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Dr. Divya Appacha

Dermatologist, Bangalore

0 - 400 at clinic
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Dr. Divya Appacha Dermatologist, Bangalore
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Divya Appacha
Dr. Divya Appacha is a renowned Dermatologist in Frazer Town, Bangalore. She is currently practising at Tvach The Skin Clinic in Frazer Town, Bangalore. Book an appointment online with Dr. Divya Appacha on Lybrate.com.

Find numerous Dermatologists in India from the comfort of your home on Lybrate.com. You will find Dermatologists with more than 40 years of experience on Lybrate.com. You can find Dermatologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Tvach The Skin Clinic

No.28/40, Opp MAC Donalds & oppt to UCO bank , Jeremiah Rd, Stephens Rd, Frazer Town, BangaloreBangalore Get Directions
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Mallya Hospital

#1, Next to IPC Garden, Near Sanjaydat School, Vittal Mallya Road. Landmark : Opposite Kanteerava Indoor Stadium.Bangalore Get Directions
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I hv got many pimples on my face nd after it has gone I leaves black marks nd little bit of pigmentation.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I hv got many pimples on my face nd after it has gone I leaves black marks nd little bit of pigmentation.
Home Remedy- Make a paste of neem leaves and apply on the targeted pimples. If you cannot get fresh neem leaves, try to get some dried bottled neem leaves, steep for 10 minutes in warm water and use as a paste. Treatment- 1-Apply pranacharya chandrakanta lep on your face for 15 minutes then wash it with warm water. 2-Take pranacharya b clean syrup 2-2 tsf twice a day. 3-Take pranacharya allergin capsule 1-1 twice a day. Wash your face with any good ayurvedic soap containing neem etc. Diet-avoid taking tea and coffee. Spicy food and junk food. Drink lots of water and fruit juices.
1 person found this helpful
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I am suffering from Fungal infection Could you please suggest me a best way to overcome this problem.

BHMS
Homeopath, Thane
I am suffering from Fungal infection Could you please suggest me a best way to overcome this problem.
Hi, Dulcamara 1M 4pills to be sucked thrice a day for 1mth Tab biochemic 20(SBL) 4tabs to be chewed twice a day 1/2 an hour before meals Avoid junkfood,spicy ,fried food,Gram flour recipes(chanadal),Chicken. Drink plenty of water (3-4liters /per day) minimum Eat salads everyday (carrots,cucumber,beetroot) Eat green leafy vegetables. Have bath twice a day.apply talcum powder .Avoid applying creams. Revert back
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From last 6 month, I observe dark spot below eye become more as compared to 2 month back need advice on this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
From last 6 month, I observe dark spot below eye become more as compared to 2 month back
need advice on this.
treating dark circles around eyes 1.Drinking lots of water is good 2.Take nutritious and timely food. 3.Avoid fried foods and eat fruits, nuts, greens, milk and whole grains. 4.Have timely and adequate sleep. 5.Be relaxed and avoid tension 6.Daily jogging or such exercise to ensure good blood circulation which helps nutrients reaching the skin and face 7.Don?t expose to hot direct sun. Wear cap, full sleeve shirt and shoes which will protect you from sun.. Generally 10 AM to 4 PM is the hottest. Avoid exposure at that time. Keep hydrated by drinking water and preferring juicy fruits. Your complexion will improve and dark rings will disappear. We have good treatment in homoeopathy. If you are interested, please let me know along with any related problems. You may opt for private consultation. I will prescribe which will be available in homoeopathic shops.
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Some type of allergy on my middle finger of left hand a water bubble is formed and it's get blowing how to solve this problem and what are the reasons for this.

MBBS
General Physician, Cuttack
Some type of allergy on my middle finger of left hand a water bubble is formed and it's get blowing how to solve this...
Apply panderm plus ointmment twice daily,take one tablet of levocetrizine at bed time for few days.Consult doctor for further advice
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Acne scars: Diagnosis and treatment

MD - Skin,VD & Lepxsy
Dermatologist, Hyderabad
Acne scars: Diagnosis and treatment
Safe and effective treatment for acne scars begins with a consultation. During the consultation, a dermatologist will examine your skin, playing close attention to your scars. A dermatologist will also ask you some essential questions.

To get the most from your consultation, many people find it helpful to answer the following questions BEFORE meeting with a dermatologist:

Why do I want to treat my acne scars?
Treatment is not for everyone. Some people feel that the scars are not so bad. Others feel that the scars affect their everyday life. Dermatologists often recommend treatment when someone answers “yes” to one or more of the following questions:

Do I often wish that I could get rid of my acne scars?
Do I feel that my scars limit my opportunities to date, get a job, advance my career, or perform well in school?
Am I less social now than before I had acne scars?


How do I want to look after treatment?
Some people want less noticeable scars. Others wish to eliminate wavy skin texture.

What can I afford to spend on treatment?
Medical insurance does not cover the cost.

How much downtime can I afford?
Some treatments require downtime.

How much time will I devote to getting treatment and caring for my skin?

Your answer will help determine which treatments will be best for you.
How do dermatologists treat acne scars?

If you and your dermatologist believe that treatment is right for you, your dermatologist will create a treatment plan tailored to your needs. In creating this plan, your dermatologist will consider many things, including scar types and where the scars appear on your body.

If you have taken isotretinoin to treat acne, be sure to tell your dermatologist BEFORE treatment for acne scars begins.

To obtain the best results, your dermatologist may recommend more than one treatment. For example, if you have a deep boxcar scar (often looks like a large pore), laser therapy and a type of acne scar surgery called “subcision” may be necessary to give you the results you want.

The following tables list the treatments that a dermatologist may use.

Depressed Acne scars: Many effective treatments

Best results often come from using 2 or more treatments. The treatments that a dermatologist may use to treat depressed acne scars include:

Acne scar surgery: This sounds scarier than it is. Dermatologists often perform this minor surgery to treat very noticeable acne scars. The goal is to create a less-noticeable scar. The remaining scar should fade with time.

To perform acne scar surgery, a dermatologist may lift the scar. Bringing a scar closer to the surface of the skin tends to make it less noticeable. Another type of acne scar surgery involves breaking up scar tissue.

A dermatologist or dermatologic surgeon can safely perform acne scar surgery in a medical office. Patients remain awake but numb so that they do not feel pain.

Best for: Treating a few depressed scars.

Resurfacing procedures: When a patient wants to diminish the appearance of widespread acne scarring, a dermatologist may recommend a resurfacing procedure. Resurfacing removes layers of skin, which allows the body to produce new skin cells.

Dermatologists use the following resurfacing procedures to treat depressed acne scars:
Laser skin resurfacing
Chemical peeling
Dermabrasion
Microdermabrasion (differs from kits bought for at-home use)



Resurfacing works well for treating acne scars that are nearly flat (not too deep). Even dermabrasion, which removes the top layers of skin and some of the middle layers, cannot effectively treat deep acne scars.

Best for: Depressed acne scars that are not deep, useful for contouring scar edges to make scars less noticeable. Deep scars often require skin surgery and resurfacing.

Skin fillers: Dermatologists use fillers to safely and effectively plump depressed acne scars. A dermatologist may fill acne scars with collagen, the patient’s own fat, or another substance. Many fillers give us temporary results, which last between 6 and 18 months. Some fillers are permanent.

Both temporary and permanent fillers have unique pros and cons. If this is a treatment option for you, be sure to ask your dermatologist about the pros and cons of the recommended filler.

Best for: Treating a few depressed scars, but not icepick scars.

Skin tightening: This is a newer treatment and tends to be more affordable. This treatment is safe for all skin colors.

Dermatologists often use a technology called radiofrequency to tighten the skin. As the skin tightens, depressed acne scars become less noticeable.

Radiofrequency requires repeat appointments. Most patients return once a month for 4 months. After a radiofrequency treatment, many patients say they feel a burning sensation for about 1 hour and their skin has a pinkish color for 2 to 3 days.

Radiofrequency treatments require some at-home care. For at least one week after each treatment, you will need to apply sunscreen every morning and a moisturizing cream at night. Dermatologists recommend wearing a sunscreen that offers UVA/UVB protection, an SPF of 30 or greater, and water resistance.

Best for: Depressed acne scars. Sometimes, skin tightening effectively treats deep icepick and boxcar scars.

Collagen-induction therapy: Also known as “needling” or “micro-needling,” this treatment encourages your body to make more collagen.

To perform this procedure, a dermatologist moves a sterile, handheld needle-studded roller across the depressed acne scars. This punctures your skin. As your skin heals, it produces collagen.

It takes time to see the results, sometimes as long as 9 months. Most people, however, notice gradual changes before 9 months. Many patients require between 3 and 6 treatments and return every 2 to 6 weeks for a treatment.

After each treatment, you may have some swelling and possibly bruising. These side effects usually clear within 4 to 5 days.

You will need to follow a skin care plan while undergoing treatment.

Research shows that this is a safe treatment for people of all skin colors.

Best for: Widespread depressed acne scars. Not a treatment for raised acne scars, which form when the body produces too much collagen.

Electrodesiccation: This treatment uses electric probes to heat the tissue, which causes the tissue to die. This treatment may be part of a treatment plan for boxcar acne scars. Electrodesiccation by itself is not an effective treatment for acne scars.

Best for: Shaping or reducing the edges of boxcar scars.
Raised acne scars: Treatment can ease pain, diminish scars

The treatments that a dermatologist may use to treat raised acne scars are:

Injections: Your dermatologist may recommend injecting medicine directly into the scars. This can soften and flatten raised, thick scars.

Getting the best results often requires repeat visits. These injections are usually given once every few weeks. How often you will need to return for treatment depends on the scar and many other considerations. You may need to return once every 2 to 6 weeks for a while.

Many patients receive injections of corticosteroids. A chemotherapy medicine known as fluorouracil (5-FU) can also be effective in treating raised acne scars. Some scars respond best when injections of both 5-FU and corticosteroids are used.

Interferon, which is also used to treat cancer, can be effective. Our bodies naturally produce interferon.

If the scar does not respond (or stops responding) after you receive the 4th injection, acne scar surgery may be recommended.

Best for: Painful, raised scars.

Acne scar surgery: Dermatologists perform acne scar surgery to reduce raised acne scars. This surgery can be performed in a dermatologist’s office.

To obtain the best results, acne scar surgery is often followed by another treatment.
Acne scar surgery, followed by injections: After surgery, dermatologists often treat raised scars with injections of corticosteroids, 5-FU, or interferon.

Combining acne scar surgery with these shots remains one of the most effective treatments for raised scars. Most patients receive injections once a month for a few months.
Acne scar surgery, followed by radiation: Studies show that radiation can prevent raised scars from returning after acne scar surgery. Due to the potential for radiation treatments to cause problems years or decades later, some doctors do not recommend radiation treatment.



Best for: Raised scars that need more than injections.

Laser therapy: Lasers and other light treatments can treat raised scars safely and effectively. Treatment with a pulsed dye laser (PDL) can help reduce the itch and pain, diminish color, and flatten a raised scar. For people with lighter skin, intense pulsed light (IPL) also may be a treatment option.


Best for: All types of acne scars.

Cryosurgery: This treatment freezes the scar tissue. Freezing the tissue causes it to die and gradually fall off. To improve the results, dermatologists recommend a series of cryotherapy sessions and corticosteroid injections. This combination often produces better results.

The main drawback is that cryotherapy can cause permanent light spots to form on the treated skin.

Best for: It can effectively diminish raised scars in people who have lighter skin. Not recommended for skin of color.

Scar creams and gels, silicone (dressings and bandages): Often available without a prescription, these can be used at home to treat raised scars. These products can help reduce the itch and discomfort as well as shrink, flatten, and fade raised scars.

Silicone dressings and bandages can be especially helpful. Although no one knows for sure how these work, one possibility is that silicone helps hydrate the skin. This may reduce the itch and pain as well as make the skin more flexible.

To be effective, these products must be used continuously. This can be difficult, especially for scars on the face. Many people are willing to do this because these treatments have little risk of side effects. Even so, with continuous use, some people develop itchy, irritated skin. This usually clears when the person stops using the product.

Best for: Reducing scar size and discomfort. None is likely to eliminate a raised scar.

What outcome can a person with acne scars expect?
Most treatments can reduce the size and visibility of acne scars. With time, many of the treated acne scars fade, making them barely noticeable.

Your results depend almost entirely on the knowledge and skill of the person performing the treatment.

Dermatologists and dermatologic surgeons perform these procedures frequently, so they have the skills and experience needed to perform these procedures safely and effectively.

While dermatologists offer safe and effective treatment for acne scars,
there may be better solution: prevention.


References:
Ramesh M et al. “Novel Technology in the Treatment of Acne Scars: The Matrix-tunable Radiofrequency Technology.” J Cutan Aesthet Surg. 2010 May;3(2):97-101. Riveria AE. “Acne scarring: A review and current treatment modalities.” J Am Acad Dermatol 2008;59:659-76.

Sardana K et al. “Which Type of Atrophic Acne Scar (Ice-pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?” Dermatol Surg 2014 Jan 21. doi: 10.1111/dsu.12428. [Epub ahead of print].

Thiboutot, D et al. “New insights into the management of acne: An update from the Global Alliance to Improve Outcomes in Acne Group.” J Am Acad Dermatol 2009;60:5(sup. 1) S1-S50.

Zurada JM et al. “Topical treatments for hypertrophic scars.” J Am Acad Dermatol 2006;55:1024-31.


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I Am suffering from pimple problem from very long time so I reach a homeopathy hospital I took medicine and I don't know in what time (e.g before food or after) I should eat them and in what time interval they said 4 pills three times a day so in what manner I should take them?

BHMS
Homeopath, Delhi
I Am suffering from pimple problem from very long time so I reach a homeopathy hospital I took medicine and I don't k...
Cause of pimple are – Stress – Hormonal changes: Hormonal changes due to sexual maturity like – mensuration in girls. – Improper Cleaning Habits: Dust and pollution block the pores, if not removed properly causes pimples. – Improper Diet: Diet including too spicy, oily, fired and high iodine content food can cause pimples. The only precaution for pimple is good skin care. If Possible develop a routine of proper cleansing, scrubbing and moisturizing your skin. Here are few tips:– Wash your face regularly: Wash your face at least 2-3 times a day. Depending upon the skin type you can wash the face with simple water or with face wash. – Develop a cleansing Routine: Cleansing, toning and moisturizing is an essential part of a skin care. Don’t skip it. If you have an oily skin use a oily free moisturizer. – Avoid exposure to Sun: If possible don’t go out when its scorching, but if you have to go use a sunscreen 15 – 20 mins before going out, cover your face or use an umbrella. After returning just follow your cleansing routine, if you have an oily skin use ice, dry skin can use rose water – Avoid Exposure to dust: Dust particles block the pores causing pimples, cover your face properly while going out. Traveling in a car avoid opening the window. – Drink plenty of water: Water help remove toxins from the body, thus help in blood purification and blood circulation. Impure blood and improper blood circulation re the major causes of pimples, which can be easily removed by drinking lots of water. – Eat right: A diet constituting of too spicy, oily and fried food is the main cause of pimples. Avoid junk and oily food. Develop an habit of eating fresh leafy vegetables and fruits for a healthy skin. Garlic Paste: Mash garlic and apply it on the face. Leave it for 10 -15 mins, then wash it off. The anti bacterial property of garlic is proven and effective tip of removing pimples.
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Laser Surgery: Is It Safe For Facial Hair Removal?

MD - Dermatology, MBBS
Dermatologist, Patna
Laser Surgery: Is It Safe For Facial Hair Removal?

Laser hair removal is a medical procedure that uses a laser, which is an intense, pulsating beam of light to remove unwanted hair. During laser hair removal, a laser beam passes through the skin to an individual hair follicle. The intense heat of the laser damages the hair follicle, inhibiting future hair growth. Although laser hair removal slows hair growth, it does not guarantee permanent hair removal. It takes multiple laser hair removal treatments to provide hair-free skin. Laser surgery for facial hair removal helps your skin look younger and healthier by treating aging, acne, and blotches, scars, wrinkles, lines or excess hair on the face.

This surgery comes with its own share of benefits, which are:

- First of all, laser hair removal is precise. The laser only targets the pigmented area of the skin on your face, such as the hair follicle. This is why only the hair follicle is burned and not the skin surrounding the area, making it a safe procedure.

- Laser hair removal is most effective on the hairs in the early part of the hair growing stage. A concentrated beam of light is aimed at the hair follicle. The laser then converts its energy into heat and heats up the hair follicle preventing it from growing any further.

- Laser hair removal removes unwanted hair from your face at the speed of light. The laser is designed to treat several hairs in a large surface area, all at the same time. There is no downtime after the service and no sticky residue left behind.

- The pain factor varies from person to person because every person has a different level of pain tolerance. Laser surgery is described as feeling like a gentle pinch or like the snap of a warm rubber band.

- Laser hair removal has many benefits that make it a viable option for many people to permanently deal with unwanted hair. You can ask many questions during your consultation to make sure you fully understand the procedure they use and how they deal with the treatment of pain.

Even though laser hair removal surgery on the face is largely safe, there are certain very minor side effects that are associated with it that you need to keep in mind before opting for it. The risks involved with laser surgery occur very rarely including a change in skin tone, burns, and blistering. If performed correctly by a trained professional with a lot of experience, laser surgery for hair removal is very safe. You may have slight redness or local swelling on the treatment area of your face that typically resolves within several hours. Limiting your exposure to the sun before and after treatment can minimize the risk of complications. If you wish to discuss any specific problem, you can consult a dermatologist.

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Hi this is neeharika chowdhary. I have less hair growth and I have a heavy hairfall.

MBBS, MD - Dermatology, F.C.P.S.(Skin & V.D)
Dermatologist, Thane
Hi this is neeharika chowdhary.
I have less hair growth and I have a heavy hairfall.
Have high protein diet. Check you r thyroid function test done. Check if you r menstrual cycle is ireegular. Do not tie you r hair too tight. Oil hair twice a week at night and shampoo it next day.
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Sir my penis and testis is fill with pimple, pimples like without pus. On this place so much itching I am troubling from itching sir what can I do.

MD - Dermatology , Venereology & Leprosy, Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Udupi
Sir my penis and testis is fill with pimple, pimples like without pus. On this place so much itching I am troubling f...
It seems you have scabies. You apply Scaboma lotion from neck to toe after soap bath and wash after 12 hrs. don't repeat without consulting. Propyderm -NF cream twice in a day for 2 week, Teczine 1 tablet daily at bedtime for 2 week.
1 person found this helpful
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I want to know that if we stop using melacare cream. Can our skin gets darker or not?

DHMS (Hons.)
Homeopath, Patna
I want to know that if we stop using melacare cream. Can our skin gets darker or not?
Hello, Are U using the said cream for hypo-pigmentation. which is due to dificency of Vit 'D'. * Take, fish, sprouts, mushrooms, soyabeen , rajama, cheese,milk. * go in sun for 30 mnts. .take care.
12 people found this helpful
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Hi sir, I am 30 years old, recently I got rashes like pimples only on forehead from last one month. And today I am identified 2 or 3 rashes on my back. please suggest what to do?

BHMS
Homeopath, Faridabad
Hi sir, I am 30 years old, recently I got rashes like pimples only on forehead from last one month. And today I am id...
You can take homoeopathic medicines – Berberis Aquefolium Q/ 10 drops in 1/2 cup of water/ thrice a day and Kali Brom. 200/ thrice a day – for 20 days. Wash your face with Bakson's Facewash (wash your face with warm water only) and followed by CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally Sunscreen Gel with SPF-30) after washing your face daily. Use home-made remedies: - Take 1 tbsp of fuller's earth (multani mitti) + a dash of lime + bit of rosewater – apply this on your face till it gets dried up, then rinse it off. - Take 1 tsp of Alum (or fitkari), make it slightly wet with water and apply this on your wet face, spread it well; let it dry and rinse it off. Alum remove your excessive moisture or oil and it also tightens the skin's tonicity.
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I have been experiencing paleness all over my body, my skin doesn't glow at all. My hands and feet have purplish colour during winters. What would be the suggested treatment?

BHMS
Homeopath, Faridabad
I have been experiencing paleness all over my body, my skin doesn't glow at all. My hands and feet have purplish colo...
Hello, take Petroleum 30 , 3 drops twice daily. Get your Your vitamin B 12 level checked. Revert after 7 days with reports and feedback.
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For e. G I have pimples on my face as well as. Even I use a ointment but there are no changes. What should I do?

BHMS
Homeopath, Delhi
For e. G I have pimples on my face as well as. Even I use a ointment but there are no changes. What should I do?
Hello, you can take homoeopathic medicine asteris rubens 30 (4 drops in little water) thrice a day for a week and update. *clean your skin gently with a mild face wash removing all dirt or make-up. Wash many times a day with plain water. *get an adequate amount of sleep. *avoid touching your face with your hands or try to squeeze pimples, it may leave permanent scars and spread the infection. *make a habit of 8-10 glasses of water daily. *avoid fried and spicy food. *include fruits, raw vegetables and fresh vegetable juices in your diet. *avoid stress and anger. *avoid harsh skin products.
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L have hair loss problem from last few years, is there any solutions to solve my problem, I will be very thankful for the same.

BAMS
Ayurveda, Ambala
L have hair loss problem from last few years, is there any solutions to solve my problem, I will be very thankful for...
For prevention of hair fall follow these instructions: • Do not take A lot of stress and take proper sleep of 6 - 7 hours. Do meditation to destress yourself. You can do Pranayams or take long deep breaths whlie closing your eyes I a peaceful environment for at least 8-10 minutes. • Add protein containing items in your foods for healthy hair growth such as take a bowl of cereal daily and a glass of milk or 100 gm cheese or 1-2 eggs.. • To reduce hairfall and whitening of hairs, Practice Yogasana like Shirshasana and Sarwangasana only under the guidance of Expert. • you can use mahabhringraj oil and apply it 3 times in a week massage your scalp for 10 to 15 minutes daily. It increases blood circulation in your scalp and enhances hair growth. • Avoid the excess use of products such as hair colours or shampoo. * Take Vitamin-E rich foods like dry fruits (Almonds, Pista etc) daily. * You can take Vitamnin E supplement (100 mg capsiles) daily and tab. Boitin only under the supervision of nearest physician. * Apply the egg yolk to the scalp atleast once a week. It gives nourishment to hair root and enhances hair growth.
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How to stop greying hair at head and beard? I am just 36 and greying on peak please help.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
How to stop greying hair at head and beard? I am just 36 and greying on peak please help.
Take balance diet and ake reckeweg lyco 200 single dose daily morning/ 3 days mixed fruit juice daily 2 times
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I have got tan on my hand my face is also tanned so what to do for getting fairer skin.

BHMS
Homeopath, Thane
I have got tan on my hand my face is also tanned so what to do for getting fairer skin.
If you are getting tanned then please start using sunsreen lotion above spf 30. Include citrus fruits and salads in your diet for complexion. Don't use any bleaching agents for skin. Apply plain cream or lotion which doesn, t have harsh chemicals. Take medicine r-60 drops (dr reckweg, germany) 10 drops in 1/4cup of water drink twice a day, 1/2 an hour before meals.
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I have skin tags on my anal lips. It does swell up sometimes. I showed a doc and he said it's harmless. I would appreciate your opinion on this.

MBBS, MS - General Surgery
General Surgeon, pathankot
Perianal skin has inherent property of puckering. Most of the time minor changes produce different feeling and sensation. Mostly non significant.
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My face is soft and clear in the morning in the evening it would ahve very awkward with rashes.

MD - Homeopathy, BHMS
Homeopath, Akola
There are so many skin protection creams in the market, apply them before going out of home. For eg. Borax with glycerine, and drink plenty of water. And take homoeopathic medicine.
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