'stable vitiligo'

Skin is abraded that is scraped and removed layer by layer over small areas (spot dermabrasion) or full face to treat facial acne scars, fine wrinkles, ageing face (rejuvenation), genodermatosis (trichoepitheliomas, facial angiofibromas, darriers disease, xeroderma pigmentosa), papular lichen amyloidoses, stable vitiligo, tattoo removal and hypertrophic lichen planus.

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.

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.

Lasers are high tech instruments used in the field of medicine over the past 50 years. Here the light energy is converted into heat energy to treat variety of skin conditions. In dermatology and cosmetology lasers are used to get rid of unwanted hair, to treat acne and its scars, remove birth marks (vascular and pigmented skin lesions), moles, tattoo, facial pigmentation, vitiligo, psoriasis, hypertrophic scars and keloids, striae, warts, benign skin growths (acrochordon), pre-malignant and malignant skin conditions, excisional surgery, resurfacing and non-ablative facial rejuvenation. It is also used for skin tightening and body contouring. Due to its advanced and sophisticated instrumentation with precise technology the results are aesthetically precise with nil or few side effects. Different types of lasers with their indications are : Long Pulsed Nd:YAG : for unwanted hair (laser hair reduction). Q Switched Nd:YAG : for removal of pigmentary lesions (Naevus of Ota, Melanocytic naevus, etc) and tattoo. IPL (Intense Pulse Light) : for Haemangiomas, port-wine stains, venous malformations, rosacea, telangiectasias, acne scars, facial rejuvenation, facial pigmentation, varicose veins. The Carbon Dioxide (CO2) and Erbium:YAG (Er:YAG) Lasers : appendageal lesions (trichoepitheliomas, sebaceous hyperplasia, epidermal naevi), facial scars (acne, chicken pox, traumatic), vascular lesions (lymphangioma circumscriptum, angiokeratoma), stable vitiligo (therapeutic adjuvant and before grafting), hyperkeratotic skin lesions (lichen amyloidosis, porokeratosis, verrucous epidermal neavus), pigmentation (melasma, lentigens), pre-malignant and malignant conditions (actinic keratoses, actinic cheilitis, leukoplakia, bowens disease, extra mammary Paget's diseases, erythroplasia of Queyret's, supercial basal cell carcinoma), photoaging, rejuvenation, rhinophyma, xanthelasma, rhytides and wrinkles.