Do you have bald spots or thinning hair? Check out the solution and treatment that can restore your hair and your confidence.
Hair transplant ek aisi technique hai jis me sar k peeche ke part se hair follicles ko nikal ke unko collect karte hain aur sar ke us part main jahan par hair follicles damage ho chuki hai ya finish ho chuki hai wahan transplant kiya jata hai. Hair transplant Karne ki kafi sari techniques aaj kal hai jaise FUE technique, FUT technique, DHT technique. DHT technique. In sab techniques ko different doctors apne according in techniques ko use karte hain. FUE technique me hum Different hair follicles ko peeche se nikalte hain. Aur ek ek follicle ko drill machine ke sath nikala jata hai. Follicles ko nikal ke ek bowl me collect karte hain. Fir wahan se hum ek ek follicle ko jahan hair transplant karna hota hai transplant kiya jata hai. FUT technique main ek puri strip sir ke piche wale part se nikal jati hai. Skin ke us part ko baat mein suture kar diya jata hai. Aur ussi strip me se hum different hair follicles ko cutoff karte hain. Aur unko separate karke ek bowl me phir se collect karte hain. Aur baad main usko aage wale part mein Jaha par Humne transplant karna Hota Hai wahan par in hair follicles ko Lagaya jata hai. Third technique Hoti Hai direct hair transplant technique. Is Mein Hum Sath Sath hair follicles ko nikalte Hain Aur tabhi tabhi hum usko transplant kar dete Hain. Isme Beech Mein transition time nahi hota.
To yeh log kehaty hain k is me jo chances of Survival Jo Hote Hai Wo bad Jaate Hain. Lekin Har doctor Apne Apne according technique to use karte hai. Hair transplant ka procedure almost painless Hota Hai. Aur is me usually 6 to 7 hours ka time lagta hai. Patient is k bad happily apne ghar ja sakta hai. Rest karna Chahe to rest kar sakte hain. Otherwise kaam pr Jana Chahiye to very next day kaam par Ja sakte hain. Ab main baat Aati Hai Ke hair transplant karwane se pahle Hame kin kin Baaton Ka Dhyan humein Rakhna chahiye. Dekhiye aaj ki date mein Hair transplant sab log kar rahe hai, Bade hospital se leke chote Hospital Tak. Plastic surgeons bhi kar rahe hai, Surgeon bhi kar rahe hai, Dermatologist bhi kar rahe hai, MBBS doctors bhi kar rahe hai, non MBBS doctors bhi kar rahe hain, Technicians bhi even aur staff bhi kar rahe hai. Apne Apne center par independently hair transplant kar rahe hai. Lekin aapko hair transplant karne se pahle in sab Baaton Ka Dhyan Rakhna hai ke Kuch Main factors hai jo in outcomes pe depend karta hai Jin k ooper outcome depend karta hai. Hair transplant kahan karvana chahiye, center kaisa hai, kitna bada Centre hai. Dr. Kaun Hai karne wala, Phir patient ka selection, Selection of patient, Aur selection of centre.
Selection of patient Mein Kya Hai Ke Patient Jiska hair transplant karna hai Uska kaisa hai, uski severity kitni hai. Uska area kitna hai, Uski family history kaisi hai. Ya uska complex kaisa hai. Transplant karne ke baad doctor ko regular follow up Karega Bhi Ki nahi karega. Is baat ke upar outcome Kafi depend karta hai. Doosri Baat Aati Hai doctor ka. Doctor ki education kya hai. Dr ka experience kitna hai, Kitne cases Woh hair transplant Ki Ab Tak kar chuka hai. Teesri Baat sabse important Doctor ki approachability kya hai? Jab Do Se 4 saal ke baad apko Doctor ki jarurat padegi Toh kya aap doctor ko contact kar Payenge aur doctor apki approach Mein hoga ya nahi ho ga. Aaj ke time mein bahut saare centres bahar Se Doctors ko Bula kay Operation karwa Dete Hain aur uske baad Doctors Apni Jagah par patients of apni jagah par.
Uske baad patient doctor ko approach karne ki koshish karta hai to centre may doctor nahi Milte Hain. aur Jahan Par doctor ko dhund bhi le ga Wo bolega nahi nahi aapne toh Centre mein karaya tha Aapko us Centre mein baat karni padegi. To is Baat ke liye ye bahut Zaroori Hai K Jis Centre me aap karwa rahe hain Uske Do se Char saal ke baad doctor ki aap ki approachability kaisi hai. Third thing jo hai wo hai ki centre kaisa hai. Centre Ki Jo OT Hai apni usme Staff kaisa hai technician kaise hai Equipments kaise hain aur Aur kisi bhi condition Mein Hone Wali emergency Ko handle karne ke liye Emergency situation hai k nhe. Agar ap in SAB Baaton Ka Dhyan Me rakh Ke Phir hair transplant karwane ka decision Lete Hain. Toh isme outcome bahut accha hoga aur transparent karwane mein doctor ko bhi aur patient ko bhi jaldi nahi karni chahiye.
Pahale Soch Samajh Ke Saari Baaton ko Sare factors ko Dhyan Mein rakh ke tabhi ap hair transplant karway. Thik hai aur thank you. In case of any query any emergency you can contact me on the lybrate website. Thank you."read more
Check out how PRP therapy is used in hair restoration for natural looking result
agr hum hair treatment ki baat Karen to bhaut saare hair treatment k bhaut sari cheeze hair treatment use krte hai .bhaut sare factor hote hain hair treatment k lie or cause or bahut sari uski treatment PRP ek Aisa treatment hai jisko hum kisi v conventional treatment k Saath add kr skte hai. Even homeopathy treatment k Saath v PRP kr skte hai Ayurvedic treatment k Saath bhi hum PRP kr skte hain or kisi v disease k Saath PRP therapy de skte hain.
PRP kya hota hai?
PRP is plated rich plasma. isme blood m se hum 10ml blood lete hai patient ka or blood leke uska plated rich plasma banate hain. iss plasma m Jo platelets ki concentration hoti hai usually 8 to 10 times jyada hoti or ye platelets Jo hoti hai iske anadr bahut sari work factor hoti hai energy ka source hote hai oxygen carrying capacity iski jyada hoti hai to ye jaise he patient ki skin m isko incorporate krte hai to ye andar jati h or hair follicles pe react krti or apne Saath bhaut sare factors le jaati hai jisse hum hair ko repair kr skte hai restore kr skte hai remake kr skte hai ab kuki ye patients ka apna he blood hota hai its patients own blood to isme jb wapis scalp m dalte hai to kisi v tarah ki immune reaction ya side effect hone k chances isme nhi rehte hai.
ab hum isko kaise banate hai ye batata hu apko hum patient ka 10ml plasma lete hai usko double centrifuge technique se ek khaas tarah ki tubes m blood lia jata hai or isme hum double centrifuge technique se isko centrifuge krte hai or centrifuge v normal nahi hota ye ek particular temperature pe centrifuge Kia jata hai or centrifuge krne k baad hum isme se 2 to 3ml plasma banate hai. Ye plasma platelet rich v hota hai ek plasma platelet poor hota hai to hum platelet rich plasma ko separate krte hai isme milate hain. Usko firse rakh fir hum patients k scalp m plasma ko Inject krte hai isme hum derma ruler ki madad se ye derma ruler hota hai isme bahut sari needles hoti hai or in needels ko hum iske upar chalate hai or upar se plated plasma ki drops dalte rehte hai to in hole se Jo holes hum isse create krte hai usme thousands of hole bnte hai unke through is plated plasma ko incorporate krte h yehi kaam hum simple needles se v kr skte hai lekin thoda sa painful hota h isme pain k chances bhaut kum ho jaate hai is steps se hum 30 30 days m at least 6 to 8 times plated plasma therapy de skte hain.
conventional treatment k Saath Jo bhi usually 6 to 8 months ka hota hai ye bhi hum 6 to 8 times kr skte hai to isse hum patient ko bhaut accha condition m phauncha sakte hai kuki normal Jo kaam hum krte hai conventional medicine se usse jitne growth aati h usually usse 20 se 30% growth aati h additional 20 30% growth hum isse le skte hai unn baalo m jahan par phle se follicles hain or jahan follicles damage hai ya kum develope hue hai ye tha PRP k baare m easyfy version kya hota hai kaise hota hai bhaut sari myth thi PRP k baare m
Toh isse hum PRP k baare m bhaut saare doubts clear kr skte hai incase of any queries & any further questions you can contact me on Lybrate website.read more
The impact of stress, pollution and unhealthy lifestyle on hair
Hi I am Dr Sandesh Gupta, Dermatologist and hair treatment doctor. Aaj main aapse hair falling problems aur unke treatment ke baare mein discuss karunga. Hair falling problems Jo aaj ki date mein bahut badi problem hai aur male female dono conditions me yeh bahut common hai. Iske baare mein discuss Karenge.
Bahut Sare factors Iske baare mein Hote Hain, bahut Sare reasons hote hain aur Agar Hum isko timely dekhbhal kare timely treatment Kare Toh Bada easily hum is treatment ko Karke aur hair falling ki problem se chutkara Pa sakte hain. Ab Uske reason skin ginaate Hain. Kuch results Aise Hote Hai Jaise physiological Hote Hai, kuch reasons aise hote hain jo disease wise hote hai. Kuch avoidable hote hain kuch unavoidable hote hain. Tu Agar Hum baat karte hain avoidable reasons ki toh is Mein sabse Pehle aata hai stress. Aaj ki unhealthy diet, unhealthy Lifestyle ye ek sabse bada reason hai hair falling ka.
Second unhealthy diets ko apna healthy diet mein convert karna chahiye, kya Hame khana hai high protein diet leni chahiye, green leaf vegetable Sona chahiye, timely food hona chahiye, lots of water is me hona chahiye. Agri cheez Aati Hai unhealthy habits ki. Late night Tak jag Na, morning mein der se uthna, stressful life, Jyada kaam karna are stressful Ya alag conditions Jisme Hamari body ko Jyada exertion karna padta hai un Sab cheezo ko Hum avoid kar sakte hain.
Second thing Jo underlying disease Hai Uske baare mein Hume treatment karna chahiye. Jaise thyroid disorder usko shi se treat karna chahiye, diabetes par control rakhna chahiye apna aur koi bhi underlying disease hai usse alag se main treatment ke dwara treat kar sakte hai. Third point aata hai dandruff ka. Dandruff Kya Hota Hai Woh oily scalp mein hota hai. To ek myth hai ki dandruff hone par oil Lagaya jaaye. Toh sabse Pehle Mein batana Chahoonga aapko jab bhi dandruff hota hai toh sabse Pehle humein oiling stop karni chahiye aur ek acche anti-dandruff shampoo Leke jis mein ketoconazole Ho aur z pythri ho. Is Se agar regular wash karte hain hum apne scalp ko, week mein twice or thrice, toh bahut jaldi Hum dandruff se chutkara Pa sakte hain.
Third disease hoti hai phir chlogen affleon. Isme bahut Sare factors Hote Hai Jaise stress ke baad hai, ya phir chronic illness ke baad hai. Isme agar ham proper diet Le, plus kuch nutrition le, multivitamins le toh isse bhi hum disease ko control kar sakte hain. Yeh Teeno jo affleon Hai Iske baad teesri condition Aati Hai androgenetic alopecia. Yeh hormone induced hoti hai. Iske liye humein finastrede proper lene padte hain. Isme Ek proper treatment Lena Chahiye. 4 to 6 month ka treatment kam se kam hona chahiye. Is shuru ke three months Mein Pehle falling stop hoti hai.
Are 3 months ke baad new hairstyle regeneration aur restoration start Hota Hai. Woh kuch tablets ke through, kuch alag lotions hote Hain, kuch alag containment of therapies hoti hai inke through Hume Lena chahiye. Ye part aa gaya hai conventional medicine me. Kuch treatment Aise Bhi Hote Hain, Jaise PRP therapy. Iske baare mein hum agle session Mein detail mein batayenge or 3rd thing agar Kahin bhi kuch bhi kaam nahi kar raha hai, jaise Hamari follicle destroy ho chuki hai, va para mein Hair transplant ka Sahara Lena padta hai.
Iske baare mein alag se Jankari prapt karni photo aap hame lybrate ke through contact kar sakte hain.read more
Laser Hair Reduction Process
Hi this is Sandesh Gupta the owner of Skin and Laser Centre. Today we will discuss about Laser hair reduction. Laser hair reduction is a process by which the problem of unwanted hair on the face and other body parts can be resolved. It requires two sessions of Laser hair procedures and we can get the reduction or removal of these hairs almost permanently. Now how does the diode system works. How this machine does works? The laser machine it produces a beam of highly concentrated light. This emitted light is well absorbed by the pigment located in the hair follicles. These lasers vaporize these pigments and by this we disable the hair follicles and significantly impede the hair root.
At our center we use the highest technology by The Luminous USA Gold standard light sheer diode laser with the best treatment efficacies in the haring world. Now the question comes is it painful usually laser hair removal is not painful because every Laser hair has a cooling tips where temperature goes to the zero degree centigrade which allows significant cooling on the skin before any shot of the laser come and this makes the procedure almost painless but during the treatment there might be slight tingling or stinging Sensation which can be easily tolerated then in few cases if pain tendency is more we can apply topical anesthesia procedure. Another question comes How many sessions are required show the number of session varies Depending on the patient's hair thickness or density And area to be treated and in few cases if PCOS or any hormonal changes are there, hormonal disturbances are there The number of sitting varies. Usually 8 to 10 sessions are generally recommended. But few cases it can go up to 15 cases and in few cases the PCS comes thyroid problems come or any other hormonal abnormalities are there so we have to give more and more number of sessions even after 15 sections.
In few cases what happens patchy growth or fine hairs they come after the 15 goes so they may require further maintenance sitting after interval of 3 to 4 months now another question comes does it work on grey hair? The answer is no because laser energies attract the melanin in the hair the greater the amount of melanin the better are results. White or gray hair doesn't contain any melanin therefore it does not respond to any laser treatment whether it is ND YAG or whether it is a diode laser or it’s a pill. Some patients ask do I need to grow hair for the treatment. No In fact we ask you we shave the area where you want to be treated. Lasers actually targets the anatomical structures below the skin. And this surface here actually interferes with the process.
Another question comes in how many sittings will I see the results? So we say that from the very first session there will be no growth for several weeks. Therefore you will be receiving immediate relief while you are moving towards the long term solution. As the number of sessions are increasing you will get more and more time of the non-hairy skin.
In case if you need any further assistance any inquiry about the laser hair reduction you can directly contact to me or you can contact our center.read more
Here are types of Chemical Peels and Microderbaism
Hi I’m Dr. Sandesh Gupta, the owner of Skin N Laser Centre. Today we’ll discuss chemical peels and microdermals. It is a way to exfoliate the skin in a controlled way by using chemicals so that the old skin falls off and new skin appears in its place. It is a very effective treatment in treating the pigmentation, acne scars, skin ageing and wrinkle signs. There are three types of chemical peels available in the market; Superficial peels, medium peels and mixed peels.
Superficial peels are the mildest kind of peels and can be used for all skin types and are used to get glow on the face. The second type of peel is the medium peels and it can penetrate the skin more deeply than the superficial peel and is done on those with deep scars and pigmentation, an acid which can be done to remove warts and deep scars. The third type of peels are the mixed peels which are most common and are a mixture of various acids like the Mandelic acid and lactic acid because they rejuvenate the skin, now how these peels are done, they are done in a very simple process which takes about 3-5 minutes and before the peel we should check if the patient is prone to the Sun or if he is coming directly from the Sun, then we would have to apply the ice pack for 5 minutes and then start with the application process.
Before the peel, the skin id cleaned with alcohol to clean the dirt and oil from the skin and then the exfoliating chemical is applied to the skin with the help of a small brush or a cotton tip applicator and we leave this chemical for a few minutes. At this moment the patient may feel a slight tingling sensation and after that with the help of water alcohol, we neutralize it and wipe it off. By this process the dead skin is dissolved or gets peeled off in 2-3 days so that the new fresh skin can start to come. After the peel, for the next few days there is a routine precaution step to be followed where mild moisturizer and sun screen can be applied to the face but do not rub it for 2-3 days because your skin will be slightly sensitive so it is advisable to not rub but rather mop the skin.
So these chemical peels are very effective and help you get a good and healthy skin. In case of any further enquiry you can contact me via Lybrate.
Here are Causes, Symptoms, and Treatments of Vitiligo.
Hi I am Dr. Sandesh Gupta the owner of skin and leisure center. Today we discuss the problem that is very common and which is very difficult to treat also which is something troublesome for the patients also that is Vitiligo.
So what is Vitiligo? Vitiligo is a pigmented disorder in which the pigment producing cells of the skin which is known as the Melanocytes are destroyed resulting in white patches all over the skin.
Now, what are the symptoms of Vitiligo? Vitiligo is usually noticeable white patches on the skin. These patches are more commonly found in the area where the body is exposed to the sun including the hands, feet, arms, face, and lips and these patches are usually symptomless. Vitiligo generally appears in one of three pattern-
First is the focal pattern, segmental pattern and the generalized pattern. In the focal pattern where the depigmentation limited to one or few areas.
In segmental pattern where the depigmentation develops on one side of the body.
The third is a generalized pattern. This is the most common pattern and in this depigmentation occurs symmetrically on both sides of the body.
Now, who are prone to Vitiligo? Although the course of Vitiligo is unpredictable but there are some certain factors also for the Vitiligo. Like chronic sun exposure, family history, diabetes mellitus, thyroid disease, frequent contacts with the chemicals like phenols and other chemicals. The application of strong bleaching agents also causes Vitiligo. Weak immune system, genetics, and hereditary diseases are also the common factors for Vitiligo.
Now, what are the treatments available for Vitiligo? Before starting the treatment the patient must understand the nature and the course of the disease which is very much unpredictable. A balanced nutritious diet with lots of vitamins and minerals are vital. Avoid distress, physical and the chemical damage and other common triggers. Without proper treatment from a dermatologist, it can spread very rapidly and can be very extensively. So it is better to start treatment as early as possible before spreading of the disease. It may have negative impact on the social life of the patient also. It may have negative impact on psychological life of patients. So we are expert in treating Vitiligo. At our center we have all types of therapies and all types of treatments available.
There are basically three types of treatments or therapies-
First is the medical therapy, second is the photo therapy, and third is the surgery. So in the medical therapy, just to stop the progression of the disease, this is given in the form of tablets or topical. And second is photo therapy, photo therapy is given in the form of UVA and UVB lights. It activates the pigment producing cells which is melanocytes, and helps to bring the color the color the black. Third type of therapy is surgery. In photo therapy Vitiligo surgery, usually it is done in the case of unstable Vitiligo. That is, if the area is not increasing its size and if it has been stopped last four to five months then only we can do the surgery. It is very effective on the patches of lips, hands, neck, or eyes, which is difficult to treat with the medical therapy.
There are three types of surgeries available-
Punch grafting which is very simple and economical procedure. The grafts are taken from the legs and it is put on the bigger areas but the thing is there that the cosmetic result is not as good as in case of other types of surgeries. Second is the blister grafting and third is the melanocyte transfer. In case of blister grafting, it is a very good type of grafting. This is meant for the smaller body surface areas. The results are very good and we never come to know that whether the patient has got surgery or not. The third type of surgery is the Melanocyte transfer technique. This is a highly specialized technique and good for the bigger areas and cosmetically having good results.
In case of further assistance or if you have any query please contact me through the Lybrate. We are always available for you. Thank you.
Hi. I am Dr. Sanesh Gupta. Welcome to the E. N. D. S. Centre. Our centre provides high class and quality treatment at very much affordable prices. In our centre, we have the treatment for all the cosmetic problems, skin related diseases and hair related disorders. We do all laser treatment like for hair removal, acne scars, accidental scars, burn marks, moles, birth marks removal or any sort of injury in the freckles and even for removal of wrinkles in the skin. For hair related problems, we do the conventional treatments, P. R. P. therapy and hair transplant.
For hair transplant, we have the fully equipped and dedicated operation theatre. Our team do the hair transplant by the F. U. E. and the F. U. T. method. Our lasers are of the best and latest quality. They are different from the Chinese and Korean ones and other low cost lasers and they are costliest in their segment like for example Light-Shade laser is the costliest one. Acupulse laser is meant for acne scars and accidental marks. These are the best lasers in the world. Third is the Viora reaction which is very good for the wrinkle treatment and skin tightening treatment for face-lifting.
Our strength is our infrastructure, our quality lasers and the number of the patients. We daily see more than 100 patients and that is why we can provide the quality treatment at the affordable prices. Areas which we have in the surroundings are very dense like Shahadra, Seelampur, Jafrabaad, Laxmi Nagar and so on. So, by charging a very less amount even, we can provide with the best quality treatment at a very affordable price.read more
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Laser Hair Removal
Mole Removal Procedure
Skin Care Treatment
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Cysts Removal Procedure
Wart Removal Technique
Chronic Skin Allergy Treatment
Stretch Marks Treatment
Tattoo Removal Procedure
Removal Of Stitches Procedure
Corn Removal Procedure
Liver Problems Treatment
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Patient Review Highlights
Dr. Sandesh Gupta provides answers that are very helpful, knowledgeable and helped me improve my health. Thanxxx sir my all marks are gone n face got clear hats off to u.
I found the answers provided by the Dr. Sandesh Gupta to be very helpful, caring and professional. Very thankful for advice... Thanks
I was shocked to experience pimples. I was quite depressed due to my condition, but Dr Sandesh Gupta guided me to change my attitude. Even in case of emergency, the staff is always willing to help. he has so much knowledge that for everything my family takes his reference. My boss referred me to him. I am almost my normal self post the treatment and for that he is the reason.
I was panicked, because I never thought I will suffer from hair fall like this. I feel so great after the completion of treatment. Both Dr Sandesh Gupta and staff were very helpful. A friend of mine referred to Dr Sandesh Gupta. Sandesh Gupta has a very positive attitude towards all the patients. He definitely is aware about the latest and advanced ways to treat serious cases.
I was having very bad thoughts regarding my hair loss. Even in case of emergency, the staff is always willing to help. Even though my problem was very big, the entire experience of undergoing hair transplant was very relaxing. The overall outlook of the Skin n Laser Centre was very nice.He definitely is aware about the latest and advanced ways to treat serious cases.
With the help of his laser hair treatment I am feeling so great. I was quite concerned, as my hair health was degrading day by day, but due to my Sandesh Gupta and the lasers treatment I didn't lose hope. Even though Sandesh Gupta is not from our city, he is still very famous, so we consulted him. The overall atmosphere in the Skin n Laser Centre is very soothing.
I found the answers provided by the Dr. Sandesh Gupta to be very helpful. Dear Sir, i started the medicine bit later after your recommendation. However, the same has worked. Tugain Lotion & Novophane Plus. However, due to certain reasons, the Tablet Novophane Plus is not available. Can u please suggest an alternate to same?. Regards
clinic is so good and neat and clean Dr. is also so good as I enter the doctor,s room he just tells me to sit and solution of all problems I think doctor sandesh Gupta is best dermotologist but one thing the Medicine rate is very high but doctor gives me many tips to get clear skin Thanks Dr. sandesh Gupta
So many doctors I consulted, but his pimples treatment was the best. No matter how critical be the situation, he is always very calm. It was an amazing experience as everyone in the Skin n Laser Centre is so nice. Dr Sandesh Gupta has so much knowledge that for everything my family takes his reference.
I remember, I read an article of Dr Sandesh in the paper and made contact. His laser hair treatment suited me the best . Dr Gupta is well aware about innovative techniques to treat problems. The staff was very attentive to my needs. No matter how critical be the situation, he is always very calm.
Nothing brought an end to my acne problem until I met Dr Sandesh Gupta at Skin n Laser Centre in Delhi. He gave me an acne treatment to end it all and I am very happy I took the treatment which brought such great results and my beauty back.
dr Sandesh Gupta is one of the finest dermatologists I have ever met. His clinic is Skin n Laser Centre in Delhi. He is a very economic doctor with a nice experience. Very good results after acne and pimple treatment.
I was suffering from excess hair loss which was affecting my day to day life. I consulted Dr Sandesh Gupta, who is one of the best Dermatologist in New Delhi. I owe him a big thank for the hairloss treatment he gave.
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I have pimple & acne scar I applied many scars but pimple not subsided in august I visited skin & laser centre meet Dr. sandesh gupta he give me 6/7 treatment of medicine & pells & how my face is almost clear.
Dr. Sandesh Gupta provides answers that are professional, thorough and practical. Understood my question clearly and provided perfect & precise response to decide what should i do next.
He is very experienced doctor who knows his stuff. I've got relieved just by one course for the problem I've been dealing with for over 3 years, thanks to him!
dr Sandesh Gupta from Skin n Laser Centre in Delhi is a very trusted doctor for treatment of acne and pimples. I am totally satisfied with his treatment
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Akshay J Apte
Dr. Sandesh Gupta provides answers that are knowledgeable, well-reasoned and prompt. However id like to know specific creams which could be used
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