'dermal fillers'

It is a process of inducing peeling of the superficial surface layers of the skin with various chemicals such as Trichloro Acetic Acid, Glycolic Acid, Lactic Acid, Salicylic Acid, Retinoic Acid, Jessner's Solution, Phenol and recent newer peeling agents (Black peel, Yellow peel, Miami peel etc.) to treat facial hyperpigmentation, acne, freckles, superficial scars, dilated pores, rough texture, dark undereye circles, underarms, back. It can be carried out over the affected area or tulltace.

Acne is commonly seen in young adolescents affecting both males and females equally due to hormonal changes occurring at onset of puberty. It not only causes psychological stress to the patient because of its cosmetic disfigurement affecting the face but may also cause withdrawal from social interaction. Long term sequelae include acne scars, keloids, post inflammatory hyperpigmentation, etc, thus wanting an early and detailed workup (medical and surgical) for the same. A detailed interactive patient counseling and medical line of treatment is combined with special surgical procedures which include comedon extraction (clean up, removal of black heads, etc), cryoslush, cryoroller, chemical peeling, microdermabrasion and photodynamic therapy with blue light. Adjuvant hormonal therapy is administered for females having acne, androgentic alopecia, hirsutism, obesity, menstrual irregularities to treat Polycystic Ovarian Syndrome (PCOD). Acne scars (pits on the face) are unsightly and of varied types causing cosmetic disfigurement. Acne scar surgery is dependant on the type of scars and these surgical modalities can only reduce and oblivate them. Acne scar surgeries include - chemical peeling, CROSS (chemical reconstruction of skin scars) technique, subcision and undermining, acne scar revision, microneedling with dermaroller, microneedle radio frequency, microdermabrasion, dermabrasion, lasers (fractional, ablative and non-ablative), fillers and autologous fat transplant.

Minute dosages of nutrients (vitamins, minerals, amino acids, plant extracts), enzymes and hormones are introduced into the affected areas either manually (micro-injections) or by mesoguns. It is used for facial rejuvenation, (mesoglow), skin tightening (mesolift), hair loss (male and female pattern alopecia), hyperpigmentation (melasma, undereye dark circles) and to treat localized excess fat deposits and cellulite.

These are extra tissue growths which are commonly seen after traumatic/ surgical wounding or may follow ear-piercing / idiopathic (keliod only). They are painful, itchy & may get secondarily infected at high recurrence rate. They not only cause cosmetic disfigurement but may also lead to contractures & limb immobility. Surgical modalities include combination techniques such as debulking of tissue with scalpel, Radiofrequency, Liquid Nitrogen Cryosurgery, Laser along with Intralesional injections & silicone pressure dressing / garment.

Hair restoration surgeries such as Follicular Unit Transplant (FUT) and Follicular Unit Extraction (FUE) using patients own hair from scalp or other body parts are carried out using 1500 to 3000 micrografts (single/multiple/mega sessions) for treating male and female patterned hairloss (common baldness) and cicatricial (scarring) alopecia. FUE is also used for cosmetic correction of leukotrichia (white hair) of eyebrow and eyelashes in vitiligo.