Most frequent questions and answers
I am Dr Mohammad Khurshid Basra. I am a dermatologist and dermatosurgeon. I am mainly based in the UK and work in the National Health Service of England currently working at a hospital in Surrey. I am also a visiting consultant in my Lahore based dermatology and cosmetic and laser surgery clinic based at the DHA sector 1. We started this clinic back in April last year which I believe is the first facility of its type dedicated to the treatment of scars.
A. As I indicated above, my area of special interest is the treatment of scars and keloids such as scars resulting from injuries like burns, surgery and acne. In addition to scar treatment, we get a lot of patients for treatment of pigmentation, acne, hair loss, oily skin and large pores as well as laser hair removal, cosmetic treatments for skin rejuvenation and anti ageing procedures such as fillers, HIFU, PRP, micro-needling and removal of lumps and bumps. We also offer treatment for general and complex skin diseases. We have a state of the arts medical spa in which we offer a whole range of medical facials using only imported high standard skin care products as well as other services like hydrafacial and microdermaabrasion carried out under the direct supervision of qualified doctors and highly trained beauty therapists.
A. Scar revision is my main expertise and the way I treat scars is through a multimodal treatment approach which means I make use of different treatment modalities at the same time or in steps to achieve the desired treatment outcome for scar improvement. Although ablative fractional laser is our work horse for scar treatment, we also use medical therapies,plastic surgery, subcision, PRP, cryosurgery, fillers, compression, induction of repigmentation, contracture release, micro-needling, injection of chemotherapeutic substances and some other methods as part of our multimodal treatment for scars.
Yes I agree, we have a lot of very anxious patients who are concerned and rightly distressed by their hair loss and we know that more than 30% of the population suffers from alopecia or hair loss. Three main causes include androgenic alopecia, alopecia areata and teleogen effluvium. Seasonal variation, nutritional factors, ageing, hormonal imbalances, inflammatory disorders of scalp, autoimmune hair disorders and psychological factors are also implicated. I would particularly like to highlight telogen effluvium which I believe is the main reason of hair thinning in women of all ages presenting to a dermatologist and this can result from iron deficiency, thyroid disorders, childbirth, surgery, chronic diseases, dietary changes, high fever and stress. The treatment of course depends on the underlying cause and needs comprehensive assessment and detailed history taking sometimes with investigations like scalp biopsy and blood tests. Treatments that we offer in our clinic include topical and injected steroids, hormone rebalancing, vitamins and nutritional supplements, topical vasodilators, 5-alpha-reductase inhibitors, anti-fungal and anti-parasitic medication.We also sometimes use PRP (platelet rich plasma) especially for female and male pattern hair loss (androgenetic alopecia). Unfortunately we are currently not offering hair transplantation in our clinic but can refer to well qualified and trained hair restoration surgeons.
There are two types of ageing processes: intrinsic and extrinsic ageing. Intrinsic or chronological ageing affects the skin of the entire body, including sun-protected sites whereas Extrinsic ageing can be considered premature ageing and is induced by sun or chronic ultraviolet (UV) radiation exposure, and quite importantly by smoking. In the context of intrinsic ageing, menopause in women is the prime example in which signs of ageing begin at around 50–60 years of age which is attributed to a decrease in the protective effects of oestrogen during menopause. The role of nutrition in relation to extrinsic ageing cannot be over-emphasised. Fruits, vegetables, legumes, herbs, and teas contain antioxidative compounds. Vitamin C and increased linoleic acid intake are known to decrease wrinkling, skin thinning and dryness. On the other hand, a higher fat and carbohydrate intake has been associated with an increased risk of wrinkles and skin thinning.Intrinsically aged skin appears dry and pale, smooth, thin, transparent, and unblemished.It has fine wrinkles and sagging or laxity may occur with body movement, due to loss of elasticity. Extrinsic ageing, such as photoageing affects habitually exposed areas of the body, such as face, neck, and arms and its features include roughness, deep wrinkles,dyspigmentation, easy bruising and sallowness.I have a very holistic approach to treat skin ageing and advise my patients to take care of all components of ageing skin and not just cosmetic cover up with fillers. For example, moisturisers will help improve dry and flaky skin, vitamin C, a lpha hydroxy acids,retinoid creams applied regularly long term reduce fine wrinkles and dryness and even out pigmentation. Use of sun block creams will prevent further sun damage, drinking plenty of water and fluids will improve general hydration status of skin. As for specific facial rejuvenation, the procedures that we offer include: fillers like hyaluronic acid, injections to reduce frowning and lessen deep furrows; resurfacing procedures for example eg, micro-needling, micro- dermabrasion , chemical peels, and laser resurfacing. We also use the lastest 3D HIFU for non-surgical skin tightening and face lifting including jowls and double chin treatment.
Although not much can be done to prevent intrinsic or biological ageing, I would say
protection from sun’s UV rays is essential at all ages to prvent extrinsic or photo ageing and
this should start at a very early age like young children. There are several steps that can be
taken to minimise or avoid UV exposure.
Be aware of daily UV index levels and avoid outdoor activities during the middle of
the day especially between 10 am and 4 pm.
Wear sun-protective clothing such as a broad-brimmed hat, long sleeves.
Apply very high sun-protection factor (SPF > 50), broad-spectrum sunscreens to exposed skin and this should be repeated every two hours if
one stays outside in the sun
Avoid smoking and including vaping, and where possible, avoid exposure to
Drink plenty of water and fluids like fresh juices and green tea
Take plenty of exercise — active people appear younger than inactive people.
Eat fresh fruit and vegetables daily.
Oral supplements with antioxidant and anti-inflammatory properties can retard skin
ageing and improve skin health including omega-3 fatty acids, aloe vera carotenoids,
polyphenols, chlorophyl, vitamins B, C, and E and red ginseng.
We provide medical services for the treatment of all kinds of acute and chronic skin diseases as well as cosmetic laser and non-laser treatments such as laser hair removal, treatment of melasma, hair and nail disorders. However, our main specialty is the treatment of all kind of complex scars and keloids like acne scars, burn scars, trauma and surgical scars.
The charges for treatment of acne scars and generally for any scar depend on the nature and extent of scarring and whether one method of treatment will be used or multiple treatment modalities will be utilised to get optimal results.
Consultation for scar treatment and in fact for any procedure is completely FREE. You will only be charged for any procedure that will be carried out.
Yes we specialise in the management of all kinds of scars and in particular post burn scars. We use a multimodal treatment approach to achieve optimal treatment outcomes.