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Dr. V.K. Sinha

General Surgeon, Delhi

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Dr. V.K. Sinha General Surgeon, Delhi
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Personal Statement

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. V.K. Sinha
Dr. V.K. Sinha is one of the best General Surgeons in Okhla, Delhi. You can visit him at Holy Family Hospital in Okhla, Delhi. Save your time and book an appointment online with Dr. V.K. Sinha on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 40 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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Holy Family Hospital

Maulana Mohammad Ali Road, Okhala. Landmark: Opp Sccot Hospital and Near Surya Hotal, DelhiDelhi Get Directions
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How you get clear spotless white smooth skin? I have got sun tan and uneven skin tone so how to get rid of all these problems and get flawless smooth white skin.

MBBS, DVD
Dermatologist, Delhi
How you get clear spotless white smooth skin? I have got sun tan and uneven skin tone so how to get rid of all these ...
Use a sunscreen. Use a good face wash. Take leafy vegetables and fruits. You may need some medicines oral and topical. For this you can show to a dermatologist.
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Doctor in my face there are lots of spots. I want clear face within 1 month as I have my wedding on April please help me doctor. Please tell me the product name directly which I can apply. And which moisturizer I should apply which sunscreen lotion I should. Please suggest. And one more thing next week m planning to go water park I heard due to clorin face will become tan so please suggest what precautions I can take prior?

BHMS, M.D Homoeopathy ( Practice of Medicine )
Homeopath, Nashik
Doctor in my face there are lots of spots. I want clear face within 1 month as I have my wedding on April please help...
Hello lybrate-user, I think you should not do trial n error by applying any product without consulting a doctor. This will be like playing with your skin. Doctors needs to asses what exact problem you are having, what type of spots you have. In skin complaints diagnosis is based on appearence of skin. For this you need to consult a doctor. Homeopathy medicines can help you for your complaints, and they are safe and natural and do not have any side effects. Secondly I would suggest to apply a good sunscreen lotion before going into chlorinated water in waterpark. You can message back for online Homoeopathic consultation. I wish you good luck for your future - upcoming married life. Take care n get well soon.
1 person found this helpful
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My question is that I suffered from chicken pox on 18 march 2017 .my scars is getting lighter a little bit but I want to get permanent solution to remove as it looks bad on my face n body and there 2-3 holes are also there. please suggest wat to do.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My question is that I suffered from chicken pox on 18 march 2017 .my scars is getting lighter a little bit but I want...
I have read your concern about pores on your face. There are various reasons that can cause pores to appear larger: oil, dirt, and skin cells can clog them and expand their diameter (and once the clutter has oxidized and darkened, create blackheads); and while they're generally most noticeable on congestion-prone oily skin, they can also flatten out and look bigger If you have oily skin, you are more likely to have pronounced pores. Overactive sebaceous glands (or simply, oil glands) cause oil to constantly pass through the pores, and in some cases, clog them. This may lead to skin's loss of elasticity, which result in enlarged-looking pores. You can apply coconut oil to make skin regularly/ evenly oily instead of the irregular/uneven oiliness which damages look and gets clogged The unproven myth is that pores open and close. While the truth is despite what people believe is that you cannot steam your pores open. 'Pores do not have muscles around their opening to allow them to open and close,' However, steaming the skin can help loosen up underlying debris, making blackheads easier to extract. Homemade sugar scrubs can be of great help in reducing large pores as they exfoliate the skin and remove excess oil and impurities. Mix two tablespoons of sugar, one tablespoon of olive oil and a few drops of lemon juice. Gently rub it on your skin for 20 to 30 seconds, and then wash it off with cool water. 1. Method-2 Prepare a scrub by combining grounded almonds powder and orange peel powder. Apply it on your face rubbing in a circular motion. It's the best cure for opened skin pores. 2. Mash a banana. Add two teaspoons of sweet almond oil to it. Apply it. Rinse off after 20 minutes.
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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 Having Deep Dark Spots All Over My Face From About A Month. Looks Very Bad. Tried Creams Medicines but No Positive Result Shown.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I Am Having Deep Dark Spots All Over My Face From About A Month. Looks Very Bad. Tried Creams Medicines but No Positi...
1. Avoid direct contact with sunlight. use sunscreen. 2. Apply pure honey to your face, leave it on for a few minutes and then wash it off with lukewarm water. This simple remedy will help remove dead skin cells, making your skin appear brighter and fresher than before. Do this once daily. 3. To make a skin-lightening mask, combine one teaspoon each of honey and lemon juice, one tablespoon of powdered milk, and one-half teaspoon of almond oil. Mix them well and apply it gently on the skin. Leave it on for 10 to15 minutes and then wash it off with cold water. Do this every other day 4.Mix equal proportions of Fuller’s earth (multani mitti), rose water, and sandalwood powder. 5.Apply this mud pack to your face.Wash after it dries up.Repeat the process once a week.
1 person found this helpful
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I have dark underarm and my inner thighs part is also dark due to friction. Suggest some medicine so that my skin color get back. thank you.

MBBS, DPD-Cardiff (U.K)
Dermatologist, Noida
I have dark underarm and my inner thighs part is also dark due to friction. Suggest some medicine so that my skin col...
Hello lybrate-user! You need to apply some skin lightning creams containing kojic acid, niacinamide, arbutin etc with intermittent therapy of a mild steroid like desonide under your Dermatologist's supervision. C 6-8 sessions of Gradually increasing concentration of chemical peels or mesopeels done by your dermatologist will also help to get faster results. Let me know how it works out or if you need any more specific help.
3 people found this helpful
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I have very dry and dark color lips. I never smoke and drink a good amount of water in a day. 3-4 liters. I want to lighten my lip color, help me please.

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
I have very dry and dark color lips. I never smoke and drink a good amount of water in a day. 3-4 liters. I want to l...
Hello, Dark lips are due to various factors main being dryness and sun damage. You can use a mild depigmentation cream like Glomax lip gel during night and a moisturizing lip balm with sunscreen during day. For more resistant pigmentation you can undergo mandelic acid peel or laser.
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Prostate is enlarged in size, interfaces are clear. No calculus or any focal SOL is seen. Prostate gland measures : 4.0 CMS * 3.6 CMS* 3.3 CMS. Prostatic wt - 25 gms. What to do. It can be diagnosed by medicine. Or not . Please help.

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
Prostate is enlarged in size, interfaces are clear. No calculus or any focal SOL is seen. Prostate gland measures : 4...
The size is enlarged, but along with size of prostate two other things are also required psa and post voidal urine. Most of the times the size increase is harmless until it puts pressure on some structure and create problem. You can consult a homoeopathic physician for the rationale treatment.
2 people found this helpful
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I want skin whitening treatment. Is it possible to have white skin. What is the cost of that?

MBBS
General Physician, Mumbai
I want skin whitening treatment. Is it possible to have white skin. What is the cost of that?
Skin colour depends on the melanin pigment and we can change the colour but with a lot of side effects
2 people found this helpful
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My friend using skin lite for his face it shows the resulting the face it was white. If he was not using his face will become black. If I have not use also it will be like itching. Solution for becoming glowing face as white.

MD - Alternate Medicine, BHMS
Homeopath, Surat
My friend using skin lite for his face it shows the resulting the face it was white. If he was not using his face wil...
Aloe vera being the most potent to glow the skin and clarify our body internally too. So, either directly you apply aloe vera over your skin, rub it and then wash after 10 mins. OR you apply any cream with high proportion of aloe vera in it. If you not getting in your place, please let me know.
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