Dr. Nishant Chhajer

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!

Losing weight is a challenge for most people but even more so for those suffering from obesity. With rigorous dieting and exercising you may lose fat but in the case of obese patients, this weight loss leaves behind sagging skin. Surgery is the only solution to this problem.

A tummy tuck of abdominoplasty is a procedure that removes excess fat and skin from the abdomen to create a firmer, more appealing silhouette. A tummy tuck may also be advised for women who have recently given birth and want to get back to their original figure. Most people fear going into surgery as every surgery has its own risks but a tummy tuck procedure is considered quite safe and hence need not be a cause for concern.
An abdominoplasty is usually performed under sedation or general anaesthesia. A horizontal incision is made between the navel and the pubic region. The length of this incision depends on the amount of excess skin to be removed. In some cases, an incision may be needed above the navel as well. The stubborn abdominal fat is removed and the muscle structure is repaired before pulling the skin taut and removing all excess skin. In most cases, the naval will also need to be shifted. The incisions are then closed with sutures or staples and allowed to heal.

It can take about 2 weeks for the results of a tummy tuck surgery to be visible. This is because most patients experience swelling for a few days after the surgery. The results of a tummy tuck surgery last fo as long as the patient can maintain his or her weight. For this reason, patients are usually advised to lose some weight and reach a stable weight before the surgery. In cases of excessive obesity, a single surgery may not be enough to recontour the abdomen and a follow-up procedure may be needed.

A tummy tuck surgery is not considered a weight loss procedure and hence putting on weight by following an unhealthy diet and neglecting exercise can detract from the results of a tummy tuck. For this reason, you may be advised to follow a strict diet after the surgery. This procedure is also not advised for women who are planning a family and have a high probability of pregnancy.

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

It is human nature to want to look good and feel good. A young, smiling face that greets you in the mirror can be one of the happiest moments on a given day. However, it is not always the case. With age, the image that looks back leaves a lot to be desired. The wrinkles, fine lines, dark spots, tanning spots, etc. seem to take away a lot of the beauty. However, with these concerns growing, the cosmetic industry has found out ways to mask these and keep that face in the mirror young and happy.

While earlier only celebrities could afford such treatments, now more and more people have access to simple but effective techniques to keep their youthful looks intact.

What is Botox?

It is a control use of a toxin to get desired paralysis the muscle according to three individual patient. In even extremely minor amounts, this toxin can relaxes muscles and this property of it is used to treat facial wrinkles and fine lines. This was accidentally discovered but is now one of the most widely used techniques in cosmetic surgery.

How does it work?

The nerves send messages to the muscles to contract or relax through neurotransmitters. Acetylcholine is one such neurotransmitter and sends signals to the skin from the nerves. Botox acts by preventing the release of this chemical. The result is that the muscle does not receive a signal to contract. The end result is reduced wrinkles and fine lines.

Uses: The forehead and corners of the eyes are the most common areas that are treated with Botox. The wrinkles are often lost and the skin looks younger and firmer. In addition, Botox is also medically approved for use in the following conditions.

1. Blepharospasm (spasm of the eyelids)
2. Lazy eye (strabismus)
3. Chronic migraine headaches
4. Chronic spasms in the neck
5. Overactive bladder (resulting in frequent urination)
6. Spasticity resulting from stroke
7. Excessive sweating
8. Esophageal motility disorders
9. Urinary incontinence
10. Bruxism (tooth grinding)
11. Crow’s feet (outer corner of the eyes)

With Botox gaining popularity, this list of indications is only set to get longer.

Precautions: This is a highly potent toxin and about 2 kg is sufficient to wipe out the entire human race. Therefore, it is very important to use this under the hands of a trained, experienced professional.

Side effects:

1. Mild pain or redness at the injection site
2. Temporary numbness
3. Allergic reaction to toxin (very rare)

These are very transient and disappear over a couple of days’ time, revealing the real benefits of Botox. Set realistic expectations with your surgeon and be ready to look at a younger, happier you. 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!

It is a condition that causes discoloration and discolored patches to appear on the skin. The color of one’s skin is determined by the production of melanin in the body, and hyperpigmentation is caused by a disproportionate production of melanin. People of any race or skin color can be affected by this condition. The most common pigmentation problems are brown sun spots, melasma, age spots, and pigmented birthmarks.  Pigmentation issues very depending on the natural colour of the skin. Treatments include fade creams, IPL, Elos Aurora, laser treatments like Fraxel Dual and in some cases biopsy or skin excision is required to exclude skin cancer such as melanoma.

Three skin irregularities caused by this condition are; Post Inflammatory hyperpigmentation, Lentigines (or sun spots) and Melasma.

1. Treatment of brown sun spots: Many people have mottled brown spots, freckles and patches on their skin due to excess pigmentation. These are easily treated with medical grade Elos IPL or Fraxel Dual laser. There is a range of different causes of pigmentation. Treatments differ depending on what type of pigmentation is affecting your skin. The brown pigmentation is called melanin and is made by special cells in the skin called melanocytes. The main categories of pigmentation problem are freckles, age spots, (also called liver spots or sun spots) melasma and postinflammatory hyperpigmentation. 
2. Melasma: Women with a genetic predisposition to this condition or those with darker skin complexions and those who have a higher exposure to ultraviolet rays are most commonly affected by melasma. It is a condition that affects the areas of the skin that are most exposed to the sun. It involves female hormones and so women who are pregnant are generally affected by melasma. Melasma is blotchy areas of brown skin pigmentation on the face. Melasma, (also known as chloasma), appears as blotchy pale brownish pigmentation on the face, especially forehead, cheek and upper lip. It is more common on darker skin types. It is especially common in women aged 20-40 and is associated with pregnancy or taking the contraceptive pill or injection. It also happens in healthy, non-pregnant woman taking no medications and men using aftershave. Sun exposure following some cosmetics can cause a phototoxic reaction where the chemical substance absorbs UV light. The resulting pigmentation extends where sun and cosmetic use have coincided, for example down the neck, often more on the right side in countries that drive on the left. Melasma is more stubborn and unpredictable to treat than freckles or age spots because the melanocytes have become sensitized and continue to produce extra pigment with even the slightest hint of sun. Sun protection is an essential part of treatment. Melasma can be treated with Active FX Laser Resurfacing. It destroys up to 80% of melanin, efficiently, which is ideal for cases of melasma that cause excessive pigmentation of skin.
3. Lentigines: Minute brown spots that appear on your face and body, which is the collective result of continuous exposure to the sun, photodamage or chronic sun damage, are called lentigines. The spots usually have a visibly distinct border and appear on areas most exposed to the sun such as the face and hands.

How is one affected by post inflammatory pigmentation?
If there is an excessive production of melanin in the body, it could then overflow to the surface of the skin; this is caused by an inflammation. Post inflammatory pigmentation is the formation of brown patches on the skin that are the result of infection, injury or other conditions. Patients who already have a skin problem are more likely to be affected by this condition.

Post inflammatory hyperpigmentation (PIH) occurs after injury to the skin from whatever cause and is far more prevalent in darker skin. PIH appears as a dark brown area over the area of the previous injury and is due to excess melanin being produced by melanocytes as a result of the inflammation. Typically PIH resolves over several months but can persist for 1-2 years and in some cases can be everlasting. Treatment is generally patience as it will resolve and treatments risk further inflammation and therefore further PIH.  However hydroquinone can be useful in some patients and others benefit from mild treatments of Elos Aurora, IPL or Fraxel Dual laser.

Treatment of freckles

Freckles are small flat brown marks on sun exposed areas. The medical term is ‘ephilide’ and they are an accumulation of melanin in the surface skin cells (keratinocytes). The tendency to form freckles is inherited and is often seen in red heads and younger people. Freckles usually fade in winter and reappear in summer. They need no treatment except sun protection. They can also be faded by Elos IPL, but will reappear with sun exposure. No treatment can transform a skin which freckles, into one which tans evenly.  Of course, further sun exposure can bring the freckles out again so it is very important to apply a good sunscreen following treatment to maximise results.

How does laser treatment help to remedy hyperpigmentation?

• Clear and Brilliant, Fraxel and Photofacial are three types of laser treatment that have been known to resolve hyperpigmentation.
• Short bursts of energy and heat are produced by the laser and aimed at the cells that have a concentration of melanin. The excess melanin from these cells is then broken down and destroyed with the help of the laser.
• Each case of hyperpigmentation varies, and their treatment varies on the extent of the condition as well. The treatment will be administered over a course of sessions.

Though these treatments are effective, one must always stay protected from damage due to overexposure to the sun, by wearing the sunscreen with the correct SPF and other sun gear. In case you have a concern or query you can always consult an expert & get answers to your questions!