Dr Geeta Gera is widely respected as an expert in the field of medical and cosmetic dermatology.
There are many type of treatments available for different different diseases
There is overwhelming confusion with the recent media flooding of words like "Botox", "Facelift", etc.
You may ask our expert if you have any issues related to your skin and health related problems.
Dr Geeta Gera Speaks : “ I believe in providing personal attention for all of my patients and I dedicate extra time to each visit so they never feel rushed. A relaxed pace is an important part of my integrated approach to skin care that encompasses cosmetic needs within the context of a patient’s lifestyle ”.
DR. GEETA GERA
(SKIN, HAIR & LASER CLINIC)
With around 15 years of experience in medical and cosmetic dermatology, Dr Geeta Gera is widely respected as one of the best dermatologist in Indirapuram and Delhi NCR.She is well known for evidences based medicine, cosmetic solutions and therapy for various skin, hair and nail
Dr Gera is committed to provide her patients, superior and excellent care in a warm, friendly
atmosphere. She passed from prestigious Lady Hardinge Medical College and Dr Ram Manohar Lohia Hospital, New Delhi.
Dr Gera expertise covers Dermatologic surgery, Chemical peels, Injectables (Botox , Fillers) Mesotherapy , Laser procedures. Her treatment options include, Mesotherapy for Hair Fall Treatment,Laser Hair Removal, Acne Treatment, Acne scar removal, Wrinkle removal, Dark circle treatment, skin care treatment, Botox Treatment, Fillers, Skin Resurfacing and many more Laser Hair Reduction , Skin resurfacing , treatment of Acne scars, Stretch marks, Accidental scars, Skin tightening, Hair fall treatment with stem cells , PRP and antiageing treatments. Her philosophy regarding cosmetic procedures is that her patients should look natural and healthy , but never as if they have the ‘work done’.
These are the following procedure for different kinds of treatment:-
In performing chemical peels, physicians apply alpha hydroxy acids (AHA), trichloroacetic acid (TCA),
or phenol to the skin. Typically administered as a facial peel, a chemical peel enhances and smoothes
the texture of the skin. It is an effective treatment for facial blemishes, wrinkles, and uneven skin
A chemical peel is a treatment in which an acid solution is used to remove the damaged outer layers of the skin. In performing chemical peels, alpha hydroxy acids (Glycolic acid),beta hydroxy acids(salicylic acid),trichloroacetic acid (TCA), lactic acid or phenol is used depending on the indication to the skin.
Typically administered as a facial peel, a chemical peel enhances and smoothes the texture of the skin. It is an effective treatment for facial blemishes, wrinkles, and uneven skin pigmentation. They exfoliate the outer layers of dead skin, revealing a new skin layer with improved tone, texture, and color. In addition to full facial rejuvenation, certain types of skin peels can also be used for spot treatments and as a way to remove stretch marks or rejuvenate skin elsewhere on the body. The chemical peel is one of the oldest cosmetic procedures in the world, and was performed in ancient Egypt, Greece, and Rome to help people achieve smoother, more beautiful skin. Today, chemical facial peels are popular because they offer nearly immediate results and can be performed as an outpatient procedure.
You are likely to be pleased with the results of a chemical peel if your goal is to alleviate acne, smooth wrinkles, improve skin texture, eliminate age spots, or reduce the effects of sun damage. The different types of chemical peels come in varying strengths and provide different levels of treatment.
Mesotherapy is an alternative treatment that is used to treat both male and female pattern baldness.It is one of the best hair fall treatment option. It regulates the growth factors, proteins, and vitamins in the scalp of the Alopecia patients. The therapy is undoubtedly a quick way to restore the lost hair by restoring the hormonal balance and subdue the effects of DHT hormones.
Mesotherapy Hair fall Treatment involves the use of an injection which injects the essential nutrients into the mesoderm of the scalp. The physician gives the injection to the patient only after diagnosing the cause of the hair loss. Either by a 30 number gauge thin needle or by a computerized mesotherapymesogun aided injection, the vitamins, minerals, or the Finasteride and Minoxidil in the required amount are injected into the mesoderm at every 1 cm distance of the thinning area of the scalp. The treatment maximizes the absorption of the nutrients by the hair follicles. This absorption activates the dormant or semi-dormant hair follicles to trigger more growth. It assures the scalp to have a proper amount of amino acids which is crucial for the health of the hairs and boosts the keratin production. For this reason, it is considered as an effective treatment for almost all the scalp and hair related issues.
Advantages of Mesotherapy?
With dermabrasion, a dermatologist "sands" your skin with a special instrument. The procedure makes way for a new, smoother layer of skin to replace the skin that's been treated. Microdermabrasion uses tiny exfoliating crystals that are sprayed on the skin. It works best on problems such as dull skin, brown spots, and age spots.
When Is Dermabrasion or Microdermabrasion Used?
Microdermabrasion works on all skin types and colors. It makes subtle changes, causing no skin color change or scarring. It is not effective for deeper problems such as scars, stretch marks, wrinkles, or deep acne scars. With microdermabrasion, skin is temporarily pink but fully recovers within 2-4 hours. It doesn't require surgery or anesthetics. That may help people who cannot take "down time" for healing.
Pigmentation means coloring. Skin pigmentation disorders affect the color of your skin. Your skin gets its color from a pigment called melanin. Special cells in the skin make melanin. When these cells become damaged or unhealthy, it affects melanin production. Some pigmentation disorders affect just patches of skin. Others affect your entire body. If your body makes too much melanin, your skin gets darker. Pregnancy,hypothyroidism, Addison's disease,contraceptive pills and sun exposure all can make your skin darker. If your body makes too little melanin, your skin gets lighter. Vitiligo is a condition that causes patches of light skin. Albinism is a genetic condition affecting a person's skin. A person with albinism may have no color, lighter than normal skin color, or patchy missing skin color. Infections, blisters and burns can also cause lighter skin. Melanin is the brown pigment that produces the various shades and colors of human skin. Coloration (pigmentation) is determined by the amount of melanin in the skin. Without melanin, the skin would be pale white with shades of pink caused by blood flow through the skin. Fair-skinned people produce very little melanin, darker-skinned people produce moderate amounts, and very dark-skinned people produce the most. People with albinism have little or no melanin and thus their skin appears white or pale pink. Usually, melanin is fairly evenly distributed in the skin, but sometimes people have spots or patches of skin with more melanin. Examples of such spots include freckles, age spots (lentigines), and melasma.
Treatments and Therapies:
Hyperpigmentation is a common, usually harmless condition. Age or "liver" spots are a common form of hyperpigmentation. They occur due to sun damage( solar lentigines). These small, darkened patches are usually found on the hands and face or other areas frequently exposed to the sun.
Melasma or chloasma spots are similar in appearance to age spots but are larger areas of darkened skin that appear most often as a result of hormonal changes. Pregnancy, for example, can trigger overproduction of melanin that causes the "mask of pregnancy" on the face and darkened skin on the abdomen and other areas. Women who take birth control pills may also develop hyperpigmentation because their bodies undergo similar kind of hormonal changes that occur during pregnancy.
Changes in skin color can result from outside causes. For example, skin diseases such as acne may leave dark spots after the condition clears. Other causes of dark spots are injuries to the skin, including some surgeries. Freckles are small brown spots that can appear anywhere on the body, but are most common on the face and arms. Freckles are an inherited characteristic.
Wearing a sunscreen is a must. The sunscreen must be "broad spectrum" (i.e. it blocks both UVA and UVB).
A single day of excess sun can undo months of treatment. Lentigines, or liver spots, are benign lesions that occur on the sun-exposed areas of the body. The backs of hands and face are common areas. The lesions tend to increase in number with age, making them common among the middle age and older population. They can vary in size from 0.2 to 2 cm. These flat lesions usually have discrete borders, are dark in color, and have an irregular shape. Lentigines are usually benign therefore treatment is not necessary. For cosmetic purposes, some successful treatments include: cryotherapy, hydroquinone preparations (bleaching preparations), retinoid cream, chemical peels or lasers. Protective measures should be taken to avoid any excessive sunlight exposure. These include sunscreen and protective clothing, such as hats and long sleeve.
Laser Skin Resurfacing
Laser skin resurfacing is a proven way to help reduce wrinkles, age spots, acne scars, and other blemishes, stretch marks,sun damage,sagging skin as well as tighten skin and balance tone. But precisely because lasers can do so much, and vary widely in how they act on your skin, it is hard to know where to start when researching treatment—even the most perfunctory search reveals a slew of competing devices and methods.
Ablative vs. non-ablative lasers All lasers fall into two categories: ablative and non-ablative. Ablative lasers are invasive, like pla stic surgery, and remove the top layer of your skin. Your skin surface will appear red after as it repairs itself. Non-ablative lasers like Co2 are less invasive, using heat to stimulate cells to thicken the underlying collagen resulting in improved skin tone and elasticity. Since non-ablative lasers do not remove a layer of your skin, there is minimal swelling, redness, and recovery time. Fractional laser treatments Fractional lasers are used in a variety of laser skin resurfacing treatments. Popular variations include Fraxel Dual, Fraxel Repair, Active FX, and Deep FX. The notable difference between between fractional laser treatments and other laser skin resurfacing is fractional lasers target very small and specific areas. By doing so, they do not damage surrounding areas. As a result, fractional laser treatments tend to require less recovery.
What laser skin resurfacing can improve
Fine lines or wrinkles around or under your eyes, forehead or mouth Scars from acne or chickenpox Non-responsive skin after a facelift Aged or sun-damaged skin Liver spots Improve your complexion if you have yellowish or grayish skin tones Warts Birthmarks such as linear epidermal nevi Enlarged oil glands on the nose
PRP for Hair Loss & Restoration(Non surgical hair regrowth)
The science behind platelet rich plasma (PRP) therapy is not really complex and these platelets have become quite helpful in reversing cell damage and promoting natural healing. Platelets are derived from the patient’s blood before being concentrated and injected back into the affect part of the body which in this case is the scalp. Platelets have a wide array of growth factors and they are responsible for the healing and regenerative process.
These platelets are then injected into the scalp where they work to stimulate hair growth. PRP therapy activates the adult stem cells known as follicular progenitor cells. PRP is rich in growth factors and these help in promoting localized cell growth. This treatment has no barriers and is effectively used to treat men and women suffering from hair loss. PRP therapy can be used to reverse and treat even the most complex hair loss problems.
The survival rate of hair follicles dramatically increases as the platelets stimulate the hair cycle’s anagen phase or what many would call the growth phase. The anagen phase could last anywhere between two to six years before going to the catagen phase which is when the hair begins to shrink.
Laser Hair Removal
Laser hair removal for unwanted hair has become one of the most common cosmetic procedure. Laser hair removal utilizes beams of highly concentrated light designed to selectively penetrate into the hair follicles, to be absorbed by the pigment in the hair follicles and to destroy the hair within that hair follicle. A variety of lasers and light sources have been developed that may be employed in laser hair removal.
The procedure was originally described to be performed on dark hairs on light skin; newer technologies have made the procedure safer for patients with darker skin and those of color.
Various types of lasers are utilized with laser hair removal – the most common of which are alexandrite, diode, Neodymium YAG and intense pulsed light sources.
Botox is the most popular non-surgical cosmetic treatment, with more than 6 million Botox treatments
administered each year.Botox is a neurotoxin derived from Clostridium botulinum, an organism found in the natural environment where it is largely inactive and non-toxic.Botulinum toxin is used to reduce fine lines and wrinkles by paralyzing the underlying muscles.People also use Botox to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders.
Botulinum toxin is predominantly used as a treatment to reduce the appearance of facial wrinkles and fine lines.
BOTOXprovides a quick and effective remedy for the facial lines and wrinkles that age, stress, worry, and environmental factors
can produce, even on a younger person’s face. A BOTOX injection skin treatment smoothes frown lines on the forehead, between the eyes,
and at the base of the nose. With BOTOX derived from botulinum toxin, "crow’s feet" wrinkles at the corners of the eyes fade or disappear
for a more youthful and vital facial appearance.
BOTOX is an injectable agent used to temporarily diminish or eliminate lines and wrinkles on the face by relaxing underlying facial muscles. It is derived from botulinum toxin type A, a bacterium-produced neuromuscular toxin that can be deadly in a pure state. BOTOX contains a highly diluted form of the toxin and has been proven safe. For this reason, the U.S. Food and Drug Administration has approved BOTOX botulinum toxin treatment for alleviating eye-muscle disorders and smoothing frown lines. This exceptional treatment is often used in conjunction with facial plastic surgery procedures such as a face lift or eyelid lift to maximize its cosmetic benefit.
As with any medical procedure, there are certain considerations that those seeking BOTOX must take into account. It is possible that even ideal candidates for this procedure could experience some adverse side effects. The vast majority of side effects are simple and temporary, disappearing in just a few weeks. Rarely, some patients are allergic to BOTOX.Medical considerations that BOTOX candidates should keep in mind - and which they are encouraged to speak with their physician about - include temporary paralysis of different muscle groups, allergic reaction, and bruising at the injection site.
What Are Facial Fillers?
Facial fillers are products such as collagen, hyaluronic acid and calcium hydroxyl apatite that rejuvenate facial skin by reducing or eliminating wrinkles, raising scar depressions, enhancing lips and replacing soft-tissue volume loss through facial injections. With age, our skin becomes more susceptible to wrinkles and sagging. Exposure to sun and years of muscle movement ( squinting, chewing, smiling ) contribute to tissue breakdown of the skin. Facial fillers are temporary to long-lasting solutions administered through a few tiny facial injections on specific areas of the face. Various types of facial fillers are available; each is designed with one or several purposes, such as wrinkle reduction and lip augmentation. A qualified medical professional can help you determine which facial injections and what injectable fillers treatments are right for you. Facial fillers will volumize creases and folds in the face in areas that have lost fat and collagen as we age. Hyaluronic acid is the natural filler substance in your body. The face starts to lack volume and appears aged with deeper nasolabial folds, unaesthetic marionette lines, a deeper mentalis fold, the lips start to thin, and turning down the corners of the lips. Hyaluronic acid fillers are injected extraorally right underneath these folds to replace the volume lost which creates a younger look in the face. Dermal fillers can be used for high lip line cases, asymmetrical lips around the mouth, lip augmentation. In general, the results from most injectable fillers are temporary; commonly lasting from a few months to about a year. This depends on the type of facial fillers or filler injections used. For optimal results, additional treatment sessions are encouraged.
Dermal fillers can be used to fix a variety of concerns related to facial aging, including: Adding volume and smoothing out the deep creases that run from the nose to the mouth (called nasolabial folds or laugh lines). Plumping thin lips and smoothing out vertical lines around the edges of the lips.Augmenting cheeks to enhance their shape, often restoring youthful fullness Filling out depressions (hollows) under the eye area Making indented scars from acne or chicken pox more even with surrounding skin Increasing volume to fill out gauntness in the lower cheek or temple area, which most often occurs due to fat pads shifting beneath the surface of skin.
Don’t confuse dermal fillers with Botox. Although both procedures involve injections, Botox is most often injected around the forehead and wrinkles around the eyes (crow’s feet) to stop muscle movement that results in wrinkles. It has nothing to do with the plumping smoothing effect dermal fillers have . Because they work in different manners, many people elect to get both Botox and dermal fillers—the combination can produce a remarkably younger-looking face.
Laser Treatment to Remove Moles
Skin cells that create pigmentation create the dark growths and lesions called moles, new growths that appear in a variety of sizes ranging from pin-sized to an inch or more in diameter. Most people have moles and many are hereditary. Moles that change size and color may indicate cancer or other skin diseases and should be removed. Most moles cause cosmetic concerns however and can be removed through a variety of techniques, including laser surgery.
While most moles are benign and easily respond to the cosmetic procedure, moles that are recent developments and that change in size, shape or appearance need to undergo a biopsy to ensure there is no cancer present. If there is a possibility that the mole is cancerous, the entire mole and a significant amount of surrounding skin must be surgically removed.
The size and shape of a mole is important when deciding if laser surgery is the best method to remove the skin lesion. The effects of the intense targeted light from the laser penetrate into the top layer of skin. Bursts of radiation from the laser light vaporize the skin. The underlying skin is left intact and there is no bleeding associated with the method. Most moles require at least two or three treatments before they are completely eradicated.
While certain practitioners favor cutting and shaving as the preferred methods for removing moles, these methods can leave scars and are often difficult to perform in sensitive areas, such as the face and ears. Lasers are easily positioned to target small, hard-to-reach areas and are also more useful for removing multiple moles at the same time.
Side effects are rare following laser mole surgery, the most common side effect is changes in skin color. Dark-skinned people may have lighter areas of new skin growth where the laser was used and fair-skinned people sometimes are left with darker skin patches. The abnormal skin pigmentation often disappears in time.
Laser removal of warts
Laser surgery uses an intense beam of light, or laser, to burn and destroy the wart tissue. It is usually done in a doctor's office or clinic. Local or general anesthetic may be used, depending on the number of warts to be removed or the size of the area to be treated.
Warts are one of the most common infections caused by a microscopic virus that infects the skin. Warts removal is a safe, effective and relatively painless procedure that can be used on even the most sensitive body parts. Laser warts removal can also be used to prevent warts from reoccurring.
Laser warts removal involves targeting the wart with a laser; the laser passes through the upper layer of the skin called the epidermis and targets the tiny blood vessels that feed the wart near the dermis, the middle layer of skin. Laser warts removal kills the blood vessels feeding the wart, effectively starving it until it dries up and falls off. The laser kills only the wart infected area and leaves the surrounding tissue unharmed and undamaged.
Laser warts removal treatment does not cause the discomfort often associated with other types of warts removal and is safe for adults and children of all ages. The number of warts removal treatments required to permanently remove warts depends on the size, location and number of warts. Simple warts may only need a single treatment whereas deeper, stubborn warts may require several laser warts removal treatments. Common warts are usually found on fingers, hands, knees and elbows &beard. A common wart has a rough surface that may look like a cauliflower with black dots in the centre. It is a small, hard, dome shaped bump.
Flat warts are tiny in size with flat tops and are smoother than other warts. They can be pink, light brown or yellow and often occur in clusters on the face, arms, hands, knees. Plantar warts are very uncomfortable and often painful as they occur on the soles of the feet. Filiform warts look like fingers. They are flesh coloured and usually occur on or around the mouth, eyes or nose. Laser warts removal treatment effectively and permanently removes warts on: Fingers, Finger nails, Face, Feet, Hands, Elbows, Knee &Scalp
What is Theradome Hair Treatment?
Hair loss can be frustrating. When you start to lose your hair, you may feel depressed, unhappy, older, and less vibrant. In that case, you might to start to think about your options. Many options exist to treat hair loss with some that work, and some that don't. Fortunately, there is a new, updated and highly effective form of treatment on the market called Theradome. Theradome hair treatment is a proven, scientific method for hair loss that has been studied closely by hair loss authorities and has proven to be very effective.
Theradome treatment uses laser light to promote hair growth. Laser hair restoration helps stimulate the growth of hair follicles without burning your head. The eighty small lasers used will penetrate your scalp to a depth of five millimeters. This helps your scalp absorb powerful rays that can begin the process of hair regrowth safely, easily and painlessly.
A Fitted Helmet
Each of the lasers used fits into a helmet that is worn over your skull. The helmet is comfortable and safe. You undergo the recommended twice weekly twenty minute Theradome treatment sessions.
Less Costly But Highly Effective
Treating hair loss can be extremely costly. Theradome treatment is available for a fraction of the price for traditional hair loss treatment.
These are the following treatmenst available:
Acne vulgaris is the world’s most common skin disease. Anyone of any age can get it, but teens and young adults are most likely to suffer acne outbreaks. In fact, 80 percent of people ages 11-30 have acne outbreaks at least occasionally. Oil glands are small in children, but puberty (and testosterone in particular) causes these glands to grow larger. They secrete oil and cellular debris in a substance called sebum. Sebum keeps the skin flexible and acts as a protective barrier against water evaporation on the skin’s surface. It also keeps hair shiny and soft. Sometimes skin cells clog up these follicles, also known as pores. With the pores clogged, sebum gets trapped inside. Skin bacteria called Propionibacterium acnes (P. acnes) starts to grow inside the pores, too. The bacteria cause inflammation. When the clogged pore bursts open, all the sebum and P. acnes bacteria spill onto the surface of the skin, causing breakouts.
Acne medications work by reducing oil production, speeding up skin cell turnover, fighting bacterial infection or reducing inflammation — which helps prevent scarring. With most prescription acne drugs, you may not see results for four to eight weeks. It can take many months or years for your acne to clear up completely. The treatment regimen your doctor recommends depends on your age, the type and severity of your acne, and what you are willing to commit to. For example, you may need to wash and apply medications to the affected skin twice a day for several weeks. Often topical medications and drugs you take by mouth (oral medication) are used in combination. Pregnant women will not be able to use oral prescription medications for acne. The most common topical prescription medications for acne are as follows:
Antibiotics. For moderate to severe acne, you may need oral antibiotics to reduce bacteria and fight inflammation.
Oral antibiotics should be used for the shortest time possible to prevent antibiotic resistance.
Oral antibiotics are best used with topical retinoids and benzoyl peroxide. Antibiotics may cause side effects,
such as an upset stomach and dizziness. These drugs also increase your skin's sun sensitivity.
Combined oral contraceptives. Four combined oral contraceptives are approved by the FDA for acne therapy in women who also wish to use them for contraception. You may not see the benefit of this treatment for a few months, so using other acne medications with it the first few weeks may help.
Anti-androgen agents. The drug spironolactone (Aldactone) may be considered for women and adolescent girls if oral antibiotics aren't helping. It works by blocking the effect of androgen hormones on the sebaceous glands. Isotretinoin. Isotretinoin is a powerful drug for people whose severe acne doesn't respond to other treatments. Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug.
Isotretinoin. Isotretinoin is a powerful drug for people whose severe acne doesn't respond to other treatments. Oral isotretinoin is very effective. But because of its potential side effects, doctors need to closely monitor anyone they treat with this drug.
These therapies may be suggested in select cases, either alone or in combination with medications.
Atopic dermatitis is a common, often persistent skin disease that affects a large percentage of the world's population. Atopy is a special type of allergic hypersensitivity that is associated with asthma, inhalant allergies (hay fever), and a chronic dermatitis. There is a known hereditary component of the disease, and it is more common in affected families. Criteria that enable a doctor to diagnose it include the typical appearance and distribution of the rash in a patient with a personal or family history of asthma and/or hay fever. In atopic dermatitis, the skin becomes extremely itchy and inflamed, causing redness, swelling, vesicle formation (minute blisters), cracking, weeping, crusting, and scaling. This type of eruption is termed eczematous. In addition, dry skin is a very common complaint. Atopic dermatitis can occur in any age, most often it affects infants and young children. Occasionally, it may persist into adulthood. Some patients tend to have a protracted course with ups and downs. In most cases, there are periods of time when the disease is worse, called exacerbations or flares, which are followed by periods when the skin improves or clears up entirely, called remissions. Many children with atopic dermatitis enter into a permanent remission of the disease when they get older, although their skin may remain somewhat dry and easily irritated. Multiple factors can trigger or worsen atopic dermatitis, including low humidity, seasonal allergies, exposure to harsh soaps and detergents, and cold weather. Environmental factors can activate symptoms of atopic dermatitis at any time in the lives of individuals who have inherited the atopic disease trait.
Atopic dermatitis vs. eczema
Eczema is a nonspecific term for many types of skin inflammation (dermatitis). There are different categories of eczema, which include allergic, contact, irritant, and nummular eczema, which can be difficult to distinguish from atopic dermatitis.
Types of eczema
Is atopic dermatitis contagious?
Atopic dermatitis itself is definitely not contagious, and it cannot be passed from one person to another through skin contact. There is generally no cause for concern in being around someone with even an active case of atopic dermatitis
What are atopic dermatitis symptoms and signs?
Although symptoms and signs may vary from person to person, the most common symptoms are dry, itchy, red skin. Itch is the hallmark of the disease. Typically, affected skin areas include the folds of the arms, the back of the knees, wrists, face, and neck. The itchiness is an important factor in atopic dermatitis, because scratching and rubbing can worsen the skin inflammation that is characteristic of this disease. People with atopic dermatitis seem to be more sensitive to itching and feel the need to scratch longer in response. They develop what is referred to as the "itch-scratch" cycle. The extreme itchiness of the skin causes the person to scratch, which in turn worsens the itch, and so on. Itching is particularly a problem during sleep, when conscious control of scratching decreases and the absence of other outside stimuli makes the itchiness more noticeable.
Can atopic dermatitis affect the face?
Atopic dermatitis may affect the skin around the eyes, the eyelids, the eyebrows, and lashes. Scratching and rubbing the eye area can cause the skin to change in appearance. Some people with atopic dermatitis develop an extra fold of skin under their eyes, called an atopic pleat or Dennie-Morgan fold.The skin on their eyelids darkens from the inflammation or hay fever (allergic shiners). Patchy eyebrows and eyelashes may also result from scratching or rubbing. The face is very commonly affected in babies, who may drool excessively, and become irritated from skin contact with their abundant saliva. The skin of a person with atopic dermatitis loses excessive moisture from the epidermal layer. In addition, the skin is very susceptible to infectious disorders, such as staphylococcal and streptococcal bacterial skin infections, warts, herpes simplex, and molluscum contagiosum (which is caused by a virus).
What are the stages of atopic dermatitis?
Atopic dermatitis seems to have a differing pattern of involvement depending on the age of a patient. In infants, atopic dermatitis typically begins around 6 to 12 weeks of age. It may first appear around the cheeks and chin as a patchy facial rash, which can progress to red, scaling, oozing skin. The skin may become infected. Once the infant becomes more mobile and begins crawling, exposed areas such as the knees and elbows may also be affected. An infant with atopic dermatitis may be restless and irritable because of the itching and discomfort. Many infants improve by 18 months of age, although they remain at greater than normal risk for dry skin or hand eczema later in life.
In childhood, the rash tends to occur behind the knees and inside the elbows, on the sides of the neck, and on the wrists, ankles, and hands. Often, the rash begins with papules that become hard and scaly when scratched. The skin around the lips may be inflamed, and constant licking of the area may lead to small, painful cracks. Severe cases of atopic dermatitis may affect growth, and the child may be shorter than average. In those with more heavily pigmented skin, especially the face, areas of lighter skin color appear. This condition is called pityriasis alba. It is usually self-limited and the color will eventually normalize. The disease may go into remission (disease-free period) for months or even years.
In most children, the disease disappears after puberty. Although a number of people who developed atopic dermatitis as children also experience symptoms as adults, it is less common for the disease to show up first in adulthood. The pattern in adults is similar to that seen in children; that is, the disease may be widespread or limited. In some adults, only the hands or feet may be affected and become dry, itchy, red, and cracked. Sleep patterns and work performance may be affected, and long-term use of medications to treat the condition may cause complications. Adults with atopic dermatitis also have a predisposition toward irritant contact dermatitis, especially if they are in occupations involving frequent hand wetting, hand washing, or exposure to chemicals. Some people develop a rash around their nipples.
These localized symptoms are difficult to treat, and people often do not tell their doctor because of modesty or embarrassment. Adults may also develop cataracts that are difficult to detect because they cause no symptoms. Therefore, the doctor may recommend regular eye exams
What are skin irritants in patients with atopic dermatitis?
Irritants are substances that directly damage the skin, and when used in high enough concentrations for long enough, cause the skin to become inflamed. Soaps, detergents, and even water may produce inflammation. Some perfumes and cosmetics may irritate the skin. Chlorine and alcoholic solvents, dust, or sand may also aggravate the condition. Cigarette smoke may irritate the eyelids.
What are home remedies for atopic dermatitis?
Treatment involves a partnership between the doctor and the patient and family members. The doctor will suggest a treatment plan based on the patient's age, symptoms, and general health. The patient and family members play a large role in the success of the treatment plan by carefully following the doctor's instructions. Some of the primary components of treatment programs are described below. Most patients can be successfully managed with proper skin care and lifestyle changes and do not require the more intensive treatments discussed.
Skin care: A simple and basic regimen is key. Staying with one recommended soap and one moisturizer is very important. Using multiple soaps, lotions, fragrances, and mixes of products may cause further issues and skin sensitivity. Healing the skin and keeping it healthy are of primary importance both in preventing further damage and enhancing the patient's quality of life. Developing and following a daily skin care routine is critical to preventing recurrent episodes of symptoms. The key factor is proper bathing and the application of an emollient to the wet skin without towel drying. Generally, an effective emollient is a reasonably stiff ointment or cream (one that does not move out of an opened inverted jar). People with atopic dermatitis should avoid hot baths and showers.
Another key to protecting and restoring the skin is taking steps to avoid repeated skin infections. Although it may not be possible to avoid infections altogether, the effects of an infection may be minimized if they are identified and treated early. Patients and their families should learn to recognize the signs of skin infections, including tiny pustules (pus-filled bumps) on the arms and legs, appearance of oozing areas, or crusty yellow blisters. If symptoms of a skin infection develop, the doctor should be consulted to begin treatment as soon as possible. Treating atopic dermatitis in infants and children
Eczema (eg-zuh-MUH) is the name for a group of conditions that cause the skin to become red, itchy and inflamed. Eczema is very common. In fact, more than 30 million Americans have some form of eczema. Eczema is not contagious. You can’t “catch it” from someone else. While the exact cause of eczema is unknown, researchers do know that people who develop eczema do so because of a combination of genes and environmental triggers. When an irritant or an allergen from outside or inside the body “switches on” the immune system, it produces inflammation. It is this inflammation that causes the symptoms common to most types of eczema. Though there are several distinct types of eczema, it is possible to have more than one type at a time.All types of eczema cause itching and redness, but some may also cause your skin to blister, “weep,” or peel.
The specific cause of eczema remains unknown, but it is believed to develop due to a combination of genetic and environmental factors. Eczema is not contagious. Children are more likely to develop eczema if a parent has had the condition or another atopic disease. If both parents have an atopic disease, the risk is even greater.
There are many different types of eczema Allergic contact dermatitis: This is a skin reaction following contact with a substance or allergen that the immune system recognizes as foreign.
There is no cure for eczema. Treatment for the condition aims to heal the affected skin and prevent flare-ups of symptoms. Doctors will suggest a plan of treatment based on an individual's age, symptoms, and current state of health. For some people, eczema goes away over time. For others, it remains a lifelong condition. Home care There are numerous things that people with eczema can do to support skin health and alleviate symptoms, such as:
There are several medications that doctors can prescribe to treat the symptoms of eczema, including:
Psoriasis is a chronic autoimmune condition that causes the rapid build-up of skin cells. This build-up of cells causes scaling on the skin’s surface. Inflammation and redness around the scales is fairly common. Typical psoriatic scales are whitish-silver and develop in thick, red patches. Sometimes, these patches will crack and bleed. Psoriasis is the result of a sped-up skin production process. Typically, skin cells grow deep in the skin and slowly rise to the surface. Eventually, they fall off. The typical life cycle of a skin cell is one month. In people with psoriasis, this production process may occur in just a few days. Because of this, skin cells don’t have time to fall off. This rapid, overproduction leads to the build-up of skin cells. Scales typically develop on joints, such elbows and knees. They may develop anywhere on the body, including the hands, feet, neck, scalp, and face. Less common types of psoriasis affect the nails, the mouth, and the area around genitals.
Psoriasis symptoms differ from person to person and depend on the type of psoriasis. Areas of psoriasis can be as small as a few flakes on the scalp or elbow, or cover the majority of the body.The most common symptoms of plaque psoriasis include:
Not every person will experience all of these symptoms. Some people will experience entirely different symptoms if they have a less common type of psoriasis. Most people with psoriasis go through “cycles” of symptoms. The condition may cause severe symptoms for a few days or weeks, and then the symptoms may clear up and be almost unnoticeable. Then, in a few weeks or if made worse by a common psoriasis trigger, the condition may flare up again. Sometimes, symptoms of psoriasis disappear completely. When you have no active signs of the condition, you may be in “remission.” That doesn’t mean psoriasis won’t come back, but for now you are symptom free.
Psoriasis isn’t contagious. You can’t pass the skin condition from one person to another. Touching a psoriatic lesion on another person won’t cause you to develop the condition.
Scientists are unclear as to what causes psoriasis. However, thanks to decades of research, they have a general idea of two key factors: genetics and the immune system.
Psoriasis is an autoimmune condition. Autoimmune conditions are the result of the body attacking itself. In a typical body, white blood cells are deployed to attack and destroy invading bacteria and fight infections. The mistaken attack causes the skin cell production process to go into overdrive. The sped-up skin cell production causes new skin cells to develop too quickly. They are pushed to the skin’s surface, where they pile up. This results in the plaques that are most commonly associated with psoriasis. The attacks on the skin cells also cause red, inflamed areas of skin to develop.
Some people inherit genes that make them more likely to develop psoriasis. If you have an immediate family member with the skin condition, your risk for developing psoriasis is higher. However, the percentage of people who have psoriasis and a genetic predisposition is small. Approximately 2 to 3 percent of people with the gene develop the condition.
Two “tests” or examinations may be necessary to diagnose psoriasis.
Most doctors are able to make a diagnosis with a simple examination. Symptoms of psoriasis are typically evident and easy to distinguish from other conditions that may cause similar symptom.
If the symptoms are unclear or if your doctor wants to confirm their suspected diagnosis, they may take a small sample of skin. This is known as a biopsy. The skin will be sent to a lab, where it will be examined under a microscope. The examination can diagnose the type of psoriasis you have. It can also rule out other possible disorders or infections.
Psoriasis triggers: Stress, alcohol, and more
External “triggers” may start a new bout of psoriasis.
These triggers aren’t the same for everyone. They may also change over time for you.
The most common triggers for psoriasis include: Stress: Unusually high stress may trigger a flare. If you learn to reduce and manage your stress, you can reduce and possibly prevent flares.
Alcohol: Heavy drinking or alcohol consumption can trigger psoriasis flares. If you binge drink or drink heavily, psoriasis outbreaks may be more frequent. If you have a problem with alcohol, talk with your doctor about getting help to quit drinking. Reducing alcohol consumption is smart for more than just your skin.
Injury: If you have an accident, cut yourself, or scrape your skin, you may trigger a psoriasis outbreak. Shots, vaccines, and sunburns can also trigger a new bout with the skin condition.
Medications: Some medications are considered psoriasis triggers. These medications include lithium, antimalarial medicines, and high blood pressure medication.
Infection: Psoriasis is caused, at least in part, by the immune system mistakenly attacking healthy skin cells. If you’re sick or battling an infection, your immune system will go into overdrive to fight the infection. This might start another psoriasis bout. Sore throat is a common trigger.
Psoriasis has no cure. Treatments aim to reduce inflammation and scales, slow the growth of skin cells, and remove plaques. Psoriasis treatments fall into three categories: topical treatments, systemic medications, and light therapy.
People with moderate to severe psoriasis, and those who have not responded well to other treatment types, may need to use oral or injected medications. Many of these medicines have severe side effects, so doctors usually prescribe them for short periods of time.
The medications include:
This psoriasis treatment uses ultraviolet (UV) or natural light. Sunlight kills the overactive white blood cells that are attacking healthy skin cells and causing the rapid cell growth. Both UVA and UVB light may be helpful in reducing symptoms of mild to moderate psoriasis. Most people with moderate to severe psoriasis will benefit from a combination of treatments. This type of therapy uses more than one of the treatment types to reduce symptoms. Some people may use the same treatment their entire lives. Others may need to change treatments occasionally if their skin stops responding to what they’re using.
If you have moderate to severe psoriasis, or if psoriasis stops responding to other treatments, your doctor may consider an oral or injected medication. The most common oral and injected medicines used to treat psoriasis include: Biologics: This class of medications alters your immune system and prevents interactions between your immune system and inflammatory pathways. These medications are injected or given through intravenous (IV) infusion. Retinoids: These medicines reduce skin cell production. Once you stop using them, symptoms of psoriasis will likely return. Side effects include hair loss and lip inflammation. Women who are pregnant or may become pregnant within the next three years shouldn’t take retinoids because of the risk of possible birth defects. Cyclosporine: This medicine prevents the immune system’s response, which can ease symptoms of psoriasis. It also means you have a weakened immune system, so you may become sick more easily. Side effects include kidney problems and high blood pressure. Methotrexate: Like cyclosporine, this medicine suppresses the immune system. It may cause fewer side effects when used in low doses, but over the long-term it can cause serious side effects. These include liver damage and reduced production of red and white blood cells.
Life with psoriasis can be challenging, but with the right approach you can reduce flares and live a healthy, fulfilling life. These three areas will help you cope in the short-term and long-term:
Losing weight and maintaining a healthy diet can go a long way toward helping ease and reduce symptoms of psoriasis. This includes eating a diet rich in omega-3 fatty acids, whole grains, and plants. You should also limit foods that may increase your inflammation, such as refined sugars, dairy products, and processed foods.
Stress is a well-established trigger for psoriasis. Learning to manage and cope with stress may help you reduce flares and ease symptoms. Meditation, journaling, breathing, and yoga are just a few of the ways you may find success at reducing stress.
People with psoriasis are more likely to experience depression and self-esteem issues. You may feel less confident when new spots appear. Talking with family members about how psoriasis affects you may be difficult, and the constant cycle of the condition may be frustrating. All of these emotional issues are valid, and it’s important you find a resource for handling them. This may include speaking with a professional mental health expert or joining a group for people with psoriasis.
About 15 percent of people with psoriasis will develop psoriatic arthritis. This type of arthritis causes swelling, pain, and inflammation in affected joints. It’s commonly mistaken for rheumatoid arthritis and gout. The presence of inflamed, red areas of skin with plaques usually distinguishes this type of arthritis from others. Psoriatic arthritis is a chronic condition. Like psoriasis, the symptoms of psoriatic arthritis may come and go, alternating between flares and remission. Psoriatic arthritis can also be continuous, with constant symptoms and issues. This condition typically affects large joints of the lower body, including your knees and ankles. It can also affect your fingers, toes, back, and pelvis. Most people who develops psoriatic arthritis have psoriasis. However, it’s possible to develop the joint condition without having been diagnosed with psoriasis. Most people who are diagnosed with arthritis without the skin condition have a family member with psoriasis. Treatments for psoriatic arthritis may successfully ease symptoms, relieve pain, and improve joint mobility. As with psoriasis, losing weight, maintaining a healthy diet, and avoiding triggers may also help reduce psoriatic arthritis flares. An early diagnosis and treatment plan can reduce the likelihood of severe complications, including joint damage.
Psoriasis may begin at any age, but most diagnoses occur in adulthood. The average age of onset is 33 years old. About 75 percent of psoriasis cases are diagnosed before age 46. A second peak period of diagnosis occurs in the late 50s and early 60s. Males and females are affected equally, but Caucasians are affected disproportionately. People of color make up a very small proportion of psoriasis diagnoses. Having a family member with the condition increases your risk for developing psoriasis. However, many people with the condition have no family history at all, and some people with a family history won’t develop psoriasis. About 15 percent of people with psoriasis will be diagnosed with psoriatic arthritis. In addition, people with psoriasis are more likely to develop conditions such as type 2 diabetes, kidney disease, cardiovascular disease, and high blood pressure. Though the data isn’t complete, research suggests cases of psoriasis are becoming more common. Whether that’s because people are developing the skin condition or doctors are just getting better at diagnosing it is unclear.
Vitiligo (vit-ih-LIE-go) is a disease that causes the loss of skin color in blotches. The extent and rate of color loss from vitiligo is unpredictable. It can affect the skin on any part of your body. It may also affect hair and the inside of the mouth. Normally, the color of hair and skin is determined by melanin. Vitiligo occurs when the cells that produce melanin die or stop functioning. Vitiligo affects people of all skin types, but it may be more noticeable in people with darker skin. The condition is not life-threatening or contagious. It can be stressful or make you feel bad about yourself. Treatment for vitiligo may restore color to the affected skin. But it does not prevent continued loss of skin color or a recurrence.
The main sign of vitiligo is patchy loss of skin color. Usually, the discoloration first shows on sun-exposed areas, such as the hands, feet, arms, face and lips. Vitiligo signs include:
Vitiligo can start at any age, but often appears before age 20.
Depending on the type of vitiligo you have, the discolored patches may cover:
It's difficult to predict how your disease will progress. Sometimes the patches stop forming without treatment. In most cases, pigment loss spreads and eventually involves most of your skin. Rarely, the skin gets its color back.
Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin,
hair and eyes color. The involved patches of skin become lighter or white. Doctors don't know why the cells fail or die.
It may be related to:
People with vitiligo may be at increased risk of:
Hair is a protein filament that grows follicles found in dermis of skin.It is an important component of body image. Humans have about 5 million hair follicles at birth.No follicles are formed after birth,but their size changes under the influence of hormones. The average scalp has more than 100,000 hair.The growth phase of scalp hair ranges from 2-6 years.Scalp hair grows 0.3 to 0.4mm/day,or approximately 6 inches a year. Excessive hair fall occurs when a person sheds more than 100 hairs/day.This type of hair loss is called Telogen Effluvium.
Acute or chronic illness
Weight loss or unusual diet
Cosmetic procedures:Dyeing Bleaching,Straightening etc
Other types of hair loss are:-
Chronic Telogen Effluvium
While the patterns of baldness for men and women differ, they both have a common genetic cause. With male pattern baldness, hair loss typically occurs on the top and front of the head. With female pattern baldness, thinning occurs on the top and crown of the head. This thinning in women often starts as a widening of the centre hair part that leaves the front hairline unaffected.
Female pattern baldness, also called androgenetic alopecia, is hair loss that affects women. It’s similar to male pattern baldness, except that women can lose their hair in a different pattern than men.
Hair loss in women is normal, especially as you age. Up to two-thirds of women experience hair loss after menopause. Less than half of women will make it past age 65 with a full head of hair.
Female pattern baldness is hereditary. It’s more common after menopause, so hormones are likely responsible. If you notice that you’re losing hair, see your doctor or a dermatologist. They will be able to determine if you’re experiencing female pattern baldness or another type of hair loss.
The sooner you get treated, the faster you’ll be able to stop the loss — and possibly even regrow hair.
In female pattern baldness, the hair’s growing phase slows down.
It also takes longer for new hair to begin growing. Hair follicles shrink, leading the hair that does grow to be thinner and finer. This can result in hair that easily breaks. It’s normal for women to lose 50 to 100 hairs each day, but those with female pattern baldness can lose many more. Women lose hair from all over their head, starting at their part line. Hair at the temples may also recede. Woman are less likely to go completely bald, but you may have a lot of thinning throughout your hair. Doctors divide female pattern baldness into three types:
- Type I is a small amount of thinning that starts around your part.
- Type II involves widening of the part, and increased thinning around it.
- Type III is thinning throughout, with a see-through area at the top of your scalp.
If you’ve noticed thinning hair on your scalp, see your doctor or a dermatologist. Your doctor will examine your scalp to see the pattern of hair loss. Testing generally isn’t needed to diagnose female pattern baldness.
If they suspect another type of hair loss, they may also perform a blood test to check your levels of thyroid hormone, androgens, iron, or other substances that can affect hair growth. few women present with male pattern hair loss because they have excessive levels of androgens as well as genetic predisposition. These women tend also to suffer from acne, irregular menses and excessive facial and body hair. These symptoms are characteristic of polycystic ovarian syndrome (PCOS) although the majority of women with PCOS do not experience hair loss. Less often, congenital adrenal hyperplasia may be responsible. Females that are losing their hair with age are more likely to present with female pattern hair loss, in which hormone tests are normal.
Minoxidil is the only drug approved by the U. S. Food and Drug Administration (FDA) to treat female pattern baldness. It’s available in 2% or 5% formulas. If possible, opt for the 5% formula.
Finasteride is FDA-approved to treat hair loss in men. Spironolactone blocks androgen production, and it may help regrow hair in women who have high testosterone levels.
Hair loss resulting in thinning is known as alopecia. When it is related to hormones
(androgens) and genetics, it is known as androgenetic alopecia.
When androgenetic alopecia denudes an area of the scalp it is called baldness.
Male pattern hair loss is characterised by a receding hairline and/or hair loss on
the top and front of the head.
Male pattern hair loss is an inherited condition, caused by a genetically determined sensitivity to the effects of dihydrotestosterone, or DHT in some areas of the scalp. DHT is believed to shorten the growth, or anagen, phase of the hair cycle, from a usual duration of 3–6 years to just weeks or months. This occurs together with miniaturisation of the follicles, and progressively produces fewer and finer hairs. The production of DHT is regulated by an enzyme called 5-alpha reductase.
Current treatment options include:
Hair replacement / transplantation
There is some evidence that ketoconazole shampoo may also be of benefit, perhaps because it is effective in seborrhoeic dermatitis and dandruff.
Laser combs and helmets(THERADOME) are FDA-approved to treat hair loss. They use light energy to stimulate hair regrowth. Platelet-rich plasma therapy may also be beneficial. This involves drawing your blood, spinning it down, then injecting your own platelets back into your scalp to stimulate hair growth.
Periorbital dark circles (also known as dark circles, infraorbital venous stasis or periorbital hyperpigmentation) are dark blemishes around the eyes. There are many causes of this symptom, including heredity and bruising. Fatigue is the most common cause of dark circles under your eyes. Sometimes, what appear to be dark circles under your eyes may merely be shadows cast by puffy eyelids or hollows under your eyes that develop as a normal part of aging.
Some of the most common causes of true under-eye circles are
First, let’s understand how dark circles appear. We have tiny blood vessels, which are like a web under the skin. But these capillaries are so fine that the red blood cells queue up to pass through; in the process some of them leak in the surrounding area. Enzymes are produced during the cleaning up session. The breaking down of these red blood cells leaves them black and blue. The reason why this is so visible is that the skin around the eyes is the thinnest.
Common reasons for dark circle:
Aging - The skin under the eyes is thin and delicate to begin with. As we grow older, skin around the eyes becomes thinner making blood vessels more prominent, causing dark circles. Genetics - Hereditary and genetics can also play a big role in the development and dominance of dark circles around the eyes. Nutritional deficiency - Dark circle around the eyes can be due to poor nutrition. A healthy and nutritious diet filled with vitamins like A, C, K, E and nutrients can help to get rid of dark circles. Sleep deprivation and tiredness - A lack of sleep or excessive tiredness results in pale skin, making blood under the skin become more visible and appear more blue or darker. Smoking and drinking - Late night parties, smoking and drinking can play havoc with your skin and result in dark eye circles. Dark eye circles could be a sign of loss of water from the body (dehydration) due to excessive drinking and intake of caffeinated drinks.
Sun exposure - Increased exposure to the sun can draw pigmentation of the skin’s surface and create dark circles. Long sun exposure produces more melanin around eyes than usual, giving them a darker color. There are two main layers of skin, the outer layer of skin known as epidermis and inner layer known as dermis. When excess melanin is being made in the epidermis it appears brown, and when there is more than usual melanin in the dermis it looks blue or blue grey. Hormonal changes - In women, the skin undergoes lots of changes during the phase of pregnancy and menstruation, causing darkening under the eyes. Allergies - Any condition that causes the eyes to itch may contribute to darker circles due to rubbing or scratching the skin around them. Apart from that, some food allergies can also cause the area under the eyes to appear darker. In fact, dark circles in children often indicate allergy problems. Research also suggests that dark circles are linked to anemia, and liver diseases. Dark circles and anemia - Iron deficiency is one of the most common causes of inexplicable dark circles in many cases, which can be treated by making simple changes in your diet. Low iron levels is the most common form of anemia, and results in poor oxygenation in body tissues due to low supply of oxygenated blood. Thus, always take a balanced diet rich in green leafy vegetable, dairy products and all types of fruits to keep your body healthy.
Dark circles and dehydration - Dehydration is one of the most common reasons for dark circles under the eyes. The reason is the close proximity to the skin underneath the eye in relation to the underlying bone. When the body does not have a proper amount of water, the symptoms are often evident in this specific area. Thus it is advisable to have at least 8-10 glasses of water and include fresh fruit daily. It is also advisable to restrict the intake of caffeinated drinks such as tea, coffee, alcohol and other caffeinated drinks as it aggravates dehydration.
"Consider your under-eyes as sensitive skin even if you may not necessarily have sensitive skin. Undereye skin is among the thinnest on the body, so any trauma or irritation can cause skin inflammation,"
"The cheapest way to reduce the appearance of undereye bags is to get on a regular sleep routine
of seven to eight hours per day. And don't drink alcohol a few hours before bedtime.
It's common knowledge that sodium can cause you to retain water, but did you know
the bloat sodium causes in the body can also cause puffiness under your eyes?
Yep — you can retain water even under your eyes. Ridding your diet of excess
sodium can help combat bags under your eyes. Your eyes will thank you for cutting back on salt.
The following are a small selection of the testimonials we have received
over several years of successful results achieved by patients using Dr Geeta Gera's
treatment and products.In no way have these comments been solicited, asked for or paid for.
Reference made by the patient are their own subjective comments.
" Thank you so much doctor for the excellent work.You did last week cutting off thore pesty skin
tags on my face, neck & back. It was my mom and my husband who wanted me
to have that done and now that it is. "
" I am very pleased with the results obtained by the treatment I received in Dr Geeta Gera Clinic.
I had hundreds of white and clear facials growths(Milia) for several years, some as big as 2.5mm and
previous treatment had failed. After 3 almost painless, 15 minutes of laser
treatment, 90 percent of them are gone."
" I came in for smoothbeam treatment for acne and acne scarring. After the first treatment, I noticed
a reduction in both the existing acne as well as any new breakouts. By my thord treatment,
I noticed a change in my scarring as well. After 5 treatments, I noticed a pretty
singnificant change in my scarring and I am very pleased with my results.
" I was suffering from Acne for last 12 years. I have seen Dr Geeta Gera four times in the past 8 weeks
Dr Geeta's treatment of my face and neck has tremendously efffective. I would recommend
Dr. Geeta Gera as an excellend and kind doctor. "
" I have known Dr Geeta Gera for many years. she is conscientious and has done excellent job treating me
for white patches"
Dr. Geeta Gera Skin,
Hair & Laser Clinic,
21/3, Ashoka Road, Shipra Suncity, Indirapuram, Ghaziabad
+91-7291 043 783
Dr. Geeta Gera Skin,
Hair & Laser Clinic,
F-22, Sector-18, Noida
+91-7291 043 783