'pincer nail surgery'

Replacement of the lost skin due to injury, removal of tumours, burns, non-healing ulcer done by transferring autologous (patients own) healthy skin from donor sites. It is carried out as full sheet grafting or as multiple small pinch grafts.

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.

Electrical energy is used in the form of electrofulguration / desiccation / coagulation for treating warts, skin tags, milia, seborrheic keratosis acne and its scars and small benign growths. Radiosurgery it is a sophisticated electrosurgical method where radio-frequency waves are used to treat – skin conditions as mentioned in electrosurgery. It also has got additional electrosectioning mode which is used for cutting the tissue and removing moles and small skin tumours with superior aesthetic results.

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.

Vitiligo is a condition in which pigment is lost from part of the skin seen as depigmented (white) patches. Vitiligo has a psychosocial impact in India. Beginning with explanation of the disease and varying treatment modalities available patient counselling and reassurance form an important spectrum management of vitiligo. Medical line of treatment is combined with Ultraviolet A, Narrow Band Ultraviolet B, targeted Narrow Band Ultraviolet B irradiation, Excimer Lamp along with advanced lasers for complete and faster recovery. Non-responsive stationery patches are surgically treated with basic miniature punch grafting, suction blister, therapeutic wounding (needling, phenolization, laser ablation and manual dermabrasion), tattoing to advanced surgeries like Thin Thiersch Skin Grafting, Ultra Thin Skin Grafting, Melanocyte & Keratinocyte cell suspension and follicular unit extraction.

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.

• Dermal Fillers (soft tissue augmentation) for depressed scars, wrinkles, creases, lip sculpting, dermal atrophy, angular cheilitis, periocular melanoses, sunken eyes, AIDs lipodystrophy. • Botulinum Toxin (BOTOX) prevention and amelioration of dynamic wrinkles, hyperhidrosis(excessive sweating). • Microdermabrasion - Facial rejuvenation(rough texture, dyschromia, actinic damage, superficial rhytides, comedonal acne, superficial scars. • Electroepilation • Mole Surgery • Ear, Nose & Body Piercing • Earlobe Repair • Decorative Cosmetic Tattooing • Iontophoresis