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Dr. Mahadevan.S.A

General Surgeon, Chennai

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Dr. Mahadevan.S.A General Surgeon, Chennai
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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. Mahadevan.S.A
Dr. Mahadevan.S.A is a trusted General Surgeon in Mogappair East, Chennai. You can meet Dr. Mahadevan.S.A personally at A.B. Hospital in Mogappair East, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mahadevan.S.A on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 41 years of experience on Lybrate.com. You can find General Surgeons online in Chennai 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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A.B. Hospital

No.1/57, Valaiyapathi Road, Mogappair East. Landmark: Reliance Fresh, ChennaiChennai Get Directions
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My lip is getting cut at the middle. I have tried many medicines and lip balms. But I did not get rid of it. What can I do to avoid it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My lip is getting cut at the middle. I have tried many medicines and lip balms. But I did not get rid of it. What can...
Homoeopathic medicine petroleum 30 (dr reckeweg) drink 5 drops in 1 poon fresh water 3 times daily petroleum ointment (sbl) apply locally twice daily report after 15 days.
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Pathophysiology of Chemical Peels!

Diploma In Trichology - Cosmetology, PG Diploma In Clinical Cosmetology (PGDCC), Diploma In Aesthetic Mesotherapy, PG Diploma In Clinical Research
Aesthetic Medicine Specialist, Ahmedabad
Pathophysiology of Chemical Peels!

Chemical peeling is a medical procedure which includes application of a chemical agent to the skin, causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or combination of agents of defined strength are applied the skin causing a controlled destruction of layers of the skin. This is followed by regeneration and remodeling leading to improvement of texture and surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and imperfections.

Skin is considered the largest organ of the body and has many different functions. The skin is divided in two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also called subcutaneous connective tissue.

Epidermis: It is the most superficial layer of the skin. The first barrier of protection from the invasion of foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum, stratum spinosum and stratum basalis(basal layer).

Dermis: It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.

Classification of peels according to histological depth

  1. Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.
  2. Superficial peel – Destruction of the full epidermis, up to the basal layer
  3. Medium peel – Destruction of the epidermis, papillary dermis and upto the upper one third of the reticular dermis.
  4. Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid reticular dermis.

Classification of chemical peeling agents

Very superficial Peel:

  • Glycolic Acid 30-50% applied for 1-2 minutes
  • TCA* 10% applied as one coat
  • Jessner’s solution 1-3 coats

Superficial Peel:

  • Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)
  • TCA 10-30%
  • Jessner’s solution 4-10 coats
  • Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring, fine lines, and sun spots.

Medium Peel:

  • Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)
  • TCA 35-50%
  • Glycolic Acid 70% plus TCA 35%
  • Jessner’s solution plus TCA 35%

Deep Peel:

  • Phenol 88%
  • Baker Gordon phenol formula
  • Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced wrinkles, skin tightening and pigmentary dyschromia.

Reason behind chemical peeling:

  • Wound healing process is an important reason for rejuvenation. The phases of wound healing after chemical exfoliation are apparent:
  • Inflammatory phase (1-5 days) – This phase is evident after peeling as erythma and swelling on the skin
  • Proliferative phase (2-21 days) – In superficial peels, the basement membrane is intact, hence normal epidermis is restored in 2 to 3 days. In medium to deep peels, wound is below basement membrane and re-epithelialization takes time.
  • Remodeling phase (3 weeks to 2 years) – collagen remodeling is the main reason that chemical peels cause rejuvenation and reduce wrinkles.

Indications for peels:

1. Pigmentary disorders

  • Resistant melasma
  • Pigmented cosmetic dermatitis
  • Freckles
  • Lentigines
  • Post inflammatory hyperpigmentation

2. Acne

  • Comedonal acne
  • Post acne scars
  • Acne cosmetic
  • Acne excoriee

3. Cosmetic

  • Photoageing
  • Fine wrinkling
  • Skin glow and rejuvenation
  • Oily to rough skin
  • Actinic keratosis

4. Miscellaneous

  • Keratosis pilaris
  • Macular amyloidosis
  • Dilated pores
  • Seborrheic keratoses

Contraindications

  • Active bacterial, viral and fungal infection and open wounds
  • Oral isotretinoin use within the past three months
  • Pregnancy and breastfeeding
  • History of keloid formation
  • History of taking oral contraceptive and photosensitive drugs
  • Unrealistic patient expectation
  • Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine
  • For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the last six months.

How to choose a patient:

A patient should be chosen depending upon 4P’s:

P – Pathology

P – Point of depth required

P – Patients skin

P – Previous peeling agents

Newer peels:

Many peels like mandelic acid, kojic acid, lactic acid, citric acid and many more have been introduced in the market which are also available in combination. These peels are not only more skin friendly but also more patient friendly. They have buffering agents like licorice extract and willow bark extract to minimize irritation to skin and antioxidants to infuse the skin with restorative nutrients. The change in the skin often occurs at cellular level and are not apparent to the naked hence making it more popular amongst busy patients who are seeking effective treatments quickly with little or no downtime.

Benefits of chemical peels:

The skin becomes noticeably smoother and rejuvenated.

  • It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and enlarged pores.
  • Removes dead and damaged skin cells and improves skin texture
  • Helps in removal of tan
  • Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the epidermis but also collagen remodeling.

Pre peel and post peel precautions:

  • Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the indication and type of peel) every 2-3 weekly to get the desired result.
  • Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of at least 7 days before and after the peel should be maintained.
  • Patient should use a mild soap/ non soap cleanser after the peel
  • Broad spectrum sunscreen and moisturizer should be used liberally, at least 2-3 times a day and sun exposure should be avoided.
  • Patient should be strictly prohibited from scratching, picking or scrubbing the skin.

Take home message:

Chemical peeling is a simple office procedure for the treatment of acne, pigmentation, skin rejuvenation and photo ageing. These are not one time procedures but require 6-8 sessions and maintenance peels to achieve maximum improvement and prevent recurrences. The newer peels are safer and effective. If you wish to discuss about any specific problem, you can consult a aesthetic-medicine specialist.

2771 people found this helpful

I am 24 years old. I have very dull uneven dark skin, I have too many little pimples on my face, open pores, fine lines, and very very dark circles under my eye and over eye lid. Applying aloe vera gel regularly but no effect. Please suggest some good remedies.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am 24 years old. I have very dull uneven dark skin, I have too many little pimples on my face, open pores, fine lin...
Aloe vera is good but apply garden fresh. However its full effects are visible and all skin dark, pimples etc can be addressed fully if you go systematically. Do intestinal cleansing, do detoxification by herbal bitters, do raktashodhan by herbs, modify diet, apply classic combo of 'varnya gana' herbs after proper skin cleansing, derma care and hydration - all by herbs and economically. No body can stop improvement. If interested for further details and/or ready customised solutions, pl consult online.
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I am 22 years old. Me suffering with full heat in my body by that boils are occurring under the elbows. What should I do to reduce that boils.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 22 years old. Me suffering with full heat in my body by that boils are occurring under the elbows. What should I...
take following remdies 1. alovera juice 4tsp+ 1 tsp honey after dinner 2.amal juice 4tsp +2 tsp sugar + 2tsp honey empty stomch in the morning
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5 Homeopathic Remedies For Clear Skin!

BHMS, PG Diploma In Clinical Cosmetology (PGDCC) & PGDMT, FAM
Trichologist, Gurgaon
5 Homeopathic Remedies For Clear Skin!

The skin can get dull and result in acne and other breakouts if exposed to the sun or other environmental factors. Homeopathic treatments have one major advantage over other forms of treatment that is they do not have any side effects.

Some homeopathic treatments for getting clear skin are-

1. Sulphur - 
Symptoms of dry and scaly skin can be treated by sulphur. It can also be used to treat skin eruptions such as pimples and pimple marks.

2. Bovista - Bovista is a homeopathic remedy used for disorders resulting from excessive use of cosmetics. Pimples and dark skin are problems caused by excessive cosmetic products use and treating these symptoms with bovista can help in achieving a clear and healthy skin.

3. Psorinum - People affected by overactive sebaceous glands, which results in excessive oil production benefit from using Psorinum. It will remove symptoms of greasy skin and pimples caused as a result of oily skin.

4. Silicea - Silicea is a homeopathic medicine used when acne leaves deep marks on the skin. This treatment gets rid of the scars to give a clear skin.

5. Sepia - Discoloration of the face caused due to liver disorders or hormonal imbalance is treated by Sepia. Sepia eliminates these discolorations and gives you clear and healthy skin.

6 people found this helpful

I have pitted chickenpox mark on my forehead. Can I ever get rid of it? Or, can I conceal it?

MD - Dermatology
Dermatologist, Pathanamthitta
I have pitted chickenpox mark on my forehead. Can I ever get rid of it? Or, can I conceal it?
chicken pox can leave spots or scars.spots respond to medications.scars if not manipulated respond otherwise they need surgical interventions.Ur need lasers,peels and surgical measures.
1 person found this helpful
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Mam, I am 20 years old, male, my face skin is to much dark, due to unnecessary use of different creams which result in body is in light colour and only face is too much dark can you please please help me! how to get face colour light please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Mam, I am 20 years old, male, my face skin is to much dark, due to unnecessary use of different creams which result i...
Homoeopathic treatment whitening cream (biovalley) apply in circular fashion in morning nd at night whitening soap (biovalley) wassh face with this face wash before applying whitening cream suncare cream (bakson) apply 30 minutes before going outsside nd again reapply after 3-4 hrss after washing with whitening soap papaya pack (bakson) daily apply on face directly in evening when you think you r not going outsside now nd wash face after it is dry. Ferrum sip syrup (sbl) 2 spoons twice daily diet daily cucumber in salad 1 apple /200 gm papaya/500 gm watermelon daily consume lots of water daily 2 glass milk daily.
3 people found this helpful
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I am suffering from fibroadenoma since a long time but I have been taking homeopathy medicine since last six months. The time I take medicine my tumour is in small size but if I stop taking it, my tumour grows. What should I do to remove the tumour completely except having a surgery?

M.CH - Surgical Oncology, MBBS
Oncologist, Visakhapatnam
Dear there is no other option than getting it removed surgically for complete relief. There is always a chance given your age and description that the lump may subside by itself over a period of time (usually years). But it also possible that it may not regress on its own. If it is causing you distress, surgical removal is ideal.
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My arms are getting dark day by day so what can be applied to get bright skin again?

MD - Alternate Medicine, BHMS
Homeopath, Surat
My arms are getting dark day by day so what can be applied to get bright skin again?
Apply Berberis aqua Q over it for 3 times in a day for 2 weeks on the darker part. It will be removed.
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How to get fair colour specially for hands they are getting much darker then body. Suggest some medicines for fair colour.

BHMS
Homeopath, Faridabad
How to get fair colour specially for hands they are getting much darker then body. Suggest some medicines for fair co...
Hi, Use homoeopathic cream - Medicynth's Whitch Hazel or Bakson’s Fairness cream daily at night. Apply liberally sunscreen with SPF-30 – a thick layer of Bakson's Suncare cream may be, 20-30 minutes before going out daily and repeat it's application after every 3-4hrs. Diet: -Increase your Vitamin C intake (lemon, orange, gooseberry, etc. Fruits/juices, strawberries, sweet peppers, tomatoes, can notaloupe, and green peas). - Eat more Vitamin A (nonfat milk, oysters, and egg yolks, carrots, watermelon, papaya, tomatoes, or other dark colored produce). If you feel your skin is weak or not tight enough, that usually suggests a lack of Vitamin A. Home remedies: Apply fresh-squeezed lemon juice to your entire face and neck. Leave it on for 10 minutes And then wash it off with lukewarm water. After this, rub cucumber slices on your skin to soften and moisturize it. Do this 2-3 times a day. Another option is squeeze the juice of one-half lemon and mix one to two tablespoons of raw honey in it. Apply it on your face, leave it on for 15 to 20 minutes and then rinse it off. Make a paste of'Kasturi Manjal' (wild turmeric) with rose petals, saffron and raw milk which is very effective. To exfoliate your skin, mix two teaspoons each of lemon juice and sugar. Apply the mixture on your face, neck and hands. Scrub in a circular motion and leave it on for 10 minutes. Then rinse it off with lukewarm water. Follow this remedy once a week to enjoy glowing skin.
1 person found this helpful
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