Aesthetic dermatology deals with restoring skin and hair and health by using medical treatments to enhance your natural beauty.Treatments are usually non invasive,painless and require no or less downtime and are designed to combat signs of ageing,rejuvenate and refresh skin.
Skin Rejuvenation /Anti-Ageing
Skin rejuvenation treatments restore youthful appearance to face. Non-surgical procedures treat wrinkles, saggy skin, hyperpigmentation and scars. Ageing is a natural process. With time skin loses collagen, elastin and hyaluronic acid. Also, oil glands produce less oil so skin starts looking wrinkled. Facial expressions make these lines look more prominent. As time passes, loss of facial fat mass makes skin saggy. Too much sun exposure, smoking stress hasten the ageing process by slowing down new collagen production.
Facial Skin rejuvenation is achieved with various products containing anti-oxidants, enzymes, vitamins and plant extracts. Latest development in this filed is the Exosomes. They are tiny vesicles which serve as communicators between cells and help them absorb the nutrients enabling faster results by tigering collagen production. ExoSCRT is an advanced technology that separates and refines exosomes from stem cells. Exosomes regenerate ageing tissue by repairing old cells.
In addition to exosomes, other latest innovation is mesenchymal stem cells derived from bone marrow or umbilical cord blood, they slow down inflammation and delay ageing process by Growth factor (GF) cytokines. They promote growth of new cells and as new collagen, elastin and capillaries start to produce, it imparts a youthful looking healthier skin by reducing wrinkles/fine lines, making skin plumper improving skin texture/pore size and scars.
They are used to address
Acne/acne scars/large pores
Saggy skin/wrinkles/fine lines
Pigmentation/dull skin
Hair stimulation -they prolong hair growth cycle and prevent hair from going into resting phase.
Skin care products should be stopped for few days before the the procedure esp. retinols creams. Patients with cold sore, eczema, recent sunburn, active acne, rosacea, autoimmune illnesses or recent chemical peel/laser treatment or on oral isotretinoin should consult the dermatologist before undergoing cosmetic procedures.
Generally, most procedures are tolerable. Local an aesthetic cream could be applied for 30 mins to makes procedure comfortable for patients with low pain threshold.
Possibility of redness and mild swelling about procedure could last for few to 24 hours.
Usually 3-4 sessions every 4 weeks, each session lasting almost 30 minutes.
Result noticeable after 3 sessions.
Home skin care are products to follow and maintain the result.
Face Treatments
Facial beauty attracts attention and adds to self confidence.Our simple routine skin care tips help you in keeping your complexion healthy and glowing.Taking care of your skin early on,is easier and cheaper and makes one look younger by delaying signs of ageing.
At BW, we help you achieve excellent results by assessing your skin/hair and offer treatment plans to address your issues within your affordability range. We're committed to provide effective solutions tailored to match your distinct requirements. Book your in-depth discussion today with our experts to enhance your innate beauty.
Microneedling/ Dermapen
Microneedling stimulates collagen production.It is performed with a handheld device which has ultra-fine needles at the tip which are sterile and made of stainless steel.These needles create tiny injuries which trigger collagen production and improve blood circulation.Microneedling is performed with Dermapen.It can safely treat delictae areas around the eyes,lips and nose.Depth of micro needles can be adjusted from 0-25 to 2.50 mm depending on the target area.Patients can have light superfical treatments or deeper sessions depending on the skin concern that is being addressed.Deeper sessions target acne scar and saggy skin.It makes skin younger looking,frim and smooth.
Miconeedlings helps with fine lines/wrinkles,acne/surgical/traumatic scars,enlarges pores,stretch marks,hyperpigmetation,saggy skin.It can be performed on other body areas like neck,decolletage and hands.
Dermapen Microneedling is safe for most skin types.Patients with skin illnesses should consult a doctor first.Pregnant ladies should avoid the procedure.
It is a minimally invasive procedure.If patient is sensitive to pain local numbing cream is applied before procedure to ease the discomfort.Patient can feel mild tingling,tenderness and tiny drops of blood may show on surface during deeper sessions.
Post procedure skin may appear red,swollen,dry and feel hot for few hours.It is very improtant to hydate the skin at this stage. It is better to avoid make up for a day and avoid sun exposure. Deeper sesssions can take almost a week to be fully recovered.
For saggy skin, acne scars 4-8 treatments are recommeded spaced at 4-6 week intervals.Some patients can see significant improvement after first treatment.The effect of treatment can continues for 6 months.
Chemical peels
Chemical peels improve skin appeareance.Peels address many skin issues effectively and are very popular.Chemical peels can be light,medium and deep depending on their stength.Light peels improve skin tone,texture and fine lines.Medium peels give more smoother skin whereas with deeper peels the results are more dramatic, but recovery is longer.The depth of peel depends on skin condition being treated.Chemical peels are most effective on lighter skin tones and they have less risk of side effects.
At BW,we use highest quality products to successfully improve patients skin.Glycolic acid ,lactic acid,salicylic acid,TCA peels are used to address various skin conditions like acne, pigmentation, dull skin.For sensitive skin mild superficial peels are used.
For hyperpigmentation/melasma stronger deeper peels are available (dermamelan,cosmelan,meladeep and others)followed by home care cream. These signficantly improve uneven skin tone,freckles,sun damage,reduce pore size and regulate oil secretion leaving skin radient, minimizing pigmentation upto 80% with strict sun protection.Chemical peel is one of the most effective skin lightening treatment.Our doctor will assess your skin before going for the treatment to rule out any contra indications.
Patient should avoid using skin care products, waxing,tanning,fillers, botox for a week.Treatmets should be planned well in advance if a major event is coming up like wedding or other social gathering.
It is very important to follow the instructions to get the desired result.
- Day 1: skin looks red
- Day 2: skin around mouth, eyes, nose,will start peeling. sun spots might appear darker.Keep hydrating the skin post care cream.Never peel the skin.
- Day 3: Skin will continue to peel and feel tight.Keep uisng hydrating cream few times a day and avoid sun and use a sunblock and protective clothing.
- Day 4: Skin will continue to peel and feel tight.Keep uisng hydrating cream few times a day and avoid sun and use a sunblock and protective clothing.Most skin has peeled. Continue after care cleansing and moisturizer.
- Day 7: Skin will continue to peel and feel tight.Keep uisng hydrating cream few times a day and avoid sun and use a sunblock and protective clothing.Most skin has peeled. Continue after care cleansing and moisturizer.Skin might be sensitive for couple of days more. Continue same skin care.Sun should be avoided minimum for 2 weeks
You will be asked to come for a follow up visit to start home regimen.
Carbon Peel
The carbon is Hollywood laser free carbon peel which ensures instant effects of exfoliation, detoxification, and rejuvenation. It uses activated charcoal, ferulic acid, mandelac acid, lactic acid, black ginger extract, liquorice extract that exfoliates, purifies skin, tightening the pores, reducing fine lines, lightening age spots, dark spots, removing black heads, lifting and hydrating the skin and giving it a radiant complexion. It is an exceptional treatment with immediate effects, best suited before a special event as it is quick, no side effect and immediate result. video
Microdermabrasion
At BW, we use Diamond-tip Microdermabrasion to improves and renews overall skin texture. It is performed with a handheld device having an abrasive surface to gentely exfoliate the dead skin cells which are right away removed by the suction leaving skin glowing and healthy.
It is followed by infusion of different formulas like clarifying,hydrating,exfoliating depending on patients skin condition to acheive the desired result.
Microdermabrasion improves hyperpigmentation-age and sun spots,wrinkles/fine lines,uneven skin tone and texture,blackhead/open pores,acne and acne scars. It can be combined with hydrafacial, dermapen, skin rejuvenation treatments.
It has no downtime.It is not painful, feels like grainy face massage,takes 30 minutes, minimum 3 sessions, once in 3-4 weeks.
Pts with cold sore, eczema,recent sunburn,active acne, rosacea,autoimmune illnesses or recent laser/chemical peel should avoid this procedure.
HydraFacial
HydraFacial involves water and suction to cleanse the skin removing dirt out of pores and also simultaneously infusing the skin with nourishing serums. It is suitable for all skin types even the sensitive ones.
This procedure helps with various skin concerns like oily acne prone skin,clogged large pores, tried dull looking skin,fine lines, skin firmness and elasticity.
HydraFacial cleanses,exfoliates,extracts and hydrates the skin.It extracts oil,makeup,dead cells from the pores by suction followed by exfoliation using mild peeling solutions.These exfoliate the skin. This is effective in preventing acne.In last step the skin is bathed with moisturizing solution leaving it detoxified,plumper,softer and glowing.
HydraFacial can be a stand-alone treatment or combined with micro-needling for deeper skin rejuvenation.
This treatment is safe and can be done as lunch break treatment making it perfect before important events like wedding or parties due to instant result.
If patient hasn't had HydraFacial treatment before, it is beneficial to have 2-3 sessions in a month for 3 months followed by monthly one session.
Mesotherapy
Mesotherapy is rejuvenating treatment that delivers antioxidants,plant extracts,enzymes,vitamins into the skin.It is the fastest way of delivering the product where it is needed with microinjections.Needles cause micro-injury which triggers body's own healing process by producing new collagen and elastin which adds to the firmness of skin.Cocktail of meso solutions containing peitides,growth factors,hylouronic acid and other elements are used to address various skin concerns.
With time skin matures and shows signs of ageing.Wrinkles particularly around the eyes and mouth become visible as one approaches age of 30.Collagen starts breaking with age resulting in saggy skin. Many patients men and women start with mesotherapy in their mid 20's to delay signs of ageing.
Mesotherapy is used to treat wrinkles/fine lines around eyes,mouth, neck and forehead.It brightens the skin, reduces pigmentation,treats acne and acne scars and restores skin glow.Mesotherapy is also used to treat cellulite,stretchmarks,alopecia,and localized fat deposits.( details under Hair &Body treatments.
At BW, highly trained doctor will examine patients skin and rule out any contraindications to performing the procedure.It is important to avoid unwanted side effects.Doctor will create a custom made plan to address patients concerns.As with other procedures
Treatment is performed after using topical numbing cream.Tiny injection pricks are given into the targeted skin areas. Treatment takes almost 30 minutes.Post procedure some patients might have redness,bruising,swelling or reaction to injection which generally subsides in 48 hours.It is advised to avoid sun exposure and vigorous excercise for a day.Swelling and redness can be reduced by using cold compresses.
For optimal improvement 3 to 6 treatment sessions are recommended depending on the severity.Session can be reapeated at 2 weekly intervals.Results are noticible after 2-3 sessions.Skin looks more radient, well hydrated and rejuvenated.
PRP
PRP transforms the appearance of the skin by improving signs of ageing.It is natural as patients are treated with their own blood platelets and plasma.It is also known as Vampire facial as it performed with patients blood.There is risk of infections,allergic reactions and it doesn't hurt.
PRP increases collagen production,improves hydration,reduces wrinkles,enhances skin texture and makes skin tighter and firm.
Our blood has 4 components -white and red blood cells,plama and platelets.Platelets are blood cells and plasma is liquid which holds these cells.Platelets are important for wound healing.For rejuvenation, platelets are concentrated by centrifuging the blood which separates the 4 components of blood by density.White and red blood cells are discarded, only plasma containing platelets is used.
PRP increases collagen production and repairs the exsisting collagen making skin firm, reduces wrinkles, improves scars,improves texture and tone of skin. Skin continues to improve several weeks post treatment.
It is painless, fast, effective procedure which can be done in 30 minutes.Suitable for all skin types,however people who suffer from certain blood disorder's or use blood thinners should avoid this procedure.
Patient may notice same side effects as with other injectables like bruising, redness and swelling which resolve in few days.Results are seen in few days with tighter and healthier appeareance.For acne scars 4-6 sessions at 2 week interval are recommended.
Facial Menu
Facials at BMWC do a lot more than salon facial. They cleanse, exfoliate and hydrate skin. Performed by expert therapist, treatments are non-irritating, soothing and refreshing. They assist in skin texture, brown spots, clogged pores, oily skin and skin firmness if performed regularly.
Facials can be performed manually or by devices which work by removing dead skin and skin impurities followed by hydration like in HydraFacial.
At BM, Facials are a 3-step procedure, using high end skin products to give you an instant fresh, glowing skin. Skin therapist will first cleanse, then exfoliate and infuse cocktail medications with vitamins and peptides into the skin. Followed by hydrating mask. For acne prone skin LED lamp is used to reduces oiliness and inflammation. Procedure can take 30 minutes to one hour. Facials are tailored to different skin types and skin concerns. It is advisable to stop skin care products for few days before the treatment.
Pigmentation Treatments
Skin pigmentation can be due to less or more pigment production. Melanin is the substance responsible for pigmentation. Excess production causes dark spots/patches (hyperpigmentation) as in melasma and reduced production causes white spots/patches (hypopigmentation) like in vitiligo
Hyperpigmentation can appear due to excessive sun exposure, genetics, medical conditions, hormonal changes, pregnancy, skin trauma, certain medications and skin inflammatory disorders. It is important to understand the underlying cause of hyperpigmentation. It often takes long to see the results. With various new technologies it is possible to lighten the hyperpigmentation significantly if strict sun protection followed.
At BM, we follow step wise approach to hyperpigmentation starting with topical products as first line management. Most of the topical medications work by reducing melanin synthesis and exfoliating the skin. Skin needs to be prepared before going into second line of management like chemical peels, microneedling with pigment lightening cocktails containing tranexamic acid, glutathione, vitamin C and other ingredients. A combination approach works for hyperpigmentory disorders. Our experts in pigmentation will assess your skin with a light device to know the depth of your pigmentation. Based on the depth of pigment treatment plan is designed and patients’ expectations are discussed. For treatment of hyperpigmentation patient compliance, strict sun protection goes a long way in getting the desired result. If you have freckles, age spots over hands, under arm hyperpigmentation, genital area/inner thigh darkening, discuss with our experts to get the best treatment plan such as chemical peels, mesotherapy with TXA, happy item peel.
Acne Treatments
A common skin condition due to excess sebum/oil. This oil and dead skin plug the pores creating whiteheads which later get infected with bacteria causing inflammation, resulting in a red bump commonly called pimples/zits.People of all ages can develop acne but it's more common in teenagers due to hormonal changes. Genetics also play a role, if both of your parents had acne, you are likely to develop it too. Use of oily skin products can also contribute to acne. Depending on the severity, acne can cause emotional distress and scar the skin. Acne appears on the face, forehead, chest, upper back and shoulders as
Whiteheads -closed plugged pores
Blackheads- open plugged pores
Small, red, tender bumps(papules)
Pustule papules with pus at tip (pustules)
Large solid painful lumps nodules (nodules)
Painful pus-filled lumps under skin cystic lesion.
Depending on the severity of acne, our doctors will recommend a management plan for you depending on age, type and severity of acne. Treatment options for pregnant women are limited due to risk of side effects.
Acne can have an underlying cause like hormonal imbalance which could manifest with other issues like excess facial hair growth, menstrual flare up of acne and weight gain in women. Certain medications like steroids can also cause acne besides diet rich in carbohydrates. Stress doesn't cause acne but can worsen it. Investigations will help in ruling out underlying reason. You will be treated with topical creams and at times with oral medications to stop new eruptions. Once new eruptions are stopped, plan will be discussed to clear the skin of dark spots and scars left by acne. It is important to treat acne early to prevent scarring of face. With most prescription medications, you can see results in few months. It can take several months to control your acne. Commonly used medications are topical retinoids, antibiotics, azelaic acid, salicylic acid and others. Oral medications are reserved for acne not responding to topical medications or acne which can cause scaring. Antibiotics, contraceptive pills, anti-androgens, isotretinoin are oral medications used in acne. These medications have potential side effects and should be taken under medical supervision. Other therapies which could be used alone or in combination are light therapy, chemical peels, microdermabrasion, extraction of comedones, rarely steroid injections for nodulocystic acne where in drug is injected into the lesions for rapid improvement and to decrease pain.
Acne scars are difficult to treat and take long time. Doctor will discuss various combination therapies to improve acne scars such as chemical peels, mesotherapy, skin boosters, lasers and subcision.
For children topical benzoyl peroxide, adaplene, tretinoin are effective and don't cause increased risk of side effects.
Stretchmarks
It is a type of scar that develops when skin stretches or shrinks quickly. This abrupt change causes collagen and elastin to rupture. Stretchmarks are pink, red reddish brown depending on your skin color. Anyone can have stretchmarks but likelihood increases in pregnancy, obesity, family history, use of steroids and in certain genetic disorders like Cushing syndrome. Fluctuating hormone levels seem to play a role. Our doctor will examine your skin and review your medical history to identify the reason. A combination of treatments may be more effective in reducing these marks. Topical creams, lasers, chemical peels, microdermabrasion and radiofrequency promotes growth of new collagen and reduce the appearance of stretchmarks.
Hypertrophic/keloidal scars
These are raised scars. Unlike hypertrophic scars, keloids grow much larger than the wound that caused the scar. Darker skin tone people are more at risk of developing scars. Some people inherit genes that make them more prone to get keloids. They tend to grow slowly for months to years. They don't fade away with time. Their shape and size vary depending on the body site they appear. Keloids don't turn into cancers.
Different treatment options are available like injecting steroids into the scar tissue, freezing with liquid nitrogen. Combination treatments are generally used to treat scars. Our doctor is an expert and will discuss with your treatment options after examining your skin.
Skin Boosters
Skin boosters are ideal for patients with early signs of ageing of face,neck or hands.Skin boosters hydrate the skin and are great for patients with dry skin.They hydrate without giving too much volume (unlike fillers)and hence give natural refreshed look to skin making it frim and glowing.
Skin boosters contain hyaluronic acid which absorbs water, deeply hydrating the skin and making it firm and radiant.It improves skin texture and is suitable for all types of skin.Results are visible after first treatment with excellent outcome after 3 sessions.Each session can be 2-4 weeks apart. Touch up to maintain the result can be done every 4-6 months.
Patient might notice bruising, mild swelling, redness after the procedure which subsides in few days.
Skin boosters are ideal for patients who have early signs of ageing. They dont add volume which makes them different from fillers.They can be used to treat under eye area,photo damaged skin,fine wrinkles,acne scars and stretch marks.
Botox treatment
Botox is effective in treating fine lines and wrinkles.It is safe and has been in use for more than two decades now and is one of the most wanted non surgical treatment.A huge number of people turn to botox to lessen lines caused by facial expression.These lines are called dynamic wrinkles.With age dynamic lines become static and are visible all the time like Crow's feet around eyes, vertical frowning lines bewteen eyebrows. Other factors contribute to wrinkle formation like excessive sun exposure, smoking and stress.
Botox consists of botulinum toxin type A, which is producedby the bacterium Clostridium botulinum.This purified neurotoxic protein prevents the signals which trigger muscle movement, making the muscle relaxed resulting in disappearenace of dynamic lines.It was first used in medicine for treatment of strabismus and the for muscle spasm and finally for softening wrinkles.
Botox is commonly used for
Crows feet - lines on the outer corners of eyes. Vertical Galbellar lines between eyebrows which gives an angry look. Bunny lines on sides of nasal bridge. Forehead lines which makes one look worried or stressed.
It can be used for neck lines,chin dimple, chronic migraine,muscle spams etc. Botox is very effective for excessive sweating.(details under hyperhisrosis)
Botox is very popular as it is non surgical,almost painless procedure with no downtime.Results are natural and long lasting if treatment is consistent.In combination with other skin rejuvenating treatmentsit gives a younger look.
As with other cosmetic procedures doctors at BW will assess your skin and also rule out any contraindications to the procedure.
It is a short procedure, generally local numbing cream is not required.It can cause bruising. It is recommended to stop aspirin or other anti inflammatory medications for 2 weeks before the procedure to reduce risk of bruising.No vigrous workouts for 24 hours. Some patients may develop headache,swelling,itching or burning in the treated area which go away in a day or two.It is also recommed not to lie down flat for 3-4 hours after the treatment as the medication may move and cause undesirable side effects. Area should not be messages at least for 24 hours.
After treatment result may be visible within few days with maximum result at 2 weeks.sometimes touch up treatment might be needed .The result may last from 4-6 months.Few treatments a year will keep wrinkles away.
To enhance the result botox can be combined with skin boosters,PRP, dermal fillers and other treatment modalities depending on individual skin condition.
Fillers
Fillers are safe, non surgical, with minimal downtime.They restore youthful fullness of face.The most popular filler is hyaluronic acid (HA). HA is already present in skin and gives plumping and hydrating effect.Different fillers are used to treat different areas of face. For lips softer filler is used whereas for cheeks more firmer filler is used adding volume to cheek bones. Fillers also smooth the lines,soften the creases and enhance facial contour.If done properly they can give a very natural youthful look.Doctors at BW, will listen to your skin concerns and dicsuss with you the best option.
Fillers are used for undereye areas,plump lips,to fill up hollow areas of face,improving saggy cheeks and chin area.At BW we restrict the use of fillers to FDA approved areas.
Dermal fillers are safe and deliver fast results making skin look plumper,hydrated and refreshed.
Numbing cream is applied to target area.Treatment causes minimal discomfort and lasts for 30 minutes or more depending upon the number of syringes used. Patient may develop swelling,brusing,redness and tenderness to touch after the procedure which can last for 2-3 days.Sometimes touch up treatments are required to acheive the desired result.
Lip enhancement/rejuvenation
Lip enhancement can be done by use of fillers. Some people are not comfortable with certain facial feature.The improvement of their appeareance can boost their self-confidence.Use of hyaluronic acid fillers will make lip fuller and also help with dry lips.There are different kind of lip fillers some add more volume than others. Discuss with our experts your concerns to get the best result.They also help with lines around the mouth.Botox is another option to help with peri oral lines especially in smokers. Lip rejuvenation can be done with various skin products, skin boosters and microneedling to have fresh,healthy pink lips. This will also improve pigmentation is lips especially seen in smokers.
Double Chin Treatment
Also known as submental fat,is common.It is a localised collection of fat below the chin.It could be genetic, due to weight gain or loose skin due to ageing as it loses elasticity.Losing weight by altering lifestyle will help but doesn't always fix the issue of double chin. Lipolysis is a non surgical fat reduction.Injecting lipolytic solution into the target area trigger slow breakdown of fat cells.These treatments can be done in other areas having localized fat deposits like abdomen.Usually 3-4 sessions are needed to see the result. Treatments can be done weekly.These treatments are safe for most people apart from pregnant or breastfeeding ladies.Fat freezing,liposuction are some other modalities of treatment.
Neck Tightening
Neck is the first area to show the signs of ageing.Neck skin is delicate and has less collagen.Most people focus on face to delay the signs of ageing ignoring the neck.Anti-ageing non-surgical neck tightening options are dicussed in skin rejuvenation section.Mesotherapy,profhilo,skin boosters,microneedling,chemical peels,botox,radiofrequency and EMS treatments can significantly help in resoring neck elasticity and minimize sagging besides use of home care products.
Electrical Muscle Stimulation (EMS )
EMS uses microcurrent stimulation to strengthen, tone and support facial mucles.Microcurrent stimulates collagen production,adenosine triphosphate (ATP) production, and cell turnover.Our multi modes device offers EMS,microcurrent,lymphatic drainage and balancing skin metabolism.It offers 12 pre set protocols such as for anti ageing,acne and others.It is non invasive,safe and painless treatment.It is not limited to specific age or gender and can be used on all skin types.It is popular among patients who want to improve skin elasticity,reduce redness such as in rosacea, reduce oilness of skin,acne and seborrhea.Blue Led light targets skin bacteria and improves oilness.It is used for deep scalp cleaning to clear the dandruff.It takes 20 to 30 mintutes for the treatment as sessions are repeated depending on skin condition.Microcurrent session can be more often to have consistent.
Hand Rejuvenation
Next to the face and neck,hands show ageing signs as they are exposed to constant sun and water.As collagen and fatty tissue diminishes veins of hands become more visible. Hand rejuvenation can be done by chemical peels,skin boosters,fillers and PRP.Blemishes,dark spots and wrinkles over the hands can be improved by combination of procedures.
