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Acanthosis nigricans (AN) is a skin condition causing dark, thick, velvety patches in body folds like the neck, armpits, and groin, often appearing gradually and sometimes itchy, and while frequently benign, it signals underlying issues like insulin resistance (linked to obesity, prediabetes, PCOS) or hormonal problems, but can rarely indicate internal cancers, making medical evaluation important.

Out Approach Towards Treating:

We treat the condition with Chemical Peels, Put the client in weight loss management, use energise base devices and, treat hormonal imbalance and improve the texture.

Keratosis pilaris (KP) is a common, harmless skin condition that causes small, rough bumps, often called “chicken skin,” on the upper arms, thighs, cheeks, or buttocks due to a buildup of keratin plugging hair follicles. It’s not contagious, usually painless (though it can itch), and tends to worsen in dry weather (winter) and improve in summer, often clearing up over time or with gentle skincare, creams, and sometimes laser treatment.

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Dr. Nripendra Guha

We First Treat The Area With LHR Followed By Tropical Exfoliation:

Vitiligo vulgaris is a common type of vitiligo characterized by the loss of skin color in patches due to the destruction of melanocytes, the cells that produce skin pigment. The “vulgaris” part of the name simply means “common,” and this form is defined by depigmented patches appearing widely across the body, sometimes interchangeably with the term “generalized vitiligo”.
We treat the concern with specific energise base devices specifically designed to treat this concern , Vitiligo GFC kit plus oral and tropical medication to provide at least 70 to 80 % improvement . NAD iv drips goes a long way .
Eczema, also known as atopic dermatitis, is a chronic, inflammatory skin condition causing red, itchy, dry, and bumpy skin, often with blisters or oozing patches that can crust and scale, impacting quality of life but isn’t contagious. It results from a weakened skin barrier, making skin sensitive to irritants, allergens, and infections, with causes tied to genetics and environment, often appearing as “the itch that rashes”.
We treat it with in clinic hydration drips , tropical steroids & oral medication.
Alopecia areata is an autoimmune condition where the immune system mistakenly attacks hair follicles, causing sudden, patchy, non-scarring hair loss, often in smooth, round spots on the scalp, beard, or other body parts, with potential for nail changes like pitting or ridges, and while it can lead to total hair loss, hair often regrows as follicles aren’t destroyed.

Key Characteristics:

Autoimmune

Immune cells attack healthy hair follicles, mistaking them for foreign invaders.

Sudden Patchy Loss

Typically starts as smooth, round or oval bald spots on the scalp or beard, but can affect eyebrows, eyelashes, or body hair.

Exclamation Point Hairs

Short, broken hairs with wide tips and narrow bases often surround the patches.

Nail Changes

Can include pitting, white spots, ridges, or splitting.

No Scarring

The hair follicles are usually not permanently damaged, allowing for regrowth.

Triggers

Family history, major life stress, illness, or trauma can play a role.

Affects Anyone

Can occur in men, women, and children of any age or ethnic background.

What Happens:

The immune attack disrupts the normal hair growth cycle, leading to hair falling out, sometimes with a burning or tingling sensation beforehand. Hair loss can be localized or, in severe cases, progress to total scalp hair loss (alopecia totalis) or total body hair loss (alopecia universalis).
Treat: Tropical steroid injections, medication and GFC & Exosome, Hair Growth IV drips.
Exogenous ochronotic is a condition characterized by blue-black skin discoloration caused by the long-term use of certain topical agents, most commonly hydroquinone-based skin-lightening creams. This happens because the compounds accumulate in the skin and block an enzyme, leading to the deposition of a pigment similar to that seen in the inherited disorder alkaptonuria. It is considered a complication of treatments and typically affects areas of the body where the agent was applied, such as the face or hands.
Treat : Lasers , Tropical Cream and customised prescription based medication and improving skin barrier repair.
Sorosis disease” is likely a misspelling of Psoriasis, a chronic autoimmune skin condition where skin cells build up rapidly, causing thick, red, itchy, scaly patches (plaques) on areas like elbows, knees, scalp, and back, due to an overactive immune system. It’s a long-term condition with no cure, but treatments can manage flare-ups, which are often triggered by stress, infections, or skin injury.
Treat : International standard medication , IV drips and tropical steroids , medicated moisturising cleansers and medicated Moisturisers with Panthenol and vitamin E goes a long way. However one has to be under maintenance as it has a chance to reoccur.
Melasma is a common skin condition causing brown or grayish-brown patches, usually on the face (cheeks, forehead, nose, upper lip), due to overproduction of melanin, often triggered by hormonal changes (like pregnancy, birth control), sun exposure (UV and visible light), genetics, and certain medications, leading to symmetrical, blotchy discoloration that can be bothersome but isn’t medically harmful.

Treat: We have excellent treatments for the patients to improve the condition socially however Melasma has no permanent cure so once the target result is achieved one has to be under my guidance and maintenance so that the condition does not recourse.

9831607775

Why ASR Happens:

Acne is caused by a combination of excess oil (sebum) production, clogged hair follicles (with oil and dead skin), acne-causing bacteria (like C. acnes), and inflammation, often triggered or worsened by hormonal changes (puberty, periods, PCOS), genetics, stress, certain medications (steroids, lithium), and lifestyle factors like diet (high glycaemic load, dairy) and pore-clogging cosmetics or tight clothing. These factors lead to pimples, blackheads, and cysts when pores become blocked and infected.
Treat : C02 , peels , abrasion, Co2, MNRF with PDRN. Treatment is designed looking into the severity of the condition & collagen loss.

Why PIH

In skin care, PIH stands for Post-Inflammatory Hyperpigmentation, which are dark spots or patches that appear on the skin after inflammation, injury, or trauma (like acne, burns, or procedures) as the skin heals, often showing as brown or black marks, especially common and severe in darker skin tones. PIH isn’t harmful but is a cosmetic concern, resulting from overproduction of melanin (pigment) during the skin’s repair process and can last months to years, requiring treatments like sun protection, topical agents, peels, and lasers to fade.
Treat: Multiple methods are used to treat this condition , and can be easily treated if consistency is maintained.

Why Open Pores:

Open pores appear larger due to excess oil (sebum) production, aging (collagen loss), sun damage, genetics, and clogged debris (dirt, dead skin), making the pores stretch and become more visible, especially on oily or acne-prone skin. Hormonal changes, harsh skincare, and even genetics can trigger more oil, while lack of elasticity makes them seem “open”.

Treat : Combination treatments with chemical peel , injectables and energy based devices are used to treat this concern and cure them , however home care is also recommended.

Why Body Pigmentation:

Pigmentation on the body, often excess melanin, results from sun exposure, hormonal changes (like melasma from pregnancy or birth control), inflammation/injury (post-inflammatory hyperpigmentation from acne, cuts), aging, genetics, certain medications, and underlying medical conditions such as Addison’s disease or diabetes, with causes varying from common dark spots (sunspots, freckles) to birthmarks and infections.
Treat: Peels, Lasers, Melan Control Laser, Melan Block IV drips are the best options. However SPF usage and oral intake of SPF control pills are prerequisite. We recommend using spray SPF 3 to 4 times a day. Appropriate home care is also given.

Why Body Pigmentation:

Cosmetic treatment for burns focuses on improving the appearance and function of the resulting scars through both non-surgical and surgical methods. The appropriate treatment depends heavily on the burn’s severity and location.
Treat : Co2, Erbium, Tac peel goes a long way to treat the concern . However we give silicon based or high quality scar treatment creams in combination with clinical treatment and IV drips to improve collagen synthesis.

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Difference Between Fillers & Profhilo:

Both are HA gels however the similarity ends their, Fillers add volume and contour by placing a gel-like substance (cross-linked HA) in specific spots for lifting and shaping lips , contour Jaw , Augment Chin , fill temples to reduce hollowness and give structure , reshape and restore Volume which depletes due to age .where as Profhilo is a “skin booster” with a runny consistency (highly concentrated, non-crosslinked HA) that spreads under the skin, deeply hydrating and stimulating collagen/elastin for overall skin quality, firmness, and glow, rather than adding volume or changing structure. Think fillers for targeted plumping/contouring and Profhilo for global rejuvenation and hydration.

What Is The Difference Between Botox & Fillers:

Botox relaxes muscles to smooth dynamic wrinkles (from movement like frowning), while fillers add volume to plump up static wrinkles (visible at rest) and contour the face. Think of Botox as “freezing” muscle action to prevent creases, and fillers as “filling” sunken areas or deep lines, with results lasting longer for fillers but being instantly visible. Botox are meant to soften dynamic lines where as fillers are meant for static lines and also create structure and augment the face .

Difference Between Dysport (Galderma) & Botox (Allergan)

Botox and Dysport are both neurotoxins that relax muscles to smooth wrinkles, but differ in diffusion (spreads) target areas, and protein composition; Dysport spreads more, making it great for larger areas like the forehead, while Botox offers more precision for smaller spots like crow’s feet, though both work similarly, with Dysport potentially acting faster but Botox often lasting slightly longer, and Dysport containing milk proteins, requiring caution for those with milk allergies. Both are equally effective however the injector plays a very important role.
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