'form'

Skin is the largest organ of the body. Functions of the Skin: • It helps us perceive stimuli such as touch, heat, cold, pain. • It regulates temperature & also helps in the metabolism of vitamin D. • It protects the underlying structures by forming a mechanical barrier & also acts as a UV alter & protects from sun damage. • Factors like pollution, sun rays, stress, irregular food habits, inadequate sleep etc. contribute to skin damage & premature aging of the skin. Thus, it is important to take mair pare of one's skin. Pasie skin care does not inveive use of expan: he cosmetics & ameries. One has to follow a very simple regime for skin • Diet : A well - balanced, regular diet along with adequate amount of water is all that you need, one must avoid so called junk food, too much of starvation in the form of dieting & eating at odd irregular hours. • Exercise : at least 30 minutes of aerobics, walking, jogging or cycling at least 5 times a week is essential for a healthy skin. • Sun protection : UVA & UVB rays could be harsh on the skin & cause photo damage in the form of increased pigmentation, freckles, premature ageing, wrinkling, sagging & even skin cancer. • Photoaging : Photo-pigmentation, wrinkles sagging skin can be delayed with generous use of sun screens. • Use a sun screen with an SPF 30 at least 30 minutes before sun exposure and then every 2 hourly during day time. Higher the SPF better it is as people don't apply adequate amount of sun screen. • Use an umbrella or a broad brimmed hat / cap / scarf for sun protection.

prevention and amelioration of dynamic wrinkles, hyperhidrosis(excessive sweating)

Local freezing of tissue (-20°C to -196°C) is carried out with cryogens (freezing substances) such as Carbon Dioxide Snow and Liquid Nitrogen to treat warts, molluscum contagiosum severe acne and its scars, keloids, leukoplakia, actinic keratosis and to destroy early lesions of skin malignancies.

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.

1) Podophyllin - for condyloma accuminata, plantar warts, superficial epithelioma & keratoses. 2) Trichloroacetic Acid - warts, pyogenic granuloma, molluscum contagiosum, xanthelasma, skin tags, seborrhoeic warts, actinic keratoses, freckles, lentigines, stable vitiligo, post inflammatory depigmentation and icepick / pitted scars. 3) Phenol / Carbolic Acid - As local cauterant for warts, molluscum contagiosum, lichen simplex chronicus, prurigo nodularis, xanthelasma palpebrum, pyogenic granuloma, epidermal cysts, steatocystoma multiplex, earlobe repair (split ear), angiokeratomas, mucous cyst, ingrown toe nail. - As a spot peelant (focal chemical peeling) acne scars, freckles, lentigine, lichen simplex chronicus, stable vitiligo, alopecia areata.

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.

Various drugs (corticosteroids, 5 flurouracil) are directly delivered into the skin lesions through injections. It is used for lichen simplex chronicus (chronic thick eczema patches), cystic acne, alopecia areata (localised hair loss), hypertrophic scars and keloids, hypertrophic lichen planus. Drugs can also be injected into the nail matrix.

Nail surgeries are carried out on nail unit and consist of nail avulsion that is nail plate removal (for treating underlying warts, glomus tumours), lateral nail matrix phenolization (for treating ingrowing nails), nail matrix and bed biopsies (for diagnostic purpose), intra-matrix injections (for treating psoriasis and lichen planus), drainage of paronychial as subungual abscess or haematoma, pincer nail surgery, myxoid cyst removal. Nail avulsion is also carried out as an adjuvant therapy along with medical treatment for dermatophyte infection that is fungal infection of nail.