INTRODUCTION

The house of Dr Xavier Rasiah's clinic is proud to present Dr Marina's Laser Cosmetology Centre(DMLCC) a dedicated medical cosmetology centre with total treatment for acne, pigmentation, permanent hair reduction by laser, fat reduction using modern methods like microdermabrasion, chemical peel , laser for hair and pigment removal, ultrasonic fat reduction, rf body tightening and shaping and tattoo removal A place in trichy for your cosmetology needs- is the idea behind this venture. Started by Dr Clement Antony and Dr marina clement with the idea of bringing affordable advanced medical cosmetological care to the needy in and around Trichy.

Dmlcc is not a beauty centre. Only medically proven technologies like microdermabrasion, chemical peel, lasers, ipl, ultrasonic fat reduction, rf body tightening, galvanic drug delivery and phototherapy are some of the technologies employed here. Acne, acne scarring, melasma, hyperpigmentation anywhere, facial hair removal, fat lipolysis ultrasound and radiofrequency skin tightening are tackled with the state of the art technology along with prescription drugs and topical drugs. If you need any of these, give us a call, fix an appointmentand plan a treatment.

CONSULTATION

The most important aspect of the treatment is the consultation. Please fix your appointment by dialing 89035 60205 or 0431 3204635 and get a convenient slot.

Modern diagnostic tools like dermascope and woods lamp and also illuminated magnifying lenses are employed to diagnose your problems. at an affordable cost with assured deliveries and of highest quality

The consultation only decides whether any major procedure is needed or a simple prescription and advice is sufficient.

If any procedure is needed the doctor will explain the nature of the procedure needed, how many sittings are required, when it has to be started and the cost involved.

MICRODERMABRASION

What is microdermabrasion?

Microdermabrasion is a painless, non-invasive, skin rejuvenation procedure using a combination of a fine abrasive tip and vacuum suction applied to the skin. Typically there are no needles or anesthetics required for microdermabrasion. The vacuum pressure and speed are adjusted depending on the sensitivity and tolerance of the skin. Microdermabrasion is often compared to the feeling of a cat licking the skin- a rough but gentle texture.

Typical microdermabrasion sessions can last anywhere from 15 to 30 minutes. Minimal to no recovery time is required after microdermabrasion and most people immediately return to daily activity after a session. Makeup and non-irritating creams can usually be applied within a few hours after microdermabrasion.

INDICATION FOR MICRODERMABRASION

1. To give a 'glow' to the skin
2. To Improve an uneven complexion
3. Reduce greasiness of the face
4. Reduce pigmentation of the face
5. Reduce pore size
6. Reduce/ correct scars due to acne
7. Improve stretch marks
8. Correct photoageing
9. Treat melasma

Side effects with this procedure.

1. Mild discomfort, pain and burning sensation, which resolves over a few hours.
2. Mild post procedure swelling.
3. Flare up of herpes, in patients with prior herpes infection (please inform your doctor ahead,
if you have ever had an episode of cold sores).

How long will I have to wait to see results?

Post procedure, there is a clearing of complexion that is said to contribute to the glow that most patients report after the procedure. However, it may take upto 6 sittings for best results with microdermabrasion.

CHEMICAL PEEL

A chemical peel is a technique used to improve and smooth the texture of the facial skin using a chemical solution that causes the dead skin to slough off and eventually peel off. The regenerated skin is usually smoother and less wrinkled than the old skin.

Usually a series of peels are required to achieve significant results. Very light peels are indicated in comedonal acne, melasma, solar lentigines, and in rejuvenation. Chemical agents used in this level of peeling include 10 – 15% trichloroacetic acid (TCA), glycolic acid and salicylic acid. Light chemical peels include 20 – 35%TCA, 70% glycolic acid, and penetrate the entire epidermis. Some scaling and redness may be seen post operatively, but may be managed with appropriate pre and post procedure measures. Light and very light peels together constitute superficial peels and are safe in Indian skin.

INDICATIONS FOR CHEMICAL PEELING

• Superficial acne scars
• Postacne pigmentation
• Comedonal acne[3]
• Acne excoriée
• Acne vulgaris - Mild to moderately severe acn[4, 1]
• Photoaging
• Fine superficial wrinkling
• Dilated pores
• Superficial scars
• Seborrheic keratoses
• Actinic keratoses
• Warts
• Milia
• Sebaceous hyperplasia
• Dermatosis papulosa nigra

Complications of Peels:

Infection- Although trichloracetic acid and phenol are bactericidal (kill bacteria), occlusive ointments may promote folliculitis (inflammation & infection of hair follicles) which may be secondarily infected. Milia Formation- Milia, sometimes called inclusion cysts or "whiteheads," appear as part of the healing process. Treatment of milia is very simple and effective. Persistent Redness or Itching- Redness after peeling usually disappears in about a week. However, different patients may manifest longer or shorter times. Pigmentary Changes- Hyperpigmentation of nevi (moles) does occur following chemical peels.

Scarring- This is a very rare event. Racially dark individuals and people with a family history of hypertrophic scars have a higher risk. In short, chemical peeling is an effective, low risk, non-surgical approach to rejuvenation.

LASERS:

Q SWITCHED NdYag LASER:

INDICATIONS FOR Q SWITCHED NdYag LASER:

Most pigmentary skin lesions, whether epidermal or dermal, acquired or congenital, can be treated with Q-switched lasers of blue, green, and infrared light. Though the clinical indications of a Q-switched NdYAG laser are numerous, a few are listed below: Pigmented lesions While the epidermal lesions respond best to 532 nm (frequency doubled NdYAG) the dermal lesions are better treated with 1064 nm. Q-switched lasers are the gold standard for treatment of tattoos.

1. Lentigines: usually 1-2 sessions are enough to clear lentigines at 532 nm. However there is a risk of hypo/hyperpigmentation, so avoidance of sun exposure for 4-6 weeks post laser is very important.
2. Cafe-au lait macules: these again can be treated effectively in 1-2 sessions, but recurrence is common which requires multiple treatments.
3. Freckles: Response is same as for lentigines. Although very effective, risk of dyspigmentation exists.
4. Dermal pigmented lesions: Nevus of Ota, Nevus of Ito, and other flat pigmented birthmarks respond well at 1064 nm. Multiple sessions are usually required with near-total clearing of the lesion in most cases.

Medium depth nonablative skin resurfacing

Frequency doubled 532 nm Q switched is a well-established technology for treating photoaging. When used at lower Fluencies with a larger spot size, it is a medium depth laser peel, with less downtime and high patient satisfaction. However, due to the risk of postinflammatory pigmentary changes in Indian skins, it should be used only after a test patch and adequate sun protection advised to the patient.

Melasma

Epidermal melasma responds better and faster than dermal/mixed melasma. Complete clearing of lesions may be expected in more than 50% of cases of epidermal melasma. Complete clearing of dermal/mixed melasma may be seen in about 30-50% cases, while the remaining patients will show moderate improvement. Postinflammatory hyperpigmentation and rebound melasma are dreaded complications that may occur in the individual with sensitive skin. Lower energy and fewer repetitions are adequate to produce marked improvement. Improvement will need to be maintained by repeated treatments. However, recurrence is common in melasma.

Tattoos

Q-switched NdYAG 1064 nm, due to its longer wavelength, higher fluence, and shorter pulse, has emerged as a better laser for the black and dark blue/ black tattoo pigment. Response to Q-switched 1064 nm depends on the type of tattoo: [2]

1. Professional tattoos: Most of such tattoos have even distribution of ink, mainly in subcutaneous tissue. Ink quality is good; hence, 4-6 treatments are usually required.
2. Amateur tattoos: Usually these are easy to remove, but in some cases, if the ink is at deeper level, a few extra sessions could be required.
3. Cosmetic tattoos: Cosmetic tattoos like eyebrows, and eye and lip line are mostly made of iron-based inks. This can sometimes oxidize and turn black, so a test patch must be given.

Nonablative skin resurfacing for wrinkles and acne scars

Q-switched NdYAG laser 1064 nm offers a new technology that helps treat scars and wrinkles at their root, deep in the skin. Using laser energy that penetrates deeply without injuring the top layer of skin, the deep dermis is stimulated to produce natural collagen and other vital proteins that make up healthy, youthful skin. Painlessly done in less than 20 minutes, you'll leave the office with only mild redness that will fade within a few hours. After 3-6 treatments, done at monthly intervals, wrinkles soften and skin gets toned. Hence it is also referred to as laser skin toning. This is a good option for improving acne scars, wrinkles, and stretch marks without complicated procedures and long recovery times.

Laser-assisted hair reduction

Though the long-pulsed lasers are gold standards for the removal of terminal hair, Q-switched laser has been tried with and without topical carbon suspension. Q-switched pulses produce a photomechanical impact on the tissue and also on hair shaft and hair follicle, causing reduction as well as delay in hair growth cycle. Since it is not color dependent, it can be suited for all skin types, even on tanned skins without fear of pigmentary changes.

Vascular lesions

It has been shown to be effective in treating vascular lesions like telangiectasia, cherry angiomas, and small spider nevi. More than one treatment could be required. However, it can cause purpura which could take up to a week to clear.

Dark lips

Dark lips are a common cosmetic concern in India. Two to four sessions of Q-switched 532 nm is an effective treatment for lip lightening.

The following complications are transient reactions and do not require termination of treatment.

• Immediate erythema
• Physical urticaria
• Acneiform eruption
• Minute petechiae
• Whitening of fine hair
• Rebound hyperpigmentation

The following complications need either stopping the laser therapy or modification of laser parameters:

• Mottled hypo and hyperpigmentation
• Leukoderma
• Severe urticaria
• Severe acneiform eruption
• Herpes simplex activation

IPL LASER:

IPL (Intense Pulsed Light) Systems – alternative to lasers – gently remove unwanted hair based on the principle of selective Photothermolysis. This refers to the process whereby the characteristics of the IPL energy including wavelength and pulse duration are optimized to selectively cause thermal damage to the hair follicle without injuring the surrounding tissue.

The IPL penetrates through the skin and is absorbed in the target pigment found in the hair shaft, meanwhile, the RF energy work deeper to heat the hair follicle. The cooled hand piece increases patient comfort and minimizes the adverse skin reaction commonly seen with other lasers. The heat transfers down to the hair shaft, and if the temperature at the base of the hair shaft reaches 70° C, the follicle will be destroyed and regrowth is inhibited.

Indications for IPL laser:

• Thick black/tiny hair-removal, skin pore shrinking
• Skin rejuvenation, wrinkle removal
• Blood vessel removal on leg and face
• Pigment removal like freckles, age spots
• Acne Removal

IPL WITH E-LIGHT AND RF:

Working Theory:

E-light is the first and only technology that combines optical (light) energy and bipolar radio frequency (RF). By incorporating the RF means a lower level of light energy can be used (up to 60% less) making it safer and gentler than other systems.

Gentle pulses of targeted energy isolate the treatment area and leave the surrounding skin free from potentially harmful side effects. In addition to permanent hair reduction for most hair colors and skin types, E-light effectively and comfortably treats rosacea, spider veins; skin imperfections caused by sun damage, age spots, enlarged pores and uneven skin tones. A series of E-light treatments will leave your skin smoother clearer with a tighter more youthful appearance.

Specifications:

This Producers is Used To:

Portable IPL+RF E light machine: Tablet/standing mode switchable, RF and IPL treatment can be carried out separately. The machine body and the stand can be separated too.

1. Remove freckle, sun spot, age spot and acne;
2. Shrink the dialation of facial vascular;
3. Skin rejuvenation: fine wrinkles, pigments, freckles, vascular lesions (telangiectasis) removal; skin whitening, change large hair pores;
4. Hair removal: Remove hair on any area of the body;
5. Skin tightening, skin lifting, improves flexibility and tone of skin
6. Reshape the face outlines, body figure reconstruction;
7. Enhance skin metabolism, skin whitening;
8. Acne removal: improve the situation of oily skin; kill acne bacilli.

Advantages:
1. Four sapphires interchangeable, do not need to change the whole handpiece; one separate bipolar RF hand piece, easy to achieve RF treatment;
2. RF energy can be applied to any type of skin; no side effect;
3. Combining with RF, decreases burn risk and uncomfortable feeling significantly;
4. When removing light color hair or pigmentation, the result is highly improved, because of the RF energy involved in;
5. Easy to operate: touch screen, smart hand piece can be applied on the skin directly.

GALVANIC CURRENT APPLICATION:

"Galvanism works by penetrating active substances into the subcutaneous tissues, where they act on the ineffective circulation to bring about an improvement in the vascular and lymphatic interchange in the area. This is completed in a natural and harmless way, and is aided by the actual effect of the galvanic current on the tissues. This improves the function of the cellular membrane, and allows the trapped fluid and fat to be dispersed and eliminated."

Galvanic currents and facial treatments

Facial treatments of this nature can be applied to people who suffer from severe acne or blackheads that arise from the accumulation of excess sebum by applying an alkaline solution, which will lead to the melting effect of the sebum, through negative polarity. Special products and solutions associated with galvanic current meet some very high standards in terms of safety, and specialized protocols (currents of different intensities have different effects and act specific groups of muscles/tissues or in certain areas of the body), yielding into a series of benefits for the body in general and the skin, in particular:

Application of negative polarity currents stimulate nerves, promotes vascularization and tissue oxygenation, which becomes more refined, with a fresh look;

Applying a positive polarity current inhibits the nerves, the blood supply decreases and the tissues get hard. The positive current is usually used in the later stages of treatment to reduce skin redness and to fix cosmetic products for beauty, due to the contraction of the nerves. The lifting effects on the face may sometimes appear on the long term.

Contraindications to the use of galvanic current:

 Pregnant or nursing women should not seek such treatment.
 Nobody having a pacemaker (device that stimulates heart muscle by electrical impulses) or metal implants, nor those with various skin conditions (couperose or redness) should use galvanic current

HIGH FREQUENCY BEAUTY EQUIPMENT:

The high frequency machine facial utilizes an alternating current that vibrates water molecules on the skin, which produce a mild but warm and calming effect.

INDICATION FOR HF MACHINE:

It has an antiseptic effect on the skin (a great way to end a facial!)

It stimulates circulation (get that blood and lymph flowing!)

It helps to oxygenate the skin (oxygenated skin is healthy skin. Healthy skin looks younger!)

It increases cell metabolism (important if you want rediant skin!)

It helps heal any open lesions after extractions (again, a great way to end a facial!)

Its important to remember, people who are pregnant, have high blood pressure, a pace maker or other heart problems, those with braces, and those with epilepsy should not get a high frequency machine facial. Also, avoid all contact with metal during a facial in order to avoid getting burned. There are different attachments for the machine and they all serve very different purposes:

Sparking Bulb is great for zapping zits! Have you ever had a cystic pimple that you could just not pop? See a trained esthetician and have her zap it away with the high frequency machine! I cannot tell you how many times I've zapped my zits. No popping. No scaring. No harsh bezoyl peroxide or retin-A. Just a zap! And its pretty soon, it's like my zit was never there! The large mushroom attachment is great for just an all over facial. It can target the forehead, cheeks and so on, so that oxygen, blood flow, and cell metabolism are all stimulated throughout the entire face. The spoon attachment is great for targeting smaller areas, especially crows feet, and the parenthesis lines around the mouth. The Comb electrode or rake works great for scalp treatments! And even helps to stimulate hair growth .

RADIO FREQUENCY SURGERY:

Definition:

Radiofrequency (RF) induces thermal destruction of the targeted tissue by an electrical current at a frequency of 0.5 MHz (RF). As the electrode tip is not heated, there is minimal thermal damage to the surrounding tissues, producing good esthetic results. Therefore, RF ablation is also known as cold ablation or "coblation."

Modality:

It has three modes of operation: (a) Cut, (b) cut and coagulate and (c) coagulate. Therefore, it can be used for various purposes like incision, ablation, fulguration, shave excision and coagulation. Because of the coagulation facility, hemostasis can be achieved and operation becomes easier and faster.

Indications:

It is effective in treating various skin conditions like dermatosis papulosa nigra, warts, molluscum contagiosum, colloid milia, acquired junctional, compound and dermal melanocytic nevi, seborrheic keratosis, skin tags, granuloma pyogenicum, verrucous epidermal nevi, xanthelesma, rhinophyma, superficial basal cell carcinoma and telangiectasia. It can also be used for cosmetic indications such as resurfacing, earlobe repair and blepharoplasty.

Anesthesia:

The procedure is accomplished either under topical anesthesia eutactic mixture of local anesthetics or local injectable anesthesia, under all aseptic precautions.

Procedure:

While operating, only the tip of the electrode should come in contact with the tissue. Actual contact of the electrode with the tissue should be very brief in order to prevent excessive damage to the deeper tissues. This can be accomplished by moving the electrode quickly.

Complications:

Complications are uncommon and mainly occur due to an improper technique. The treating physician should be aware of the contraindications of the procedure as listed in these guidelines.

Physician qualification

RF surgery may be performed by a dermatologist who has acquired adequate training during post-graduation or through recognized fellowships and workshops dedicated to RF surgery. He/she should have adequate knowledge of the equipment and pre- and post-operative care. Blepharoplasty and full-face resurfacing need specialized training at dedicated workshops/centers.

Facility:

The procedure may be performed in a physician's minor procedure room.

ULTRASONIC FAT LIPOLYSIS:

Benefits of Ultrasonic Lipolysis:

Ultrasonic Lipolysis is a non-surgical procedure that helps you to get rid of unwanted fat from your abdomen, thighs and hips. It is similar to the Lithotripsy treatment which is used to break kidney stones. Ultrasound waves are focused on the fat cells through a transducer. These High Intensity Focalised Ultrasound (HIFU) waves target fat cells up to 1.5 cm below the skin.

How long does it take?

A typical Ultrasonic Lipolysis session takes one hour.

So is there any surgery involved?

Ultrasonic Lipolysis is a completely non-surgical procedure. It requires neither cuts nor stitches, no anaesthesia, or injections. All you need to do is lie down and read, watch television or chat. It's completely painless with no burns, scars or redness. And you can walk out immediately after the treatment and carry on with your daily routine.

How safe is it?

Ultrasonic Lipolysis is completely safe. Only fat cells are targeted without affecting other organs. There are absolutely no side effects. And you can expect to lose 1 to 3 inches permanently around your abdomen, hips or thighs, whichever area the patient chooses to target.

Is the fat loss permanent?

Yes, it is. Unlike dieting and exercising which only reduces the size of the fat cells, this procedure actually reduces the number of fat cells in your body. Fat cells do not increase in number after maturity, so the loss is permanent.

The Ultrasonic-Lipolysis system uses multi-frequency waves for selectively rupturing adipocyte membranes without affecting surrounding structures. Triglycerides and cell debris from disrupted fat cells are processed by the body's natural physiological and metabolic pathways. The dissolved fat is then naturally excreted. At the same time, the skin becomes suppler and tighter, giving skin a younger and more toned appearance. Depending on the size of the area treated; the average number of treatment range from 6 to 10 sessions are recommended for overall enhanced results. Results vary based on your body type and the severity of the condition. On the average, based on conditions, the results can be seen in two or three sessions. For certain conditions you may see results immediately.

Advantages Of Ultrasonic-Lipolysis:

• Non-invasive, safe and simple
• Visible result
• Fast and effective procedure
• Pain-free due to skin contact cooling
• No downtime
• No adverse effects

RF BODY SHAPING

The results are dramatic and are noticeable from the first treatment with, reduction in wrinkles and centimetre loss of the body.

Improvements can be seen for up to 3 months after treatments. For optimal results a minimum of 6 treatments required.

Advantages:

• At least 1 centimetre loss per treatment

• No down time. Return to work straight after your treatment

• No anesthetic required

• Only targets fat cells without causing damage to surrounding tissues

• Reduces body fat and tightens the skin at the same time

• Allows you to target problem areas that are predisposed to diet and excise

• Safer and cheaper than traditional liposuction.

What happens to the fat cells once they are broken down?

The high energy of the quadro frequencies liquefy the fat cells which are absorbed by the lymphatic system and passed through the liver. It is recommended to drink plenty of water before and after the treatment to help the body in the cleansing and detoxing process.

RF energy alone is primarily used to treat skin laxity by tightening, and is best suited to patients with mild to moderate sagging of facial tissues, usually those in their mid-thirties to fifties, with any skin colour. It is commonly used to treat the forehead, under the eyes, cheeks, mid-face, jaw line and the neck. RF can also be used in conjunction with ultrasound cavitation to aid in further fat breakdown and also to tighten the skin in the same area the cavitation treatment has taken place. The hand piece is slowly rotated over the target area transmitting radio waves through the upper layers of the skin to the dermis, heating the dermis to between 40 & 50 degrees Celsius without burning the skin surface. It causes the following changes under the skin.

1.Tissue Retraction: The generated heat causes local contraction of the collagen fibres, to immediately tighten the skin.

2. New collagen formation: By heating the dermis, new collagen production is stimulated. This tightening effect is delayed and may take from 3-6 months to be visible.

3. Improved circulation: RF will also improve the blood and lymphatic flow. This helps with a better oxygen supply and greater toxin clearance to further reduce the effects of aging.

4. Combats facial sagging

5. Instant tightening and lifting of facial contours

6. Use on forehead, under eye area, cheeks, jaw and neck

7. Affects skin's deep dermal layers, designed to reach fatty layer resulting in tightening, lifting and improvement in firmness
8. Improves blood flow and reduces toxins

ULTRASONIC DRUG DELIVERY

Ultrasound waves of two different frequencies generate tiny bubbles of water on the skin's surface. When these bubbles pop, the skin's surface is lightly worn away, allowing drugs to pass through the skin more easily.

IONTOPHORESIS

Iontophoresis (Greek iontos=ion; phoresis=to bear) is the process in which a direct current drives ions into cellor tissues. It is most advanced of the "noninvasive" (needle less) electronically controlled technologies.

DIGITAL IONTOPHORESIS

Iontophoresis is a needle free, non invasive technology for delivering water soluble, ionicdrugs or other compounds through the skin using a microprocessor controlled electrical current.The current carries the compounds into underlying tissue and into the blood stream, making thedelivery either site specific or systemic. The microprocessor facilitates variable dose controlenabling programmable or patient controlled dosing as well as rapid onset and cessation of delivery, where desired

NBUVB PHOTO THERAPY

Broad band UVB radiation has been found to treat skin conditions that are caused by overactive immune cells in the skin, as it reduces their activity. A specific wavelength of UVB (311 to 312nm) is thought to be the most useful range for treating skin conditions. This is referred to as narrowband UVB or TLO-1. Treatment with UV is often referred to as phototherapy.

What can narrow band UVB treat?

It is mainly used to treat psoriasis, but it can also be used for other skin conditions such as acne, eczema, vitiligo, mycosis fungoides, and polymorphic light eruption.

What does treatment involve?

The treatment is given by specially trained nurses. You will need to undress and stand in a phototherapy unit, which is a cabinet containing fluorescent tubes that produce UVB rays. Each machine is screened off to make sure your treatment is given in private. The machine will be turned on and you will be given a calculated dose of narrow band UVB. This is then repeated 2 or 3 times per week over several months. You may feel a warm sensation during treatment, but it will not hurt.

Why should I have narrowband UVB treatment?

This treatment should help to improve your skin condition. It is often recommended if you have tried ointments and creams without success. However,it is sometimes used in combination with other treatments

PRESCRIPTION DRUGS

Sometimes you may not require any of these procedures and what is needed may be a simple consultation with or without some medications. We are only too happy to advice you on this when no active procedures are needed or when you are not in a position to undertake them at a short notice. Please remember that sticking to your review date for a follow up is very important and book your appointment well in time.

Question 1.What happens during a consultation?

ANSWER; During consultation, the Doctor examines you and arrive at a diagnosis. Then treatment modalities are discussed with you, and a suitable way of treatment for your condition is selected and agreed upon. Then the treatment will be started.

Question 2.Is it necessary to undergo any of the procedures mentioned in the website every time?

ANSWER; Not necessarily. Many conditions may require only a consultation,, some medicines, lifestyle modifications and a review only. Only in selected cases or resistant cases, procedures are advised.

Question 3. What is a review date?

ANSWER; A review date is a date on which you are requested to come back to reassess your response to a particular treatment.

Question 4.Why is that a review date is important?

ANSWER; Only during a review your response to a particular treatment is reassessed and future management is planned. Missing a review date and relying on a first prescription or a first procedure for a total cure is wrong.

Question 5. What should I do, if I miss an appointment date?

ANSWER; Phone up the reception at 89035 60205, or 0431 3204635 and rebook your review as soon as possible. The scheduling receptionist will fix an appointment at a mutually convenient time again

Question 6. Who will be doing the procedures on me?

ANSWER; All major procedures are done by qualified medical cosmetologists only. It will be assisted by qualified and trained nursing assistants.

Question 7. I am allergic to many procedures and medecines. What should I do?

ANSWER; All procedures are selected and done only after consultation and examination. So rest assured that your allergies will be taken in to account on every prescription and procedures done. But it is important on your part to tell in advance your known allergies to the treating doctor.

Question 8. Why photographs are taken during my consultation / procedures?

Taking photographs of the affected area is a standard medical record keeping procedure. It will help us in assessing the response to a particular treatment also. The photographs or your any other details will not be shared with anybody.

Question 9. Are there any surgeries done here and do I have to stay overnight?

ANSWER; No surgeries are done here. Only medical cosmetology is practiced here and minor, bloodless Radio Frequency skin tag removal wart removal and mole removal are done here. You never have to stay overnight here

Question 10. How to book an appointment?

ANSWER; You can always dial 89035 60205 or 0431 3204635 to fix a new appointment 9 am to 9 pm, Monday to Saturday. Sunday is a holiday.

DR MARINA'S LASER COSMETOLOGY CLINIC is part of the well known 'DR XAVIER RASIAH'S CLINIC' at MELAPUDUR, TRICHY. Started by the visionary and Philanthropist Dr.F.Xavier Rasiah 40 years back in trichy, this hospital is already having a general medical wing, children's wing and laboratory services. In keeping with the changing trends and in order to fulfill the long felt need of a cosmetology centre in trichy, this first of a kind setup is being started in this place.

DR MARINA RASIAH CLEMENT. MBBS., DFH.,D COS

She is the brain behind this clinic. A caring and loving personality, she is well known to the people of Trichy for the past 20 years. Cosmetology is her passion and this passion drove her to start the first of a kind setup in trichy She did her MBBS in the famous ST JOHN'S MEDICAL COLLEGE, BANGALORE. She finished her DFH degree in the SRI RAMACHANDRA MEDICAL COLLEGE AND HOSPITAL, PORUR, CHENNAI. She did her D COS ( DIPOLOMA IN COSMETOLOGY) under the famous dermatologist Dr. P.V.S. PRASAD, Prof. & Head, Dept. of DVL, R.M.M.C.H. Annamalai University, CHIDAMBARAM. She underwent an advance course in TRICHOLOGY AND COSMETOLOGY at the famous 'INSTITUTE OF COSMETOLOGY AND LASER SURGERY ( I C L S ) MUMBAI' under the watchful eyes of DR.ANIL NIRALE. MS. MCH. ( PLASTIC SURGEON )at MUMBAI.

The pillar of support for this clinic, Dr Clement is a well-knownPaediatrician practicing in Trichy for the past 20 years. He did his M.B.B.S. in MADURAI MEDICAL COLLEGE, MADURAI after which he did his DCH in the GOVT KARNATAK MEDICAL COLLEGE HUBLI. He did his D COS (DIPOLOMA IN COSMETOLOGY) under the famous dermatologist Dr. P.V.S. PRASAD, Prof.& Head, Dept. of DVL, R.M.M.C.H. Annamalai University, CHIDAMBARAM. He also underwent an advance course in COSMETOLOGY AND LASERS at the famous 'INSTITUTE OF COSMETOLOGY AND LASER SURGERY ( I C L S ) MUMBAI' under the watchful eyes of DR. ANIL NIRALE. MS. MCH.( PLASTIC SURGERY )at MUMBAI.

CONTACT NUMBERS FOR APPOINTMENT:

CLINIC ADDRESS:

Acne reduction programme

Acne is an inflammatory skin condition characterized by clogged pores, blackheads, and pimples. The oil glands, or sebaceous glands, are connected to hair follicles and release a substance known as sebum that lubricates hair and skin. Usually, sebum travels up the hair follicle and out onto your skin. But when the sebaceous glands produce too much oil and combines with dead skin cells, the follicles become blocked and inflamed.

Acne most often affects the nose, forehead, cheeks, chin, back, and trunk. While it tends to last longer in women, men are more likely to get acne and to have more severe cases. Acne is most common in teens and it generally goes away by age 30. Although it is not a serious health threat, severe acne can be painful and may cause permanent scarring

TYPES OF ACNE LESIONS:

• Closed comedone (whitehead) -- a clogged follicle. Whiteheads usually appear on the skin as small, round, white bumps.
• Open comedone (blackhead) -- a plugged follicle that opens and turns dark at the surface of the skin. Blackheads do not indicate the presence of dirt.
• Papules -- inflamed lesions that appear as small, pink bumps on the skin.
• Pustules (pimples) -- inflamed pus-filled lesions that are red at the base.
• Cysts and nodules -- large, inflamed, pus-filled lesions deep under the skin that can cause pain and scarring.
• Greasiness (only skin)

Lesions can cause scars ranging from small, sunken pits to large elevated blemishes, depending on how severe the acne is and what your skin type is.

Pigmentation reduction programme

Most of us will have some form of skin pigmentation from a combination of sun exposure, age spots, post-inflammatory hyperpigmentation, circles under the eyes, and hormonal changes known as "melasma" or "chloasma".

What causes skin pigmentation?
The pigment "melanin" is the basis for our skin color, and it is formed by cells known as melanocytes in the epidermis (top layer of our skin). Some of us are darker because we have a higher concentration of melanin. After sun exposure or tanning, our skin increases melanin production as a form of defense against ultraviolet or UV rays. This can lead to "sun damage" and "sun spots" or freckles, which are brown spots usually on the face and the back of the hands. Another common cause of pigmentation is "post-inflammatory hyperpigmentation" also known as "PIH". This type of pigmentation develops in response to some form of inflammation or irritation to the skin- such as acne, eczema, trauma. Melasma or "mask of pregnancy" is a condition that is very common and is frequently seen during or after pregnancy or use of oral contraceptives. Melasma usually looks like a "patch" of pigmentation, commonly on the cheeks, forehead and chin. Contributing factors are hormonal changes and sun exposure. Melasma can be very deep, and can reach the second layer of the skin (dermis) and if so, can be more difficult to treat.

1. Creams
A variety of creams are available to treat pigmentation. These agents tend to block the formation of melanin. An active ingredient in these creams may be hydroquinone, a commonly used skin-lightening agent. Other non-hydroquinone lightening agents include kojic acid, arbutin or azelaic acid. In addition to the lightening agent, your doctor may also prescribe creams containing glycolic acid (an alpha hydroxyl acid or AHA), triretinoin (a form of Vitamin A) and mild steroids to enhance the skin-lightening effect of the treatment.

2. Chemical Peels and Masks
Chemical peels may also be used to lighten pigmentation.

3. Microdermabrasion
This is another popular method to lighten the epidermal pigmentation.

4. Laser and Intense Pulsed Light (IPL) Treatments
There are many different types of laser and IPL treatments. A pigment IPL uses a broad band of light (like a flashlamp) to target melanin and cause it to scab and fall off. A laser uses a specific or precise wavelength to treat the target, and may include a resurfacing laser or an Nd:Yag laser.

Laser hair removal

If you're not happy with shaving, tweezing, or waxing to remove unwanted hair, laser hair removal may be an option worth considering.

Laser hair removal is one of the most commonly done cosmetic procedures in the U.S. It beams highly concentrated light into hair follicles. Pigment in the follicles absorb the light. That destroys the hair.

BENEFITS OF LASER HAIR REMOVAL

Lasers are useful for removing unwanted hair from the face, leg, arm, underarm, bikini line, and other areas.

Benefits of laser hair removal include:

Precision.

Lasers can selectively target dark, coarse hairs while leaving the surrounding skin undamaged.

Speed.

Each pulse of the laser takes a fraction of a second and can treat many hairs at the same time. The laser can treat an area approximately the size of a quarter every second. Small areas such as the upper lip can be treated in less than a minute, and large areas, such as the back or legs, may take up to an hour.

Predictability.

Ninety percent of patients have permanent hair loss after an average of three to five sessions.

HOW TO PREPARE FOR LASER HAIR REMOVAL

If you are planning on undergoing laser hair removal, you should limit plucking, waxing, and electrolysis for six weeks before treatment. That's because the laser targets the hairs' roots, which are temporarily removed by waxing or plucking.

You should also avoid sun exposure for six weeks before and after treatment. Sun exposure makes laser hair removal less effective and makes complications after treatment more likely.

What to Expect During Laser Hair Removal

Just before the procedure, your hair that will be undergoing treatment will be trimmed to a few millimeters above the skin surface. The laser equipment will be adjusted according to the color, thickness, and location of your hair being treated as well as your skin color. Depending on the laser or light source used, you and thecosmetologist will need to wear appropriate eye protection.

When the procedure is completed, you may be given ice packs, anti-inflammatory creams or lotions, or cold water to ease any discomfort. You may schedule your next treatment four to six weeks later. You'll get treatments until hair stops growing.

Recovery and Risks

For a day or two afterward, the treated area of your skin will look and feel like it's sunburned. Cool compresses and moisturizers may help. If your face was treated, you can wear makeup the next day unless your skin is blistering.

Over the next month, your treated hair will fall out. Wear sunscreen for the following month to help prevent temporary changes in the color of the treated skin. Blisters are rare but are more likely in people with darker complexions. Other potential side effects are swelling, redness, and scarring. Permanent scarring or changes in skin color are rare.

Anti hair fall therapy

For some types of hair loss, hair may resume growth without any treatment. In other situations, treatments may help promote hair growth or hide hair loss.

Medication

If your hair loss is caused by an underlying disease, treatment for that disease will be necessary. This may include drugs to reduce inflammation and suppress your immune system, such as prednisone.

Minoxidil

Minoxidil is an over-the-counter liquid or foam that you rub into your scalp twice daily to grow hair and to prevent further loss. Some people experience some hair regrowth or a slower rate of hair loss or both. It may take 12 weeks for new hair to start growing. Minoxidil is available in a 2 percent solution and in a 5 percent solution. Side effects can include scalp irritation and occasionally unwanted hair growth on the adjacent skin of the forehead or face. Finasteride (Propecia). This prescription medication to treat male-pattern baldness is taken daily in pill form. Many men taking finasteride experience a slowing of hair loss, and some may show some new hair growth. Finasteride should be avoided by women of childbearing age.

LASERS

Low level level laser stimulation at 380 to 410 nm wavelength stimulates hair growth and it can be combined with INFRA RED LIGHT and scalp massage for added benefits.

RF skin tightening and body shaping.

The Benefits of RF skin tightening

• no downtime and no pain due to controlled, gradual heating
• no anesthesia, numbing creams, or after care
• quick treatment sessions
• consistent and progressive results that last
• effective on all areas of the face and body
• results increasing over 4-6 sessions, weekly treatment recommended
• scientifically proven and clinically tested worldwide

What Areas Can Be Treated with RF skin tightening

• Neck/Jowls - for fat reduction / skin laxity
• Face - for tightening skin laxity
• Love handles/hips - fat reduction / skin laxity
• Abdomen - fat reduction / skin laxity
• Arms - fat reduction / skin laxity
• Thighs - Inner / Outer / Front / Back
• Buttocks
• Male chest
• Knees - fat reduction / skin laxity

RF body tightening is the most universal and amazing therapy we've found to treat every area of the face and body. The only exception is treating female breasts. This is not a contraindication but rather a safety protocol we wish to follow.

What is RF body tightening Therapy?

The procedure uses safe radio waves to heat your skin and targeted fat cells. This thermal energy speeds up the metabolic activity of the fat cells causing them to shrink. At the same time it stimulates and strengthens the collagen network which improves skin laxity and texture.

How Many Treatments of RF body tightening are Recommended?

RF body tightening therapy is performed in our clinic as a weekly series of 4-6 treatments on average. Body contouring treatments for fat reduction will vary in length depending upon the individual patient.

How Long are RF body tightening Treatments?

15 – 45 minutes depending upon the size of the area.

RF surgery for skin tags, warts and mole

Radio Surgery (Radiofrequency or Radiowave Surgery) is used to remove moles, warts, skin tags and other so called 'lumps and bumps'.

It involves the passage of radio waves into the skin to perform the removal or reshaping of a lesion. Different types of electrodes are used depending on the type of lesion, e.g. fine needle, wire loop, scalpel blade etc.

Expect minor swelling, redness, bruising and tenderness in the area for a few days as it heals. There should not however be any bleeding due to the tissue coagulation during treatment

Uses of RF in cosmetology

1. Removal of skin tags, warts, seborrheic keratoses (harmless skin growths), syringoma (harmless tumours within sweat glands), and trichoepithelioma (harmless tumours within the hair follicle).
2. Removal of melanocytic nevi (brown moles), telangectasias (thread veins), early skin tumours.
3. Skin biopsies and grafts.
4. Resurfacing of scars (chicken pox, acne etc.).
5. Primary resection of keloids (thick, raised scars).
6. Debulking of skin tumours.
7. Depilation.
8. Resurfacing in case of Rhinophyma, Darier's disease etc.

Many studies have shown radiowave surgery to be superior to laser incisions and comparable to scalpel incision.

Advantages of radio-surgery :

1. Rapid healing.
2. Minimal or no bleeding.
3. Aesthetically pleasing scars or no scars.
4. Lesser operating time.
5. Office/Clinic procedure.

Anti dandruff therapy

Dandruff is a common scalp disorder affecting almost half of the population at the post-pubertal age and of any gender and ethnicity. It often causes itching. It has been well established that keratinocytes play a key role in the expression and generation of immunological reactions during dandruff formation.

Dandruff has been shown to be the result of three required factors:

1. Skin oil commonly referred to as sebum or sebaceous secretions
2. The metabolic by-products of skin micro-organisms (most specifically Malassezia yeasts)
3. Individual susceptibility

The severity of dandruff may fluctuate with season as it often worsens in winter. Most cases of dandruff can be easily treated with specialized shampoos. There is, however, no true cure. Those affected by dandruff find that it can cause social or self-esteem problems, indicating treatment for both psychological and physiological reasons. management in the clinic includes consultation and prescription drugs.

Anti wrinkle and Facial rejuvenation

Facial rejuvenation is a process in which efforts are made to restore the youthful appearance of the face through various surgical methods. The process of aging begins in the mid-20's when the production of collagen (a group of proteins which protects the skin from the absorption and expansion of harmful substances) in our tissues begins to slow down and elastin (a protein which is responsible for helping the skin maintain its flexibility) begins to weaken. As a result the facial skin starts sagging and wrinkles begin to appear. In facial rejuvenation, a combination of facelifts such as brow lift, eyelids lift, chin lift, elimination of age spots, chemical peeling and restoration of facial hairline are performed to give the face a stunning brand new youthful look.

• Microdermabrasion
Microdermabrasion is a painless exfoliation therapy which gives a young and radiant look to the face. In microdermabrasion, exfoliating crystals are sprayed on the face to remove dead skin cells from the outermost layer of the face. It is highly effective in treating sun damage, wrinkles, acne scars and mild discolouration. It takes two to sixty minutes to perform the therapy. A fortnightly microdermabrasion treatment can produce stunning results making your skin look fresh, glowing and youthful.


• Chemical peeling
Chemical Peeling gives the skin a younger, brighter appearance. In this treatment, a chemical solution is applied on the face which gives it a blistering effect thereby allowing the skin to peel off on its own. The brand new skin is smoother and wrinkles free. It effectively treats wrinkles and acne, improves mild scars and reduces dark patches, age spots, freckles and fine lines around the mouth and under the eyes. During chemical peeling, the face is first washed properly and then a chemical solution is applied on the face. One might experience a burning sensation soon after the solution is applied but that is quite normal. The procedure can be repeated after the duration of three weeks.

• Laser resurfacing
Laser resurfacing is used to reduce irregularities in the skin and facial wrinkles. In this technique, beams of pulsating, concentrated light are focused on the damaged skin which treats the affected region one layer at a time. While it is used to remove the outer layer of the skin, it also heats the underlying skin which stimulates the growth of collagen fibers. The new skin which resurfaces has a smooth and firm texture. Laser resurfacing is used to treat fine lines, wrinkles, sun damage, age spots, scars from acne and chickenpox, birthmarks, enlarged oil glands, warts and improve the skin complexion and texture.

• Nonsurgical facelift
Non-surgical facelift is a great option you must consider to treat your skin troubles. Non-surgical facelift helps in the rejuvenation of the face without undergoing complex cosmetic surgery. There are different kinds of non-surgical face lifts such as laser face lift, microcurrent facelift and thermage facelift. The aim of all these treatments is to heat the outer layer of the skin in order to increase the production of collagen which uplifts the skin giving it a tighter and firmer appearance.

• Mesotherapy
Mesotherapy is an anti-aging treatment used to counter the different signs of aging. In Mesotherapy attempts are made to give the facial skin a younger and firmer look. The mesotherapy treatment involves injecting a special active solution in the deep layers of the skin tissue which contains hyaluronic acid and other multivitamins. As the solution goes deep into the skin it leads to cell generation and smoothens the wrinkles and renews the skin.

• Botox
Botox is a neurotoxic protein derived from botulinum toxin and is produced by bacterium Clostridium botulinum. Botox is used to treat severe frown lines and wrinkles which appear when a person starts aging. Botox helps to block nerve impulses which facilitate the contraction of muscles. The change is visible in two to four days and the effects last for a period of six to eight months. With every dose, the wrinkles become less severe as they learn to relax. Botox is injected with the help of the needle in the affected area and thus ensures maximum accuracy. Botox is not being used in our clinic as of now.

• Filler Injections
Fillers are hyaluronic acid base gels which are injected in certain areas of the face to treat wrinkles, smoothen scarred or furrowed skin and add fullness to the lips. Fillers have greater effectiveness and accuracy and allow you to cosmetically experiment with your face. The effects of different kinds of fillers have varying time duration. Filler injections are also not being used in our clinic as of now.

Laser tattoo, mole and nevi removal

Mole Removal

Mole removal is one of the most commonly performed procedures at our Clinic, and is generally fast and painless. Mole, also known as nevus (dermatology), is a natural growth of human skin composed of pigmented cells (melanocytes). Most people have at least one mole. The majority of moles are benign. Moles (nevi) can be small or large, single or grouped, flat or raised, bare or hairy, often coloured brown, darker brown, or black. They may appear on any part of the human body. Some moles are desirable as beauty marks, while others can be cosmetically bothersome.


Types of Moles

• Congenital Moles - are moles that are present at birth. Only about 1% of children are born with moles.
• Acquired Moles - are moles that appear during childhood or in early adult life, possibly caused by sun exposure, pregnancy or certain steroid drugs.
• Atypical Moles- also referred to as dysplastic nevi or Clark's nevi, are acquired moles that are usually larger than common moles, with irregular and indistinct borders, often with a variety of colours.

Mole Removal Treatments

The method chosen for your mole removal will generally depend on the type and characteristics of your moles.

Laser Mole Removal

Laser or IPL is usually used for removing flat and pigmented moles. This method of mole removal may require about 3 treatments to make the mole invisible. The laser beam or pulsed light is selectively absorbed by the pigment of the mole, which is then destroyed and shed away.

Electrocautery Mole Removal

Electrocautery is a procedure that uses light electrical current to burn the mole off, reaching only the outermost layers of the skin (so scarring is not a problem). Approximately 1-2 treatments may be needed. Local anesthetic is applied to the treated area before the procedure. Compared to cyrotherapy mole removal, removing moles with electrocautery is easier to perform and control, so it can be safer, and more efficient.

Excision Mole Removal

Excision is a surgical solution for moles, usually used to remove moles that are potentially cancerous. The doctor may numb the treated area with local anesthesia and then remove the mole with a medical blade or incision. In the case of atypical moles, the doctor may remove a margin of surrounding skin as well. Since excision treatment usually leaves some degree of scarring, many patients have had disappointing experience with excision mole removal.

Tattoo Removal

Although a tattoo looks like a simple painting on the skin, it's actually a series of ink deposits placed deep into the skin – designed to last forever. The reality is that thousands of people decide to remove their tattoos each year because the designs are no longer relevant to their lifestyle. Lasers are the answer. Lasers are the safest and most effect way to remove tattoos. The Q switched Nd Yag Laser is the gold standard tool for this sophisticated procedure, Each pass of the laser vibrates and gently shatters the tattoo ink into micro-particles that are eventually eliminated through the body's natural processes. Because the laser delivers the energy in a very precise 'beam,' physicians can trace the design without damaging the surrounding skin. Patients say the experience feels similar to the tattoo application itself – a snap of a rubber band followed by a feeling of warmth. That said, it takes much longer to remove a tattoo than to get a tattoo – about six to 15 sessions, depending on the amount of colors, the size of the design and the type of ink. Black tattoos are easier to remove than multi-colored designs -- but all tattoos must be treated with the proper laser.

Many physicians cool the skin first with ice or cold air. After the first few treatments, you'll notice a temporary whitening of the treated area. Over time, the tattoo fades and the skin returns to normal color.

Scar reduction

Scarring is a natural part of the healing process after an injury. Its appearance and its treatment depend on multiple factors. The depth and size of the wound or cut and the location of the injury matter. So do your age, genes, sex, and ethnicity.

The Types of Scars

• Keloid scars. These scars are the result of an overly aggressive healing process. They extend beyond the original injury. Over time, a keloid scar may hamper movement. Treatments include surgery to remove the scar, steroid injections, or silicone sheets to flatten the scar. Smaller keloids can be treated using cryotherapy (freezing therapy using liquid nitrogen). You can also prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured. Keloid scars are most common among people with dark skin.

• Contracture scars. If your skin has been burned, you may have a contracture scar. These scars tighten skin, which can impair your ability to move. Contracture scars may also go deeper, affecting muscles and nerves.

• Hypertrophic scars. These are raised, red scars that are similar to keloids but do not go beyond the boundary of the injury. Treatments include injections of steroids to reduce inflammation or silicone sheets, which flatten the scar.

• Acne scars. If you've had severe acne, you probably have the scars to prove it. There are many types of acne scars, ranging from deep pits to scars that are angular or wavelike in appearance. Treatment options depend on the types of acne scars you have.

Possible Treatments for Scars

Scar treatments may include:

• Over-the-counter or prescription creams, ointments, or gels. These products can be used to treat scars that are caused by cuts or other injuries or wounds. If you are under the care of a plastic surgeon and your scarring is from cosmetic or plastic surgery, ask your surgeon if over-the-counter treatment is an option. If not, there are prescriptions that may help. Often, treatments can include steroids or certain antihistamine creams for scars that cause itching and are very sensitive. Likewise, if you have scarring from severe acne, ask your dermatologist for advice. Your doctor can also recommend or use pressure treatment or silicone gel sheetings to help treat scars or as preventive care.

• Surgical removal or treatment. There are many options to treat deeper scars depending on your particular case. These include skin grafts, excision, dermabrasion, or laser surgery. In a skin graft, the surgeon uses skin from another area of your body. This is often used with people who've had burns. If you've got scarring that impairs function, surgery can help address the functional problems. If you've recently had surgery that has caused scars, it is best to wait at least one year before making a decision about scar treatment. Many scars fade and become less noticeable over time.

• Injections. You may get steroid injections to treat scars that stick out, such as keloids or hypertrophic scars. Your doctor may use this on its own or with other treatments.

Other types of injections, such as collagen or other "fillers," may be useful for some types of pitted scarring, although these are not usually permanent solutions.