1. ACNE TREATMENT:
Acne is a disorder of Pilosebaceous unit arising commonly during adolescence but can also occur in adult age group. It occurs as Comedones, Papules, Pustules, Nodules, and Cysts due to psychological stress. Acne leads to pigmentation and scarring. So treating acne early and aggressively is important to minimise scarring.

Available Treatment options:
• Topical Gels
• Oral Medications
• Chemical Peeling
• CryoTherapy
• Lasers and Light Therapy
• MesoBotox

a. ACNE SCAR MANAGEMENT:
Scarring occurs early and may affect upto 95 % of acne patients.

Types of Acne Scars:
• Depressed or Atrophic Scars
• Elevated Scars
• Icepick Scar
• Rolling Scar
• Boxcar

Treatment plans:
• Dermabrasion
• Subcision
• Punch Elevation
• Punch Excision
• Fillers
• Lasers

2. BOTOX:
Botox cosmetic injections are used to address signs of aging, where a protein made from Botulinum toxin is used for relaxing muscles to reduce fine lines and wrinkles. It is an injection procedure with a fine 31 gauge needles into the superficial facial muscles. Usually anesthesia is not required. There is no downtime. Injection pain is very minimal less than a mosquito bite. Treatment time is 15 to 30 minutes depending on the client’s requirement.

Benefits:
• Forehead Lines
• Frown Lines
• Crow’s Feet
• Bunny Lines
• Facial Slimming
• Hyperhidrosis

3. CHEMICAL PEELING:
Chemical Peel – exfoliates the damaged upper layers of the skin and helps to eliminate the melanin buildup and allows healthy tissue to appear on the surface.Though it is called as Chemical Peeling most of the times it is done with fruit acids derived from Apple, Sugarcane, Grapes etc. It is done for Pimples, Pigmentation and Wrinkles.

It is a lunch time procedure which lasts for 3 to 5 minutes only and it allows the person to go to work immediately after using sunscreen. Types of Peeling are chosen depending on the Skin type and desired result.

Type of Peeling:
• Superficial
• Medium
• Deep

Uses of Chemical Peels:
• Pimples
• Scarring
• Skin Texture Improvement
• Colour Improvement
• Pigmentation like
a. Melasma
b. Freckles
c. Sun Spots
d. Age Spots
• Fine Lines
• Wrinkles
BEFORE: POST-PROCEDURE: AFTER:

4. CRYOTHERAPY:
Cryotherapy is done using liquid nitrogen. It is a safer and easier way of treating various skin issues like wart especially genital wart. This modality of treatment is safe to the extent that it can be used even during pregnancy and in children. It is done using a Cryogun .The spraying technique which is used has very minimal adverse effects.

Treatment for the below issues:
• Actinic Keratosis
• Acne Scars
• Corn
• Molluscum Contagiosum
• Milia
• Skin Tag
• Seborrhoeic Keratosis
• Wart and Genital Wart

5. DERMA-ROLLER TREATMENT:
It is done for Acne Scars and Hair Growth Treatment. The procedure is done after applying local anaesthetic cream. Treatment time may vary from 1 to 1.5 hours depending upon individual skin condition.

Treatment for the below issues:
• Acne Scars
• Chicken Pox Scars
• Stretch Marks
• Hair Loss

Benefits:
• Less Downtime
• Cost Effective
• All Skin types can be treated

6. ELECTROSURGERY:
This procedure has been proved to be very useful tool in treating various skin issues at a cheaper and affordable price. It is a painless treatment with no bleeding and suturing. Many skin conditions can be treated with this procedure.

Treatment for the below issues:
• Moles
• Skin Tags
• Wart
• Corn
• DPN
• Seborrheic Keratosis
• Molluscum Contagiosum
• Acne Scars

7. FILLERS:
Dermal fillers work by boosting the skin’s supply of hyaluronic acid, revitalise and add volume to the skin, instantly diminishes the appearance of lines and wrinkles, and gives a natural softer look.

Treatment for the below issues:
• Hollow Eyes
• Under-Eye Bags
• Dark Circles
• Nasolabial Fold
• Cheek Augmentation
• Lip Augmentation
• Chin Augmentation
• Soften Depressed Scars

8. IONTOPHORESIS:
It is a commonly used procedure to reduce excessive sweating over the palms and soles, in which electrical current is passed through skin soaked in tap water. Iontophoresis allows transdermal delivery of drugs so it can be used for hair re-growth and also facial rejuvenation.

Benefits:

• Palmoplantar Hyperhidrosis
• Hair Growth
• Face Rejuvenation

9. LASERS AND LIGHT THERAPY:
These laser services are beneficial for unwanted Hair Reduction, Acne Scars, Skin Tightening, Tattoo Removal, Oily Skin, Melasma and other pigmentation disorders.

Types of Treatments:
• Q Switched
• Diode Laser
• Microneedling Radio-Frequency
• E Two Laser
• Laser Toning
• Laser Photofacial

10. MESOBOTOX:
Meso-Botox or Micro-Botox is different from Botox in which diluted injections are administered superficially into the skin and not into the muscle after applying local anaesthetic cream for 45 minutes. It gives instant glow to the skin. It is one of the favorite procedure amongst brides, socialites and public speakers.

Treatment for the below issues:
• Oily Skin
• Acne
• Rosacea
• Open Pores
• Dull Skin
• For Brides, Bridegroom before Wedding

Benefits:
• No Downtime
• No Frozen Look
• Instant Glow
• Long Lasting Effect

11. MESOTHERAPY:
Mesotherapy is a painless procedure where, injecting US – FDA approved vitamins, minerals, amino acids and medications into the middle layer of the skin. It is done in multiple sessions either once in a week or once in two weeks for 6 to 12 months. Medications used for hair are Biotin, Dexpanthenol, Gingko Biloba and Minoxidil.

Treatment for the below issues:
• Chronic Telogen Effluvium
• Female Pattern Hair Loss
• Androgenetic Alopecia in Men

Benefits:
• Less dosage of medications used
• No side effects
• Cost effective
• Relatively painless procedure

12. MESOLIFT:
It is a non-surgical injection technique either for toning the skin or hair re-growth.

Mesolift for Skin:

Infusion of proteins, vitamins and antioxidants into the skin makes it more radiant and youthful. It causes rejuvenation of the skin.

Mesolift for Hair:

Medications that are used topically are injected into the scalp for hair re-growth.

Treatment for the below issues:
• Dull Skin
• Aging Skin
• Uneven Skin tone
• Severe Hair Fall

13. MICRODERMABRASION (Skin Polishing):
Skin Polishing can be done with aluminium oxide crystals or diamond tip. It is a safer procedure with no downtime. It removes the top dull layer of the skin giving a smooth radiant and glowing skin. It can be combined with facial peels.

Benefits:
• Safe Procedure
• No Downtime
• Instant Glow
• Even Skin Tone
• Bridal Special
• Before Party

14. PRP (Platelet Rich Plasma):
Platelet Rich Plasma treatment is one of the latest non-surgical advanced method of therapy used for skin rejuvenation and hair loss. PRP therapy is a high concentration of platelets that is derived from patients own blood after centrifugation.
Platelets have lot of growth and healing factors and when it is injected into skin after applying anesthetic cream for 45 minutes it improves skin tone, texture and softens wrinkles.

15. Wart & Mole Removal:
Wart:
Wart or verruca vulgaris is a skin infection caused by a virus called Human Papilloma Virus. It can affect children, adult and old age people. The risk factors are too much of sweating, sharing communal showers, swimming pool etc. The most common sites are face and extremities.

Treatment options for wart:
• Radiofrequency
• Electrocautery
• Liquid Nitrogen Spray
• Laser Treatment

Moles:

Moles (birthmarks) that is present during birth. Sometimes it can develop during adolescence and adulthood also. Moles are usually removed for cosmetic reasons.

Treatment options are:
1. Laser for congenital moles

Moles present at birth. eg: Naevus of Ota and Naevus of Ito.

2. Punch excision:

This procedure is done mainly for raised moles on the face after giving local anaesthetic injection. Fine sutures are used so that it will not leave any mark or scar on the face.

3. Radiofrequency:

Radiofrequency procedure can also be used for mole removal.

1. DERMAROLLER:
It is used as a primary method for hair fall treatment or as a maintenance therapy post-PRP treatment (or) Mesotherapy. It increases the penetration of topical medications that is used for hair growth. It can be once in 2 weeks for 4 to 6 sittings.

2. HAIR GROWTH TREATMENT:
Hair growth treatment differs for men and women. Initially scalp evaluation is done using Trichoscopy and based on relevant blood investigations and family history appropriate treatment is provided. Hair treatment can be in the form of topical lotions, hair serum, hair oil and tablets which enhances the hair growth. The root causes of hair fall mentioned below are addressed with utmost care and education about hair care and nutrition are given in our skin and cosmetic clinic.

• Anemia
• Nutritional deficiency
• Thyroid disorders
• Crash dieting
• Hormonal imbalances

3. HAIR TRANSPLANT:
Hair loss causes psychological distress in men and women. If the medical management fails to improve the hair growth in men and rarely in women, the alternative and permanent method of treatment, hair transplantation can be considered.

Hair transplantation is a surgical technique that removes hair follicles from one part of the body, called the ‘donor site’, to a bald or balding part of the body known as the ‘recipient site’. The technique is primarily used to treat permanent hair loss can happen due to several reasons, including types of AGA that is Androgenetic Alopecia in men and FPHL – female pattern hair loss which are androgen dependent

Types of Hair Transplant:
• FUE
• FUT

FUE:

In this method individual hair follicles are removed from the back of the scalp and transplanted to the front portion of the scalp where there is hair loss. Hairs at the back of the scalp are permanent and are androgen independent which serves as the basis for hair transplantation.

Advantages of FUE:
• Less downtime
• Cost effective
• No suture line

FUT:

In this method a strip of skin is removed from the back of the scalp and it offers a huge number of hair follicles that are dissected from the skin strip and it is transplanted to the front part of the scalp.

Advantages of FUT: • Avoids multiple sessions unlike FUE

BEFORE SURGERY:

PROCEDURE:

POST SURGERY:

4. MESOTHERAPY:
Mesotherapy is a painless procedure where US – FDA approved vitamins, minerals, amino acids and medications are injected into the middle layer of the scalp skin. It is done in multiple sessions either once in a week or once in two weeks for 6 to 12 months. Medications that can be used for hair are Biotin, Dexpanthenol, Gingko Biloba and Minoxidil. Thus Mesotherapy for hair prevents further hair loss and stimulates regrowth of hair naturally.

Treatment for the below issues:
• Chronic Telogen Effluvium
• Female Pattern Hair Loss
• Androgenetic Alopecia in Men

Benefits:
• Less dosage of medications used
• No side effects
• Cost effective
• Relatively painless procedure

5. PRP (Platelet Rich Plasma Therapy):
PRP is an advanced method of restoring hair growth in men and women. Patients own blood is used for this procedure. The patient’s blood is centrifuged and concentrated platelets which are 3 to 5 times higher are injected into patients scalp with fine needles after applying topical anaesthetic spray for 45 minutes. The procedure may last for 1 to 1.5 hours. It is done once in 2 weeks for 4 to 6 sittings.

Indications:
• Telogen Effluvium
• AGA
• FPHL
• Before and after hair transplant

Benefits:
• No side effects
• No downtime
• Can be combined with hair transplant surgery

BEFORE PRP: AT THE TIME OF PRP:

AFTER PRP

1. CHEMICAL PEELING:
Peels can be done not only for face and neck; it can also be done for nails too. Repeated manicure and pedicure, nail art practice, fungal infection, dermatological conditions like psoriasis, lichen planus affecting the nails can be treated by peels. So the lustreless, brittle, pitted, ridged nails can be changed to smoother, shinier, beautiful nails.

2. FUNGAL INFECTION TREATMENT:
Fungal infection can be treated by the below listed treatments & medicines,

• Topical lotions
• Nail lacquer
• Laser treatment can be done with Nd Yag laser for heat sensitive fungi
• Systemic treatment by tablets either daily dosage or convenient pulse therapy treatment

3. INJECTION TREATMENT:
Triamcinolone acetonide can be injected into nails with fine needle after numbing the finger with local anaesthetic injection or with dermajet machine which will be painless injection in conditions like psoriasis, lichen planus, twenty nail dystrophy after ruling out fungal nail infection by means of nail clipping and examination under the microscope.

4. NAIL BIOPSY:
If there is any abnormal growth in the nails, to rule out tumors biopsy is done. The small portion of the nail is removed and after staining, it is examined under the microscope.

5. NAIL LACQUER:
Ciclopirox Olamine 8% can be used as a nail lacquer which is applied on the nails with the use of brush in case of fungal infection of the nails and twenty nail dystrophy.

6. NAIL SURGERY:
Nail removal either partial resection or complete removal of nail is done for in-growing toe nails and also chemical cauterization is done for the nail matrix to prevent recurrence of in-growing nail and advice regarding nail trimming and nail care is provided.

1. BACKSHINE:
This service is meant for women especially before their wedding. Ladies who used to wear low back blouses and who doesn’t have a smooth back because of pigmentation and breakouts due to dandruff issues can undergo back shine service. The service comprises of microdermabrasion and pigment reducing peels. It is done at an interval of 2 weeks alternatively, where peel and microdermabrasion procedure each needs 2 sittings individually to improve the back and give the smooth and shiny texture.

2. BRIDAL PACKAGE:
It is customised according to the client’s need. The bridal package includes various services like Brightening Peels, Microdermabrasion, Mesotherapy and Photofacial rejuvenation. It is customised according to the client’s skin type and their need. Most of the times, it is a combination treatment comprising of Brightening Peel, Skin Polishing, Meso-Therapy etc.

Types of Packages:
• 30 days Package
• 60 days Package
• 90 days Package

3. CRYOLIPOLYSIS (Cool Sculpting):
Cryolipolysis or Cool Sculpting is a safe and effective method of freezing and eliminating stubborn fat. Many of us have stubborn fat despite diet and exercise. The Cryolipolysis procedure uses controlled cooling to target the fat cells underneath the skin. Over time our body eliminates the dead fat cells. Cool Sculpting is a proven technology to reduce body fat. The treatment is customised according to the patients need and the specific areas of the body to be treated. The results are long term and it eliminates fat which bothers you without any surgery.

Treatment for the below issues:
• Double Chin
• Bra Fat
• Belly Bulge
• Love Handles
• Muffin Top
• Back Fat
• Outer and Inner Thighs

Benefits:
• No downtime
• No pain
• Safe procedure
• No side effects

4. LIPOSUCTION:
Liposuction is a cosmetic surgery that removes excess fat from specific areas of the body and helps in reshaping and slimming of the body. The stubborn fat that is resistant to exercise and diet can be easily removed by liposuction.

What are the body areas that can be treated?
• Abdomen
• Waist
• Thighs
• Back
• Buttocks
• Neck
• Chin
• Upper Arms

Benefits:
• Multiple areas can be treated in one sitting
• Larger areas can be treated
• Consistent results

5. LIPOMA EXCISION:

Lipomas are benign tumours arising out of fat cells. The common sites of Lipoma are head and neck, shoulders, back and upper limbs. They are always painless, mobile and soft in texture. The overlying skin is always normal. Lipomas can be diagnosed clinically without any blood investigations and the removed tumour may be sent to laboratory for confirmation of diagnosis.

Treatments of Lipoma:
1. Simple Excision
2. Lipo suction
3. Non-surgical Excision

Surgical Excision:
• Incision and Pressure Method
• Punch Excision (or) Enucleation Method

Benefits of Punch Excision:
• No suture
• No scar

Liposuction:

Liposuction is removal of lipoma, where a large bore needle and a syringe is used for excision.

Non-Surgical Methods:

This involves multiple injections of different chemicals into the lipoma to reduce the size. Different chemical compounds that can be used for treatment are

1. Phosphotidylcholine ( PDC ) and Deoxycholate (DC )
2. Triamcinolon acetonide
3. Collagenases

Benefits of Injections:
• No sutures
• No scar
• Less downtime

6. LASER HAIR REMOVAL:
Unwanted hairs can be removed permanently by laser both in men and women.

Benefits of Laser Hair Removal:
• No need of waxing
• Pain free
• Permanent solution
• No side effects
• No burns
• No pigmentation
• Safe
• Cost Effective

Types of Lasers:
• Diode Laser
• Long – pulsed Nd Yag Laser

IN WOMEN:
Causes of excess hair over the face and body could be due to PCOS or it may be due to genetic reasons. If it is associated with polycystic ovaries it should be treated simultaneously with hormonal tablets to regulate menstrual cycle and lasers are done for hair reduction. If the patient is overweight, exercise and diet advice are given to reduce the weight.

Which Body areas lasers can be done?
• Face and Neck
• Under Arms and Chest
• Abdomen
• Bikini
• Hands and Legs

How the laser is done?

These laser works on the principle of selective Photothermolysis of melanin particle present in the hair follicles causing selective destruction of the hair follicle without damaging the surrounding skin. Laser is chosen depending upon the individual skin type and hair thickness.

IN MEN:
Men having excess hair all over the body can be reduced by permanent laser hair reduction without any pain. It is a safe and effective method to reduce body hair.

Which Body areas lasers can be done?
• Whole body
• Arms
• Chest
• Back
• Eyebrow shaping
• Beard shaping

How the laser is done?

It is done after shaving the hair and cleansing the area to be lased. Eyes are protected using an eye shield. Laser is done at 4 weeks interval for 4 to 6 sittings and after that maintenance treatment of one sitting every year can be done.

7. SEBACEOUS CYST REMOVAL:
It is a very common condition that occurs over the face, scalp and body. It is diagnosed easily by its appearance. It has a central punctum which shows the obstruction of the pilosebaceous duct. Usually it is smaller in size and soft to firm in consistency to touch. If it is infected it can enlarge in size and becomes painful in nature. When it is infected, surgical excision can be done only after treating the cyst with antibiotic tablets for 1 week to 10 days. In some cases even after removal recurrences are common.

Types of Treatments:
• Simple Surgical Excision
• Punch Biopsy Excision
• Radio Frequency Excision

BEFORE: AFTER CYST EXCISION:

8. VITILIGO SURGERY:
Vitiligo is an autoimmune disorder which causes white patches in the skin due to destruction of melanocyte (a color giving cell to the body). Vitiligo is usually treated by creams, tablets, phototherapy and camouflage.
When there is failure of response to medical line of management, surgical treatment is another option for treatment of vitiligo. Vitiligo Surgery can be done for cases of stable vitiligo. When there is development of no new vitiligo patches in the skin it is called as stable vitiligo. Depending upon the site, size of Vitiligo and surgery is chosen to match the surrounding normal skin.

Goals of vitiligo surgery:
• To bring back the near normal pigmentation that matches the surrounding normal skin.
• As vitiligo is considered a social stigma, surgical treatment helps to improve the social and mental wellbeing of the patient.

Surgical treatment options
• Miniature punch grafting
• Suction blister grafting
• Thin split thickness skin grafting
• Autologous non cultured epidermal cell suspension

9. TATTOO REMOVAL:
Tattoos anywhere on the body can be removed by laser. Laser tattoo removal is safe with less downtime as the laser technology has significantly improved in the recent years. The results are good with modern laser treatment.

Types of Treatments:
• Pico
• Nd Yag

Benefits:
• Safe procedure
• Less downtime

How much sittings required?

It depends on two main factors like color and depth of penetration of pigment that is used with tattooing. It can be diminished in 4 to 6 sittings. It is done at an interval of 1 month. The success of tattoo removal depends on the wavelength of laser that is used for different colors of tattoo pigment.

10. EAR LOBE REPAIR:
Partial or complete ear lobe tears are common these days because of the habit of wearing heavy ear rings and also because of aging.
After giving small injection, just below the ear lobes to numb the ear and repair is done either by suturing or by using glue method. Also the repair can be complete or partial leaving a small portion of the original hole to allow for wearing ear rings .If the repair is complete suturing of the tear then ear piercing has to be done after the suture removal.

11. EAR AND NOSE PIERCING:
It is done for cultural, religious and aesthetic reasons. Ear piercing is also done after ear lobe repair. Ear and nose piercing is done with a pistol or gun loaded with gold plated ear or nose rings. After a gap of 1 week they can wear their own ornaments. Ear piercing is done for children, women and also men by Gunshot ear piercing

Benefits:
• No pain
• No infection risk
• Safe procedure