Skin Rejuvenation Treatment in Delhi NCR

How does ageing affect our skin?

Ageing of the skin affects both the epidermis and the dermis and produces atrophy of the skin components. It is exacerbated by the actinic damage and the superimposition of the actinic damage results in dermal disorganisation and elastosis (the presence of thickened, degraded, elastic fibres). Gradually, there is fat cells and collagen atrophy and there is the loss of volume. This results in loss of skin tone, hyperpigmentation, wrinkles, and fine lines on the face.

What to expect during an initial consultation with our cosmetic aesthetic doctor?

Our aesthetic doctor, Dr. Ashish Khare, is a trained cosmetic surgeon and one of the best in his field.
He will examine you and let you know what exactly is the condition of your skin.
He will suggest the best suitable treatment for you, sometimes a cocktail of treatments - especially customized according to your requirement and needs.
The procedure and the advantages/ disadvantages of all the treatments would be discussed in detail.
Past results of the patients would be shown and the expected number of required sittings planned.
Patients should understand that every skin type is different and few patients may react differently from the expected result.

What are the different treatments available under SKIN REJUVENATION TREATMENTS?

1. CHEMICAL PEELS

This is the most commonly used method for skin exfoliation and improvement of skin quality. It works by inducing a controlled injury to the outermost layer of skin, resulting in peeling off of this layer. The new layer regenerates from below which is a smoother one, which usually takes 2 weeks.
Chemical peels can be applied on the face, neck, hands, back, and outer genitalia.
Usually, 6 to 8 sessions of peel are required 3 to 4 weeks apart.

Benefits of peeling are :

1. Improves acne or acne scars
2. Improves skin pigmentation and uneven tone
3. Improves fine lines and wrinkles
4. Improves sun tanning

It is usually of three types depending on the depth of the action on the skin layer:

1. Superficial peeling agents such as Jessner solution, Unna paste, salicylic acid, and alpha-hydroxy acids: penetrate the epidermal-dermal junction and are also called lunchtime peels.
2. Medium depth peels penetrate deep into the epidermal-dermal junction and include Trichloroacetic acid.
3. Deep peels are preferred for severe scarring and damaged skin.

Below is the description of some peels being offered in KALOSA, the best centre for a chemical peel in Delhi/ NCR.

• Glycolic acid peels (alpha-hydroxy acids) - Glycolic acid has a small molecular structure, giving it the ability to travel deep into the layers of the skin. Once there, the acid dissolves excess sebum and dead skin cells, revealing smoother, brighter, and younger-looking skin. It reduces hyperpigmentation, evens out skin tone, smooths fine lines, and adds glow and lustre to the skin. They are preferred for dry skin.
• Salicylic acid peel (beta hydroxy acid peels) - This is anti-bacterial as well as anti-inflammatory, so works well for acne, sebum excretion, and removing dead skin.
• Trichloroacetic acid – This is used most commonly in 35% concentration for medium-depth peeling. TCA peel is used for pigmentation disorders, dysplasia, photoaged skin, and wrinkles. It improves neocollagen formation and improves facial wrinkling. It is a keratocoagulent and frosting is the key to judging the depth of the peel.
• Retinoid acid peel - This is a little deeper peel and removes wrinkles and hyperpigmentation.
• Phenol Peel is used as a skin resurfacing technique, as a deep peel that allows new, healthier skin to emerge. The patients having really rough skin, sun-damaged skin, or sometimes as a precancerous treatment can opt for a Phenol Peel.
• Jessner solution – Consists of resorcinol, salicylic acid, lactic acid, and ethanol. The depth of the peeling is controlled by how many coats of the solution are applied. It is designed to remove superficial layers of skin, improve the appearance of the skin by drying out active acne, dislodge blackheads, reduce shallow wrinkling, and scarring. It helps heal skin damaged by helping lighten hyperpigmentation. It is preferred for sensitive skin.
• Yellow peel - It is a retinol-based peel along with kojic acid, azelaic acid, etc. and an efficacious reversal method against hyperpigmentation caused by sun exposure, photoaging, or scars. Within a few hours after treatment, microcirculation increases, oxygen supply to the skin improves and supply of nourishing substances is enhanced as the skin turns more receptive.
• Carbon peel - This is a revolutionary completely painless treatment involving laser energy too. It is quite a popular peel in Hollywood as well and takes about 20-30 min. It is a two-stage process. During the first part, a carbon lotion is applied to the face. It pulls out all the grime and dirt. During the second part, the Q-Switched laser is used to remove the carbon lotion, causes deep exfoliation, extracts impurities from deep within, and evens out the skin. It remodels collagen, elastin, and fibroblast. This, in turn, rejuvenates skin, erases fine lines, corrects open pores, eliminates wrinkles, and reduces acne. It gives an instant glow and has no side effects.
• Party peels or Glow peels - This gives an instant glow for special occasions. It is usually mild peel such as mandelic acid peel or salicylic acid peel.

PRECAUTIONS FOR CHEMICAL PEEL

1. Avoid chemical peel if you are taking isotretinoin for acne, have abnormal pigmentation on the skin, or have cold sores.
2. It is more suitable for fair-skinned persons.
3. Avoid waxing, bleaching, massaging for at least a week before and after the procedure.
4. Apply a good sunscreen and a good moisturizer after the procedure.
5. Avoid using heavy make up at least for a week after the session.

2. STEM CELL THERAPY (PRP) - This is again a revolutionary technique popular nowadays. This uses your own blood sample, around 20-30 ml which is then centrifugated and platelet-rich plasma part is separated. This part is rich in growth factors which are important for cell rejuvenation and collagen remodeling. This is then injected into the face through very fine insulin syringes or micro-needling. This works by regenerating the cells, remodeling collagen while healing the damaged cells, and rejuvenating the skin. It improves fine lines and eliminates acne. Collagen growth helps in tightening the tissue and eliminating wrinkles.

VAMPIRE FACIALS - This is one of the most popular facials done by cosmetologists. This involves PRP injection on the face along with filler injection on specific desired sites.

CONTRAINDICATIONS TO PRP THERAPY - 

1. Used or using isotretinoin to treat acne
2. Active acne
3. Skin conditions, such as eczema, psoriasis, or rosacea
4. A history of scarring or bruising easily
5. A platelet or blood disorder
6. Had major surgery within the last 6 months
7. HIV
8. An infection on the face, such as herpes

3 . DERMABRASION

Dermabrasion is a procedure that mechanically abrades the epidermis and the upper portion of the dermis. The epidermis is entirely obliterated and there is a partial removal of the dermis. Both coarse and fine wrinkling can be treated with dermabrasion. It is inexpensive and portable and produces less erythema than other techniques.

Key steps for the procedure are :

1. A dermabrasion patient may receive premedication or a regional nerve block.
2. The handheld dermabrader is motor driven and operates at 12000-15000 rpm. There is a wide variety of diamond-tipped burrs, differing in shapes, sizes, and coarseness.
3. Marking is done to delineate the wrinkles before the infiltration of anaesthesia and regions are treated according to anatomic subunits.
4. Providing treatment to the proper depth is important. After the epidermis is removed, the pink epidermal derma; the junction is encountered. fine punctuate bleeding indicates the level of the papillary dermis. At the papillary – reticular junction, bleeding is increased and the surface becomes rougher, indicating the endpoint of treatment for most patients.
5. The entire face is covered with gauze soaked in lidocaine with epinephrine to provide both anesthesia and hemostasis. Once bleeding is stopped, ointment is applied and covered with petroleum gauze.
6. Re-epithelialization is usually completed within seven to ten days.

COMPLICATIONS - include hyperpigmentation, hypertrophic scarring, and milia, although pigmentation changes are less of a problem. Undertreatment may lead to inadequate results whereas overtreatment may lead to hypopigmentation and scarring.

 4. LASERS - These are again revolutionary energy-emitting source which is a boon to cosmetic patients. The laser is an acronym for light amplification by stimulated emission of radiation. This is also known as laser abrasion or vapourization. The laser beam used removes the outer layer of the skin, heats the underlying dermis layer, and stimulates the growth of collagen fibers. The new skin formed is smoother and firmer, hence results in reduction of facial wrinkles, scars, and blemishes. The laser treatment works well to even out the skin tone, treat the brown spots, and enhance the overall skin brightness. The high energy light emitted is absorbed by the melanin, which treats the problem through destruction, or removing the brown spots. The popular lasers used are CO2, ERBIUM, FRAXEL, Q SWITCHED, etc.
Multiple sittings are required depending on the severity of the lesion.

You may not be a good candidate for laser skin resurfacing if :

1. Very dark skin
2. Deep wrinkles
3. Sagging skin
4. Active acne
5. Using Accutane in the last 18 months