My Skin Laser Clinic

Hi, I am Dr Deepa Kanchankoti practising dermatologist in Kandivali, Mumbai. Youth full look is something which everybody looks forward to but each passing birthday one started noticing the fine lines and wrinkles and then starts the search for the best anti wrinkle cream the best anti-wrinkle treatment which is available around, but before you tell all this first understand what is these wrinkles are how they appear and what can be done to prevent them and if they are already present then which treatments are available so that they can be taken care of and one should have a realistic expectations. First, understand the skin, the skin has three layers epidermis the superficial layer, the dermis the middle layer and below that is the fat, below that, is muscle and then the bone so when one is looking forward to removing the wrinkles one must understand that there are changes which are happening in each of these. In epidermis layer there may be some area which should be thick and some will be thin and this causes the patchiness and the pigmentation which will make the skin look uneven tone. If there is a change in the middle layer or the dermal layer there are changes in the collagen and the elastin fibres and the matrix material in between. The intrinsic ageing which happens as an ageing process or the external factor which causes ageing, a process to happen that is the ultraviolet rays coming from the Sunlight or other sources and smoking, yes you heard smoking leads to changes in these collagen fibres and elastin fibres. When you are young the healing capacity of these fibres is good, so there's no wrinkle formation but as you start aging the healing process slows down and therefore the repair is low and the wrinkle formation starts, fat loss, bone resorption, super activity of the muscles on the face all these leads to wrinkles. There are fine lines, dynamic wrinkles and static wrinkles what are these, so once the changes in the collagen and the elastin fibres starts happening you start developing fine lines then you make an action on the muscle like for example you raise the eyebrows the fine line appears, you bring the eyebrows closer you get those angry bird line, you squeeze the muscle of your eyes and you start getting these crow’s feet and when you laugh you get thess laugh lines which are very deep and then when there is drooping of the angle of the mouth you get these marionette lines, there is hollowness of the cheeks some people have too much of a loner hollowness according to lines too many wrinkles in the cheeks they can be hauled or sagging of the skin and people are looking for only one single cream which will remove all these things, that doesn't actually happen. If you want the dynamic lines to disappear then you must relax these lines so we have botulinum, when these are delivered to these muscles the muscles are relaxed and the dynamic lines go but then there are static lines, static lines are those lines which are present even when the muscle is not making the action. So there comes the role of fillers, so these fill up the hollows which are created by the fat disappearance or loss of the muscle tone, then you must understand that some of these processes they take time and you are working against that timeline. So some of the processes lead to be repeated. What is more important is that you must take care of the skin or prevent this process from happening and for that, the foremost is the moisturizer depending upon the skin type, various type of ingredients are there-there are different moisturizers to suit the different skin types. So use of moisturizer regular basis, use of a sunscreen to prevent aging from the ultraviolet rays, stoppage of smoking are the preventive measures, of course healthy eating exercise is there but other than that there is botulinum, there are hyaluronic acid fillers, there are threads which will create new collagen elastin then there are lasers and light therapies and RF and the list is endless, she can choose among the plethora what expecting that one wrinkle cream or some massage oil will remove all the wrinkles doesn't happen. So take care of your skin and delay the signs of ageing, Thank you.

Hi! I am Dr. Deepa Kanchankoti practicing dermatologist in Mumbai.

Today I’m going to speak on moisturization. The skin should be kept soft, supple and glowing all the time. The normal pH of skin is acidic close to 5.5 when we use soaps and detergents the pH rises and becomes alkaline . By using cynded baar or soaps with pH 5.5, we reduce the dryness and if you can apply within 3 min of bath or washing a moisturizing agent , the skin is always kept soft n supple we can say that for a new born alot of care is taken in term of moisturization but as the person grows they stop using mousturizing agents.

One should use load of moisturizing agent immediately after bath in case of face if the skin is very oily then one should a light moistening agent if the skin is dry then one should use heavy moisturizing agent the moisturizer content varies from season to season as in winters the frequency and the thickness of moisturizing agent becomes more in case of winters once the person becomes old the oil glands which normally produce lot of oil and keeps the Barriers Function on Also reduces this leads to lots of dryness leading to flacking and scratching. Once the scratching is to much it leads to bleeding an all this can be presented simply by applying repeatedly moisturizing agent all over hand and feet.

The same thing happens in case of certain disease condition as psoriasis, eczema, or atopic dermatitis or allergic contact dermatitis. if we can maintain the barrier function that reduces transepidermal water loss an cracking in the skin is prevented an use of medicine is reduced. On face a lot of people who are surfing from acnuue think that because is producing a lot of oil that is no need for them to use moisturizing agent where that is not correct by using a light moisturizing agent alot of skin medication which are used in acne which causes dryness can b prevented the same happens in case of photo aging or pigmentation on face any skin which well hydrated, well moisturized is less prone to the damage from the ultra violet rays and if you don’t want wrinkle early then you should start using a moisturizing agent early.

For more info you can contact us at lybrate.com

Hi, I am Dr Deepa Kanchankoti. I have been practising dermatologist, cosmetologist and trichologist in Kandivali, Mumbai since last 17 years. Today I am going to speak about the crowning glory- balding in men.

Whenever a male patient comes to us for reasons of balding, we need to understand or rather classify whether it is localized or it is generalized. The localized balding alopecia is called as alopecia areata and it is much different from the generalized hair loss. Generalized hair loss is again divided into scarring alopecia or non scarring alopecia. Scarring alopecia we have to find out whether it is because of an internal problem in the system or it is a disease on the scalp. Amongst the non scarring alopecia whether it is relive effluvium which is more of stress-related or other problems like diet medicines some local applications etc or it is hormone induced. The hormone induced alopecia in men also known as androgenetic alopecia is the most common problem and here we are going to dispel some of the myths.

What happens is this is the length of the hair and the root is here which is getting its blood supply from the scalp. Within over a period of time this length goes on reducing smaller and smaller and smaller to a very fine non visible hair. So this terminal long thick deep rooted hair converted into a very fine non-visible hair. This process is called as miniaturization and more often what patient calls as hair loss is nothing but hair miniaturization.

Why does this happen?

This happens because at the root of the hair there is an enzyme which causes certain conversion of hormones and this is under the influence of these hormones and more so this is genetically predetermined. Now if one works prevention from this type of miniaturization then there are medicines available which can stop the activity of this enzyme at the root of the hair so long as the medicines are being consumed the enzyme does not act and the miniaturization does not happen but if you stop taking the medicine the miniaturization process stops. There is a myth that people have the understanding if they stop taking the medicine there is more hair loss. There is not more hair loss.

What has been stopped so far it starts happening again. Men usually find that initially they have a v shaped balding which happens during the teenage. This goes on increasing with a deeper V. Over a period of time a bald patch starts appearing in this area and then at the vertex the hair killing happens and the area widens and this area completely balds. So according to the Hamilton grading what starts is great to androgenetic alopecia goes on to increasing and becoming grade 3,4,5,6,7 where in you have a small strip of hair behind and all the hair are lost. So whenever you start the medicine the process of miniatures, medicines stops or gets delayed and if you stop taking the medicines the process starts again. Sometimes patients have this query I don't want to take medicines forever.

Can I go for hair transplant?

That is aan excellent solution where the Velice hair cannot be completely transformed into a terminal hair. Again the hair which is removed from the back of the scalp called as the donor area is transplanted into the front cay area where these hair starts growing here.

Is that a solution for not taking the oral medication?

Probably one needs to look into this. His hair will not grow because the transplant happened and the hair restore is it the glory but this hair is still under the influence of hormones so over a period of time this starts balding again. If one needs to maintain the hair then they must continue taking the medicines inspite of the transplantation because otherwise this hair will remain And this hair will go leading to unnatural balding. So one must always while getting the treatment for hair loss have realistic expectations as to what can be achieved? What can't be achieved? Whether they need to or area they prepared for taking forever or they are happy with natural balding.

For further information about baldness you can contact me through lybrate.

Here is cause,symptoms and treatments of Pigmentation

Hi, I am Dr. Deepa Kanchanl practicing Dermatologist and Cosmetologist from Mumbai since the last sixteen years. Today I would like to talk on an important topic which is of aesthetic importance to a lot many people that is Pigmentation. Pigmentation on the skin can come because of excessive production of melanin by the cells of the skin. Normally there is increase in production of melanin by stimulation of the cells by ultraviolet rays coming from sunlight or other sources. This can lead to tanning that is generalised increase in the pigmentation or it can be patchy skin but other than ultraviolet rays there can be other reasons for increase in pigmentation like deposition of certain proteins under the skin, drug reaction or post inflammatory hyperpigmentation, post burns or chemical injuries, acne or any other liaison appearing on the skin.

So, when you want to get rid of pigmentation finding of the most appropriate cream depending upon the cause is very important. Generally, it is seen that people end up using creams suggested by their friends or somebody who have used it and have got good results but they don’t know what are the contents and how each cream acts and what are the side effects and eventually end up using the cream in excessive quantity for a long period of time. This can lead to a lot of side effects like increase of hair on the skin or the thinning or redness of skin, pimples or paradoxically increase in the pigmentation on the skin, this is known an Ochronosis which occurs because of deposition of the same depigmenting cream underneath the skin this can be very difficult to treat or rather impossible to treat.

So it is my suggestion that whenever you want to get rid of pigmentation it is important to analyse the cause of it and how the cause can be removed, what protection can be taken so that there is no further increase in the pigmentation and have a realistic expectation as to how pigmentation can go away as people generally are looking for a quick fix reply as to how this can disappear completely and forever without coming back again. People are not bothered about protection, whereas protection is the key in pigmentation, so protection from the UV rays by application of sunscreen or protection with a cloth or avoidance of sunlight in the peak sun hours is very important. How to use the sunscreen, how much quantity and for what duration to be applied? All these play a very important role.

So protect more than curing for further information you can contact on lybrate.com. Thank you.