DARK LIPS : CAUSES AND TREATMENT

                                                                       

HOW DO LIPS TURN DARK?

Causes of dark lips can be:

  1. Inadvertent lip licking
  2. Use of cheap lipsticks, especially the ones containing lead
  3. Hot beverages- tea , coffee
  4. Smoking

HOW CAN DARKENING OF LIPS BE PREVENTED?

  1. Avoid lip licking. Many of us keep licking our lips unknowingly. Saliva can make lips turn dark.
  2. Switch to chemical free organic lipsticks (checkout – organistick .com to order organic lipsticks online). Lead and other heavy metals in lipsticks turn lips dark.
  3. Avoid hot beverages.
  4. Bid goodbye to smoking- (have sulpher 1000 – a homeopathic medicine , a drop on tongue , empty stomach in morning for three consecutive days, and then once a week thereafter for few weeks ). It would help reduce your urge to smoke.

HOW TO TREAT DARK LIPS?

Treatment of dark lips involves two methods:

LASER: Nd:Yag Q switched laser would work. No creams or pill would work. Skin lightening creams won’t penetrate deep enough into skin to bring about results. Skin lightening lasers penetrate deep enough to bring results.

MICROPIGMENTATION: A natural pink colour is inserted into superficial layers of skin which the help of a machine. Complete procedure takes around two hours. Since done under local anesthesia procedure is rendered painless. A touch up session is done after a month. Post that colour remains for a year or two. After that a person can chose to get a touch up once every two years.

LIPS MICROPIGMENTATION

HOW DOES ND: YAG LASER WORK?

Nd: Yag laser emits light in 1056 nm range. It gets absorbed by black color containing cells in lips. Light gets converted to heat energy. This heat blasts the cells releasing the black pigment. Which eventually gets cleared off by the blood vessels leading to lip lightening.

HOW IS LASER DONE FOR LIP LIGHTENING ?  HOW MUCH TIME DOES IT TAKE?

Numbing cream is applied over lips for an hour. Laser shots are given to concerned dark lip areas. There is an immediate slight swelling.  It settles down in next few hours. Crusts are formed next day which shed off in next 4 to 5 days time. When they shed off, they take off the blackish discoloration of lips along with them.

HOW MANY LASER SESSIONS ARE REQUIRED?

3 to 4 sessions done at fortnightly interval.

IS LASER SAFE FOR LIP LIGHTENING?

Absolutely safe, provided done by a dermatologist using US FDA approved laser (not Chinese). Never get lasers done at saloon or spa.

IS LIP MICROPIGMENTATION SAFE?

It’s very safe, provided new unused needle is used. And good quality colors are used.

WILL LASER AND MICROPIGMENTATION PAIN?

Since both procedures are done after local anesthesia, both procedures re painless.

IS THERE ANY POST TREATMENT HEALING TIME?

LASER: Mild crust formation would be there post treatment, but that can be easily hidden with lipsticks. Crust fall off in next 3 to 5 days time. After every session there would be mild crust formation.

MICROPIGMENTATION: Initially the colour is dark. 70 %of colour fades off after 2 to 3 weeks. Whatever 30 % is left remains or a year. It looks very natural. Swelling is present post procedure for two to three days. Also peeling off of superficial layers is noticed post few days after the procedure. A lip balm and antibiotic is prescribed after the procedure for few days.

lips micropigmentation

WILL THE LIPS DARKNESS RETURN?

That depends. One needs to avoid the cause. If at all darkness returns, it would be at very slow pace. So what I recommend is a single laser session once a year to clear off whatever new pigmentation lip have accumulated.  No repeat sessions cause no harm since laser never penetrates beyond skin.

 

HOW TO GET PINK LIPS FOR MEN?

Both the procedures are both men and women.

BLOG – DR ANVIKA

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                                                                                CHEMICAL PEELS – SKIN GLOW

WHAT IS A CHEMICAL PEEL?

Chemical peel is a liquid applied to skin for it’s rejuvenation. Word chemical peel is a misnomer. It’s concentrated fruit acid extracts derived from fruits. Glycolic acid is made from sugarcane, lactic acid peel from milk, so on and so forth.

CHEMICAL PEELS

WHAT ARE THE USES OF PEELS?

When applied to skin it:

  1. Removes the superficial dead layer. Topmost dead layer should be removed at frequent intervals to allow better penetration of skin care products. Also, to give instant skin clarity.
  2. Hydrates the skin.
  3. By removing dead skin and hydrating it, its leaves the skin clear and rejuvenated.
  4. In case of oily skin, reduces oil production.
  5. Kill pimple causing bacteria. Thus helps cure acne.
  6. They remove skin pigmentation. When superficial dead skin is removed, pigment deposited is removed along the way.
  7. Long run, if one is regular with peels, it delays ageing by boosting collagen production in skin.
ACNE TREATMENT WITH PEELS

HOW ARE PEELS DONE?

A liquid is applied to skin with a brush. It’s left for few minutes.  Slight burning sensation is felt.  Then it’s neutralized and removed with a neutralizer.

WHAT ARE PEELS SIDE EFFECTS?

If done by a doctor using high end products, following all necessary instructions, chances of side-effects are nil.

DOES PEEL HURT?

No, slight burning sensation is felt when peel is applied which goes off when peel is removed.

WHAT ARE THE TYPES OF PEELS?

Peels are of two types:

Superficial peels:  Peels off the superficial layers, and peeling at microscopic level so not visible to naked eyes.

Deep peels: Peels penetrate deeper into skin, and leads to visible peeling.

Chemical Peel

ARE THERE ANY POST PROCEDURE PRECAUTIONS?

Person can resume normal life immediately post procedure. Regular use of moisturizer and sunscreen is advised for a week. Also avoid any other chemical treatment on face like bleach, facial etc. for a week post procedure.

ONCE I STOP TAKING PEELS, WOULD MY SKIN BECOME WORSE?

Not at all. Once the effect wanes off after 12 to 18 months, one is back to where one started from, never at -1. So getting repeated sessions is purely out of choice and never out of dependency on the procedure.

HOW ARE THE PEELS SESSIONS SCHEDULED?

Depending upon the indication and type of peel used, 3 to 5 sessions are suggested. They are scheduled every ten to fifteen days.

WHAT ARE THE TYPES OF CHEMICAL PEELS?

There are various types of chemical peels:

  1. Glycolic Peel
  2. Salicylic Peel
  3. TCA Peel
  4. Lactic acid Peel
  5. Jessner’s Peel

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                                                                     BOTOX : WRINKLE REMOVAL

WHY DOES ONE NEED BOTOX?

Look in to the mirror and make following facial expressions. Botox is used to erase facial lines formed on making these expressions. These lines gives other person an impression of aging . thus removing them makes on face look rested and calm.

  1. Smile: Fan shaped lines developing around eyes on smiling are called CROW FEET.
  2. Frown (expression one makes when angry) – Vertical lines developed in centre of forehead are called FROWN Lines.
  3. Raise your eyebrows- Multiple horizontal parallel lines developing at forehead are called FORHEAD lines.
  4. Raise your nose- Lines formed in the center of nose is called bunny lines.
  5. Blow your lips out: Lines formed around lips are called smokers’ lines.
  6. Evert your lower lip out: Dimpling of chin in centre is seen called dimpled chin.
  7. Corners of mouth pulled downward due to downward pull of muscles give one a sad expression.
  8. Contract neck muscles: Vertical bands are formed at neck called NECK bands.

There are few indications other than these too.

Formation of these lines during facial expressions makes one look older. Botox is required to erase these lines.

BOTOX

 

HOW DOES BOTOX WORK

Muscles contract during various facial expressions (smiling, frowning, raising the eyebrow etc.). During muscular contraction overlying skin firmly attached to underlying muscles also contracts. This contraction of skin is seen as wrinkles.

Botox when injected into the muscles relaxes them. When muscles don’t contract, overlying skin also doesn’t contract thus leading to effacement of wrinkles.

IF MUSCLES WON’T CONTRACT, WOULD I LOOK EXPRESSIONLESS

No, it doesn’t relax the muscle to such an extent that one unable to make facial expressions. Muscle is relaxed only up to an extent that overlying skin relaxes and smooths out.

HOW IS BOTOX DONE

Numbing cream is applied for an hour over the region where Botox is to be delivered. Post that Botox is injected into muscles using tiny needles. Injection takes around 15 minutes. That’s it, you are ready to return to normal life.

BOTOX

ANY POST TREATMENT RECOVERY TIME

Mild mosquito bite type red little bumps might form at injection sites immediately post injection, which completely goes off in ten minutes.

WHEN DO I SEE THE BOTOX RESULTS? HOW LONG THE BOTOX RESULTS LAST

Results are visible by 7th day post injection. Once attained, results last for 4 to 6 months.

WHAT IF I DON’T REPEAT THE SESSION, WOULD I LOOK WORSE

Noooo, It’s the biggest cosmetic myth. Eating healthy diet for a year keeps you in best of spirit and energy. Switching to junk post a year of healthy diet doesn’t mean you would become weaker than you were before starting healthy diet. In fact, you would be step ahead only. Similarly once Botox effect wanes off, one is back to where one started from, never worse.

WHAT ARE THE SIDE EFFECTS OF BOTOX

None. Botox is the most commonly done cosmetic procedure around the world, with millions of people getting it done safely year after year.  There are no side effects reported provided, right amount is injected in right muscles. Thus, getting it done by an experienced hand is of paramount importance to keep side effects at bay.

DOES BOTOX HURT?

Since done after application of numbing cream, procedure is rendered comfortable. However, pain is a very subjective phenomenon.

ANY POST PROCEDURE PRECAUTIONS?

Only post procedure precaution one has to follow is to a refrain from face wash and make up and cosmetics for next twelve hours post procedure. Post that one is free to do anything on skin.

HOW MUCH BOTOX COST?

Botox price depends upon the quality of botox and the experience of the doctor. Cheap quality botox would come for lower prices. similarly a new injector would do it at low prices.

                                                         FILLERS : HYALURONIC ACID

WHAT ARE FILLERS?
Fillers are transparent gel like substances. It’s made of from hyaluronic acid. It’s  available in ready to inject syringes as shown in picture below. Hyaluronic acid is commercially prepared from bacteria. It’s naturally present in skin and is responsible for absorbing 10,000 times more water. Thus, causing skin glow and hydration.

                                   FILLER

WHAT ARE THE USE OF FILLERS?
Hyaluronic acid is naturally present in skin. It starts losing with age. Face when young is plump like fresh grape. That’s because it has lots of hyaluronic acid, which by absorbing water keeps skin youthful. With age, it loses it’s hualuronic acid and looks like a shriveled raisin with lots of wrinkles. Fillers are transparent gel which when injected into skin, replenishes the lost volume. Thus,  instantly bringing back the youthful appearance. They are used to

  1.  Fill  lips
  2. Fill the under eye hollowness
  3.  To make cheek bones prominence
FILLERS

 

WHAT ARE THE SIDE EFFECTS OF FILLERS?
Mild swelling and bruising might happen in few people post injection. It goes off in few days time. Fillers are hyaluronic acid which is a natural constituent of skin. Thus, injecting it is a safe option.

HOW LONG DOES THE FILLER RESULTS LAST?
Results last for 12 to 18 months.

                                                                 FILLER FOR UNDER EYE HOLLOWNESS

DOES GETTING IT DONE ONCE MEANS, ONE HAS TO GET IT DONE ALWAYS?
Not at all. Once effect wanes off after 12 to 18 months, one is back to where one started from, never at -1. So getting repeated sessions is purely out of choice. Its never out of dependency on the procedure.

DOES FILLER PAIN?

The syringes have anesthetic in them, making the procedure comfortable. For extra comfort  numbing cream is applied prior to procedure.

WHAT ARE THE POST TREATMENT PRECAUTIONS?

Person can resume normal life immediately post procedure. There is no rest period advised. Precautions are to refrain from heavy exercises like swimming etc, and facial massages for a week.

 

                                      LASER REDUCTION VERSUS LASER HAIR REMOVAL

Laser hair reduction versus laser hair removal. What can be achieved? A caller asked me recently.

Laser hair reduction is getting rid of 70 to 90 percent unwanted hair. Laser hair removal means getting rid of 100% hair.

Medically,laser hair reduction is possible medically. Laser hair removal cannot be achieved. In case, one claim to deliver, laser hair removal, understand it’s a lie. Till date, best of the lasers can deliver only laser hair reduction. 70 to 90 percent hair gets killed. Whatever hair remains is reduced to thin villous hair. Their original thickness is gone. Also, when remaining hair is shaved, they grow back after a delayed time. If they used to grow back after a week’s time post shaving, they would now grow after three months. They are very soft to touch. Thus, laser hair reduction is good enough target to be achieved.

Laser hair removal till date is has not been achieved. Don’t fall prey of the centers claiming the same.

A US FDA approved Diode laser can deliver laser hair reduction. It takes around 6 to 8 sessions. Sessions are done at 4 to 8 weeks interval. Each session of full body takes around 2 hours. Smaller areas take lesser time. Dermatologist should be supervising each session. Slight pin prick sensation can be felt during laser shots. It can be tolerated comfortably.  Person can resume normal life immediately after the session. Laser hair reduction has no long term side effects.

UNDERARMS LASER HAIR REMOVAL                                          RESULTS

Summary : Laser hair reduction versus laser hair  removal. laser hair reduction means getting rid of 70 to 90 % of unwanted of hair. This can be achieved. Laser hair removal i.e. getting rid of 100% hair is not possible.

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COST OF LASER HAIR REDUCTION

Cost of laser hair reduction can be confusing for some. Every laser centers quote different prices. Price depends upon two things:

  1. QUALITY OF LASER: Laser comes in all quality. Laser machine can cost from 1 lakh to 30 lakhs INR. The better quality machine delivers better results. Make sure you are getting it done by USFDA approved machine. Ask the center for the brand name. Google it to find whether its USFDA approved or not. The center with a good quality machine would charge you more. Also, the chances of side effects of laser hair reduction are much higher with a low-quality laser.

 

  1. WHO IS DOING THE LASER: Laser treatments should be done under the supervision of a qualified dermatologist. It’s very important that right energies are delivered. Results depend upon the interplay of right energy, pulse width, spot size. It can be decided by a dermatologist. Laser done by non-medicos will charge you lesser. Under a doctor’s guidance, one can attain desired results.

 

Thus, it’s you who need to decide what quality of work you want, what kind of results you want and accordingly you choose a center and pay for it. A center run by a doctor and having the best of the lasers is certainly going to come with a price tag. But trust me, investing once is far better than investing lesser and then later cry either because of lack of desired results or due to side effects.

SUMMARY: Cost of laser hair reduction depends upon the quality of laser and the experience and qualification of the person doing it. When using USDA approved laser and done under dermatologist supervision then only results come. So invest in that.

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WHICH IS THE BEST LASER FOR LASER HAIR REDUCTION?

With advent of technology, lasers have undergone a huge transformation. Newer  technology replaces the old one almost every five years. Laser hair reduction is no exception.

 

IPL: Very first we had IPL –Intense pulse light for laser hair reduction. It’s basically broad band light and not specific to kill hair. Thus, it was least effective.

Nd :Yag Long pulse laser: Better than IPL since it was more specifically targeting hair. Drawback was energy needed to kill hair would make the whole procedure very painful.

Diode: The best so far. Diode is specific for targeting hair, and is suitable for all skin colors. Also it has proved it’s efficacy in reducing hair safely and for long term over more than two decades.

Alexendride: Technically superior to diode in giving results, but is too expensive thus didn’t get much acceptance in market. Also it’s a very strong laser, so if done right, give good results but in case gone wrong, chances of burns are much higher.

Triple wavelength laser: It emits all the three wavelengths: ND:YAG, diode and alexandrite in single shot . Technically sounds to be the best. Fault lies in the fact that one third is wasted in less effective Nd: Yag. The alexandrite put in this triple wavelength laser is not of the right pulse width required to kill hair. Thus, plain alexendride is better than the triple wavelength laser.

So now we know that diode is the best laser.

Apart from the technology it’s the quality that matters.

A cheap diode laser won’t give any results. Only a high quality US FDA approved laser would give the desired results. A photograph can be clicked with a cheap smart phone camera and also with a high quality DSR camera. Quality and the results of the photograph is not going to be the same. Same stands for laser. Thus always check for the laser quality before going for laser.

HOW TO FIND WHICH CLINIC IS USING WHICH LASER ?

Just ask for the brand name of the laser and google it out. You will find out the quality and technology . In case the clinic refuses to divulge the details , you already got your answer.

laser hair reduction in delhi

Summary: USFDA approved diode laser is the best laser for laser hair reduction for all skin types.

 

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CHEEK FAT PAD REMOVAL

Cheek fat pad removal is a great way to enhance one’s beauty. Let’s see how.

WHY CHEEK FAT PAD NEEDS TO BE REMOVED?

V shaped face looks better than round face. Fat pads in cheeks are removed to achieve the same. Once V shaped face is achieved, face looks better. Cheek fat pads are resistant to exercise and dieting. Thus, one needs to go surgical way. Picture below illustrates the difference between facial shapes.

FACE SHAPES

HOW IS IT REMOVED?

Cheek fat pad is removed by following steps:

1.Local anesthesia is given inside the cheeks.

2. Cut is given inside the cheek . Cut is less than a centimeter.

3. Fat is taken out.

4. Cut is sutured.

5. Sutures are removed on 7 th day after the procedure.

CHEEK FAT PAD REMOVAL

WHAT ARE THE RISKS INVOLVED?

No major structures are present around this region. Risk involved is minimal. Risk of infection is taken care by antibiotics.

HOW MUCH TIME DOES THE WHOLE PROCEDURE TAKES?

It takes around an hour to complete the procedure.

WHAT IS THE POST SURGERY CARE?

Post surgery following instructions needs to be followed:

1. A short course of antibiotics.

2. Take food  at cold or room temperature. Follow this for next 48 hours.

3. Apply cold packs few times a day for next 48 hours.

4. Apply warm packs after 48 hours. Continue this for next 5 days.

WILL THE FAT PAD COME BACK?

If one doesn’t indulge in overeating, fat pads are gone forever.

WHAT IF I DON’T LIKE THE RESULTS?

Have high calorie diet. This would help body deposit new fat.

CHEEK FAT PAD REMOVAL RESULTS

 ONCE ANESTHESIA EFFECT IS GONE, WILL IT HURT ?

No, it won’t hurt. Slight pain might be there. Pain killers can be prescribed.

WHEN ARE FINAL RESULTS SEEN?

slight swelling develops immediately after surgery. This masks the surgery result. Final results are appreciated 7 to 15 days after surgery.

Summary: Cheek fat pad removal is a in office procedure. It removes excessive fat off  face. It’s a  safe  procedure. After removal of facial heaviness, face looks younger. Also, V shaped lower face adds to one’s beauty.

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IS LASER HAIR REDUCTION SAFE?

Laser hair reduction is safe procedure. Reasons are as follows:

  1. Skin is 4 mm thick. Laser  penetration is not  4 mm beyond skin.Thus, all internal organs are rendered safe.
  2. Laser hair reduction is US FDA Approved for it’s safety and efficacy.
  3. It’s the most commonly done cosmetic procedure across the globe.This proves that it’s a very safe procedure.
  4. Laser hair reduction is there in market since last 5 decades. No reports of any long term side effects so far.

To ensure that the procedure is rendered safe, following parameters should be met:

  1. LASER QUALITY: All lasers are not safe. Cheaper ones would  not give desirable results. US FDA approved laser is recommended. Ask the doctor for same.
LASER QUALITY MATTERS

 

  1. RIGHT ENERGY PARAMETERS: Too low energy won’t give any results. Too high would burn the skin. Thus, make sure the laser is done either under s doctor’s supervision or by them only. Never by a technicians with no doctors around. Doctor should be dermatologist and not a Auyrvedic or homeopathic, physiotherapist /dentist etc. They are experts in their field but in other’s field.

Summary: Laser hair reduction is safe if good quality laser is used and right energy parameters are used. laser hair reduction have no long term side effects.

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By:

Dr. Anvika Mittal

MBBS, MD

9999 747 717

www.dranvika.com

 

 

WHY YOU DIDN’T GET RESULTS AFTER LASER HAIR REDUCTION?

Some people don’t get results after laser hair reduction. Reasons are summed up as below:

 

  1. QUALITY OF LASER MATTERS: One can click a photograph with 2000 Rs. Smart phone also and a 2 lakhs Rs. DSLR camera also. The results and quality of photograph is not going to be the same. Similarly lasers have quality. A cheap laser won’t give results. Only and only USFDA approved good quality laser would give results. That’s because only it has the power to deliver the voltage and energy required to actually get results.

Now how do you find out what quality laser is a particular clinic using. Just ask the brand name of the laser and Google it out. In case the clinic refuses to tell the brand name, you got your answer. A clinic using good quality laser would certainly let you know the brand  name .

laser hair reduction in delhi

 

  1. ONLY RIGHT ENERGY GIVES RESULTS: The interplay of various laser parameters like energy, spot size, pulse duration etc. decides the results. A lay man when given even the best of the camera in hand just knows how to says cheese and click. Only a professional photographer knows how to use the camera and click the best shot. So get it done by a dermatologist run clinic where everything is supervised by a doctor and not by businessman run clinics, where technicians are handling everything. right energy delivered give results , low energy gives no results , high energy may leads to side effects.

So choose your skin laser clinic wisely.

Summary: Right energy levels delivered under dermatologist’s supervision by a US FDA approved laser and not by cheap laser is the key to get best of the results with laser hair reduction.

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By: Dr. Anvika Mittal

MBBS, MD (Dermatology)