Chemical peels have been used by Dermatologists (Medically qualified Skin Specialist) for over 6 decades. Chemical peeling continues to be the fold standard in cosmetic enhancement of facial skin, it’s a Dermatologists Art. It’s a day care procedure. Chemical peeling is a time honored method for rejuvenation.

Chemical peels work by microscopic removal of the topmost layers of skin. Chemical peeling is a technique used to improve the appearance of the skin. A chemical solution is applied to the skin which causes it to separate, peel off, and allows new skin to regenerate. The new skin is smoother and less wrinkled than the old skin, and may also be more even in color. As we age, the accumulated effects of sun exposure, pollutants, acne, and scarring can damaged our skin and cause us to look older than we are. Such skin damage can be treated with a chemical peel, a non-invasive procedure designed to promote cell growth and produce smoother, clearer skin.

The principle is to produce a controlled removal of the top layers of the skin with one more variety of acids (chemical peel agents) When the skin heals, the healing process is controlled and adjusted to produce the desired result such as restoration of sun-damaged, wrinkled, blemished, acne-scarred or blotchy skin to its original youthful appearance. The results are normally a smoother, more even toned textured skin. The skin will look younger, tighter and fresher than before although it cannot remove all facial flaws. Deeper lines, wrinkles and other flows may require additional treatments or techniques. (ex.Lasers, Dermabrasion).

The chemicals normally used for this are glycolic acid (GA) and salicylic acid (SA) for more superficial lines, blemishes, acne etc and trichloroacetic acid (TCA) or phenol in various concentrations for medium depth and deep peeling. The Dermatologist chooses the agent to be used and in what concentration it has to be applied the frequency of application and home care between the peels based on patients skin type, disorder being treated and patients ability to understand and follow instructions.

Given the nature of procedure, the patients often need multiple treatments on a weekly or monthly basis to reach a desired result.



Protects from skin damage caused by sun light and other environmental stresses.


It increases the ground substance of skin, which hold water, thereby it increases the skin ability to retain water, plumps the skin and makes it look shiny and healthy.


Keratolytic means, breaking of keratin (a tough fibrous protein that forms part of the skin structure), leading to shedding of old, wrinkled or scarred upper skin layer and revealing deeper, inner softer and lighter skin.


Salicylic acid is oil soluble and Lipophillic, it penetrates sebum filled follicles and cleans out clogged pores, resulting in marked improvement in acne prone skin. It is able to dissolve oil and hardened sebum (the secretion of glands on the face back, responsible for formation of blackheads and whiteheads) and deeply cleanses the pores. Salicylic acid peels are remarkable effective in preventing acne, drying up excess oil and in clearing up pustules. In acne, salicylic acid helps slow down shedding of the cells inside the follicles, preventing clogging Salicylic acid also helps to break the formed blackheads and whiteheads.


Anti-inflammatory refers to the ability of the peel to reduce inflammation, inflammation means pain, redness and swelling.


After sometime the peel neutralizes itself and the risk of excessive peeling is absent with salicylic acid peel.


The salicylic acid peel is mildly numbing when applied and hence causes less stinging sensation during the treatment.


Because of the increased epidermal skin turn over, it helps the body to shed the fungus, thus aiding in the body’s immune response.


Refers to shedding of the entire thickness of the peeled skin in certain areas of the face and happens in a small proportion of people who undergo peels resulting in an unsightly appearance that may last a few days to a week. Those who experience epidermolysis get good results at the end of the peel program, however it is not necessary for the success of the program.

Chemical peels can be used to :
  • Treat certain types of acne (pimples) and the marks left after pimples have healed.
  • Reduce fine lines under the eyes and around the mouth.
  • Treat wrinkles caused by sun damage, aging and hereditary factors.
  • Improve the appearance of mild scarring
  • Reduce age spots, freckles and dark patches due to pregnancy or taking birth control pills (melasma).
  • Improve the look and feel of skin that is dull in texture and color.

What peels cannot do:

  1. Chemical peels cannot always totally remove increased pigmentation, but can improve in significantly.
  2. Chemical peels cannot improve lax skin; removal of fine wrinkling may not make any difference if there is profound lax skin that needs face lift, dermabrasion, non ablative resurfacing, intense pulse light treatment, ablative or non ablative laser resurfacing.
  3. Chemical peels cannot improve deep scarring, dermabrasion, laser, punch grafting, punch elevation or excision of scars is much more effective. It cannot remove all facial flaws.
  4. They may not change pore size appreciable in all persons.

Depending upon the type of peel, there may be a mild to severe stinging sensation, or itchiness in the skin, which is the desired reaction expected after the application of chemical peel agents. Persistent redness may also occur and can last for about a week in a few people. There is nothing to be worried about as this will subside with time and medicines (if required). Transient hyperpigmentation and superficial crusting may be seen in areas of inflammatory acne. Outcome varies as each skin responds differently to each treatment.

The Dermatologist does the peel and gives detailed instruction to the patients on DO’s & DON’T’S before, in between and after the peels. The patients must follow the instructions for getting the benefit of the desired result.

In conclusion chemical peels are a safe method of resurfacing the skin Superficial peels are safe in virtually all skin types.


Scar treatment is done by Dermatologists. Acne scars may be cosmetically disfiguring and aesthetically unpleasant. They may lead to a loss of self-esteem, career options and other psychosocial sequelae. Acne scars may be broadly classified into 2 main groups:

  1. Acne scars involving tissue loss
  2. Acne scar involving tissue excess.

Usually the scars are atrophic or depressed. This means the scar base is below skin level. Due to the edges of the scar, the tissue in and around the scar is less pigmented and looks pale. In darker skinned individuals the acne scars are often associated with pigment spots.

Rolling scars, box scars, dystrophic scars, distensible retractile scars, non-distensible superficial. medium or deep scars can be ameliorated or even healed by using Derma roller. Regardless of the classification almost all types of acne scars can be successfully treated with a device called derma roller (except keloid scars).

The derma roller is a device, which has both cosmetic and medical applications. Its mechanism of action is through collagen induction in the deeper layers of the skin. Collagen is a fibrous protein found in deeper layer of skin, and contributes to the thickness and mechanical strength of the skin, it is more in youth, less in old age and reduced or lost in depressed scars. Percutaneous collagen induction is the process during which we initiate the physiological collagen production of the dermis (deeper layer of skin) without causing any permanent damage to the epidermis of the skin. The epidermis is the upper visible layer of the skin . The best way to achieve this is by using a derma roller (which contains 192 needles of 0.5mm length). This process has been formerly described as skin needling.Before the acne scar treatment with derma roller, 1 principle has to be followed- acne must be completely healed. The fine but extreme sharp surgical needles perforate the scar bed and scar edges.

After cleansing the area to be treated, local anesthetic is applied and left for 45min-1hour. Each skin part is dermarollered about 15-20times in order to achieve an intensive perforation, without any pain. This takes off the tissue tension and softens it. The needle only penetrates through the epidermis and does not remove it, so the epidermis is only pierced and will rapidly heal in a matter of hours, since the keratinocytes are highly elastic and flexible.. Keratinocytes are the cells that make up the epidermis. This procedure causes micro- bleeding which usually stops within a few minutes. This procedure also perforates and breaks down the fibrotic fibres that often connect the scar base to the deeper layers, keeping the skin tethered down. Soon after scar perforation new capillaries and fibroblasts migrate in the scar crater. Fibroblasts are the cells that produce collagen. This results in re-vascularization. and a normalization of the previously pale colored surrounding tissue. Revascularization means formation of new blood pipes in the skin. After several treatments the former ‘acne scar crater’ is filled with new collagen layers, this brings the previous depressed scar to normal skin level. Even the brown spots associated with acne to an extent are cleared.

The appearance of the face immediately after a derma roller session is pinkish to red. A special sticker type dressing that is skin colored is advised. Depending upon the skin type, the redness will disappear in 1-2 days. After 1-2 days patients can resume their work, following application of a camouflage cosmetic, if required. Follow up is required after 3weeks. Depending on the skin response to derma roller repeat treatments may be advised by the Dermatologist, taking into account the severity and depth of scarring.

Advantages of derma roller

- Complete preservation of epidermis during procedure

- No permanent damage to the skin, no pain during procedure

- No bleeding, infection, discoloration or other complications on the treated area (response varies with each individual)

- Only 24- 48hrs healing period , next day patient can go to work or study.( response varies in different individuals)

- Only 3- 5 days of protection from Ultraviolet light required

- Leads to softening of the scars

The derma rollers can not be used on pustular acne lesions, keloid acne scar tissues,Active herpes outbreaks or any acute infection or inflammation of the skin.

The derma roller is a breakthrough device, simple in concept but yielding gratifying results.


The 3 types of lasers currently in use in India for permanent hair reduction are Diode laser, Long Pulse Nd: YAG laser and Alexandrite laser. The general consensus on effectiveness and safety is veering in favor of the long pulse Nd: YAG laser. Intense pulse light and light heat energy systems are other devices in use.

Permanent hair reduction and not hair removal is the term used by Dermatologists. Every time a hair bearing area is treated, the early anagen hairs are targeted and destroyed.

Hair growth is cyclical, which means at any given time 85% of the hairs will be in the growing phase called anagen, and the rest will be in resting or telogen and shedding or catagen phases. Of the hairs that are growing, i.e. anagen hairs, 35% of the remaining hairs are eliminated. In this manner, with each treatment decreasing numbers of hairs are permanently lost. There comes a time when no more hairs can be eliminated. The number of treatments required to reach this is between 3 and 10 sessions at 6 weekly intervals on the face and at longer intervals elsewhere on the body. The average number of sessions on the face is 6 and body is 4.

What can be reasonably expected at the end of all the sessions is s 75 to 85% elimination of all the hairs and conversion of the others to fine, barely visible hairs. No amount of lasing will render the skin smooth as an egg. It needs to be borne in mind that all women, however apparently hairless, do have some fine hairs when closely observed. This is the physiological state to which permanent hair reduction can render a woman who is obviously hairy to begin with.

It is illegal for personnel other than trained doctors to handle lasers of any kind in most countries. Regulations have not kept pace with technological progress in medicine in India and many commercial enterprises do permit technicians to handle lasers and administer treatments to patients.

A fraction of women who seek laser hair reduction need a hormonal evaluation and, if any abnormality is detected, proper medication is advised. Carrying out laser hair reduction in the face of undiagnosed and untreated abnormalities is like lifting water with a sieve. Hence, the interests of the patient undergoing permanent laser hair reduction are best served in a set up with endocrinology and dermatology services.

Elderly women who have 5 to 10 thick hairs growing on the chin can simply tweeze it away and girls in their early teens are advised to wait for a few years till about 17 or 18 years of age before laser hair reduction is advised, as they are likely to improve spontaneously.

Certain common skin diseases that a person may have are known to involve the lasered area after 2 to 4 weeks; hence a focused dermatological examination must precede a permanent laser hair reduction procedure.


Microdermabrasion is used to treat enlarged pores. hyperpigmentation. superficial creases, mild non-inflammatory acne scarring, sun damaged skin, dull and blemished skin, face and body peeling.

Aluminium Oxide Crystal microdermabrasion was developed by Marini and Lo Brutto in Italy in 1985. They reported improvement as seen by the naked eye as well as under the microscope in the treated skin. It is also called the French peel for having been popularized there. It was later introduced into U.S.A. where it received great publicity about its benefits in improving skin appearance despite the lack of scientific studies from university and teaching centres were published. As it is not life saving device, the U.S. food and drug administration has classified the microdermabrader as a type – 1 device.

During Microdermabrasion, aluminium oxide crystals are blown into the skin through a sterile tipped tube at half to one atmosphere, pressure and vacuumed out under the same pressure through an adjoining aperture. The crystals remove a very superficial layer of the upper half of the skin called epidermis. The broken epidermal cells liberate cytokines that enter the dermis and thereby stimulate the fiver producing cells called fibrocytes in the deeper dermis where the scars are located to deposit elastin and collagen fibers and fill out the scars. This is an out patient training, and is best done by trained dermatologists. Each session lasts from 5 to 15 minutes, and one can go back to work after the treatment session Improvement is apparent after each treatment and one can choose to stop at any time. Protective adjunctive and acne preventing medications are prescribed for the duration of the treatment and for a few weeks thereafter. This procedure serves best those with shallow scars and post acne discoloration.

Its major advantage is that it can be safely done in all skin types and on any area of skin that is exposed to sun and environment. The common sites microdermabraded include the face, neck, upper chest and hands.

Microdermabrasion is not done in those with, bacterial or viral infections of skin, tendency for forming thick scars, severe and active pimples, any facial surgery in the preceding 2 months.

Scarring following microdermabrasion has not been reported.


Tattoos are no longer forever

Decorative tattooing in humans can be traced back thousands of years. So can the desire to remove them. Today, while nearly 10% of adults in the United States have tattoos, more than half regret them, and would like to have them eliminated. What looks good at 18 may seem undesirable 20 years later. Viewed by teenagers as self –expression and identity, tattoos may create barriers to employment and social acceptance at a more mature age. In addition, as their colors fade and skin loses its youthful elasticity, tattoos may become defacements rather than decorations.

Q- Switched lasers now provide a safe and effective way of removing tattoos. Eliminating tattoos, this laser treatment leaves natural- looking skin

How does the Q-Switched laser work?

The Q –Switched Nd:YAG Iaser delivers light quickly –in billionths of a second- and at very high energy. These pulses are absorbed by the tattoo, breaking it into pigment particles small enough for removal by the body.

Is it safe?

Q –Switched laser technology offers high efficiency at very low risk. It enables effective tattoo removal with little chance of side effects.Q –Switched laser technology offers high efficiency at very low risk. It enables effective tattoo removal with little chance of side effects.

What kind of tattoos can be treated?

Q-Switched laser system can now remove all types od tattoos with little or no scarring .Professional and amateur tattoos, as well as traumatic tattoos, resulting from accidents, are treated successfully. The Q Switched laser can also remove cosmetic tattoos, such as eye or lip liner.

Can the Q-switched laser remove all color tattoos?

The Q –Switched Nd: YAG laser is the work horse of tattoo removal. The Q- Switched Nd: YAG laser is especially suited to the removal of dark blue and black inks. The frequency doubled Q- Switched Nd: YAG laser is used to remove red and orange tattoos.

Treatment –what to expect?

While pain tolerance is an individual matter, most people tolerate Q-Switched tattoo treatment well, and describe the sensation as a rubber band snap to the skin. The majority of patients require no anesthesia, through topical anesthetic is an option for sensitive areas.

In determining the number of treatments necessary, the physician will consider such factors such as tattoo location, and patient’s age and the skin type.

The Q-Switched Laser Advantage

Tattoo removal methods have existed just as long as the process itself. However, the scarring and pain associated with these procedures is often more offensive than the tattoo itself. Dermabrasion- the “sanding” of the pigmented skin cause trauma, bleeding and significant scarring. Invasive incisions- the actual cutting out of tattoos leaves scars and is suitable for small areas. For larger tattoos, skin grafting which leaves scars at sites of both graft and tattoo, is necessary.

Q-Switched Nd:YAG lasers offer significant advantages over previous methods for tattoo removal, and are presently the treatment of choice for tattoo removal.


As we age. Our skin reflects damage from the sun, the elements and the wear –and-tear of the daily life. In response, we often seek aesthetic procedures to restore a fresh and youthful appearance. Photo rejuvenation- one of the most popular cosmetic procedures today- provides the ideal answer. Removing age spots (sun- induced freckles), most brown pigmentation and redness due to broken capillaries, these treatments helps “turn back the clock’ and with no downtime, AFT technology is ideally suited for today’s active lifestyles.

In addition to these signs of photo damage and early aging, AFT rejuvenation improves dull complexions, uneven pigmentation and large pores, as well as red flushing skin and rosacea.

How does AFT pulsed light technology work?

AFT pulsed light is applied in a series of gentle pulses over the treatment area. Without damaging the skin, the light penetrates the sub- surface skin layers and is absorbed by the blood vessels or by pigmentations. The heat impairs the vessel or lesion, and the body begins its natural healing process.

Is it safe?

AFT s Pulsed lights gentle energy parameters assure safe, effective treatment. Uniquely shaped AFT pulses precisely heat their intended targets, causing remarkably little or no skin damage or discomfort .clinical trials conducted by leading authorities on pulsed light documents its safely effectiveness.

Does it hurt?

While pain tolerance is an individual matter, most people tolerate AFT pulsed light treatment well, and describe the sensation as a rubber band snap to the skin.

Treatment- What to expect?

AFT photo rejuvenation treatments range from 15 to 30 minutes. First, the treated area is cleansed and a cool gel is applied. The light pulse is then delivered, with little or no discomfort. After treatment, the gel is removed and the skin is cleansed. You can resume all regular activities immediately.

How many treatments are necessary?

Treatment generally involves a series of five sessions. While some patients see significant improvement in two or three treatments, other may require more. To maintain results, patients may opt for follow- up treatments.

The AFT pulsed light advantage

Delivering gentle, subtle improvement. AFT pulsed light gives you skin a younger appearance, your skin will appear naturally even –toned and healthy, without the artificial look of other cosmetic treatments.

Unlike deep laser resurfacing and chemical peels, AFT pulsed light is not an accompanied by an extended period of redness and swelling, nor does it involve ablation of the upper layer of skin. Microdermabrasion has limited utility, it is ineffective in countering redness, flushing and broken capillaries.

Rewards of skin rejuvenation

  • Remove most brown and red pigmentation
  • Improves dull complexions, large pores, red flushing skin and rosacea
  • Gives skin a smoother, more even-toned look
  • Little or no discomfort
  • No downtime

To learn how this treatment can specifically help you, consult with your physician.


Destroying acne at its source

Acne, a widespread and socially frustrating condition, is estimated to affect close to ten percent of population. While not life-threatening, acne can cause long –term physical and emotional scarring. According for more than a third of all dermatologist visits each year, acne is believed to be caused by a mix of genetic, hormonal and environmental factors. Current treatment options have, for many patients, been ineffective and accompanied by negative side effects. High costs and long required treatment period also make many medications an unsatisfactory solution.

Now, armed with AFT pulsed light technology, physicians can effectively clear moderate inflammatory acne within one month. AFT pulsed light yields quick, impressive results wit out side effects, pain or photosensitivity.

Who can be treated?

Healthy adults and teenagers can undergo AFT pulsed light acne treatment. If you suffer from a specific illness or take medication on a regular basis, please notify your physician.

What to expect?

AFT pulsed light acne treatment is non-invasive and painless. A full –face session takes about 15-20 minutes, while a chest or back may take some what longer. After treatment, patients immediately resume regular activities, an all- important feature for active teens and young adults. After your course of treatment, you may notice improvement not only in your inflamed acne, but in scarred areas as well.

Is it safe?

The parameters of AFT pulsed light are specially designed to match your skin type, assuring exceptionally exact and gentle treatment. Clinical trials conducted by leading authorities on pulsed light document its safety and effectiveness.

Does it hurt?

While pain tolerance is an individual matter, most people tolerate AFT pulsed light treatment well, and described the sensation as a rubber band snap to the skin.

How does AFT pulsed light technology work?

High – intensity AFT pulsed light permeates the tissue, reaching and precisely targeting the acne- causing bacteria. AS the intense light penetrates the tissue, it sets off a chemical reaction in which endogenic porphyrins, ring –like molecules found in all living organisms, increase, attack and destroys the bacteria, stopping acne at its source. The result: extensive acne clearance in several sessions.

The AFT pulsed light advantage

Common acne management approaches are problematic .At best inconsistent, at worst harmful, conventional methods do not satisfactorily solve this widespread problem.

Topical applications ,like ointment and creams , are popular for treating acne, but may irritate the skin, and do not actually reduce acne bacteria. While antibiotics may be effective in some cases, they often required long –time use, and are not recommended unless necessary. Some acne drugs have been linked with potentially serious side effects.

Effective and comfortable, AFT pulsed light work quickly and thoroughly to kill acne bacteria. Destroying bacteria faster than they proliferate, AFT pulsed light counters acne or better than any conventional method .With no side effects or down time, it also eliminates method. With no side effects or down time, it also eliminates the issue of patient compliance.

To learn how this treatment can specifically help you, consult with your physician.

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