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CLAIM YOUR PROFILEHello Augustya,
Post inflammatory dys-pigmentation usually occurs in colored skin when a medical peel is done without adequate skin priming before and in between peels. If your treating physician is well versed with handling ethnic/ Indian skin chances are that you have been already advised some home care involving a mild Glycolic acid or Retinoid. This is usually started 2 weeks prior to your first session.
Post peel care in the form of adequate skin hydration and a broad spectrum sunscreen applied 3 hourly is also very important.
If is is the texture and tone of skin that you wish to improve, try and opt for Salicylic, Azelic or Mandelic gel based peels. These work better and carry the least chance of pigmentary disturbance post procedure.
Keep looking beautiful :)
Dermatologist
Hello Artiani,
Indian skin does not tolerate Retin A 0.05% well. The white spot that you developed may have been post inflammatory hypo pigmentation seen mostly in fair skinned north Indians. It is difficult to ascertain without an examination though.
The Obagi Nuderm System needs some modifications when used in Indians and other coloured skin individuals. A Tretinoin microsphere gel in 0.025% may be used. Sometimes Adapalene may be required instead of Tretinoin in individuals with sensitive skin. Also to keep the inflammation down, mild steroid cream may be suggested. This helps in preventing the post inflammatory dyspigmentation.
The 'V' shaped pigmentation that you have is an anatomical 'Pigmentary Demarcation Line'. These are known to be fairly resistant to treatment.
Keep looking Beautiful,
Dr Niketa Sonavane.
Dermatologist
Hello Anushka,
From what you describe, Glycolic peels are definitely not the treatment of choice in your case. There are superior and faster acting peels available on the international scenario like Azelic + Salicylic peels for acne and post acne pigmentation in Indian skin.
In my opinion Indian skin responds far better to dermaroller treatments for fine lines and acne scars as compared to Fraxel laser. Fraxel laser has always been my second line of choice due to the bronzing it leaves behind on Indian skin.
The Cosmelan peel is another good option for you to consider. I have used it with great success in Indian skin for pigmentation, fine lines and mild scarring.
Glycolic peels are a very slow and nearly ineffective process when it comes to treating acne and fine lines in Indian skin. Glycolic peels offer minimal or no benefit in improving post acne scarring.
Keep looking beautiful
Dermatologist
Perlane is a deep dermal filler. It generally lasts for about 12 months when placed correctly. Fillers that are placed more superficially or in more mobile areas tend to metabolize faster.
Following are the options to expedite the dissolution of the Perlane keeping in mind your preferences:
a. Regular massage to the involved area - A two minute massage to the area every time you wash your face or apply any products.
b. Fractional Laser treatment of the injected area - Capable of dissolving the dermal filler with an added advantage of improving your lines and folds in the long term.
c. Injection of Hyaluronidase - Done by your Cosmetic physician. Dissolution is achieved in 24-48 hours.
Keep looking beautiful.
Dermatologist
The results depend on the severity of the acne, the strength and composition of the peel and your personal response. Generally treatment with gel based medical grade peel containing 20-30% salicylic may require approximately 6 sessions at 10-14 day intervals to solve the problem. Maintenance sessions may be required thereafter. Sessions are always done along with conventional topical and or oral anti-acne treatment else the response may be slow and disappointing.
Keep looking beautiful.
Dermatologist
An isolated treatment of horizontal forehead lines will always change the shape of the eyebrows. In order to maintain the natural shape of the eyebrows, a combined treatment of forehead and glabellar region is essential. A little balancing of the eyebrow arch may also be required.
From what you describe, your first Botox seems like the dose went overboard which froze the forehead and dropped the brow. The second time probably required just a little balancing of the brow arch which could have been done with 1-2 units on each side.
Request your treating physician to be conservative with the dose, as additional dose can always be given in the follow up session after 2 weeks. Request to be provided with a photographic record of injection points and units placed for future reference.
Keep looking beautiful.
Dermatologist
Botox to the glabellar complex will definitely help solve the problem. What you have described ("very top of my nose, between my eyes is a crease that appears as if my forehead is slipping down, when I put on a tight headband it lifts and softens") is a symptom of an over active procerus along with or without hyper-tonic corrugators. The procerus and corrugators are medial brow depressors, which means their normal action is to pull the inner end of your eyebrow inwards and downwards. Hyperactivity or hypertonicity of these muscles may actually appear pull the center of the forehead downwards and cause a stubborn looking fat horizontal crease on the nasion between the eyes!
Keep feeling beautiful.
Dermatologist
Assymetry of eyebrows is probably one of the most common complaints that is addressed in the post procedure follow up. Correction usually requires just 1-2 units of Botox placed above the raised eyebrow to lower it. Sometimes 2-3 units of Botox can be placed just below the lower eyebrow to give a unilateral brow lift to raise it slightly. Asymmetric brow activity occurs due to inadvertent over treatment or low injection on the side of the lower brow or an asymmetric frontalis activity which was missed in the initial assessment or recruitment of untreated muscle fibers on the side of the raised brow.
Keep looking beautiful.
Dermatologist
I had pimples and spots on my face and it was kind of dull as well. But Nikita ma’am treated cured all the pimples and spots are getting fade day by day. Thank you Nikita ma’am for treatment. I had an amazing experience
The best dermatologist till date for me. She is a brilliant doctor and listens to your problems with a lot of patience. Her nature is really sweet. Treatments given by her are really reliable. Staff is friendly. I’m so satisfied and happy finding her since she solved my hair loss and skin problems. Highly trustworthy!
Dr. Nikita is one the best dermatologist in Mumbai....she is highly knowledgeable....has been very sensitive n kind during the treatment....with her suggested treatment I recovered within a weeks time....Thank u so much doctor....u r the best
I had an Amazing experience with Nikita she is very sweet , soft and she is very knowledgeable .she is very welcoming and warm , I feel very positive whenever I meet her for my concerns with her you know u are in great hands :)good environment and nice vibes of the clinic
The doctor is very good and provides a wholistic treatment for your skin. She is also supported by great staff at the clinic who regularly follow up with your requirements. Best results I’ve ever gotten from a dermatologist in my life. Highly recommended!
Doctor Nikita is the best dermatologist I’ve come across so far. She understands the modern day stress that takes a toll on your skin hair and lifestyle The other thing I found reassuring was she doesn’t just prescribe for the heck of it but based on what your problems are
Dr Nikita “very satisfied and feel like am in a right hand “ . Very professional, good listener and provided me with excellent service . Front desk staff were incredible on my 2nd visit I made to clinic . Thank you very much .” You have customer for life “
Excellent Dr Niketa explained every thing well before and after treatment and also explain how to take care of acne prone skin. And wonderful staff. This is the only clinic who created my acne so well
I consulted dr nikita for urticaria and wart removal and also keloid treatment. I would like to say that that i was highly satisfied with the way she treats the patient and the personal attention that she provides. She is extremely sweet and humble and you feel very positive about your problems once you’ve discussed about that with her
Dr Nikita is very polite, patient and friendly. She evaluates the problem and suggests an appropriate treatment or medicines if any. There are no unnecessary treatments suggested or forced. She discusses the pros and gives out a realistic outcome of treatment. I am undergoing acne, peel and miso skin treatment, all of which are showing good results. The staff is also very friendly and cooperative. I highly recommend visiting her for any kind of skin problems.
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