Dr. Sravya Chowdary Tipirneni

Hello lybrate-user, the pigmentation you are suffering from is called melasma. Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycolic, jessner, tca with or without microdermabrasion. At home you can apply cream containing kojic acid, arbutin, etc and vitamin c serum for maintenance. Use high spf sunscreen on regular basis. Use glycolic acid based facewash. Hope this will take care of your issue. Let me know if you require any help from my side. Dr. Hardik pitroda.

Everyone has a favourite face cream or treatment, but beautiful skin starts with nourishment from within. Older cells are constantly shed and replaced by younger ones and a steady supply of micronutrients is essential to support this rapid growth. Eat the correct balance of foods and you'll feed your skin the vital nutrients it needs to help it stay soft, supple and blemish-free. Eat your five-a-day Fruit and vegetables contain powerful antioxidants that help to protect skin from the cellular damage caused by free radicals. Free radicals are caused by smoking, pollution and sunlight and can cause wrinkling and age spots. Eat a rainbow of colourful fruit and vegetables and aim for at least five portions a day. Betacarotene, found in pumpkin, carrots and sweet potatoes, and lutein, found in kale, papaya and spinach are potent antioxidants, important for normal skin cell development and healthy skin tone. Vitamin C Vitamin C is also a super antioxidant. It is needed for a strong immune system, radiant skin and helps blemishes heal properly. The best sources are blackcurrants, blueberries, broccoli, guava, kiwi fruits, oranges, papaya, strawberries and sweet potatoes. They all help to produce collagen that strengthens the capillaries that supply the skin. Cut out crash diets Repeatedly losing and regaining weight can take its toll on your skin, causing sagging, wrinkles and stretch marks. Crash diets are often short in essential vitamins too. Over long periods of time this type of dieting will reflect on your skin. Stock up on selenium Selenium is a powerful antioxidant. It works alongside other antioxidants such as vitamins E and C and is essential for the immune system. Studies suggest that a selenium-rich diet can help to protect against skin cancer, sun damage and age spots. One way to boost your intake is to eat Brazil nuts. Just four nuts will provide the recommended daily amount (RDA). Mix Brazil nuts with other seeds rich in vitamin E as a snack or salad sprinkle. Other good sources are fish, shellfish, eggs, wheatgerm, tomatoes and broccoli. Vitamin E Vitamin E protects skin from oxidative (cell) damage and supports healthy skin growth. Foods high in vitamin E include almonds, avocado, hazelnuts, pine nuts and sunflower and corn oils. Drink up Skin needs moisture to stay flexible. Even mild dehydration will cause your skin to look dry, tired and slightly grey. Drink six to eight glasses of water a day - all fluids count towards your daily allowance, but water is the best. If you work in an office, keep a large bottle of water on your desk to remind you to drink. Herbal, caffeine-free teas are good too. Try to avoid smoking and excessive alcohol consumption, both can age the skin. Don't be afraid of fat Monounsaturated and polyunsaturated fats - the types found in avocados, fish, nuts and seeds - provide essential fatty acids which act as a natural moisturiser for your skin, keeping it supple. These fats also come packaged with a healthy dose of vitamin E (a vitamin many of us lack), which will help protect against free radical damage. Eat more phyto-estrogens Phyto-estrogens are natural chemicals found in plant foods (phyto meaning plant). They have a similar structure to the female sex hormone oestrogen and have been found to help keep our natural hormones in balance. There are different types, some are found in soya bean products (isoflavones), whereas others are found in the fibre of wholegrains, fruit, vegetables and flax seeds (lignans). Include phyto-estrogen rich soya, wholegrains, fruits and vegetables as part of a balanced diet. Opt for omega-3 Make sure you get enough omega-3 and omega-6 fats. These are essential fatty acids which mean they cannot be made in the body and must be obtained through the diet. You will find omega-3s in oily fish and plant sources such as flaxseed oil, linseeds, walnut and rapeseed oil. Omega-3 fats encourage the body to produce anti-inflammatory compounds, which can help skin, particularly inflammatory skin conditions such as eczema and psorasis. Go for low-GI carbs Eat plenty of beans, pulses, porridge and other slow-releasing carbohydrates. These release sugar into the blood stream gradually, providing you with a steady supply of energy and leaving you feeling satisfied for longer and therefore less likely to snack. Avoid high GI carbohydrates like biscuits and sugary drinks, as they lead to production of insulin, which may damage collagen and accelerate wrinkles. Don't forget zinc Zinc is involved in the normal functioning of the sebaceous glands in the skin (which produce oil) and helps to repair skin damage and keep skin soft and supple. Zinc-rich foods include fish, lean red meat, wholegrains, poultry, nuts, seeds and shellfish.

Use perduo gel at night, along with the following medicine. Contact me or send photos on direct private online consultation for proper diagnosis and treatment. Acne or pimples. Due to hormonal changes. Oily skin causes it. Common in adolescent age. May occur in adults also. Food like Oily foods, ice cream, chocolate and sweets increase it. Treatment depends on the grade of pimples or acne. So, please consult me in my clinic or consult me by direct online consultation by sending photos as it's a must to see which grade of pimples or acne for accurate diagnosis and treatment.

Causes of photodermatitis The main cause of an allergic reaction to the sun is a violation of pigment metabolism and endocrine disorders, and in some cases, it is caused by beriberi. Most often photodermatitis is abserved among pregnant women, in this case it is caused by hormonal changes. One of the most common causes of this type of allergy is the reception of drugs. For example, photodermatitis may be caused by the reception of the folowing medications: Quinidine. Nonsteroidal anti-inflammatory drugs. Sulfonamides. Fluoroquinolones. Amiodarone. Tetracyclines. Prevention of photodermatitis: Basic preventive measures that are to be taken to avoid photodermatitis are to limit the use of cosmetics and perfumes before going out in the afternoon. In addition, immediately before going out one should apply qualitative sun-protective cream with a high degree of protection to the skin. Do not sunbathe at midday. Sunbathe only early in the morning and in the evening. Refuse to perform cosmetic procedures that affect the skin before going to the beach or solarium. Take medications carefully. Causes of Pigmentation: Melanin: The skin colour varies from one person to another due to the presence of a pigment called melanin. It is produced by melanocytes cells in our body. Melanin protects our skin from damage on exposure to sunlight. When we spend long hours under the sun, the melanin production is increased. This gives a tanned look. Freckles: These are caused by clusters of melanin. These gets accumulated or concentrated in clusters on being exposed to sunrays. Liver Spots/Age Spots: These are also known as solar lentigos. This can be due to ageing or excessive exposure to UV rays. Birthmarks: These are referred to the irregular blemish that appears on any part of the body soon after birth or at the time of birth. These are of two types: vascular and pigmented. Melasma/Chloasma Faciei: This is usually found in pregnant women. It occurs due to the over-activation of melanocytes as there is a hormonal imbalance. Post-inflammatory hyper pigmentation: This refers to inflammation as a result of inflammation caused by trauma. Home-based remedies: Milk and honey face pack. Vegetable juices. Avocado magic. Add Vitamin E to your diet. Face mask Sun screen Take up some exercise Avoid consumption of alcohol and cigarettes Cocoa butter Oil massage.

You may have photosensitivity and soap allergy... You may take Homoeopathic Medicine Natrum Muriaticum 30 TDs for 3 days.

Hair transplant is one of the most frequently performed surgeries and we are the pioneers in central India since last 30 years. They are your own hair and the results are permanent with no side effects like rejection. We have to assess the Hair pattern. Some people respond to medical treatment but a fair number need surgery. The surgery is almost painless because there are enough medications to keep the pain under control. Injections are given to make the place numb, there are creams also available to make the injections less painful. Both FUT & FUE have 70-85 % success, both have their takers for different reasons. Hairs last a life time, based on donor site performance. IT IS A RELATIVELY SAFE PROCEDURE AND VERY GRATIFYING. And no marks left. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc

Hair fall:- Tab. Keraglo men once daily for 3 months. Qilib men solution 6-8 sprays once daily at night for one month Use Anaphase shampoo. Increase intake of protein diet & Green leafy vegetables. Check blood test for Thyroid & Haemoglobin.

You could be having melasma. Start using sunscreen 2-3 hrs once during the day. Consult personally for proper diagnosis n further treatment.

Follow these best tips to lightens and remove pimples & dark spots- 1. Take fuller, s earth (multani mitti) and sandalwood powder (chandan powder) mixed in same quantity mixed in water and apply on the mark in night and wash it after 1 hour. It will slowly removes the spots. 2. Take a piece of aloe vera. Apply gel of leaves on mark daily. Wash it after 30 minutes. 3. Crush one tomato and apply the paste on mark. It will remove the spots definitly. 4. Soak cotton gauze in rose water and clean the dark spots 2-3 times daily. 5. Take carotene rich vegetable suchas carrots, beetroot and fruits- mango, pineapple, strawberry regularly. 6. Avoid use of any cosmetic products. 7. Avoid continous long hours exposure of sunlight.

Dear Lybrate User, Pimples/ Acne vulgaris is a chronic inflammatory skin disease which develops due to blocking of the hair follicles in skin. These blockages occur due to 4 abnormal processes: 1) Excess sebum production due to androgens 2)Excessive deposition of the protein keratin leading to comedone formation 3)Infection of Propionibacterium acnes (P. acnes ) bacteria on the hair follicles 4) Local release of pro-inflammatory chemicals in the skin. In order to stop the formation of pimples the aforesaid four causes should be terminated. Now the bitter truth is neither can you stop the overproduction of androgen or keratin protein nor can you stop the release of pro-inflammatory chemicals because all these processes takes place internally in your skin. However you can stop the accumulation of P. Acnes bacteria on your skin by preventing your skin from getting oily. Always keep a handkerchief with you whenever you go outside. You should wipe off the slightest amount of sweat from your face as soon as you perspire On entering your room from outside wash your face with an oil-free, non-moisturizing face wash. Take a low carbohydrate diet. Do some exercise daily. Drink a lots of water to avoid constipation. Avoid pricking the pimples or popping the sebum as it may lead to black pigmentation & permanent scar formation. You can also take Homoeopathic CALCAREA PHOS 200, 5 drops, thrice daily, in empty stomach Also you can apply Homoeopathic Mother Tincture BERBERIS AQUIFOLIUM Q on the dark spots on your skin which are produced after the resolution of the pimples. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via Lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition