FAQAbout Skin and Hair Problems

Frequently Asked Questions about various Skin and Hair related problems.


Acne vulgaris, what is commonly known as pimples is a chronic disease of the pilosebaceous units. It involves the areas rich in these sebaceous units like face, chest, back and arms.

The four major factors involved are:

  • increased sebum production seborrhoea,
  • comedo formation,
  • colonization of the intrafollicular duct with P.acnes and
  • inflammation.

It affects individuals with genetic predisposition.
Hormonal activity also contributes to the formation of acne.
High glycemic load diet appears to worsen acne

  • Acne should be treated in the early stages to prevent scars. Milder forms are treated with topical gels.
  • Severe variety needs to be treated aggressively with systemic medications. For scar prevention and for quick control of disease one of the following procedures may be clubbed.
  • Comedo extraction is done in patients who do not respond to topical gels for better penetration of the medicine. – SAMA peel ( salicylic acid & mandelic acid )
  • Intralesional injection for nodules & cysts

Apart from creams, chemical peels are the best option for treatment of post acne pigmentation.


Acne scarring is an unfortunate complication of acne, an aesthetically unpleasant and embarrassing skin condition striking most adolescents and adults. Acne heals with brown spots and scarring depending on the degree of inflammation. Severely inflamed acne results in unsightly facial scars and emotional stress leading to psychic trauma, general insecurity and feeling of inferiority. This psychosocial distress posed by acne makes a powerful argument for its timely and adequate treatment to prevent cosmetically disfiguring scars.

The treatment of acne scarring includes resurfacing techniques (chemical peels, microdermabrasion), dermal fillers, skin rolling techniques (microneedling/dermaroller) and surgical methods such as dermabrasion, subcision, punch excision techniques, Scar revisions and dermal grafting techniques. The choice of therapy depends on color, texture, depth and morphology of these scars.

Post acne scarring remains a challenge and multiple modalities are often necessary to attain excellent results. It should be noted that none of the currently available treatments can achieve complete resolution of the scar but only make them look better or best.

These treatments can also cause temporary pain, redness and pigmentation.

The best method of preventing or limiting scarring is to treat acne early enough to minimize the extent and duration of inflammation and avoidance of picking the acne. Early and aggressive treatment is, therefore, vital to minimize if not prevent its occurrence.

Your dermatologist is the best person to offer you all the treatment modalities.


The human skin is incredibly durable, like all other organ systems it is also affected by aging. It is the most exposed part of our body hence signs of aging is first seen on skin. As face is the focal point of human beauty the signs of aging are first visible on face and prompts some interventions. The aging is determined by thickness of skin. The adult skin thins progressively at a rate that accelerates with age. This phenomenon occurs in all layers of the skin. It is most pronounced in exposed areas, such as the face, neck, upper part of the chest and the extensor / Outer surface of the hands and forearms. The overall thickness decreases at about 6% per decade decreasing faster in women than in men. So aging can begin after 20 years of age and is accelerated by external factors like sun exposure, smoking, unhealthy diet.

Skin mirrors the first signs of aging. As we age, the skin thins, dries, wrinkles, and becomes unevenly pigmented. A loss of underlying fat, bone and cartilage, manifests as sagging skin and fallen nasal tips. The first signs of aging are fine lines around eyes, mouth and forehead, greater visibility of bony landmarks, hollowing of the cheeks and perioral area and deepening of nasolabial folds. This is followed by flat eyebrows, upper eyelid laxity, atrophy of lips, descent of the corners of the mouth and lower face and neck sagging. Surface changes like roughness, enlarged pores and pigmentary blemishes are also part of aging process.

Adequate use of proper sunscreen, moisturizers and avoiding extrinsic factors like sun exposure and environmental pollutants can delay aging. A good nutrition with antioxidants can retard aging. Some factors like skin type and extent of outdoor activity of the individual should be considered while choosing proper creams and lotions. The results will be promising with the aid of dermatologist.

The aging involves both intrinsic and extrinsic processes occurring in parallel. Intrinsic aging proceeds at different rates in each of us at genetically determined pace. Aging is accelerated by extrinsic factors like ultraviolet radiations from sun and smoking. The Dermatologist is the right person to give anti ageing solution based on extent of aging. There are various treatment options ranging from Anti ageing creams, Superficial and Medium peels, Non-ablative facial rejuvenation, Botulinum toxin type A injections, Fillers to new generations of cosmoceuticals. Allow your Dermatologist to analyse aging face and offer appropriate treatment. With aging, skin functions deteriorate and can result in palette of diseases like dryness, infectious diseases and benign, premalignant and malignant tumours that can jeopardise life which needs consultation by expert.

The right thing to do is to go and consult a dermatologist/ cosmetic surgeon and assess aging process and receive treatment in safe hands to have flawless skin without aging blemishes.