Tag: The Esthetic Clinics

Health

There Is A Steep Rise in The Number of Post-Covid Patients with Hair Loss: Say Doctors

Apr 27, 2021 by Rekha Nair 0 Comments #Consultant Dermatologist, #Cosmetic Dermatologist & Dermato-Surgeon, #Cosmetic Surgeon & Director, #Dr. Debraj Shome, #Dr. Rinky Kapoor, #The Esthetic Clinics

Mumbai: There is a sharp rise in the number of temporary reversible hair loss cases are also known as telogen effluvium in Post-Covid patients due to physical and emotional stress. Exercise, de-stress, and eat a well-balanced diet to get rid of hair fall. Medical treatments and QR 678 hair fall therapy can also be an effective and safe solution for these patients.

The adverse effect of Covid-19 on mental and physical conditions of even those who have not had the infection is well known and documented. Currently, problems such as hair loss are fast emerging as one of the common side effects of this pandemic. Multiple studies have confirmed that hair fall is an after-effect of Covid-19. Patients are also reporting hair loss because of stress caused because of the impending corona threat.

“Hair loss post-Covid usually begins two or three months after the patient gets recovered from Covid-19. Noticeable hair loss usually starts after an average of about 55 days post-recovery. Hair loss happens due to fever because of infection, diet changes, stress due to isolation, financial worries, or fear of losing the job. This hair loss is known as telogen effluvium. This condition is a temporary form of hair loss and is often seen in corona patients because of the shock that the body sustains resulting from fever and other symptoms. We have seen around 20 patients with such hair fall recently,” said Dr. Debraj Shome, Cosmetic Surgeon & Director, The Esthetic Clinics.

“The hair goes into the resting phase sooner than nature intends and this results in clumps of hair in your hairbrush. The hair fall usually occurs from all across the scalp. Covid-19 is not the only reason that can cause this type of hair fall other factors such as changes in diets, weight loss, sudden hormone changes, and iron deficiency can further accelerate this process. Telogen effluvium is a temporary condition, which improves in about three to six months post-onset of hair loss.

If hair fall is alarming, consult a good dermatologist for hair fall treatments,” Dr. Rinky Kapoor, Consultant Dermatologist, Cosmetic Dermatologist & Dermato-Surgeon, The Esthetic Clinics.

Dr. Kapoor added, “Relax, take a deep breath, maintain a healthy lifestyle, and let the recovery take its course. The sooner you say goodbye to stress the soon hair shedding with stop. Include few minutes of mediation and breathing exercises in the daily schedule. Switch to a rainbow diet i.e., include loads of colorful seasonal vegetables and fruits such as spinach, lettuce, oranges, figs, and capsicum. in your daily diet. Make an exercise routine that is a mix of cardio, strength training, and yoga. Get a good night’s sleep and avoid hair styling products and treatments. Follow a gentle hair care routine and use products that suit your hair type. Take iron and Vitamin D supplements after consulting your doctor for restoring hair health.”

“If the hair loss is accompanied by itching or flakiness in the scalp then go to a hair specialist for specific treatments. Modern treatments such as the USA patented QR678 hair fall therapy, and medical treatments can rejuvenate hair follicles towards health. QR 678 helps curb hair fall and increases the thickness, number, and density of existing hair follicles, offering great coverage to the ones with hair loss. It is a non-invasive, non-surgical, safer, and affordable procedure” concluded Dr. Shome.

Business World

Monsoon feet care and home remedies by Dr. Rinky Kapoor, Cosmetic Dermatologist & Dermato-Surgeon, The Esthetic Clinics

Aug 17, 2020 by Neel Achary 0 Comments #Cosmetic Dermatologist & Dermato-Surgeon, #Dr. Rinky Kapoor, #Monsoon feet care, #The Esthetic Clinics

By Dr. Rinky Kapoor, Cosmetic Dermatologist & Dermato-Surgeon, The Esthetic Clinics

Our hands and feet never stop working.  One famous artist one said that the human feet are the masterpiece of engineering and a work of art. The feet deserve special care at all times and extra special care during the monsoons.  Monsoons are the worst for the feet and they lead to smelly, crinkly looking feet. The humid, wet and sticky climate translates into wet shoes, sweaty feet, cracked toes, fungal infections, itching, athlete foot and other allergies. The most common foot problems in monsoons are

  • Stinking feet
  • Swelling around the nail folds
  • Fungal infections

These problems can be easily taken care of by some simple foot care habits that you need to incorporate in your daily life

  • Don’t jump in the puddle: The roads are full of dirty rainwater, which is mixed with all kinds of muck lying on the roads and is filled with virus causing bacteria. The best way is to avoid walking in rain and especially avoid stepping in any puddles.
  • Dry and dry: The golden rule of foot care is to keep them as dry as possible. If by chance your feet get wet then dry them as soon as you reach home. If you keep wearing wet and dirty shoes in office, you will end up with swollen and unclean feet that are vulnerable to cracks and infections.  Keep an extra pair of shoes and socks in office.
  • Do not walk barefoot: As tempting as it sounds to walk barefoot on the cold floor or on wet grass in monsoon, you should refrain from giving into the temptation. Waking barefoot increases the chances of getting warts and makes the feet a fertile ground for bacterial infections and fungal infections, which is hard to treat.
  • Wash the wet feet: Sounds strange but inculcate the habit of washing the feet as soon as you get home from work or even from an outing. Add some antiseptic liquid in lukewarm water and dip your feet in it. Let it sit for 10 minutes and wash your feet. Pat dry with a towel.
  • Invest is a good antifungal talcum powder: Apply powder on dry feet and keep your feet in air for some time before wearing shoes or socks.
  • Moisturize: Invest in a good foot cream that will keep your feet hydrated and prevent allergies and keep the heels soft and smooth. Apply the cream on dry feet twice a day, morning after the shower and night before going to bed.
  • Trim the toenails: Overgrown nails are an invitation to the dirt and grime to accumulate under them and a breeding ground for fungal infections. Keep your toenails short and filed.
  • Get some breathable footwear: Switch your heels for simple foot wear such as flip-flops, slippers, rubber boots, sandals etc. as they are easy to care dry and the water washes out easily. Avoid wearing closed shoes. Gumboots are a perfect choice for a walk in the rain. They keep the feet away from dirty water, and they are easy to care for. Never wear wet shoes. Dry the shoes overnight if you have been out in the rain.
  • Cover the nicks and cuts with a waterproof bandage so that water does not enter the wound in any way.

Use the following simple home remedies to give your feet the extra dose of care that they deserve:

  • Ground up some camphor into a fine powder and add it to the talcum powder. Sprinkle some of this mix on your feet before wearing shoes or socks. This will prevent smelly feet.
  • Exfoliate: Once a week set aside some time for foot pampering. Soak your feet in hot water with salt or mild shampoo for 15 minutes. The salt will kill the bacteria and remove the bad smell. Take a pumice stone and gently scrub away the dead skin cells.  Wash and dry your feet and apply a good foot cream.
  • You can also use a papaya mask on the feet for exfoliation. Papaya softens the skin and improves cell turnover
  • To control sweating, add a few drops of lemon to hot water and soak your feet twice a week.
  • Apply henna paste on the cracks on heels, crevices between the toes. Leave the pack to dry before removing. This will help curb the fungal infections.
  • Mix apple cider vinegar with water and lemon and apply and the areas affected by fungal infections. Leave for half hour and then dry the area. This mix will help control the itching too.
  • Massaging onion juice between toes also helps in reliving itching.
  • For soft and supple feet make a mix of 3 tablespoons of rose water with 2 tablespoons of lemon juice and 1 teaspoon of pure glycerine. Apply this daily after washing and drying the feet.
  • Use tea tree oil around the toes to get rid of the fungal and bacterial infections. Mix tea tree oil with aloe vera gel or juice for better results.
  • Make a refreshing food soak by adding 1 tsp of peppermint oil in half bucket of water along with some neem leaves and half cup of coarse salt. Soak your feet for 10-15 minutes. Pat dry and apply talcum powder on feet.
  • A foot mask made up of fullers earth, neem power, turmeric water and honey is excellent for feet health. Apply this mask once a week and soon you will see the results. You can replace multani mitti with ground orange peel. Wash the mask with water and massage your feet with olive oil. This will help relive of the cracked heels too.
  • Massage your feet with olive oil and wear cotton socks over them for a few hours as you relax. This will help soothe the aches and pain.
News

Know About Aging Patterns Among Various Asian Indians by Dr Debraj Shome, Senior Cosmetic Surgeon and Director, The Esthetic Clinics & Dr. Rinky Kapoor, Cosmetic Dermatologist & Dermato-Surgeon, The Esthetic Clinics

Aug 7, 2020 by Gouri Achary 0 Comments #Aging and the Indian Face, #Cosmetic Surgeon & Director, #Dr Debraj Shome and Dr Rinky Kapoor, #Dr. Debraj Shome, #The Esthetic Clinics

According to the study Aging and the Indian Face: An Analytical Study of Aging in the Asian Indian Face, that is conducted by The Esthetic Clinics and its reputed Founders Dr Debraj Shome and Dr Rinky Kapoor, Asian Indians make up almost one-sixth of the world’s population. Although some aspects of facial beauty are universal, anthropometric morphology and age-related changes differ in all ethnic groups. This study published in the reputed journal Plastic and Reconstructive Surgery described various ageing patterns amongst Asian Indians. It is the first ever-ageing study published on how Indians age and with this iconic study, now deciding actually anti-ageing protocols to keep Indians younger will become easier for Indian doctors.

Ageing is an ongoing process. However, ageing patterns are known to be different in each race. Despite Asian Indians forming almost one-sixth of the world’s population, no data are available on how they age.

“Although some aspects of facial beauty are universal, aesthetic preferences vary amongst different ethnic groups and cultures. This is because of the cosmetic concerns, which differ according to variations in facial bony anatomy, morphology, and skin tones, both at a relatively young age and during ageing. Anthropometric features of Indians differ significantly from those of the Caucasian faces. Asian Indian faces are being treated as per the norms derived from Caucasian literature on facial aesthetics. India is a country of immense diversity, culture, different climatic conditions, and geographic locations. In India, regional differences exist in shape and colour,” said Dr. Debraj Shome, Cosmetic Surgeon & Director, The Esthetic Clinics

“Earlier, there was no other study conducted to determine how the Indian’s age. This is a one-of-its-kind study of various ageing patterns amongst Asian Indians. It will help Indians stay younger, reverse ageing by tackling those early signs of ageing such as crow’s feet, nasolabial folds, fat bags and loss of cheek volume highlighted Dr. Rinky Kapoor, Cosmetic Dermatologist & Dermato-Surgeon, The Esthetic Clinics

“India is a country of immense diversity, culture, different climatic conditions, and geographic locations. In India, regional differences exist in shape and colour that varies from region to region and get exacerbated due to ageing. Overall facial height of North, Indians were larger than that of South Indians. Also, the facial width of South, Indians is broader compared to North Indians, in both genders. The people from West Bengal can have broad to very broad faces.” said Dr Shome.

The Causes of ageing
“Structural facial ageing is mainly caused by volumetric fat loss, skeletal resorption, and redistribution of skin and soft tissue. In a younger face, superficial and deep fat is distributed evenly. With ageing, fat loss and hypertrophy cause irregular topographic changes on the face. These changes develop on the temples, cheek, and lateral chin. It further gets enhanced by bone resorption of the mandible and loss of lip volume. All this contributes toward the sagging of the overlying skin, leading to the variability of ethnocentric features of both facial structures and beauty,” said Dr Shome.

Understanding the ageing process
“The process of ageing is a combination of intrinsic and extrinsic factors. Skin types in Indians can range from Fitzpatrick type II to type VI skin, amongst various Indian regions. The phenotypic variations within India, based on the different geographical regions, cannot be ignored. It is very important to consider all these facts while studying the ageing process, as different races age differently. The early signs of ageing were seen in Indians in the age group of 35-40,” said Dr Rinky Kapoor.

Following are the ageing signs Indians MUST watch out for…

Crow’s feet
Crow’s feet are the wrinkles usually formed on the lateral aspect of the eyes with ageing. During facial expressions, persistent accordion-like contractions of the lateral orbicularis oculi muscle lead to its origin. Ptosis and laxity of the muscle also contribute to the same area were noted as early as 35–40 years of age.

Tear Trough Deformity
The tear trough is a 2–3 cm depression inferior to the pseudo-herniated orbital fat in the lower eyelid. The tear trough defect is a very common esthetic concern in Indians, even at a young age. Indians aged 20–30 years presenting with tear trough deformity mostly requires treatment for the medial hollowness. It may occur due to ageing, chronic exposure to sunlight, and tropical temperature. The mean age of occurrence of tear troughs to be 40–60 years, with initial signs as early as 35–40 years. North and East Indian population develop it earlier compared to the West and South Indian ethnic groups

Nasolabial Folds
Nasolabial folds can be attributed to the age-related facial sagging, loss of skin elasticity, and adipose tissue accumulation. The nasolabial folds were seen more commonly in women compared to men of the same age group. The folds developed early in East and West Indian ethnicities compared to the North and South Indian populations. Also, it was noticed that the South Indian population shows least nasolabial folds in the older age group of >70 years of age.

Marionette Lines
With advancing age, commissural skin begins to sag, causing mandibulo-labial folds. This further leads to depression around the corners of the mouth, which we often refer to as marionette lines. This gravity-dependent movement of the malar fat pads coupled with the decrease in the perioral volume as well as deepening of the nasolabial folds shapes the ageing midface. 38% of the Indian women over 30 years showed moderately to severely pigmented marionette lines.

Fat Bags and The fullness of Buccal Fat
McCurdy et al. mentioned that there is a substantially lower incidence of fine wrinkles in both darker and more lightly pigmented Asians, due to the increased dermal thickness. This can make lower lids look the looser and make under-eye bags more prominent in 40 years, resulting in an older appearance.

Loss of Cheek Volume Just below Zygomatic Arch
With ageing, there is deepening of nasolabial folds, subsequent hollowing of the cheeks, and loss of malar prominence. Also, there is the lengthening of the lower eyelid, increasing visibility of the orbicularis oculi muscle, along with enhancement of tear trough and formation of crescent/ “V”-shaped deformity along the maxilla and zygoma. The recession of the nasal alar cheek junction is also evident, as age advances. Individual fat compartments start becoming more discernible as separate entities rather than transiting smoothly from convexities to concavities as seen in youth.

Jaw Line Prominence and Neck Volume
A youthful jawline is a straight line marked from the chin to the mandibular angle. Increased soft tissue laxity, inferior migration of the jowl fat compartment, and shrinkage of the mandible cause loss of definition of the jawline. Also, with ageing, the oval face becomes squarer due to the increase in the neck volume. The loss of prominence is more significant in North Indians followed by West, East, and South Indian ethnic groups.

Dr Shome said, “beauty parameters are mostly influenced by geographical, cultural, and morphological variations, detailed knowledge of the morphological characteristics of face and aging process of the various geographic groups is crucial. Once the pattern, process, and the areas most affected by aging are known, it is easy to formulate guidelines which suggest the ideal age and the ideal method to carry out a specific cosmetic procedure.”

He added, “The Asian Indian population (as per our study) ages earlier than the reported ages in the Caucasian population (in other studies). This seems counterintuitive, given the melanin content in the Asian Indian skin and counterintuitive from what we have observed in our clinical practice as well.”

This study can open up a gateway for new proposals of enhancing the understanding of the current concepts and techniques in the fields of facial aesthetics and facial cosmetic surgery. It will surely benefit people to age like fine wine,” concluded Dr Rinky Kapoor.

Source:https://journals.lww.com/prsgo/fulltext/2020/03000/aging_and_the_indian_face__an_analytical_study_of.7.aspx
Plastic and Reconstructive Surgery – Global Open: March 2020