I am Dr. Shilpi Bhadani, a plastic surgeon, practicing in Ghorgaon.
So I’ll talk about hair transplantation. Alopecia or baldness is a very common problem nowadays and across younger age group as well as the old age group. Hair transplant offer a permanent solution. In this if basically understood it is the transplantation of hair from one part of the scalp to the other part. In severe cases we may need to use body hair from the axilla or the pubic region of the chest hair even the leg hair, but most commonly in about 99% of the cases we use scalp hair from the back of the head to the front to cover the bald areas. No basically there are two methods for hair transplant. It is either Follicular unit transplantation or Follicular unit exaction. The two methods the implantation are not different that is the putting the hair is almost the same is the method by which we exact the hair is different. So in Follicular unit transplantation or FUT method, we actually take a strip of the hair from the back and the donor area is stitched and then the team of technicians they separate the strip….. the individual follicles from the strip and then they are made ready for the transplantation. Whereas in Follicular Unit Extraction, the individual follicle, the bunch of follicles are extracted and one follicle may contain one hair up to three hair so they are individually extracted and implanted. So there is a myth that floats that FUT is not safe or it leaves a very bad scar and FUE is nonsurgical, so you have to get this very clear that both are surgical methods, FUT or FUE. Hair transplantation is a surgical methods not a nonsurgical procedure and the methods of FUT have improved overtime and we actually now do a trichophytic closure. So the hair… the new hair in the scar actually grows through the scar. So it actually obscure the scar. You can hardly make out that a strip of hair is taken from there and in FUE also. There will be punctate scars that will be left behind. So it’s just a matter of perception whether what you think is right and it actually…. the choice of the procedure depends on the donor area and the recipient area and your level of baldness whether which is used. Sometimes we also use a combination of the two increase the hair yield. Now there are many, you know clinics, which offer that, you know, ‘we offer unlimited hair transplant’ and see donor area is always limited so there cannot be an unlimited hair transplant and also that if a fair amount of density is expected by the person underdoing the hair transplant, you may will have to go undergo a second session to get a good density. So coverage and density are two different things. So initially we target coverage and if you want more density then of course you can a second procedure can be done. The hair that is transplanted grows….. starts growing in about four months’ time and the complete result can assessed after eight months to nine months’ time. And I the follow up period if PRP or Platelet Rich Plasma Theory is done after the hair transplant the hair growth is really better. Some medications are continued after the hair transplant also up to to certain amount of time but it’s a procedure that requires six to eight hours if we are targeting a bigger coverage area and it’s a procedure done under local anesthesia. When choosing a hair transplant center it is important for you to research and the qualifications of the surgeon or the person doing the hair transplant is very important because a lot of unauthorized centers that have sprung nowadays and you safety is the prime concern. As I said that it is a surgical procedure so things may get complicated so you have to choose a center which is well equipped which is well equipped to deal with emergencies if at all there is a need. Usually there is no need but then you safety is the prime concern. So understand that it is a surgical procedure and it has to be done safely and it has to be result oriented.
If you want a consultation from me for hair transplant you can contact me via Lybrate. Thank you.read more
Hello everyone. I am Dr Shilpi Bhadani, a plastic surgeon in Gurgaon. Today I will speak about Laser Hair Reduction.
Laser hair reduction is increasing in popularity as a method to remove unwanted body hair. The most common areas include the underarms, facial hair, the chest hair in males, the back hair also in males, leg, arms, bikini line. So there is almost no body part which is spared from laser hair reduction.
But it is important for the people who are seeking laser hair reduction to understand that, "what is the expectation and whether the reality will match the expectation or not?"
So, the first consultation with the laser specialist is important. And one must know the modality that is being used for the Laser Hair reduction. There can be multiple modalities like - Diode, Nd-YAG Q-Switched and IPL. Out of this, Diode and Nd-YAG are equally successfull an popular. However, the gold standard is Diode laser hair reduction.
The black hair is most effectively targeted and it is mostly targeted in the growth phase. Now, hair grows in a cyclic manner that is why it needs sessions to ultimately reduce the hair growth. And one thing you need to understand that it is not hair removal, it is hair reduction. So, although some people do achieve freedom from hair but gradually you will need maintenance and that will depend on person to person. Although it is not much. When you had about 6-8 sessions, then it is really good.
Laser hair reduction for the face usually sort after by women or girls who have the syndrome called as Polycystic Ovarian Syndrome in which there is Hirsutism that means the unwanted facial hair in male growth pattern is there. LOaser hair reduction is a very effective modality for this unwanted growth of hair but it must also be understood by the patients that PCOD must be treated. So, simultaneous treatment for PCOD is essential. So, you will need a consultation with person who treats PCOS liek an endocrinologist or a gynaecologist simultaneous to the Laser Hair Reduction.
So, it is grwoing in popularity and it is very very successfull method.
We do Laser Hair Reduction at our clinic. If you want to contact, you can contact me through Lybrate.
Thank you.read more
Hi, this is Dr Leena Yadav. I am consultant IVF and reproduction with Bourn Hall Fertility Centre from the last 3 years now. I have given take home pregnancies and today what I am going to discuss with everyone here is about Egg Freezing or what we call as Oocyte Freezing. I want all the young females that they should opt Egg freezing or Oocyte freezing if they are planning to get married the late 30s or if they want a child bearing which is late after their marriage.
Why do I suggest you go for Egg Freezing?
Because the egg quality deteriorates gradually after the 30s and that is why the best time to preserve your oocytes is between 20-30 years. We would like to tell you that the egg quality deteriorates after the 30s. The females who are working and had their marriage but do not want a child right now, they can actually plan up Egg Freezing. If you plan up Egg Freezing at this point of time, that means you stop your biological clock. If you do your Oocyte freezing at 22-23 years, these oocytes can later be used to form embryos. The only thing we have to do is to de-freeze them and use these oocytes fertilise with your partner sperm and form embryos for you we can do this embryo transfer for you whenever you want to get pregnant. This can be done at the age of 35-42 years. But if you freeze your Oocytes between 20-30 years of age, you are actually stopping the biological clock there and actually focusing on having good Oocyte quality.
The other thing is you should also focus on Oocyte freezing if you have a family history of early menopause or you have a history of Pre mature Ovarian failure or if you people are diagnosed with some cancer or undergoing Chemotherapy. People who are diagnosed with cancer and are planning to have chemotherapy should prefer Oocyte or the egg freezing before taking the first cycle of Chemotherapy itself. Because if you take this decision after the cycle of Chemotherapy, then the Oocyte quality we get after the first shot of Chemotherapy will be really affected.
So, I would like that you should think about these things and get back to us. If you want to contact us for the same, you can connect with us through Lybrate and they will get you connected to us.
Hi, everyone. I am Dr. Leena Yadav, a consultant IVF in Bourn Hall Fertility Center in Gurgaon. I would like to share some important inputs to you people for IVF and the embryos which we form in IVF.
Now, here I am going to talk about the Embryo, which is called Blastocyst. I don't know how many people are aware of it. But Blastocysts are embryos, they are Day-5 Embryo which we form and Blastocyst transfer has got a success rate which a day-2 or a day-3 embryo can not give you.
So, at Bourn Hall, we have specialized with IVFLab, which is equipped to form these embryos called Blastocysts.
What is the advantage of taking a Blastocysts transfer over a Day-2 or a Day-3 when you plan your IVF cycle?
Blastocysts are Embryos which are definitely healthier as compared to a Day-2 or Day-3 embryos because the only those embryos go to Day-5 which has got the capacity to have an Implantation. Definitely, if we focus on doing Blastocysts for you, we are focusing on the higher success rate of IVF cycle. Blastocysts are embryos which give good clinical pregnancy and which give you good take home live pregnancy rate.
So, at Bourn Hall, we focus on doing Blastocysts for the couples because our Andrologist and the team is completely trained and our lab is well equipped for doing all these transfers and these Blastocysts.
With Blastocysts, who have had multiple IVF failures, they have electively planned for the elective Blastocysts so that we can give them a good pregnancy rate after having multiple IVF failures. Also, Blastocysts are Embryos which have got fewer risks of abortion as they are healthy embryos and also they have increased chances of Implantation inside the Uterus.
I would definitely like if you all are in the problem of Infertility and you want to contact us for solving the problem of Infertility and further planning a cycle for you, you can please contact us through Lybrate and we will definitely be happy to share our inputs with you.
Thank you so much.read more
Doctor in Ck Birla Hospital For Women
Dr Shipli Bhandani is not just friendly, but also is very motivating. In order to diagnose my problem completely she asked me a number of questions. His suggestion for hair transplant extremely benefitted me. I am really grateful as her hair transplant has give me a ray of hope. I consulted a number of specialists but the way she treated me was the best. I am so thankful that Dr Shilpi Bhadani has given me the best advice and I am now finally able to get back to my normal self.
Thanks to the expert care and guidance, I feel much better than before. The best thing about Shilpi Bhadani is that she prescribes limited no. of medicines. The overall atmosphere in the Paras Hospital is very soothing. Shilpi Bhadani has a very positive attitude towards all the patients. The acne/pimples was increasing day by day. It's been so long, I have lost all hope, but then I met Shilpi Bhadani and I am hopeful again that I will be fine.
I was diagnosed with female hair loss. Dr Shipli Bhadani is one of the best physicians in city. I was in too much pain because of female hair loss, but even after consulting a number of doctors, I was not getting any relief. A friend of mine referred to Dr Shilpi Bhadani. The overall atmosphere in the Paras Hospital is very soothing. Shilpi Bhadani explained us the problem and how the treatment will be carried out.
I am so much benefitted with the hairloss treatment given by Dr Shipli Bhandari , that i am perfectly fine now. Whatever tests Dr Shilpi Bhadani prescribed, were very correct and gave us an exact idea about my condition. The overall atmosphere in the Paras Hospital is very soothing. She is not just friendly, but also is very motivating. I was having very bad thoughts regarding my hair loss.
A friend of mine referred to dr Shilpi Bhadani. She is a very sweet and sophisticated doctor and also very helpful. in order to diagnose my problem completely she asked me a number of questions. I was suffering from acne and pimples. All the staff members were very helpful at Paras Hospital in Delhi.I am so happy that I chose her for my treatment as now I am perfectly fine.
He is my child’s first doctor and today if he is not afraid of visiting doctors. It’s just because of Saurabh . He is so compassionate towards kids and has such practices hand in giving injections. I am yet to see a doctor as young as Saurabh and so clear and dedicated. He is very accessible and does not believe in over medication for the child.
Dr. Shilpi Bhadani provides answers that are thorough, practical, prompt, professional and sensible. I do go to the gym, don't take steroids but thank you for the answer.I shall consult an endocrinologist. The gynecomastia is too mild to get surgery, I just want to prevent further growth, anti-estrogens should be helpful like you said.
My laser hair removal treatment was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. All the staff members were very helpful. Dr Shilpi certainly knows the in and out of her speciality. The Paras Hospital was equipped with various facilities.
Dr. Gaurav Bansal provides answers that are professional. That the answer i need no doctor even said to diagnose ,currently i dont have money in my debit card although i have in m the wallet as soon as i recharge my card i will take online consultation with you, thank you sir
I wanted to remove the burnt mark from my neck area for which I was searching for some well experienced cosmetic surgeon. I came to know about Dr Shilpi Bhadani who helped me the treatment. I am thankful to her and I had a great experience with her.
I wanted to remove the burnt mark from my neck area for which I was searching for some well experienced cosmetic surgeon. I came to know about Dr Shilpi Bhadani who helped me the treatment. I am thankful to herand I had a great experience with her.
dr Shilpi Bhadani is an amazing lady. Not only is she very friendly and good at her work.She gives you the confidence as well. I consulted her for my acne scars treatment at Paras Hospital in Gurugram
I found the answers provided by the Dr. Gaurav Bansal to be practical. the shortest and sharpest and all explaining answer.....thank you.
Dr. Gaurav Bansal provides answers that are helped me improve my health. Can u prescribe any fungal cream which can help me..
I found the answers provided by the Dr. Gaurav Bansal to be practical. Thank you very much for the treatment n guidance
I found the answers provided by the Dr. Gaurav Bansal to be very helpful. Thank you for your valuable advise.
I found the answers provided by the Dr. Shilpi Bhadani to be knowledgeable and very helpful. Great thank you
I found the answers provided by the Dr. Gaurav Bansal to be knowledgeable. Very intelligent and kind hearted
Dr. Gaurav Bansal provides answers that are very helpful. Thanks. Can u tell me remedy for d problem
Dr. Gaurav Bansal provides answers that are very helpful and saved my life. Thank you sir.
Doctor is quite knowledgable and updated with latest technique available. Good experience
Dr. Gaurav Bansal provides answers that are knowledgeable and very helpful. thanks sir
Pro and cons of consuming amlovas m2. 5/25 and arbitel 20 mg for high blood pressure. Can it be replace with a single tablet.
Sir when I was not circumcised my penis size on erectness was 13.5 cm. Now its only 10.5 cm. How will it grow fast? Any idea.
I had internal hemorrhoid and got it treated by laser in april and after that I left everything which causes piles but now it again risen externally. Lumps are coming around my anus and they are paining. I am scared abt something serious.
A corn (or clavus, plural clavi or clavuses) is a distinctively shaped callus of dead skin that usually occurs on thin or glabrous (hairless and smooth) skin surfaces, especially on the dorsal surface of toes or fingers. They can sometimes occur on the thicker skin of the palms or bottom of the feet.
Corns form when the pressure point against the skin traces an elliptical or semi-elliptical path during the rubbing motion, the center of which is at the point of pressure, gradually widening. If there is constant stimulation of the tissue producing the corns, even after the corn is surgically removed, the skin may continue to grow as a corn.
Signs and symptoms
The hard part at the center of the corn resembles a barley seed, that is like a funnel with a broad raised top and a pointed bottom. Because of their shape, corns intensify the pressure at the tip and can cause deep tissue damage and ulceration. Hard corns are especially problematic for people with insensitive skin due to damaged nerves (e.g., in people with diabetes mellitus). The scientific name for a corn is heloma(plural helomata). A hard corn is called a heloma durum, while a soft corn is called a heloma molle.
The location of soft corns tends to differ from that of hard corns. Hard corns occur on dry, flat surfaces of skin. Soft corns (frequently found between adjacent toes) stay moist, keeping the surrounding skin soft. The corn's center is not soft, however, but indurated.
To exclude other differential diagnoses, a skin biopsy may be taken.
A popular method is to use a corn plaster, a felt ring with a core of salicylic acid that relieves pressure and erodes the hard skin. However, if an abnormal pressure source remains, the corn generally returns. If the source of any abnormal pressure is detected, this may be avoided, usually through a change to more comfortable footwear or with various types of shoe inserts or footwear with extra toe space. In extreme cases correcting gait abnormalities may be required. If no other treatment is effective, surgery may be performed.
Doctor I am suffering with varicose veins. I got a selection in Indian Navy, and a medical after 5 days. What can I do for disappears that between 5 days. Please help me doctor it's my life changing turn.
Sir my friend is complaining about that his left testicle hang loose and lower ,looking little hard than right testicle and position also somewhat horizontal. Please help him out.
Depression is a serious mental illness in which feelings of sadness and loss of interest last for weeks and interfere with daily life.
There are numerous factors that can trigger the onset of depression, including:
- Actions and conditions (like threat, abuse)
- Illness (such as cancer or chronic pain),
- Social isolation or loneliness and
- Stressful life events (such as divorce or money problems).
- Depression can cause deep emotional pain both to the person experiencing it and, often, to that person's close family and friends.
There are several different types of medically recognized depression.
- Major depression
- Episodic Depression
- Post Partum Depression
- Pre and marital Depression
- The most common type of depression is called major depression
It occurs when your symptoms interfere with your enjoyment of life or daily functions — including your work, sleep, and eating habits for atleast two weeks straight.
Some people experience only one episode of major depression in their life, while others may go through numerous episodes of the illness.
I need to do surgery for circumcision. Can you please suggest me doctors or hospital? Is surgery possible at home? What will be the cost?
What are ingrown toenails?
1. Ingrown toenails occur when the edges or corners of the nail grow into the skin next to the nail.
2. Ingrown toenails that are not infected can be treated at home, but you should seek medical treatment if the nail has pierced the skin.
3. You are at a higher risk of complications from an ingrown toenail if you have diabetes or other conditions that cause poor circulation.
Ingrown toenails occur when the edges or corners of your nails grow into the skin next to the nail. Your big toe is most likely to get an ingrown toenail.
What causes ingrown toenails?
Ingrown toenails occur in both men and women. According to the National Health Services (NHS), ingrown toenails may be more common in people with sweaty feet, such as teenagers. Older people may also be at higher risk because toenails thicken with age.
Many things can cause an ingrown toenail, including:
- Cutting toenails incorrectly (cut straight across, since angling the sides of the nail can encourage the nail to grow into the skin)
- Irregular, curved toenails
- Footwear that places a lot of pressure on the big toes, such as socks and stockings that are too tight or shoes that are too tight, narrow, or flat for your feet
- Toenail injury, including stubbing your toe, dropping something heavy on your foot, or kicking a ball repeatedly
- Poor posture
- Improper foot hygiene, such as not keeping your feet clean or dry
- Genetic predisposition
Using your feet extensively during athletic activities can make you especially prone to getting ingrown toenails. Activities in which you repeatedly kick an object or put pressure on your feet for long periods of time can cause toenail damage and increase your risk of ingrown toenails. They include:
What are the symptoms of ingrown toenails?
Ingrown toenails can be painful, and they usually worsen in stages.
Early-stage symptoms include:
- Skin next to the nail becoming tender, swollen, or hard
- Pain when pressure is placed on the toe
- Fluid building up around the toe
If your toe becomes infected, symptoms may include:
- Red, swollen skin
- Oozing pus
- Overgrowth of skin around the toe
How are ingrown toenails diagnosed?
Your doctor will most likely be able to diagnose your toe with a physical exam.
What are the treatment options for ingrown toenails?
Ingrown toenails that aren’t infected can normally be treated at home. However, if your toenail has pierced the skin, or there is any sign of infection, seek medical treatment. Signs of infection include:
- Redness and swelling
To treat your ingrown toenail at home, try:
- Soaking your feet in warm water for about 15 to 20 minutes three to four times a day
- Pushing skin away from the toenail edge with a cotton ball soaked in olive oil
- Using over-the-counter medicines, like calpol, for the pain
- Applying a topical antibiotic, such as t-bact, to prevent infection
If the toenail does not respond to home treatments or an infection occurs, you may need surgery. In cases of infection, stop all home treatments and see your doctor.
Total nail removal may be used if your ingrown nail is caused by thickening. The doctor will give you a local pain injection and then remove the entire nail.
According to the NHS, nail removal is 98 percent effective for preventing future ingrown toenails.After surgery
Your doctor will send you home with your toe bandaged. You will probably need to keep your foot raised for the next one to two days and wear special footwear to allow your toe to heal properly.
Avoid movement as much as possible. Your bandage is usually removed two days after surgery. Your doctor will advise you to wear open-toed shoes and to do daily salt water soaks until your toe heals. You will also be prescribed pain relief medication and antibiotics to prevent infection.
Your toenail will likely grow back a few months after a partial nail removal surgery. If the entire nail is removed down to the base, the nail matrix under your skin, a toenail can take over a year to fully grow back.
Complications of ingrown toenails
If left untreated, an ingrown toenail infection can cause an infection in the bone in your toe. A toenail infection can also lead to foot ulcers, or open sores, and a loss of blood flow to the infected area.
A foot infection can be more serious if you have diabetes.
Preventing ingrown toenails
Trim your toenails straight across and make sure that the edges do not curve in.
- Avoid cutting toenails too short.
- Wear proper fitting shoes, socks, and tights.
- Wear steel-toed boots if you work in hazardous conditions.
If your toenails are abnormally curved or thick, surgery may be necessary to prevent ingrown nails.
Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci.
Chronic paronychia - Usually caused by a fungal infection
The image below depicts paronychia.
Classic presentation of paronychia, with erythema and pus surrounding the nail bed.
Signs and symptoms
Physical findings in acute paronychia include the following:
The affected area often appears erythematous and swollen
In more advanced cases, pus may collect under the skin of the lateral fold
If untreated, the infection can extend into the eponychium, in which case it is called eponychia
Further extension of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection.
Physical findings in chronic paronychia include the following:
Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia
Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges
The cuticles and nail folds may separate from the nail plate, forming a space for the invasion of various microorganisms
The diagnosis of paronychia is based primarily on patient history and physical examination. Some laboratory studies, however, can be useful. These include the following:
Gram staining and/or culture - To help identify a bacterial cause of fluctuant paronychia.
Treatment strategies for paronychia include the following:
If soft tissue swelling is present without fluctuance, the infection may resolve with warm soaks 3-4 times daily
Patients with extensive surrounding cellulitis or with a history of diabetes, peripheral vascular disease, or an immunocompromised state may benefit from a short course of antibiotics
If an abscess has developed, incision and drainage must be performed.