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.

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.

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.

Thread Lifting In Dwarka
What exactly is Thread Lift
Thread lifting is one of the finest procedure to redefine the facial contours and reverse some Signs Of Ageing which can help you in creating a remarkable difference to attain a youthful face.

Signs of ageing include - loosening of skin causing sagging, folds and creases due to loss of muscle mass, bone density and decreased production of elastin and collagen.

Thread lifting is a revolutionizing alternative to surgical face lift, as it is minimally invasive so it brings new hope for those who are afraid of traditional surgeries.

It is a non -surgical and quick procedure with minimum downtime and no major risks involved.

Wonders of Thread Lifting

Thread lifting helps in elevating the sagging skin of cheeks, neck, chin and jaws. So this option of anti ageing treatment is a boon especially for those who are in their middle ages ( mid thirties to late fifties )

It has also proven to be effective in younger patients who desire certain cosmetic procedures to enhance their facial feature like Eyebrow Lifting, double chin etc.

As thread lifting works against the pulling effect of gravity, it also allows jaw line reshaping establishing a chiseled frame

The results of thread lifting allows the patients to regain self confidence.

The restoration of vitality that comes post procedure is unparalleled

The trimmed face due to skin tightening also helps in reducing the visibility of fine lines and wrinkles thus making the overall appearance fresh, smooth and youthful

Somber expressions due to loose, dull and tired looking skin are replaced making the patient feel happy and stress free about their facial appearance.

How it works
So as to tighten the skin, strands of specially designed threads are inserted into the facial skin with the help of fine needles along different directions in order to create a mesh of threads resulting in firm and elevated tissues.

These barbed threads are dissolvable and the effects are long lasting (usually up to 2-3 yrs). The Polydiaoxanone threads are placed in the subcutaneous plane under the ptosed facial skin.

Local anesthetic agent is applied so there is minimum discomfort to the patient.

Thread lifting enhances production of elastin and collagen thereby increasing the durability of the results due to collagen remodelling.

Results of skin tightening and rejuvenation can be observed instantly post procedure but the toning and overall elevation keeps improving over next few months.

Why Us
We at Dermaheal Skin and Hair Clinic offer variety of anti ageing and cosmetic treatments. We ensure to provide hassle free and comfortable experience to our patients which motivates them in overcoming their doubts and fears regarding the procedures. As a result, a sense of self esteem is rebuilt along with cheerful satisfaction.

Dr. Navjot Singh Arora personally assesses and counsels the patient before planning the treatment, ensuring to modify it according to individual’s requirements.

Thread lifting can be combined with various other procedures varying from patient to patient.

Patients are properly counseled regarding the maintenance after the procedure has been performed to enhance the effectiveness of the treatments.

Dr. Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service centre for children. Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology inpatient and outpatient, and provides comprehensive kidney transplant care to children of all ages.

Dr. Sethi leads in care of children with the following disorders:
Pediatric Nephrotic syndrome
Complex recurrent urinary tract disorders
Glomerular disorders
Blood or protein in the urine
Glomerulonephritis
Hemolytic uremic syndrome
Hydronephrosis
Hypertension
Rare tubular disorders
Polycystic kidney diseases
Neurogenic bladder
Renal dysplasia
Renal tubular acidosis
Systemic lupus erythematosus
Vesicoureteral reflux
Acute Kidney Injury
Chronic Kidney disease
Kidney Transplantation- Blood group compatible and incompatible; transplantation in complex renal anomalies