FAQ'S


LASER HAIR REDUCTION: Pain-Free, Hair-Free™


• What is Pain-Free Hair-Free?

Pain Free Hair Free Laser Hair Reductions: A revolution is underway, for permanent body hair reduction that is virtually painless. The Pain-Free, Hair-Free? laser hair removal treatment, offered by spas and physicians around the world, can now free you from daily shaving, painful plucking and expensive waxing to give you silky smooth and beautifully bare skin.

Pain-Free, Hair-Free is the next-generation of laser hair removal. It's an effective and permanent hair reduction solution that is simple and easy. It takes cutting-edge medical laser technology and combines it with the comfort and convenience of a trip to the spa. In fact, Pain-Free, Hair-Free uses new breakthrough technology that has been described as one of the most comfortable laser hair removal options available.


• Is it safe?

Hair removal is one of the aesthetic medical industry's most well-known and researched uses of lasers. Pain-Free, Hair-Free technology in our Harmony XL laser has provided permanent hair reduction for thousands of patients worldwide, safely and successfully since it was cleared by the FDA in 2005.


• How many treatments will I need?

There are a number of factors that can affect the success of a series of hair removal treatments, but generally, after each treatment, you'll see a noticeable, permanent reduction in the number of hairs that regrow in the treatment area. Typically, it will require 4 - 6 treatments or more to permanently reduce the number of regrowing hairs by more than 80%, six months after the last treatment. Your physician or spa professional will advise you.


• Will my hair ever grow back?

The short answer is no. Once the hair follicle is damaged, it cannot grow new hair. However, there are invariably a few hair follicles that manage to partially escape the laser during each treatment. Some of these follicles may be only stunned and will need to be retreated.


• Do I need to plan for time off, for the treatments?

No. Pain-Free, Hair-Free requires no "down time" or recovery time. You can have a treatment and return to work or school immediately.


• How do I know it won't hurt?

Most people find Pain-Free, Hair-Free very comfortable. While pain tolerance is subjective, many patients often describe the sensation as soothing as a "hot stone massage."

If you find it otherwise, talk with your doctor or laser technician.


• How much does it cost?

Pain-Free, Hair-Free treatment costs vary by location. Compared with a lifetime of shaving, waxing or plucking, Pain-Free, Hair-Free can be a worthwhile investment in both time and money-savings.



LASER PHOTO FACIAL / SKIN RESURFACING


• What is Laser360?

Rejuvenate your skin with Laser360™. It's an exciting new aesthetic laser treatment that combines three revolutionary technologies to deliver softer, younger-looking skin in just 60 days.

The Laser360 skin resurfacing and rejuvenation treatment reveals brighter, younger and healthier-looking skin, from the inside out. It treats fine lines,wrinkles and discolorations from deep within the skin to give you a lasting new, revitalized look.


• Is Laser360™ safe?

The device that delivers Laser360™, the Harmony®XL System, has been cleared by the FDA for more than 60 aesthetic and medical applications. Laser360 combines three of Harmony's 10 unique laser treatment technologies to provide comprehensive skin rejuvenation. It improves skin color, wrinkles and skin texture to achieve outstanding results in 60 days.


• How long will a treatment take?

Each laser treatment takes just a few minutes. During each session, you may have treatments that involve more than one of the Laser360 technologies. Your exact treatment regimen will depend on your individual condition. Before you get started, your doctor will explain each of the treatments you should have and how long you should wait between treatments.


• Do I need to plan for time off, for the treatment?

No. Laser360 requires no "down" or recovery time. You can have a treatment and can usually return to work or school immediately, certainly by the following day.

 


• What alternatives to Laser360 are available?

Creams and lotions can be used at home, but usually provide only a slight benefit and must be used indefinitely to maintain even modest results.

Other laser and light-based deviceswork well, but they typically focus on just one aspect of skin rejuvenation (color, texture, or tightening). They may be quite painful, have significant downtime and may not be suitable for all skin types.

Surgery may be indicated for extreme cases, but it is much riskier than any non-invasive technique.

Laser360 is a non-invasive, comfortable, no downtime procedure that provides lasting results in just 60 days. It combines three technologies to address all aspects of skin rejuvenation and can be used on any skin type.


• How long will my results last?

Laser360 is the ideal procedure to eliminate the discoloration and textural irregularities that make your skin look older. But even after the procedure, you will continue to age and to be affected by the sun and elements.

To maintain the healthy glow that Laser360 can bring, patients may choose to come back periodically for touch-up treatments.


• How much does it cost?

Laser360 costs vary, depending on your treatment area and skin condition. Compared with individual laser treatments, Laser360 represents a very smart investment that delivers beautiful results.



HAIR TRANSPLANT – Micro-follicular technique


• What is microfollicular hair transplant surgery?

This is a surgical process which redistributes hair in areas of baldness by a technique which allows transplantation of single hair follicle one by one


• Is Micro-follicular hair transplant the same as the previous procedure?

No. earlier plugs of hair or minigrafts containing 3-4 hair follicles were used. Today we realise that the best results are obtained when we use micrografts containing 1-2 hair follicles for hair transplant. This extremely delicate and painstaking procedure results in satisfactory results


• What are the benefits of Micro-follicular hair transplant surgery?

Because the donor hair is transplanted from areas not susceptible to balding, the results last a lifetime.

This procedure is being used both in men and in women in androgenic alopecia as well as in other alopecia conditions, scars etc. this is a comfortable procedure, allowing return to work as soon as the next day 


• Who is a good candidate for a hair transplant surgery?

If the candidate has realistic expectations from the surgery, willing to understand the process and accept that the hair transplant results can take upto an year to come, he will be a good candidate. The most important aspect is the presence of hair on the potential donor sites, like the back of the head, without which hair transplant cannot be done. 


• What are the steps in a hair transplant procedure?

This procedure involves removal of hair strip from the back of the head after giving a few injections of local anesthesia. The strip is then processed to remove hair roots containing units known as micrografts or follicular units. These micrografts are then implanted one by one in the areas of baldness after giving a few local anesthesia injections there. The whole process can take 4-10 hours 


• What is the recovery time

We remove the bandages the next day. There is a bit of swelling in the area of the back of the head which can persist for a few days, however that should not stop you from carrying on your normal activities


• Are there complications or risks for a hair transplant?

Almost none. Antibiotics are given to prevent infections. A scar on the back of the head is inevitable. However that is not visible and gets hidden beneath the hair

 



LIPOSUCTION – VASER


• What is VASER liposuction?

VASER is an ultrasound assisted lipoplasty technique (UAL) which is a significant improvement over the previous UAL procedures as well as conventional liposuction. The basic procedure involves emulsification of fat by ultrasound waves being emitted from a special VASER probe and followed by liposuction using special instruments known as canulas


• Who is a good candidate for VASER ?

The best candidates for liposuction are normal-weight people who have isolated pockets of fat that do not respond well to diet or exercise, in other words, people who have disproportionate deposition of fat spoiling their figure.  Liposuction can be done at any age, but those with firm, elastic skin achieve the best. Whole body liposuctions are now a reality, with tackling of neck, chest, arms, axilla, tummy, back and thighs being done at the same sitting itself. 


• Are their any risks associated with VASER liposuction surgery?

Since surgery is involved, there are Potential complications which may include infection, bleeding, asymmetry or poor healing, skin pigmentation changes, and/or reaction to anesthesia.


• What is the recovery period?

The final result can take upto 6 weeks to appear. There are hardly any immediate post operative problems. Mild pain easily managed by analgesics can persist for 2-3 days. Mild soreness and some areas of numbness can persist for a little longer, but are not a cause of concern. The patient needs to wear a pressure garment for 6 weeks. This allows skin contraction and prevention of seromas and hematomas formation


• Are the results of liposuction permanent?

The results of liposuction are usually permanent with a sensible diet and exercise. 



Common growth


• Are all of these lesions treated the same?

Each lesion is different and a treatment plan needs to be tailor made according to the nature of the lesion


• Why is my skin getting these spots?

A lot of these spots occur because of the passage of time, while others arise from well-known common causes. 



Dandruff


• Are there risk factors for developing this?

Yes People with oily skin (termed seborrhea) and a family history of psoriasis are at increased risk. Additionally, having a suppressed immune system (organ transplant, HIV infection, etc) and neurologic or psychiatric diseases (Parkinsons, depression, etc) increase your risk.


• Is this an infection? Is it contagious?

Seborrheic dermatitis is not an infection. Rather, it is skin inflammation responding to a yeast that is a normal inhabitant of our oily skin areas. It is not contagious so it is not something that close contacts need to be concerned about.


• What kind of treatments are there?

Most treatment plans involve topical medications (ex, topical steroids and anti-yeast creams) and medicated shampoos (ex, zinc pyrithionine, selenium sulfide, ciclopirox, or ketoconazole), applied as described by your Consultant. 



Eczema


• Why does eczema occur?

Eczema has several factors that cause it to flare, including genetic and environmental components. The most problematic issue with eczema is the “itch-scratch cycle”, where the itch sensation causes scratching, which in turn leads to more itching. Breaking that cycle is crucial to keeping control and preventing flares.


• Can I do anything to help prevent flares?

Avoiding certain environmental and physiologic triggers associated with flares and meticulous skin care is crucial to every successful treatment plan. Irritants (such as harsh soaps and juices), allergens (such as pets, pollens, dust mites and molds), foods (such as dairy, eggs, nuts and soy), certain temperatures (hot weather, high or low humidity, and perspiration), stress and hormones are some of the more common triggers to avoid.


• What treatment options are available for my eczema?

Therapy depends on the severity, symptoms, disability and patient preference. First-line treatments include lifestyle changes and over-the-counter therapies. Prescription-strength therapies include topical medications (mainly topical steroids), light-based treatments, oral medications (including steroids, antibiotics, anti-histamines and immunosuppressants) and alternative/natural therapies. Lastly, there are several treatments currently being investigated in clinical trials for eczema. 



Acne


• What causes acne?

Acne is not an infection of the skin, instead it is a multi-factorial inflammatory condition. Four factors involved include :

1 hormones that lead to increased oiliness in the skin, and

2 altered skin turnover, which leads to clogged pores.

3 Normal bacteria on the skin, propionibacterium acnes, thrive in the clogged pores leading to

4 an inflammatory response.


• Is there anything I can eat or do to improve my acne?

There is conflicting information about the role of diet with acne. It is best to consume a healthy, well-balanced diet. Over-cleansing of the skin will not make acne go away faster or keep it away, and you should avoid picking, squeezing, scrubbing or scratching acne lesions. This can lead to longer healing times, skin infections, discoloration and scarring. Lastly, when applying any products to your acne areas, look for products that are oil-free and/or “non-comedogenic” (not acne causing).


• What treatments are available for my acne?

There are many treatments available for acne, including over-the-counter, prescription-strength and procedural therapies. Over-the-counter therapies are topical (including newer medicated soap bars) and include the ingredients benzoyl peroxide, glycolic acid, retinol, salicylic acid or sulfur. Additionally, sea coral has been used to treat acne. Prescription-strength therapies include topical medications (azelaic acid, clindamycin, dapsone, retinoids, sulfacetamide sodium) and oral medications (antibiotics, hormone regulators, retinoids). Procedural therapies include chemical peels, laser and light therapy. Combining medical therapies with procedures often leads to better results.



Excessive sweating


• Is my sweating a sign of something bad?

Usually hyperhidrosis is not a sign of another process that is detrimental. With that, it is important to have an evaluation with a trained medical Consultant to rule out other possible causes of excessive sweating.


• What kinds of treatments are available?

There are both non-surgical and surgical treatment options. Non-surgical therapies include topical anti-perspirants, botulinum toxin injections, iontophoresis, oral agents (anti-cholinergics, α- or β-blockers, α2-adrenergic agonists), and biofeedback therapy. Surgical options include subcutaneous curettage, liposuction, local excision or sympathectomy. Newer destructive methods include MiraDry and Fractional Microneedle Radiofrequency (FMR).

 



Hair Loss


• Why am I losing my hair?

Factors that contribute to hair loss including heredity (genetics), hormones, stress (both physical and emotional), systemic disease and medications. A full evaluation is important to help treat your hair loss.


• Is there anything I can do to help prevent losing my hair?

There are many over-the-counter options available to help treat certain causes of hair loss. Simple options for hair health include vitamins (D, E), supplements (Amino acids, Biotin, Fish oil, Iron), natural products (Hair Genesis, Nioxin, Nisim, Revita, ThymuSkin, Tricomin, Viviscal, etc), and medical therapies (Cimetidine, Nizoral, Rogaine, etc).


• What treatments can my doctor offer me?

At your appointment your doctor can offer several therapeutic options to help with your hair loss condition. These include topical medications (irritants, steroids and shampoo’s), oral medications (androgens modulators, anti-inflammatory antibiotics, immune-system suppressors, etc), injections (steroids – intralesional or dermajet) and light-based options (LASER, over-the-counter light therapy). 



Urticaria


• What causes this to occur?

Most of the time hives occur when a stimulus causes an inappropriate release of histamine from a kind of immune system cell in your skin called a mast cell. A few common triggers include medications (new and dose changes to current ones), sunlight, foods (citrus fruits, mil, eggs, peanuts, shellfish), insect bites/stings, infections (usually the common cold), stress, exercise and pressure.


• Are hives dangerous?

Yes and no. While most of the time hives are an isolated finding, there are some associated conditions that your medical Consultant should evaluate. If you start to develop lip or tongue swelling, you could be developing angioedema which is a medical emergency. 


• What kinds of treatments are available?

There are several available treatments for hives, the most important being avoiding whatever triggers them (if known). First-line treatment usually includes around-the-clock, non-sedating antihistamines in combination with skin soothing lotions. Many times it takes a combination of more than one anti-histamine to maintain control. When these fail, other treatment options include steroids (topical, oral and injectable), oral medications (singulair, cyclosporine, dapsone, methotrexate), phototherapy and a recently approved injection (omalizumab).



Itchy Skin


• What causes itchy skin?

There are many causes of itchy skin, including skin-only causes (environmental exposures, excessive dryness, infestations/bites&stings, inflammatory skin disease, infections, neoplastic skin disease and hereditary conditions) and itching from secondary causes (infections, medications, neuropsychiatric causes, pregnancy and serious underlying disease). 


• What can I do to potentially help at home?

Avoid long, hot showers and be sure to always moisturize with a thick moisturizer immediately after bathing. Keep your fingernail short and if possible, avoid scratching to relief itch. Use only fragrance free, hypoallergenic, mild products in your skin care (including shampoo’s, soaps, laundry detergent, moisturizers, beauty products, etc). Wear only soft, breathable clothing. Different soothing topical products are available over-the-counter containing menthol, camphor and capsaicin.


• What kinds of treatments are available?

Aside from the above listed measures to help with your itching, your doctor has several therapeutic options to help control your skin. Prescription strength moisturizers are available along with prescription topical medications (steroids, immunomodulators, coal tars, anesthetics and anti-histamines). Oral therapy includes anti-histamines, leukotriene inhibitors, steroids and immunosuppressive medications. Phototherapy has been employed successfully, along with psychological approaches.



Psoriasis


• Aside from heredity, what can cause psoriasis?

Currently known triggers of this condition include endocrine factors (pregnancy, calcium and vitamin D levels), psychogenic stress, trauma (medically termed “Koebnerization”), infections (in particular strep throat, also HIV), and certain medications. 


• What associations with psoriasis should I be worried about?

Psoriasis is associated with several significant conditions that can affect not just quality of life, but overall life expectancy. Psoriasis-associated arthritis is debilitating and the most common comorbidity, and is different from osteoarthritis (“wear-and-tear” type). Cardiovascular disease is the most prominent association with psoriasis, due to systemic inflammation. It can lead to heart attacks amongst other problems. Liver disease is also prevalent in psoriasis patients, so controlling your condition is very important.


• What are the treatment options for Psoriasis?

There are a whole host of therapeutic options for your psoriasis, depending on location, symptoms and severity. Basic techniques include moisturization and a healthy lifestyle (diet, exercise, stress reduction, etc). Topical therapies (steroids, vitamin D analogues, retinoids, anthralin, coal tar, calcineurin inhibitors, β-hydroxy acids, etc) light-based options (Narrowband-UVB phototherapy or PUVA) are exteral modalities, while oral medications (Methotrexate, Cyclosporine, Soriatane, Apremilast and Tofacitinib) and injectables (Enbrel, Humira, Remicade, Stelara and several upcoming options in clinical trials) are available systemic options. 



Warts


• : Do warts need to be treated?

There is data to suggest that most warts will resolve on their own by 2-3 years. However, with their contagious nature, potential for symptoms and cause for social embarrassment, it is recommended to have these lesions treated by your doctor. Rarely, mostly in immunosuppressed patients, warts can transform into skin cancers.


• What kinds of treatments are available for warts?

Common methods for treating warts including duct tape, over-the-counter salicylic acid products, liquid nitrogen, cantharidin (“beetlejuice”), electrosurgery (burning) and curettage (scraping) or excision. Other treatment options include prescription topical medications (aldara, retin-A, podophyllin, etc), laser therapy, chemical peels, immunotherapy and rarely oral retinoids.


• Can warts be cured?

Yes and no. With treatments as described above, one can get rid of the clinically obvious warts. However, they can recur or develop new ones at any time in the future. Continued follow-up for treatment and detection of future lesions is essential.



Laser therapy


• What can I expect from my treatment?

After a consultation, the decision to treat can most of the time occur that day. Many times you will need several treatments before therapy is complete. Safety is of the utmost importance, so protective equipment will be stressed. Finally, most treatments have no down time and you can go back to the rest of your day.


• What are the side effects?

Depending on what you are having the laser treat, it usually has minimal-to-no pain. Temporary redness, bruising, blistering and/or crusting can occur. People with a history of herpes can have a flare, while proper post-procedure care usually prevents infection. Skin discoloration can occur, and sometimes may be permanent. 



Botox


• What can I expect at my appointment?

Not much. After learning about the benefits it can provide, the injections take only a few minutes to perform right there in the office. There is very minimal to no pain with the injections, and some people might experience minimal bruising, but most people have no trace of anything performed.


• What can I expect from the product?

It takes about 1-2 weeks for the effects to occur, so please consider this when getting the treatment done. It tends to last anywhere from 3-10 months, depend on the patient and product.


• Can I have other procedures performed too?

Absolutely, these injections are commonly combined with other cosmetic procedures. 



Spider vein therapy


• Are there any risk factors for their development?

Yes, there are several factors that contribute to developing varicose and spider veins. Increased age, personal or family history of vein problems, hormonal changes (including puberty, pregnancy and menopause), obesity, lack of movement and sun exposure are all associated with an increased risk.


• the uncomfortable symptoms, can they be dangerous?

While it is rare, they can have potentially dangerous consequences. These include skin changes (including permanent discoloration, sores and ulcers), bleeding, and blood clots. Blood clots can be in veins close to the skin (superficial thrombophlebitis) and in deeper veins (deep vein thrombosis), which is a medical emergency.


• What kind of treatments are available for treatment?

There are several therapies available to treat your veins including sclerotherapy (injections), laser (both surface and within the vessels), and surgery to go along with lifestyle habits. The treatment plan depends on the location, size and symptoms of your veins.