I am Dr. Navjot Singh Arora, Dermatologist. Today I will talk about acne scars. Acne is the condition of teenage and between the age of 20-30. Acne occurs on the face causes red pimples, yellow pimples, blackheads, whiteheads and sometimes modules. If not treated properly, it can leave scars. Depression in the skin which is irregular in the shape and size. So, for this different sort of treatment modalities are available. For very superficial scars with very mild depression, chemical peels and medical treatments can suffice is some patients. But in a few of the patients, it can give deeper scars. And in some minimally invasive procedure has to be done. There are various treatment modalities which can be used to treat acne scars include derma roller treatment, fractional co2, Nd:Yag laser treatment and micro needling radiofrequency treatment. The treatment plan will be decided by the Dr who will assist you for the treatment. These treatments are the most advanced treatments. But they have a downtime of 5-7 days after performing the treatment.
Downtime means after performing the treatment, your skin may look red, bruised, some crust on your skin which will be fine after 5-7 days. After doing the session, you will have to take the proper sun protection. It may be noticed that 4-6 sessions of these modalities are necessary for a good improvement in scars. Scars can never be 100% removed but they can definitely be reduced at a certain extent which is mostly acceptable by all the patients. Patients generally get confused that which treatment modality should be chosen for treating their acne scar. The patient can still know the different modalities in the treatment so that it becomes easy for them when they go to the Dr's clinic. In derma roller, it is a pure mechanical treatment which involves micro needling of the skin after the application of topical numbing cream. In fact, the topical numbing cream is required in all such kind of treatments. It is kept for generally 1 hour before starting the treatment. Since derma roller is a mechanical treatment, the treatment results are very slow and it is more painful than the other modalities. 2nd, laser treatment is the best treatment because it can penetrate deeper and its energy will be released as per the depth of the scar. The downtime is definitely more in co2 laser as compare to derma roller. Co2 laser downtime will be around 7-10 days while derma roller 1-3 days.
In recent years, new technology has come up which is known as micro-needling radiofrequency. This machine has a pro with lots of microneedles and when we insert it onto the patient skin then it also emits electric energy so that the 2 mechanism combines and produces the great breakdown of the scars tissue. Cost wise, derma roller is definitely cheaper than micro needling radiofrequency and laser treatment but these 2 treatments are much effective than derma roller. So, the acne scars will definitely be reduced. But the treatment has to be continued for at least 4-6 sessions or sometimes, even more, depending upon the treatment modality, the depth of the scar, size, and shape of the scar. During the course of the treatment, you should strictly abide by the instruction of your treating dermatologist. So, that risk of complications can be minimized. And the effectiveness of the treatment can be increased. One of the most important parts if proper sun protection. So, I hope this video motivates you to take the right step in the treatment of acne scars.
Thank You!read more
I am Dr. Navjot Singh Arora, Dermatologist. Today I will talk on the most common problem which we regularly see in our day to day patients which is a fungal infection. It can be seen in the age group. But most common in the age group of 10-50 years of the male and female population. In male, the most common area is growing and buttock. And in females, growing and the area just below the breast because, in these areas, sweat takes place. It is very important that wherever you think, or you feel that you are having a fungal infection which you commonly calls ringworm, then you should not ignore it. You should not take over the counter medicines. Many medicines are there which a chemist sells in the name that it cures daad. Most of the medicines have steroids. Which can decrease you that particular area immunity and can make the fungal infection more resistant to our treatment.
So, whenever, you feel that you have a fungal infection in any area of seat collection, you should directly go to a skin specialist. So, that proper course of medicines can be done. You should not leave the course of medicines in between so that it should not become resistant and keep coming back again and again.
The medicines course may last from 1-3 months depending upon the severity of the infection. Personal hygiene maintenance is very important. It is important to note that fungal grown in the moist area of the body. So, sweat collection has to be avoided. To prevent the spread of infection from one person to another sharing of the towel, nail cutters should be avoided. The person who has an infection should not wear socks and shoes for that particular time. After seeing the results while taking medicines, you start missing the appointments. You should not do that. Otherwise, the infection will come again and it will be more difficult for Dr to treat. After the initial 2-3 weeks of treatment, a symptom of itching, redness tend to subside. And patients may leave the treatment in between because they think that it is over. This is not the case. You should never leave the treatment without asking your Dr. You may not be able to see the severity of the infection as your Dr would be able to see. So, if you see any ringworm then do not use over the counter cream especially not steroid based creams. Go to a certified skin specialist only, maintain proper hygiene, avoid sweat collection.
Thank You!read more