Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 27 years of experience on Lybrate.com. You can find General Surgeons online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. V K Gupta
Kidney Stones Treatment
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Varicose Vein Laser Treatment
Hernia Repair Surgery
Urinary Incontinence (Ui) Treatment
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Prostate Laser Surgery
Gastric Bypass Surgery
Treatment of Bone Marrow Transplantation
Vascular Surgery Treatment
Submit a review for Dr. V K GuptaYour feedback matters!
Skin diseases like psoriasis, eczema, vitiligo, and irregular patches are major cosmetic concerns. Therefore, to even out the skin tone, there are various options available, and phototherapy is one of the most important ones. Phototherapy, as the name suggests, involves the use of light waves to treat these conditions. What happens is that when the light is targeted at the affected area, then the underlying skin layers react to form a new skin and the condition is thereby treated.
The skin has a top layer known as epidermis and underlying layers known as the dermis. The inner layers contain collagen and other tissue, which are essential for new skin formation. The light waves act on this underlying layer to treat skin disorders.
What is narrow-band UVB?
The laser light used in skin treatment usually 290 to 320 nm. The narrow-band refers to the use of 310 to 315 nm, which is believed to be the most effective for treating skin disorders. This narrow spectrum produces less redness and light of greater wavelengths, which is most effective.
Benefits over regular wavelength therapy:
- Reduced exposure time of the lesion to UV light
- Quicker response
- Reduced duration of treatment
- Reduced recurrence
Duration of treatment: Depending on the extent of the lesion, the exposure to UV light can be regional or to the whole body. Regional is when only a part of the body is exposed to the radiation. The whole body is when the person is made to stand in a chamber that has lights emitting the radiation for seconds to few minutes. Depending on the condition and severity, repeat sessions are planned with intervals to allow for skin recovery. A psoriasis patient may require about 15 to 20 treatments for complete relief.
Indications: The following skin disorders are usually treated with narrow-band UVB phototherapy.
- Psoriasis: Compared to regular phototherapy, the narrow-band produces less redness and reduced recurrence.
- Vitiligo: UVB is proven to be effective and safe, producing reduced repigmentation and stabilization of the condition.
- Atopic dermatosis: Phototherapy is being tried instead of steroids to treat atopic dermatitis, and the results are very promising.
In some cases, light is also used in combination with topical therapies like tar and other steroid creams.
Side-effects and precautions: Generally very safe. Only if taken continuously for years can result in signs of aging. Patients requiring long-term treatment running into years, a gap of about 2 to 3 months should be given after a year. Also, regional therapy is preferred to a whole body treatment. If you wish to discuss about any specific problem, you can consult a Dermatologist.
I recently developed a rash on my upper thigh in the crease of my leg. Its red, hot to the touch and I can not figure out what it is or how to get rid of it.
Hi I am 6 months pregnant and my skin is becoming darker with black spots all over my neck please suggest some cream so that slowly and steadily these marks gets vanished.
Hi Doctor, I'm 25 year old girl. I want to reduce my weight in last January I was checked my weight it around 71 kg in few days before I was checked my weight it comes around 76 kg. I'm very shocked. I don't know how to maintain my weight. I'm very dark in color and my lower chin have more hair growths. Pls help me how to reduce my weight and hairs in lower chin? In this factors reduce my confidence level. Pls help me how to maintain my skin tone and I hate my color also I want some tips for brightness and soft skin?
My both legs have itching. Like fungal infection (Daad type). both legs and penis. I am very irritated to my itching problem. Please suggest me better advise. I have been also used 1Al tablet.
I have skin problems over 6 years and one doctor told that you have a protein problem. I have no money to bear the medical bills so please tell me how to gain proteins in body naturally.
It is said that a hand reflects the personality of an individual. A well-maintained manicured hands with skin and nail care talks a lot about a person. Aside from the head and neck, it is also the most exposed part of the body. Whether we like it or not, aging is inevitable and does not spare any part of the body. The hands also lose volume, sag, wrinkle, and tan. The veins become prominent, knuckles jut out, and bones and tendons become stand out. While most people take care of the aging effects on the face, the hands are often ignored. There are even cases where there is a mismatch in the appearance of the hands and the face, causing cosmetic and psychological concerns.
The loss of skin volume can be replaced by restoring the soft tissue, which is achievable by injecting fillers into the hands. These improve skin elasticity, improve volume, and reduce wrinkles. The prominence of the bones and knuckles are therefore reduced, producing a less-aged appearance.
Calcium Hydroxyapatite: This inert, biocompatible, inorganic component prompts collagen production. It has high viscosity and high elasticity and acts as a wonderful filler. It is usually injected alone or after mixing with lidocaine (a local anaesthetic) into different areas of the hand. It blends nicely with the skin and conceals tendons and bones. It requires repetitive procedures and takes about 6 to 18 months for the full effect to be seen. There are minimal side effects including bruising, oedema, and tenderness.
Hyaluronic Acid: The skin contains hyaluronic acid naturally, and with ageing, the amount of it reduces. This provides a matrix for dermal tissue, giving it the elasticity and thickness, which is lost with age. Therefore injecting hyaluronic acid helps improve elasticity and thickness. It increases collagen formation in the underlying layers of the skin and acts as a filler. Recent advances have used injections of cross-linked HA which is more resistant to degradation, thereby producing longer lasting results.
Autologous Fat Injections: Fat from another body area usually the thighs or the upper arms is either freshly harvested or harvested and frozen and thawed. This is then injected into the hands to act as fillers. This requires repetitive procedures, as the results are not sustained. There could also be uneven surfaces with lumps in the hands where fat has been injected. There are also chances of infection and oedema in this procedure.
As noted, there are ways to avoid the ageing effects on the hands. A word of caution, though, whatever the approach you choose, ensure you place yourself in the hands of an experienced, qualified surgeon to take care of your ageing hands!
In case you have a concern or query you can always consult an expert & get answers to your questions!