privacy Notice © 1996-2006, Amazon.com, Inc. or its affiliates