Q1: Am I a good candidate?
A1: This procedure is specifically engineered for individuals who have stubborn fat that resists diet and exercise. In contrast to gastric bypass surgery, Cooltech is not a weight loss treatment for individuals who are obese. However, it is a non-surgical alternative to liposuction. Good candidates have obvious bulges in some areas they’d desire to eliminate. You can contact us through our no cost virtual consultation and make an appointment with our Cooltech physician who will determine if this procedure is right for you.

Q2: How long is each session? How many sessions will I need?
A2: The duration of a single session varies based on the number of areas getting treatment at one visit. It will usually take 60 minutes for one area to be treated. You and your physician will discuss your goals and come up with a treatment plan that includes the number of areas to be treated.

Q3: What does it feel like?
A3: As the cooling starts in the first few minutes, you will experience pressure and intense cold which will soon disappear. Most people read, watch videos, or even get some sleep during the procedure.

Q4:Is the procedure safe?
A4: Cooltech is FDA – cleared for the flank (love handles), abdomen and thigh. With millions of this procedure done around the world, it is proven to be a safe and effective solution for non-surgical fat reduction.

Q5: What Are the Side Effects of Cooltech?
A5: During Cooltech, you may feel a certain amount of discomfort or numbness, pinching, and deep pulling. After the procedure, the usual side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. This procedure is not for everyone specially those who suffer from cryoglobulinemia or paroxysmal cold hemoglobinuria. Your physician will determine whether this procedure is right for you.

Q6: Where does the fat go? Are the results permanent?
A6: The fat cells that are treated die and are processed and eliminated by a group of immune cells called macrophages (see figure above). Once these cells are eliminated, they’re gone forever.

Q7: Can I return to normal activities after my treatment?
A7: Yes, you can. There is no surgery involved so you can return to normal activities immediately. The numbness or discomfort, redness, and minor bruising, are temporary and will resolve completely.

Q8: When will I see results?
A8: You may begin to observe results as early as three weeks after treatment. The most impressive results will show after 2 months. In fact, your body will continue to clean out fat cells for six months after the procedure.

Q9: Are special supplements, diets, or exercises needed?
A9: No special pills, supplements, diets, or exercises are required. However, most patients are motivated to make positive lifestyle changes after treatment. It’s just like getting a new body and desire to start anew by taking even more care of themselves.

Q10: What happens if I gain weight over time?
A10: The remaining fat cells can increase in volume because of excessive caloric intake (weight gain). But, should you gain weight, you may gain it evenly all over your body, not only in the treated areas. Take the first step and contact us through our no-cost virtual consultation. During this process, we will recommend options that will work best for you. Every client is different, so our virtual consultants and physicians tailor the procedure to match each person’s needs.
Q. What causes Hair loss?
In majority of males with hair loss, the cause is hereditary androgenetic alopecia, more commonly known as ―male pattern baldness. The presence of the hormone, dihydrotestosterone (DHT), in a genetically susceptible man, is necessary for this problem to occur. Similarly, for females most patients presenting with hair loss have hereditary female pattern hair loss. Some of the less common causes of hair loss, which are reversible with treatment, include thyroid disease, iron deficiency, high fever, surgery or general anesthesia, ―crash diets,‖ childbirth, stress. It is also important to remember that most adults lose approximately 50-100 hairs from their scalps every day. In androgenic alopecia Hair on the front and top of the scalp starts to shrink until it eventually disappears. The hair on the back and sides of most men’s scalps is usually genetically ―permanent hair, which is destined to remain for that man’s lifetime. These permanent hairs are utilized in hair transplantation.

Q. What can be done about male pattern hair loss?
People with thinning hair now have more options available to them than ever before.
 Hair transplantation offers a permanent, living solution to lost scalp hair.
 Effective medical treatments are now offered in the form of a pill (finasteride) and a topical liquid (minoxidil). They require life-long treatment to maintain their effect.
 Platelet Rich Plasma (PRP) therapy is a novel treatment to treat hair fall and ageing skin.
 Cosmetic enhancers include colored creams, sprays, and powders that, when applied to the thinning scalp, help to camouflage thinning areas, as long as there is still some hair present in the area. They do not treat the hair loss process. Hairpieces are a non-surgical means to restore hair by covering bald areas of the scalp. The most common are glue adhesives, ―weave attachment, and clips.

Q. What is PRP therapy?
 In Platelet Rich Plasma (PRP) therapy a concentrated solution of patient's factors derived from patients own growth’ blood is injected into area with hair fall/baldness. RENOVA SKIN CLINIC has treated many patients of hair fall with this method with promising results. We prepare PRP with a specialized technique ensuring very high concentration of growth factors which is confirmed by lab tests. The results are visible in 6-8 weeks with reduction in hair fall and gradually hair thickness increases in next few months. We now prefer to combine hair transplantation with PRP to achieve best results

Q. What is hair transplantation?
Modern techniques of surgical hair transplantation can restore lost hair and replace or re-shape your hairline with your own natural, growing hair, which needs no more care than the ordinary washing, styling, and trimming you have always done. Transplantation can be done today so well that often a barber or stylist cannot even tell that grafts have been placed. Hair transplantation involves removing permanent hair-bearing skin from the back and/or sides of the scalp (donor area) by cutting out a strip (FUT=FOLLICULAR UNIT TRANSPLANTATION/STRIP MEETHOD) or by directly removing individual follicular units using special equipment’s (FUE=FOLLICULAR UNIT

Q. What happens during a hair transplant procedure?
Hair transplantation surgery is considered to be ―minor out-patient surgery.‖ Hair transplant procedures can take from 3–10 hours and are usually performed using local anesthesia on an outpatient basis. Patients are often awake, but feel very relaxed because of the effect of the sedative. There is typically little discomfort during the surgical procedure. We at RENOVA perform hair transplantation by Powered Follicular Unit Extraction (FUE) technique which involves direct removal of individual follicular units (each contains 1-4 hairs) with the help of specialized equipment’s. As no cutting and suturing is required in this method the cosmetic results are excellent in the donor area with NO visible scarring. These small grafts are then meticulously planted into the bald or thinning area of the scalp (recipient area) so as not to injure any follicles already existing in the area and at the same exact angle as the other hairs present. Depending on the degree of balding in the frontal, mid-scalp, and vertex (crown) areas the number of grafts vary tremendously. Hair transplant surgery today is remarkably well tolerated. Within 24 hours small crusts will form on each graft that is thenshed in approximately 2-3 weeks. The grafted hairs will often start to grow by 3-4 months after the procedure and will continue to grow for most, if not all, of one’s life.

Q. What happens after hair transplant surgery?
Hair transplantation is a very safe, relatively minor surgical procedure. Significant complications are rare and now with advent of follicular unit extraction patients feel very comfortable after the procedure. There is usually little or no discomfort in the grafted area. Most patients feel some ―tightness‖ in the donor area for 1–2 days and are prescribed a mild analgesic to help cope with this.
Patients may be asked to use moist compresses or sprays and to sleep in a semi-upright position for 2–3 days following the procedure to minimize swelling and bruising. Small crusts may form on each graft, and these can usually be camouflaged by any existing hair that can be combed over the recipient area, or with camouflage products. These crusts will flake-off by 2-3 weeks after the surgery. The transplanted hair seen growing out of the scalp may initially be shed; however, the roots remain and will be dormant for 10–14 weeks, at which time the new hairs will all begin to grow. The graft sites in the recipient frontal area heal with almost no visible scarring and are covered by the transplanted hair. A minority of patients may experience mild swelling in the forehead area for a few days following surgery. It typically appears around the 3rd post-op day and goes away after 3–4 days.

Q. When should I start treatment?
Most doctors today recommend beginning medical treatment of significant hair loss as soon as the problem has been identified. Even if a patient decides to proceed with surgical hair restoration, medical treatment may slow or prevent additional hair loss in the future. Hair transplants can be used to fill in the front hairline and thicken the front half of the scalp, and medical treatments can be used to maintain hair behind the transplants and to possibly enhance the long-term results of hairrestoration surgery.

Q. How do I know if I am a good candidate for hair restoration surgery?
The elements that a doctor assesses to determine whether a candidate is a good subject for surgical hair restoration include such things as: the patient’s general state of health; the hair’s texture—fine or coarse; the contrast between the patient’s hair color and skin color; the density, i.e., the number of hair follicles per square inch of the hair in the donor area; the size of the area to be covered; the size of the area of donor hair; whether or not previous grafting procedures have been done; and the patient’s goals and expectations. The patient must understand that transplantation redistributes existing hair follicles and cannot create new hair follicles.
Why I need hair transplant i.e., surgery, when medication and other non-surgical means are available?
• Medication can thicken and lengthen (regrowth) hair in some and not in all
• Medication is effective at the back (Vertex) and middle (Mid scalp) but almost ineffective in the front (esp. Hair line) where one needs the hair most.
• Medication although reasonably safe should be taken for lifetime –the idea normally puts off many. if you stop taking medication the benefits achieved by medication soon start disappearing (because the hormones once again start working their ill effects).
• Medications although fairly safe are not without any side effects
Other Non- Surgical means
• Wigs and Concealers are other possible solutions to baldness. Concealers are temporary hair cosmetics, good for thinning hair and as temporary solution such as before going to party. They require regular care and expense. They are not cheap either.
As for the wigs: 10 reasons why people don't choose wig
1. It gives constant feeling of weight and discomfort in hot days.
2. Sweat cannot be cleaned properly and bad hygiene can lead to skin problems.
3. Its fixing methods like weaving, bonding, pinning etc. can pull on the natural remaining hair and add to your hair loss and can even lead to scarring.
4. Its high level of detectability becomes a butt of jokes and teasing by the friends, collogues and media.
5. You need regular maintenance every few weeks for the rest of your life.
6. Long-term financial investment because of regular maintenance may cost be more than that of hair transplant surgery.
7. You need to change it every few months.
Surgery by Follicular Hair Transplant is better in many respects
• Hair after Hair Transplant Surgery Looks and feels natural.& remains undetectable among the other hair.
• After hair transplant surgery, hair grows and keeps growing permanently & you do not require extra maintenance or care unlike wig, which require lifetime care.
• The hair from hair transplant surgery can be cut, colored and styled as well.
• Hair Transplant Surgery normally has one time expense unlike medication or wig which requires lifetime expense.
• You can even do light office work from second day of hair transplant surgery.
• If you are from out station you may travel back on the day of the hair transplant surgery or the next day. Minimum follow-up is required after hair transplant surgery.
What is the guarantee that, after hair transplant surgery, the implanted hair will grow?
Why don't they too fall under the effect of hormones like other hair?
• The Common Baldness is programmed by heredity or genes i.e. the hair in the top middle part of scalp become susceptible to the effect of the hormones and the fringe of hair at the side and back remain genetically immune to the effect of hormones.
• These hairs grow permanently or at least till late age and they also maintain their quality unlike the susceptible hair of middle. These hairs are called permanent hair.
• In hair transplant surgery, we remove the hair roots from permanent area and graft them in front or any other part of scalp or body they keep growing like they used to do in their native area. The hormones even in new area don't affect these hairs. Over 90% of the implanted hair are destined to survive with modern techniques of hair transplant surgery.
Do I have to wait till all my hair fall out or can I under go hair transplant surgery to increase my hair density?
• Like any medical problem, one should not wait for hair transplant surgery till the last stage of manifestation of deformity of baldness. As the density of hairs gets down, one can safely plant the follicles in-between existing hairs, to compensate for the loss, without looking bald.
At what age one can have hair transplant surgery?
Can a child undergo hair transplant surgery?
Can a 70 years old person undergo hair transplant surgery?
• Age is no bar for Scarring baldness. For pattern baldness unusually hair transplant surgery is refused before 20 years and if the quality of donor hair is good even at late age hair transplant surgery can be done.
Do I have to undergo tests before hair transplant surgery?
• Yes usually you need to undergo the following tests before hair transplant surgery:
1. Complete blood count
2. HbSAg (Australian Antigen)
3. P.T & APTT
4. Blood Sugar (Fasting and Post prandial)
5. H.I.V.
What care do I take before hair transplant surgery?
Pre operative Care Before hair transplant surgery:
• In order for us to provide you with the highest quality medical care; the following instructions are important for you to follow:
1. Medications: Do not take aspirin & other blood thinning agents, Betablockers (for Blood Pressure), anti-inflammatory (like Ibuprofen, etc), Tricyclic Anti depressants & MAO inhibitors, multivitamins including vitamin B, a week prior to your hair transplant surgery.
2. Avoid alcohol for a days prior, the day of hair transplant surgery - that may increase bleeding.
3. Don't smoke at least 24 hours prior to hair transplant surgery –that will reduce healing.
4. The morning of your hair transplant surgery take a bath or shower and wash your hair thoroughly using regular shampoo. After shampooing, please rinse thoroughly and use a fresh clean towel to dry your hair. Do not apply sprays or gels to your hair. If you wear a wig, please make sure it is removed prior to your morning shower and not replaced before your hair transplant surgery. Wear cap after shampoo to keep the hair free of dust.
5. Eat light breakfast the morning of your hair transplant surgery..
6. Wear comfortable clothing the day of your hair transplant surgery. Avoid T shirt or thermal. Wear simple shirt.
7. Please do not bring any valuables to the clinic on hair transplant surgery day.
You may be receiving medications during the hair transplant surgery that can make you drowsy. Because of this we strongly recommend not to drive home the day of your hair transplant surgery. If you are coming from far we will arrange for lodging at a hotel near our office so that you may stay overnight.
How much will hair transplant surgery cost?
• For the scalp area hair transplant surgery cost is 2 $ per follicle . The cost is different for special areas like eyebrow, moustache, and beard etc. for final estimate please contact the clinic in person.
How do I make payment for hair transplant surgery?
• By cash is most preferred other modes you may personally enquire.
I come from outstation can I get pick up facilities from station, or Airport?
• Yes, on few days' prior information we can arrange that.
Can my accommodation be arranged?
• Yes, on few days' prior information we can arrange that.
Can hair transplant surgery be done if I am Diabetic or if I have Blood Pressure or other medical problems?
• Medical problems under good control by medication do not stop you from undergoing the hair transplant surgery.
What are the side effects and complications of hair transplant surgery?
• Hair transplant surgery is one of the safest procedures devised by medical science and leaves you with hardly any long-term problems. Discomfort, swelling of forehead, numbness at the back trouble you only for a while. Serious complication with competent hair transplant surgeons is unheard of.
Can hair from other parts of my body be transplanted?
• yes
Do I need to get my hair trimmed short before the hair transplant surgery?
• Yes We recommend to undergo short trimming. Longer hair may make our plantation a bit difficult but at special consideration we can plan for this.
How many follicles will I require for hair transplant surgery?
Number of follicles required for hair transplant surgery is based on factors that vary among individuals.
• Degree & Progress of hair loss.
• Hair characteristics
• Area where hair transplant surgery is desired
• Expectation by patient
The total number of hair on the head remains the same as before or after Hair Transplant Surgery. The hair root from 'permanent hair growing area" from the back and side of the head (medically known as Hair Bank or Donor Area) is transferred to the front and /or top of the head.
We have approximately 1,00,000 hair on head. In the last stage of baldness i.e. Stage 7 baldness; he is left with almost 25,000 hair on the back and side of his head (medically known as Hair Bank or Donor Area). From this area, we can harvest up to 60 % or 15000 hairs, without looking obvious. One sq. cm of Donor Area contains 100 follicles, but each follicle (Root) may have either 1.2.3 or 4 number of hair. If you have more follicles containing 3 or 4 hair, you will have more density than one having 1 or 2 hair in each follicles. On an average each hair follicle contains 1.5-to2 hairs. So, on an average 100 follicles will contain up to 200 hairs. 15,000 hair means up to about 7 500 follicles are available for transplant from your donor site. These follicles are planted in such an artistic and staggered pattern to create what is called an Organized Disorder Pattern over the bald area that head looks full of hair. Hair transplant surgery is the combination of Art and Science both, which gives most natural result.
Normally, you have density of 100 -follicles/sq cm on the head. We do not see the bald skin until we lose up to 60% of hair in the area. So in view of the limited availability of longer lasting follicles in the bank, we should aim for the maximum density of up to 40 plus / esp. in vital areas like frontal forelock. You do not get the same density all over, as before but you can make it look like near normal density.
It goes without saying for the Number of the hair that “More the merrier". But unfortunately you have 4 acres of seeds to be used for 12 acres of land! On an average 6000 to 7000 follicles should be distributed for a person with Grade 7 baldness. The number is often the minimum requirement.
What density will I get after hair transplant surgery?
Hair Density (mass or fullness) is more with
• Length of each hair
• Thickness of hair
• Number of hairs per (Density)
• Acuteness of angle of exit of hair from the skin. This factor depend on the artistic ability of hair transplant surgeon
• More perpendicular (coronal) direction of hair to the hole while inserting hair follicle. This factor depends on the artistic ability of hair transplant surgeon. • Number of Hair per follicle like, 3-4 hair per follicle give more density
• Curliness of hair
• Low Contrast between color of hair and color of scalp
• Time: Hair starts growing after about 8 to 12 weeks from plantation and continues to grow at the rate of 1 cm per month. So, only with the passage of time, the hair mass will increase.
What Time Hair Transplant Surgery Takes?
• Hair Transplant Surgery takes only a day that you have to spare. Hair Transplant Surgery takes 5-12 hours usually depending upon the number of the follicles to be implanted.
Do I have to bring someone with me?
• It is not necessary but you cannot drive back home after hair transplant surgery. You may hire a vehicle or some one should drive you back.
Will it pain at the time of hair transplant surgery and afterwards?
• We take utter care so that you remain comfortable while numbing your skin after that the hair transplant surgery is pain free. Pain killer tablets take care of some discomfort you may have in the donor site for 2-3 days. Grafted site virtually remains pain free.
Will there be any bleeding during hair transplant surgery?
• After all you cannot cut skin without few drops of blood shedding but it is not significant..
If hair transplant surgery lasts long how shall i have my lunch?
• We usually provide some snack hygienically packed and juice etc as well during the break hours for you.
Do you do mega session and dense packing?
• Mega session of over 1500 grafts usually up to 3500 follicles in one day has benefit of avoiding multiple small sessions for bigger area of baldness. We do it routinely due to our well-trained team of over 8 people. Dense packing consumes many more grafts because one sq. c.m. is implanted with 25 to 50 grafts. This is normally done in the area of frontal forelock so as to have fullness in the front without exhausting the donor area.
What is the after care of hair transplant surgery?
Post-operative instructions.
• You will leave the hair transplant clinic on the same day with bandages on - but you should wear a cap for a week to protect grafted from dust, sun & heat.
• Take medications as directed. (Avoid Aspirin for 2 weeks)
• Sleep in the position in which you're most comfortable but sleep with the head on 2-3 pillows for a few nights.
• Place wrapped ice pack on your forehead & eyes but not on the graft sites for 48 hours to avoid swelling. Swelling will go away in a few days of the hair transplant surgery. These days swelling is uncommon due to medications taken post operatively.
• After 3days of the hair transplant surgery shampoo the graft site & donor site gently without rubbing and wash the head with shower. Blow dry or dry without rubbing the graft site until all scabs fall out.
• If bleeding occurs apply a light & steady pressure for 20-30 minutes with a clean cloth at the site of bleeding.
• Avoid alcohol for 48 hours after hair transplant surgery.
• Avoid smoking for as long as you can after hair transplant surgery.
• No swimming in chlorinated water for 2 weeks after hair transplant surgery.
• Rest for 1 day after hair transplant surgery.
• Light work for a week after hair transplant surgery.
• Heavy work, exercise or sex after 2 weeks of hair transplant surgery.
• Visit your hair dresser for hair cut after 3 weeks & for hair styling after 6 weeks of hair transplant surgery.
• Diet: Healthy nutritious diet with more proteins is beneficial. A diet that contains high quantities of animal fat can lead to an increase concentration of testosterone in the blood stream, increasing your risk of hair loss. High protein diet in pulses, milk, and white of egg, red meet and fish are good. Green vegetables and fruits are good source of minerals and antioxidants. A lot of water keeps your hair texture good.
• You may be receiving medications during the hair transplant surgery that can make you drowsy. Because of this we strongly recommend the not to drive home the day of your hair transplant surgery. If you are unable to have someone drive you home after your hair transplant surgery and you live near our office we can arrange to have you driven home. If you are coming from far we will arrange for lodging at a hotel near our office so that you may stay overnight. If hair transplant surgery is a day treatment will I have full-grown hair when I leave the hair transplant clinic?
• The treatment of grafting the hair roots is over in few hour of the day and you may have short hair sticking out from the roots but it takes 8-18 months for the full grown results (average 1 year).
What time it takes to grow hair after hair transplant surgery?
• The hair start sprouting by average 3-4 months and it takes 8-18 months for the hairs to grow in length and thickness.
What care will I have to take for the newly grown hair?
• You don't need any special care for the newly grown hair after hair transplant surgery, at least not more than your other hair.
How long do I have to take rest after hair transplant surgery?
• You may not require rest but rest of 2-3 days may be sufficient. You should avoid heavy exercise or sex, weight lifting etc. for a week or more after hair transplant surgery.
Will I have bandages or dressing?
• You leave the hair transplant clinic with minimal bandage for 2 days. But it would be wise to use baseball cape when outdoors, to protect from sun, dust and pollution for 2 weeks.
When can I take bath after hair transplant surgery?
• Shoulder bath on the same day as hair transplant surgery and shampoo and shower by patting and without rubbing the grafted site from3rd day onwards.
What diet should I take after hair transplant surgery?
• Take high protein with milk, white of eggs, pulses, green vegetables, fruits, lots of water. Avoid fast food, fatty food.
Will I have headache?
• You may have tightness in the stitch area for a few days after hair transplant surgery, but soon it disappears.
Will I have any scar from the hair transplant surgery?
• You will have a line of scar from FUT surgery where we remove the strip but in FUE( what we perform) you will not have any scar at donor area. Do I need to take the medication and for how long after hair transplant surgery?
• Usually we prescribe antibiotics for a week and painkillers for 5 days after hair transplant surgery. Additionally you may take finasteride and minoxidil for thinning hair or preventing hair fall by telogen effluvium.
Q. How does normal hair grow?
A. Hair is made up of a shaft and a root. The shaft is the hair you see on your skin. At the lower end of the root is a swelling called the hair bulb and this is surrounded by a socket called a hair follicle. The hair grows upwards from the root and emerges from the skin. Each follicle has a growth phase where the hair falls out. In this way, hair are continually grown, shed and replaced throughout and individual’s life, at any one time, different hairs will be at a different stage of this growth cycle.

Q. What is hirsutism?
A. Hirsutism means excessive hair growth. This can be due to racial, familial characteristics as mentioned below and also due to some medical conditions.
Causes if Hirsutism
• Hirsutism can occur for a number of reasons:
• Excess production of male-type hormones (androgen)
• Increased sensitivity of the hair follicles to androgen stimulation
• Taking certain drugs, steroids and androgens (for body building)
• Contraceptive pill
• Hypothyroidism
• Hereditary factors
• Polycystic Ovarian Syndrome

Q. Can you guarantee this as a permanent method of hair reduction?
A. Yes, we give all our clients an 85% guarantee provided you are suitable. Factors that can influence results are ie .hair colour, hair texture, skin colour, treatment intervals, not adhering to treatment protocols, hormonal imbalances, medical history can all interfere with outcomes.
Unfortunately, areas influenced by hormones i.e. facial, neck, navel, and nipples cannot be given the same guarantee as it is out of our control. Treatment of these areas is very successful in reducing hair growth but new hairs may be stimulated to grow in the future.

Q. How many treatments are necessary?
A. Again we know from research, approx 15% of hairs are in the growing stage at the time of treatment therefore we can achieve 85% reduction after a course of six –eight treatments. In rare cases some people don’t react to treatment.

Q. What to expect during treatment?
A. Depending on the size and area being treated, the procedure varies for each client. Safety eyewear is worn to protect the eyes during the procedure from the laser light. Most experience minimal discomfort during treatment. Throughout your treatment you will have cool air applied to the area being treated. Depending on the size or number of areas treated, the time will vary. Clients can return to work or resume their normal activities immediately following treatment. The area may become slightly swollen and red after treatment and may take a few hours or days to settle down again depending on the area treated and skin sensitivity.

Q. How does the treatment work?
A. The red light energy from the laser is absorbed by pigment in the hair follicle and hair shaft. When adsorbed the light energy becomes heat and this in turn destroys the hair follicle. The duration of each laser pulse has been carefully chosen to be just long enough to heat and disable the follicle, but not so long that excess heat is transmitted to the surrounding skin.

Q. Can all skin types be treated?
A. Yes, we have suitable lasers for lighter and darker skin types.

Q. Are there any after- effects following treatment?
A.Normal treatment side effects are redness and slight swelling on area being treated which will resolve after a few hours. Depending on skin sensitivity some clients may experience redness for longer.
Cooling the area with ice on the day of treatment will help reduce redness and overheating.
Slight scabbing, blistering may occur in a very small minority of clients, this is nothing to be concerned about and it will usually clear within a few days. If blistering occurs, please contact your clinic..
How long after the procedure will it take until I see results?
You will see gradual improvement in the appearance of your skin immediately after the initial healing phase is complete at about 5 days. The CO2 laser stimulates collagen production in the dermis (deep skin layer) that helps fill in the fine lines of your face. Collagen build up takes up to 6 months to complete.

What makes the fractional CO2 laser different from the traditional CO2 laser treatment?
There is no question that the CO2 laser is the gold standard laser for facial skin resurfacing. However, despite unparalleled results, the traditional CO2 laser treated 100% of the skin and resulted in a long recovery process. It took up to 3 months for the skin to heal and this often resulted in a permanent skin lightening.
Fractional CO2 technology applies the same principles as the traditional laser, however modern computer technology has made it possible for the beam to be fractionated. What this means is that rather then treating the entire surface area of the skin, only a fraction of the skin is treated (for example 30% of the skin instead of 100%). In doing so, the laser leaves behind healthy and intact skin bridges, in between the treated areas. This allows for rapid healing of the skin while still maintaing the excellent results of CO2 laser technology.

How many treatments will I need?
Only 2-4 treatment is necessary for the vast majority of patients. This is one of the many reasons that the fractional CO2 laser is better then the older Fraxel treatments (erbium technology), which requires multiple treatments.

Where do you perform the laser procedure?
Fractional CO2 laser is performed in the comfort of our office laser room or in our procedure / operating room.

What kind of anesthesia will you use?
Since the laser penetrates the deep skin to stimulate collagen production, Dr. will administer a topical (on the skin) anesthetic IN A FORM OF CREAM. This will assure that you are very comfortable during the procedure.

Will I have any pain afterwards?
No. Most patients say that the laser feel like a sun burn for about two hours after the procedure is completed. Once this goes away, you will have no pain.

I want a non-surgical laser facelift, is this possible?
While there is no substitute for a facelift to improve the appearance of the neck and jowels, the fractional CO2 laser does produce skin tightening that will elevate the jowel and soften its appearance. In many patients this may be all that is necessary to give you the results that you desire. We will help you determine this during your consultation.> Is there such a thing as a laser eyelid lift?
Yes. Our fractional CO2 laser can produce substantial tightening of the upper and lower eyelids and may be a substitute as a laser blepharoplasty (eyelid lift). During your consultation, we will determine if the laser will be able to give you the results that you desire.

Will the laser work on acne scars?
Yes. The fractional CO2 is an excellent tool to treat acne scarring. Dr. puneet can help you with your acne scars and will direct your treatment depending on what kind of acne scars you have.

Is it safe for all skin types and colors?
Yes. One of the advantages of the fractional CO2 laser is that it is safe on almost all skin types.

Who will perform my laser treatment?
The laser is similar and will produce different results depending on the user. For this reason, it is just as important to choose a laser surgeon that has a vast experience with a laser and has a proven results track record.
Dr. puneet wants to assure that you obtain the absolute best possible results, and for this reason performs all of the laser treatments himself.

Do you perform the fractional CO2 laser on out of town patients?
Yes. Patients come in routinely to have surgery and laser procedures performed by Dr. puneet. Our office will help you coordinate your visit and stay in beautiful jaipur.

Can this be combined with any other procedures?
Yes. The CO2 laser can be combined with other surgical procedures such as a facelift, fat grafting, botox, filler, etc.
What Is Vitiligo?
Vitiligo (vit-ill-EYE-go) is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Similar patches also appear on both the mucous membranes (tissues that line the inside of the mouth and nose) and the retina (inner layer of the eyeball). The hair that grows on areas affected by vitiligo sometimes turns white.
Who Is Affected by Vitiligo?
About 0.5 to 1 percent of the world’s population have vitiligo. The average age of onset is in the mid-twenties, but it can appear at any age. The disorder affects both sexes and all races equally; however, it is more noticeable in people with dark skin.
What Are the Symptoms of Vitiligo?
People who develop vitiligo usually first notice white patches (depigmentation) on their skin. These patches are more commonly found on sun-exposed areas of the body, including the hands, feet, arms, face, and lips. Other common areas for white patches to appear are the armpits and groin and around the mouth, eyes, nostrils, navel, genitals, and rectum.
Vitiligo generally appears in one of three patterns:
• Focal pattern—depigmentation limited to one or only a few areas.
• Segmental pattern—depigmented patches that develop on one side of the body only.
• Generalized pattern—the most common pattern. Depigmentation occurs symmetrically on both sides of the body.
In addition to white patches on the skin, people with vitiligo may have premature graying of the scalp hair, eyelashes, eyebrows, and beard. People with dark skin may notice a loss of color inside their mouths.
Will the Depigmented Patches Spread?
Focal pattern vitiligo and segmental vitiligo remain localized to one part of the body and do not spread. There is no way to predict if generalized vitiligo will spread. For some people, the depigmented patches do not spread. The disorder is usually progressive, however, and over time the white patches will spread to other areas of the body. For some people, vitiligo spreads slowly, over many years. For other people, spreading occurs rapidly. Some people have reported additional depigmentation following periods of physical or emotional stress.
How Is Vitiligo Diagnosed?
The diagnosis of vitiligo is made based on a physical examination, medical history, and laboratory tests.
A doctor will likely suspect vitiligo if you report (or the physical examination reveals) white patches of skin on the body, particularly on sun-exposed areas, including the hands, feet, arms, face, and lips. If vitiligo is suspected, the doctor will ask about your medical history. Important factors in the diagnosis include a family history of vitiligo; a rash, sunburn, or other skin trauma that occurred at the site of vitiligo before depigmentation started; stress or physical illness; and premature graying of the hair (usually before age 35). In addition, the doctor will ask whether you or anyone in your family has had any autoimmune diseases and whether you are very sensitive to the sun.
How Can People Cope With the Emotional and Psychological Aspects of Vitiligo?
Although vitiligo is usually not harmful medically, its emotional and psychological effects can be devastating.
White patches of vitiligo can affect emotional and psychological well-being and self-esteem. People with vitiligo can experience emotional stress, particularly if the condition develops on visible areas of the body (such as the face, hands, arms, and feet) or on the genitals. Adolescents, who are often particularly concerned about their appearance, can be devastated by widespread vitiligo. Some people who have vitiligo feel embarrassed, ashamed, depressed, or worried about how others will react.
What Treatment Options Are Available?
The main goal of treating vitiligo is to reduce the contrast in color between affected and unaffected skin. Each patient responds differently to therapy, and a particular treatment may not work for everyone. Current treatment options for vitiligo include medication, surgery, and adjunctive therapies (used along with surgical or medical treatments).
Medical Therapies
A number of medical therapies, most of which are applied topically, can reduce the appearance of vitiligo. These are some of the most commonly used: • Topical therapy. Creams, including corticosteroids, may be helpful in repigmenting (returning the color to) white patches, particularly if they are applied in the initial stages of the disease. Corticosteroids are a group of drugs similar to hormones such as cortisone, which are produced by the adrenal glands. Yet, as with any medication, these creams can cause side effects. For this reason, the doctor will monitor you closely for skin shrinkage and skin striae (streaks or lines on the skin).
• Light treatment. Light therapy or excimer laser treatments are also used to treat vitiligo, although results may not be permanent. • Psoralen photochemotherapy. Also known as psoralen and ultraviolet A (PUVA) therapy, this is an effective treatment for many patients. The goal of PUVA therapy is to repigment the white patches. However, it is time consuming, and care must be taken to avoid side effects, which can sometimes be severe. Psoralen is a drug that contains chemicals that react with ultraviolet light to cause darkening of the skin. The treatment involves taking psoralen by mouth (orally) or applying it to the skin (topically). This is followed by carefully timed exposure to sunlight or to ultraviolet A (UVA) light that comes from a special lamp. You must minimize exposure to sunlight at other times.
Known side effects of oral psoralen include sunburn, nausea and vomiting, itching, abnormal hair growth, and hyperpigmentation. Oral psoralen photochemotherapy may also increase the risk of skin cancer, although the risk is minimal at doses used for vitiligo. If you are undergoing oral PUVA therapy, you will be advised to apply sunscreen, avoid direct sunlight, and wear protective UVA sunglasses for a period of time after each treatment.
• Depigmentation. This treatment involves fading the rest of the skin on the body to match the areas that are already white. For people who have vitiligo on more than 50 percent of their bodies, depigmentation may be recommended. Patients apply the drug monobenzyl ether of hydroquinone (monobenzone) twice a day to pigmented areas until they match the already depigmented areas. You will be advised to avoid direct skin-to-skin contact with other people for at least 2 hours after applying the drug, as transfer of the drug may cause depigmentation of the other person’s skin. The major side effect of depigmentation therapy is inflammation (redness and swelling) of the skin. You may also experience itching or dry skin. Depigmentation tends to be permanent and is not easily reversed. In addition, a person who undergoes depigmentation will always be unusually sensitive to sunlight.
Surgical Therapies
Surgical techniques may be an option when topical creams and light therapy do not work. These include:
• Autologous skin grafts. The doctor removes skin from one area of your body and attaches it to another area. This type of skin grafting is sometimes used for patients with small patches of vitiligo. The doctor removes sections of the normal, pigmented skin (donor sites) and places them on the depigmented areas
(recipient sites). There are several possible complications of autologous skin grafting. Infections may occur at the donor or recipient sites. The recipient and donor sites may develop scarring, a cobblestone appearance, or a spotty pigmentation, or may fail to repigment at all. Many people find skin grafting neither acceptable nor affordable.
• Skin grafts using blisters. In this procedure, the doctor creates blisters on your pigmented skin by using heat, suction, or freezing cold. The tops of the blisters are then cut out and transplanted to a depigmented skin area. The risks of blister grafting include scarring and lack of repigmentation. However, there is less risk of scarring with this procedure than with other types of grafting.
• Micropigmentation (tattooing). This procedure involves implanting pigment into the skin with a special surgical instrument. It works best for the lip area, particularly in people with dark skin. However, it is difficult for the doctor to match perfectly the color of the skin of the surrounding area. The tattooed area will not change in color when exposed to sun, although the surrounding normal skin will. So even if the tattooed area matches the surrounding skin perfectly at first, it may not later on. Tattooing tends to fade over time. In addition, tattooing of the lips may lead to episodes of blister outbreaks caused by the herpes simplex virus.
• Autologous melanocyte transplants. In this procedure, the doctor takes a sample of your normal pigmented skin and places it in a laboratory dish containing a special cell culture solution to grow melanocytes. When the melanocytes in the culture solution have multiplied, the doctor transplants them to your depigmented skin patches. This procedure is currently experimental and is impractical for the routine care of people with vitiligo. It is also very expensive, and its side effects are not known.
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