Surgical Treatments

Surgical Treatments

Surgical Modalities of Treatment:

Established surgical technique include:

• Mini puncture grafting,
• Blister roof grafting,
• Super grafting.

Surgical Treatment option of cultured or non cultured melanocyte keratinocyte transplantation is the best surgical option for stable vitiligo patches.

Cultured Melanotcyte Transplantation:

• Procedure requires highly sophisticated melanocyte culture laboratory and time gap between biopsy and transfer could range from 4 weeks to 8 weeks,
• Most important advantage is large area can be covered in one go from small biopsy sample.

Non Cultured Melanotcyte Transplantation:

• Technologically simple to perform,
• Requires very less equipment,
• Basically it is a day care procedure,
• Biopsy and Transfer procedures done on same day with time delay of only 3 hours,
• Requires very less equipmentCan be used to treat small lesions upto 100-150 sq. cm at a time.

Indication:

• Stable form of vitiligo,
• No use of immunosuppressive &cytotoxic drugs at least for past 6 months.

Cotra Indications:

• Patients with active disease,
• Pregnant patients,
• Keloidal tendencies,
•  Infection at recipient site,
• Evidence of koebner in past.

Specific Requirements:

• Medias,
• Lamellar flow bench,
•  CO2 incubator,
• Centrifuge,
• Petri dish,pippetes,Kollagen,Tegaderm.

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Laser Skin Rejuvenation

Laser Skin Rejuvenation

Laser Skin Rejuvenation is also called Laser Skin Resurfacing. This is a popular cosmetic procedure that can help rejuvenate the skin and reduce the effects of the sun, aging, and some facial skin disorders. Treatments are safe, effective, and convenient.

Laser Skin Rejuvenation (Resurfacing) Millenium Clinic Vapi

Benefits and Risks of Laser Resurfacing

Although skin resurfacing cannot produce perfect skin, it can improve the appearance of your skin.

Potential risks of the procedure include:

• Burns or other injuries from the laser's heat
• Scarring
• Changes in the skin's pigmentation, including areas of darker or lighter skin
• Reactivating herpes cold sores
• Bacterial infection

For more detail and other procedure, please visit - http://www.hairtransplantsurgery.co.in/skin-procedure.html

 

Chemical Peeling

Chemical Peeling

Chemical peels can improve the skin's appearance. In this treatment, a chemical solution is applied to the skin, which makes it "blister" and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin. Chemical peels can be done on the face, neck, or hands.

Chemical Peels can be used to:

• Reduce fine lines under the eyes and around the mouth
• Treat wrinkles caused by sun damage and aging
• Improve the appearance of mild scars
• Treat certain types of acne
• Reduce age spots, freckles, and dark patches due to pregnancy or taking birth control pills
• Improve the look and feel of skin

Areas of skin damage by sun may improve after chemical peeling.

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Surgical Procedure Transplantation

Surgical Procedure Transplantation

• Microdermabration is done with laser or micromotor  
• Can be done under G.A, or LA
• Only the epidermis is removed
• Cells are sprinkled over the site and kollagen dressing is given
• Part is kept immobilized for 6 hrs

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Breast Augmentation

Breast Augmentation

Breast augmentation surgery involves using breast implants or fat, to increase the size of your breasts or restore breast volume that has been lost after weight reduction or pregnancy.

Breast augmentation is clinically referred to as augmentation mammaplasty.

Breast augmentation can:

• Increase fullness and projection of your breasts
• Improve the balance of your figure
• Enhance your self-image and self-confidence

Breast implants may also be used for breast reconstruction after mastectomy or injury.

This procedure remarkably boost ups ones self esteem and confidence, It's day care procedure.

Implants are used, size is decided as per indication and patients desire.

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Liposuction

Liposuction

Liposuction is a surgical technique that improves the body's contour by removing excess fat from deposits located between the skin and muscle. 

Why Liposuction?

Liposuction is used to remove fat from areas of the body that haven't responded to diet and exercise, such as the:

• Thighs
• Hips and buttocks
• Abdomen and waist
• Upper arms
• Back
• Inner knee
• Chest area
• Cheeks, chin and neck
• Calves and ankles 

Liposuction can be performed alone or along with other plastic surgery procedures, such as a facelift, breast reduction or a tummy tuck.

Before and After Liposuction:

Liposuction Abdomen & Thighs:

Liposuction Flanks:

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Surgical Procedures for Melanocyte Transplant

Surgical Procedures for Melanocyte Transplant

Cellular Separation:

Well-pigmented melanocytes engender pure colonies of pigmented cells, but cells separate cell type, or premelanocyte, which can differentiate spontaneously and stably in culture; this cell type includes both unpigmented and faintly pigmented cells.

Steps for Cellular Separation:

• The epidermal layer is incubated in 0.25% trypsin EDTA, solution, in a petri dish, for 45min-60min
•  The dermal surface should be kept above
• This petridish is now placed in a Co2incubator at 370c, 5% Co2, for 50 minutes
• The epidermal sheets are gently manipulated with forceps to dissociate the epidermal cells
• Residues of dermis are discarded
• Patients serum about 0.5-1ml is added to neutralize trypsin
• The cells are washed with DMEM solution, centrifuged for 5 min at 1500rpm
• Supernant solution is discarded and the cellular pallet is mixed with patients serum (1-2ml)
• This is filled in insulin syringes, and is ready for transplant.

For more detail about this procedure, please visit - http://www.whitespotcure.com/procedures.html

 

Botox and Fillers

Botox and Fillers

Botox and Dermal Fillers are skin rejuvenation cosmetic procedures designed to reduce the signs of aging.

(Note: Fillers are also called Dermal Fillers.)

The process of aging often leaves its spot on our faces. Sun exposure, laughing, worrying and even smiling can lightly damage the tissues that make up our faces. Our experts help reverse the signs of aging through the use of injectibles, such as:

• Botox
• Juvederm
• Restylane
• Radiesse

The difference between Botox and Fillers:

• Botox reduces the activity of the muscles that cause wrinkles such as frown lines, worry lines and crow's feet.  Botox works by temporarily blocking the signals from the nerves to the muscles, thereby reducing muscle movement and causing wrinkles to relax and soften. Botox  Dermal fillers or Botox is also used by experienced injectors to lift areas of the face and extend the life of some dermal filler applications.  Botox is quick-acting, with results typically visible within 3-5 days, and lasting for 3-6 months. Botox can be used alone or in conjunction with other treatments.
• Dermal Fillers, on the other hand, are a range of products that fill depleted facial features, and in many instances stimulate collagen growth.  Advanced dermal fillers include Juvederm, Radiesse, Perlane, Restylane, Sculptra and ArteFill. Although each dermal filler has unique attributes, in general, most dermal fillers work in two ways. First, most of the fillers plump and lift the skin gently to replace collagen loss caused by the natural aging process. Secondly, most of the fillers also stimulate the body to produce its own natural collagen; some help more than others. Physicians use dermal fillers in a variety of ways to lift features of the face, correct wrinkles and to restore smoothness and volume to the skin. The effects of most fillers are nearly instantaneous.  Most of the dermal fillers last from several months to a year or two before touch up treatments are necessary to extend results.

Before After Botox and Fillers:

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Acne Scar

Acne Scar

What is Acne Scar?

Acne is a common human skin disease, identified by areas of scaly red skin, blackheads, whiteheads, papules, pimple and scarring.

What causes acne?

Nobody is completely sure what causes acne. Experts believe the primary cause is a rise in androgen levels. Androgen levels rise when a human becomes a juvenile. Rising androgen levels make the oil glands under your skin grow; the enlarged gland produces more oil. Excessive sebum can break down cellular walls in your pores, causing bacteria to grow.

Types of Acne Scars:

Ice pick

Ice pick scars are deep pits that are usually less than 2mm across. They extend into the skin, giving the skin an appearance of having been punctured by an ice pick.

Boxcar

Boxcar scars are angular scars with sharp vertical edges, and resemble the scars left by chicken pox. They may be shallow or deep, and are most often found on the cheeks and temples.

Rolling 

Rolling scars are caused by damage under the surface of the skin. They give the skin a wave-like appearance. They tend to be wide and shallow.

Hypertropic 

Hypertrophic scars are raised and lumpy. They tend to appear on the back and chest, but can also appear on the neck and face. Often the result of severe acne (cysts or nodules), they generally stay within the boundary of the original wound, and may decrease in size over time.

Hyperpigmentation 

Hyperpigmentation refers to the red or dark marks that are left behind after a pimple heals. These marks, also called macules, are not scars, but are often confused with scars because they can last for months or even years before they fade. For more information on hyperpigmentation and treatment options.

Tips for Acne Preventing:

• Wash skin carefully twice per day, and after heavy sweating.
• Wash your face with a gentle cleanser, from the hairline to below the jawline. Rinse thoroughly and avoid harsh scrubbing.
• Wash your hair daily, and more frequently if your hair is oily.
• Never pick or squeeze acne blemishes, which can lead to scarring.
• Take care to prevent sunburn. Some acne medications can make your skin more vulnerable to sunburn.
• Look for more acne-friendly skin and hair care products.
• Avoid sports equipment, backpacks and other items that rub against skin.

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Sweating - Vitiligo Prevention Tip

Sweating - Vitiligo Prevention Tip

Sweating is powerful way to cleanse your body from accumulated toxins.

examples:

• exercise with a lot of clothes
• Sauna
• drink warm tea in a hot room ...
• eat CAYENNE pepper! ...

It is known that some modern industrial toxins and pesticides can leave your body only through sweat glands!

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Post Operative Course of Hair

Post Operative Course of Hair

The advantage of this procedure is that there is no scar. Post operative period is relatively eventless means less pain and Odema. In this procedure with special instruments follicles are harvested one-by-one under local anaestesia from the safe donor area and then placed or you can say transplanted one-by-one over the recipient site. With this method less follicles can be transplanted in one session, but there are other advantages like there is no suturing required, so no scar.

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FUT - Follicular Unit Transplantation

FUT - Follicular Unit Transplantation

 Follicular Unit Transplantation (FUT) is a hair restoration technique where a patient's hair is transplanted in naturally occurring groups of 1 to 4 hairs, called follicular units.  In Follicular Unit Transplantation these small units allow the surgeon to safely transplant thousands of grafts in a single session, which maximizes the cosmetic impact of the procedure.

Advantages:

• Complete Naturalness
• Maximizing Growth
• Creating Small Wounds
• Large Hair Transplant Sessions

Ability to perform large hair transplant sessions

There are four reasons why the follicular unit transplantation procedure allows a hair transplant surgeon to transplant large numbers of grafts in each session:

• The hair restoration can be completed quickly so that the patient has minimal interference with his/her lifestyle,
• A larger number of grafts can compensate for the shedding that frequently accompanies a hair transplant, called telogen effluvium,
• Using large numbers of grafts in each session preserves the donor supply by reducing the number of times incisions are made in the donor area,
• Extracting large numbers of grafts provides sufficient 1- and 2-hair grafts to create a soft frontal hairline and enough 3- and 4- hair grafts to give the patient the fullest possible look.

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FUE - Follicular Unit Extraction

FUE - Follicular Unit Extraction

This method of donor harvesting, removing follicular units one-by-one directly from the scalp, is what differentiates the FUE procedure from a traditional Follicular Unit Transplant, where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units.

Advantages:

• No linear scar in donor area
• Important for those who wear their hair very short
• Decreased healing time in the donor area
• No limitations on strenuous exercise after the procedure
• Less post-op discomfort in the donor area
• Useful for those with a greater risk of donor scarring
• Useful for repairing donor scars that cannot be excised
• Provides an alternative when the scalp is too tight for a strip excision
• Enables one to harvest finer hair from the nape of the neck
• Makes it theoretically possible to harvest non-scalp hair.

Disadvantages:

• Follicular units in FUE are harvested from a much greater area of the donor zone compared to FUT
• Graft quality is not as good compared to FUT 
• The maximum follicular unit graft yield is lower than with FUT
• With each subsequent session, the scarring in FUE is additive
• In large hair transplant sessions, the entire donor area must be shaved
• Microscopic dissection may be needed in addition to the extraction
• After large numbers of grafts are harvested, fine stippled scars may become visible due to thinning of donor area
• Long-term, if the donor area narrows, the scarring may become visible
• With FUE, grafts are usually out of the body for a longer period of time compared to FUT

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Scalp Condition Types

Hair Fall Problems???

Check which type of scalp condition you have:

1. Male pattern baldness : hair loss that is common in men and
   
   
   is caused by genetics and the male sex hormones.
2. Alopecia areata : It is a chronic autoimmune disorder that causes a patchy type of balding pattern.
3. Nutritional deficiencies : can cause hair loss. A protein deficiency, which is called kwashiorkor, or an iron deficiency, anemia, could be the cause.
4. Hyperthyroidism : which means an overproduction of thyroid hormone can cause hair loss.
5. Hypothyroidism, or an underactive thyroid, can also cause hair loss.
6. Hypopituitarism, or an underactive pituitary gland, can cause hair loss.
7. Lichen planus is a skin condition that can cause hair loss, as well as discoloration of the scalp.
8. Celiac disease is an allergy to gluten, and can cause hair loss.
9. Systemic lupus erythematosus is an autoimmune disorder that can cause hair loss.
10. Trichorrhexis nodosa occurs when hair shafts have weaknesses and break easily. It is normally caused by genetics, but can also be a result of certain disorders.

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Vitiligo Preventation Tips

We recommend following tips to prevent vitiligo:

• Protect your skin from sun, i.e.:
• Use sunscreen
• Apply sunscreen every day
• Reapply sunscreen when outdoors
• Wear clothing that protects your skin from the sun
• Do not have a tattoo.

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About Vitiligo

What is Vitiligo?

Vitiligo is a skin disorder that causes white spot/patches on skin to appear on different parts of the body. About 100 million persons worldwide affecting with vitiligo skin disorder.

Vitiligo Impacts on people of all skin types, but it may be more  recognizable in people with darker skin.The condition is not life-threatening.It can be make you feel bad about yourself.

Symptoms Of Vitiligo:

The main sign of vitiligo is color pigmentation that produces white spot on skin.

Other Sign Involves:

• Skin discoloration
• Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
• Loss of color in the tissues that line the inside of your mouth and nose

But, Treatment for vitiligo may improve the appearance of the affected skin.

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