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Dr. Deepak Kulkarni

General Surgeon, Pune

300 - 500 at clinic
Dr. Deepak Kulkarni General Surgeon, Pune
300 - 500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Deepak Kulkarni
Dr. Deepak Kulkarni is a popular General Surgeon in Vishrantwadi, Pune. You can consult Dr. Deepak Kulkarni at Kedarnath General Hospital - Vishrantwadi in Vishrantwadi, Pune. Book an appointment online with Dr. Deepak Kulkarni and consult privately on Lybrate.com.

Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 25 years of experience on Lybrate.com. You can find General Surgeons online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Kedarnath General Hospital - Vishrantwadi

Tirupati Complex, Pune- Alandi Road, Vishrantwadi. Landmark: Opp. to Mahalaxmi Vihar, PunePune Get Directions
300 at clinic
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Aggarwal Speciality Clinic

Office No- 40/41 2nd Floor ,Ramwadi Nagar Road, Viman Nagar,Landmark:Near Satyam Arcade & Next To Hyatt Hotel & Above Vimantal Police Station, PunePune Get Directions
500 at clinic
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I am 14. After coming from outside I have allergic reaction. My face become different after some time it will disappear. Pls suggest me some home remedies, cream name. It's hurt me lot.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 14. After coming from outside I have allergic reaction. My face become different after some time it will disappe...
You can take Montair LC tab for allergy and avoid things which cause allergy in you .YOu can do the home remedy as take 1 teaspoon of dried peppermint OR ¼ cup chopped fresh peppermint -1 teaspoon of dried nettle leaf OR ¼ cup chopped fresh nettle leaf -Honey and lemon to taste (optional) OR citrus filled drink contains plenty of vitamin C, which can provide relief from seasonal allergies, thanks to its incredible ability to nourish the immune system. Since the immune system is struggling to function right when you experience allergies, the benefits of this are obvious! You will need… -1/2 lemon -2 oranges -1 tablespoon of local, raw, organic honey Directions Squeeze the juice from the lemon and oranges and chill for several hours. Stir in the honey, add some ice cubes, and drink daily.
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I am 18 years old male and have started to get wrinkles nd spots on my face nd have some permanent marks overhead.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am 18 years old male and have started to get wrinkles nd spots on my face nd have some permanent marks overhead.
1. Put some fresh lemon juice on a cotton ball and rub it directly on the affected skin area. 2. Allow it to dry and then wash it off with plain water. 3. Continue applying this dark spot removal home remedy for at least two weeks to get the desired result.
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After washing hands finger getting wet like hands in water for more than hour finger getting shrink soon is that problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
After washing hands finger getting wet like hands in water for more than hour finger getting shrink soon is that prob...
No its not a serious medical condition. you can dry your hands soon after getting it wet, these are just psychological feelings. nothing to worry.
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He always gets pimples on face, but his lip goes dry, skin is burned while outing, face goes darker than body skin. What should do? prescribe some medicines.

MS - General Surgery, MBBS
General Surgeon,
He always gets pimples on face, but his  lip goes dry, skin is burned  while outing, face  goes darker than body skin...
Pimples are mainly due to excessive sweating under face and not washing the face at a regular interval of 3 to 4 hour.
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On my face there are to much pimples. Due to this there are too much dark spot. Now I am using paste of juice of neem , honey , turmeric , gram flour. Is it good? How many days it take to overcome pimples?

MD - Homeopathy
Homeopath, Aurangabad
On my face there are to much pimples. Due to this there are too much dark spot. Now I am using paste of juice of neem...
Pimples/ acne vulgaris is a chronic inflammatory skin disease which develops due to blocking of the hair follicles in skin. For pimples and to remove scars take following med. Berberis aquifolium q. X 14 days 20 drops twice in water. Use berberis aquifolium oin any company also drink plenty water. Have green vegetables. Stop oily food. Avoid night watching. Wash face with medimix soap 2/3 times per day. Contact me after 2 weeks.
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My skin is getting darker day by day and think it's because of sun rays please tell me how toh prevent and get cured from it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My skin is getting darker day by day and think it's because of sun rays please tell me how toh prevent and get cured ...
HOMOEOPATHIC TREATMENT AUCARE COMPLEXION DROPS ( WOLFE DIETRI) Drink 20 drops in 20 ml fresh water 3 times daily. WHITENING CREAM ( BIOVALLEY)Apply in circular fashion in morning nd at night WHITENING SOAP ( BIOVALLEY ) Wassh face with this face wash before applying whitening cream SUNCARE CREAM ( BAKSON ) Apply 30 minutes before going outsside nd again reapply after 3-4 hrss after washing with whitening soap
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Chemical Peel and the Pathology Behind It

Fellowship in Aesthetic Medicine, MD, MBBS
Aesthetic Medicine Specialist, Delhi
Chemical Peel and the Pathology Behind It

Chemical peeling is a medical procedure which includes application of a chemical agent to the skin, causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or combination of agents of defined strength are applied the skin causing a controlled destruction of layers of the skin. This is followed by regeneration and remodeling leading to improvement of texture and surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and imperfections.

Skin is considered the largest organ of the body and has many different functions. The skin is divided in two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also called subcutaneous connective tissue.

Epidermis: It is the most superficial layer of the skin. The first barrier of protection from the invasion of foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum, stratum spinosum and stratum basalis(basal layer).

Dermis: It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.

Classification of peels according to histological depth

  1. Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.
  2. Superficial peel – Destruction of the full epidermis, up to the basal layer
  3. Medium peel – Destruction of the epidermis, papillary dermis and upto the upper one third of the reticular dermis.
  4. Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid reticular dermis.

Classification of chemical peeling agents

Very superficial Peel:

  • Glycolic Acid 30-50% applied for 1-2 minutes
  • TCA* 10% applied as one coat
  • Jessner’s solution 1-3 coats

Superficial Peel:

  • Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)
  • TCA 10-30%
  • Jessner’s solution 4-10 coats
  • Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring, fine lines, and sun spots.

Medium Peel:

  • Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)
  • TCA 35-50%
  • Glycolic Acid 70% plus TCA 35%
  • Jessner’s solution plus TCA 35%

Deep Peel:

  • Phenol 88%
  • Baker Gordon phenol formula
  • Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced wrinkles, skin tightening and pigmentary dyschromia.

Reason behind chemical peeling:

  • Wound healing process is an important reason for rejuvenation. The phases of wound healing after chemical exfoliation are apparent:
  • Inflammatory phase (1-5 days) – This phase is evident after peeling as erythma and swelling on the skin
  • Proliferative phase (2-21 days) – In superficial peels, the basement membrane is intact, hence normal epidermis is restored in 2 to 3 days. In medium to deep peels, wound is below basement membrane and re-epithelialization takes time.
  • Remodeling phase (3 weeks to 2 years) – collagen remodeling is the main reason that chemical peels cause rejuvenation and reduce wrinkles.

Indications for peels:

1. Pigmentary disorders

  • Resistant melasma
  • Pigmented cosmetic dermatitis
  • Freckles
  • Lentigines
  • Post inflammatory hyperpigmentation

2. Acne

  • Comedonal acne
  • Post acne scars
  • Acne cosmetic
  • Acne excoriee

3. Cosmetic

  • Photoageing
  • Fine wrinkling
  • Skin glow and rejuvenation
  • Oily to rough skin
  • Actinic keratosis

4. Miscellaneous

  • Keratosis pilaris
  • Macular amyloidosis
  • Dilated pores
  • Seborrheic keratoses

Contraindications

  • Active bacterial, viral and fungal infection and open wounds
  • Oral isotretinoin use within the past three months
  • Pregnancy and breast feeding
  • History of keloid formation
  • History of taking oral contraceptive and photosensitive drugs
  • Unrealistic patient expectation
  • Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine
  • For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the last six months.

How to choose a patient:

A patient should be chosen depending upon 4P’s:

P – Pathology

P – Point of depth required

P – Patients skin

P – Previous peeling agents

Newer peels:

Many peels like mandelic acid, kojic acid, lactic acid, citric acid and many more have been introduced in the market which are also available in combination. These peels are not only more skin friendly but also more patient friendly. They have buffering agents like licorice extract and willow bark extract to minimize irritation to skin and antioxidants to infuse the skin with restorative nutrients. The change in the skin often occurs at cellular level and are not apparent to the naked hence making it more popular amongst busy patients who are seeking effective treatments quickly with little or no downtime.

Benefits of chemical peels:

The skin becomes noticeably smoother and rejuvenated.

  • It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and enlarged pores.
  • Removes dead and damaged skin cells and improves skin texture
  • Helps in removal of tan
  • Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the epidermis but also collagen remodeling.

Pre peel and post peel precautions:

  • Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the indication and type of peel) every 2-3 weekly to get the desired result.
  • Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of at least 7 days before and after the peel should be maintained.
  • Patient should use a mild soap/ non soap cleanser after the peel
  • Broad spectrum sunscreen and moisturizer should be used liberally, at least 2-3 times a day and sun exposure should be avoided.
  • Patient should be strictly prohibited from scratching, picking or scrubbing the skin.

Take home message:

Chemical peeling is a simple office procedure for the treatment of acne, pigmentation, skin rejuvenation and photo ageing. These are not one time procedures but require 6-8 sessions and maintenance peels to achieve maximum improvement and prevent recurrences. The newer peels are safer and effective.

3 people found this helpful

I am suffering from blackheads and whiteheads on nose and whole over face and becomes oily over face What should I do?

BHMS
Homeopath, Faridabad
I  am suffering from blackheads and whiteheads on nose and whole over face and becomes oily over face What should I do?
Hi. Wash your face with Bakson's Facewash (wash your face with warm water only) and followed by CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally Sunscreen Gel with SPF-30) after washing your face daily. Home-made remedies: - Take 1 tbsp of fuller's earth (multani mitti) + a dash of lime + bit of rosewater – apply this on your face till it gets dried up, then rinse it off. - Take 1 tsp of Alum (or fitkari), make it slightly wet with water and apply this on your wet face, spread it well; let it dry and rinse it off. Alum remove your excessive moisture or oil and it also tightens the skin's tonicity. Medication: You can take homoeopathic medicines – Berberis Aquefolium Q/ 10 drops in 1/2 cup of water/ thrice a day (and for local application as well) and Kali Brom. 200/ thrice a day – for 20 days. Also, use Bakson’s Apricot scrub 1-2times a week on the area.
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I am a 23 girl. I have oily skin. My marriage is next month. Please sugest the most effective home remedy for fair and glowing skin. Will be very grateful.

BAMS
Ayurveda, Ambala
I am a 23 girl. I have oily skin. My marriage is next month. Please sugest the most effective home remedy for fair an...
For fair skin: • Applying a mixture of cucumber and papaya with one teaspoon of each and with three teaspoon of oatmeal apply it for 5 to 10 minutes then rinse off with water. • Apply one teaspoon of honey for 30 minutes and wash it off. • Apply one teaspoon Besan with one teaspoon of curd and a pinch of haldi (turmeric) mix it with water then apply for 15 minutes then rinse off it with water. • Apply one teaspoon orange juice or take a piece of orange open it then apply that area for 5 minutes then rinse off it. • Apply one teaspoon of fuller' s earth (multani mitti) add one spoon of rose water mix it apply it for 10 minutes. • Eat fruits daily and drink a glass of milk daily. • Mash half bnana mix it with 1/2 teaspoon of lemon juice and half teaspoon of sandalwood powder mix it well and make smooth paste apply it for 10 minutes then rinse off with water. • Save yourself from sunlight by covering your face with cloth or by using sunscreen lotion.
1 person found this helpful
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Dear sir I have skin problems for many year. I have acne on my face as well as other part of body like on chest and back. I have this problem from last 5 to 7 years. Please give me the solutions.

BHMS
Homeopath, Delhi
Dear sir I have skin problems for many year. I have acne on my face as well as other part of body like on chest and b...
acne may be due to unclean skin and hormonal imbalance.first keep clean face at least three times a day.you can try some home treatment for acne. 1.Dip a clean cotton swab in fresh lemon juice and apply it to the pimples before going to bed. You can also mix one tablespoon of lemon juice with one teaspoon of cinnamon powder and put it on the pimples overnight. In the morning, wash the skin well with lukewarm water. However, this particular remedy is not suitable for those with sensitive skin.. 2.Just dip a cotton ball in tea tree essential oil and dab it on the affected area. Rinse your face after 15 to 20 minutes. Another option is to mix a few drops of tea tree oil in 1 tablespoon of aloe vera gel. Apply it on your pimples and blemishes, leave it on for 20 minutes and then rinse it off. Steer clear of tea tree oil if you have sensitive skin.
4 people found this helpful
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Remedies to stop using betnovate i am not able to stop it. As it making my skin so bad. Please do tell me some solution as soon as possible.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
Remedies to stop using betnovate i am not able to stop it. As it making my skin so bad. Please do tell me some soluti...
APPLY ALOE VERA: Aloe Vera has burn-relieving properties and can promote healing, fight infection, and even reduce scarring. Scrape out the gel from an aloe plant with a spoon, and apply to your skin. Also remember that the relationship between your skin and your body is symbiotic, mutually reliant, and interdependent. It’s important to realize that the foundation for healthy, radiant skin starts on the inside. Your skin is the largest and fastest-growing organ of your body and accounts for 6 to 10 percent of your body weight. All of your cells require good nutrition, proper hydration, oxygenation, and detoxification to thrive. What you put on your skin is just as important as what you put in your body. With this in mind, healthy skin can be achieved by making positive, well-considered choices in relation to your mind, body, and spirit. In addition to your skincare regimen, you want to pay attention to additional factors that can contribute to healthy skin, including: • Sun exposure • Eating habits • Hydration • Exercise • Environmental pollutants, and more … All of these factors combine with your genetic makeup and overall wellness to comprise the health of your skin. And while skincare products can help combat and correct some of the inherent issues and skin conditions, it is best to think of healthy skin holistically, as part of a completely healthy you. After all, a healthy you is a happy you.
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Hello sir my name is sunny I have suffered from skin problem almost 8 Year and taken lots of medicine to remove them white skin but did not get any process.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello sir my name is sunny I have suffered from skin problem almost 8 Year and taken lots of medicine to remove them ...
take pranacharya allergin capsule twice a day...take panchnimbadi churna with water twice a day....take panchtikta ghrit guggul and arogya vardhini vati with warm water...take pranacharya charm vikarasav 2-2 tsf with water twice a day....apply marichyadi oil on affected part.....take these medicines in supervision of a good ayurvedic doctor
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Good evening sir I want to improve my colour of my skin could you please give me suggession.

BHMS
Homeopath, Vijayawada
No medicine in the world for improving color. Improve inner color not external color. External color is God's gift. Inner color is your gift.
9 people found this helpful
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Hallo sir my nose space getting so black and looking so bad I am so nerves please give me best solution.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hallo sir my nose space getting so black and looking so bad
I am so nerves please give me best solution.
Wash your nose with a moisturizing cleanser. Use one that contains ingredients such as rose and olive oils. Wet skin before applying the cleanser, and then rinse all traces of the cleanser from your nose thoroughly and let air-dry. Wipe your nose with a cotton pad moistened with an alcohol-free hydrating toner
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I am 22 year old girl. Please suggest a remedy for dark pigmentation on face and also some remedy to improve skin brightening.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am 22 year old girl. Please suggest a remedy for dark pigmentation on face and also some remedy to improve skin bri...
Tips for tanning and brightening - \Scrub your face once in two days with a good scrub. St. Ives scrub or body shop scrubs are good. Apply a good face pack. The face pack of gram flour, yogurt and turmeric. Daily wash your face with AHA glow, use tea tree toner after that. Apply sunscreen daily.
2 people found this helpful
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Hi, I want to ask about my baby. She is now 6 month old now a days she is suffering from rashes on her face so which powder we can use ?

Pediatrician, Srinagar
It is better not to use powder on your 6 months old child with face rash, you can use calamine lotion and it is better to upload photo of rash on face or to consult near by dermatologist or pediatrician.
1 person found this helpful
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My skin type is oily and sensitive. Few months back I struggled with acne. Now it's clear. But redness left lil bit. Recently my derma suggested aziderm 20 gel. Pl tell how much tym it Will take. The ratio of redness is less. Pl tell if there would be any side effects initially. As my skin is sensitive. Does this really work on redness.

MD - Alternate Medicine, BHMS
Homeopath, Surat
My skin type is oily and sensitive. Few months back I struggled with acne. Now it's clear. But redness left lil bit. ...
Apply Berberis Aqua Q on your face twice in a day for 2 weeks. It will help you to get rid of the spots that remain after the acne is gone and all the scar marks of it. Let me know the results.
1 person found this helpful
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What if the face is oily. What should I do to reduce oil and get fairer. Face wash r not working.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
What if the face is oily. What should I do to reduce oil and get fairer. Face wash r not working.
1.Apply cucumber n lemon juice every day in morning and evening and leave it for 20 minutes. rinse thoroughly with water then apply sandal and multani pack on face daily. 2.Add fruits n green leafy vegetables in your diet... 3. Drink plenty of fluids daily. 4. Take triphala churna1 tsf daily at night. 5. Apply vlcc toner daily at night on face after cleaning face.
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How to get bright face I tried many cosmetic But useless my skin is dry one Can you help please.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Dehradun
How to get bright face I tried many cosmetic But useless my skin is dry one
Can you help please.
Use a good sunscreen daily apply sunscreen atleast 30 minutes before you go out in sun and re-apply every 3 hourly. For your dry skin start using physiogel ai lotion 3 -4 times a day.
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I am 24 years old. Almost 2 years ago, I had chicken pox. I still have scars on my face. What should I do to make my face skin smooth and scars free?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am 24 years old. Almost 2 years ago, I had chicken pox. I still have scars on my face. What should I do to make my ...
Hello, to remove marks try this ayurvedic tip- a) scrub your face with manjistha + sariva powder b) apply amba haldi powder lepa with milk on spots c) start arogyawardhini vati 1 tab twice a day d) avoid spicy and junk diet.
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