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Dr Shuba Dharmana
M.B.B.S, M.R.C.G.P, D.F.F.P, D.P.D ( U.K)
Dermatologist ,Hair Transplant Surgeon
Founder & Chief Evangelist
LeJeune group of Medspas
Facts & Figures
•India has the most promising market in Asia
•Personal care product market est at 4 bn dollars
•India was ranked fourth with 1.14 million surgical and non-surgical
cosmetic procedures in 2012
Cosmetic Surgeries
India 6.2%
Rest of the
world 93.8%
Facts & Figures
• The Indian market is 14 times larger than Thailand, known as
Asia’s plastic surgery hub
0
5
10
15
Thailand India
Cosmetic Market
Cosmetic Market
Facts & Figures
• In general, a plastic surgery procedure that will cost $20,000 in the U.S.
and $10,000 in Britain, will be $3,500 in Thailand and only $2,000 in India
0
5,000
10,000
15,000
20,000
25,000
Plastic Surgery cost in USD
Plastic Surgery
cost in USD
Facts & Figures
• A botox treatment that costs $500-$800 in the U.S. can cost $150-$250
in India
0
100
200
300
400
500
600
700
USA India
Average cost of Botox treatment in USD
Average cost of
Botox treatment
in USD
Facts & Figures
• 1,50,000 medical tourists in 2004, which further witnessed a growth of
33 per cent by 2008.
• Medical tourism estimated to increase to over half a million by 2015
1998
2000
2002
2004
2006
2008
2010
2012
2014
2016
1,50,000 2,00,000 5,00,000
Medical Tourists
Medical Tourists
Factors driving the Trend
• Increasing Dispensible incomes in middle class families
• Changing lifestyles
• Need to ‘look good, Feel good’
• Increase in ageing population
• Greater awareness & consciousness for cosmetic treatments
• The media’s role in propelling awareness
• Availability of information through channels
• Competition at work- The desire to be the best, to excel at work places
• Advances in medical technology
• Increase in acceptance of non-surgical treatments
• Cost-competitiveness in India
• Ayurveda and yoga as rehabilitative procedures post surgery
• Increase in number of Indian doctors participating abroad in conferences
SkCosmeceuticals
Cosmetic products with biologically active ingredients purporting to have
medical or drug-like benefits
Cosmeceuticals-improve skin tone, texture, pigmentation, fine lines, dull skin
Hydroxy acids
Antioxidants
Hormones
Botanicals
Peptides
Moisturizing agents
Vitamins- Vit A derivatives( retinol, tretinoin). Vit B3 ( niacinamide,
nicotinamide) Vit C,Vit E
Lightening agents-hydroquinone, retinoids, kojic acid, ascorbic acid.
Sunscreens- physical and chemical.
Non-Invasive Vs Invasive
•Little or no downtime
•Less Costly
•Safe
•Efficient
•Lunch-time procedures
•Not as taboo as plastic surgery.
•No need for anesthesia. Local numbing sufficient
Botox Injections
• Natural purified protein that relaxes muscles temporarily
• Popular, most common and fastest growing method of skin rejuvenation
• Major Indication: Forehead lines, crows feet, frown lines
• Bunny lines, drooping corners of mouth, jowls, smokers lines, masseter
correction, vertical neck bands, excessive sweating, peau d’ orange chin,
correction of gummy smile, facial assymetry.
• Face contours improved by Nefrtiti lift. Mesobotox. FDA approval- for
crows feet, underarm sweating, chronic migraine
Fillers
Dermal fillers contain Hyaluronic acid & are used to reduce folds & to volumise
Past- used to fill lines and folds
Upper face: frown lines, crows feet, eyebrow lift, tear trough filling, temporal
hollows
Mid face: Cheek contouring and augmentation, naso labial folds, reshaping of
nose
Lower face: Lift Jowls, jaw definition, chin augmentation, lip augmentation,
drooping corners of the mouth
Peels
Peels cause damage to the outer layers of the skin thereby inducing
controlled peeling.
Uses: hyper pigmentation, melasma, fine lines & wrinkles, acne, acne scars,
sun damage. Improvement in tone ,texture of skin & imparts healthy glow.
Promote product penetration
Superficial, medium depth and deep
Medi-Facials
Hydrafacial: Popular Liquid Skin polishing treatment with Cleansing,
exfoliation, extraction of blackheads and hydration
All skin types, sensitive skin, oily skin, skin prone to acne, blackheads,ageing.
Oxygen Infusion System: Infuses essential nutrients for healthier skin
Jet Peel System: Uses gas, oxygen or air to peel outer layer of skin
Scars, Stretch Marks Treatment
Fractional Laser: stimulates and helps lay down collagen that lifts scars with
minimal side effects and lesser downtime.
Dermaroller: Micro-medical skin-needling, a procedure that stimulates the
skin to regenerate and repair itself naturally and safely
Laser Hair Removal
Laser light absorbed by melanin in the hair shaft and is destroyed.
Permanent hair reduction in 6-8 sittings. Re growth is finer and lighter.
All areas of skin.
Suitable for dark skinned with little or no side effects.
Body Contouring
Ultra Lipo: uses deep focused ultrasonic waves to destroy fat cells and
tighten the skin. Multiple sittings ( 6-8) required. Helps reduce circumferential
girth in areas of localized fat. Overall 2 inches reduction or more can be
achieved.
Cool Sculpting: uses a patented system of subjecting the fat to freezing
temperatures which kills fat cells
Endermology, Radio frequency etc
Hair Transplantation
Follicular units are extracted individually by means of an FUE machine or
from a strip taken from the back of the head and are placed where they are
required
Better grafting methods, use of stereoscopic microscopes, video dissection,
sapphire needles, better techniques. Robotic Hair Transplantation
PRP Therapy
Platelet Rich Plasma is extracted from person’s own blood
Injected or applied after causing wounding of the scalp
Non-surgical
Promotes hair growth and thickens thinning hair
Use of Electricity as a Technology in Cosmetic
Medicine
• Remove growth, stop bleeding, improve muscle tone
• Skin Tightening: Neck sagging, jowl and cheek contour, eyelid
and brow drooping can be improved
• Skin lifting with fractionated RF technology
• Electroporation- enhances skin penetration of skin nutrients and
growth factors through high voltage
• Cosmeceuticals- bioelectricity being introduced to alter cellular
activity of skin
Use in ageing skin is promising. Low bioelectricity, poor wound
healing and low production of collagen
New fields of Technology and Research
• Stem cell technology- use in facial rejuvenation
• Fat Grafting- as an alternative to filler to volumize
• Nano structure delivery systems in cosmeceuticals- controlled and timed
release
• Sunscreens in daily wear products and higher SPF
• Peptides and Growth factors in cosmeceuticals to induce collagen
• Fractionated laser energy-targets small percentage of skin improving
damaged area causing lesser downtime
• Vascular lasers- Pulsed dye lasers- treats visible broken blood vessels
without bruising the skin
• Lasers for skin tightening
• Lasers that target oil glands to reduce acne more efficiently
• Tattoo removal- Q-switched nd:yag, Q-switched ruby, Q-switched
Alexandrite
• IPL- improves pigmentation and vascularity, collagenesis
• Infra red- Q switched Nd:yag, nd:yag,erbium:glass.Improvement in lines
Thank you...

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Dr Shuba Dharmana's Guide to Cosmetic Medicine in India

  • 1. Dr Shuba Dharmana M.B.B.S, M.R.C.G.P, D.F.F.P, D.P.D ( U.K) Dermatologist ,Hair Transplant Surgeon Founder & Chief Evangelist LeJeune group of Medspas
  • 2. Facts & Figures •India has the most promising market in Asia •Personal care product market est at 4 bn dollars •India was ranked fourth with 1.14 million surgical and non-surgical cosmetic procedures in 2012 Cosmetic Surgeries India 6.2% Rest of the world 93.8%
  • 3. Facts & Figures • The Indian market is 14 times larger than Thailand, known as Asia’s plastic surgery hub 0 5 10 15 Thailand India Cosmetic Market Cosmetic Market
  • 4. Facts & Figures • In general, a plastic surgery procedure that will cost $20,000 in the U.S. and $10,000 in Britain, will be $3,500 in Thailand and only $2,000 in India 0 5,000 10,000 15,000 20,000 25,000 Plastic Surgery cost in USD Plastic Surgery cost in USD
  • 5. Facts & Figures • A botox treatment that costs $500-$800 in the U.S. can cost $150-$250 in India 0 100 200 300 400 500 600 700 USA India Average cost of Botox treatment in USD Average cost of Botox treatment in USD
  • 6. Facts & Figures • 1,50,000 medical tourists in 2004, which further witnessed a growth of 33 per cent by 2008. • Medical tourism estimated to increase to over half a million by 2015 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 1,50,000 2,00,000 5,00,000 Medical Tourists Medical Tourists
  • 7. Factors driving the Trend • Increasing Dispensible incomes in middle class families • Changing lifestyles • Need to ‘look good, Feel good’ • Increase in ageing population • Greater awareness & consciousness for cosmetic treatments • The media’s role in propelling awareness • Availability of information through channels • Competition at work- The desire to be the best, to excel at work places • Advances in medical technology • Increase in acceptance of non-surgical treatments • Cost-competitiveness in India • Ayurveda and yoga as rehabilitative procedures post surgery • Increase in number of Indian doctors participating abroad in conferences
  • 8. SkCosmeceuticals Cosmetic products with biologically active ingredients purporting to have medical or drug-like benefits Cosmeceuticals-improve skin tone, texture, pigmentation, fine lines, dull skin Hydroxy acids Antioxidants Hormones Botanicals Peptides Moisturizing agents Vitamins- Vit A derivatives( retinol, tretinoin). Vit B3 ( niacinamide, nicotinamide) Vit C,Vit E Lightening agents-hydroquinone, retinoids, kojic acid, ascorbic acid. Sunscreens- physical and chemical.
  • 9. Non-Invasive Vs Invasive •Little or no downtime •Less Costly •Safe •Efficient •Lunch-time procedures •Not as taboo as plastic surgery. •No need for anesthesia. Local numbing sufficient
  • 10. Botox Injections • Natural purified protein that relaxes muscles temporarily • Popular, most common and fastest growing method of skin rejuvenation • Major Indication: Forehead lines, crows feet, frown lines • Bunny lines, drooping corners of mouth, jowls, smokers lines, masseter correction, vertical neck bands, excessive sweating, peau d’ orange chin, correction of gummy smile, facial assymetry. • Face contours improved by Nefrtiti lift. Mesobotox. FDA approval- for crows feet, underarm sweating, chronic migraine
  • 11. Fillers Dermal fillers contain Hyaluronic acid & are used to reduce folds & to volumise Past- used to fill lines and folds Upper face: frown lines, crows feet, eyebrow lift, tear trough filling, temporal hollows Mid face: Cheek contouring and augmentation, naso labial folds, reshaping of nose Lower face: Lift Jowls, jaw definition, chin augmentation, lip augmentation, drooping corners of the mouth
  • 12. Peels Peels cause damage to the outer layers of the skin thereby inducing controlled peeling. Uses: hyper pigmentation, melasma, fine lines & wrinkles, acne, acne scars, sun damage. Improvement in tone ,texture of skin & imparts healthy glow. Promote product penetration Superficial, medium depth and deep
  • 13. Medi-Facials Hydrafacial: Popular Liquid Skin polishing treatment with Cleansing, exfoliation, extraction of blackheads and hydration All skin types, sensitive skin, oily skin, skin prone to acne, blackheads,ageing. Oxygen Infusion System: Infuses essential nutrients for healthier skin Jet Peel System: Uses gas, oxygen or air to peel outer layer of skin
  • 14. Scars, Stretch Marks Treatment Fractional Laser: stimulates and helps lay down collagen that lifts scars with minimal side effects and lesser downtime. Dermaroller: Micro-medical skin-needling, a procedure that stimulates the skin to regenerate and repair itself naturally and safely
  • 15. Laser Hair Removal Laser light absorbed by melanin in the hair shaft and is destroyed. Permanent hair reduction in 6-8 sittings. Re growth is finer and lighter. All areas of skin. Suitable for dark skinned with little or no side effects.
  • 16. Body Contouring Ultra Lipo: uses deep focused ultrasonic waves to destroy fat cells and tighten the skin. Multiple sittings ( 6-8) required. Helps reduce circumferential girth in areas of localized fat. Overall 2 inches reduction or more can be achieved. Cool Sculpting: uses a patented system of subjecting the fat to freezing temperatures which kills fat cells Endermology, Radio frequency etc
  • 17. Hair Transplantation Follicular units are extracted individually by means of an FUE machine or from a strip taken from the back of the head and are placed where they are required Better grafting methods, use of stereoscopic microscopes, video dissection, sapphire needles, better techniques. Robotic Hair Transplantation
  • 18. PRP Therapy Platelet Rich Plasma is extracted from person’s own blood Injected or applied after causing wounding of the scalp Non-surgical Promotes hair growth and thickens thinning hair
  • 19. Use of Electricity as a Technology in Cosmetic Medicine • Remove growth, stop bleeding, improve muscle tone • Skin Tightening: Neck sagging, jowl and cheek contour, eyelid and brow drooping can be improved • Skin lifting with fractionated RF technology • Electroporation- enhances skin penetration of skin nutrients and growth factors through high voltage • Cosmeceuticals- bioelectricity being introduced to alter cellular activity of skin Use in ageing skin is promising. Low bioelectricity, poor wound healing and low production of collagen
  • 20. New fields of Technology and Research • Stem cell technology- use in facial rejuvenation • Fat Grafting- as an alternative to filler to volumize • Nano structure delivery systems in cosmeceuticals- controlled and timed release • Sunscreens in daily wear products and higher SPF • Peptides and Growth factors in cosmeceuticals to induce collagen • Fractionated laser energy-targets small percentage of skin improving damaged area causing lesser downtime • Vascular lasers- Pulsed dye lasers- treats visible broken blood vessels without bruising the skin • Lasers for skin tightening • Lasers that target oil glands to reduce acne more efficiently • Tattoo removal- Q-switched nd:yag, Q-switched ruby, Q-switched Alexandrite • IPL- improves pigmentation and vascularity, collagenesis • Infra red- Q switched Nd:yag, nd:yag,erbium:glass.Improvement in lines