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Dr. Ullalkar

MBBS

General Surgeon, Pune

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Dr. Ullalkar MBBS General Surgeon, Pune
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ullalkar
Dr. Ullalkar is a trusted General Surgeon in Shivaji Nagar, Pune. Doctor studied and completed MBBS . You can meet Dr. Ullalkar personally at Joshi Hospital - Bhandarkar Road in Shivaji Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ullalkar on Lybrate.com.

Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 37 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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MBBS - - -

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Joshi Hospital - Bhandarkar Road

778, Bhandarkar road,Shivaji Nagar,Landmark:-Opposite Kamala Nehru Park, PunePune Get Directions
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Maharashtra Medical Foundation - Joshi Hospital

#778, Shivaji Nagar Landmark : opposite To Kamala Nehru ParkPune Get Directions
  4.3  (11 ratings)
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I am 29 years old female and having burning sensation in anus after passing stool for the past 2 weeks. What should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , I think your problem is anal fissure which is either due to severe diarrhoea or to passage of hard faeces. So you need to concentrate on constipation and treat that. Remember it is not a disease but a lifestyle problem.
1 person found this helpful
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I am 75 years male. Pigmentation of my body skin is being observed since last 2 yrs. Dark brownish & small white spots are there at various location. I am taking medicines for Heart & diabetic. BP: 140/80 & HbA1c: 6.8. Please advise to overcome the problem of Dark brownish & small white spots on skin.

MD, MBBS
Dermatologist, Chennai
I am 75 years male. Pigmentation of my body skin is being observed since last 2 yrs. Dark brownish & small white spot...
use dermadew aloe cream twice daily.... Please send photos for accurate diagnosis and treatment.. Consult privately for detailed information and prescription.
1 person found this helpful
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I am 35 years old and I have very bad under eye dark circles and sunburn on face and big dark black spot on my left eye. I started noticing them from last 2 years. Please suggest me creams or anything which could reduce them.

BHMS
Homeopath, Faridabad
I am 35 years old and I have very bad under eye dark circles and sunburn on face and big dark black spot on my left e...
Hi, Take a balanced diet rich in green leafy vegetable, dairy products and all types of fruits to keep your body healthy. It is advisable to have at least 10-12 glasses of water and include fresh fruit daily. It is also advisable to restrict the intake of caffeinated drinks such as tea, coffee, alcohol and other caffeinated drinks as it aggravates dehydration. Take enough of 6-8hrs. Of sleep. Avoid taking stress/ tension. Do daily exercising regularly as it increases oxygen carrying capacity of the cells and tissues. Medication: Take homoeopathic medicines – Schwabe's Cina 1M/ one dose at night for 10 days; Alfaalfa Tonic and Five Phos. - both twice daily for 20 days. For Sunburn: Apply tomato juice on your skin daily. Apply cucumber juice mixed with lemon. Mix Fuller's earth (multani mitti) with little rose water and a dash of lemon in it and apply on the skin. Rinse it off once it is dry. Medication: Use Schwabe's Skin Care soap, apply Calendula & Aloe Vera cream immediately after bathing, apply Bakson's Suncare sunscreen 20-30min. before going out under the sunlight. At night, use Bakson's Papaya Pack and after washing face apply it's Fairness cream. Follow this daily regime and let me know your feedback.
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Hi, I need a doctor I have cracked lips and there is a bad skin on the lips edges. Please give me the solution.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, I need a doctor I have cracked lips and there is a bad skin on the lips edges. Please give me the solution.
You may try taking Homoeopathic Medicine Nitricum Acidum 30 TDs. For 1 day. Report after 5 days. See if it helps. Use a good lip moisturizer.
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My face is so oily and I want oil free skin and glow on my face so what can I do for it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
My face is so oily and I want oil free skin and glow on my face so what can I do for it.
Hi , we have good treatment in homoeopathy let me know- 1. Do you sweat too much/ 2. Since how long you have this problem? 3. What is your profession? 4. Any allergy? homoeo treatment is very much dependent on your age and detailed description of your complaints- you may opt for payment consultation giving detailed information. In the meanwhile, please start taking the following medicines-. 1. Psorinum 200-----one dose (6 to 8 pills) on alternate days 2. Natrum mur 6x----4 tabs twice daily Report progress after 20 days with full details please note that this is only preliminary prescription and further treatment and subsequent prescriptions will be will be based on your feedback.
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How to remove face redness sickness oile skin which face wash will. Be use to remove face problem.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
How to remove face redness sickness oile skin which face wash will. Be use to remove face problem.
Take one tomato, grate it well and mix it with 3-4 drops of lime juice. Apply it on your face wait for 15 minutes and then rinse it off. Repeat it daily and feel the change on your face.
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He is having skin rash all the time and he gets rid of it temporarily by taking avil tablets. It could be some allergy. But exactly from what could be the cause?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
He is having skin rash all the time and he gets rid of it temporarily by taking avil tablets.
It could be some allerg...
Take panchnimbadi churna 1-1 tsf with water twice a day. Take pranacharya allergin capsule 1-1 twice a say. Take pranacharya charm vikarasav 2-2 tsf with water twice a day. Apply marichyadi oil on affected part.
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How to remove tanning from hands? At home? I tried using suncream but it does not stay all day long. Is there any home remedy to remove tanning. Within 2-3 days?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
How to remove tanning from hands? At home? I tried using suncream but it does not stay all day long. Is there any hom...
Simple massage with raw milk because raw milk is rich in lactic acid that gently exfoliate the dead skin cells from the surface of skin.
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Pathophysiology of Chemical Peels!

Diploma In Trichology - Cosmetology, PG Diploma In Clinical Cosmetology (PGDCC), Diploma In Aesthetic Mesotherapy, PG Diploma In Clinical Research
Aesthetic Medicine Specialist, Ahmedabad
Pathophysiology of Chemical Peels!

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 breastfeeding
  • 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. If you wish to discuss about any specific problem, you can consult a aesthetic-medicine specialist.

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