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Dr. Sameer

General Surgeon, Delhi

300 at clinic
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Dr. Sameer General Surgeon, Delhi
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sameer
Dr. Sameer is a popular General Surgeon in Nand Nagri, Delhi. You can consult Dr. Sameer at Aakar Medical Centre in Nand Nagri, Delhi. Book an appointment online with Dr. Sameer 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 43 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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Aakar Medical Centre

Kh-113, Vill Mandoli, Sewa Dham Road, Nand Nagri. Landmark: Near Baroda Bank, DelhiDelhi Get Directions
300 at clinic
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Hi, I have Fungal infections on my private parts this problem is last year but I have That problem.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Hi, I have Fungal infections on my private parts this problem is last year but I have That problem.
Dear patient, it can be fungal infection or bacterial infection, but treating at home can harm you more than curing you, as genital parts and its skin is quite sensitive. My advice is you maintain a good standards of cleanliness, use a anti fungal, anti bacterial soap and a dusting powder. And if not relieved a see a nearby physician or a dermatologist.
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B.H.M.S
Homeopath, Kolkata
GET RID OF DARK CIRCLE FAST
Dark discoloration of the skin under the eye is mainly referred to as dark circles. It is also known as dark rings or shadows.

Some of the main causes behind the formation of dark circles are heredity, aging, dry skin, prolonged crying, working for long hours in front of a computer, mental or physical stress, lack of sleep and an unhealthy diet. Both men and women of different age groups can have dark circles.

Dark circles are not a serious skin problem, but they make people look tired, exhausted, unhealthy and older. You can easily get rid of unsightly shadows under your eyes using some easy home remedies.
how to get rid of dark circles

Here are the top 10 ways to get rid of dark circles fast.

1. Almond Oil
Almond oil is a great natural ingredient that is very beneficial for the delicate skin around your eyes. Regular usage of almond oil will help fade your under eye circles. In addition to almond oil, you can use vitamin E oil to eliminate dark circles under the eyes.

Before going to bed, apply a little almond oil over the dark circles and gently massage it into the skin.
Leave it on overnight.
The next morning, wash it off with cold water.
Follow this remedy daily until the dark circles disappear.

2. Cucumber
Cucumbers have skin-lightening and mild astringent properties that help fix those raccoon eyes naturally. Plus, they have a soothing and refreshing effect.

Cut a fresh cucumber into thick slices and chill them in the refrigerator for 30 minutes. Put the slices onto the affected skin area for about 10 minutes. Wash the area with water. Repeat twice daily for about a week or more.
Another option is to mix cucumber juice with lemon juice in equal amounts. Use a cotton ball to apply the mixture on the affected skin. Leave it on for 15 minutes and then wash it off with water. Follow this remedy daily for at least one week.

3. Raw Potato
There are natural bleaching agents present in potato that can help lighten dark circles and get rid of puffiness around the eyes.

Grate one or two chilled potatoes to extract the juice. Soak a cotton ball in the juice and place it over your closed eyes. Make sure the juice covers the dark circles under your eyes as well as the eyelids. Allow the juice to sit for 10 to 15 minutes. Rinse your eyelids well with cool water. Repeat once or twice daily for a few weeks.
Instead of potato juice, you can also use thick potato slices to remove dark circles.

4. Rose Water
Rose water has incredible ingredient for skin care. It rejuvenates the skin and has a soothing effect on tired eyes. Due to its mild astringent properties, it also works as a good skin toner.

Soak cotton eye pads in pure rose water for a few minutes.
Put the soaked pads on your closed eyelids.
Leave them on for about 15 minutes.
Follow this remedy twice daily for a few weeks.

5. Tomato
Tomatoes have bleaching properties that can lighten skin to a great extent.

Mix one teaspoon of tomato juice with one-half teaspoon of lemon juice. Gently apply this mixture on the dark circles and allow it to sit for 10 minutes. Rinse it off with water. Follow this remedy twice a day for a few weeks. Simply using tomato juice will also work.
You can also drink a glass of tomato juice with some mint leaves, lemon juice and salt. For maximum results, be sure to drink this juice immediately after making it. Drink it once or twice a day for about a week.

6. Lemon Juice
The vitamin C present in lemon juice can also help remove dark circles under the eyes, thanks to its skin-lightening properties.

Use a cotton ball to apply fresh lemon juice around your eyes. Leave it on for about 10 minutes and rinse it off. Do this once daily for a few weeks.
Another option is to make a thick paste by mixing one tablespoon of lemon juice, two tablespoons of tomato puree, a pinch of gram flour (besan) and turmeric powder. Apply this thick paste gently around your eyes. Rinse it off with clean water after 10 to 15 minutes. Repeat two or three times every week.
Note: If the lemon juice causes a burning sensation then discontinue its use.
COCONUT OIL
Massaging with coconut oil is another effective natural remedy to lighten dark circles. Due to its moisturizing quality, coconut oil also promotes smooth skin and prevents wrinkles and fine lines under eyes.

Simply massage some extra-virgin coconut oil on the under eye area.
Leave it on for a few hours, and then wash it off.
Repeat two to three times daily for a few months or until you are satisfied with the results.

8. Tea Bags
The caffeine and antioxidants present in tea can be highly beneficial for getting rid of dark circles as well as puffiness under eyes by shrinking the blood vessels and reducing fluid retention. The tannins, in particular, help decrease swelling and discoloration.

Chill two used green or black tea bags in the refrigerator for about half an hour.
Place one tea bag over each eye and leave it on for 10 to 15 minutes.
Remove the tea bags and wash your face.
Repeat once or twice daily for a few weeks.
Note: Be careful not to get the tea in your eyes.

9.COLD COMPRESS
Cold compress can constrict the blood vessels under the eyes and help a lot in reducing eye puffiness and dark circles.

Soak a washcloth in cold water or cold milk. Put it over your closed eyelids for several minutes.
Alternatively, you can wrap a few ice cubes in a soft napkin and place it under your eyes for a few minutes. You can also use a bag of frozen peas, a chilled teabag or a cold spoon.
Follow these remedies a few times daily.
10.TURMERIC
Turmeric has antioxidant and anti-inflammatory properties that can help minimize dark circles. It will also make the skin around your eyes smoother and softer.

Mix two teaspoons each of turmeric powder with pineapple juice to make a thick paste.
Apply this paste to the affected area.
Leave it on for about 10 minutes before wiping it away with a soft, damp cloth.
Do this daily until you get positive results.
Additional Tips

Get adequate sleep and rest.
Avoid rubbing your eyes too much or too often as it causes the blood vessels to dilate, thus making the under eye circles appear darker.
Remove your make-up before going to sleep or else it may irritate your eyes.
Limit sun exposure.
Drink plenty of water throughout the day to get rid of water retention that could be causing the problem.
To avoid eye bags caused by pooling of fluids in your lower eyelids, elevate your head by adding two or more pillows under your head before going to sleep.
Pay attention to your diet and eat foods rich in vitamins A, C and E.
Stop smoking and restrict alcohol and caffeine consumption; smoking damages skin cells, and alcohol and caffeine contribute to dehydration which in turn weakens the delicate skin around the eyes.
3 people found this helpful

I am 40 years old. I am female. I have suffer from breast cancer from last 1 and 1/2 years. I have took surgery chemotherapy and radiation therapy from rcc, trivandrum. Please given any preventive method,

MS - General Surgery
Oncologist, Ludhiana
Tell me status of er, pgr and her-2-neu. This test is done on tissue i. E. Specimen removed with surgery.
1 person found this helpful
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How to remove dandruff from head? And also the marks on the forehead due to dandruff?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How to remove dandruff from head? And also the marks on the forehead due to dandruff?
Homoeopathic treatment A.C.4 ( Bakson) chew 1 tab 3 times daily ANTI DANDRUFF OIL ( Wilmar schwabe India) Apply atleast twice weekly.Leave overnight VENOME SHAMPOO ( BIOVALLEY) Diet Take lots of water daily Avoid cold drinks,junk nd fast ,fried food Take nutritious diet Exercise regularily
7 people found this helpful
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I am 20 years old n I hv dark oily skin. What should I do to get rid of oily skin? What remedy should I use to get a fair face? Should I use any cosmetics, if yes then which or is there any other remedy.

BAMS
Ayurveda, Ambala
I am 20 years old n I hv dark oily skin. What should I do to get rid of oily skin? What remedy should I use to get a ...
*To control the oily secretion you should maintain your hormonal level. Because imbalance in hormone level causes excessive oily secretion on face. So do not take stress and do exercise daily such as running, jogging. Do long breathing pranayams daily for 10 minutes. • Drink 7 -8 glass of water daily. Apply rose water on your face daily for 5 minutes. * Take proper sleep of 6 to 7 hrs daily. • Use a face pack of fuller's earth (multani mitti) with rose water one time in a day for seven days. It removes toxins from skin. *You can apply cucumber juice or mixed with curd for 5 minutes and rinse with water.
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Hi I m suffering from skin raised bumps do not know what they are these appear on my legs mostly I got medication and injections taxim for 7 days but these appear again and again and the worst thing is they appear in numbers like 3 - 4 and cause me pain I can not even walk and also in my nose but tiny which never heal and are almost from a long tym please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi I m suffering from skin raised bumps do not know what they are these appear on my legs mostly I got medication and...
Homoeopathic treatment SULPHUR 30 ( Dr.Reckeweg) Drink 5 drops in 1 spoon fresh water today night 30 minutes after eating or drinking anything at bedtime. Nw forget about Sulphur 30 after this nd just keep it in your refrigerator.No need to further take this medicine.I will let u know what to do with this medicine afterwards. FORMULA-D TABS ( BAKSON ) Chew 1 tab 3 time a day for 1 month DERM-AID SOAP ( BAKSON) Use only thiss soap on body OINTMENT TOPI SULPHUR ( Wilmar Schwabe India) Apply locally twice daily Report after 1 month Eat nutritious diet Avoid nuts,chocklates,dry fruits,fasst,fried food.
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I feel irritating during on motion and slightly drop off blood with motion. After that I avoiding chicken and masala items. What's the reason for this? And give some suggestion food's for me.

FACS, FAIS, FICS, FRSM, AWS, Diploma in Laproscopic Surgery, MS - General Surgery, MBBS
General Surgeon, Chennai
There is a rubber band like muscle in years anal area. When you pass tight motion, this tears causing blood drops to come. You can check if its healing or you might require a small surgery if it keeps recurring.
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My sister hvng chubby cheeks and double chin which makes her look vry older bcz of which she dnt mix with her friends as they all r good looking and slimmer face. Is there any exercises which gonna help her?

BHMS
Homeopath, Faridabad
My sister hvng chubby cheeks and double chin which makes her look vry older bcz of which she dnt mix with her friends...
Hello, It's good to reduce weight at right time as many problems including irregular menses are directly related to overweight! Read the following guidelines and implement them in your routine: Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. Medication for obesity: Start taking Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 1 month. There after revert me back for further guidance. All the best! Following exercises will help you to achieve this if you don’t have any other medical condition: 1.The Plank - Lie down on your tummy and then come on your palms and toes.Lift the knees off the floor. Draw your tummy muscles up and breathe deeply into the side and back of the rib cage. Aim to hold the pose for 30 seconds. 2.Static Tiger pose - Place your hands and knees on the floor. This is the starting position. Now lift up one leg and extend the opposite arm. Hold this Static Tiger Pose for 3 deep breaths. Come back to the starting position and swap sides, extending arm and opposite leg. You can look down towards the mat to keep the spine in line. This exercise will build core strength. 3.Sitting Spinal Twist - Sit on the floor and cross your legs. Place one hand next to your hip and the other on the knee. Rotate the spine and look over one shoulder into a Sitting Spinal Twist. Inhale. Exhale back to centre. Swap sides, rotating and looking over the shoulder. Inhale. Exhale back to centre. 4.Stomach Crunches - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Place your hands on your thighs, across your chest or behind your ears. Slowly curl up towards your knees until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 stomach crunches. 5.Oblique Crunch - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Roll your knees to one side down to the floor. Place your hands across your chest or behind your ears. Slowly curl up towards your hips until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 oblique crunches and repeat on the opposite side.
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I have lots of spots and blackheads and pimples also come badly onto my face and after some time these pimples becomes dark spots What may do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have lots of spots and blackheads and pimples also come badly onto my face and after some time these pimples become...
Homoeopathic treatment GLOW CARE CREAM ( LORDS) Apply during daytime GLOWCARE DROPS ( LORDS ) 20 drops in 1 spoon water 3 timess daily AQUIPLUS CREAM ( HAPDCO ) apply thick coat on face at night 6-8 glass water daily 2 glasss milk daily Take nutritious diet nd exercise regularily
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My mother is 56 year old she had carcinoma breast cancer grade 1 we did Right radical Mastectomy on 22/9/2016 before that she had 3 chemo. But now after surgery is it necessary to give chemo pls advise Our regular visit doctors had asked to give next three chemotherapy.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Hi once your mother's tumor is removed then the sample will go for biopsy report so once the biopsy report comes them the type of chemo will be planned .but as of now as you r saying that she was given chemo before .then most probably .she will get a full course of chemotherapy.
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I wants to tell you about the problem of skin itching this problem is started from the month of january and increasing day by day please tell me the solution of my this problem?

PDDM, MHA, MBBS
General Physician, Nashik
I wants to tell you about the problem of skin itching this problem is started from the month of january and increasin...
Avoidance of known allergens, antiallergic drugs and immunotherapy are the options available to you.
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I have black spots as well as pimples on my back. I used scar removal cream for 4 months but didn't see any changes. What should I do?

BHMS
Homeopath, Chennai
I have black spots as well as pimples on my back. I used scar removal cream for 4 months but didn't see any changes. ...
Acne or pimples is a chronic disease involving the pilosebaceous follicles. Sebaceous glands are found most abundantly on the face and scalp, though they are present on every part of the skin except the palms of the hands and soles of the feet. Though the sebaceous gland is a mini organ, it is anatomically and functionally related to the hair follicle. Cutaneous disorders attributed to the sebaceous gland are really disorders of the entire pilosebaceous unit. The areas most commonly involved in acne are the face, upper chest, and back. Other less common areas include the upper arms, buttocks, and upper thighs. Acne arises from the interaction of 4 factors 1. Excess sebum production caused by androgenic stimulation of sebaceous glands; 2. Outlet obstruction of the sebaceous follicle arising from excess production of keratinocytes (the basic cell of the epidermis); 3. Increased proliferation of the bacteriaPropionibacterium acnes that normally live in the sebaceous follicle; and 4. Inflammation caused by sebum escaping into the surrounding skin. Excessive manipulation by the patient, causing the primary lesions to disappear and leaving excoriated, raw-looking marks. This is called acne excoriée and can cause scar formation. For removal of black marks you can apply pure coconut oil daily before sleeping, don't apply while going out in sun together with this constitutional homoeopathic treatment will give you best results.
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I am 20 years old sir my problem is" skin colour" my skin colour is black colour I need to white colour how to improve white colour and can this possible or not if possible then have which medicine use? Suggestion me.

BHMS
Homeopath, Faridabad
I am 20 years old sir my problem is" skin colour" my skin colour is black colour I need to white colour how to improv...
Hello, Firstly start taking a full nutritious diet . A good diet is a nutritional lifestyle that promotes good health. A good diet must include several food groups because one single group cannot provide everything a human needs for good health.And what ever we are eating that reflects on our body and skin. 1. Homoeopathic medicine for fair skin is Berberis Aquafolium mother tincture.take 5 drops of it mix with water , twice a day. 2. Apply this tincture in diluted form on your face with cotton once a day . 3. wash your face with besan and curd , mix a pinch of turmeric also. 5. Apply rose water to your face at night. 6. Apply cucumber juice+ lemon juice+ tomato juice on your face. 7.Apply Multani mitti pack on the face,wash it off after it dries.
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Types and Benefits of Laser Skin Resurfacing

Mch - Plastic Surgeon , MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Types and Benefits of Laser Skin Resurfacing

Laser skin resurfacing is a cosmetic procedure which helps in rejuvenating the skin. The effects of sun, old age and some facial skin disorders are also reduced with laser skin resurfacing. This procedure is quite safe, convenient and provides effective results. The expenses for this procedure are comparatively lesser than other related cosmetic procedures.

Laser skin resurfacing is also called laser peel and helps in the removal of damaged outer layers of the skin. The production of collagen and new skin cells in also stimulated. As a result of this procedure, your skin becomes smoother, younger and looks healthy.

During the procedure, a laser is used, which dissolves the molecular bonding of damaged skin cells. This is done layer by layer until the appearance of the skin gets smoother and more uniform. The damaged skin layers are peeled during this procedure.

Laser skin resurfacing can be performed to different depths, according to your requirement. All facial lines and wrinkles are improved depending upon the depth. There are different devices used for laser skin resurfacing and hence, the procedure can be divided into several types, based on the types of laser used.

Types of Lasers:

1. CO2 lasers: This device accounts for being the highest intensity laser skin resurfacing treatment. After using CO2 lasers, the skin's appearance becomes tighter and much smoother. The laser utilizes heat for the restriction of collagen bonds. CO2 lasers help in diminishing or eliminating scars, wrinkles, warts and birthmarks. CO2 lasers are used in early stages of cancer treatment.

2. Erbium lasers: These lasers are capable of removing the thin layers of the skin. These are less powerful than the CO2 lasers, but more precise. This laser skin resurfacing is carried out mostly in people with a dark complexion as the risk of permanent changes to skin pigmentation are less. The healing period is shorter, and these lasers are used for treating minimal wrinkles or lines.

3. Fraxel lasers: Fraxel laser skin resurfacing procedure is different from the other laser treatment methods. The Fraxel laser procedure is non-invasive and fewer side effects occur after the treatment. Skin tenderness and pain are not felt after the treatment. This treatment requires several sessions to be completed.

Benefits

A laser skin resurfacing procedure enhances your skin's beauty and youthfulness as all facial lines or wrinkles are eliminated. The overall texture of the skin is also improved in case it becomes rough and coarse due to sun damage. The production of collagen in the lower dermis is stimulated as well. Laser skin resurfacing also removes skin growth like moles and warts. 

Laser skin resurfacing is an effective cosmetic procedure for skin rejuvenation

Note: All the wrinkles or facial lines are improved/eliminated depending upon age/depth and the type of Lasers used /indicated.

2984 people found this helpful

Platelet-rich plasma (PRP) - Know Everything About It!

MD - Dermatology , Venereology & Leprosy, MD, MBBS
Dermatologist, Mumbai
Platelet-rich plasma (PRP) - Know Everything About It!

Platelet-rich plasma (PRP) is a concentrate of platelet-rich plasma protein derived from whole blood, centrifuged to remove red blood cells. It has a greater concentration of growth factors and other cytokines that can stimulate healing of soft tissue and joints. The concentration of growth factors can be 5 to 10 times greater (or richer) than whole blood and has been used to encourage a brisk healing response across several specialities, in particular dentistry, orthopaedics and dermatology. Once this is accomplished, the concentrated platelets are re-injected into the damaged area like the knees, elbows, shoulders, hips and even Achilles tendons.

PRP therapy is a relatively new procedure - It was first developed in the 1970s and first used in Italy in 1987 in an open heart surgery procedure, but scientific and medical research shows that it is safe to perform. Because of that, it’s steadfastly on its way to becoming the primary means of treatment in many different medical fields such as cosmetic surgery, dentistry, sports medicine and pain management, most commonly treating hair loss (and other things, like injuries). Platelet Rich Plasma Treatment is frequently called stem cell treatment due to the fact that it behaves as bringing in cells from a person’s own body, which can then actually differentiate into either tendon, cartilage, or ligament cells.

Use of PRP in Dermatology
Platelet-rich plasma (PRP) helps you harness the natural aesthetic powers of your own platelets to augment your facial rejuvenation. When done properly, PRP creates impressive results both as an isolated procedure or when incorporated into a treatment plan with hyaluronic acid fillers, neuromodulators, volume restoration and technology. The major advantage is it can be done in the clinician's office and produces virtually no downtime in the treatment of wrinkles, melasma, and acne scars. Exceptionally, there is some downtime when it is used to treat the lower eyelids. The aesthetic benefits it generates are dramatic!

Skin Rejuvenation and Ageing
The goal of PRP skin rejuvenation therapy is to improve skin tone and texture, tighten skin, and soften lines and pores. The PRP, injected into specific areas of the skin, act as a matrix that promotes your own collagen to grow, regenerates tissue, and thus acts as to naturally smooth and tighten the skin. Results begin to show 3-4 weeks after the treatment session and continue to improve with time. Three treatment sessions are generally recommended, spaced 1-2 months apart, to achieve the best outcome. In this way, PRP softens wrinkles and creating smoother skin texture and tone, thus making you look younger!

Acne, Scar and Ulcer Treatment
PRP is used to correct pitted acne scars on the skin. You may have heard about this acne scar treatment technique, which is also known as the “Vampire Facial,” as it has gained popularity amongst celebrities and beauty insiders. Once the platelet-rich blood is injected into sites on the face with acne scars, the concentrated platelets release a host of beneficial growth factors that help to promote healing and stimulate regrowth of collagen and elastin. PRP can also been used as an adjuvant for improving the viability of grafts for the treatment of recalcitrant ulcers, with good results.

PRP might not be a panacea or universal cure, but it could turn out to be a miracle treatment nonetheless! If you wish to discuss about any specific problem, you can consult a Dermatologist.

2388 people found this helpful

Sir, my father age 68 nw they hv problem ab BP. Last year 2 year back he was operated for structure urethra and prostate. Recently he is suffering from Blood pressure, n normal fever alternatively in month. So I wanted to ask tht operation is causing for Blood Pressure? Or please tell me disadvantages or effects of tht operation.

MS - General Surgery, MBBS
General Surgeon, Delhi
Sir, my father age 68 nw they hv problem ab BP. Last year 2 year back he was operated for structure urethra and prost...
BP is not due to stricture urethra and prostrate surgery. He may be suffering from UTI You should give him course of antibiotics under medical supervision.
2 people found this helpful
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I am 19 years old. My forehead is darker than any of my face skin colour. It looks so odd. What should I do?

MBBS, MD - Dermatology
Dermatologist, Delhi
I am 19 years old. My forehead is darker than any of my face skin colour. It looks so odd. What should I do?
Apply high SPF and PA sunscreen in morning. Apply Kojic cream twice daily and Retino A 0.025% twice a week at night on face
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Hysterectomy - Know the Emerging Conservative Alternatives to it?

Advanced Infertility, Diploma in Obstetrics & Gynaecology, MBBS
IVF Specialist, Delhi
Hysterectomy - Know the Emerging Conservative Alternatives to it?

Like most things in life, the uterus also has both good and bad sides to it. It is a symbol of womanhood and also carries the developing baby. The bad side is that it brings with it (and its appendages) many problems including dysfunctional uterine bleeding, endometriosis, fibroids, pelvic inflammatory disease, uterovaginal prolapse, adenomyosis, a pelvic pain of unknown origin, cancer of the uterine cavity and other obstetric complications.

Hysterectomy is one of the most commonly performed procedures and ensures complete relief from these symptoms. There are however, multiple procedures, which can be used to manage these conditions without having to resort to removal of the uterus. This can help in preventing complications from hysterectomy including prolonged recovery, infertility in women of childbearing age and loss of womanhood.

Read on to know some of the emerging conservative alternatives to hysterectomy:

Myomectomy: Where there are fibroids, which are in the smooth muscles of the uterus and show symptoms like pain and discomfort. In these, it is advisable to go for a myomectomy. This removes only the fibroid, leaving the uterus in place. It can be done in one of the 3 ways traditional surgical process through an incision; laparoscopically through minute incisions; and then through vagina. In all these, only the fibroid is removed and sent for biopsy to confirm it is benign. It is less invasive, requires less recovery time and helps retain the uterus.

Uterine endometrial ablation: In cases of dysfunctional uterine bleeding or menorrhagia with no fibroids, the lining of the uterus could require removal. In these women, thermal balloon ablation, cryoablation, and radiofrequency ablation can be used. A small amount of extreme heat or cold or radio frequency waves are used to remove the uterine lining, thereby managing symptoms.

Uterine artery embolization: In women with fibroids, the feeding arteries could be cauterised to ensure blood supply is stopped so that fibroid growth is stopped. With very promising success rates, this is gaining popularity as a conservative method.

Laparoscopy and endometriosis excision: In endometriosis, where the uterine tissue is growing in areas outside the uterus, it could be removed laparoscopically after identifying the area of growth on ultrasound and laparoscopy.

Vaginal pessary: In women with uterine prolapse, the uterus drops from its normal position, pushing against the vaginal walls. This can be due to vaginal childbirth, age, smoking and obesity. Vaginal pessary is where a removable device is placed into the vagina to prevent it from falling down. It is a temporary solution, but very useful in holding the uterus in place and relieve symptoms partially or completely.

In all these, medical management (painkillers and hormone replacement), stress and weight management, quitting smoking, reducing alcohol are also essential. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon
Sir Ganga Ram Hospital, 
350 at clinic
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90%
(57 ratings)

Dr. Pramoj Jindal

Fellowship InThoracic Surgery Onco surgery, DNB (General Surgery), MBBS
General Surgeon
Sir Ganga Ram Hospital (SGRH), 
300 at clinic
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