WHITE PATCHES ON SKIN: PITYRIASIS ALBA

White patches on skin a very common finding.  There can be various medical causes for it. Like pityriasis alba, fungus infection called  tinia versicolor, leprosy, P alba , vitiligo etc. What we are talking about in this article is Pityriasis alba. It usually affects young kids between 2 to 14 years of age.  Most of the tim it involves cheeks. Panic stricken moms approach me often misdiagnosing it as the dreaded white patch disease called vitiligo or fulvery (as it’s commonly called). Fret not, it’s nowhere near that.

CAUSES:

It’s just an indication that your kid is short of essential nutrients. It’s time to take your little one away from junk and push him towards healthy diet. Lack of essential nutrient in diet leads to white patches on skin.

 

Another hypothesis behind their occurrence is dry skin. Dry skin can be caused by taking frequent hot water showers. Reduce that if that is the scenario and switch to lukewarm water. Apply any good moisturizer twice a day. My recommendation would be Aveeno or Physiogel moisturizer. One can use any other good brand too.  Also use only SLS free sops like Dove. SLS: sodium laureth sulphate is a harsh chemical in soaps leaves skin dry.

 

Lastly, too much of sun exposure has been speculated as yet another cause. Apply sunscreens whenever out .Half a table spoon on entire face, to be replied after every three hours is recommended to get full protection. Yes, application of sunscreen is effective and is recommended safe by FDA for anyone post first 6 months of life. Use SPF(Sun protection factor ) 30.

TREATMENT:

Treatment primarily includes switching to healthier diet. Use of moisturizers and sunscreens to cater dry skin and excessive sun exposure respectively. Mild steroid creams prescribed by a dermatologist used for one or two weeks would help too to clear off the white patch sooner. These white patches are not communicable. They don’t spread by touch. They are asymptomatic. Patient doesn’t complain of itching or pain.

 

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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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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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HOW TO IMPROVE SELFIES?

 

                Selfie pout

HOW A POUT MAKES SELFIE BETTER?

We all pout to enhance selfies. Ever wondered why? Pouting required sucking in of cheeks. This makes round lower face V shape. V shaped lower face is a mark of beauty. Thus, pout improves selfie.

All models and celebrities have V shaped lower face.

V Shaped lower half of face is considered                    beautiful

Have a beautiful face always, not just while posing a selfie.

HOW TO HAVE A PERMANENT V SHAPED FACE ?

Get the fat removed from cheeks. This gives V shape to face. Cheek fat is resistant to dieting and exercise. That’s why, it needs to be removed. These are first one to come in our body. Remember the chubby cheeks of babies? Cheek fat removal also highlights the cheek bones. Prominent cheek bones look beautiful

HOW IS CHEEK FAT REMOVAL DONE?

Cheek fat removal is a 20 minutes in office procedure. It’s done  local anesthesia  Thus it’s safe and comfortable. A small nick is given inside the cheeks. Next  fat is removed.  Lastly  sutures  are put. Sutures are removed after 10 days. Mild swelling remains for few days post procedure. But it’s hardly visible. Person can return to normal life immediately post surgery. Problem in talking or eating post procedure might be there for  few hours, till anesthesia effect wanes off. No, the fat doesn’t return after removal. If one over eats , then new fat can get deposited in some time.

         Cheek Fat Pad Removal Results

So contour the face to enhance beauty. It’s a permanent, Safe and effective way. All it takes is  20 minutes.

Summary : Pout makes selfie better. That’s  because sucking in cheeks  makes lower face V shaped. V shape is a mark of beauty. Get it permanently by cheek fat pad removal.

By:

Dr. Anvika Mittal

MBBS, MD, Dipl. ABLS (USA)

www.dranvika.com

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WINTER SKIN CARE

Does skin feel stretched after bathing?  Itches through ought the day? Develops a white mark on scratching? Well, all are sign of winter skin dryness.

Why skin turns dry during winters?

Less of moisture in air causes skin to dry during winters. Bathing with hot water adds to skin dryness.

How to take care of winter skin dryness?

  1. Apply either mustard oil or flax seed oil before bathing. Application before bathing in the skin’s  natural moisturizer, not allowing soap and water to rip it off . One can apply oil either one minute or one hour before bathing according to one’s convenience. In case one wants to use coconut oil instead, they can go ahead. Oils are good source of omega 3 and omega 6 fatty acids. Dry skin lacks these, so it’s better to replenish from outside.
FLAX SEED OIL FOR DRY SKIN
  1. While bathing avoid SLS containing soaps. SLS (Sodium laureate sulphate) in soaps is a harsh chemical which leaves  skin dry. Also damages it in long run, making it more prone to eczema.
SLS FREE SOAPS
  1. Immediately after bathing apply a good body moisturizer within 3 minutes of patting oneself dry with towel. That’s because applying immediately helps moisturizer to seal in the natural moisture which skin has absorbed while bathing. Applying later would have less benefit.
  2. Bath in lukewarm water, not hot water.
  3. Limit your bathing time to five minutes. Prolonged exposure to water too leaves skin dry.
  4. Use of humidifiers in room would increase the moisture content of environment and thus of skin. Use them especially in winters.

Summary : Oil before bathing, SLS free soap while bathing and a body moisturizer immediately post bathing would help take care of winter skin dryness.

So make these winters special for your skin.

By: Dr. Anvika Mital

MBBS, MD, Dipl ABLS (USA).

www.dranvka.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)

 

Best clinic for laser Hair reduction follows the given criteria:

  1. A qualified dermatologist should do laser hair reduction : A dentist or homeopathic doctor should not be doing it. A dermatologist has in depth knowledge of laser treatments. Other specialists are not expert in dermatology.
  2. US – FDA approved lasers are recommended: Market is full of Chinese lasers. Stay away from them. Chinese lasers compared to US FDA approved lasers, is like comparing picture taken from cheap smart phone with a DSRL camera.  A smart phone may cost 2000 INR whereas a DSLR camera is worth 10 times of that. Quality of the photograph is not going to be the same. This analogy can be extended to laser treatment. Also, bad quality laser have more side effects.                                            
  3. Doctor’s supervision is foremost. Dermatologist must be present during laser treatments. In lot of commercial laser centers, non-medicos are doing the procedures.  As a surgeon  performs surgery,  dermatologist should perform laser treatments, not anyone else.
  4. Avoid laser on soft hair. Soft hair are  hardly visible after bleach.Thus,  Don’t do laser there. Thick hair are ideal for laser hair reduction.
  5. Maintenance sessions are important: Annual maintenance sessions are required after the desired results are achieved. This will ensure results are permanent. Skin would try to regrow the killed hair roots. Its important to kill whatever hair  skin has regrown by having once a year maintenance sessions.

SUMMARY : Best clinic for laser Hair reduction follows the given criteria: Uses USFDA approved laser. Dermatologist supervises the laser treatments.