3 mantras for glowing skin: Nutrition, hydration, protection

Dr. Vrushali Rane Khan is a Consultant Dermatologist at AMAYA Antiaging Clinics with expertise in Aesthetic Dermatology, Trichology, Laser and Dermato-surgery.

Dr. Vrushali specialises in acne treatment, laser hair reduction, management of pigmentation, scar revision surgery, non-surgical face lift with radiofrequency, chemical peeling and microdermabrasion, hair mesotherapy, and keloid and scar treatment.

She is a member of the Indian Academy of Dermatology, Venereology and Leprology (IADVL) and Cosmetic Dermatology Society of India (CDSI).

The expert took time off her busy schedule to answer Sify readers’ questions on skin and hair care. Read the complete chat transcript here.

How can the very small soft brownish eruptions on the skin be removed. i dont want laser treatments. How can you make skin look glossy as you age because i am 43 and want to look young for a few more years.
The soft brown lesions that you are referring to are probably something called “seborrheic keratoses”.You need to remove them with radiofrequency / electrocauterisation. As far as looking younger is concerned, you need to be seen to be told what can be done for you.

I am 43 yrs old and my face has strated developing bron spots. How can you avoid them or remove them. I have a very oily skin. I was very clear in the face until now. i never use any creams. Recently i started using sunscreen.
It is difficult to understand your pigmentation from your description. Continue your sunscreen. Visit a qualified dermatologist to identify the cause and treatment.

I have been diagnosed with Chronic Hives (Chronic Idiopathic Urticaria) – Nothing gives me any relief, and when the outbreak is severe – I have to take Prednisone. The hives are worst just before and after my period. (I am 45 years old). PLEASE HELP.
The word “Idiopathic” means, there is “no identifiable cause”. With urticaria, you need a suspicious dermatologist and a observant patient to control the disease. Do not take Prednisolone as you will eventually become tolerant to the steroid and you might need to increase the dose with time to see results. Doing a allergy test would help.

hair replantation..is it possible for diabtic people??
If your sugar is in control, why not?

i am having 11 months old son i feared that because of me he can also get lices. pls help me
Dear Amita, your fear is justified. Treat your child too as I have mentioned earlier..

last one month before i found lices in my hair and tried everything but could not get rid of it. please help me. i am 31 years old woman.
Use 1 % Perlice lotion, you will need to treat other members of the family. Wash Your clothing and bedding in warm water after application.

Hello Dr Vrushali My question is regarding my son who is 11 yrs old .He has pityriasis alba .the spots are only on the face .They started when he was 5 yrs .please advise on treatment.Thanks
Pityriasis alba is a sign of allergy. It will go without any treatment by the time he reaches teenage. Unless its spreading, you dont need to worry about it.

Hello Dr, for 5 yrs have severe itching/redness/fine cracks on the glans & foreskin with lot of white deposits. Wash with water regularly. Use Betagel G cream but no permanent fix. I am otherwise healthy with no BP & diabetes. Any permanent cure please?
Please stop self medicating and visit a skin specialist. Using steroid creams on the glans might give you temporary benefit but thinns out the skin and vulnerable to infections.

I am male , 48 years. Since few years I have deep pigmentation ( black skin compared to rest of the body ; skin has become rough and patchy) on both sides of my face. How to remove this pigmentation and restore the skin texture and smoothness.
Start with using a sunscreen with spf 50..preferably a medicated sunscreen. Then depending on the type of Pigmentation, You might need chemical peels / microdermabrasion or Q switched Nd Yag Laser or a combination treatment for reducing the pigmentation from a qualified dermatologist.

doctor, how to remove thickening of ankle skin by sitting on floor
First, You need to start sitting on a sofa. Secondly you need to start using a salicylic based cream to reduce the roughness and then a skin lightening cream to reduce the dark color.

my daughter is getting pimples on her nose n cheeks. 15 yrs old. and oily skin and hair. any tips to prevent these?
Use a salicylic based face wash, a ketoconazole based shampoo. Watch if it reduces, else visit a dermtologist. Keep her away from cleanups and squeezing her pimples.

how to improve glow in face after 40
Nutrition – Hydration, proteins,colored fruits Protection – Sunscreen in day and moisturising with antiaging cream (depending on your current status of skin) at night and then if need be, Intervention by a qualified dermatologist.

i have a flat mole on my cheek, it appeared suddenly 2 or 3 yrs ago..seems to be growing big slightly..should i test it for something?
You dont need to, unless it is growing fast or cracking or bleeding. Do you have a history of skin cancer in your family? If answer to any of the above is yes, get it checked else you can relax.

is it safe to remove warts in parlour
NO !!

how to remove dark circles around eyes
The cause of dark circles are manifold and identifying the right cause will benefit you than using a fancy under-eye cream. Visit a qualified dermatologist to find out the cause.

hello my hair is so dry and and every day am lost my hair , i want silki and long hair please tell me good shmpoo nd care tips
Use a sulfate free shampoo. Have a diet rich in protiens – sprouts,egg whites on a daily basis. Stay away from ironing/perming/coloring/rebonding procedures.

I am a 22 yr old female. My hair is thick Iin the beginning and VERY thin in the lower half. How often i should trim my hair? Also how I can regain my original hair length?
Do you treat your hair with hot iron / colring / perming or such other hair procedures? You can trim your hair every 1 – 2 months depending on your growth. Stay away from the above mentioned procedures as they make your hair dry and lustreless.

How can one take care of dry itchy skin, in women due to menopause,old age and dry weather.Apart from using skin creams, oil massage, any diet and food supplement ?? Please advice
Hydrate yourself well, 3 litres of water a day, Use a mild moisturising soap, use a shea butter based moisturising cream, you may use Cetaphil DAM cream or Sebamed moisturising cream. You may undergo hydration mesotherapy treatment with a qualified dermatologist.

is there a way you can improve skin colour.? is Haladi with milk cream good for skin ,what daily routine you suggest for improving luster of my dry skin
Yes you can improve skin color and texture. Glycolic acid peels and retinoic acid peels will help. For dry skin, be hydrated – 3 litres of water a day and use a mild mositurising face wash, fewer cosmetics and a non oily non comedogenic moisturiser.

Hi… Im 27yrs old female. Having small skin tags on my cheeks, eyelids and neck. How to remove them? Is there any home remedy?
They can be removed by radiofrequency or electrocautery. Home remedies wont work

hi mam, i am 34 years… i had pigmentation during my pragency 3 years back….it did nt increase….but it is not fading…i consulted skin speciality too…..but no result….advice me….
You probably have “melasma” or “mask of pregnancy”. It is governed by hormones,stress and Ultraviolet light, Skin treatments will reduce it, but it might recur.

Hi Dr. Vrushali, i have been at home for past 3 months,and even though i wash my face at freq intervals, my skin is still very oily. I developed acne due to irregular care of a cleansing routine. Please advice.
For oily skin, Use a salicylic acid based face wash 2 – 3 times daily. For acne, you need to be seen to be treated.

im using locryl for my toenail fungal infection. last 2 mnths. pl tell me how long i can use this safely
6 months.

madam, i have thick skin on my fingers, knuckles..moisturiser also doesnt work..how to get soft hands?
You need to be assessed before treatment. Please visit a qualified dermatologist.

what fruits can give me glowing skin?
Red / yellow and green colored fruits

is it safe to use a face scrub once a week?

how many times can we wash our face..though its grimy, if i wash too many times, it becomes dull
Use a mild face wash in the morning and before you go to bed like Cetaphil cleansing lotion or Sensibio H2O cleansing lotion. For the rest of the day use a Salicylic acid based face wash 2 – 3 times a day.

how to reduce double chin
If you are globally overweight, losing weight will help reduce double chin. If its only double chin, then there are various options such as Radiofrequency, Lipolytic mesotherapy, Plastic Surgery.

how do you perform nonsurgical face lift? is there any centre in chennai for this? what is the timeframe for its effect
It is done by monopolar radiofrequency, done generally in monthly sessions, each lasting 30-45 minutes. You need 3 months to see results.