Dr. Manoj Kumar

Body hair are typically seen as a manly attribution. For this reason, both men and women are constantly trying to keep their body hair free. Common ways of removing body hair includes shaving, waxing and the use of Depilatories. However, none of these techniques can permanently remove hair and hence need to be repeated regularly. The only way to permanently remove body hair is through laser hair removal therapy.

Laser hair removal can be used to address and remove hair on almost any part of the body including the face, arms, legs and bikini line. This procedure involves focusing intense light on the hair follicle pigments known as melanin without affecting the surrounding skin. The melanin absorbs this light energy and converts it to heat energy which in turn stops the stem cells in the hair roots from regenerating. This weakens the hair follicles to the point of falling off.

Hair removal is considered permanent when the hair follicles do not grow back. After the first session, new hair growth is often lighter and less dense than before. On an average, complete hair removal may require 5 to 6 laser sessions. Since laser therapy can be used to address only those follicles that are in the growing stage, these sessions are usually spaced 4 to 6 weeks apart. During this time the hair follicles that were in the resting phase can grow out. The number of sessions required also depends on the quality and number of hair follicles, individual’s hormone levels, and metabolism. In some cases where hair growth is very dense, maintenance treatment may be required once in six months or annually.

The procedure is relatively pain free. During the treatment, the patient may experience a faint prick or sensation of warmth. When treating sensitive areas, topical anesthesia may also be used. However, this is rarely needed. This form of laser therapy can take anywhere between 5 to 45 minutes for a single session depending on the amount of area being addressed.

Laser hair removal is considered a safe procedure and has minimal side effects. In some cases, it may cause a temporary change in the color of the skin of the treated area, but this usually resolves itself without medication. This can be prevented by using a good sunscreen with UVA and UVB protection and avoiding exposure to sunlight. In rare cases, people with a dark complexion may develop blisters and experience swelling and redness of the skin. In case you have a concern or query you can always consult an expert & get answers to your questions!​

Favorite pastime of most of the people would be to look at the mirror and analyze the skin. While acne is the most common problem, next in line would be pigmentation. One could have light patches or dark patches on the skin. The color of the skin is due to a pigment known as melanin. Greater the amount of melanin in the skin, darker the complexion. Skin color depends on the following:

1. Age
2. Genetics
3. Ethnicity
4. Degree of sun exposure
5. Skin care routine
6. Stress levels
7. Hormonal levels (related to menstruation, pregnancy, breast feeding, menopause, etc.)
8. Food habits

Hypopigmentation is less common and it is better to seek medical advice to rule out other medical conditions. Hyperpigmentation where there are increased amounts of melanin on the skin. This is quite common and happens with increased sun exposure and age. The most common types are as below:

1. Melesma: Caused by hormonal changes, is very commonly seen during pregnancy.
2. Lentigo: Multiple black spots or freckles. This could be caused by ageing or due to sun exposure.
3. Management of hyperpigmentation: This involves two-fold approach with preventing and treatment

Tips for preventing hyperpigmentation:
Reducing sun damage and using optimal sun protection is the best way to prevent hyperpigmentation. The sunscreen should have at least an SPF (sun protection factor) of 15. A common misbelief is that sun damage happens during the bright days. However, even sun during cloudy weather causes damage, so avoid direct sun exposure as much as possible if you have are at risk of pigmentation.

Regularly scrub and exfoliate the skin to remove the dead cells from the top layers. Dry or sensitive skin can be exfoliated 1 to 2 times weekly, and oily skin can be exfoliated 2 to 3 times weekly. This helps constantly remove the top dead layers and fresh skin cells to come to the top, giving a fresher, more youthful look.

Treatment for Hyperpigmentation Pigmentation is hereditary, and so improved skin care routine is useful in improving appearance. When buying skin care products, check whether the SPF is greater than 15 at the minimum, and there are other essential ingredients like alpha hydroxyl acids, glycolic acid, and lactic acid.

These help in skin regeneration and producing a clearer skin with reduced discoloration. Vitamin C, Vitamin E, and kojic acid are also useful in treating hyperpigmentation. Dietary changes like egg white mask, citrus fruit application, potato peel can help in reducing pigmentation.

Other dietary changes to adhere to include a diet that is less in oil and refined sugars. A fresh fruit and vegetable loaded diet, adequate hydration, good skin care, and proper sun protection can go a long way in reducing pigmentation. In case you have a concern or query you can always consult an expert & get answers to your questions!

Rhinoplasty, more commonly known as Nose-Job, is a cosmetic procedure designed to change the shape and size of the nose. 

A Rhinoplasty can effectively change the size and shape of the nose to complement the facial balance. It also helps improve nasal symmetry efficiently enhancing your facial features.

How is the surgery performed?

We prefer General Anaesthesia for the surgery to make patient pain free and most comfortable. It’s a Day-care procedure or may need overnight stay.

The operation involves an incision which is made for easy access to the cartilage and bones of the nose. These incisions are generally placed inside the nose, so that they do not appear as scar marks after the surgery is done. Moulding, removal or replacement of the bone or cartilage depends on the demands of the restructuring of the nose. Once the reshaping of the nose is done, the nose tissue is put back into place and a splint is temporarily placed to support the new structure of the nose. The splint is removed at 5-7 days. 

Precautions to take after a nose surgery

After a nose surgery, the area around your nose will stay swollen and bruised for around 10-15 days. Thus you have to ensure that-

1. You get adequate period of rest.

2. Use cold compresses over the swollen face, this will reduce the swelling and ease the pain.

3. Do not indulge in relatively vigorous physical activity for 15 days. 

4. Take you medicines regularly.

Risks of nose surgery

Every surgery or medical procedure involves certain risks, and so does Rhinoplasty. Along with some puffiness and bruising around the eye and nose region, you may also experience-

1. Some amount of bleeding 

2. Injury to the septum area

3. Irritation of the skin and skin problems 

4. Infections 

5. Nasal blockage due to swelling in the inner nasal area 

6. Complications resulting from anaesthesia 

In case you have a concern or query you can always consult an expert & get answers to your questions!