Skin Specialist Delhi, Dermatologist in Delhi NCR
Skin Specialist in Delhiconsidered as the top dermatologist in Delhi offering best skin care dermatology services in Delhi, Dr.Rohit Batra is one of the leading skin specialist in Delhi NCR.
Dr. Rohit Batra is a renowned name in the field of Dermatology not only in Delhi NCR but also throughout the country.
We get patients from all over Delhi esp west Delhi localities. People looking for Skin Specialist in Punjabi Bagh, West Delhi, Dermatologist in Naraina, Delhi are some of the areas apart from the Rajourri Garden looking for Dermatologists .
Dr.Rohit Batra is an associate consultant, Department of Dermatology , Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi.
DermaWorld Skin Clinic is the brain child of Dr.Rohit Batra and offers the latest in field of Dermatology, Cosmetology and Plastic Surgery.
The clinic has a highly qualified and experienced team who deliver the best dermatology and cosmetology services at best prices in Delhi NCR.
The clinic offers comprehensive treatment for :
STD and Sexual Disorders
Urticaria and allergies
Hair Transplantation in Delhi
Laser Hair Removal in Delhi
Laser treatment for acne scarring
Laser treatment for Tattoo Removal in Delhi
HIV Testing and Counselling
As a leading skin care provider in Delhi , Dr. Rohit Batra gives immense stress on delivering the best of the treatments to our patients.
All treatments for skin disorder are tailor made to suit every patient in the best possible way. We take your skin seriously.
There might be people who are looking for the best dermatologist in Delhi or a top skin specialist in Delhi but when it comes to DermaWorld Skin Clinic- we offer the latest, best and the safest treatment options to give the fastest and side effect free treatments.
For more please call 9911100050, 9911300050.
DermaWorld Skin Clinic, Q-4 , Rajouri Garden , New Delhi 110027
Vitiligo treatment in Delhi- Surgery, Medicines, Diet and more
Vitiligo treatment in Delhi- Medical treatment, surgery, melanocyte cell suspension, diet in Vitiligo, Best Treatment options by Vitiligo expert in Delhi
“Some diseases do not take life,but they just ruin it.”
– Stephen Rothman
Vitiligo is a common pigmentary disorder of great cosmetic concern, social embarrassment, psychological distress, and at times, a cause of disruption of famililial and social relationship, especially among the dark skinned individuals like indians. The outcome of this disorder is often unpredictable and uncertain.
Many Patients who have been taking treatment fo vitiligo at our clinic have been given their skin color back in their lives after successful medical and surgical treatments.
Suction blister epidermal grafting, melanocyte cell suspension are few modalities that work wonders for vitiligo patients in Delhi.
It is characterized by well circumscribed, acquired, idiopathic, progressive, hypomelanosis of skin and hair, with no predlication for sex or ethinicity.
There are several theories related to the pathogenesis of vitiligo,such as autoimmunity1, self-destructing mechanisms,2 neurals, 3 biochemicals,4 an imbalance of epidermal cytokines,5 and genetic factority.6
Ideally, the aim of the vitiligo treatment is to obtain complete and permanent repigmentation towards the color of the surrounding normal skin. Treatment trends that focus on developing techniques for the repigmenting, refractory and stable vitiligo led to the development of surgical options like minipunch grafting (MPG),9,10,11 epidermal grafting, 12,13 epithelial sheet grafting,14 suction blister epidermal grafting(SBEG), transplantation of epidermal cell suspension, cultured melanocyte suspension ,and cultured epidermis. 15
Unfortunately most of these procedures require a special expensive set up and/or surgical expertise, which is not readily available to those living in developing countries.
Exceptions among these difficult and sophisticated procedures are MPG and SBEG, which are simple to perform, inexpensive, and less time consuming.16
MECHANISM OF SURGICALLY INDUCED REPIGMENTATION
The aim of surgical induction of repigmentation is to replenish melanocytes in the depigmented lesions of vitiligo . Most surgical procedures, like epidermal grafting and transplantation of non-cultured melanocytes, restore normal epidermal melanocytes. The usual repigmentation seen with such a procedure is of diffuse type. The ability of the melanocytes to migrate forms the basis of repigmentation in Suction blister epidermal grafting technique. The mealnocytes from the graft readily migrate to the graft bed on remaining in contact with the denuded area resulting in repigmentation. Contact period of about one week is sufficient for this migration and hence the epidermal graft merely act as a carrier for the melanocytes. Subsequently, the melanocytes migrate to the surrounding area leading to a diffuse repigmentation.
Aim: To demonstrate the safety and efficacy of Suction Blister Epidermal grafting in patients of stable vitiligo, resistant to medical treatment.
A total of 60 patients were enrolled with a history of stable vitiligo of duration more than one year. Patients wer educated about the procedure and written consent was taken. Depending upon the size of the lesions, blisters were created on thigh area with the help of 10cc and 5 cc syringes. A 50cc syringe was used to create negative pressure required for vacuum creation. Once ready, the blister tops was removed using a jewellars scissors.
The recepient area was prepared using a manual or a motorised dermabrader and an area in excess of approx 2 mm beyond the boundry of the lesion was dermabraded.
Once ready the blister tops were placed on the recepient area and tightly bandaged with the help of a sticking plaster.
The dressing was removed after a week and topical antibacterial cream was prescribed tiill the crust falls off. Once the new skin formation got complete, topical PUVA and steroidal cream was prescribed to hasten the pigmentation process.
The duration of vitiligo in the study groups ranged from 1 ½ to 23 years. The mean duration of vitiligo was 23.15 years. The stability of vitiligo lesions varied between 1 and 21 years. The mean stability 5.34 years. Majority of the patients were young, mostly unmarried females in the age group 21-30 years. More than 75% of the patients observed a repigmentation of more than 50% at the end of 4 weeks while it took approximately 8-10 weeks to show complete results in most of the cases in this group. Young patients with age less than 30 years showed better color match , faster repigmentation when compared to the older patients. No difference in degree and rapidity of repigmentation was seen in the two sexes. Though the number of female patients outnumbered the male subjects. No significant difference was seen in the outcome of the treatment in any of the group in concordance with the duration of the stability of the disease.
Noe of the patients with white hair over the lesion showed any betterment in the color of the hair over the lesion area even after the whole lesion got fairly repigmented. The donor site of all the patients healed completely without leaving an unsightedly mark. Some difficult to treat areas like genital areas, neck and lips were also treated and results wer equally good.
We were able to give satisfactory results in 93.33% patients . In the remaining patients pigmentation was achieved but was patchy and though there was some relief from the total depigmentation but other methods or a repeat sitting was required. The best pigmentation was achieved in 6 months duration. None of the patients complained of any side effects like – no pigmentation, scarring, keloid formation, hypertrophic scar etc.
SBEG was first performed by Kiistala and Mustakillo 75 in 1964 by using angiosterrometer. Its use in achromic lesions was reported and pioneered by Falabella in 1971. We used a modified suction blister harvesting technique deviced by Gupta et al, which is simple to use and doesn’t require any expensive machine. The unique advantage of SBEG is its ability to heal the RA and DA without much scarring. The limitations of the procedure are its inability to treat vast areas and the substantial time taken for the blisters to develop13. The pain associated with the blister formation is also a major drawback of the procedure. Blisters can be raised by using Liquid nitrogen but such a procedure has been shown to end up in hypertrophic scarring and keloid formation84 and hence was not tried. Blisters have also been raised by using PUVA but it takes 2-3 days for blisters to develop in such cases and hence makes the procedure quite cumbersome.
Thickening of grafts and hyperpigmentation was found to be a problem in SBEG by Arvind Babu et al in their study. We found that though slight hyperpigmentation was a problem found in a small number of patients. No case of thickening of grafts was noticed. Rather one of the most important and commonly found complication in our study was the perilesional hypopigmeted halo which has been documented by Hann et al in their study. It was resistant to the topical application of Clobetasol propionate cream for as many as 24 weeks post operatively and reminded the patient as well as the dermatologist of the erstwhile vitiligo lesion. It could be compared to the fossil remnant of the lesion, while the characteristic annular shape could be compared to a wrath, distressing everytime you come across
Table 1. Comparison of success rate in SBEG
|Shah HB, Joshipura PS, Thakkar KJ||Approx 90%|
|YV Tawade, BB Gokhale, A Parakh,
|Gupta and Kumar||82%|
|Njoo et al||87%|
Though a bit cumbersome and time consuming, SBEG is an affordable and result oriented procedure in cases of stable vitiligo. Though the procedure cannot be caried out in patients with large lesions but periodic repettitions can cover large areas too. The only disadvantage is that the process of graft harvesting and at times blister creation can be painful but given the results and short time span for which it lasts , it’s a pain worth the result. Its an easy, safe and simple, OPD procedure. A dedicated dermatologist with an inclinaton towards dermatosurgery is all that goes in performing this novel procedure which can help change the way vitiligo patients live there lives. A major advantage of the procedure is that they are a suture less surgery which plays a major determinable role in patient’s consent and fearlessness for the procedure.
The popular notion of pining for a fair skin is not always applicable and few people also prey to get rid of it. As already mentioned – Colors can be fun and symbolize happiness, joy and contentment but only if they fill a right place, in a right shade; then be it your life or body surface.
Ongenae K, van Geel K, Naeyart J-M. Evidence for autoimmune pathogenesis of vitiligo. Pigment Cell Res 2003;16:1-2.
- Yee C, Thompson JA, Roche P, et al. Melanocyte destruction after antigen-spesific immunotherapy of melanoma: direct evidence of T cell-mediated vitiligo. J Exp Med 2000; 192:1637-1643.
- Taneja A. Treatment of vitiligo. J Dermatol Treatment 2002;13:19-25.
- Schallreuter KU, Wood JM, Pittelkow MR, et al. Regulation of melanin biosythesis in human epidermis by tetrahydrobiopterin. Science 1994;263:1444-1446.
- Morreti S, Spallanzani A, Amato L, et al. New insight into pathogenesis of vitiligo: imbalance of epidermal cytokines at sites of lesions. Pigment Cell Res 2002;15:87-82.
- Kim SM, Chung HS, Hann SK. The genetics of vitiligo in Korean patients. Int J
- Kovacs SO. Vitiligo. J Am Acad Dermatol 1998;38:647-660.
- Stephen O, Kovacs CME. Vitiligo. J Am Acad Dermatol 1998;38:647-666.
- Falabella R. Treatment of localized vitiligo by autologous minigrafting. Arch Dermatol 1988;124:1649-1655.
- Falabella R. Repigmentation of segmental vitiligo by autologous minigrafting. J Am Acad Dermatol 1983;9:514-521.
- Boersma BR, Westerhot W, Bos JD. Repigmentation in vitiligo vulgaris by autologous minigrafting. Results in nineteen patients. J Am Acad Dermatol 1995;33:990-995.
- Suvanprakorn P, Dee-Ananlap S, Pongsomboon C, et al. Melanocyte autologous grafting for treatment of leukoderma. J Am Acad Dermatol 1985;13:968-974.
- Koga N. Epidermal grafting using the top of suction blister in the treatment of vitiligo. Arch Dermatol 1988;124:1656-1658.
- Kahn AM , Cohen MJ. Vitiligo: Treatment by dermabrasion and epithelial sheet grafting J Am Acad. Dermatol 1995;33:646-648.
- Falabella R. Grafting and transplantation for repigmenting vitiligo and other types of leukoderma. Int J Dermatol 1989;28:363-369.
- Gupta S, Jain VK, Saraswat PK, Gupta S. Suction blister epidermal grafting versus punch skin grafting in recalcitrant and stable vitiligo. Dermatol Surg 1999;25:955- 958.
- Kandil E. Vitiligo: response to 0.2% betamethasone 17-valerate in flexible collodion. Dermatologica 1970;141:277-81.
- Kandil E. Treatment of vitiligo with 0.1% betamethasone 17-valerate in isopropyl alcohol: a double-blind trial. Br J Dermatol 1974;91:457-60.
- Clayton R. A double-blind trial of 0.05% clobatosol proprionate in treatment of vitiligo. Br J Dermatol 1977;96:71-3.
- A.K.Dutta, P.K.Dutta, Sandipan Dhar. Pigmentary Disorders, IADVL Text book and Atlas of Dermatology, Edition 2 reprinted 2003 volume I, 596
- Whitney MD, Atharva Veda Samhita (translation and notes). Cambridge Haward University, Press; 1905
- Rook textbook of dermatology, edition 7th volume II, 39.53-39.57
- Fitzpatrick : Mosher D.B., Disorder of Melanocytes. Dermatol in general medicine ; Int. Edn. Vol 1,4th edition , 1993; 923-933
- Vitiligo A Monograph Gokhale BB, Tawade VV, Dambre GM Vitiligo.
- McKee P, Calonje E, Granter S, eds. Disorders of Pigmentation. In: Pathology of the Skin with Clinical Correlations. Vol 2. 3rd ed. China: Elsevier Mosby; 2005:993-7.
- Moellmann G, Klein-Angerer S, Scollay DA, Nordlund JJ, Lerner AB. Extracellular granular material and degeneration of keratinocytes in the normally pigmented epidermis of patients with vitiligo. J Invest Dermatol. Nov 1982;79(5):321-30.
- Pawlere J, Leena AB 5-6 dihydroxyindole in a melanin precursor showing potent cytotoxicity. Nature 1978, 276, 627-228.
- Wilson D. Etiology of vitiligo. Lancet 1971 : 11 : 1298-1299.
- Schallreuta Ku, Hordinsky MK, Wood JM. Thioreductase role in free radical reduction in different hypopig. Disorder. Arch Derm. 1987;123; 615-619.
- Morrone A er al. Catecholamninne and Vitiligo. Pigment cell respiration 1992 : 5 : 65-69.
- Verma K.K : Etiopathogenesis of vitiligo. Workshop on vitiligo 1997
- Hara M, Toyoda M, Yaar M, et al. Innervation of melanocytes in human skin. J Exp Med 1996;184:1385-95
- Nordlund JJ. The pigmentary system,2006.
- Schallreuter KU, Moore J, Wood JM, et al. In vivo and in vitro evidence for hydrogen peroxide(H2O2) accumulation in the epidermis of patients with vitiligo and its successful removal by a UVB- activated pseuocatalase. J Investig Dermatol Symp Proc 1999;4:91-6.
- Gauthier Y, Cario- Andre M, Lepreux S, et al. Melanocyte detachment after skin friction in non lesionsal skin of patients with generalized vitiligo. Br J Dermatol 2003:148:95-101.
- Gauthier Y, Cario Andre M, Taieb A. A critical appraisal of vitiligo etiologic theories. Is melanocyte loss a melanocytorrhagy? Pigment Cell Res 2003;16:322-32.
- El mofty A.M. vitiligo and psoralen. Oxford.(eng) Pregnan press 1968.
- Punshi S. K. et al. Vitiligo: probe (1969) 1-18.
- Khaitan B.K. Clinical aspects and natural history of the disease, workshop of vitiligo 1997
- Virendra N. Sehgal, Govind Shrivastava.Vitiligo: Compendium of clinico-epidemiological features.IJDVL 2007:Vol 3:149-153.
- Koga M, Tango T. Clinical features and courses of type A and type B vitiligo. Br. J Dermatol 1988;118:223-8.
- Hann SK, Lee HJ. Segmental vitiligo: clinical findings in 208 patients. J Am Acad Dermatol 1996;35:671-4.
- Njoo MD, Spuls PI, Bos JD, et al. Nonsurgical repigmentation therapies in vitiligo. Meta-analysis of the literature. Arch Dermatol 1998;134:1532-40.
- Passeron T. UVB therapy for pigmentary disorders. In: Nordlund JJ, Boissy RE, Hearing VJ, King RA, and Ortonne JP (eds.) The Pigmentary System. 2nd ed. New York: Oxford University Press,2006;1183-7.
Koster W, Wiskemann A. [ Phototherapy with UV-B in vitiligo]. Z Hautkr 1990;65:1022-4,1029
Lotti TM, Menchini G, Andreassi L. UV-B radiation microphototherapy. An elective treatment for segmental vitiligo. J Eur Acad Dermatol Venereol 1999;13:102-8
Menchini G, Tsoureli-Nikita E, Hercogova J. Narrow band UV-B micro-phototherapy: a new treatment for vitiligo. J Eur Acad Dermatol Venereol 2003;17:171-7.
Grimes PE, Soriano T, Dytoc MT. Topical tacrolimus for repigmentation of vitiligo. J Am Acad Dermatol 2002; 47:789-91.
Parsad D, Pandhi R, Dogra S, Kumar B. Topical prostaglandin analog (PGE2) in vitiligo – a preliminary study. Int J Dermatol 2002:41:942-5
arman KD, Khaitan BK, Verma KK. A comparative study of punch grafting followed by topical corticosteroid versus punch grafting followed by PUVA therapy in stable vitiligo. Dermatol surg 2004:30:49-53.
Van Geel N, Ongene K, Naeyaert J-M. Surgical techniques for vitiligo: a review. Dermatology 2001;202:162-6.
Gupta S, Olsson Mats J, Kanwar Amrinder J, Ortonne Jean-Paul. Surgical Management of Vitiligo.2007:59-65.
- alabella R, Escobar C, Borrero I. Tretment of refractory and stable vitiligo by transplantation of in-vitro cultured epidermal autografts bearing melanocytes. J Am Acad Dermatol 1992;26(2 Pt 1):230-6.
- Das SS, Pasricha JS.Punch grafting as a treatment for residual lesions in vitiligo. Ind J Dermatol Venereol Leprol 1992;58:315-19.
- Boersma BR, Westerhof W. Repigmentation in vitiligo vulgaris by autologous minigrafting: results in 19 patients. J Am Acad Dermatol 1995;33:990-5.
- Jha AK, Pandey SS, Shukla VK. Punch grafting in vitiligo. Ind J Dermatol Venereol Leprol 1992;58:328-30.
- Falabella R. Grafting and transplantation of melanocytes for repigmenting vitiligo and other types of leukodermas. Int J Dermatol 1989;28:363-9.
- Falabella R. Reply. J Am Acad Dermatol 1995;33:1061.
- Van Geel N, Ongenae K, Vander Haeghen Y, Naeyaert JM. Autologous transplantation techniques for vitiligo: how to evaluate treatment outcome? Eur J Dermatol 2004;14:46-51.
- Falabella R, Arrunategui A, Darona MI, Alzate A. The minigrafting test for vitiligo: detection of stable lesions for melanocyte transplantation. J Am Acad Dermatol 1995;32:228- 32.
- Van Geel N, Ongenae K, De Mil M, et al. Double blind placebo controlled study of autologous transplanted epidermal cell suspensions for repigmenting vitiligo. Arch Dermatol 2004;140:1203-8.
- Olsson M, Juhlin L. Long term follow-up of leukoderma patients treated with transplants of autologous cultured melanocytes, ultrathins epidermal sheets and basal cell layer suspensions. Brit J Dermatol 2002;147:893-904.
- Thompson CJS. The evolution and development of surgical instruments. IV. The trepan. Br J Surg 1937;25:726.
- Watson BA. Gunpowder disfigurements. St. Louis Med Surg J 1878;35:145.
- Keyes EL. The cutaneous punch. J Cutan Genitourin Dis 1887;5:98.
- Falabella R. Repigmentation of stable leukoderma by autologous minigrafting. J Dermatol Surg Oncol 1986;12:172-179.
- Malakar S, Dhar S. Rejection of punch grafts in three cases of herpes labialis induced lip leucoderma, causation and precaution. Dermatology 1997;195:414.
- Malakar S, Dhar S. Acyclovir can abort rejection of punch grafts in herpes-simplex induced lip leucoderma. Dermatology 1999;199:75.
- Malakar S, Lahiri K. Successful repigmentation of six cases of herpes labialis induced lip leucoderma by micropigmentation. Dermatology 2001;203:194.
- Lahiri K, Malakar S. Herpes simplex induced lip leucoderma: revisited. Dermatology 2004;208:182.
- Unna P. Zur anatomic der blasenbildung an der manschlichen haut. Vjschr Derm Syph 1878;5:1-4.
- Blank H, Miller OG. A method for separating the epidermis from dermis. J Invest Dermatol 1950;15:9-12.
- Slowey C, Leider M. Abstract of a preliminary report.: the production of bulla by quantitated suction. Arch Dermatol 1961;83:1029-30.
- Falabella R. Epidermal grafting: an original technique and its application in achromic and granulating areas. Arch Dermatol 1971;104:592-600.
- Kiistala U, Mustakallio KK. In-vivo separation of epidermis by production of suction blisters. Lancet 1964;1:1444-5.
- Kiistala U. Suction blister device for separation of viable epidermis from dermis. J Invest Dermatol 1968;50:129-37.
- Mukhtar M, Singh S, Shukla VK, Pandey SS. Surgical pearl: suction syringe for epidermal grafting in vitiligo. J Am Acad Dermatol 1997;37:638-9.
- Lewis EJ. Mechanism of “suction”. J Am Acad Dermatol 1998;39:664.
- Gupta S, Shroff S, Gupta S. Modified technique of suction blistering for epidermal grafting. Int J Dermatol 1999;38:306-9.
- Gupta S, Ajith C, Kanwar AJ, Kumar B. Surgical pearl: standardized suction syringe for epidermal grafting. J Am Acad Dermatol 2005;52:348-50.
- Gupta S, Kumar B. Suction blister induction time: 15 minutes or 150 minutes? Dermatol Surg2000;26:754-6
- Yaar M, Gilchrist BA. Aging of skin. In: Freedberg IM, Eisen AZ, wolff K, Austen KF, Goldsmith LA, and Katz SI(eds.) Fitzpatrick’s Dermatology in General Medicine, 6th edn. New York: McGraw Hill, 2003;1386-98
- Van der Leun JC, Beerens ED, Lowe LB. Repair of dermal-epidermal adherence: a rapid process observed in experiments on blistering with interrupted suction. JInvest Dermatil 1974;63:397-401.
- Hann SK, Im S, Bong HW, park YK. Treatment of stable vitiligo with autologus epidermal grafting and PUVA. Jam Acad Dermatol 1995;32:943-8.
- Suga Y, ButtKI,Takimato R, Fujioka, N , Yamada H, Ogawa H, Successful treatment of vitiligo with PUVA-pigmented autologus epidermal grafting. Int J Dermatol1996;35:518-22
- Oh C-K, Cha J-H, Lim J-Y, et al. Treatment of vitiligo with suction epidermal grafting by the use of an ultrapulse CO2 laser with a computerized pattern generator. Dermatol Surg 2001;27:565-8
- Albert S, Srinivas CR, Shenoi SD, et al. Phototoxic blister induction in vitiligo surgery. Br J Dermatol Surg 1999;141:30-31
- Kim C-Y, Yoon T-J, Kim T-H. Epidermal grafting after chemical epilation in the treatment of vitiligo. Dermatol Surg 2001;27:855-6.
- Gupta S. Sandhu K, Kanwar AJ, Kumar B. Melanocyte transfer via epidermal grafts for vitiligo of labial mucosa. Dermatol Surg 2004;30:45-8
- Gupta S. Commentary on: epidermal grafting over the eyelid-special considerations. Dermatol Surg 2006;32:391-2
- Tang WYM, Chan LY, Lo KK. Treatment of vitiligo with autologus epidermal transplantation using the roofs of suction blisters. Hong Kong Med J 1998;4:219-24.
- Falabella R. Pigmentation of leucoderma by minigrafts of normal pigmented autologus skin. J Dermatol Surg Oncol 1978;4:916-9.
- Gupta S, Jain VK, Saraswat PK, et al. Suction blister epidermal grafting versus punch skin grafting in recalcitrant and stable vitiligo . Dermatol surg 1999; 25: 855-856.
- Singh KG, Bajaj AK. Autologous miniature skin punch grafting in vitiligo. Indian J Dermatol Venereol Leprol 1995;61:77-80
- Babu Aravind, Thappa Devinder Mohan, Jaisankar Telanseri J. Punch grafting versus suction blister epidermal grafting in the treatment of stable lip vitiligo. Dermatol Surg 2008; 34: 166-78.
- Suvanprakoran P, Dee-Analap S, Pongsomboon C, Klaus SN. Melanocyte autologus grafting for treatment of leukoderma. J Am Acad Dermatol 1985;13:968-74.
- Hatchome N, Kato T, Hachiro T. Therapeutic success of epidermal grafting in generalized vitiligo is limited by Kobners phenomenon. J Am Acad Dermatol 1990;22:87-91.
- Tawade YV, Gokhala BB, Parakh A, Bhartiya PR. Autologus grafts by suction blister technique in management of vitiligo. Indian J Dermatol Venereol Leprol 1991:57;91-3.
- Skouge JW, Morison WL, Diwan RV, Rotter S. Autografting and PUVA combination therapy for vitiligo. J Dermatol Surg Oncol 1992;18:357-60.
- Mutalik S. Transplantation of melanocytes by epidermal grafting. J Dermatol Surg Oncol.1993;19:231-4.
- Shah BH, Joshipura SP, Thakkar JK. Surgical treatment in acrofacial vitiligo. Indian J Dermatol Venereol Leprol 1994;60:26-7.
- Lee A-Y, Jang J-H. Autologus epidermal grafting with PUVA- irradiated donor skin for treatment of vitiligo. Int J Dermatol 1998;37:551-4.
- Yang JS, Kye YC. Treatment of vitiliho with autologus epidermal grafting by means of pulsed erbium: YAG laser. J Am Acad Dermatol 1998;38:280-2.
- Kim HY, Kang KY. Epidermal grafts for treatment of stable and progressive vitiligo. J Am Acad Dermatol 1999;40:412-7.
- Kim HY,Yun SK.Suction devise for epidermal grafting in vitiligo:employing a syringe and a manometer to provide an adequatel negative pressure.Dermatol Surg 2000;26:702-4.
- Kumar P. Autologus punch grafting for vitiligo of the palm.. Dermatol Surg. 2005;31:3:368-70.
- Barman KD, Khaitan BK, Verma KK. A comparative study of punch grafting followed by topical corticosteroid versus punch grafting followed by PUVA therapy in stable vitiligo. Dermatol Surg 2004;30:49-53.
- Orentreich N, Selmanowitz VJ. Autograft repigmentation of leukoderma. Arch Dermatol 1972;105:734-6.
- Savant SS. Miniature punch grafting. In: Savant SS, editor. Textbook of dermatosurgery and cosmetology. 2nd ed. Mumbai: ASCAD;2005.p.359-69.
- Malakar S, Laheri K. Punch grafting for lip leukoderma. Dermatology 2004;208:125-8.
- Sachdev M, Shankar DS. Pulsed erbium:YAG laser- assisted autologous epidermal punch grafting in vitiligo. Int J Dermatol 2000;39:868-71.
- Njoo MD, Westerhof W, Bos JD, Bossuit PMM. A systematic review of autologous transplantation methods in vitiligo. Arch Dermatol 1998;134:1543-9.
- Boersma BR, Westerhof W, Bos JD. Repigmentation in vitiligo vulgaris by autologous mini-grafting: results in nineteen patients. J Am Acad Dermatol 1995;33:990-95.
- Singh KG, Bajaj AK. Autologous miniature skin punch grafting in vitiligo. Ind J Dermatol Venereol Leprol 1995;61:77-80.
- Das SS, Pasricha JS. Punch grafting as a treatment for residual lesions of vitiligo. Ind J Dermatol Venereol Leprol 1992;58:315-19.
Case 1: A depigmented patch in a ring form on neck (before treatment)
Case 1:Fully Pigmented neck after treatment
Case 2: A depigmented patch on neck before treatment and pigmented patch after treatment.
Case 3: A depigmented patch on genital area (before treatment)
Case 3: A treated patch on genital area (after treatment)
Mole Removal in Delhi
Laser Mole Removal Delhi- Cost , Side Effects
Moles which were considered as beauty spots in the past don’t find takers nowadays. Many patients especially the teenagers are opting to get them removed. Laser treatment for mole removal is a short and affordable treatment to remove various kinds of moles on face and other body paths.
In yester years surgery was the only option to remove the moles and other skin conditions like warts, cysts etc but now with the advent of various lasers like the Q switch laser for pigmentation removal, CO2 Laser for hypertrophy and fractional lasers for smoothening can help in removing most moles.
Most of the times mole can be removed using a single laser but at timed one or more lasers might be used to provide the best results for mole removal.
Cost of mole removal by Lasers depend on the number and size of moles, type of laser being used for mole removal etc.
Mole removal in Delhi has seen a steady surge in the number of patients who want to get their moles removed using lasers
At Dermaworld Skin Clinic, we have the best lasers for mole removal in Delhi and our prices or Cost for the procedure of laser mole removal in Delhi are one of the best in class.
All procedures of laser mole removal ate undertaken by our well qualified dermatologist and plastic surgeon.
For more please contact us at : DERMAWORLD SKIN CLINIC, Q -4, Rajouri Garden. New Delhi 110027
Call us at 9911100050, 9911300050
Laser Hair Removal Delhi – Best and Permanent
Laser Hair Removal Delhi for Men and Women
Laser Hair Removal in Delhi – All you wanted to know about the Laser Hair Removal in Delhi, the best Laser machine for Laser Hair Removal, Whether the procedure of laser hair removal in delhi is permanent or the correct terminology is Laser Hair reduction in Delhi.
What is LASER?
The word LASER stands for Light Amplification (by) Stimulated Emission (of) Radiation. Simply speaking, LASERS are special form of light that contains one color or wavelength.
What is LASER Hair Reduction?
LASER hair reduction which is commonly written as Laser Hair Removal in Delhi is a process of reducing unwanted hair with the help of laser light. A beam of LASER light is aimed at hair follicle. This light is absorbed by the pigment, Melanin (present in hair roots) which destroys the hair follicles and retards the future growth. So a person with white hair wont get any result from laser hair removal.
A person who is getting a true laser will not feel any burn, itching or heat on skin as the laser light will only be affecting the roots of the laser which are black in color while an IPL treatment which is a light and not a laser and hence the laser hair removal taking place with IPL – intense pulse light is not effective.
The clinics which offer cheap cost laser hair removal in delhi are the one who use low cost laser hair removal machines like the IPL. So if you are just going to get a hair reduction done from a clinic that is offering a good deal for laser hair removal in delhi , you better be beware of the machine that is used to give you the treatment.
Cheap laser hair removal services can land you up with side effects of laser hair removal like itching, burning, scars and hyperpigmentation.
Is it only Permanent Laser Hair reduction and not Laser Hair removal in Delhi?
The actual term is LASER hair reduction. Reduction occurs in terms of number of hairs, thickness of hair and the rate of growth of hairs. Though after completion of treatment, few maintenance sessions can keep you free of hairs, complete removal usually does not happen.
The number of maintenance sessions needed after a laser hair removal package in delhi varies from one area of body to another. Hormone dependent growth like female facial hairs, private parts and underarms need more maintenance as compared to legs, arms or other larger body parts. Hence, “LASER Hair Reduction” is a more appropriate term than “LASER Hair Removal” . People are duped by the Laser Hair clinics in Delhi by offering them
Permanent Laser Hair Removal in Delhi.
What is the best laser for hair removal in Delhi, INDIA?
There are various types of LASERS available in market. Long pulse Nd:yag and Diode are the most popular LASER in Asian set ups. Though long pulse Nd:yag and conventional diode are painful ,the newer generation diode laser are relatively painless. At our centre,DermaWorld Skin Clinic in Rajouri Garden, New Delhi we have the latest Painfree Hairfree technology which is the best in the world for laser hair removal for various body parts including the sensitive parts like bikini and pubic hairs.
What is IPL?
IPL is short for intense pulsed light. Intense pulsed light (IPL) epilators are technically not a LASERS.IPL s use xenon flash lamps that emit full spectrum light. IPL-based methods, called as “photo epilation”, are now commonly (but incorrectly) referred to as “laser hair removal”.
How many Treatment sessions are needed?
Multiple treatments sessions are needed for treatment. Most dermatologists recommend an average of 6-8 sessions. Number of sessions vary depending on the area being treated, skin color, coarseness of hair, sex of patient, and any underlying hormonal imbalance. Patients with hirsutism may need more number of sessions.
The ALMA Soprano is the best DIODE laser hair removal system that is safe for the Indian Skin and has given consistent great results for the various body parts in males and females for treating unwanted hair.
Why do I need so many sessions?
Hair grows in several phases (anagen- the growing stage; telogen- the resting stage and catagen- the falling stage). LASER can affect only the currently actively growing hair follicles (i.e anagen).The hairs in resting phases of growth regrow after the session. These hairs get targeted later when they move into their active phase of growth. Hence, to target all hairs in various stages of their growth cycle, several sessions are needed.
The number of sessions of Laser hair Removal in Delhi varies with the area for which the treatment of Laser hair removal has been is required.
The Laser hair removal in Delhi when taken under the guidance of a qualified dermatologist is tailor made to suit the paatient and as per the hair growth of the patient.
Cost of laser hair removal sessions varies from area to area and laser machine.
So while a male wanting to get a beard shaping through laser hair removal on a DIODE will spend approx INR 2000 , a female looking for a laser hair removal for bikini will spend around INR 6000.
The cost of full face laser hair removal on an IPL machine is as less as 2500 per sitting.
The laser hair removal for chest hair in men and face in females are the commenest areas for which both the genders get a laser hair removal in delhi respectivel.Our patients who have taken laser hair removal for facial hair then move on to get other aras like laser hair removal for underarms/ arm pits, arms, legs etc.
The latest trend in Delhi si to get a full body lasr hair removal as the cost for the same is substantially less compared to getting sessions for laser hair removal for 2-3 areas together.
A full body laser hair removal session costs approx INR 20,000 on the worlds best machine – ALMA Soprano , which is the safest and the fasyest. It takes around 4 hours for the procedure of full body laser hair removal in delhi and the cost of a full body laser hair removal is very less compared to a face laser hair removal service.
Laser hair removal in delhi varies from site to site, a females looking for laser hair removal for her face might need a sitting every month while another area like legs of the same patient might need a sitting of laser hair removal at 2=3 months interal.
How muc h time does a sessio n take?
This would depend on the area being treated. Smaller areas like face or underarms may require 15-20 minutes while larger areas may take 1-3 hours.
The beauty of the ALMA soprano machine is that it is the fastest machine for laser hair removal and the results are permanent .
While other machines like Lumenous Light Sheer wont be able to cater to bikini areas as they can cause burns, ALMA is certainly the market leader.
It si the first choice for laser hair removal world wide in any sort of skin.
The ALMA Soprano laser hair removal system doesnt require application of ice packs to cool down the skin after the sessions and there are no chances of any side effects of laser hair removal in ALMA Soprano.
What is the gap between consecutive sessions?
For areas with hormone dependent growth (eg. Face, bikini, underarms etc) average gap between 2 sessions is 4-6 weeks and for other body areas may vary from 6- 10 weeks. After initial few sessions the gap between the sessions is usually decided more on clinical ground depending on when the hairs regrow.
For patients who are opting for a laser hair removal for facial hair and whose growth is very thick and they need a removal service every week , we also have an unlimited laser hair removal sessions package valid for one year which makes it cheap and affordable for such ladies.
Is it painful?
The conventional Diode and long pulsed Nd:YAG are relatively painful. Depending on a person’s pain tolerance, lasers can feel like a gentle pinch or the snap of a hot rubber band. Pain also depends on type of hairs treated- thick and dark hairs produce more discomfort than light and thin hairs. Patients with very low level of pain threshold or while taking LASER on sensitive areas like Bikini, a topical anesthetic cream can be applied before the session for better tolerability and compliance.
Diodes now come with painless in-motion technology which is much better tolerated by patients. hence one should keep the safety as a priority when thinking to go under the treatment of laser hair removal in delhi .
We at DermaWorld Skin Clinic have the safest and the latest Laser removal system in delhi i.e ALMA Soprano Pro for a painfree hairfree experience of Laser Hair Removal in Delhi.
Are the results permanent?
The reduction in hairs is permanent with just few touch up sessions that may be taken in 3-6 months.
For more on Laser Hair Removal Services in Delhi, Please feel free to contact us at 9911100050, 9911200050.
Who can perform LASER?
In most countries hair removal is an unregulated procedure which anyone can do. However some countries recommend that only doctors and doctor-supervised personnel can perform LASER. We also recommend that LASER should be handled by trained personnel/ technician or a cosmetic assistant under direct supervision and responsibility of a Dermatologist.
Are there any side effects of Laser hair reduction?
The usual side effects that occur after laser hair removal treatments, including itching, redness of skin, and swelling around the treatment area or swelling of the follicles (follicular edema). These side effects are very mild and may last for few hours to 2-3 days.
Side effects of laser hair removal with ALMA Soprano is almost NIL.
While other DIODE systems claim of equal efficacy with their machines but no other machine boasts of such safety like ALMA Soprano.
More severe side effects include the chance of burning the skin or discoloration of the skin-hypopigmentation or hyperpigmentation, flare of acne, scab formation, purpura, and infection. Rare side effects include blistering, scarring and skin texture changes. These effects are very rare under hands of experienced practitioners.
Your Dermatologist would discuss all predictable effects that you will notice after LASER session, but in case you notice any other discomfort on the treated area you should be prompt to discuss this with your dermatologist.
Is LASER treatment expensive?
The cost may initially sound exorbitant, but comparing the amount of money you spend on waxing innumerable times, the cost of both become comparable. More so taking into consideration the convenience and aesthetic advantage which the LASER offers, it is definitely the procedure of choice for thick dark hairs.
For a best quaote for your laser hair removal in delhi and to get a good deal for your sessions , please call
At DermaWorld Skin Clinic, we offer best deals for laser hair removal in delhi..
What are the precautions one should take before and immediately after the laser session?
As discussed previously the target of LASER is melanin(pigment present in increased amounts in darkened skin),Tanning before a laser treatment should be avoided .Use of topical lightening agents like AHAs and retinoid should be discontinued preferably before a week of taking session.
After the treatment use of sunscreens is essential. In case there is redness of treated area after the session, a topical cream(fluticasone/ hydrocortisone) as recommended by your dermatologist should be used.
With so many centers and clinics promoting LASER hair reduction, what according to you are the things we should consider before choosing one of them?
Always opt for LASER treatments at centers run under supervision of dermatologists as these centers usually have efficient and well trained staff. Do not hesitate to ask the type of LASER used in the clinic. Solve your queries satisfactorily before you begin the treatment. Discuss your previous medical history in detail with the doctor.
I want to take LASER for my Bikini area. Will this affect my chances of conceiving in future or cause any other pregnancy complication?
No, lasers are specific in their targets, i.e. melanin is its target and laser is only absorbed by it. Hence laser has no effect on conception and does not cause any pregnancy related complications.We at DermaWorld Skin Clinic specializes the art of bikini laser hair removal in delhi and are a proud owner of the ALMA Soprano DIODE Laser which is probably the only machine that wont cause ay side effects to the area. We have delivered the best and safe results to many paties who hve undergone bikini aser hair removal in delhi at out clinic.
Laser machines that cause heating of skin might cause burns on the soft skin of bikini area and other clinics apply topical anaesthesia and ice packs to make heir machine suitable for the bikini area hair removal but at DermaWorld Skin Clinic, we know our commitment and only use what is bst for the soft and sensitive skin of the bikini area.We offer laser hair removal for bikini area at affordable ras and are confident that patients undertaking sessions for laser hair removal in delhi at our clinic remain tension and side effect free
So, does that mean I can take LASER even when pregnant?
I would not recommend it because at this point, there is very little information about the effects it may have on the fetus, so it is best to prevent any possible risks by postponing the treatment until after delivery.
For more on permanent laser ha removal in delhi for areas like face, arm pits, full body laser hair removal , beard shaping or laser hair removal for men etc please contac us at :DermaWorld Skin Clinic, Q-4, rajouri Garden, New Delhi -110027.
Ph: 9911100050, 9911200050.
Vitiligo Treatment in Delhi – Best and Latest
Vitiligo treatment in Delhi has seen many new changes over the last few years. Vitiligo surgery has come up in a big was with non cultured Melanocytes cell suspension giving a new hope for patients of Vitiligo who were resistant to medical treatment.
Vitiligo is a skin disease where de-pigmentation of the skin occurs due to the loss of Melanocytes I.e the color producing cells of the skin.
The treatment of Vitiligo involves stopping the disease progression I.e spreading of the vitiligo white patches to new area as well as covering the old areas of de-pigmentation.
Vitiligo surgery can only be taken up in those patients who have stable vitiligo patched I.e the vitiligo patched have not grown in size and shape over the last couple of years without medication .
Vitiligo treatment in delhi comprise of not only dermatologists who treat vitiligo the scientific way but also a stream of advertisers who claim to treat vitiligo using all sorts of applications , oral herbs etc.
In order to stop the disease , a vitiligo patient should be treated with the following drugs.
1. STEROIDS like betamethasone
once vitiligo patches are stopped, the focus should be on re pigmentation.
ORAL P UVA
NARROW BAND UVB
are some of the options that have been used in treating various patients of Vitiligo in Delhi to cure them of the white disease.
Vitiligo treatment in Delhi is one of the most sought after treatments in Dermatology today as the patients who are suffering from Vitiligo have to go through a lot of social and mental trauma because of the disease.
Vitligo treatment should be started as asson as possible to contain the disease to minimum number of areas.
For mote on Vitiligo treatments in Delhi . Please call us at :