Simplest way to improve health and looks!

Yup! there is a simple but strong way to flush out toxins, to boost immunity, to improve skin, to increase energy, to reduce weight and to improve digestion. And the miracle thing is what we all have daily… Guess what it could be?

And this miracle is the simplest chemical formula H2O or WATER! If I ask – did you drink enough water yesterday, the most of you might either say dont know or no! The fact is in this busy lifestyle we forget to take care of ourselves. Drinking enough water in a day is must to follow rule as exercise and healthy food habits are.

So how much water we should drink everyday to keep ourself and our skin healthy? The answer is 8+ glasses for a normal adult without any heart or kidney problem. Water is a miracle drink that God has gifted us. In fact life started in water only. Especially in summers we should intake more water. Never forget to have a glass of water whenever you move out of the home or office. Hope you be healthy and have stunning looks!

 

Crow Feet – The ageing sign!

You need not worry while smiling or laughing when you are in your 20s. But when it comes to late 30s and later, your smile may disturb you. Yes you read it right! Smile may be a worry!

And thats because of crow feet or smile lines or wrinkles on the side of your eyes while you are smiling or laughing.

Crow feet is a nightmare for cosmetic freak people who want to look young in their 30s, 40s and so on. Now few questions you may want to ask-

• What is the treatment for crow feet?
• How treatment of crow feet is done?
• How costly crow feet treatment is?
• How often I need to visit the clinics?

I will try to answer all these question about crow feet one by one.

Crow feet is best treated by Botox or any other brand of Botulinum Toxin. This is a neurotoxin that relaxes the muscles and remove “dynamic wrinkles” (which are seen on expression). While “static wrinkles” (which are seen on face even without any expression) are best treated with dermal fillers.

Botox treatment for crowfeet is done by injections of botox on the side of eye. It need good knowledge of anatomy of facial muscles.

Cost of crowfeet depends on severity of wrinkles, brand of botulinum toxin, expertise of doctor and many other variables. Per unit cost of botox in India varies from ₹350 to ₹650.

Effect of botox on crow feet become visible in 7-10 days and peak at 15 days. Effects wean off as time passes and goes by 3-6 months. So you need to visit the clinic or doctor as soon as 3 months.

Hope this article help you understand crowfeet treatment. Feel free to ask me any question you may have about botox treatment. I will try my best to answer your questions appropriately.

My Email is – lookskibaat [at] gmail [dot] com

Botox and Myocardial Infarction (Heart Attack /Cardiac Arrest) – Was Bollywood Veteran Actress Sridevi on risk?

As many media reports says Sridevi was on regular Botox treatment and other cosmetic procedures as well to look her best.

Botox is being highlighted as cause of her untimely death due to cardiac arrest. Cardiac complications of Botox are hypertension (1-10%), arrhythmia (frequency not reported), cardiac arrest (frequency not reported) – sometime fatal. Here is a review on risk involved with Botox and we found that its just 0.1% of all complications and that too mostly in a specific group of people.

Highest risk of MI is in the female, 60+ old , have been taking the drug for less then 1 month who also take medication Synthroid (LevoThyroxin), and have Multiple sclerosis.

This review is based on reports of 30,301 people who have side effects when taking Botox from FDA , and is updated regularly.

As On Feb, 23, 2018

(Link for regular Updates – Click Here)

30,301 people reported to have side effects when taking Botox.

Among them, 30 people (0.1%) have Myocardial infarction

And yes you are not alone! There is a support group for people who take Botox and have Myocardial infarction. Click here to join the group.

Here is a nice talk by “Prevention” who spoke with Darrell Rigel, MD, president of the American Society for Dermatologic Surgery, and Alberto Esquenazi, MD, chair and professor, department of physical medicine and rehabilitation, and chief medical officer at Moss Rehab & Albert Einstein Medical Center. Click here to go through the talk.

Legendary Sridevi, the icon of looks and beauty passes away. Om Shanti.

Bollywood actor Sridevi passes away due to cardiac arrest in Dubai, but what she left behind is her fans, few facts about life, a twitter controversy, a question and few creativities.

(News Link)

Her fans are in deep grief and still not able to believe in the demise. Also this pic with a caption “Hamko Kinaara Mil Gaya Hai Zindagi” is getting viral on social media.

Her life and sudden untimely death is being discussed on social media with few facts about life and they are –

Things that Sridevi’s teaches us:

• Life is unpredictable

• Life is too short for egos in relationships

• Make the most of your time, say what you want to or you may never get to

• Nobody should be taken for granted

• Strongest women have the weakest hearts

Here is also a twitter political controversy after her death. Actually official twitter account of INC Congress expressed condolence mentioning Padma Shri Award by UPA govt in 2013. Soon many twitterati targeted this post for making her death political.

And finally tweet was edited as bellow

We regret to hear about the passing away of Sridevi. An actor par excellence. A legend who will continue to live in our hearts through her stellar body of work. Our deepest condolences to her loved ones.

Link to edited tweet

Also the question has been raised on cosmetic industry and Patriarchal society (Men led society) in following manner on social media –

Her implants, weight loss and excess doses of Botox shots regularly could also be the cause of Cardiac arrest.

Piyali Ganguly’s Comments on Sri Devi’s sad demise; Very interesting!!

while we are all mourning the untimely demise of Sridevi, it is important to remember why this may have happened to her. society demanded that she stay slimmer/look younger than a 40 year old, 50 year old and plus 50 woman needs to be–hence, the continuous surgeries. when i met her about 5 years ago, she was beautiful but a sad version of that self that we loved so much in a movie like Chandni. What a lot of pressure to keep her weight down, to make sure that her face had no wrinkle lines….continuous clinic visits in Southern California. as a friend of mine, Dipanwita Basu wrote this morning…do we need a #metoo movement in fashion, #notsize0? Milan has already implemented this but these patriarchical implants were in her head — the husband, who claimed to love her so much should have intervened, did he love the way she looked as his arm candy more than he loved her? She herself did not trust in her own beauty — she was a clothes horse for whoever would care to dress her. What i conclude is she had such a lack of love for oneself and such a lack of self esteem that her own lips didn’t suffice, her own face was not good enough, her flesh and blood had to be sucked out of her so that she could wear the best of couture. that is the sadness of a life that could have been lived so much better not just for her but for her daughters. what a terrible legacy for her girls.

And few creativities for Sridevi by her unknown fans and followers-

आज आसमान में चाँद होगा ही नहीं

भोर ने ख़बर ये दी, चाँदनी रही नहीं

And another one with her movie names in between-

*चांदनी* थी आप फिल्मी दुनिया की

लगा बडा *सदमा* सुन ख़बर मौत की

*चाल बाज़* है ये ज़िन्दगी

*नागिन* बन आप को डस गई ।

*कलाकार* आप जैसी कहाँ

*तोहफा* ये गम का देदिया

*कर्मा* की करामात है ये

न भूल पायेगा पूरा *(Mr) इंडिया*।

आप की अदाकारी *सोने पे सुहागा* थी

*शेरनी* बन आप पर्दे पर छाई थी

मगर *वक़्त की आवाज़* बड़ी दर्दनाक है

क्योंकि भगवान ही सब से बड़ा *गुरु* है।

इस बात का *खुदा गवाह* है

*लम्हे* ये बड़े याद आएंगे

आसमान से गिरा था एक *नगिना*

*रूप की रानी* बनकर

चुरा लिया वक़्त ने *चोरों का राजा* बन कर।

*जुदाई* आप की बड़ी रुलायेगी

यादें बन कर *आर्मी* परिवार को संभालेगी

मगर एक बात *इंग्लिश-विंग्लिश* में कहु

फिलमी दुनिया की *mom*

तेरी याद हमेशा बॉलीवुड को आएगी।

And another one

फूलों से सजी फिर भी अच्छी नहीं लगती

मौसम-ए-बहार में अर्थी अच्छी नहीं लगती

रहने को सदा यहाँ आता कौन है फिर भी

ये बेवक़्त की रुख़सती अच्छी नहीं लगती

ये क्या हुआ सदमे में है सुबह से हर शख़्स

ऐसे हो ज़िक्र-ए-चाँदनी अच्छी नहीं लगती

Hair Transplant- Who should do?

Well this is a topic very less discussed openly, but this a fight among various streams of doctors who claim that hair transplant should be done by some specific specialties of medicine.

Here I am to present the current scenario worldwide and current law status in India, so as to understand the controversial debate. While general allopathy question eligibility of doctors practicing dentistry (BDS, MDS etc), at the same time Dermatologist and Plastic Surgeons questions the eligibility of other allopathy streams like MBBS, ENT Surgeons, General Surgeons, Opthalmologist, Maxillofacial Surgeons, Anaesthesiologists, Orthopedicians, Gynaecologists etc.

Actually there is no official form of certification for hair transplant in most parts of world including USA, so any doctor who is MBBS or equivalent should be eligible to perform hair transplantation surgery with training under a good hair transplant surgeon. In most of the countries including India there are no specific law or MCI, or DCI guidelines so as to lay down eligibility criteria for hair restoration and even lasers and other cosmetic procedures like Botox, Fillers etc. As per a talk in Facethetics 2017 by a senior doctor who is practicing law, as per then rules and laws, dental specialist whether BDS or MDS can perform hair transplant surgery, provided he / she has undergone some kind of hair transplant training before practicing hair transplantation. In fact there is no law yet in India which stops dental specialist to perform hair restoration surgery. When we talk about alternative medicine doctors like homeopathy or ayurveda or unani, then its clear that they are clearly not eligible to do hair transplantation surgery.

When it comes to plastic surgeons, then there is no question regarding eligibility for hair transplantation. But when it comes to dermatologist, many other specialty doctors question, how can they perform hair restoration surgery when they are just physician and not surgeon.

So the Hair Transplantation eligibility is full of controversy and as per my understandings following things are to be considered before deciding eligibility for hair transplantation –

1. Hair Transplantation is a minor and office procedure with good outcome –

No doubt here as many books on hair restoration have mentioned very clearly that hair transplant is minor or office procedure. Hair restoration surgery (HRS) is a very promising and sought after aesthetic procedure with very few complications. Thorough preoperative evaluation, skillful surgical techniques, good communication and postoperative follow-up go a long way in giving satisfactory outcome with fewer complications in HRS.

List of Complications – Click here

Link

Link

2. Hair Transplant is done under Local / Regional Anaesthesia

Hair transplant is done under local / regional anaesthesia and thus this part should be very safe with medical specialties in which local and regional anaesthesia is a routine practice like Anaesthesiologists, Plastic Surgeons, ENT Surgeons, Ophthalmologists, Dental Surgeons, General Surgeons etc.

3. Blood loss in Hair Transplantation

Surgeries can be categorized according to blood loss as bellow –

• Minimal tissue trauma : 2-4 cc/kg/hr
• Moderate tissue trauma : 4-6 cc/kg/hr
• Severe tissue trauma : 6-8 cc/kg/hr

Being minimal invasive FUE hair transplant is with minimal tissue trauma and thus blood loss is minimal. Suppose a patient of 70 kg (mostly man in 20- 40 year age group) with 8 hours of transplant loose 1000 ml of blood volume then its just 1.78 ml/kg/hr of blood loss which is considered as very minimal and hemodynamics is usually maintained in this case very well. Also blood loss can be easily stopped with pressure against skull. One should always note history of delayed coagulation and Bleeding Time, Clotting Time and PT-INR should be routine before hair transplantation. Presence of Anaesthesiologist will increase safety perioperatively. Also incidence of blood loss in hair

4. Knowledge of anatomy and physiology

As per my knowledge anatomy and physiology of all body parts is a subject that is taught in first year of both MBBS and BDS. So as far as this part is concerned both general allopathy with MBBS or higher and Dentist with BDS or higher should have good understanding of anatomy and physiology. But yes they should refresh their knowledge and in fact update it related to procedure they are going to perform. Also proper training of procedure or surgery should be done prior to the treating patients.

5. Medicines Used in Hair Transplant

Very few medicines are used in Hair Transplant like Xylocaine with or without adreline, Bupivacaine, Antibiotic to prevent perioperative infection, and medicines like betadine, alcohol etc to provide aseptic environment. All doctors who have completed MBBS and BDS usually have knowledge about these basics of medical science.

Where as FUT is an invasive procedure and involvement of plastic surgeon or general surgeon should be preferred.