Thursday, 25 September 2014

Know About Vilitigo Depigmentation Condition & Treatment

Vitiligo, a common skin condition that causes white patches in skin. Vitiligo occurs due to the loss of melanin in skin. The production of melanin stops when the corresponding cells which produce the melanin dies. Melanin is the element which gives colour to our hair, skin and eyes. So any defect causing to these cells will affect our natural colour.

When this problem affect a person, it will spread from where it started. Normally it comes in areas of skin which is exposed to sun like hands, arms, legs, face, head etc. It can affect anybody or in any age. It is more noticeable to people who has Darker skin.

Symptoms & Causes

The common sign of vitiligo is the white patches appear on the skin. The other symptoms or signs are colour loss of tissues inside mouth, inner layer of eyes and whitening of hair in eyebrows, eyelashes etc. Vitiligo can come in any part of the body. Can affect the genitals also.

Causes of vitiligo is not known exactly but the doctors have several opinions. Vitiligo can be inherited because they inherit with a group of 3 genes and it is able to make de-pigmentation. Another view about vitiligo is that it is a autoimmune disease. In this the de-pigmentation occurs because the persons immune system reacts with body's own tissues. Yet another theory is that the melanocytes destroys themselves. 

Focal Pattern:- De-pigmentation appears in one part or a few areas.
Segmental Pattern:- De-pigmentation appears only in one part of the body.
Generalized Pattern:- De-pigmentation appears symmetrically in both sides of the body and is the most common pattern.

Diagnosis & Treatment

Diagnosis starts from physical examination, ask the patient about medical history and will write for laboratory test. The doctor will then tell what type of vitiligo is affected with the patient. There are two types of vitiligo.
Segmental vitiligo or Unilateral Vitiligo which will appear only in one segment of the body, most people lose their hair colour, it begins at early age and progresses for a year or stops.
Non segmental vitiligo is the second type of vitiligo. It is classified in to 3, they are Bilateral, Vitiligo vulgaris, Generalised vitiligo. These types are more common, appears on both sides of body, chances to get bigger and spread, will appear on wrists, hands, fingers, eyes, mouth etc.

We can't fully get rid of Vitiligo. The main aim is to improve the appearance of the skin. The therapies needs to be done for 6 to 18 months for better results. Each patient respond differently and one type of treatment may not work for everyone. The treatment procedure also change according to the size, location, the areas to which it spread etc.

Treatment options are,

- Medical Therapies

  • Topical Steroid Therapy:- Steroid creams are used to re-pigment the white patched skin. It is very effective when applied at the initial stage of disease.
  • Psoralen photochemotherapy:- PUVA therapy is the most effective treatment for vitiligo. This will also re-pigment the white patches. It is expensive & time consuming compared with other treatments and care must be taken to avoid side effects. There are two types of treatments coming under PUVA they are, Topical psoralen photochemotherapy and Oral psoralen photochemotherapy.
  • Depigmentation:- De-pigmentation treatment is done for person who have 50% vitiligo in their body. Because it is difficult to reverse the entire body to normal colour, so normal skin areas will be converted to match the de-pigmented colour. The de-pigmentation cream will be applied to normal areas of body. After the application of cream, for at least 2 hours the patient should avoid contact with others. If the cream spread in others their skin may get de-pigmented.

- Surgical Therapies  


Normally opted only if the medical therapies fail. Surgical therapies are more expensive & time consuming.
  • Autologous skin grafts:- In this method the doctor will remove skin from one area and grafts to the de-pigmented area. This method is opted when the patient have less vitiligo. There are several complications like both the donor and recipient will have scarring.
  • Skin grafts using blisters:- In this procedure the doctor will create blisters in the normal skin using heat, suction or freezing cold. Then top of blisters will cut out and transplanted to the de-pigmented area. It is better method because it cause less scar compared with others.
  • Micropigmentation:- This procedure involves implanting pigment into skin with a special instrument. It works well for dark skin and surrounding lip areas. It is difficult for doctors to match exact colour. Even it is matched, when exposed to sun and fade after some time and may mismatch.
  • Autologous melanocyte transplants:- In this procedure, the doctor may collect the patients normal pigmented skin and places in a special cell culture solution. Keep it more the multiplication of melanocytes. After it is multiplied, it is grafted to the de-pigmented areas. Currently this method is in experimental stage.

- Additional Therapies 

It is an addition to both medical & surgical therapies. This method can be done ourselves to protect the skin.

  • Sunscreens:- Use sunscreens to protect our skin from sun raise & UV rays from sun. Those who are whiter should be very careful and should use sunscreens for avoid tanning, damage to skin etc.
  • Cosmetics:- Now several cosmetic companies are providing self tanning lotions that can be used to cover the de-pigmented areas. This can be used by person's who have less vitiligo which is in exposed areas. Also they can use stains and make-up to cover the patches.

We Shine & Smile Skin Clinic provides you with all the latest treatments for Vitiligo under experienced & efficient Doctor Soni Nandha an expert Dermatologist. 

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Tuesday, 15 July 2014

Tattoo Removal Using Laser

Tattoos are designs or marks which is done for making skin attractive or as a craziness. Youngsters do tattooing more than older people and are doing for no reason. In older times tattoos are considered as permanent. But now it is reversible process. We can remove tattoos when ever we want. This made it more popular. Everybody is confident to do it, because they can remove it any time, if it is not needed later.

Laser Tattoo Removal

Before Laser Tattoo Removal technique the dermatologist used dermabrasion, cryosurgery,  excision etc. for tattoo removal.
Laser Tattoo Removal is one of the latest method, in which laser waves are given continuously to the tattooed position initially and then Q-switched lasers will be used to remove tattoos partially or fully. The tattooed ink particles will be fragmented by this process and with our body's natural immune system, the skin will automatically absorb the fragmented pigments. It will fade away in course of several weeks.

 Laser Tattoo Removal

Removal of tattoo is not that easy when observed. Dark or Black tattoos can be removed easily than other coloured tattoos like yellow, green & fluorescent colours. All tattoo pigments have unique absorption spectra. The absorption spectra of these colours may fall outside or on the edge of the emission spectra available in the tattoo removal laser. This makes it difficult to remove these colours. The tattoo removal laser will be used differently for different tattoos.

Tattoo removal can be done only with several clinical sessions. Normally the treatment sessions will be seven weeks spaced. According to the intensity of colour pigment, size of tattoo, the removal process may extend to years. Also it is depended on each individual's skin type, location, colour, scarring or tissue change, layering etc.

 Laser Tattoo Removal Before & After

There are several risk factors in tattoo removal process even if it is normally done by everyone. It increases the possibility of discolouration of skin such as hypopigmentation, hyperpigmentation. These changes are not permanent. Sometimes "paradoxical darkening" occurs, in which the tattoo becomes darker after treatment instead of lighter. This may occur due to the colours used like white ink, flesh tones, pink, and cosmetic make-up tattoos.

Laser Tattoo Removal

Tattoo Removal is safe when done by qualified & efficient doctors like Dermatologists.

Shine & Smile aims to deliver the best service honestly, develop long term relationship with  patients and to provide best experience at an affordable cost.

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Monday, 10 March 2014

Importance of Chemical Peel Treatment in Delhi

Chemical peels are really the quickest way to eliminate active skin disorder and stop new pimples. The effectivity is quicker than antibiotics, contraception pills, and different oral treatments while not the potential for general facet effects, that is why I like this methodology to treat skin disorder

Chemical peels are liquid solutions that contain natural or synthetic ingredients that penetrate deep into the hair follicle or acne pore and clean it out.  It also penetrates into the deeper layers of the skin that may cause peeling of the skin. This peeling leads to a healthy glow and improvement of the skin’s texture and tone, as well as less active acne lesions.
The amount of improvement that you get from a chemical peel is dependent of the depth of the peel.  Most acne chemical peels are considered superficial and lead to about 2 to 3 days of flaky peeling.  Medium depth chemical peels cause peeling for approximately 7 days. Instead of flaky peeling, sheets of skin will be removed.  Although that may sound scary, when performed correctly by a dermatologist or plastic surgeon, this can lead to drastic improvement of the skins tone, texture and clarity.

Reasons for choosing Chemical Peel:

Here are many reasons why they’re excellent for skin rejuvenation, and a few fantastic advantages of chemical peels:
  • Skin is fresh and revitalised. With the chilly, crisp winter weather, your skin is maybe obtaining dried out. A chemical peel will invigorate your skin with wet and skin-enhancing treatment to form it lovely.
  • Damaged skin will be repaired. desiccated skin means that broken skin, and might lead to the event of fine lines and wrinkles. Chemical peels will repair broken skin, whether or not you’re tormented by disease of the skin scarring, sun harm from the summer rays, or simply dry, cracked skin normally. go in with red splotches or blemishes, and walk out with swish, fresh-feeling skin!
  • Problematic skin is treated and rejuvenated. Acne, oily skin, rosacea, eczema, and different skin issues tend to worsen within the winter. A chemical peel will treat these conditions by cleansing the skin, exfoliating, and re-hydrating the cells. Since the chemical peel removes dead and problematic skin to a deeper level than your average facial, your post-treatment skin is healthy, happy, and problem-free!
  • Peels improve skin healing. wet and UV rays facilitate to initiate and hasten healing, therefore throughout the winter once the sun is farther away and therefore the weather dries out your skin, it takes longer to heal. Chemical peels can rejuvenate the healing qualities of your skin briefly, for longer-lasting healthy skin.
  • There’s no period of time. Contrary to what some individuals suppose, not all chemical peels leave you wanting like Samantha in “Sex and therefore the City”. whereas a number of our peels do need some recovery period of time, most don't. It’s a non-surgical procedure, and you permit our spa feeling and looking out lovely.

Thursday, 21 November 2013

Skin Diseases Related To Diabetes:

People with diabetes of more glucose in their blood may lead to serious  thing, incuding  skin problems. Normally patients are not vigilant about the diseases that is happening inside and out of their  bodies. Skin diseases are common to people. Diabetic patients with skin disease should be diagonized promptly. Proper treatment can be provided to diabetic patients if they caught early.

It is a condition that affects the color of the skin. In this condition, the creation of   pigments are destroyed and they result in patches of the discolored skin. Vitiligo often affects the chest ,abdomen,elbows, knees, and hands, but it might be found on the face (around the mouth, nostrils, and eyes). This conditionis due to type 1 diabetes. Treatment options include topical steroids, ultraviolet light treatments, and micropigmentation.


 It is a group of bacteria that causes various number of diseases all over the tissues of the body.Staphylococcus is more familiarly known as Staph. It is an infection that runs deep. The other  type of this infection is fungal. It can be in the feet, body folds, genetials, and the nails.  In rare situations, a serious complication known as scalded skin syndrome can develop. In breastfeeding women, Staph can result in mastitis (inflammation of the breast) or in abscess of the breast. Staphylococcal breast abscesses can release bacteria into the mother's milk.      

Acanthosis nigricans:

Acanthois nigricans is a skin disease. It makes the skin to darker, thick, velvety and crease. Obesity can lead to acanthosis nigricans, and  it is often found in people with obesity-related insulin resistance. Some medicines, particularly hormones such as human growth hormone or birth control pills, can also cause acanthosis nigricans. It usually appears slowly and doesn't cause any symptoms other than skin changes. It is frequently found in people with diabetes.


It is the condition where the arteries become narrowed and hardened and forming plaque around the artery wall. It disrupts the flow of blood  around  the body and causing serious cardiovascular  problems. When the blood vessels supplying the skin become narrow, changes occur due to a lack of oxygen. Loss of hair, thinning and shiny skin, thickened and discolored toe nails, and cold skin are symptoms of atherosclerosis.

Necrobiosis lipoidica dibeticorum:

It is caused by change in the  blood vessels, collagen and fat content underneath the skin. The overlaying skin becomes thinned and reddened.  It is itchy and painful.  If sores do not break open, treatment is not necessary. See your health care provider for treatment if the sores do break open or if the lesions are painful.There are many different types of skin diseases that should be addressed when a person is diabetic. Often by simply keeping a close eye on your body, eating a proper diet, getting exercise, and taking your medications, you will be able to keep these skin conditions at bay and stay healthy.

To stay healthy with diabetes

·         Follow the healthy eating plan that you and your doctor or dietitian have worked out.
·         Be active a total of 30 minutes most days. Ask your doctor what activities are best for you.
·         Take your medicines as directed
·         Check your blood glucose every day. Each time you check your blood glucose, write the number in your record book.
·         Check your feet every day for cuts, blisters, sores, swelling, redness, or sore toenails.
·         Brush and floss your teeth every day.
·         Control your blood pressure and cholesterol.
·         Don't smoke

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