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Faqs Dermatology

Faqs Dermatology

Vitiligo and Psoriasis

To know more, write to Dr. Manoj Khanna at drmkhanna@hotmail.com

What is the Xtracexcimer laser, and how does it relate to my skin ?

The Xtracexcimer laser represents one of the latest advancements in laser dermatology. This laser emits narrow-band ultraviolet B light and has been shown to promote re-pigmentation in those who have lost pigment in their skin. The laser has also been shown to improve chronic stable plaque psoriasis.

What is vitiligo, and how is it treated?

Vitiligo is a process in which the human body inhibits the pigment-producing process of the skin’s pigment cells. A series of excimer laser treatments can often lead to dramatic re-pigmentation of the skin. Pigment can also be lost in the skin after a variety of surgical procedures or traumatic accidents.

Examples include the white scars that occur after face-lifts or aggressive facial laser procedures such as carbon dioxide laser resurfacing. A variety of burns and other traumatic accidents may also lead to hypopigmented scars. Doctors are currently researching the role of this laser in the treatment for chronic stretch marks that have lost their pigment. Treatment is undertaken in a series of laser sessions, and is absolutely painless. Improvement is the general rule. Occasional touch-up booster sessions may be required.

What is psoriasis? Can it be treated?

Psoriasis is a scaly skin eruption that often has a genetic basis. There are many different versions of psoriasis. Chronic, previously treatment-resistant, plaque psoriasis may respond to a series of excimer laser treatments.

Treatment may be faster than most currently available treatments, and is undertaken in a series of laser sessions. It is absolutely painless; improvement is the general rule. Occasional touch-up booster sessions may be required.

What treatments are available ?

For the most part, the preferred treatment for tattoo removal is laser surgery. In some instances excisions can be done.

Does laser treatment work for everyone?

In most cases, laser tattoo removal works. However, in some individuals, it may be impossible to remove all the tattoo ink. Sometimes the lighter tattoo colours might turn black immediately following laser treatment. If this happens, the black can usually be removed by further laser surgery. The physician may opt to do a test dose on a tiny area to see if the treatment will be of benefit.

How many treatments are necessary?

Factors such as the size of the tattoo, and its colour, can affect the number of treatments necessary. No one laser can remove all colours. Because a tattoo may have many colours, various lasers may be necessary. Some colours are more difficult to remove than others. An estimated number of treatments can only be determined by consulting a physician after performing the first treatment.

Does treatment hurt?

As with any laser treatment, some discomfort is associated with laser tattoo removal. Your own individual skin sensitivity and pain threshold will determine the level of your discomfort. Any clinic that performs laser skin surgery is well equipped with various types of anesthesia to alleviate patient discomfort. Such anesthesia might include ELA-Max or EMLA topical anesthesia, or infiltration with local anesthetic by injection. Most patients do not require any anesthesia.

What is the healing time? What will I look like immediately after treatment?

The skin turns white immediately after treatment. However, this response disappears after 10 to 15 minutes. Redness, superficial bleeding, and swelling are commonly seen after laser tattoo treatment. Some laser surgeons treat through a clear plastic dressing to prevent tissue splatter. This plastic also acts as a nice post-treatment dressing, and should be left in place for two to seven days unless an unfavourable reaction occurs. Generally, within one week, the treated site is much improved and no longer requires dressing.

What is the cost?

The question of cost is dependent on many factors. These factors may include the size and colour of the tattoo, the number of treatments necessary, and the individual fees each clinic charges. It is always best to ask this question when scheduling an appointment. A consultation is necessary for a cost estimate. The consultation fee is sometimes rolled into the cost of treatment if treatment is performed the same day.

Are consultations free?

Different offices handle payment for consultations in different ways. It is best to ask this when scheduling a consultation- If I decide to have treatment, can the consultation fee go towards cost of my treatment?

Again, each office operates in its own individual way. In some instances, the consultation fee will go towards the first treatment. And in other cases, the consultation fee is completely separate from the cost of treatment.

Will my insurance cover treatment?

Most insurance companies will not pay for tattoo removal, since treatment is considered cosmetic. There are rare instances when tattoo removal might be considered medically necessary, such as an allergic reaction to the tattoo’s ink, or permanent marks on the skin due to trauma. There are also various programs that provide tattoo removal for a reduced cost, or for free if the tattoo is gang-related.

Multiple treatments are required to remove tattoos. Multi-coloured tattoos may require the use of more than one laser. Amateur tattoos tend to do better than professional tattoos. The rate at which tattoos are lightened relates directly to the quantity of ink present in the tattoo.

How do lasers remove unwanted pigments in the skin?

Laser therapy is one of the most advanced treatments for removing such unwanted skin pigments as birthmarks, age spots, freckles and tattoos. Lasers work by emitting a specialised light that passes through the skin and is preferentially absorbed by its target, which can be an unwanted hair, vein, or in this case, the unwanted pigment (either natural melanin or tattoo ink) in the skin. The laser causes the pigments to break up and disappear, leaving you with smooth, clear skin. There are several lasers available that work remarkably well in treating unwanted pigmentation.

Which laser should I choose?

There are a wide variety of laser/light sources to treat unwanted pigmentation and tattoos. This allows doctors to treat the widest variety of patients and situations. Different options may need to be used as per the different types of patients and needs. Your doctor will assess the laser that is best for you.

What can I expect from the procedure?

Most people describe the treatment as feeling like the light snap of a rubber band against the skin. You may be given a topical anesthetic cream to numb the area to be treated. Any discomfort can be eased with the application of cool compresses. After treatment, you can immediately return to your normal activities.

Will insurance cover this procedure?

Laser treatments of tattoos and pigments, like other cosmetic procedures, are not usually covered by your insurance company. If you have any questions, it is best to talk with your provider.

Does laser treatment work for everyone?

Laser skin surgery offers solutions for a wide variety of skin problems, and in many cases, solutions that did not exist before laser technology. However, skin laser surgery is not necessarily the best option in every circumstance. The individual patient must first be evaluated to determine treatment options.

Are consultations free?

Different offices handle payment for consultations in different ways. It is best to ask this question when scheduling a consultation.
Does the consultation fee go towards treatment cost if I elect to have treatment?

Again, each office operates in its own way. In some instances the consultation fee will go towards the first treatment. In other cases, the consultation fee is completely separate

Will my insurance cover treatment?

Insurance usually covers only what is deemed medically necessary by the physician. It is best to consult a physician and to contact your insurance provider to confirm coverage of the laser treatment.

What is the cost?

The cost of laser treatment varies according to the medical condition, the treatment required, and the individual physician’s fees. Unlike eye laser surgery, which requires similar treatment in every case, laser skin surgery covers a wide range of conditions and treatments. We shall provide an estimate only after examination of the patient.

Does treatment hurt?

As in any laser treatment, trauma to the skin is needed to propel change. Various conditions and treatments will cause different trauma to the skin and different levels of discomfort. It is also important to note that each individual’s skin sensitivity and pain threshold will determine discomfort. Any clinic that performs laser skin surgery is well equipped with various types of anesthesia to alleviate patient discomfort.

Are there free studies? Can I be a test subject?

The best places to find free studies are university hospitals that have outpatient clinics. University physicians are often in the forefront of testing new technology and laser applications, as well as training new physicians and medical personnel. Other places to check are private practices that perform laser surgery; sometimes, these practices may be involved with testing new lasers or conducting clinical studies. Laser companies may also be able to tell you where their own lasers might be involved in studies. LaserNews.net hopes to be a good source for this information in the future.

What are stretch marks?

Stretch marks are linear marks on the skin that result from rapid growth associated with pregnancy, adolescence, weight fluctuation, and heavy exercise. Stretch marks are frequently found on the hips and abdomen, but are also seen on the arms, chest, and thighs. They are often red when they first appear, but become brown or white over time.

How can stretch marks be treated?

Stretch marks are difficult to treat. Some lasers have been used with mixed success. The pulsed dye laser is useful if the stretch marks are still in the red phase. Other lasers and bleaching creams may help to diminish the brown colour if the marks are dark. Topical tretinoin (Retin-A) cream and microdermabrasion have been shown to improve the overall appearance of stretch marks as well. Microdermabrasion is a technique that uses fine crystals to buff the top layers of the skin.

How many treatments are necessary? What are the costs involved?

Stretch marks require multiple treatments at two- to three-week intervals. The cost is dependent on several factors. We shall be able to provide an estimate only after examination of the patient.

What are sun spots ?

Sun spots are flat brown marks most commonly found on the face, hands and chest, and are the result of cumulative sun exposure. Sun spots may also be referred to as liver spots or sun freckles.

How can sun spots be treated?

Sun spots may fade with protection from and avoidance of the sun; topical bleaching agents are often helpful. Sun spots can also be removed with liquid nitrogen, chemical peeling, or laser treatment (with the Q-switch ruby laser, the frequency doubled Nd: YAG laser, or the alexandrite laser).

How many treatments are necessary? What are the costs?

These treatments are generally successful in one or two sessions. A patient may require multiple treatments at two to three week intervals. The cost is dependent on several factors. We shall be able to provide an estimate only after examination of the patient.

What will I look like immediately after the treatment? How long will it take to heal?

Treatment generally results in crusting, which lasts for five to 10 days. Temporary skin discolouration may also occur.

What treatments are considered medically necessary vs. cosmetic?

Moles must be carefully evaluated by a qualified physician to ascertain any concern for melanoma. Worrisome moles must be biopsied to rule out melanoma. These biopsies are considered medically necessary and are thus covered by medical insurance. Removal of large, disfiguring congenital moles, or of any mole that becomes irritated due to repeated friction or trauma (beard area, scalp, bra-line) is also often covered by medical insurance. However, cosmetic removal of moles is not covered by insurance.

How are moles removed?

Elevated moles can be removed surgically, either by excising the mole or by shaving it flush with the plane of the surrounding skin. They can also be ablated (evaporated) using a carbon dioxide or erbium YAG laser if there is no concern for melanoma. Flat brown moles can also be excised or treated with a number of lasers to decrease or remove the brown pigmentation of the mole. This last method generally requires more than one treatment.

What is microdermabrasion?

Microdermabrasion is a new way to rejuvenate and revitalise your skin in one afternoon. The microdermabrasion procedure uses a fine mist of crystals to smooth the skin. The fine abrasive action of the crystals combines with a vacuum suction to remove the dead outer layer of skin, resulting in new, softer skin with a more even texture to its surface. Because microdermabrasion is so precise, the procedure is virtually pain-free.

What can microdermabrasion treat?

Microdermabrasion is ideal for treating sun-damaged skin, age spots, superficial pigmentation, fine lines, wrinkles, oily pores, blackheads, whiteheads, and acne scars. The neck and chest can also be treated to blend the skin and remove any sun damage often found in that area.

How long does the treatment take? How many treatments will I need?

One of the main benefits of microdermabrasion is that the entire procedure can be done in as little as half an hour. A complete microdermabrasion program is usually a series of treatments depending on your specific needs.

What are the benefits of microdermabrasion?

The procedure offers no downtime, little discomfort during the procedure, no side effects, and no anesthesia or recovery time. All skin colours can be treated, and patients can immediately return to their normal activities. It can be a very good way to achieve younger, vibrant-looking skin while still keeping up with a busy lifestyle.

Are there any risks?

Microdermabrasion is one of the safest rejuvenation procedures available today. It is unusual to develop any complications from this treatment. Your doctor can discuss with you any risks involved.

Can microdermabrasion be combined with other procedures?

Yes. Microdermabrasion is the perfect complement to other procedures, including Botox, collagen, laser skin resurfacing, and the new Cool Touch laser rejuvenation treatment.

What is laser hair removal? How does it work?

Laser hair removal offers patients a safe, fast, and effective alternative for dealing with unwanted hair. Lasers work by emitting a specialised light that is passed through the skin and preferentially absorbed by its target, be it an unwanted blood vessel, birthmark, tattoo, or in this case, hair.

The laser used in hair removal targets the melanin (colour) in the hair follicle, damaging the follicle and removing the hair. Laser hair removal is safe enough to be used on all body parts, including the face, back, underarms, bikini line, legs, and arms.

What treatments are available?

Waxing, shaving, and the use of depilatory creams are well-established methods for hair removal, albeit temporary. Electrolysis is the traditional tried and tested method for permanent hair removal, but is often very time-consuming and inefficient. These days, the most popular and most effective method for hair removal is the use of lasers which have been specifically designed to damage and destroy many hairs in a short time, and with little chance of complications. People are interested in laser hair removal because it involves new and efficient technology, and because its effects are permanent in over 80% of its subjects

Is treatment permanent?

On average, each laser treatment will be associated with five to 10 percent permanent hair loss. So in most cases, a reasonable degree of permanent hair removal can only be achieved after several treatments. The number of treatments will depend on each patient’s individual response to laser surgery, and the amount of hair to be removed. Remember that the goal may not be total hair removal. Many patients are happy with a reasonable degree of hair reduction. Also remember that the hair that remains is often lighter in colour and thinner than the original hair prior to laser surgery. As with other treatments for unwanted hair, there is no guarantee that laser hair removal treatment will be permanent.

How many treatments are necessary?

Factors such as the amount of hair and individual reaction to the laser treatment will affect the number of treatments needed. In most cases, three to six treatments will be necessary to achieve optimal results.

Does treatment hurt? What can I expect with the procedure?

Most patients describe laser hair removal as feeling prickly, or like the light snap of a rubber band against the skin. Afterwards, it might feel like bad sunburn. Each patient has his or her own level of skin sensitivity and pain threshold. Different areas on the body are also more sensitive than others.
On the day of your treatment, plan on wearing clothing that will allow easy access to the area being treated. You may not need any type of anesthesia for your treatments. Laser hair removal works best when the hair is one to two millimeters in length. No specific care is needed after the treatment.

How long will it take my skin to heal?

Normally the skin just looks red and swollen for up to 48 hours, or possibly longer. Most patients will be offered a test area before undergoing a full treatment. This gives them a great idea of how the treatment will feel, and the length of time it will look red and swollen. Occasionally, patients can develop a blistering reaction. If this happens, call your treating physician and ask for specific post-laser treatment options.

What will I look like immediately afterwards?

Generally, some redness will remain for approximately five to seven days. For some patients recovery time will be less while other patients will have prolonged redness.

How much does treatment cost?

The cost of treatment is dependent on many factors. These factors could include the size of the area needing treatment, the number of treatments necessary, and the individual fees each office charges for treatments. Some offices have package deals that include a certain number of treatments per year for a reduced cost. It’s always best to ask this when scheduling an appointment.

Are consultations free?

Different offices handle payment for consultations in different ways. It is best to ask this question at the time when you schedule a consultation.

Does the consultation fee go towards treatment cost if I decide to have treatment?

Again, each office operates in its own individual way. In some instances, the consultation fee will go towards the first treatment. In other cases, the consultation fee is completely separate.

Will my insurance cover treatment?

Unwanted hair is usually a cosmetic issue, so in most cases you should expect to pay for treatment. In the rare instances where treatment is considered medically necessary, insurance may cover the cost of treatment. It’s best to speak to your doctor and your insurance company to clarify this question.

What procedures are considered medically necessary vs. cosmetic?

In some cases, hormone problems or other problems that can cause pain to you are considered medically necessary. However, even though a physician might consider a condition as medically necessary, the insurance company might disagree and refuse to pay for treatment. It’s best to consult with both your physician and your insurance company before going ahead with treatment.

Are there free studies? Can I be a guinea pig?

The best place to start would be at laser research centres. University physicians are often in the forefront of testing new technology and laser applications, as well as training new physicians and medical personnel. Another place to check would be private practices; sometimes these physicians may be involved with testing new lasers or conducting clinical studies. Laser companies may also be able to tell you where their own lasers might be involved in clinical studies. Our Clinic hopes to be a good source for this information in the future.

What is laser skin resurfacing?

Laser skin resurfacing is one of the leading cosmetic procedures in the United States. The process utilises a laser to minimise the appearance of lines and wrinkles, as well as improve the overall texture of the skin.

How does laser skin resurfacing work?

Lasers work by emitting a specialised light that passes through the skin and is preferentially absorbed by water in the damaged collagen of your skin. This action allows the laser light to ablate (evaporate) very fine layers of skin, diminishing the look of the wrinkle and other unwanted textures. The older, wrinkled collagen in your skin is re-modelled into newer skin: as new cells form in the healing process, the skin becomes smoother and softer. Several lasers and light sources are available today for skin resurfacing.

Why choose laser skin resurfacing?

Laser skin resurfacing offers many benefits to patients. The procedure is truly incisionless, provides consistent results, and offers the surgeon precise control. Its faster recovery time means that it can also delay or eliminate the need for the more invasive face-lift surgery.

What are the differences in the lasers available?

There are a wide variety of lasers available for laser skin resurfacing. Different options may suit different patients as per their needs.

For example, the CO2 laser is most effective on deep lines and wrinkles, as well as for full -face laser procedures. The Erbium: YAG laser is ideal for those with moderate lines and wrinkles and for those wanting to improve the overall texture of their skin. The Erbium: YAG is also effective on treating isolated areas, and other areas of the body, including the hands, chest and neck. Multi-mode laser resurfacing, which uses a combination of lasers, can further customise the procedure for a patient’s particular needs. Your doctor will assess the laser that is best for you.

How long will it take me to heal? What are the side effects?

Most patients enjoy a short recovery time after laser resurfacing, which lasts anywhere from less than a week for lighter resurfacing procedures, to a bit more than a week for deeper procedures. You will be asked to keep the area moist.

The initial redness after the procedure will fade over a period of time. However, camouflage makeup may be used to cover the redness. As for side effects, as with any surgical procedure, there are risks associated with laser skin resurfacing. Your doctor will review with you in detail any risks involved in the procedure.

Is the procedure painful?

You will be given either a topical or local anesthetic during the procedure. Sedation can also be provided. Most patients describe the post-procedure feeling as bad sunburn; this feeling will subside in a few days. Cold compresses will also help subdue the discomfort.

How soon will I see results?

Because your skin will heal over a period of several weeks, you may not see the final results until then. Your results will continue to show over months as your skin heals and as new collagen regenerates filling in the lines and wrinkles.

What is laser vein treatment?

Laser therapy is a proven treatment for treating unsightly broken and dilated vessels, as well as such other unwanted vascular lesions as rosacea, port wine stains, and other vascular birthmarks. In fact, the latest advances in laser technology have given us a method for removal that is safer, faster, and more effective than previous methods.

How does laser vein treatment work?

Lasers work by emitting a specialised light that passes through the skin and is preferentially absorbed by its target, which can be an unwanted hair, birthmark, tattoo, or in this case, the hemoglobin (the red portion of blood) in the unwanted vessels. The heat from the laser causes the vein to break up and disappear. There are several lasers available that work remarkably well in treating unwanted veins.

Which laser should I choose?

There are a wide variety of laser and light sources to treat unwanted veins. This allows doctors to treat the widest variety of patients and situations. Different options are available for different types of patients and needs. Your doctor will assess the laser that is best for you.

What can I expect with the procedure?

Most people describe laser vein treatment as feeling like the snap of a rubber band against the skin. You may be given a topical anesthetic cream to numb the area to be treated. Any discomfort can be eased with the application of cool compresses. After treatment, you can immediately return to normal activities.

How soon will I see results? Are there any side effects?

Because laser vein treatment works by causing the unwanted vein to break up and dissolve, resolution of the unwanted vein will take place over the course of several weeks. The most common side effect is bruising, or purpura, around the treated area. This will resolve within days of the treatment, and occurs only with some lasers used. Our doctor can discuss any other risks of laser surgery with you personally.

Will insurance cover this procedure? Are there any side effects?

Laser vein treatments, like other cosmetic procedures, are not usually covered by your insurance company. If you have any questions, it is best to talk with your provider.

What are facial veins?

Facial veins are fine blood vessels (otherwise known as telangiectasia) located on the face, usually around the nose and central cheeks. They can be the result of cumulative sun exposure, genetics, or rosacea. Many patients also refer to these as broken blood vessels or capillaries.

How can these be treated?

Facial veins can be treated using a KTP laser. There are many variants of this laser, but all of them are designed to penetrate the skin and target the blood vessels. Facial veins can also be treated by administering a mild electrical current conducted through a fine electrical needle. Extensive facial veins, as well as overall redness and flushing, are sometimes more effectively treated using a pulsed dye laser.

How will I look immediately after treatment?

There is mild to moderate redness and swelling in the first day or two after KTP laser treatment, but recovery is usually easy. The more extensive technique of pulsed dye laser surgery causes severe bruising, which takes approximately two weeks to fade.

How many treatments are necessary? Is treatment permanent?

Depending on the severity of the condition, multiple treatments may be required. Improvement generally lasts for several years, but over time new facial veins will develop, requiring a touch-up treatment at a later date.

What treatments are considered medically necessary vs. cosmetic?

Treatment of facial veins is considered cosmetic; consequently, the cost is not covered by medical insurance.

What are the costs involved?

The cost for this treatment depends on several factors. Our Clinic will provide you with a cost range only after your first consultation with our lead Doctor.

Can a laser treat leg veins? How can leg veins be treated?

Sclerotherapy may be most appropriate for treating some leg veins, and is the standard treatment for leg veins. Sclerotherapy involves injecting the veins with a substance which irritates the walls of the vessel; as a result, the veins close off or are clotted off.

Laser treatment can be used for leg veins which respond poorly to sclerotherapy, or for patients who prefer to avoid needles. Smaller leg veins (up to 3 mm) may respond well to lasers and laser-like devices. Lasers used in this kind of treatment include the KTP laser and the newer long-pulse Nd: YAG laser. Your doctor will assess your specific situation.

How will I know whether I will respond well to sclerotherapy?

Response to treatment is variable, and test treatments are often used to predict response prior to a full treatment.

How many treatments are required? Is treatment permanent?

For both treatment methods, eradicating the veins frequently requires more than one session of treatment. Despite eradication, new veins can develop over time, requiring a touch-up treatment later on. Compression stockings are often recommended for the first week or two after treatment to improve efficacy

What are the costs involved ?

The Costs depend on several factors which can only be determined after an examination of the patient.

Will my insurance cover treatment?

Treatment is generally considered cosmetic and therefore is not covered by medical insurance. However, if the condition is severe or symptomatic, medical insurance may cover the treatment. If you have any questions, it is best to consult with our Doctor personally and your insurance company.

What is the Short Laser treatment ?

The Short Laser treatment is a non-invasive procedure unlike any other skin resurfacing treatment. The skin is not subjected to harsh chemicals or the intense after-care of other facial rejuvenation procedures. Patented technology protects the sensitive surface layers of the skin, allowing the laser light to penetrate to a deeper level and stimulate new collagen growth.

What does the procedure do? How does it work?

Short Laser treatment uses either lasers (Cool Touch Nd: YAG, Smooth beam Diode) or light sources (Photorejuvenation Intense Pulsed Light) to rejuvenate your skin from the inside out. The procedure combines a cooling cryogen spray and an Nd: YAG laser to give patients optimal results with minimal inconvenience. The protective cooling spray is applied to the skin, allowing the laser light to pass harmlessly through the upper layers of the skin and stimulate those cells deep below the surface which produce natural collagen. The collagen and elastin fibres continue to multiply after your treatment, and you will continue to see improved results over the months ahead.

Is the procedure painful?

Short Laser treatment can be performed on any facial area around the eyes, mouth, cheeks, and chin with minimal discomfort. A topical anesthetic cream can be used on extra-sensitive areas. However, no injections are needed.

The Short Laser treatment can also be combined with other procedures, making it an ideal complement to microdermabrasion, Botox, and laser skin resurfacing for an overall facial rejuvenation.

How long will I take to heal?

One of the most outstanding features of Short Laser treatment is that there is virtually no downtime associated with the procedure. After a session, the area may appear red for up to an hour. However, makeup can immediately be applied. No wound is created; therefore, there is no healing time required

How many treatments are needed and how long will it last? Are there any side effects?

Clinical studies suggest that at least two treatments are needed to stimulate new collagen growth. We also recommend regular touch-up treatments to sustain the continued growth of new collagen. As for side effects, Short Lasers and light sources are among the safest units in the market.

What causes lines and wrinkles ?

Wrinkles are caused by changes in the skin associated with aging and sun exposure. In some cases, they are also caused by the contraction of underlying muscles. This is especially true around the eyes and mouth.

What are the treatment options for wrinkles?

There are numerous treatments for lines and wrinkles. Topical tretinoin (Retina) and alphahydroxy acids are beneficial. Glycolic acid peels and microdermabrasion work by stripping away the top layers of the skin.

Lines can be filled in by injecting a filler substance such as collagen, and the action of muscles causing certain lines can be weakened by using botulinum toxin, commonly called Botox. Skin resurfacing can be accomplished with chemical peeling, manual dermabrasion, or laser resurfacing.

Generally, more aggressive, invasive procedures can produce quicker, more dramatic results but are more expensive, contain greater risks, and involve longer recovery periods.

Choosing the best approach depends upon an individual’s lifestyle and goals. It is best to consult with Dr. M. Khanna about the various treatment options available.

What is Non-Surgical Face Lift?

A non-surgical face lift can be a viable and cost-efficient means to enhance the physical appearance of the facial area. It can reduce the appearance of fine lines and wrinkles and boost the overall appearance of the face. Such procedures are often less expensive and require a shorter recovery time than the surgical alternative.
They are generally less-invasive, do not require an extended recovery period, and have a lower risk of complication as compared to a surgical face lift. Non-surgical face lift results, as a general rule, tend to last for a shorter period of time than surgical results. These methods may be better suited for men and women who have minor skin imperfections that they wish to cosmetically correct.
There are a multitude of non-surgical face lift procedures that are available to patients who wish to improve the appearance of their facial features. Some of these are more invasive than others, each have their own risks and benefits, and all require different fees. The most popular non-surgical face lift procedure is Botox. More than two million people underwent a Botox non-surgical face lift procedure in 2003 alone. Botox involves a series of injections in the facial area that work to relax the muscles in the area to smooth the skin and reduce the appearance of wrinkles. Botox costs average four hundred dollars a session and the results last three to six months.
Collagen injections are another type of non-surgical face lift procedure. This technique involves injecting collagen (a protein naturally found in the skin) into the skin to raise the tissues and decrease the visibility of wrinkles and fine lines. An alternative to collagen has also been developed and is touted as a safer method than collagen. This non-surgical face lift procedure injects a hyaluronic acid compound (a sugar naturally found in the body) into the skin layers to achieve the same results as collagen and other dermal fillers. Skin resurfacing techniques such as the chemical peel, dermabrasion, microdermabrasion, and laser skin resurfacing are also common types of non-surgical face lift procedures.
There are also a variety of face lift creams available in the market which may be able to enhance the appearance of the facial skin and reduce the signs of aging. Some face lift creams can also extend the results of other non-surgical face lift procedures.
If you are interested in learning more about non-surgical face lift options, you may wish to speak with Dr. Manoj Khanna who is an experienced and knowledgeable cosmetic surgeon in this area. This expert can determine what procedure may be best for you and discuss the risks and benefits associated with prospective non-surgical face lift procedures.

What is Instant Face Lift?

Instant face lift refers to products designed to tone and tighten the skin and muscles of the face; such products generally work to improve the overall appearance of the facial skin. The intent of instant face lift manufacturers is to provide individuals with an alternative to surgery.

If you are interested in learning more about non-surgical face lift options, you may wish to speak with Dr. Manoj Khanna who is an experienced and knowledgeable cosmetic surgeon in this area. This expert can determine what procedure may be best for you and discuss the risks and benefits associated with prospective non-surgical face lift procedures.

There are some differences between instant face lift products, but most work by tightening the skin tissue, lifting it up and reducing wrinkles. Instant face lift powders and creams also frequently contain exfoliants, and a number of such products rely on the removal of dead skin layers to improve skin appearance. Some instant face lift results are due to increased moisturising, which smoothens the skin’s surface

The process of instant face lift usually takes less than an hour, and results often appear after the first application. An instant face lift (usually cream or powder applied as a masque tightening skin as it dries providing the instant face lift) allows individuals to treat themselves at home with almost no risk of side effects. They are generally meant to be used once or more a week, and such products mostly rely on repeat treatments to achieve optimal results.

Individuals interested in learning more about instant face lift products should consult our lead Doctor Dr. Manoj Khanna, a qualified plastic surgeon for additional information. With so many instant face lift products available in the market, careful comparison is necessary, and only a physician can recommend the instant face lift that will be most effective for each individual

How can Face Lift Cream Programmes help me?

A number of face lift cream products have been developed as an alternative to surgical and non-surgical methods of enhancing the appearance of the face. Face lift cream is designed to reduce the appearance of fine lines and wrinkles to create a more youthful and appealing look. Many of these products are touted as non-invasive and less expensive alternatives to face lift surgery and non-surgical techniques such as Botox, microdermabrasion, dermal fillers, and the like. Face lift cream products are often considered cosmetic. For this reason, it may be wise to consult Dr. Manoj Khanna who is a cosmetic surgeon and can provide more information about face lift cream options.

There are a number of face lift cream products that contain an amino acid called acetyl hexapeptide- also known as Argireline- as their active ingredient. This ingredient is touted as a clinically safe and proven face lift cream constituent that can significantly reduce the appearance of wrinkles and fine lines around the mouth, forehead, and eyes without surgery or injections.

This powerful non-toxic peptide compound is offered as an alternative to face lift cream products that contain alpha hydroxy acids (AHAs) which can cause long term damage to the skin. AHAs work by peeling off the first layer of the skin to reveal the layer of skin beneath. In contrast, acetyl hexapeptide works by reducing the amount of nerve stimulation in the facial area in order to smooth and reduce the appearance of wrinkles. These face lift cream products are also said to extend the effects of complimentary procedures such as Botox.

These face lift cream products are used once or twice a day for a few months and are applied all over the face much like a moisturiser is applied. Only a small amount of face lift cream is needed because most products are highly concentrated. Many face lift cream manufacturers claim that a thirty percent or greater reduction in wrinkles can be achieved in the first few months of treatment. Some experts claim that a face lift cream must have a ten percent solution of acetyl hexapeptide in order to be effective.

These face lift cream products may be a viable cost-effective alternative to other surgical and non-surgical cosmetic facial enhancement procedures though the cost varies by product.

A face lift cream may be a good option for patients who have minor wrinkling or fine lines in the face or for patients who have undergone other face lift procedures. In addition to acetyl hexapeptide face lift cream, there are a number of other products available to enhance the appearance of the skin, including but not limited to: glycol-ceramides, green tea extracts, hyaluronic acid, and a variety of others.

I need more information on this subject. Who can help me?

If you would like to learn more about face lift cream products, their use, and their effectiveness, you may wish to speak with Dr. Manoj Khanna who is a knowledgeable and highly qualified plastic surgeon and can provide you with additional information.

What is Dermabrasion ?

Dermabrasion is a procedure that is used to smooth fine wrinkles and scars left by acne or previous surgery. It involves controlled surgical scraping that refinishes the top layers of the skin to give a smoother appearance. Dermabrasion can be performed over the full surface of the face or on small areas, and may be done in conjunction with other cosmetic procedures such as facelift or face peel. Dermabrasion is not an appropriate treatment for some people. Asian or dark-skinned people may experience permanent discolouration and blotchiness. People with freckled skin should avoid dermabrasion over small areas, because their freckles will disappear in the treated areas only. People who develop allergic rashes or other skin reactions are also advised against undergoing dermabrasion.

What are the Conditions treated by Dermabrasion?

Dermabrasion is used to treat a range of skin complaints including:

What should I consider before I alter my physical appearance

There are some important issues to keep in mind if you want to enhance or alter your physical appearance. These include:

What are the topics that I should discuss with my Doctor?

Before the procedure, you need to discuss a range of issues with your doctor or surgeon including:

What are the Treatment procedures?

You will be given medications to help you relax. The area to be treated is wiped over with antiseptic lotion to reduce the risks of infection, and then sprayed with anaesthetic. Injections of anaesthesia may also be administered. The procedure may be done under local or general anaesthesia.
During the dermabrasion procedure, the surgeon scrapes away the outermost layer of the skin using a rough wire brush or a burr containing diamond particles. The scraping continues until an appropriate depth is reached that will make the wrinkle or scar less visible. Once the scraping is finished, the skin is treated and a dressing applied. The skin will be swollen and red. The swelling will last for about one week, and a scab forms over the treated area as the skin begins to heal. Underneath the scab, new skin forms which is pink in colour and sensitive.

What are the possible complications ?

The greater the amount of skin removed, the higher the risk of complications. Some of the possible complications of dermabrasion include

How to take care of myself at home?

Be guided by our Doctor Dr. Manoj Khanna, but general suggestions include: For two weeks, avoid any activities that may cause a bump to the face. Avoid active sports for about six weeks.

When can I return to work after the operation?

You can return to work one week to 10 days after the procedure.

What precautions should I take?

It is essential that you avoid exposure to direct sunlight, because dermabrasion strips the skin of its protective layer of pigmentation. Always wear sunblock when going outdoors.

What is the Long term outlook

The pinkness of the skin takes approximately three months to fade. Some patients choose to wear non-allergenic makeup during this time to camouflage the appearance of their skin. It may take between six and 12 months before skin pigmentation returns completely, so sun exposure must be strictly avoided.

What are the other forms of treatment?

Chemical peel is a similar technique to dermabrasion, but the skin layers are removed chemically instead of mechanically. A solution is wiped over the face, which is then left uncovered or masked with lotion or tape. The chemicals burn the skin and the healing process promotes new growth. Deep burns remove the most wrinkles, but also increase the risk of complications such as scarring and infection.

What are the things to remember?

Dermabrasion is a procedure that is used to smooth fine wrinkles and scars left by acne or previous surgery. It involves controlled surgical scraping that refinishes the top layers of the skin to give a smoother appearance. Dermabrasion removes the skin’s pigmentation, so it is essential to avoid sun exposure for around six to 12 months after undergoing the procedure.

What is Chemical peel?

A chemical peel removes the surface layers of skin. A solution is wiped over the face and may be left uncovered or masked with lotion or tape. The chemicals burn the skin and the healing process promotes new growth. Deep burns remove the most wrinkles, but also increase the risk of complications such as scarring and infection.

What is Dermabrasion?

A device similar to an electric sander is applied to the face under local or general anaesthetic. The rough surface of the rapidly rotating pad rubs off the skin surface. The healing process promotes new growth. Deep dermabrasion removes the most wrinkles, but also increases the risk of complications such as scarring and infection.

What is Wrinkle Reduction?

Wrinkles can be lessened using friction or plumped out with a variety of technologies. Laser skin resurfacing uses a laser beam to burn the skin. Botox is an otherwise deadly toxin that is used in a small dose to paralyse the underlying muscles responsible for forming the skin wrinkles. Botulinum injections (Botox) can be a safe and effective temporary treatment of fine facial lines and wrinkles. Injections of fat or collagen can be piped along wrinkles to smooth them out.

What are the different types of birthmarks?

Birthmarks can be categorised as either vascular birthmarks (red or purple) or pigmented birthmarks (brown or blue/gray). Pigmented birthmarks should be distinguished from moles (see the section on Moles).

There are many kinds of vascular birthmarks. Port wine stains are usually found on the face or scalp; they are flat and faint early in life, but gradually become darker and thicker in adulthood. Hemangiomas, another kind of vascular birthmark, appear as raised bright red/purple lesions. Hemangiomas grow rapidly during infancy and usually regress spontaneously during childhood.

Pigmented birthmarks vary in colour, depending on the location of the pigment. In general, brown birthmarks contain pigment in the top layers of the skin, while blue or grey birthmarks contain pigment deeper in the skin.

What are the treatment options?

ascular birthmarks can be treated with a KTP laser or a pulsed dye laser. Response to treatment depends upon the thickness of or blood flow within these lesions.

Some pigmented birthmarks (i.e. cafe au lait macules) can be treated with lasers that target brown pigment, such as the Q-switched ruby laser, the alexandrite laser, or the Nd:YAG laser. The choice of laser depends upon the depth of the pigment. A consultation to determine the best treatment approach may be necessary.

How many treatments are necessary?

Some vascular birthmarks, especially port wine stains, will require multiple treatments. A consultation may be required to determine the best treatment approach. It is common to require repeated treatments for pigmented birthmarks.

What will I look like immediately after surgery? What is the healing time?

Surgery on vascular birthmarks results in some redness and swelling occurring after treatment and generally lasts a day or two. The pulsed dye laser leaves deep bruising that takes two weeks to fade. Treatment of pigmented birthmarks usually results in mild crusting, which heals in five to 10 days. There may also be some temporary skin discolouration following this treatment.

What are the costs involved?

Cost range varies according to certain factors. Dr. Khanna can provide you with a cost range during the consultation after due assessment of the patient. For the pigmented birthmarks, the choice of laser depends upon the depth of the pigment, and a consultation to determine the best treatment approach may be necessary.

What treatments are considered medically necessary vs. cosmetic?

Some treatments are covered by medical insurance, particularly if the lesions have a tendency to break down or bleed.

What are acne scars ?

Acne scars are textural abnormalities of the skin that are left behind after the healing of acne lesions. These range from shallow depressions to sharp ice pick pits to white elevated bumps. Acne lesions can also initially heal, leaving brown or red discolouration behind, but these generally fade over time without treatment and are not considered true scars. A topical bleaching cream can be used to speed up the fading of the brown discolouration.

What are the treatment options for acne scars?

Soft depressed scars can be filled in by the injection of filler substances such as collagen. Mild scars can also be improved with microdermabrasion (also referred to as a power peel or dermapeel). This technique uses fine crystals to buff the superficial skin (much more superficial than laser resurfacing). For a more thorough treatment, dermabrasion has traditionally been used for the correction of acne scars. However, more recently the CO2 and ER: YAG lasers have been more commonly used. These lasers allow for precise removal of tissue whilst simultaneously rejuvenating the skin. The cost of these procedures varies depending on the surface area to be treated and the type of procedure used (see How many treatments are necessary? below). These types of procedures generally require a pre-treatment consultation where these issues can be discussed.

How many treatments are necessary? What are the costs?

Microdermabrasion requires multiple treatments, initially at two- to three-week intervals. If collagen is used, a pre-treatment skin test must be administered one month prior to the first treatment. The more aggressive techniques of laser abrasion and dermabrasion require a considerably larger investment of time and money.

What treatments are considered medically necessary vs. cosmetic?

Treatment for acne scarring is considered cosmetic; consequently, treatment expenses are not covered by medical insurance.

What will I look like immediately after the treatment? How long will it take to heal?

Recovery time is minimal; most people can get right back to work after a treatment session. Collagen treatment also requires minimal recovery time. For the more aggressive treatments, post-operative care will be quite eventful and may include treated areas remaining pink for a month and some major swelling. These techniques require much greater preparation as a patient. With proper preparation and follow-up care, a patient can get back to work after about two weeks and will be able to apply makeup after two and a half to three weeks, with pigmentation normalising in about two to three months.

Is treatment permanent?

Improvements via laser abrasion and dermabrasion are permanent and can give dramatic results compared to the milder treatments. However, realistic expectations must be maintained. Repeat treatment can be performed after one year. Collagen injections are only temporary and must be repeated every three to six months to maintain the improvement. It often requires two to three treatment sessions to reach an optimal result.
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