Dr. Debraj Shome

Compare hair transplant surgery and non-surgical hair restoration. Learn the differences, benefits, recovery, and how to choose the right treatment.

Read More:

Eventually, there will be that moment in life where you find yourself staring at your reflection in the bathroom mirror, where the lighting is perfect or perhaps even imperfect, and you find yourself tilting your head, pulling back from your jaw, and wondering if this is the very thing that people see when they look at you. It could have been caused by giving birth, or maybe it has been something that’s bothered you since you were just sixteen. Either way, discussions concerning cosmetic surgery have certainly shifted.

But let’s be honest. The internet is a messy place for this kind of research. You are usually stuck between filtered “before and after” photos on Instagram that look too good to be true, or dry medical journals that make the whole thing feel terrifying. If you are actually thinking about doing this, you don’t need a sales pitch. You need a roadmap that talks about the artistry, the rough recovery days, and the actual risks involved.

The Shift Toward “The Refreshed Look”

For many years, the end result of the aesthetic process was “obvious perfection.” The 90s and the beginning of the 2000s come to mind: the frozen forehead and skin that seems too taut for one’s face. Fortunately, this trend belongs to the past. According to Dr. Debraj Shome and other experts, the key element of modern aesthetic surgeries is the “refreshed” appearance.

It does not require an individual to transform into an entirely new person with a completely changed appearance. Rather, patients should feel that their faces have become perfect due to their best six months of sleep ever. Therefore, there is a big shift from “reconstruction” towards “enhancement” nowadays. It implies that physicians performing such operations should combine knowledge of medicine with sculpting skills. Namely, they should be able to imagine the facial expression of patients during laughing, not just when they lie down on an examination bed.

Breast Implant Reality: It’s Not a “One Size Fits All” World

Body Contouring is the most frequent inquiry in our practice. Breast implants constitute a huge proportion of this market. But the discourse surrounding breast augmentation surgery has done a total 180 since the turn of the millennium.

It’s about the frame, not just the volume

In the past, the whole conversation was about size. How big? How much volume? Today, the focus has shifted to proportion and symmetry. Most patients looking into breast implants are trying to get back something they feel they lost—whether that’s from weight loss, nursing, or just aging.

The options now are actually a bit overwhelming if you aren’t prepared. You have “Gummy Bear” implants, which are form-stable silicone that won’t leak or lose shape even if the shell gets a nick. Then you have the debate between teardrop shapes for a natural slope or round ones for a bit more “oomph” at the top. Even where the implant goes—above or below the muscle—is a decision that changes based on how much natural tissue you have and how often you hit the gym.

The Lifestyle Fit

This is where the memory fails. If you are discussing cosmetic surgery with a surgeon, you must discuss your life. Are you an avid marathon runner? Are you constantly lifting heavy things? Your lifestyle impacts the type of breast implants that will suit you. You must consider the effects of your lifestyle on your implant selection. You want something that looks great at the beach, but also moves naturally with you when you’re living your life. It is this attention to detail that makes the difference between something that looks “done” and something that is “natural.”

Face and Body: More Than Just the Scalpel

While breast implants get a lot of the spotlight, facial work is where the technical skill really shows.

Rhinoplasty: Most people call it a nose job, but it is easily one of the hardest surgeries to get right. It is a game of millimeters. The best nose jobs are the ones where you can’t tell anything happened—the face just looks more balanced, and the eyes suddenly pop more.

Facelifts: We’ve moved past the “wind-tunnel” look. Modern facelifts focus on the SMAS layer—that is the muscle underneath the skin. By tightening the foundation rather than just pulling the surface, you get a result that actually lasts and looks human.

Lipo and Tummy Tucks: A lot of people think of these as weight-loss shortcuts. They aren’t. In practice, these are “finishing” tools. They are for those stubborn spots that even the cleanest diet and the most intense Pilates classes won’t touch.

The Stuff No One Tells You: Risks and the “Post-Op Blues”

We have to talk about the risks. If a surgeon says there aren’t any, you should probably leave that office. Any time you go under anesthesia, it is a big deal. According to the Cleveland Clinic, you are looking at standard risks like hematomas, infection, or scarring. Those are the medical facts.

But then there’s the human side: the recovery.

The First Week

Your post-surgery recovery period is not a beautiful sight. You’ll be swollen, you’ll be bruised, and let’s face it, you may even have a little buyer’s remorse. There is a very real phenomenon known as the “post-op blues.” Your body is going through inflammation, and your mind is trying to come to grips with the new appearance you see staring back at you in the mirror.

The Patience Factor

Healing isn’t a straight line. If you get breast implants, it can take months for them to “drop and fluff” into their final shape. If you get a nose job, minor swelling can hang around for a year. You have to be okay with the “in-between” phase. Patience is basically the most important part of the whole process.

How to Actually Pick a Surgeon

This is where you have to do your homework. You are trusting someone with your face or your body—that’s a huge deal.

Listen for the word “No”: A good surgeon will tell you if you don’t need something. If they are trying to sell you on three extra procedures during your first visit, that is a red flag.

Look past the filters: When you look at their “before and after” gallery, look for people who look like you. If you are 50 and all you see are 22-year-olds, that surgeon might not have the experience you need for your specific skin type.

The Credentials: This should go without saying, but make sure they are board-certified and operating in a real, accredited hospital or surgical center.

It’s Your Choice

At the end of the day, cosmetic surgery is about agency. We live in a time where we don’t just have to “deal with” things that make us feel self-conscious. Whether it is getting breast implants to feel more confident in your clothes or smoothing out some lines that make you look tired when you aren’t, the decision is yours.

Discover whether hair transplant works for alopecia areata. Learn why it’s not the first-line treatment, when it may be considered, and the best medical options for stable hair regrowth.

Key Takeaways

The Reality: It is an immune system issue. It is not about bad hygiene.

Contagion: It is totally non-contagious. You cannot spread it.

Triggers: Stress, sickness, and dry weather are major factors.

The Goal: We aim for clear skin. We cannot change your genes. But we can make the symptoms fade away with good care.

Living with a chronic skin condition is hard. It goes way beyond what you see in the mirror. It is the crazy itch that wakes you up at night. You might find yourself constantly checking your shoulders for white flakes. Or maybe you decide to wear long sleeves on a really hot day.

When you have the condition of psoriasis on your skin, you know that feeling very well. However, you must understand one thing now. This isn’t your fault at all. You cannot infect anyone with this either, nor can anyone infect you.

The reality about psoriasis is that it is an ongoing and autoimmune condition. All that means is that your body has just been mixed up a little with its own warning signals. The challenge with finding psoriasis treatment in India becomes clear then.

Exactly What is Psoriasis?

Think of your skin as a factory. In an individual who is not sick, the body requires one month to create new cells of the skin while eliminating the old cells.

There is a glitch in your immune system. So your body makes new cells in just a few days. The old cells do not have time to fall off. They just pile up on the surface. This creates those thick, red, scaly patches that feel so uncomfortable.

What Types of Psoriasis are there?

The look of psoriasis is unique depending on who you are. Psoriasis has many common types, and this will be what you see.

Plaque Psoriasis: This is the most common form of psoriasis. It has red and elevated skin patches that are mostly scaly.

Guttate Psoriasis: This typically occurs due to infection and is characterized by small red dots on the skin.

Inverse Psoriasis: This is a type of psoriasis that appears in the body creases and has red and smooth skin patches.

Pustular and Erythrodermic Psoriasis: These are rare forms of psoriasis, whereby pustular psoriasis has pus-filled blisters and erythrodermic psoriasis has widespread rash.

However, there are certain exceptions that one needs to consider when handling patients suffering from psoriasis. In case of facial psoriasis, for instance, treatment is supposed to be gentle because the skin in this region is very delicate. Treatment of scalp psoriasis is also quite difficult.

What Are the Symptoms of Psoriasis

The psoriasis’s initial symptoms can look a lot like regular dry skin. But they act quite differently. Look out for these common psoriasis signs and symptoms:

Red patches that feel hot or tight.

Silvery scales that might bleed a little if you scratch them.

Nails that look crumbly or have small pits.

A deep itch that regular lotion does not fix.

Stiffness in joints.

These symptoms indicate your body needs help.

Causes, Triggers and Prevention of Psoriasis

Causes

This usually comes down to your DNA and your immune system. If psoriasis runs in your family, you have a higher chance of getting it. Your white blood cells just get a bit too active.

Triggers

Flare-ups do not just happen out of nowhere. They usually have a specific trigger.

Stress: High stress can lead to a flare-up of psoriasis.

Weather Conditions: Cold and dry weather causes dehydration in the skin.

Skin Injury: Any injury caused by an external source can lead to a psoriasis outbreak.

Illness: Whenever a person gets ill due to infections, their body fights the infection, and this leads to psoriasis.

Medications and Lifestyle Choices: This includes smoking and alcohol abuse.

Prevention and Precautions

The sole way of preventing psoriasis is by keeping healthy skin. There are some precautions that will assist you to prevent yourself from psoriasis successfully. The first one is that you should always bath in lukewarm water and should not bathe in hot water. The second thing that you must do is to apply adequate moisturizer on your skin after you bath. The final step is trying to engage in relaxing activities to reduce stress.

Psoriasis Treatment: How to Get Rid of Psoriasis

All people have this query whether they can get rid of psoriasis totally. The real medical answer is, unfortunately, negative. There is still no way to completely cure psoriasis. However, the advances of medicine have made the treatment of psoriasis quite an effective process. The results will leave you speechless!

1. Mild Treatment

We usually start with simple skin treatments. Corticosteroid creams and heavy moisturizers help slow down the cell growth and stop the itch.

2. Moderate to Severe Treatment

If the patches are all over, we look at stronger options.

Phototherapy: This uses special light rays to calm the skin down safely.

Oral Medications: Pills that help quiet your overactive immune system.

Biologics: These are highly targeted injections. They go straight to the root of the inflammation and work very well.

3. Scalp Psoriasis Treatment

Treating the head is tricky because hair gets in the way. Good scalp psoriasis treatment includes special medicated shampoos. We also use liquid treatments that will not make your hair greasy.

Finding the best psoriasis treatment in India takes time and expert care. At The Esthetic Clinics, we provide personalized dermatology support. Under the guidance of Dr Debraj Shome, we look at your whole lifestyle. We create a medical plan that fits you perfectly.

Time to Seek Professional Help

It does not necessarily mean that one should just suffer from the symptoms. In case of skin bleeding or cracking, professional assistance is required. One should consult a doctor in case the itchiness keeps one awake during nighttime. Additionally, joint pain is a serious symptom that one should not ignore.

Timely Treatment Avoids Permanent Damage to Skin. Feel free to contact us for expert guidance.

Conclusion

Having psoriasis is difficult and sometimes even challenging. However, it is possible to avoid negative consequences. All one needs is some patience and a good dermatologist. We will make sure that you get rid of psoriasis and enjoy healthy skin.

Discover cryolipolysis treatment, how fat freezing works, its benefits, side effects, and cost in India with expert insights by Dr. Debraj Shome.

Dr Debraj Shome is a renowned cosmetic and reconstructive surgeon in India, known for delivering world-class facial plastic, aesthetic, and corrective surgeries. With expertise in advanced cosmetic procedures, facial reconstruction, and innovative techniques, he has transformed countless lives with natural-looking results. Recognized as one of the best facial plastic surgeons in India, Dr Shome combines precision, experience, and cutting-edge technology to provide personalized treatments across cosmetic and reconstructive surgery.

Gravity has a remarkable amount of patience. It doesn’t dramatically announce its arrival by dropping your jawline overnight. Instead, it works in silent, microscopic increments. A fraction of a millimeter here. A nearly invisible loss of volume there. For years, you don’t even notice it happening. Then one random Tuesday morning, you catch your reflection in the harsh lighting of a fitting room mirror and realize the architecture of your face has quietly shifted.

The immediate human instinct is to panic-buy whatever heavy-duty cream the internet algorithm pushes at you. We all want an easy fix. But topical solutions have a hard biological ceiling. They sit on the surface. When you are dealing with structural deflation and cellular slowdown, you need to elevate your strategy from cosmetic skincare to a clinical anti-aging treatment.

Aesthetic space in today’s world has shifted significantly in the past ten years. The pursuit of artificial and unnatural aesthetics that characterized the beginning of this millennium has been replaced by the advanced contemporary clinical setting where subtle management of skin texture and structure is valued above all else.

Architecture Over Augmentation

To understand modern facial management, you have to look below the surface level. Aging isn’t just about the sudden appearance of fine lines. It is a fundamental change in your facial foundation. As decades pass, we actually lose bone density in our facial skeleton. Simultaneously, the fat pads that keep a young face looking plump and lifted begin to atrophy and slide south.

Think of it as a house with a settling foundation. You wouldn’t try to fix a sinking structural wall with a fresh coat of premium paint.

Advanced dermal fillers act as the structural engineers in this scenario. Using premium hyaluronic acid, specialists don’t just randomly fill wrinkles. They conduct a thorough facial evaluation and strategically place micro-droplets deep against the bone. This specific protocol creates tiny pillars of support, quietly lifting the overlying tissue back into its original position. It is purely volume management. When coordinated with neuromodulators to temporarily relax the muscles pulling your features downward, the result is a face that simply looks incredibly well-rested.

Forcing Cellular Accountability

The issue with the volume will require enormous effort; however, it is also necessary to tighten the skin. It seems that sometime between twenty-eight and thirty years of age, the natural process of collagen synthesis in the body effectively takes a long holiday.

To address this deficit, aesthetic doctors utilize collagen biostimulators. This isn’t a temporary plumping agent. It is a long-term anti-aging treatment designed to provoke a biological response. By introducing biocompatible materials deep into the dermis, the clinical protocol tricks your dormant cells into waking up. It forces them to start manufacturing fresh, high-quality collagen again.

This is a slow-burn process. It requires patience. But over several months, the skin visibly thickens and regains its mechanical bounce. Many top-tier clinics now integrate Korea Patented technologies into these biostimulation protocols, utilizing them as a globally recognized stamp of premium manufacturing and clinical safety. It drastically elevates the entire management process.

Surface Rectification Protocols

You can rebuild the foundation and stimulate the collagen, but if the outer canvas is severely sun-damaged or hyperpigmented, the overall aesthetic falls flat. Surface texture matters immensely.

Advanced fractional laser resurfacing handles this specific evaluation. Modern lasers bypass the archaic, aggressive downtime of the past. Instead, they create microscopic thermal columns in the skin. Your body immediately rushes to repair these isolated zones, rapidly shedding the damaged, pigmented outer layers to reveal fresh tissue underneath. It acts as a highly controlled reset for enlarged pores, uneven texture, and stubborn environmental damage.

Alongside lasers, regenerative protocols like Platelet-Rich Plasma (PRP) have become a clinical staple. By isolating the growth factors from your own blood and reintroducing them to the facial tissue, you are using your body’s own biological blueprint for cellular repair.

Navigating the Urban Skin Crisis

Aesthetic management cannot be divorced from context. The region where you practice will determine how the skin ages on the patients who visit you. In a bustling business district, the skin is under attack on all fronts every day. The constant humidity levels, pollution in the air, and stressful atmosphere lead to rapid cell breakdown.

In such a scenario, your strategy must be highly localized. Discovering the Best anti ageing treatment in Mumbai demands knowledge that the skin types found there have a high incidence of post-inflammatory hyperpigmentation. It would be disastrous to use a universal European laser setting on this skin in this environment.

And this is precisely why such dedicated and expert clinics are so necessary. Clinics such as The Esthetic Clinics, run by the likes of  Dr. Debraj Shome, do not follow generic protocols. Instead, they emphasize rigorous clinical evaluation. They examine your unique bone structure, your melanin content, and the actual stressors you encounter in your environment prior to designing any protocol.

The Best anti-aging treatment in Mumbai is always a carefully crafted management protocol that can withstand the tumultuous effects of living in the city.

Ultimately, aging is a completely personal process. There is no need for you to look as youthful as twenty-two years old, but there should be no trace left of your struggles with the elements of your environment either. Abandon the cosmetic treatments and opt for a more thorough clinical examination and the proper protocols for your bone structure.