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.

 

SUBSCRIBE YOUTUBE (ENGLISH): https://bit.ly/2C9NPd3

SUBSCRIBE  YOUTUBE (HINDI):https://bit.ly/2FhWSN5

 

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.

Subscribe our YOUTUBE channel: Dr. Anvika

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.

 

Subscribe our YOUTUBE channel: Dr. Anvika

 

 

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.

Subscribe our YOUTUBE channel: Dr. Anvika

 

 

 

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.

Subscribe our YOUTUBE channel: Dr. Anvika

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.

Subscribe our YOUTUBE channel: Dr. Anvika

By: Dr. Anvika Mittal

MBBS, MD (Dermatology)