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Category : All ; Cycle : July 2022
Medical Articles
Jul26
Dr. Prashant Jain provides the Treatment for Anorectal Malformation in India
Imperforate Anus/Absent Anal Opening Treatment Delhi, India
Imperforate anus or absent anal opening, also called anorectal malformation, is a birth defect that happens during the development of baby in early in pregnancy, when the baby is still developing. In this defect, the baby’s anal opening (where stool exits) and the rectum (the last part of the large intestine), do not develop properly, preventing the child from to pass stool.

The condition affects one in 5,000 babies, and it is slightly more common in males than in females. In a baby with anorectal malformation, any of the following can happen:

The anal opening is too small or in the incorrect location
The anal opening is absent and the rectum enters other parts like urethra, the bladder, vestibule or vagina, which can lead to infections and bowel obstruction.
The anal opening may be absent and the rectum, reproductive system, and urologic system form a single common opening called a cloaca, where both urine and stool are passed.
At birth, doctors check the position and size of anal opening. New-borns pass their first stool within 48 hours of birth, so internal malformations are detected quickly. If an issue is found, we do a number of tests to better understand the problems and develop a long-term plan for the best outcome. This problem can be associated with other malformations. Various tests which are performed include:

X-rays of the abdomen to show how far the rectum reaches, and to see if there are any problems with the way the lower backbone has developed.
Abdominal ultrasound to find any problems in kidney.
Spinal ultrasound or MRI to look at the spine for a tethered spinal cord, which can cause neurological problems, such as incontinence and leg weakness as the child grows.
Echocardiogram to find heart defects.
These malformations will always require surgical repair by pediatric surgeon in single or multiple stage, but the exact procedure will depend on the type and severity of the defect, any associated health conditions, and the child’s overall health. Depending on the type and severity these babies may require a stoma formation (a temporary diversion of stools from abdominal wall).

Even though corrective surgery may restore some function, important nerves and muscles that tell your child when the rectum is full of stool and help keep the contents inside may be missing or damaged, so we start a bowel management program when they reach toilet-training to help them become clean.


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Jul26
Dr. Prashant Jain Provides The Treatment For Thoracoscopic Surgery In Children
Thoracoscopic Surgery For Children
Thoracosopic surgery, is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various chest conditions. Thoracoscopy is now very frequently used for various simple and complex surgical chest conditions. Since a Minimally Invasive Surgery can be done with small incisions, this avoids injury to chest wall muscles and nerves. On the contrary, large incisions as used in open surgery are painful and can cause chest wall deformity in long run. Minimally Invasive Surgery have shown great results, with lesser pain, reduced hospitalization, lesser complications and a better cosmetic result as compared to traditional thoracotomy. However, Thoracotomy will still be needed in some select cases. Dr. Prashant Jain, is one of the best paediatric surgeon in Delhi (India), who has achieved excellent results in the removal of chest tumors through minimally invasive surgery. Following are some other procedures that he performs:

Excision of mediastinal tumors: Thoracoscopy has been found to be very useful in excision of mediastinal tumors/ masses like neuroblastoma, thymoma, teratoma etc. The advantage of thoracoscopy is it gives excellent magnified vision which helps in complete excion without damaging adjacent vital structures.
Excision of Mediastinal cysts: Various mediastinal and lung cysts can be safely removed in newborns, infants and pediatric patients with excellent results. This include bronchogenic cyst, enteric duplication cyst, thymic cyst, hydatid cyst etc. Some of these cyst are diagnosed during antenatal period.
Lung Malformations: Thoracoscopy excision of lung malformation involves CCAM, CLE and lung sequestration.
Empyema: Empyema is an infection due to pus formation in the chest cavity or the pleural space. Children with empyema requires treatment with antibiotics, thoracostomy and thoracoscpic decprtication. For thoracoscopic decortication, three to four small incisions (3-5mm) are made to access the pleural space. Following which, the pleural space is cleansed off all debris and infected material, using a camera to see inside. Thus making the lung re-expand. Thoracoscopy addresses the symptoms and aids in a faster recovery, thereby reducing the patient’s stay in the hospital, especially when it is done in the initial stages of the illness.
Lung Biopsy: Lung Biopsy is carried out for children with chronic lung conditions, which may be difficult to diagnose, even after numerous tests. The Lung Biopsy is done using three small incisions, through which, the targeted area of the lung is biopsied. Diagnosis is achieved in almost 95% of the biopsies. It eliminates the requirement a large incision and its associated complications, while providing the same amount of tissue for analysis, as that of thoracotomy. Due to limited post-operative pain, and discomfort which does not compromise respiration, this procedure is well tolerated, even in children with advanced lung disease.
Spontaneous Pneumothorax: Pneumothorax is a life-threatening condition in which the lung collapses. Teenagers progressing through their adolescent growth spurt and children with underlying lung diseases, like apical cysts or cystic fibrosis are more prone to pneumothorax. The lungs need to be re-expanded to allow healing and removal of symptoms. Thoracoscopy is recommended for children with a recurring pneumothorax. The apical cysts (if present) are removed with an endoscopic stapling device. To carry out this procedure, three small incisions of 5mm – 12mm are made. To avoid air leaks in the future, the pleural cavity lining is abraided so that the lung adheres to the chest wall.


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Jul19
Undescended Testis In Children, Treatment of an Undescended Testicle In Delhi, India by Dr. Prashant Jain
What is an Undescended Testis?
An undescended testis is a defect that happens before birth when a testicle has still not moved to its correct position, which is the scrotum or the bag of skin hanging below the penis.
This condition usually affects one testicle, but, in a few cases, the condition may effect both testicles, thereby keeping them undescended.
An undescended testis is commonly seen in premature male child.
In most cases, Undescended testis gets rectified on its own, as the undescended testis moves to its appropriate position within the first few months of life.
However, if this condition is not corrected on its own till 6 months of age, then a surgery is required to move the testicle in to its correct position.

What are the signs or symptoms of an Undescended Testicle
If you cannot see or feel a testicle in the baby’s scrotum, then this may be due to an undescended testicle.
When the foetus is still developing, testicles are formed inside the abdomen.
In normal development of the foetus, the testicles descend from the abdomen, into the scrotum, through the tube-like passage, into the groin (inguinal canal).
The above process, happens in the last couple of months of normal foetal development. When this process is halted or delayed, it leads to the condition called Cryptochordism or Undescended Testicle.

When should you consult a doctor an undescended testicle ?
An undescended testicle gets identified in the post birth examination of the baby boy.
If this happens, the baby boy will need to be examined regularly, and you should check with your doctor on the frequency of the baby boy’s examination.
It is often noticed, that if the testis has not moved to the scrotum within 6 months, chances are, the condition may not get rectified on its own.
Getting the baby boy treated for undescended testicle may lower the risk of complications in the future, like testicular cancer and infertility.
Some boys may have been born with normal testicles at birth, but the same might appear missing later. This may happen due to the following reasons:

Retractile Testicle – In this, the testicle moves back and forth, between the scrotum and groin. This may happen due to a muscle reflex in the scrotum, and may be easily guided into the scrotum with the hand, during the physical examination.
Ascending testicle – In this condition, the testicle moves back to the groin and cannot be guided back to the scrotum with the hand. This is also called acquired undescended testicle.
The corrective surgery is orchidopexy means fixing the testis in scrotum. The testis lying inside the abdomen needs laparoscopic orchidopexy.
It is best to speak to your paediatrician or doctor if you see any changes in your son’s genitals or are concerned about his developments.
To book an appointment with Dr. Prashant Jain, the best paediatric surgeon in Delhi, Call (+91) 8766350320.

Risk factors of Undescended Testicles
Factors that might increase the chances of having an undescended testicle are:

Premature birth of the baby boy
Low birth weight of the infant
Complications associated with Undescended Testicles
Testicles need to be cooler than the normal body temperature, so they can develop and function normally. This environment is provided by the scrotum. In case of an incorrect placement of the testicle, following are the complications that may arise:

Testicular Cancer – develops in the cells of the testicles that produce immature sperms. Men with undescended testicles are at a higher risk of having testicular cancer. This risk increases if the testis is located in the abdomen instead of the groin, and when both testicles are affected. While the cause of cells developing into testicular cancer is still unknown, surgical correction may reduce the chances but does not eliminate the risk completely.
Fertility problems – Men with undescended testicles may develop low sperm count, poor quality sperm and reduced fertility the condition is ignored or left untreated for a long time.
Other complications associated with Undescended testicles are:
Testicular Torsion – This condition is painful as it cuts off the blood supply to the testicle. This happens when the spermatic chord, which contains blood vessels, nerves and the tube which carries semen, gets twisted. If left untreated, it may result in the loss of the testicle. Men with Undescended Testicles are ten time more prone to testicular torsion than the ones with normal testicles.
Inguinal Hernia – Happens when a part of the intestine pushes into the groin, if the opening between the abdomen and the inguinal canal is too loose.
Trauma – The testicle may be prone to damage from the pressure against the pubic bone, if it is located in the groin.
To know more or to book an appointment with Dr. Prashant Jain, the best paediatric surgeon in India, Call (+91) 8766350320.

Diagnosis of Undescended Testicle
Doctors may recommend the following types of surgery for the diagnosis and treatment in case of an undescended testicle.

Laparoscopy – Laparoscopy helps find out an intra-abdominal testicle. A small incision is made in the abdomen, post which, a small tube containing a camera is inserted.
In some cases, an additional surgery may be needed if the doctor cannot rectify the testicle’s
position during laparoscopy.
In case laparoscopy shows the absence of a testicle or a small remnant of the testicular tissue, then the same is removed.
Open surgery – This type of a surgery, requires a slightly bigger incision when testis is lying in groin.
Post the birth of a boy, if the doctor notices that the boy’s testicles are missing in the scrotum, he may do a few tests to see if the testicles are undescended or are absent.
If left untreated or undiagnosed, absence of testicles may cause serious medical problems post birth.
It is not recommended to go for an ultrasound or an MRI for the diagnosis of an Undescended Testicle.
Treatment of an Undescended Testicle
Treatment helps in moving the undescended testicle in to it’s appropriate position in the scrotum.
It is recommended that surgical intervention happens before 18 months of the child’s age. Earlier the treatment happens, better it may be, as treating the infant before one year, may reduce complications.
Following are the different treatment for Cryptochordism or Undescended Testicle:
Surgery
The process of the surgeon, moving the testicle back into the Scrotum and stitching it to place, is called Orchiopexy. Laparoscopy or surgery is used to carry out this process.
A number of factor’s, such as, the infant’s health or the level of the surgery’s complication, may determine how soon the surgery or correction of the undescended testicle can be carried out.
The surgery may be recommended when the child is between 6-12 months old. Early surgery reduces the risk of complications in the future.
The surgeon removes the tissue, in case he sees that the tissue has not developed properly or is an abnormal or a dead tissue.
The surgery also repairs an Inguinal Hernia that may occur due to the Undescended Testicle.
Post surgery, the testicles are regularly monitored to confirm if it is staying in place and is developing properly. This is done through physical exams, Ultrasound examination of the scrotum and by testing of hormonal levels.

Other Treatments
Saline Testicular Prosthesis treatment, which gives the scrotum a normal appearance, may be considered, if one or both testicles are missing or did not survive post surgery.
An Endocrinologist or a hormone specialist may be referred if the child does not have even one testicle which is healthy.
Endocrinologist helps with future hormone treatments that are necessary to bring about puberty and physical maturity.
Results
Orchiopexy, mostly has a 100% success rate. Post surgery, the fertility for males with Undescended Testicle is nearly normal, however, for males with two Undescended Testicles, the chances are 65%.
While surgery might reduce the risk of testicular cancer, it still does not eliminate it.

Lifestyle changes and remedies at home for Undescended Testicles:
It is important to ensure that the testicles are developing normally, even after the child’s surgery. Being aware of the development of your son’s body and checking the position of his testicles regularly, helps him in the long run. This can be done while changing the diaper or while bathing him.
Talk to your son about the physical changes that are about to happen, when he reaches puberty.
Teach and encourage him to check his testicles regularly, as self-examination can help with the early detection of tumors.
How to cope with and support your son with Undescended Testicle Your son may be uneasy or sensitive about looking different, especially if he has to change his clothes in front of his friends or classmates, in a sports or in a school drama changing room. Guide him with the following tips, to help him deal with anxiety

Practice him to come up with a response if he is asked or teased about his condition
Let your son know that he is healthy, even if one or both the testicles are missing, and that there are two testicles in the scrotum
Teach your son to use the right words when he is talking about testicles or scrotum
To make the condition less noticeable, let your son wear loose-fitted swimming trunks or boxer shorts, so he is comfortable while changing clothes in front of others
Be watchful or aware of any behavioural changes, like not enjoying the sports or activities he he earlier used to
Speak to him about testicular prosthesis and discuss if it is a good option for him
What to ask your doctor if your son has undescended testicles
An undescended testicle is a birth defect, and is identified in the post birth examination. This condition is monitored through regular examination of your infant. Here are a few questions that you can ask your family doctor or your paediatrician:

What are the different tests that my son will need to undergo?
Which option would you recommend as a treatment?
Can you recommend a specialist, to whom i can show my son’s condition.
to build my knowledge about my son’s condition, can you recommend a few websites or give me some brochures that i can read at home
How frequent should my son’s appointments be?
To monitor any changes in the undescended testicle, how can i examine the scrotum at home?


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Jul19
Choledochal Cyst In Children, Treatment of Choledochal Cysts with Minimally Invasive Surgery Done by Dr. prashant Jain
What is Choledochal Cyst ?
Choledochal cyst is a birth defect, characterized by the swelling or cystic transformation of the bile duct.
The liver produces bile to digest food. Bile duct helps in transporting bile from the liver to the gall bladder and small intestines.
In case of a choledochal cyst, due to the obstruction of drainage, passage of the bile is hampered, thereby causing pain, indigestion, jaundice. Child can repeated episodes of infection in bile duct characterised by fever, pain and jaundice. Early treatment of this condition, may reduce the risk of liver cirrhosis and bile duct cancer in adulthood.
Choledochal cyst is a rare condition, as it’s presence is seen in only 1 out of 1,00,000-1,50,000 children in the western countries. Girls are 4 times more prone to it than boys.

Symptoms of Choledochal Cyst:
Even though Choledochal cyst is a birth defect, it’s symptoms may appear in infancy or in older children. Condition may be diagnosed on antenatal scan.

Pain sensation in upper right portion of the stomach or belly
Abdominal mass
Fever
Jaundice
Nausea and Vomiting

Causes of Choledochal Cyst:
Experts are of the view, that choledochal cysts occur when the junction between the bile duct and pancreatic duct is not normal.

Bile duct carries bile from the liver, to the duodenum which is the first part of the small intestine. Before joining duodenum it joins pancreatic duct. In case of an abnormality, pancreatic juice may flow backwards, into the bile duct, thereby causing the formation of cysts. Also obstruction at lower end of bile duct can cause this problem.

The different types of Choledochal Cyst and their locations:
Choledochal cysts can be intrahepatic, where it occurs in the bile duct inside the liver, or can be extrahepatic (outside the liver).

Following are the 4 different types of Choledochal cysts that are identified by their location

Type 1 Choledocal Cyst – This accounts for upto 90% of all choledochal cysts. It is the cyst of the extrahepatic bile duct.
Type 2 Choledochal Cyst – This occurs as an abnormal pouch or a sac opening from the duct
Type 3 Choledocal Cyst – This cyst is found inside the wall of the duodenum
Type 4 Choledocal Cyst – These are cysts that are present on both intrahepatic and extrahepatic bile ducts.
Ultrasound and MRI are required to confirm the diagnosis.

Treatment of Choledochal Cysts with Minimally Invasive Surgery.
The treatment of choledochal cyst is surgical. It requires excision of cyst and joining the small intestine (duodenum or jejunum) with remaining bile duct.
"Less pain, less scarring and faster recovery are some of the benefits of a Minimally Invasive Surgery (MIS)" – Says Dr. Prashant Jain, the best paediatric surgeon in India.
Minimally Invasive Surgery is done through a small incision, using miniaturized surgical tools and cameras or telescopes.
Laparoscopic Surgery is a popular form of Minimally Invasive Surgery (MIS) for the removal of Choledochal Cyst. In this, the surgeon uses small instruments, which are guided by a small telescope.
The surgery is performed by the surgeon who manipulates the instruments while watching them on a video screen.


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Jul18
Fractional Laser Resurfacing Treatment Done by Dr. Megha Modi
Fractional Laser Resurfacing

What is fractional resurfacing?
Fractional resurfacing is an advanced technology in which only a small fraction of the skin receives the laser light. The laser delivers a series of high precision microbeams that create narrow, deep columns of tissue penetration well below the epidermis (skin surface) and into the dermis, while preserving the surrounding healthy tissue from damage. This “fractional” treatment allows the skin to heal much faster than if the entire area were treated at once, using the body’s natural healing process to create new, healthy skin cells.

What conditions does fractional resurfacing treat?
Fractional resurfacing is very effective on fine lines and wrinkles (including around the eyes), age or sun spots, acne scars, surgical scars and sun damage.

What is the recovery time?
The healthy cells in unlasered areas promote rapid healing of the entire treatment area, resulting in faster recovery time and minimal side effects. The result is softer, smoother and healthier skin without a prolonged healing period.


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Jul12
Hernia Surgery for Child in Delhi, Hydrocele Surgery for Child in Delhi - Pedsurgerydelhi
Hernia and Hydrocele
How to differentiate between Inguinal hernia and hydrocele?
Inguinal hernia is usually a reducible swelling with cry/cough impulse while a hydrocele is a tense cystic, clinically irreducible swelling without any impulse. Transillumination test is not reliable as can be present in both the cases.

Why hydrocele is irreducible swelling?
The pathogenesis of both hernia and hydrocele is same that is persistence of processus vaginalis.

The neck of hydrocele is very narrow and so even if you try to compress the swelling, the fluid from processus vaginalis will not go into the abdominal cavity. The parents will give a characteristic history of swelling being less during morning and then gradually starts increasing in size. While the opening of hernia sac is large enough to allow the free reduction of contents.

For how long one can safely wait in hydrocele?
The hydrocele which are constant in size through out the day time are usually scrotal type hydrocele and are seen in newborns. They are called as non- communicating hydroceles. It is this type of non -communicating hydrocele which tends to resolve spontaneously.

The hydrocele in which parents gives the history of increase and decrease in the size of swelling are called as communicating hydrocele and will require surgery.

The condition can be safely observed till 18mths to 2 years of age as it is harmless. But one should be sure that they are not associated with hernia.

When one should advice for hernia surgery?
Inguinal hernias never go away without surgery. This is a condition in which surgery is advised to be done as early as possible as the risk of hernia getting incarcerated is as high as 30 to 40%. If not tackled in time it can lead to major complications of gut and testis necrosis. Also emergency anesthesia may further increase the risk for the child.

How safe is inguinal hernia surgery in newborns and infants?
Like any other surgery anesthesia have its own risks. As the risk of hernia incarceration is very high especially in newborns, waiting for hernia repair is not a good option once a diagnosis of hernia is made.

The commonest problem of hernia surgery in newborns is postoperative apnea. To minimise this it is usual practice to perform surgery once the child is more than 49 wks of gestational age or weighing more than 2.2 kg. After surgery these patients needs to be monitored in hospital for 24 hrs for risk of postoperative apnea.

What is the surgical procedure done for hernia and hydrocoel?
The surgery in both the conditions is same that is the ligation of patent processus vaginalis called as “HERNIOTOMY”.

Are there any indications for performing bilateral repair in case of a unilateral inguinal hernia?
The risk of hernia manifesting on the contralateral side after unilateral repair is just 10 %. Although the patent processus vaginalis may be present in higher number of cases but it may not manifest as hernia later on. So as per present recommendations bilateral hernia repair is not routinely done in cases of a unilateral inguinal hernia.


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Jul12
Dr. Prashant Jain Provides the Treatment for Vesicoureteral Reflux Surgery Child in Delhi
Vesicoureteric Reflux
Vesicoureteral Reflux Causes, Symptoms And Treatments
Kidneys are important organ for urine formation. Normally, urine flows into the bladder through ureters. However, in some children, urine from the bladder flows back through the ureters. This condition is known as Vesicouretral reflux (VUR) and is common in infants and children. It can be unilateral or bilateral. This could cause infections and damage your kidneys. VUR affects about 10% of children. Although most can grow out of this condition, people who have severe cases may need surgery to protect their kidneys.

This condition should not be ignored as it damages the function of kidneys and can lead to high blood pressure later in life. The risk of kidney damage is greatest during the first 6 years of life.

Causes of VUR:
A flap valve is located where the ureter joins with the bladder. Usually, the valve allows only a one-way flow of urine from the ureters to the bladder. Sometımes, a defective flap valve allows urine to flow backward. This can affect one or both ureters. This is called “primary vesicoureteral reflux.”

Sometimes VUR can be because of blockage at the bladder outlet(Posterior urethral valve or abnormality of the bladder functions (Neurogenic bladder) that can causes urine to push back into the ureters.

This back flow of urine is responsible for recurrent urinary tract infections and damage of kidney (Renal scarring).

Symptoms:
Urinary tract infection is one of the commonest presentation seen in children younger than the age of 5.

Common symptoms are:

Foul smelling or cloudy urine
Fever
Burning or pain while urinating
Frequency and urgency of urine
Vomiting

Infants may have following symptoms.

Diarrhoea.
Poor feeding.
Fever
Increased irritability
Also ultrasound scan done during pregnancy showing swelling in kidneys can be because of VUR.

Diagnosis Of VUR:
VUR can often be suspected by ultrasound before a child is born or if child has urinary tract infection. Ultrasound may show dilatation of drainage system of kidney (Pelvi-calyceal system and ureter) called as hydronephrosis, but this does not prove that reflux is present.

VUR is diagnosed using an X-ray of the bladder known as voiding cystourethrogram (VCUG). In this procedure, a thin, soft tube (catheter) is placed in the bladder through the urethra. Dye is then introduced into the bladder through the tube. X-ray pictures are taken to see if the dye flows back into the ureters. Based upon the severity, VUR is categorized into five grades. Milder grade of VUR does not require any treatment. All infants with urinary tract infection and other older children with frequent urinary tract infections with or without hydronephrosis should a be considered for VCUG test.

Treatment Options For Management Of VUR:
There are 3 main options for managing or treating VUR. One should understand the risks, benefits, and follow-up of each treatment.

Antibiotic: It is used to prevent infections until VUR goes away by itself. This treatment may take several years, and children must take medication every day. These children need to be reassessed for VUR and renal damage on regular basis. However, long term treatment with antibiotics may cause the bacteria to become resistant, increasing the risks of recurrent infections.

Surgery: This type of treatment cures most children. Surgery is good option for high grade reflux. This can be performed by open or laparoscopic technique.

Endoscopic treatment (Deflux Injection): In this day care procedure, the medication is injected where the ureter joins the bladder. Deflux is a safe and effective treatment for VUR. A gel is introduced into the body where the ureters meet the bladder. This procedure is performed as a day care procedure. Deflux gel is placed at the spot where the ureters connect to the bladder with the help of a small camera called a cystoscope (a type of endoscope used to view the bladder). Eventually, new tissue grows around the gel, preventing the reflux of urine. Usually, there will be no pain after the procedure. Deflux is used for the treatment of all grades of VUR in children. Many children have success after one injection; while some may need more injection procedures. However lower the grade of VUR, the better it works. Also, the procedure works better for children who have reflux in only one ureter.


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Jul11
Tattoo Removal in Dwarka by Dr. Navjot Singh Arora
Tattoo/Birthmark Removal
A tattoo design is formed by injecting ink and pigments into the dermis of skin through pricking method.

Though the idea of getting inked sounds fun, it happens quite often that people regret the choice of a permanent tattoo.

The good news is that it is now possible to remove the permanent tattoo fully/partially by latest treatment options.

Treatment Available
At Dermaheal Skin and Hair Clinic, permanent tattoo removal is done by most advanced Q- SWITCHED Nd : YAG LASER which is safe as well as effective. This laser is also used to reduce the appearance of:
Post inflammatory hyperpigmentation
Freckles and Lentigenes removal
Nevus of ota
Pigmentary Demarcation Lines
Birthmark

About The Procedure
Before beginning the treatment, numbing cream is applied to make the procedure more comfortable for the patient.
Laser is guided over the selected area of the tattoo that emits pulses of light energy which is absorbed by the pigments, heating and breaking them into smaller fragments. These particles are absorbed by our immune system which are then excreted through the lymphatic system. As these fragments are recognized as foreign substance/waste by our body, they are discarded by natural means of excretion (urine, sweat and fecal matter).
Number of sessions required depends on the shape, size and area of the tattoo. However usually minimum of 3-4 sessions are needed to visualize the difference in results.
The interval between each session ranges from 3-5 weeks.
Mild swelling and redness may occur post procedure, for which topical medications are prescribed.
One can expect a significant reduction in the appearance of tattoo following the sequential sessions.

At Dermaheal Skin and Hair Clinic
Get your permanent tattoo removed with advanced technology and at an affordable price.
To enquire in detail about laser tattoo removal and other cosmetic treatments best suited for your individual needs, schedule an appointment with our trusted and experienced dermatologist Dr. Navjot Singh Arora at Dermaheal Skin and Hair Clinic, Dwarka Sector 7, Delhi.


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Jul11
Tattoo Removal In Vasundhara | Tattoo Removal In Indirapuram | Tattoo Removal In Vaishali - Twachaaclinic
Q-Switch for Tattoo/ Nevus Removal

Extremely short pulse, Q-switched (QS) laser systems can successfully lighten or eradicate a variety of pigmented lesions. Pigmented lesions that are treatable include freckles and birthmarks including some congenital melanocytic naevi, naevi of Ota/Ito and Becker naevi. The QS laser systems can also selectively destroy tattoo pigment without causing much damage to the surrounding skin. The altered pigment is then removed from the skin by scavenging white blood cell.

How will my skin react to the treatment?
During treatment the tattoo will appear to have a white surface layer which is the first initial sign that the process is working. This is caused by the breaking down of pigment and the reaction to the laser, this colouring will subside within a couple of hours. Immediately after treatment the surrounding skin is likely to show a red discoloration and a small amount of pinpoint bleeding may occur. The feeling can be compared to a mild sunburn where swelling and redness may last for one week. Over the next few days a small amount of blistering may occur followed by a scab or thin crust, which should be left untouched to eventually fall off. The skin will remain red for a few days to a week or two and begin to heal on its own.

All of these reactions are a normal response to the removal process and the way in which the body begins to heal.

How many treatments will I need?
Generally the average required number of treatments varies from 3-8 depending on various indications. Dr. Megha Modi will guide you according to your skin condition.

What are post treatment care?
Post treatment care is vital to ensure the treated area heals effectively to achieve your desired results. The following steps should be carefully executed:

Apply an aloe vera or antiseptic ointment to the treatment area
Avoid direct sun exposure during the entire healing process and ensure adequate SPF sun cream is applied and/or clothing is covering the area (this includes tanning beds).
Avoid prolonged exposure to water and avoid excessive heat in the skin for 48 – 72hours post treatment. Excess moisture will hinder the wound/scab from healing
Avoid scratching, picking or touching the direct or surrounding area
Cold packs or a cool cloth may be applied if further discomfort persists

Does tattoo removal hurt?
A client can expect to feel a level of discomfort however pain is an individual experience. Most may compare the pain to a flick from an elastic band.


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Jul08
Dermal Fillers Treatment in Dwarka at Affordable Cost - Dermaheal
Dermal Fillers Treatment in Dwarka
Soft tissue fillers also known as dermal fillers are widely used as an anti aging treatment which significantly helps the patient to replace the lost facial volume thereby diminishing the appearance of creases and wrinkles.

As dermal fillers get absorbed by the body as the time passes, so it can only provide a temporary effect ( generally up to one and a half years )

Uses Of Dermal Fillers
Dermal fillers help in recontouring the facial features by uplifting the face and restoring a smoother appearance to the overall face.
It gives additional plump to cheeks which re-establishes a youthful and fresh look.
Dermal fillers are also used as lip fillers, reshaping the lips according to the individual’s desires, making them more supple, hydrated, luscious and beautiful.
Dermal fillers also help in reducing the appearance of nasolabial folds.
Patients with under eye shadows are the ideal candidates to get under eye fillers.

It improves the appearance of sunken eyes and enhances the tear troughs.

Under eye fillers dramatically improve the wearisome look and intensifies the features instantly.

How it works
Dermal fillers are carefully introduced to the dermis of the skin by different techniques of injection therefore they are sometimes also called as Injectable fillers.
Use of proper injection techniques is very important as it determines the even distribution of fillers to the site of insertion.
Dermal fillers come in the form of prefilled syringes containing local anaesthetic agents which when injected causes a mild stinging sensation which subsides after some time.
Dermal fillers are usually injected around cheeks, lips, and jaws and sometimes around eyes and forehead according to the requirement.

Post Care
We provide detailed counseling regarding the pre and post instructions and management followed by the procedures as proper post care is equally important to maintain the efficacy of the treatment.
The treated area should not be manipulated immediately by pressure in any way unless advised.
Life span of soft tissue fillers is hampered by constant exposure to environment of extreme temperature.

At Dermaheal Skin and Hair Clinic
Derma heal Skin and Hair Clinic ensures to provide our patients the best quality of fillers which enlivens their faces instantly leaving their skin glowing, hydrated and contoured.
Schedule an appointment with Dr. Navjot Singh Arora at Dermaheal Skin and Hair Clinic, Dwarka Sector 7, Delhi to know more about the fillers best suited for you based on your personalized requirements and get the rejuvenated look you deserve.


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