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Patient Review Highlights
He is not just friendly, but also is very motivating. By chance, I approached Pankaj Tiwary for second opinion and thank god, i did because, he treated me so well. Even though I was fit and fine, it was shocked when I got to know that I have greying hair. The entire Dr Pankaj Tiwary Clinic is very nicely designed. The complete process of greying hair treatment was so quick, and i am so relieved that I chose to consult him.
I was shocked to experience the problem of pimples. No matter how critical be the situation, he is always very calm. I was admitted to the Dr Pankaj Clinic in case of emergency, but not once did any of the nurses panicked. I'am almost on the path to recovery, Thanks to his perfect advice. I was quite impressed with his concept of holistic healing.
I was having very bad thoughts regarding my laser hair removal but he did it very nicely. Dr Pankaj Tiwary Clinic can handle all types of emergency cases. I am almost my normal self post the treatment and for that Dr Pankaj Tiwary is the reason. It was an amazing experience as everyone in the Dr Pankaj Tiwary Clinic is so nice.
As someone I knew, consulted Dr Pankaj and they referred us. No matter how critical be the situation, he is always very calm. I was sick of my skin infection but the treatmnet given by him was very beneficial for me. I owe him a big thank for treating me so patiently. Post treatment , I am back to my normal self.
Over the period of time the vitiligo treatment has helped me a lot. Dr Pankaj is really a great. He guided me to change the attitude . Due to this problem, my daily activities were suffering but his treatment helped me immensly to get back to normal self. He is not just friendly, but also is very motivating.
I was having very bad thoughts regarding my complexion. I was quite depressed , One of my colleague referred Dr Pankaj, he is a knowledgeable dermatologist in Patna. He is so pleasant to talk to and always ready to answer your doubts. I am so thankful to him for giving me the best advice .
Dr Pankaj's guidance for mole removal has helped me immensely and has helped gain confidence. He is well knoeldgeable dermatologist. i owe him a big thank for the treatment. he helped me gain my considence and imorove my appearance. I am glad that I consulted him for this.
I read about Dr Pankaj Tiwary on one of the social media platform. He never gets frustrated, even when I ask a number of queries. I conculted him 3 month ago for my hairloss issue. I am grateful that he gave me the treatment , I am much benefitted with it.
I needed a liposuction surgery for which I chose to visit Dr Pankaj. He has broad knowledge in the field of dermatology. His treatment suited me the best and i am glad that I chose him for my surgery.
Very good behaviour, also a good doctor.the doctor who understand your problem like a parent.
Doctor is attentive, very friendly and empathetic. Definitely worth recommending.
Gem as a dermatologist. Cost-effective treatment. Humble humanbeing
He is a good doctor. He behaves with patient like as a friend.
Very satisfying results...Highly recommended...
After 1 month of. Treatment I am feeling good.
Good doctor.gives time to patient
Simply the best
6 Face Washing Mistakes that are Damaging Your Skin, Everyday!
Face-washing may be a simple everyday task that requires no great effort on your part. But when it’s not done right, it causes significant harm to your skin, each day. The mistakes that you may make while washing your face could lead to issues like irritation, dryness and even wrinkles. Read on to find out how you can avoid making these common errors, and save your skin from blemishes, ageing and lustreless look.
1. Using the wrong cleanser
The use of the wrong cleanser can throw your pH levels out of balance. The optimal pH balance of your skin is 5.5pH. This is the ideal level at which the thin protective layer on the surface of the skin (called acid mantle) can function to keep germs, toxins and bacteria at bay. You should therefore be picking your cleanser based on your skin type as it would come with the right pH balance.
2. Not cleaning your hands before touching the face
Always clean the germs and dirt of your hands first before moving onto your face. Ignoring this crucial first step can cause you to transfer all the bacteria and dirt of your hands on your face, giving rise to common skin problems such as acne, pimples and blackheads.
3. Using a pre-used washcloth
To avoid the filth from clogging your pores, always clean the washcloth that you use with an antiseptic to keep germs and bacteria at bay. Once you’re done washing your face, don’t rub the cloth all over your face but pat dry it.
4. Washing face using with hot water
When it comes to the water that you splash on your face, you should always use lukewarm or room temperature water. This is because hot water leaves your skin dry as it washes away the skin’s essential oils; and cold water can break the capillaries (fine blood vessels) of your skin. In contrast, mildly lukewarm water will keep your skin hydrated and healthy.
5. Not washing the face twice a day
Just as you shouldn’t ignore this important skin care habit that keeps your skin clean, you also shouldn’t go overboard with it. Excessive face-washing can hamper the natural oil production of your skin, giving rise to dryness and irritation as a result. Your skin requires the natural oil it produces to keep it smooth and supple. Ideally, you should wash your face twice daily - once in the morning for removing the bacteria and dirt that clogged your pores, and again at night before going to bed.
6. Rushing through the routine
Lastly, don’t rush through your cleansing routine. Make sure to properly rinse your face of cleanser completely, otherwise the residues would cause your skin to dry up later on, leading to skin irritation.
It is therefore very important to pay attention to all the little details that make up your face-washing routine. By doing it right, you get to achieve the clear and blemish-free skin that you always wanted.
Do you know the sun is making your skin age faster? plus, 5 other reasons behind facial wrinkles
Facial wrinkling occurs when the skin develops creases, folds and ridges. The formation of wrinkles is a normal part of the process of skin ageing. However, certain factors may accelerate the process and lead to premature wrinkling of the face and other parts of the body.
The main causes of facial wrinkling are:
1. Skin ageing: as a person gets older, his/her skin becomes less taut and begins to sag. The production of natural oils and fat in the deeper layers of the skin gets reduced with age, which leads to the formation of wrinkles due to diminished skin elasticity.
2. Sun exposure: constant exposure of skin to the sun causes damage and speeds up the ageing process. The harmful ultraviolet rays of the sun break down collagen and collective tissue fibres, which is the primary cause of premature wrinkling.
3. Skin complexion: due to the absence of melanin, people with fairer (lighter) skin, experience more damage due to sun exposure. This causes them to develop wrinkles much earlier.
4. Facial muscle contraction: repeatedly making the same facial expressions and contraction of face muscles causes wrinkling. Those who constantly frown, smile or squint get facial wrinkles as it leads to reduced skin elasticity.
5. Smoking: smokers are more susceptible to premature wrinkling. This is due to the presence of nicotine, tar and other chemicals from the smoke in the bloodstream, which hamper the supply of blood and oxygen to the outer layers of skin.
6. Genetic factors: many people get facial wrinkling as a result of hereditary causes and family genetics.
However, the good news is that facial wrinkling can be prevented through these simple ways:
This is the most effective way of avoiding wrinkles. Keep yourself protected against sun exposure by staying out of the sun as much as possible and wearing sunscreen at all times.
Quitting the smoke
Kicking the habit will show a marked improvement in your skin quality and would help prevent further wrinkling.
Use of moisturisers
Dry skin is more prone to wrinkling. Keeping your skin supple and moisturised prevents wrinkles.
Leading a healthy lifestyle
The combination of following a nutritious diet, drinking plenty of water, getting enough sleep and regularly exercising keeps the skin young and wrinkle-free.
There are several options to improve wrinkles by procedures which include botox, fillers, prp and lasers for skin tightening. The most suitable option can be chosen depending upon the severity and type of wrinkling.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Almost every person salivates over desserts and sweets. One does not need a special occasion to get their sweet tooth going. While the lip smacking sugary delight might impress the taste buds, it is sure to affect the health in a big way. If you thought that sugar was only bad for your waistline and general health, then you need to know that it is equally harmful for your skin. In fact, it can lead to serious dermatological conditions.
Harmful effects of sugar on the skin
A lot of what we eat reflects on our body externally. A number of internal changes can influence the external appearance of the body. Excessive intake of carbohydrates, starch and sugar can have an adverse effect on the skin. It can also accelerate the ageing process. But what triggers these complications needs to be understood and discussed in detail.
Carbohydrates can be simple or complex. Simple carbohydrates (cake, bread; to name a few) break down and convert to glucose rapidly. Increased glucose level implies increased insulin level, and causes inflammation, which affects the whole body. The enzymes produced during inflammation breaks down important proteins, namely elastin and collagen, leading to wrinkles and saggy skin.
Acne problems mainly arise from Glycation (the process through which digested sugar attaches permanently to the collagen). Glycation plays a significant role in accelerating the ageing process.
Complex carbohydrates, on the other hand, is good for health. When ingested, complex carbohydrates break down at a much slower rate. As a result, there is no abnormal increase in the insulin level.
Corrective measures to check the harmful effects of sugar on the skin:
With a little care and preventive measures, the deleterious effects of sugar on the skin can be minimised.
- Supplement your diet with foods rich in antioxidants. Lean proteins, fibrous foods and diets rich in good fats are highly recommended. Include beans and nuts that have low glycemic value in your diet. Drink plenty of water.
- Food items containing high amount of saturated fats (cheese, ice creams, fried foods; to name a few), and with high glycemic value should be strictly avoided.
- Do not compromise with your sleep. A sound sleep and a stress-free life is the mantra to a glowing and youthful skin.
- Practice meditation and yoga diligently. The rewarding and positive outcomes will leave you in awe.
- Do not skip your meals or indulge in overeating. Have small servings at regular intervals.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Dermabrasion is a procedure where a brush made up of wire or a rough edged diamond wheel is used on the skin to remove the upper layer from the skin. The rotation of the brush causes the upper layer of the skin to come off and may cause bleeding. The skin that comes off is replaced with new skin.
Why it is done?
- The procedure may be used to treat various surgical scars.
- Usually this procedure is used to get rid of acne scars.
- The procedure is used to treat various superficial growths that occur on the skin such as small cysts.
- It may also be used to treat wrinkles around the mouth.
The area where the procedure is carried out is marked and then cleaned properly. Local anesthesia is used to numb the skin followed by an application of ice pack for about half an hour. If the preceding procedures do not harden the skin enough, then a freezing spray may be used to firm up the skin. Gauze may be used to restrict the bleeding which results from the procedure. The area is then cleaned and ointment is applied.
The depth and size of the procedure determines, how much time the recovery process will take. For example, a small patch of skin will take little time to heal compared to a full face dermabrasion. It usually takes 6 to 7 days for the skin to regrow, which is pink in color. The color tends to fade away in 2 to 3 months. Usually patients do not suffer from pain, but if you do have some pain then you can take pain relievers. Corticosteroids may be used to treat swellings, if any.
You need to follow certain precautionary measures after the surgery:
- Regular cleaning of the skin to avoid various infections of the skin.
- Regular changing of the dressing and the ointment to speed up the healing process.
- Sun exposure needs to be avoided as the new skin is prone to damage. You may use sunscreen to protect yourself from the sun's rays.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Scabies is a skin condition that causes the skin to itch. It is caused by a tiny burrowing mite, which is called Sarcoptes scabei. The presence of the mite in the burrowed areas causes intense itching, especially at night. This a contagious condition, which can quickly spread through physical contact in places like nursing homes, schools, prisons etc. Scabies is easily treatable by applying lotions to the skin that may kill the mite. Yet, one may still experience itching for several weeks.
The eight legged mite that causes the condition is microscopic. The female mite burrows just beneath the skin and makes a tunnel where it deposits eggs. These eggs hatch, mature and spread to the other areas of the skin or to the skin of other people. The body's allergic reaction to the mites, their eggs and wastes causes the itching.
Some of the symptoms of the conditions are severe itching, narrow irregular burrow tracks, which look like blisters or bumps on your skin. The burrow tracks generally appear in the folds of the skin. The common sites of the condition are between the fingers, armpits, around the waist, soles of your feet, knees, shoulder blades etc.
Some of the complications of the condition are:
- Vigorous scratching, which can break your skin and can cause a secondary infection such as impetigo. This superficial skin infection is usually caused by the staphylococci bacteria.
- Severe scratching can also lead to damaged and reddened skin, which in severe cases can start to bleed.
Crusted scabies, also known as Norwegian scabies is a severe form of the condition, which affects certain high risk groups, such as:
- People with chronic medical conditions, such as HIV/Aids or chronic leukemia
- Older people in nursing homes
- People who are very ill.
If you wish to discuss about any specific problem, you can consult a Dermatologist.
Women can find unwanted hair growth very embarrassing. This is especially true if she sports hair growth on her face. Excessive hair growth on a woman is also known as hirsutism. This differs from the usual fine 'peach fuzz' that covers the rest of the body. Such hair can be characterized as dark and coarse.
Hirsutism has a number of causes. Some of the most common reasons for this condition are:
Hirsutism often runs in families. Thus if your mother or grandmother suffered from this skin condition, chances are that you may suffer from the same. This is most commonly seen in people from the Mediterranean region and south East Asia.
Hirsutism is also linked to an abnormally high level of male hormones like androgens in the body. This is usually seen in cases where women suffer from polycystic ovary syndrome, Cushings syndrome or tumors in the adrenal gland.
A shift in hormone levels is also a common side effect of many types of medication. This is typically seen in drugs that include hormones such as anabolic steroids, drugs that spur hair growth and drugs that help with endometriosis.
Facial hirsutism can be treated in a number of ways. Some of the ways to remove excess hair are:
This is an easy and quick way to remove unwanted skin. however, it may irritate the skin and with every shave, the hair growth may get coarser.
This is a temporary solution for Hirsutism but may irritate the skin and does not suit dark skinned women.
When done regularly, waxing can reduce the amount of hair growth. However, this is a painful technique and can cause skin inflammation.
- Laser hair treatment
Compared to the above forms of hair removal, laser treatment can remove hair for the longest period of time. However, this is not a permanent solution and can have side effects like the lightening or darkening of skin.
This is permanent solution to hirsutism. It can require several sittings and may also lead to scarring or changes in skin colour.
Prescription drugs can also change the way hair grows on the body. However, if you stop using this medication the hair growth with go back to its original form. Birth control pills and anti androgen blockers are the most common form of prescription drugs used to treat hirsutism.
Chickenpox is an airborne illness, which spreads effortlessly through sneezes and coughs of an affected individual. The disease is highly contagious and is caused due to an infection by the varicella zoster virus (VZV). The characteristic features are skin rashes that form small, itchy blisters. It may also spread through contact with the person affected with blisters.
Symptoms: The early signs in teenagers and adults (loss of appetite, nausea, pain in muscles and headache) followed by the trademark rash or oral sores and mild fever that indicate the presence of the ailment. In children, there is an absence of the early signs. The rashes begin as red spots on visible areas of the body and thereby increases in severity as time progresses.
At the stage of blister, intense itching occurs. Visible symptoms develop in the oral cavity and tonsil in the form of ulcers, which can be extremely painful. These symptoms appear between 10 to 21 days of contact with the infected person. Since the nasal excretion contains the virus, the infected person becomes infectious around 2 days before the visible symptoms appear. Usually, the condition self resolves in around 2 weeks.
Prevention: Chicken pox can be prevented by:
- Maintaining proper hygiene standards. The infected person should be kept in isolation. The virus is susceptible to disinfectants, heat and detergents.
- In most top countries, compulsory vaccination is followed to prevent chicken pox. After the first immunization, the second dosage is recommended after 5 years.
Treatment: Easing the symptoms is the main focus of treatment. The infected are advised to remain at home, in isolation, in order to prevent the spread of the disease. Measures should be taken to avoid scratching so that secondary infections are prevented. Good hygiene and using of warm water to clean the skin daily, is mandatory. Paracetamol might be used to reduce fever. Treatment using antivirals (with 24 to 48 hours of onset) is recommended for adults, but not for children. Water intake to reduce dehydration and headache is advised.
Since chickenpox is more severe in adults than it is in children, parents usually favour their wards receiving the virus at an early age. This is countered by doctors who believe that children are safer using vaccination, which is the virus in a weakened form, rather than the disease that may prove to be fatal. If you wish to discuss about any specific problem, you can consult a dermatologist.
Your genetic background influences where your body fat is stored. In case, your mother or father has fat stored in the abdomen, hips, waist or in the thigh, it is likely for you to develop deposits of fat in the same regions.
Circumstances of Genetic Fat
- You may have a proper or a balanced BMI (body mass index) but still tend to develop bulges in areas, which are likely to make you look disproportional.
- You may become obese by development of excess fat accumulation in the lower abdomen region, referred to as pannus. Extra fat may accumulate in your lower back and hips as well, which cannot be lost in spite of taking weight losing measures.
Liposuction to get rid of extra fat:
- Liposuction is a cosmetic surgery that allows you to remove genetic fat or any extra fat from the body, in order to change the body's shape. Liposuction does not remove cellulites and tightening of loose skin cannot be done.
- Liposuction removes excess fat from the body by suction. Small, narrow tubes with blunt tips known as the cannulae are inserted through incisions in the skin surface. The tubes are moved under the skin to target the suction of fat deposits.
There are several types of liposuction techniques:
- Tumescent Liposuction: In this form of liposuction, a wetting solution such as lidocaine with a local anesthetic is injected into the patient before surgery. This causes the shrinking or constriction of blood vessels due to which it allows liposuction to be performed while the patient is under local anaesthesia. Blood loss and post surgical pains are reduced.
- Suction Assisted Liposuction: This mode of liposuction also known as SAL is the most primary form of liposuction. It involves drawing out of fat using a vacuum.
- Power Assisted Liposuction: This liposuction technique called PAL in short involves the process of SAL with an extra tool for increasing the motion of the cannula. The process is faster.
- Ultrasound Assisted Liposuction: This process (UAL) involves the transmission of energy via a specialized hand piece for loosening and melting of fat. A greater volume of fat can be removed via UAL.
- VASER: It is a variation of the UAL method where an ultrasonic cannula with grooves helps in energy disruption to improve removal of fat.
Laser Assisted Liposuction:
LAL is a newly developed liposuction technology where a laser works like an ultrasound for disruption and removal of fat cells. This mode is more efficient and involves less trauma. Liposuction is an effective way to remove unwanted, genetic fat from your body, which may be harming your body image. However, liposuction is associated with severe side effects. If you wish to discuss about any specific problem, you can consult a dermatologist.
All drugs carry within themselves the potential to treat and harm the skin. Side effects of medicines are a common phenomenon, with variation in the intensities. Sometimes they are minor and do not require medications; however at other times they may require urgent attention and treatment.
Some allergies caused due to medications that primarily affect your skin are:
- Itches and rashes: Sometimes your body may be allergic to certain type of medications. If these drugs are taken by you then the immune system treats them as foreign invasions and triggers a reaction against them. In certain cases, on consuming a drug that your body is allergic to, a kind of white blood cell called T cells expand. Itching, rashes on the skin are common repercussions in such a scenario.
- Swelling on the face and throat: Often it happens that, on being administered a medicine or an injection, you may experience severe swelling on face and throat. This is an extreme case of medicinal side effect and is commonly known as anaphylaxis. This must be immediately treated and brought to the notice of a trained doctor.
- Blisters: This is also an important potential side effect of a drug. On being administered a drug, you may experience an erosion on the surface of lips and eyes as a reaction against it. Immediate treatment and a consult to the doctor is imperative if you experience these symptoms.
- Swelling of the tongue: If you have high blood pressure and if you take angiotensin converting enzyme, a swollen tongue and persistent cough are the possible side effects.
- Flushing and itching: You may suffer from symptoms of flushing and itching as a possible side effect of the intravenous dyes that are used in the X-rays.