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Dr. S.P.Singh

General Surgeon, Delhi

200 at clinic
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Dr. S.P.Singh General Surgeon, Delhi
200 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. S.P.Singh
Dr. S.P.Singh is an experienced General Surgeon in Karol Bagh, Delhi. Doctor is currently practising at Dr V.P Singh Clinic in Karol Bagh, Delhi. Book an appointment online with Dr. S.P.Singh and consult privately on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 30 years of experience on Lybrate.com. You can find General Surgeons online in Delhi 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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Hindi

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Dr V.P Singh Clinic

5811/4, Dev Nagar, Karol Bagh. Landmark: Near Khalsa Evening College, DelhiDelhi Get Directions
200 at clinic
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Treatment for nasolabial wrinkles for 50 years female. Routine treatment to follow to take care of skin.

D.D.V.L, F.A.C.S.I, M.B.B.S
Dermatologist, Delhi
Treatment for nasolabial wrinkles for 50 years female. Routine treatment to follow to take care of skin.
Hyaluronic acid is necessary in form of filler or can be locally applied but are more effective on injecting it in required area. Also sunscreen ,retinoids topical are part of anti-aging.
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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.

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I am suffering from rashes on skin I tried some home remedies but it turned out to be worse. feel like it is psoriasis as skin also became scaly and dry its also itchy can you just suggest wat to do.

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Faridabad
I am suffering from rashes on skin I tried some home remedies but it turned out to be worse. feel like it is psoriasi...
Hello, psoriasis is genetic disorder triggered due to stressful conditions and irregular life style. Psoriasis has three stages. First stage is when disease remain on skin and there are scaly patches. Second stage comes when there is pitting on nails and in last stage it enter the joints and there is pain in small joints. Generally patient use steroidal application on patches which give temporary relief and disease reappear after 2/3 days. In severe cases methotrexate is used which is not a safer option and is liver toxic. Ayurveda has got a complete remedy for psoriasis. It is a safer option and can be used for longer duration without any side effects. Ayurvedic external application give very quick results with sun exposure in clearing the scales and internal treatment does not allow the disease to re appear. Psoriasis is a manageable disease and can be managed with ease and effectively using ayurveda. Coconut oil is best remedy for dry skin to be applied after taking bath. You can use salytar soap. You should use 3 gms of haldi with milk helps in psoriasis patients.
2 people found this helpful
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I'm 18 years old boy, Ill be 19 soon on 5 Dec, 1 year I've destroyed myself, Now my face and whole body looks tired, my face almost looks very tired, Fat on Face and Body is Increased, I spent last year without friends, family Most on Computer screen, 0% sports, exercise,Ive Applied many facewash always before going any festival, party,I have spent most of my last whole year in home only with lot of stress, and I Fought with my parents when they tried to say me shut down PC, I didn't listened to anyone, ONE DAY I REALIZED WHEN A 50 YEAR OLD MAN CALLED ME UNCLE, I really shocked then I Saw myself in Mirror, Im Really Destroyed Too much fat on Neck, Backbone stretched because I spend almost whole year on one position in front of PC, My skin has many acne, and spots, my face always sweats, I do not have hair loss, but my hair became thinner, My mood for masturbation is also gone, I do it only once in month, I feel tired, And Now I cannot even Go away from Facebook, Whatsapp and Movies, My eyes have huge circles with dark wrinkles, Fat Below My Neck, I always feel tired, Just one year ago, I won Medal in Running, I was popular and Handsome guy, Now I'm Ruined, How Can I be Good And Great again? How should I recover myself? I want to lose my weight, I want to makw my eyes glow again, My skin clear again, What I suppose to do? Please help me, Sometimes I even feel that I should quit myself, What I suppose to do? I want to be healed, whenever I look at mirror I see myself as Ghost, please help me.

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
I'm 18 years old boy, Ill be 19 soon on 5 Dec, 1 year I've destroyed myself, Now my face and whole body looks tired, ...
Take balanced diet. Take lot of water everyday. Take fresh fruit and vegetables regularly. do meditation or yoga
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I am 18 years old boy and I have horizontal marks on my back applying skin cream doesn't help. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 18 years old boy and I have horizontal marks on my back applying skin cream doesn't help. What should I do?
There is in ayurveda mention pinda swed. It is a type of swedan karma [phomentation] but it do some another manner. 1. Boiled a rice in milk then take this rice in one white cloth then tied it properly and warmly it rub on your face every morning for 15 days then stop it and do next month again 2. Apply almond oil on your face and massage for 3-5 min at night. By doing above thing you will get good result.
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Sir, I want to improve my complexion with glow and i want to know healthy n permanent treatment for the same hope you guide me.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Sir, I want to improve my complexion with glow and i want to know healthy n permanent treatment for the same hope you...
Alter your diet. Include loads of fresh fruits and water in it. Do not forget to apply sunscreen every week massage your skin with almond oil twice.
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How do I care my exposed skin to direct sunlight when I have to daily exposed myself to sun at least 6 hours in a day?

MBBS
General Physician, Mumbai
How do I care my exposed skin to direct sunlight when I have to daily exposed myself to sun at least 6 hours in a day?
Wear cotton clothes and fully cover your body including face and hands while going in direct sunlight and drink a minimum of three litres of water per day and if necessary apply caladryl lotion over the lesion.
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I have black start on my face I use many face wash but it did not wrk wht sholu I do for thi problem. Suggest me some suitable tios for solving thi harmful decease.

BAMS
Ayurveda, Ambala
I have black start on my face I use many face wash but it did not wrk wht sholu I do for thi problem. Suggest me some...
Dear, follow these important tips to get fair colour of skin * avoid to go in strong sunlight and if you have to go in sunlight then cover your face & exposed parts of body before going in sunlight. * Use sunscreen having SPF 15 on face especially in summer and spring season. * Take vitamin -E rich foods like dry fruits, egg and fish as you like. You can take cord liver oil capsule daily. * Take more anti oxidant foods like fruits (Apple, grapes, melon) and citrus fruits. * Make paste of Papaya and apply this paste on face & exposed body parts and leave it for 15 minutes. It brightens the skin and lower melanin content. For fair skin: • Apply one teaspoon Besan with one teaspoon of curd and a pinch of haldi (turmeric) mix it with water then apply for 15 minutes then rinse off it with water Once a week. • Drink 2-3 liters of water everyday to get hydrated & glowing skin. • Mash half banana mix it with 1/2 teaspoon of lemon juice and half teaspoon of sandalwood powder mix it well and make smooth paste apply it for 10 minutes then rinse off with water.
1 person found this helpful
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My lower lip is dried badly from last 10 days. It has pain and cracks. There are no relief so, please let me reason and way to come out from this reason?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
My lower lip is dried badly from last 10 days. It has pain and cracks. There are no relief  so,  please let me reason...
It could be because of dehydration. You may take ors solution for three days and inform if not cured then can give you other homeopathic medicine.
3 people found this helpful
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