Cosmetology

1. Acne

Acne is a skin condition that occurs when hair follicles pores become clogged with oil and dead skin cells. It may lead to whiteheads, blackheads or pimples. Acne is most common among teenagers, though it affects people of all ages and genders.
What’s the Difference Between Acne and Pimples?
The difference between acne and pimples is that acne is a disease and pimples are one of its symptoms. Acne is a condition affecting the skin’s hair follicles and oil glands. Beneath your skin, pores are connected to glands that make an oily substance known as sebum.
What is Acne Scars?
Acne is an inflammatory process which heals like wound with repair. Depending on the persons body response, extent and depth of inflammation different kinds of scars are produced.
In early acne stages i.e.; comedonal acne stage the inflammation is not there and hence they heal without scars.
But once inflammation reaches deep dermis as with pustular and nodulocystic acne, wound healing process starts that results in scarring.
Treatment of Acne / Acne Scars :
  • Effective acne treatments are available, but acne can be persistent. One has to consult a dermatologist with a good follow up to get rid of such symptoms.
  • Once Acne Scars sets in, it can be very well treated with Laser resurfacing/microneedling RF of face.
  • Contact us to know about the latest and best treatment for such symptoms.

2. Melasma

Melasma is a skin condition characterized by brown or blue-gray patches or freckle-like spots. It is characterized by brown spots/patches on both sides of the face, especially on the cheeks, upper lips, nose and chin. It’s often called the “mask of pregnancy.” Melasma happens because of overproduction of the cells that make the color of your skin.
Self Care Tips :
  • Life style alterations to avoid sun light.
  • Proper balanced diet.
  • Avoiding Stress.
  • Avoiding harmful cosmetics and facials.
Treatment :
  • Sunscreens
  • Skin lightening creams
  • Mild peeling agents
  • Use of mild steroid creams
  • The above drugs may be used in combination-called Kligman’s formula.
  • Laser Treatment

Continuous maintenance treatment is necessary to prevent recurrence. And with each recurrence, pigmentation penetrates deeper, and becomes more and more difficult to treat.

3. Keloids/Hypertrophic Scars

Keloids are the result of an overgrowth of dense fibrous tissue that usually develops after healing of a skin injury. The tissue extends beyond the borders of the original wound, does not regress on its own, and recurs after excision. It may occur after any major operation like Bypass surgery for Heart or if an individual has a keloidal tendency.
Keloids may form on any part of the body like the upper chest, shoulders and upper back are especially prone to Keloid formation. Symptoms include pigmentation of the skin, itchiness, redness, unusual sensations and pain.
Keloids can occur in about 10% of people. Both genders are equally affected.
A hypertrophic scar looks similar to a Keloid. Hypertrophic scars are more common. They don’t get a big as Keloids, and may fade with time. Keloids are considered a benign tumor, but they are mainly a cosmetic nuisance and never become malignant.
Treatments :
  • Intralesional steroid injections
  • Cryotherapy
  • Laser treatment
Hypertrophic Scars vs. Keloids

Hypertrophic scars

Remain confined to border of original wound
Arise in any location; commonly occur on extensor surfaces of joints
Arise in any location; commonly occur on extensor surfaces of joints

Keloids

Extend beyond border of original wound
Commonly occur on the sternal skin, shoulders and upper arms, earlobes, and cheeks
Grow for years

4. Chemical Peeling

A chemical peel is a technique used to improve the appearance of the skin on the face, neck, hands or full body. A chemical peel uses a solution which consists of fruit derived acids in low concentrations with balanced pH to remove layers of skin, revealing the more youthful skin. Chemical peels can reduce or improve fine lines and wrinkles, acne, scars, uneven skin coloring and other skin imperfections. The  new, regenerated skin is usually smoother and less wrinkled than the old skin.

Chemical peels are used to treat certain skin conditions or to improve your appearance by improving the tone and texture of your skin.

Chemical peels are most commonly performed on your face, neck or hands. They can help reduce or improve:

  • Fine lines under your eyes or around your mouth and wrinkling by sun damage, aging and hereditary factors.
  • Certain types of acne.
  • Mild scarring.
  • Sun spots, age spots, liver spots, freckles, uneven skin coloring.
  • Precancerous scaly spots called actinic keratosis.
  • Rough skin, scaly patches, dull complexion.
  • Dark patches (melasma) due to pregnancy or taking birth control pills.
Sags, bulges, deep scars, deep facial lines and deep wrinkles don’t respond well to chemical peels. If these are your concerns, other cosmetic surgical procedures, such as carbon dioxide laser resurfacing, a face lift, brow lift, eye lift or soft tissue filler will be better options.
You can get a chemical peel in a doctor’s clinic.It is an outpatient procedure,no overnight stay needed.
The doctor will first clean your skin thoroughly. Then will apply one or more layers of solution — such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol) — to small areas of your skin. That creates a controlled wound, letting new skin to occur.
After a chemical peel, skin is temporary becomes sensitive to the sun, so sunscreen is must every day. “Broad-spectrum” sunscreen meaning it protects against the sun’s UVA and UVB rays. Also SPF should be above 30. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and cover your face.

5. PRP

Platelet-rich plasma consists of two elements: plasma, or the liquid portion of blood, and platelets, a type of blood cell that plays an important role in healing throughout the body. Platelets contain growth factors that can trigger cell reproduction and stimulate tissue regeneration or healing in the treated area. Platelet-rich plasma is simply blood that contains more platelets than normal.
To create platelet-rich plasma, Initially doctor takes a blood sample from the patient and place it into a device called a centrifuge that rapidly spins the sample, separating out the other components of the blood from the platelets and concentrating them within the plasma.

INDICATIONS OF PRP

Hair Loss

PRP injections can be effective in treating male and female pattern baldness, both in preventing hair loss and promoting new hair growth. PRP can also aid in the stimulation of hair growth after hair transplants.

Skin Rejuvenation

PRP injections are sometimes used as an anti-aging treatment, but there is little evidence to show that PRP reduces wrinkles and other signs of aging.

6. PRF

Platelet-rich fibrin (PRF) membrane is defined as an autogenous leukocyte and platelet-rich fibrin biomaterial that is prepared from the patient’s own blood. It belongs to a new generation of platelet concentrates that can be prepared using simple methods .
Indications
Chronic Non – healing Ulcers
Diabetic foot / ulcers

7. Botox

Botox is a drug that weakens or paralyzes muscle. In small doses, it can reduce skin wrinkles and help treat some medical conditions. Botox is a protein made from Botulinum toxin, which the bacterium Clostridium botulinum produces. It is a safe, effective treatment for fine lines and wrinkles around the eyes. It can also be used on the forehead between the eyes.
Botox is used for the treatment of blepharospasm and other eye muscle problems. It is also used for cosmetic treatment of moderate to severe frown lines between the eyebrows and also for treatment of wrinkles around the corners of the eyes (crow’s feet).
It is a non-surgical, OPD procedure. You might need to remove all your makeup and cleanse the treatment area before the procedure. You may also need to avoid blood-thinning medicine like aspirin to reduce the risk of bruising.
Avoid rubbing, massaging, or applying any pressure to the treated area. This can cause Botox to spread to other areas of the body. When injected between the brows, do not lie down or bend over for three to four hours. Doing so may cause the Botox to slip under the orbital rim. This could possibly cause an eyelid droop.
There is little to no downtime expected after the treatment. You should be able to resume normal activities immediately in most cases.
Results are seen 3-4 days post-treatment. The effect of Botox lasts up to four to six months. Additional Botox injections can be administered to maintain your results.

8. Dermal Fillers

Dermal fillers, also known as injectable implants, soft tissue fillers, lip and facial fillers, or wrinkle fillers are medical device implants approved by the FDA for use in helping to create a smoother and/or fuller appearance in the face, including nasolabial folds (the lines extending from the sides of the nose to the edges of the mouth, cheeks, chin, lips, and back of the hands.
Indications
  1. Facial lines (wrinkles, folds)
  2. Lip enhancement
  3. Facial deformities
  4. Depressed scars
  5. Breast, buttock augmentation
  6. Periocular melanoses, sunken eyes
  7. Dermatological diseases-angular cheilitis, scleroderma, AIDS lipoatrophy
  8. Earlobe plumping, earring ptosis

9. Dark Circle

Dark circles under the eyes describe a common appearance of the lower eyelids characterized by darkened appearance of skin in peri orbital area. It is due to various causes.
The dark appearance can be due to :
  • lack of sleep or poor sleeping habits
  • allergies, including hay fever
  • hyperpigmentation, which happens when the body produces more melanin
  • reduced levels of fatty tissue around the eyes
  • thinning skin under the eyes
  • anemia from iron deficiency
  • overexposure to sunlight
  • frequent rubbing of the eyes
  • aging
  • smoking
  • thyroid disease
  • dehydration
  • dermatitis
Treatment of dark circles under the eyes depends on its nature. General measures include :
  • Adequate sleep
  • Smoking cessation
  • Sleep with extra pillows to elevate the head and reduce eyelid swelling
  • Massage temporary swelling while applying a cold compress
  • Cold compresses also minimise the appearance of prominent blood vessels
  • Cosmetic camouflage
Unfortunately, many of the remedies on the market lack evidence of efficacy.
Medical treatments to reduce pigmentation can include :
  • Protection from sun exposure using sunglasses
  • Topical agents; however dermal pigmentation responds poorly, and eyelids are sensitive so the stronger products may irritate (see melasma)
  • Chemical peels to reduce fine lines and surface pigmentation
  • Laser treatments.
Loss of tissue (hollowing) and tear trough can be managed by aesthetic medical and surgical procedures :
  • Dermal Fillers is a solution to such problems

10. Eyebrow Tattooing/Microblading

Microblading is a cosmetic tattooing procedure precisely an architecture, that fills in thin eyebrow areas to make them look fuller.
It is all about creating the best shape of brow for each face. The process is very precise, and gives desired result in the hands of experts. The tool that is used is like a pen with the nib having a sloped blade with 12-14 fine needles, that don’t penetrate the skin but just delicately scratch the surface. The needles are dipped in a medical grade pigment and the featherlight strokes are made on the epidermis layer for the skin, creating fine, realistic and natural hair strokes.
How is microblading eyebrows different to having your brows tattooed?
‘Microblading, unlike tattooing, is not in the deep layer of skin, but more on the surface. This is also not permanent, and the colour fades in around 6 months. Microblading gives a more natural hair like appearance rather than a patchy tattooed appearance. ‘The hair strokes are far more natural and finer than any tattoo, there is no electrical gadget that penetrates deep in this technique. There is therefore more of a scratching noise, rather than a buzz of a tattoo gun which pierces the skin so deeply.’