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Dermatology Diaries


Sunday, April 18, 2021

LHR - 20 Taha Khan

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Friday, October 18, 2013

Juvederm Festive Offer

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Be the centre of attention this festive season!

A quick 30 minute makeover with Juvederm can make you look years younger. 

Everyone will notice the difference but only you will know the secret to your glowing, youthful skin.

Ideal for correction of lines, folds and wrinkles 
Sculpt those Cheekbones, Refresh Sunken Eyes, Get Fuller Lips

Results that last up to 24 months

Look as young as you feel!

Reverse Age Lines with Juvederm Ultra Plus XC
Fuller lips with Juvederm Ultra XC
Sculpted Cheeks with Juvederm Voluma
Correct Dark Circles and Sunken Eyes with Juvederm Refine

juvederm price

First time users get Rs 3000/- off
Additional Rs 2000/- off as Festive Bonus

Total Rs 5000/- off!

Juvederm Cost
Juvederm Ultra XC Rs 25000/- Discounted Cost Rs 20000/-
Juvederm Ultra Plus XC Rs 28000/- Discounted Cost Rs 23000/-
Juvederm Voluma Rs 44000/- Discounted cost Rs 39000/-
Juvederm Refine Rs 18000/- Discounted Cost Rs 12000/-



Read about:
Lip Augmentation
Botox for Lines and Wrinkles
Diwali Skin Care



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Monday, September 30, 2013

Botox - Crow's Feet

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Botox for Crow's Feet
What are Crow's feet lines?
Crow's feet are the wrinkles that occur at the outer corner of the eyes. Most commonly 3-4 lines start at the lateral canthus of the eye and radiate outwards resembling the foot of the Crow.

What causes Crow's feet?
The Crow's feet lines are formed by the Orbicularis occuli muscle which encircles the eye. With age the skin overlying the Orbicularis occuli becomes thin and the muscle becomes a little over active. This causes crumpling or scrunching of the overlying skin, visible to us as wrinkles.

At what age do Crow's feet lines appear?
Some lines or wrinkles usually become apparent at the corner of the eye around 33-35 years of age. A little earlier in those with a dry skin type and a little later in those with the oily skin type.

How do I make these lines disappear?
When you notice early lines and wrinkles on your skin, your first instinct is to buy anti wrinkle creams that claim to 'work like clinical treatments'. When these fail to show improvement in the wrinkles (which they always do); you consult your friends, cousins and maybe over friendly 'parlour aunty'. The best thing to do would be to consult a Cosmetic Dermatologist where you can discuss your skin problems and get clinically proven solutions. Botox has been proven as the single most effective treatment in getting rid of Crow's feet, Frown lines and forehead lines.

Are Botox injections safe?
Botox has already been approved by the US FDA for the treatment of frown lines, Crow's feet and hyperhidrosis. This treatment has proven its safety and efficacy over a decade of use and over a million safe and successful procedures all over the world. Crow's feet can be easily prevented and reversed with very small doses of Botox cosmetic.

Are Botox injections painful? How much time does a Botox treatment take?
Botox injections are painless as they are done under topical (cream) anesthesia and take less than 5 minutes. The results are seen in about 2-3 days and last for 3-6 months.

At what age should I start Botox treatment?
Botox treatment should start as soon as you notice lines. Whatever age you are, if you notice lines you may consult your Dermatologist and have the procedure if necessary. Botox does not work well on people above 60 yrs of age. It works best in preventing wrinkles if you are 28-35 years of age.

What is the cost of  a Botox treatment?
Contrary to the popular belief, Botox treatment is very affordable! The cost of Botox injection treatment for the crow's feet usually starts from Rs 5500 onwards at my clinic in Delhi.

Will I look frozen or will people be able to tell that I have had Botox?
Results are always beautiful, soft and natural. No one but you will know the secret of your ageless skin :-)

Keep looking beautiful
Xoxo
Dr Niketa
Read about:
Botox - Wrinkles and Anti-aging
Botox - Frown Lines
Botox - Sweat Free


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Botox - Stop Sweating & Smell Fresh

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Freedom from Underarm Sweating with Botox Cosmetic 
What is hyperhidrosis?
Hyperhidrosis is a condition where excessive sweating of the palms, soles, underarms or any other part of the body causes social embarrassment. Usually this excessive sweating is triggered by stress or apprehension and made worse by hot and humid surroundings. People suffering from palmar hyperhidrosis start sweating profusely on the hands at the very thought of shaking hands with someone. They may have smudge marks on their paper work and may come across as shabby writers. Excessive sweating of feet makes them prone to fungal infections and foot odour. Underarm hyperhidrosis causes sweat stains and body odour that may ruin expensive clothes as well as self esteem!

Which is the safest and most effective treatment for hyperhidrosis?
Botox cosmetic is a safe and effective way to stop excessive sweating. The procedure requires just 15 minutes and results are long lasting, sometimes even upto a year. Botox is US FDA approved for treating hyperhidrosis.

excessive sweating delhi
Underarm Botox injections
How are botox injections done? 
The procedure begins with a starch-iodine test which requires 5-10 minutes. This test helps to determine the areas of maximum sweating. Next comes the application of the anesthetic cream on the areas to be injected. The cream is left in place for about 30 minutes to achieve topical anesthesia. Since the injections are done with a very tiny needle, many patients choose to skip this step and opt for ice application to keep them comfortable. The actual botox injection process requires only 15 minutes. 

Do I require rest after Botox treatment?
All botox injections, be it for wrinkles or hyperhidrosis are essentially lunch time procedures with zero down time. You can have the treatment and return to work immediately.

When are the Botox effects visible? 
The results start showing in 1-3 days in the form of reduced sweating. Complete effect is achieved in about 10-14 days. 

How often do I require to repeat the Botox injections?
When hyperhidrosis is treated with Botox the effect is usually long lasting. Repeat treatments are required only once in 8-12 months.

Who else can use Botox for underarms?
Botox treatment for the underarms is not just for those with excessive sweating. It is often done as a pre-bridal treatment to ensure sweat free underarms and stain free bridal couture. Many corporate head honchos also opt for the treatment to avoid sweat stains on their crisp and clean shirts. Many men and women are opting for this treatment as it makes their perfume smell better and last longer. It is also done to treat underarm darkening caused by the use of deodorants and perfumes. And of course it is done to rid body odour due to sweating. 

How much does a Botox hyperhidrosis treatment cost?
A typical session of underarm botox requires about 50 units in each underarm with a total dose amounting to about 100 units. Additional dosing is required for more severe cases. Cost varies from Rs 30000 onwards. Anything less than that is probably not the original Botox. The approximate cost of this treatment at my clinic in delhi starts from Rs 29500 onwards.

Keep looking beautiful
Xoxo
Dr Niketa


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Tuesday, September 24, 2013

Skin & Hair Treatment Update - Cosderm 2013


delhi Dermatology Dr Niketa
Panel Discussion at CDSI 2013 hosted by Dr Rekha Seth - Dr Niketa

I recently attended the annual Dermatology conference held by the Cosmetic Dermatology Society of India, Cosderm 2013. It is one of the conferences that every Cosmetic Dermatologist in the Indian Subcontinent looks forward to. 

For those who wonder what happens at conferences that doctors attend.. Well basically it involves learning new advances in treatments, understanding changing trends in disease patterns, sharing problems that dermatologists are encountering in treating certain conditions and lots of such enriching learning and sharing with other national and international dermatologists.

The main discussions this season were focused on

Hormonal Acne and PCOD. 

To my surprise, it was unanimously agreed upon that all dermatologists in India are seeing 
1. Increasing numbers of hormonal acne patients across all age groups
2. Acne in pre-teens i.e. 9-12 yr old children
3. Acne that requires hormonal treatment in addition to topical medications, oral antibiotics and chemical peels despite a normal hormonal blood profile 

The discussion then went on to 'Dermatoendocrinology', the need of the hour. As neither an Endocrinologist nor a Gynecologist can address dermatology related hormonal issues the way a Dermatologist is equipped to. 

Platelet Rich Plasma in Androgenetic Alopecia and Hair Regrowth

Again it was stressed upon that PRP treatments are very effective in achieving hair regrowth in both male pattern baldness as well as female pattern alopecia. Results will continue to improve in the future with better understanding of processing parameters.

Stress was laid upon processing of blood samples by the treating dermatologist to ensure best quality of PRP, rather than sending it to a processing laboratory.

Facial Pigmentation and Acanthosis Nigricans

Theory of free radical damage and reactive oxygen species in pathogenesis of pigmentation saw Vitamin C serums in high strength emerge as the hero in addition to continued sun protection through life. 

Hydroquinone is still considered the gold standard in pigmentation treatment topicals. It has been banned as an over the counter drug in certain countries due to abuse and is available through prescription only.

Alpha Lipoic Acid and Glutathione supplementation was thought to have a definite role in the future of acanthosis nigricans related pigmentation.

Acne scars and Stretch Marks

Fractionated CO2 lasers were considered to offer best results when done at 4-6 month intervals. Down time varied from 1-3 weeks and post laser pigmentation was considered as an inevitable after effect. This pigmentation was required to be addressed by a combination of Hydroquinone and other tyrosinase inhibitors and mild chemical peels. 

Microneedling with dermaroller and Fractionated RF was believed to provide similar results with no pigmentary disturbances and with a down time of 1-3 days. But number of sessions required was somewhat higher.

Autumn and winter is the season dermatologists enjoy most due to numerous interesting conferences. Looking forward to the International Master Course in Aesthetic Surgery (IMCAS - India 2013) which I will be attending in November this year ;-)

Keep looking beautiful
Xoxo
Dr Niketa



Thursday, September 12, 2013

Dermatologist in Delhi

Acne & Scars                                                                        



Pigmentation & Skin Lightening



Anti- Aging



Skin Care


Cosmetic Treatments

Hair Treatments



Acne Treatment - PCOS and PCOD

pcod pcos acne
Acne making you hide your pretty face?
Increased levels of stress and deviated lifestyle habits have led to a gross change of hormonal milieu in Indian women. Polycystic Ovaries is a genetically inherited disorder which runs in families and can be inherited from either the mother or the father. With the rising trend of obesity in women and young girls a varying degree of hormonal imbalance commonly known as PCOS or PCOD has become fairly common. PCOD though a gynecological condition characterised by irregular menses, is most commonly diagnosed when patients approach a dermatologist either for persistent acne or hirsutism or hairloss.

So, as a dermatologist when do I suspect PCOS or Hormonal acne?
The suspicion usually arises during a consultation when one or more of the following factors exist:
1. Inflammatory acne with premenstrual aggravation
2. Acne mainly localized to the lower half of the face, jaw and upper neck area 
3. Acne associated with hirsutism and/or hair loss
4. Acne with irregular menstrual cycles or in known cases of PCOS
If the above factors are unclear, acne that fails to respond to conventional acne treatment of topicals, antibiotics and chemical peels is also suspected to be hormonal acne.

How does a dermatologist confirm whether the acne is hormonal?
This is a little complicated. A set of blood investigations is advised. The investigations may show frank deviation in the hormonal status or may be within normal limits. Normal test results do not rule out PCOD, in these cases ratios of various investigations are considered. Even if the laboratory tests are inconclusive the clinical diagnosis may still hold true!

When are these hormonal investigations done?
If the clinical diagnosis of hormonal acne is clear, the tests are usually advised during consultation itself so that the necessary anti-androgen medications can be started. If the diagnosis is doubtful the conventional acne treatment is started and the response is gauged. If the response is adequate, the investigations may not be required. But in case of inadequate response to 6-8 weeks of treatment, the investigations may be advised.

Do all cases of hormonal acne or PCOS acne patients require hormonal treatment?
Not necessarily. To those patient's who require quick response and are open to hormonal treatment, the medication is started at the beginning of the acne treatment. For patients who would like to avoid the hormonal medication, topical and oral antibiotics/ retinoids and chemical peels are started. I generally use advanced peels such as Agera, Obagi Blue peel Radiance, Azelan, which are capable of effectively controlling mild to moderate hormonal acne. If the response is poor after 3-4 sessions, the patient is encouraged to start the medication. If adequate response is not achieved in 6-8 sessions, then the patient is advised that oral anti-androgen medication is mandatory if control over acne is desired. 

Acne is one of the lifestyle disorders in dermatology which is completely treatable. Treatment period may vary from 1-2 months in cases of non-hormonal acne, to 3-6 months in cases of hormonal acne. Hormonal acne requires a more rigorous maintenance routine consisting of carefully customized skin care and monthly chemical peels. Find a dermatologist whom you trust and be prepared for an on going relationship. Hormonal acne patients often require a caring dermatologist committed for a lifetime.

Keep looking beautiful
Xoxo
Dr Niketa
dermatologist in west delhi

Friday, August 16, 2013

PRP 's Dermal Filler Cousin - PRFM

PRP in new delhi
Areas Treated with Dermal Fillers and PRFM for Youthful Appearance

What is Platelet Rich Fibrin Matrix (PRFM)?
Platelet-rich fibrin matrix (PRFM) involves injection of the patient's own plasma containing platelets, for the treatment of wrinkles and for volume restoration. It is a modification to the Platelet Rich Plasma (PRP) known popularly as the "vampire facelift" or “Plasma facelift” and belongs to the field of regenerative medical science for the repair and rejuvenation of cellular wear and tear.

How does PRFM repair wrinkles and folds?
Platelet Rich Fibrin Matrix forms a scaffold in which new cells, blood capillaries and collagen is laid. It mimics the natural repair process of the body using the patient's natural biology to address skin defects and volume loss, triggering production of new cells and collagen and remodelling the existing matrix.

What are dermal fillers?
Currently the most popular options for wrinkle correction are Non Animal Stabilized Hyaluronic Acid (NASHA) dermal fillers such as Juvederm, Restylane and Esthelis. These are available as sterile pre-filled syringes. When injected they lift the fold by volumizing the subjacent tissues. Effects last for 6-18 months depending on the type of filler used. NASHA dermal fillers are non-allergenic, are FDA approved and have a proven safety profile.

Platelet Rich Fibrin Matrix an all natural dermal filler?
Platelet Rich Fibrin Matrix (PRFM) are now being used as wrinkle filler into the laugh lines, jowls, tear trough and cheek area by doctors who have already pioneered the PRP treatment protocols. The PRFM filler requires about 30 minutes for each treatment, similar to a Juvederm or Restylane procedure.

Results of PRFM as wrinkle filler?
The results are visible instantly with complete lifting of the fold. There is some resorption over the next 2-7 days, with gradual improvement in the injected area over the next 3-5 weeks. Final correction is expected at 6-8 weeks and can last as long as 18 months. Better results are seen with a total of 2-3 treatments given 3-4 months apart. Patients can expect to see better results as they receive more treatments. With time, the results of PRFM fillers get better and better.

Who should consider a PRFM filler treatment?
This procedure is suitable for any one who wishes to reduce volume loss, wrinkles, folds, fine lines and textural changes of the skin. It will definitely appeal to those who are looking for a natural approach to volumizing the face and treating or reducing wrinkles. Best results are achieved when PRFM fillers are started in early or mid 30’s as a preventive rather than reparative procedure.

Are there any side effects?
Because this filler is made from the patient's own blood, there is no risk for rejection, infection, or an allergic reaction.

How much does PRFM filler cost?
Cost of the Platelet Rich Fibrin Matrix procedure at my clinic is generally similar or less than that of hyaluronic dermal fillers and begins at Rs.12000 on wards per treatment depending on the extent of required treatment.

Can Platelet Rich Plasma fillers be combined with other cosmetic treatments?
This procedure can be combined with Botox injections, and laser rejuvenation, as well as facial surgery. This offers the benefit of instant results with long term regenerative effect. PRFM treatment is very promising in facial restoration.

Words of wisdom
The single most important factor for a good PRFM or PRP procedure is the processing of the patient’s blood. To ensure maximum corrective benefit, the right parameters need to be set. Results are much more dependable if the processing of the sample is done on the spot by the treating dermatologist.

Keep looking beautiful
xoxo
Dr Niketa

Saturday, May 25, 2013

Botox for Hyperhidrosis (Excessive Sweating)

Excessive sweating treatment




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Sunday, April 28, 2013

Pigmentation Treatment - Obagi Nuderm

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Obagi Nu Derm System - Dr Niketa, New Delhi

It has always been my endeavour to provide the best and most effective treatments from around the world to my Indian patients. This everlasting search led me to Dr Zein Obagi, Dermatologist, Beverly Hills, USA and his patented Obagi Nu-Derm System. 

The Obagi Nu-derm System is perhaps the most effective treatment in all types of skin pigmentation. It is perfect for Indian skin, which usually due to its genetic makeup and weather conditions tends to have very stubborn pigmentation problems. 

obagi products India
Dr Zein Obagi, Beverly Hills, USA
The most common hyperpigmentation conditions that I encounter in Indian, Asian, Arabian, African-American and Caucasian skin are:

  •  Melasma
  • Freckles
  • Photopigmentation
  • Pseudoacanthosis
  • Hair dye pigmentation
  •  Riel’s Dermatosis
  • Erythema Dyschromicum

Most of these are mixed to deep pigmentation. That is, the excess melanin is present in both the epidermis as well as the dermis. The Obagi Nu-Derm system is the only pigmentation treatment that I have found to work effectively in clearing dermal or deep pigmentation deposits. 

The Obagi Nu-Derm System is designed and patented by Dr Zien Obagi, USA. Each step of the Obagi treatment is designed to work on a different layer of the skin making pigment clearing possible. For more stubborn cases the Obagi Blue Peel may be performed after using the Obagi System as directed. 

Obagi skin care and treatments are available in India through selected few Dermatologists only. The products are imported directly from the USA and dispensed by Dermatologists who perform the Obagi Consultation and Treatments. The use of the Obagi Nu-derm System however, needs to be modified to suit the Indian skin and Indian weather in order to avoid irritation and make it work effectively.

I am glad to be able to offer the Obagi Nu-Derm System at my clinic, for the benefit of all those who have tried several treatments for pigmentation with little or no benefit. This treatment is surely going to change your perception about the efficacy of pigmentation treatments.

Keep looking beautiful
XOXO
Dr Niketa



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