Dermatology Hospital | Skin Care Hospital | BOSH | Bangalore

BOSH excels at diagnosing and treating conditions affecting the skin, hair and nails. Patients have turned to us for years to receive the most advanced treatments in medical, surgical and cosmetic dermatology. Likewise, our expertise in diagnosing complex skin diseases and treating them has made us a trusted leader in the field of dermatology.

Our skilled approach at skincare is bound to have our patients discover the gift of glowing skins. We provide services ranging from surgical, cosmetic and paediatric dermatology and are also specialized in treating common as well as advanced dermatology disorders like acne, psoriasis, eczema, hair loss, sexually transmitted diseases, pemphigus etc.

Dermatology- Medical Procedures:

Allergy Test : An allergy test is an exam performed by a trained allergy specialist to determine if your body has an allergic reaction to a known substance. The exam can be in the form of a blood test, a skin test, or an elimination diet.
Allergies occur when your immune system, which is your body’s natural defense, overreacts to something in your environment. For example, pollen, which is normally harmless, can cause your body to overreact. This overreaction can lead to:

  • medical A runny nose
  • medical Sneezing
  • medical Blocked Sinuses
  • medical Itchy, Watery Eyes

An allergy test may involve either a skin test or a blood test. You may have to go on an elimination diet if your doctor thinks you might have a food allergy.

Skin tests: Skin tests are used to identify numerous potential allergens. This includes airborne, food-related, and contact allergens. The three types of skin tests are scratch, intradermal, and patch tests.

Your doctor will typically try a scratch test (skin prick test) first. During this test, an allergen is placed in liquid, then that liquid is placed on a section of your skin with a special tool that lightly punctures the allergen into the skin’s surface. You’ll be closely monitored to see how your skin reacts to the foreign substance. If there’s localized redness, swelling, elevation, or itchiness of the skin over the test site, you’re allergic to that specific allergen.
If the scratch test is inconclusive, your doctor may order an intradermal skin test (skin injection test). This test requires injecting a tiny amount of allergen into the dermis layer of your skin. Again, your doctor will monitor your reaction.

Another form of skin test is the patch test (T.R.U.E. TEST). This involves using adhesive patches loaded with suspected allergens and placing these patches on your skin. The patches will remain on your body after you leave your doctor’s office. The patches are then reviewed at 48 hours after application and again at 72 to 96 hours after application.

Blood tests: If there’s a chance you’ll have a severe allergic reaction to a skin test, your doctor may call for a blood test. The blood is tested in a laboratory for the presence of antibodies that fight specific allergens. This test, called ImmunoCAP, is very successful in detecting IgE antibodies to major allergens.

Risks: Allergy tests may result in mild itching, redness, and swelling of the skin. Sometimes, small bumps called wheals appear on the skin. These symptoms often clear up within hours but may last for a few days. Mild topical steroid creams can alleviate these symptoms.
On rare occasions, allergy tests produce an immediate, severe allergic reaction that requires medical attention. That’s why allergy tests should be conducted in an office that has adequate medications and equipment, including epinephrine to treat anaphylaxis, which is a potentially life-threatening acute allergic reaction.

Chemical Peel: Chemical peels are cosmetic treatments that can be applied to the face, hands, and neck. They are used to improve the appearance or feel of the skin. During this procedure, chemical solutions will be applied to the area being treated, which causes the skin to exfoliate and eventually peel off. Once this happens, the new skin underneath is often smoother, appears less wrinkled, and may have less damage.
There are a number of reasons people may get chemical peels. They may be trying to treat a variety of things, including:

  • medical Wrinkles and fine lines
  • medical Sun Damage
  • medical Acne Scars
  • medical Hyperpigmentation
  • medical Scars
  • medical Melasma
  • medical Uneven skin tone or redness

There are three different types of chemical peels that you can get. These include
Superficial peels, which use mild acids like alpha-hydroxy acid to gently exfoliate. It only penetrates the outermost layer of skin.

Medium peels, which use trichloroacetic or glycolic acid to reach the middle and outer layer of skills. This makes it more effective for removing damaged skin cells.
Deep peels, which fully penetrate the middle layer of the skin to remove damaged skin cells; these peels often use phenol or tricholoracetic acid.

Procedure: Chemical peels are typically done in-office; deep peels may be done in an outpatient surgical facility. Before the procedure, they will likely have you tie back your hair. Your face will be cleaned, and eye protection like goggles or gauze may be applied. Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.

Light peel: During a light peel a cotton ball, gauze, or brush will be used to apply a chemical solution like salicylic acid to the area being treated. The skin will start to whiten, and may have a slight stinging sensation. Once complete, the chemical solution will be removed or a neutralizing solution will be added.

Medium peel: During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.
Deep peel: During a deep chemical peel, you will be sedated. The doctor will use a cotton-tipped applicator to apply phenol to your skin. This will turn your skin white or gray. The procedure will be done in 15-minute portions, to limit the skin exposure to the acid.

Risks: Common side effects are temporary, and include redness, dryness, stinging or burning, and slight swelling. With deep peels, you may permanently lose the ability to tan. Chemical peels can, however, have more serious risks and dangerous side effects that can be permanent. These include:

  • medical Darkening or lightening of the skin color. These can be more common in people with darker skin.
  • medical Scarring. This can be permanent.
  • medical Infections. People with herpes simplex may experience flares following a treatment. Very rarely, chemical peels can cause fungal or bacterial infections.
  • medical Heart, liver, or kidney damage. The phenol used in deep peels can actually damage the heart muscle, kidneys, and liver, and cause irregular heartbeats.

Dermabrasion: Dermabrasion is an exfoliating technique that uses a rotating instrument to remove the outer layers of skin, usually on the face. This treatment is popular with people who wish to improve the appearance of their skin. Some of the conditions it can treat include fine lines, sun damage, acne scars, and uneven texture. Dermabrasion occurs in a dermatologist’s office. During the procedure, a professional will numb your skin with anesthesia before removing the outermost layers of your skin.

This is an outpatient procedure, meaning that you can go home to recover following the treatment. There are several over-the-counter devices that simulate the cleansing and exfoliating process of professional treatments. These typically take longer to produce the desired skin-smoothing effects of professional dermabrasion and usually don’t achieve the full effects. Dermabrasion removes damaged outer layers of skin. This exposes new layers of skin that appear younger and smoother.

In addition to providing a more youthful appearance, dermabrasion can also help treat

  • medical Acne Scars
  • medical Age Spots
  • medical Fine Wrinkles
  • medical Precancerous skin patches
  • medical Rhinophyma, or redness and thick skin on the nose
  • medical Scars from surgery or injury
  • medical Sun damage
  • medical Tattoos
  • medical Uneven skin tone
  • medical Dermabrasion is only one of many treatments for these conditions

Procedure: The type of anesthesia you have during dermabrasion depends on the extent of your treatment. Your doctor will typically give you local anesthesia. However, certain cases may require sedation to help you relax or feel drowsy. Sometimes general anesthesia may be given during the procedure. During the treatment, an assistant will hold your skin taut. Your doctor will move a device called a dermabrader across your skin. The dermabrader is a small, motorized device with a rough surface. On large patches of skin, the doctor will use a circular dermabrader, while on smaller places, such as the corners of your mouth, they’ll use one with a small tip. Your doctor may treat large sections of skin over multiple sessions. Right after the procedure, your doctor will cover the treated area with a moist dressing. They’ll usually change this dressing at an appointment the following day.

Risks: Risks associated with dermabrasion are the same as those associated with other surgical procedures. They include bleeding, infection, and allergic reaction to anesthesia. Some risks specific to dermabrasion include:

  • medical acne breakouts
  • medicalchanges in skin tone
  • medicalenlarged pores, usually temporary
  • medicalloss of freckles
  • medical redness
  • medical rash
  • medical swelling

Though rare, some people develop excessive scarring, or keloids, after dermabrasion treatment. In these cases, some steroid medications can help soften the scars.

LEUKODERMA: Also known as Vitiligo, Leukoderma is a skin disease that causes loss of skin pigmentation (melanin) that leads to skin whitening. The white patches on the skin are termed as leukoderma. When the condition gets severe, the spots cover almost all parts of the body including scalp, face and the genitals. The main sign and symptom of leukoderma are milky white patches on the skin. Other signs include:

  • medical Premature greying of hair (eyelashes, beard and eyebrow)
  • medical Loss of colour in the mucous membranes (tissues that line the inside of the mouth)
  • medicalChange in colour of retina
  • medical Though leukoderma can affect any part of the body, pigmentation usually occurs first on sun-exposed areas of the body.
    There are two types of leukoderma: Segmental and Non-segmental.
  • medicalSegmental Leukoderma - The symptoms of segmental leukoderma start showing up at an early stage while affecting one side or segment of the body. This type progresses only for a few years.
  • medical Non-Segmental Leukoderma - Starting with a short-lived burst of discolouration, this type affects both sides of the body and expands with new cycles of pigment loss throughout the life.

Treatment: Since there is no permanent leukoderma treatment available, the primary goal of the doctors during the treatment is to improve the appearance of the affected area. Light therapy, medication and surgery are the three prime treatment options for this disease.

  • medicalMedication - To help re-pigment the skin, doctors advise topical creams that control inflammation or affect the immune system.
  • medical Light Therapy - Repeated light therapy sessions have proved fruitful in restoring some colour of the affected area. Narrow-band UVB (311) phototherapy and PUVA therapy are the two types of light therapy used in leucoderma treatment. PUVA has a more powerful effect on pigment cells as compared to Narrow-band UVB (311) phototherapy.
  • medical Cosmetics - Application of skin tanners or makeup on the affected area remains the safest option for those with minor patches of leukoderma.
  • medical Surgery - Pigmented skin is removed from the affected area using skin and blister grafting techniques that are then attached to the affected areas.

PSORIASIS: A highly common skin condition, Psoriasis speeds up the life cycle of skin cells causing them to build up quickly and rapidly on the skin surface. It is a long-lasting autoimmune disease which causes red, itchy and scaly patches on the skin. The rapid proliferation of skin cells is often triggered by inflammatory chemicals produced by lymphocytes. Psoriasis is a chronic skin condition which periodically improves and worsens especially with change of season. Generally, the signs and symptoms of psoriasis are different for everyone. The most common symptoms are:

  • medical Scaly spots especially in knees, elbows and back
  • medicalItching, soreness or burning
  • medical Itchy and scaly skin on the scalp
  • medical Cracked and dry skin which may bleed
  • medical Painful, stiff joints that may get swollen after a while
  • medical Deformed and thickened nails

Psoriasis is of 7 types, and knowing the kind of psoriasis can help in deciding the treatment options. The types are

  • medical Plaque Psoriasis - Plaque psoriasis is the most common type of psoriasis which causes inflamed and red skin covered with white and silvery scales. It can appear anywhere on the body; however, it is most commonly seen on elbows, scalp, lower back and knees. These patches can burn or itch.
  • medicalInverse Psoriasis - Inverse psoriasis is characterised by bright red, shiny and smooth patches on the skin that lack scales. This type is typically found in groin, armpits, under the breasts and skin folds as well as under the buttocks and genitals. Yeast build up is common in inverse psoriasis and can get worse with sweating and rubbing.
  • medical Guttate Psoriasis - Guttate Psoriasis is more common in young adults and children and causes small, red spots on the skin. This type is usually seen on upper arms, scalp, thighs and trunk. It is often triggered by skin injury, stress, and even tonsillitis or streptococcal sore throat.
  • medical Pustular Psoriasis - Pustular psoriasis causes pus-filled bumps that are surrounded by patches of red skin. It is uncommon and mostly seen in adults. Pustular psoriasis can cover most of the body which is a serious condition and requires immediate medical attention. It can cause muscle weakness, nausea, chills, fast heart rate and fever.
  • medicalErythrodermic Psoriasis - It affects more than 90% of the body and causes fiery red skin that appears to be burned. Erythrodermic psoriasis is one of the least common forms of psoriasis and also the most serious. It is characterised by a change in the body temperature, severe burning and peeling of the skin. A faster heart rate is also seen in case of erythrodermic psoriasis.
  • medical Psoriatic Arthritis - In this condition, a patient may or may not have psoriasis on skin but joints especially small joints of hands are affected. Painful and stiff joints, discoloured warm joints, and swelling of toes and fingers indicate a case of psoriatic arthritis.
  • medicalNail Psoriasis - Most people with psoriasis have chronic changes in their nails. This is most commonly seen in those people who have psoriatic arthritis. Tender nails, pain in nails, colour changes, pitting of the nails, and even a fungal infection characterises nail psoriasis.

Treatment: Psoriasis cannot be cured; however, psoriasis treatment can help control the condition and is a way of easing the symptoms over time. Treatment of psoriasis depends on its extent. A dermatologist will analyse the situation and start a treatment option to relieve the symptoms and control the outbreak. The psoriasis treatment options are as follows:

  • medicalLight Therapy - Also known as phototherapy, light therapy involves exposing the skin to sun or source of ultraviolet light to ease the symptoms. A doctor uses specialised tools and instruments to control the exposure.
  • medical Topical Treatments - To control the itchiness, the doctor may prescribe various lotions, creams, ointments, solutions and sprays. Steroids can ease the inflammation and slow-down the growth of skin cells.
  • medical Systemic Drugs - In case the psoriasis is spread across the body and is moderate to severe, the doctor may prescribe a systemic drug – which affects the entire body. Systemic drugs that are prescribed in case of psoriasis contain vitamin A, methotrexate, cyclosponine and azathioprine.
  • medical Biologic Treatment - Biologics target a precise part of the immune system and works by targeting the causes instead of the symptoms. However, biologics are only used when the patient has no relief from other treatments. This treatment administers various drugs, in the form of IV and pills to the psoriasis patient.

ACNE: Acne is typically defined as a skin condition that results into pimples or zits. This includes whiteheads, blackheads, and red, inflamed patches of skin (such as cysts). Acne generally appears on the face and shoulders, but its signs and symptoms may also appear on the trunk, arms, legs, and buttocks.

  • medical Blackheads
  • medical Cysts
  • medicalRedness around skin eruptions
  • medical Pustules
  • medical Whiteheads
  • medicalSmall red bumps
  • medical Crusting of skin bumps

Treatment: The easiest way to prevent acne is to take proper care of your skin by cleaning your skin with a mild, non-drying soap. This will remove all dirt or make-up. Other treatment options include:

  • medical Oral antibiotics – These antibiotics are frequently prescribed of patients with severe acne and some patients with moderate acne too.
  • medical Oral contraceptives – If acne development in women is related to hormonal changes, your doctor might suggest you oral contraceptives that suppress the overactive gland and are commonly used as long-term treatments for acne in women.
  • medical Interlesional Corticosteroid Injection - If an acne cyst becomes severely inflamed there is a high risk of rupturing. A rupturing acne cyst can often result in scarring. The specialist may inject a diluted corticosteroid to treat the inflamed cyst and prevent scarring.

BLACKHEAD: A blackhead is defined as a yellow or blackish bump or plug on the skin, and is generally found on the face or the back. Blackheads are caused by excess oil that accumulates in the sebaceous gland’s duct. Common warning signs that indicate the need for treatment include:

  • medical Pustules
  • medical Swelling on and around the skin eruptions
  • medical Scarring on the skin
  • medical Redness on and around the exanthemas
  • medical Inflamed and infected nodules

Treatment: Some common treatment options for blackheads include

  • medicalCleansing the skin with a mild and non-drying herbal soap
  • medical Oral antibiotics
  • medical Herbs like Neem, Turmeric, Aloe, Garcinia, Butea, Asparagus

MOLES: Moles are defined as common, small tan or brown spots on the skin. They may be mistaken for freckles and other skin growths. Symptoms include:

  • medical Swelling on and around the skin eruptions
  • medicalScarring on the skin
  • medicalRedness on and around the exanthemas
  • medicalInflamed and infected nodules

Treatment: The treatment of moles depends on their type and cause. For example, true moles can be treated by surgical removal.

SHINGLES: Shingles is referred to as an infection of nerve and the area of skin around it. It is primarily caused by the herpes varicella-zoster virus, which also causes chickenpox. Shingles generally affects a particular area on either the left or right side of the body and does not cross over the midline of the body (an imaginary line running from between your eyes, down past the belly button). It causes a painful rash which develops into itchy blisters. Most common symptoms of shingles are

  • medical One-sided pain
  • medical Tingling, or burning
  • medicalRed patches on skin, followed by small blisters
  • medical Fever and chills
  • medical Genital sores
  • medicalHeadache
  • medicalJoint pain

Treatment: At first, your doctor may prescribe a medicine to counter the virus. This drug helps reduce pain, prevents complications, and shortens the course of the disease. Resting in bed until the fever goes down, is recommended.

  • medical Keep the skin clean.
  • medical Do not reuse contaminated items.
  • medical Wash non-disposable items in boiling water or disinfect them before using them again.

XEROSIS: Xerosis is a medical term and refers to any dry, rough, cracked or scaly skin occurring almost anywhere on the body such as the arms, face and legs. Signs and Symptoms may include:

  • medical Dry skin
  • medicalItching
  • medical Redness of skin
  • medical Fine cracks may appear on the skin

Treatment:

  • medical Moisturizers, especially those that contain urea and lactic acid
  • medicalTopical steroids -- for areas that get very inflamed and itch

Eczema: Eczema is also known as Atopic Dermatitis and a chronic skin disorder that involves scaly and itchy rashes. The term eczema is also commonly used to describe atopic dermatitis also known as atopic eczema. In some languages, dermatitis and eczema are synonyms, while in other languages dermatitis implies an acute condition and eczema a chronic one. The cause of dermatitis is unclear. One possibility is a dysfunctional interplay between the immune system and skin.
Common Eczema signs include:

  • medical Blisters with oozing and crusting
  • medical Ear discharge or bleeding
  • medical Dry skin all over the body
  • medicalSkin coloring changes
  • medical Skin redness and inflammation

Treatment: There are several treatment options available to treat eczema. Taking care of your skin at home may reduce the need for medications.

  • medical Avoid scratching the rash or skin area
  • medicalAvoid using strong soaps or detergents, as well as chemicals and solvents
  • medical Your doctor may suggest you some antihistamines that may help with itching or if you have allergies
  • medical Phototherapy, a medical treatment in which your skin is carefully exposed to ultraviolet (UV) light.

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