Sunday, 10 November 2013

"Isotretinoin" MAGIC DRUG BUT

Many people discuss, talk about this accutane isotretinoin pills. Even i am very fond of prescribing this drug to acne patients. It is very effective in acne, folliculitis, acneiform eruption. Infect it is a drug of choice for acne. It is not only comedolytic but also it decreases sebum production by oil glands. So it makes skin dry and fair too. Basically it's doses depend on doctors experiences. Many doctors give 20 mg / day for 1-2 months. But doses can go up to 60 mg/day. Main problem with isotretinoin is its side effects. 1st is it affects foetus development so we strictly take written consent not to have pregnancy up to 1 and half year. Its effect remain in the body up to 1-2 year so even after stopping this drug female patients can not conceive for 1 year at least.This drug also increases blood triglyceride and LDL level so i monitor blood triglycerides every month. If we keep these points in mind it is very safe and effective drug for acne.  Let me repeat that i have very good feedback with this drug in acne patients and if doctor is experienced it's side effects can be avoided easily.

Thursday, 7 November 2013

Acne Scars BYE BYE

Acne scars is most common cosmetic problem. Acnes damage the skin texture and cause acne scars. There are different types of acne scars. Above picture showing various kind of scars which can be caused by acne. Rolling, box and ice pick scars are common in all of them. There are various method to treat these scars. We have lasers(co2 fractional laser is very good), carbon facial, dermaroller, subcision, chemical peeling, derma abrasion to treat these scars. I very frequently use laser+ dermaroller+subcision combination to treat scars. It takes around 4-5 month to complete all sessions. In 1st sitting i do laser then next sitting is for dermaroller+subcision. We repeat these procedure alternatively. Almost 7-8 sitting are required to get proper improvement. But let me tell you that there is no method to get 100% cure. Even after doing all these advance and costly procedure there is up to 60-70% improvement. My all patients find it very effective and it improves their confidence surely. 

Wednesday, 6 November 2013

Hair Loss and mesotherapy

mesotherapy is a new technique which becomes very popular among doctors. it is very simple but effective way to treat androgenic alopecia. beinng doctor i know that there are very few option to treat androgenic(familial) baldness. one is topical minoxidile and oral finasteride. 2nd is hair transplant. mesotherapy comes between these two method. according to few study it is 400 times more effective than topical minoxidile. in mesotherapy we inject cocktail or mixture of various chemical like growth factor, minoxidile, some herbal and other vitamin, protein etc. these chemical inject below the skin by microneedles. this procedure can be done by normal insulin injections by puncturing the area again and again or there are special mesotherapy guns. there are atleast 6 sittings are required and after two sitting patient starts noticing improvement. there are no side effects except bruising and little pain while procedure due to multiple puncturing of microneedles. main problem with this procedure is patients need to continue sitting to keep hair grow. it is not a permanent cure or treatment for baldness. the only permanent treatment for baldness is hair transplant. mesotherapy can be used for fat loss, wrinkles, bladness, and other cosmetic procedures.   

Sunday, 3 November 2013


Happy Diwali to ALL.

Diwali means lots of sweets and fire cracker. these things can affect your skin and can cause flare up of acne and other skin disease. lets see how.


this is actually enemy of skin. it contain lot of chemical poisons. its fume and smoke directly react with skin and can cause pigmentation, acne, excessive sweating, sebum production and chemical dermatitis. other than this small-small chemical particle can block the pores of the skin which directly activate hair glands to produce acne. and of course always there is a chance to get burn with fire cracker. i suggest that while enjoying  with fire crackers always keep your face covered with cloth. use clindamycine gel and sunscreen blocker even if there is night. sunscreen although protect skin from sun but it act as blocker too and prevent chemical particle to get settle on skin. 2nd things do not use oily creams over face because particle get stick to oily skin and develop acne.


various recent studies have proved that glucose(sweets) activate IGF(insulin like growth factor) receptors in oil glands. Because of activation of these receptor oil gland start producing lot of sebum and oil. And more oil means more acne. i advise just avoid milk product sweet and chocolate.