HAIR FALL : CAUSES AND TREATMENT

Scalp has approximately 100,000 hair. Fall of upto 50 to 70hair per day is normal. Old hair keeps falling only to be replaced by new hair.Hair fall beyond 100 strands per day should propel one to seek medicalattention.

There could be various causes for hair fall. Finding thecause is the first step towards treatment.

  1. Nutritional deficiency: Lack of essential nutrients like iron, biotin, protein, vitamin D3 etc. in diet. People often claim to be very cautious and putting in every effort to eat healthy, but till the time one has these things in one’s kitchen – cooker, fridge and oven, one claim to be having nutritious diet falls flat since 87% of the nutrition is killed in food cooked in cooker. Similarly microwaves are strong enough to kill the nutrition in diet. Now did you realize why, almost everybody is having hair fall, dark circles, early whitening of hair, fatigue etc.

Chloroflorocarbons are supposed to be very dangerous for one’s health. These harmful gases are continuously emitted in the fridge. We keep food under these harmful gases and then consume them. Worst, after doing this day in and out we claim to be eating healthy.

SOLUTION: Add raw uncooked food to diet-sprouts, amla (Indian Gooseberry), almonds, dates, milk, soya, curd, lassi, gud(darker the gud better it is, whiter the gud bad it is) etc.

Take biotin supplements for three months after dermatologist prescription.

Get serum ferritin levels checked. In casethey turn out to be less than 40ng/dl, one is deficient in iron. Rememberdespite hemoglobin levels being normal one can have hair fall secondary to irondeficiency. Hemoglobin is the measure of iron in blood circulation, ferritin isthe amount of iron stores in body. If they are less, iron deficiency inducedhair fall would occur.

HAVE seeds, amla, dates, almonds etc every day .
  • Hormonal imbalance: Various hormonal imbalances can lead to hair fall.

Both, excess or less thyroid levels leads to hair fall. Get TSH, T3 AND T4 levels checked.

Polycystic ovarian disease: Excess of various hormones – Prolactin, FH, LSH, free testosterone, Insulin etc. leads to conglomeration of hair fall, obesity, acne, and irregular periods.

SOLUTION: A thorough checkup of all hormones and hormonal treatment balances the situation.

  • Androgenic Alopecia:It occurs due to hormone named testosterone. Here the amount of hormone is normal but the hair strands are sensitized to the hormone.Sensitized hair first gets thinned out and finally dies permanently. However it follows different pattern in male and females.

Male: Males start losing hair at the boththe frontal corners. Slowly the hair line recedes backwards.

Male : androgenic alopecia

Female: there is overall thinning of hairand widening of central partition. However there is no balding in women ever.Cheer up ladies!

Female pattern hair loss

SOLUTION:  Minoxidil 5% solution applied over scalp every night on dermatologist prescription would help further regression of hair.

  •  Chemical and heat damage: Advent of new era of hair treatments like rebonding, colouring, straightening comes with sure shot way to damaged hair.

SOLUTION: If you are fond of these treatments, get them only at the lower part of hair and never ever at the hair roots near scalp. Thus, one can prevent damage up to a great extent.

  • Stress: Stress releases various bunch of hormones which are bad for hair and skin.

SOLUTION: Resolve to take ten minutes off for pranayama (deep breathing exercises and meditation, travel to offbeat destinations, make time for your hobbies, write down your worries : it’s a great way to let all the bad emotions out which may be stifling inside making you uneasy.)

  • Recent illness: Any serious episode of illness, typhoid, malaria, surgery, hepatitis etc. will lead to severe hair fall three months after the illness. And not during or immediately after the illness.
  • Post pregnancy:A women gets amazing hair throughout pregnancy because of surge in estrogen hormone. Immediately post-delivery, she suffers from severe hair fall that’s because of sudden withdrawal of hormones. This hairfall lasts for 6 to 18 months. Nothing to panic, it all get normal in due course of time.
  • Crash dieting: Fad for size zero compels many to opt for crash dieting .It severely affects  there nutritional supply leading to hair fall.

SOLUTION: Popping up multivitamin pills to make up for the loss and gorging on healthy diet is the way out.

Hope this helped you figure out your causefor hair fall.

BLOG – DR ANVIKA     

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WHITE HAIR : CAUSES AND TREATMENT

Hair turning white before forties is a growing concern amongst youth. Continuous formation of oxygen free radicals in body due to stress, nutritional deficiency, heat and chemical exposure etc. is the prime reason. Oxygen free radicals exhaust the black color producing cells in hair giving rise to white hair. Thus, treatment should aim at reducing free radical formation and their continual flushing out from body.

WHITE HAIR

Resorting to various detoxification remedies on regular basis would help flushing them out. Details of various detoxification methods to be done at home are mentioned in our detoxification blog. To reduce their formation following things need to be followed:


1. Stress: Excess work and less energy to accomplish the same give rise to stress. A great deal of energy is lost by over thinking mind. Meditation is the best way to give some rest to mind and restore the lost energy. Pranayam like anulomvilom and kapaalbhati are other deep breathing exercises done regularly help control anxiety a long way.


2. Nutritional deficiency: Especially because of eating too much junk, packed food, bassi/stale food and consuming food kept in fridge or cooked in microwave and cooker.

Try to eat fresh and not bassi food cooked over three hours. Check our food blogs on our website for amazing ways to transform your food habits the healthy way without compromising on taste.

Try to add as much raw food as possible to your diet, vegetable soups, fruit, fruit juices, sprouts etc.

 
3. Chemical damage by shampoos and saloon treatments like hair colour, rebonding, straightening etc.

Switch to chemical free indigo leaves based hair dyes. Use SLS free shampoos.

4. Heat damage: Use of blow dryer and sun exposure, exposes hair to excessive heat.

To cut down the heat exposure by a blow dryer use the one with attached comb and restrict its use to 15 seconds every day. Using the one with attached comb gives you the advantage of blow drying the entire mane in 15 seconds thus reducing the heat exposure greatly. Cover hair with scarf when out in sun.

5. Another common observation is, people with sinusitis having white hair with greater frequency.

Do pranayam (deep breathing excercises ) regularly to cure sinusitis. Once it’s cured the occurrence of white hair would be halted.

TREATMENT

 
Allopathy doesn’t have an effective cure.

Ayurvedic remedy 
1. Take 50 gms of coconut oil, take 5 pieces of amla and heat the oil till amla turns black. Cool oil and store it in a bottle. Apply three times a week overnight before washing it next day.

2. Take 4 table spoon of Amla powder. Add water and lemon juice. Mix till a paste like consistency is formed. Apply for 20 minutes on hair and scalp before head wash. Wash it with plain water avoiding shampoo. Do it twice a week.

3. Eat lots of amla or amla juice every day.

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Salicylic Acid : Chemical Peel Uses

                                                               WHAT IS SALICYLIC ACID?

It’s a beta hydroxyl acids. Available in market in white crystal forms.

HOW DOS IT HELP SKIN?

It works on skin in following way:

  1. Salicylic acid gets into the oil glands and reduces oil production. Thus helps clear off acne.
  2. It kills the bacteria causing acne.
  3. It exfoliates the superficial dead layer of skin. Thus, opens the clogged pores. This helps in treating comedones and acne. Also helps in treating pigmentation. That’s because the increased pigment in superficial dead layer is also removed.
  4. By exfoliating the superficial dead layer it brings a natural clarity and glow to skin.

FOR WHAT SKIN PROBLEMS IS SALICYLIC ACID PRESCRIBED?

Salicylic acid is prescribed for: melasma, general skin glow, acne , acne marks .

WHAT CAN BE THE SIDE EFFECTS?

If higher concentration is applied, it may burn the skin. Even when right concentration is applied the wrong way, skin burns might happen. This emphasizes the importance of getting peels done from a dermatologist. And not at saloon and spa.

WHAT ARE THE PRECAUTIONS?

Avoid bleach 5 days post salicylic acid peel application.  After that one can go ahead with peel.

Avoid saloon facials for 5 days post salicylic acid peel.

Pregnant ladies should not use skin care products using salicylic acid .

CAN ONE NOT GO OUT IN SUN AFTER SALICYLIC ACID PEELS?

It’s not that one cannot go out in sun. But avoid direct sun bathing for 5 days post salicylic acid peel like on beach holiday or sun bathing in winters. One can go out in sun to do routine work.

WHAT ARE SKIN CARE PRODUCTS IN WHICH SKIN CAN GET BENEFIT OF SALICYLIC ACID?

Facewashes : Face wash containing 1 to 2 percent salicylic acid are easily available as OTC.

Creams and gel: Creams and gels containing 1 to 2 percent salicylic acid are available on dermatologist’s prescription for home care use.

Chemical peel:  Salicylic acid in 20 to 30 percent are done at dermatologist clinic at 10 days interval.

WHAT ARE THE BEST SALICYLIC ACID PEELS?

Various Salicylic acid peels are available by different brands. But the best are the ones which are freshly prepared. At our clinic every time a fresh salicylic acid peel is made for every patient.  Salicylic acid peels absorbs  moisture from air and gets diluted. Thus it’s efficacy decrease every time the bottle is opened. This explains why a freshly prepared peel is the best.

Salicylic Acid Peel
                       salicylic acid peel

WOULD CONTINUOUS USE OF SALICYLIC ACID PEEL  LEAD TO THINNING OF MY SKIN?

Absolutely not . Peels removes superficial dead layers of skin. which are eventually replaced by a new layer formed underneath.

                    salicylic acid peel

 

BLOG – DR ANVIKA

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DIFFERENCE BETWEEN BOTOX AND FILLERS

Botox and fillers are all together different things serving a different purpose.

 

WHAT  ARE BOTOX AND FILLERS MADE OF:

BOTOX: Botox is a protein available in powdered form in a bottle.

FILLER: Filler is transparent gel made of hyaluronic acid. It’s available in pre filled syringes.

Filler: Transparent gel containing syringe

 

 

 

Botox: Powdered form in a bottle which after adding  to saline water  is loaded into syringes.

 

BOTOX AND FILLERS SERVE DIFFERENT PURPOSE

BOTOX: Botox is injected into the muscles to relax them.  When muscles contract the overlying skin is thrown into fold giving rise to wrinkles. When muscles relax post botox, the overlying skin also relaxes giving a smooth wrinkle free appearance.

Botox: Erases lines which come while making facial expression

BOTOX RESULTS

 

FILLER: It’s a transparent gel available in pre- loaded syringes. When young, face is like a ripe grape, as we age, it loses volume and shrinks to become a raisin. So the wrinkles and volume loss is filled with transparent gel giving an instant filled up affect.

Filler : Used to fill depressions

 

FILLERS IN UNDER EYE REGION

 

 

 

BOTH HAVE DIFFERENT LONGEVITY

Filler effect lasts for 12 to 16 months.

Botox results last for 4 to 6 months.

BOTH GIVE THE RESULTS AT DIFFERENT TIMINGS

Botox results are visible at 7 day post injection.

Fillers give instant results.

SIDE EFFECTS OF BOTOX AND FILLERS

Both are safe provided done using high quality products and done by an experienced person having complete knowledge.

Botox done properly doesn’t have a side effect. It can create problems only when not injected into the right muscle. The near by muscle which we didn’t intent to get relaxed gets relaxed by botox migration or direct injection into it. For example: while trying to relax forehead muscle, upper lid muscle may get relaxed and may lead problems in eye opening. But the good part is, the effect anyways wanes off in 3 to 6 months.  And injecting into wrong muscle doesn’t happen when done by an expert. So nothing to worry.  Such cases are rarely reported.

Fillers: Mild swelling and bruising might occur post injection. It goes off in few days time. Rarely filler might get into blood vessels and occlude them. It might stop the blood supply to concerned region and lead to ulcer formation in that region. But all this can be prevented by timely intervention. Hyaluronidase can be injected on suspicion of such things. It immediately dissolve the filler and release the blockage.

 

BLOG – DR ANVIKA

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GLUTATHIONE – SKIN WHITENING TREATMENT

Fair skin is considered a mark of superiority. It’s an obsession among st dark Asian races. No wonder research is at peak to find wonder molecule for fairness. Glutathione is the latest breakthrough in this regard.

Glutathione is a natural anti oxidant which is produced in liver with help of three amino acids- L-cysteine, glycine, and L-glutamate.

Giving glutathione to a patient suffering from cystic fibrosis lead to an accidental discovery of it leading to fairness.

Fresh fruits, vegetables, and nuts are natural sources of glutathione. Tomatoes, avocados, oranges, walnuts and asparagus are some of the most common edibles that help to increase levels of glutathione in the body. Whey protein is another rich source of glutathione.

WAYS OF CONSUMING GLUTATHIONE

Glutathione can be consumed in various ways:

Oral tablets: to be taken 1000mg per day for three months, then given a break of two to three months. Restart for another two months.

Efficacy after oral consumption is questionable as various studies shows variable absorption into blood. Glutathione once consumed needs to be absorbed through intestine into blood. Its absorption through intestines is questionable, thus inject able forms is preferred.

Sublingual sprays: better than oral and cream form since there is direct penetration into blood, bypassing the intestines.

Injections: To be given intravenously, once a week a minimum dose of 1200 mg, for at least ten weeks.

Glutathione Injection

Creams: Doesn’t seem to be promising as penetration into skin is questionable.

Soaps: Doesn’t seem to be promising as penetration into skin is questionable.

Glutathione Soap

 

HOW DOES GLUTATHIONE WORK AND WHAT RESULT CAN ONE EXPECT?

Various internal and external factors lead to formation of oxidants in body. Oxidants are the main culprit leading to diseases, ageing and wear and tear in body. Glutathione is the main scavenger of these oxidants. Thus it’s called master antioxidant. By depleting the oxidant load in body, its makes one feels more energetic. Also one can appreciate the skin glow and brightness.

As far as its results in skin whitening are concerned, results are variable.

WHAT IS THE MOST EFFECTIVE WAY OF CONSUMING GLUTATHIONE

Injections are the most effective way, since 100 percent of the drug is available

WHAT ARE THE SIDE EFFECTS

Oral glutathione capsules are considered generally safe by US FDA.

Inject able glutathione is not given approval by US FDA for its safety. That means enough scientific data is yet not available to consider it safe. Though, considering the demand for these injections, they are given rampantly all across the globe. In my personal experience and the experience gathered from my colleagues, we dint come across any major side effects. All we came across were temporary urticarial red rashes, and breathlessness. Breathlessness may have been caused due to slight vasodilatation which glutathione causes. However, here is the list of side- effects which might occur due to glutathione injections.

Thyroid imbalance, kidney failure, Steven Johnson syndrome : it’s an allergic skin reaction where the entire skin slowly peels off almost like that of a burn injury patient.

WHAT IS THE MAINTENANCE SCHEDULE

There is no fixed protocol for same. After 10 to 20 i.v. injections, one can consume oral glutathione to maintain the results or get few injects every 3 to 4 months interval.

 

BLOG – DR ANVIKA

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TCA : CHEMICAL PEEL USES AND BENEFITS

WHAT IS TCA PEEL?

TCA stands for trichloro acetic acid. It available in white crystals forms.

 

HOW IS TO BE DONE?

A thin and even layer of TCA peel is applied all over face. Immediately a burning sensation is felt. It goes off in 2 to 3 minutes. A white frost is formed. White frost turns black next day. These black crusts keep falling in next 3 to 6 days.

          TCA : WHITE FROST

CAN ONE DO TCA  AT HOME?

Never ever try doing it at home. Done properly it’s a miracle chemical, gone wrong it can burn the face. So it’s very important to get it done by an experienced dermatologist who is using high quality TCA peels.

 

WHAT IS THE RECOVERY TIME?

Black crust forms the next day. They keep falling own its own for another 3 to 6 days time.

                 TCA : CRUSTS

 

IS IT SAFE?

Yes provided done by an experienced dermatologist, who has complete knowledge about TCA peel.

              BEFORE TCA
AFTER TCA SINGLE SESSION  : DETANNING , GLOW AND REDUCED SKIN MARKS CAN BE APPRECIATED JUST AFTER SINGLE SESSION. 

WHAT ARE THE USES OF TCA PEEL?

It can be used to treat melasma (chiyaan), black spots left after acne, to remove tan .

             BEFORE TCA

AFTER TCA : SINGLE SESSION , SOME CRUSTS PEELING OFF CAN STILL BE APPRECIATED AT THE SIDE OF EARS.  VISIBILY REDUCED TANNING AND MARKS.

WILL PEELS THIN MY SKIN?

No, they don’t. New skin keeps forming from beneath to replace the superficial layers. It’s an ongoing process, which continues throughout life.

 

CAN ONE GO OUT IN SUN AFTER PEELS?

It’s better to avoid sun for a week post treatment. Especially direct sun bathing and beach holiday. For general work one can go out in sun after taking proper sun protective measures like covering face with scarf or sunscreens.

HOW MANY SESSIONS ARE RECOMMENDED?

We recommend around three sessions scheduled every 15 days apart.

ARE THE RESULTS PERMANENT ? 

In case done for acne black marks , they wont recur.  Melasma can recur . It’s advised to take a single maintenance session once every three to four month after initial three sessions.

    MELASMA RESULTS AFTER TCA

 

 

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VITILIGO TREATMENT: MICROPIGMENTATION

 

WHAT IS MICROPIGMENTATION

Micropigmentation is a technology where colors are filled in superficial layers of skin. They are natural colours . Put into skin with help of a machine. The colours remain there for around 12 to 24 months.

HOW MICROPIGMENTATION DIFFERENT FROM TATTOO

Tattoo colours have metals in them. Colours used in micropigmentation are natural. Also the needle width is too large in tattoo as compared to ones used in micropigmentation. Micro pigmentation needles are very fine.

Micropigmentation looks very natural as compared to a tattoo result.

IS IT PAINFUL

It’s done after local anesthesia, thus is rendered comfortable for person.

HOW MANY SESSIONS ARE REQUIRED?

Two sessions done a month apart.

FOR HOW LONG DOES THE COLOUR STAY

After the initial two sessions colour stays for 12 to 24 months. Post that a person requires a single touch up once every two months.

ARE THERE ANY SIDE EFFECTS

The technology doesn’t have side effects. But almost similar colour match is important.

WHAT CAN MICROPIGMENTATION BE USED FOR

Micropigmentation can be used to cover vitiligo patches, scars, stretch marks, to give natural pink colour to dark lips.

HOW IS COLOR MATCHING DONE

It’s done by hit and trial. Various shades re mixed till one reaches the shade similar to person’s natural colour.

HOW MUCH TIME DOES IT TAKE

Time required depends upon the area to be covered. It can take somewhere between half an hour to three hours.

VITILIGO TREATMENT WITH MICROPIGMENTATION

WHAT ARE THE POST CARE INSTRUCTIONS

There might be little swelling and pain post procedure for few days. It goes off completely in few days.  A topical antibiotic and moisturizers are prescribed.

                    Micropigmentation Lips

CAN ANYBODY WITH VITILIGO GET IT DONE

No. In case vitiligo is active and still spreading. Then micropigmentation is not the answer. Micropigmentation is advised when vitiligo is stable i.e. no new patches have occurred since a year.

 

 

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BOILS: CAUSE AND TREATMENT

WHAT IS A BOIL?

Infection of the hair follicle in the skin is called folliculitis. In common language it’s called boil. When few adjacent folliculitis blends, it gives rise to a larger boil medically it’s called furuncle.

                                  Boils

 CAUSES OF BOIL

Through impaired skin barrier, a cut or an abrasion microorganism enters the skin. It proliferates in oil gland lying next to hair. Microorganism releases substances which give rise to swelling and pain.

Most common causative bacteria is: Staph Aureus. It’s a part of normal flora on skin. Though it’s majorly present around nasal nares and anus.

At times, fungus too can cause folliculitis. It mainly affects back. Then it’s called pityriasis folliculitis.

Though it can affect any part of body, butts, pubic region and axillae are commonly afflicted. People with low immunity, diabetics, malnourished, alcoholics etc. are more prone.

                            Folliculitis

WHAT IS THE TREATMENT FOR BOILS:

  1. Hot fomentation i.e. cotton swabs soaked in warm water placed over lesion several times a day.
  2. Topical antibiotics like soframucin, mupirocin etc. prescribed by doctor.
  3. Oral antibiotics may also be required at times.
  4. If boil is deep within skin, a surgical drainage is advised.
  5. Application of mupirocin ointment at nasal nares and anus region twice a day for first five days of every month for six months would eliminate the hidden source of Staph. Aureus infection. By doing so chances of recurrences are reduced.
  6. Maintain general hygiene, by changing clothes twice a day, bathing twice a day with antibiotic soaps containing triclosan eg: Soapex.
  7. In case, dermatologist suspects, folliculitis to be of fungal origin, a course of topical and oral antifungal is advised.
                          Carbuncle

If a boil is ignored, infection may penetrate deep into skin. It can also spread through blood to entire body causing septicemia.  Long lasting follicilitis and carbuncle may leave scars and marks too. Thus, it’s important to seek medical advice well on time.

 

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SKIN FUNGAL INFECTION : CAUSES TREATMENT

 

Fungus proliferates in moist and damp environment. Thus, most commonly affected sites are under breast, groins and underarms. Sweat accumulates here and ventilation is least. Both these factors provide an excellent breeding ground for fungus to proliferate.

General advice for prevention of skin fungus infection;

  1. Wear loose cotton clothes. Thick fabrics especially denim are made for countries under snow for most of the year i.e. USA and Europe. Wearing them in hot and humid countries like India would lead fungus proliferation. Since they don’t allow skin to be well ventilated. Also, adds to sweat production. That again facilitates fungus proliferation.

 

  1. Keep the skin dry especially over groin region. Use tissue paper to pat dry after using the washroom. If one let the region wet, it invites fungus growth.

 

  1. Never ever use steroid based cream to cure skin fungus infection. Betnovate, Candid B, Quardiderm etc. all contains steroids. They do cure your fungus infection initially, but the moment you stop using them, disease flare up like never before. Also the fungus then becomes resistant to anti fungal treatments.

 

  1. Complete the anti fungal course prescribed by a dermatologist. People get a major relief in the problem after two weeks of treatment. Thus, they stop the treatment. Even though the doctor would have prescribed it for a month. One got relief because 80 percent of the fungus has been killed. What one need to remember is that 20 percent is still left. If one stop the medicine half way this 20 percent would proliferate to become 100 percent. Thus it’s very important to complete the course and stop medicine only after a dermatologist’s advice.
tinea corporis
  1. Anti fungal medicines. Combination of oral tablets and creams would be prescribed by the dermatologist. Like Terbinafine, Itraconazole, Grisofulvin etc. Never resort to self medication. It can do more harm than good.

 

  1. Antifungal soaps containing ketaconazole too are advised for a month.

 

  1. Potassium permagnate , a pinch should b put in a mug full of water. Pour this over your body as the last rinse. No need to put normal water after this. This too is helpful as an adjuvant therapy when don for a month.

 

Fungus is infection has become so rampant in India. That it should be declared as an epidemic. People are suffering from it since last 4 to 8 years continuously at stretch. Major reason behind this is misuse of steroids. Steroid creams are easily available over the counter. People use steroid based cream without dermatologist advice on local chemist or friends’s suggestion. Thus , stop doing this. Talk to your dermatologist and take proper treatment.

 

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