Skin treatment in Indore — medical, not cosmetic

Scar type determines treatment, and most patients have more than one type. Ice-pick scars need TCA CROSS or punch techniques; boxcar and rolling scars respond to microneedling, MNRF and subcision; post-inflammatory marks are pigment, not scarring, and clear with peels and topical therapy. Active acne is controlled first — resurfacing skin that is still breaking out produces new scars. A realistic course runs four to six sessions with gradual, cumulative improvement.

• Scar-type matched
• 4–6 sessions
• Microneedling · peels · laser
• Active acne first

Dark patches have several distinct causes: sun-induced tanning, post-inflammatory hyperpigmentation after acne or injury, melasma, periorbital pigmentation and drug-induced changes. Each behaves differently and responds to a different combination of prescription topical therapy, chemical peels and pigment-specific lasers. Diagnosis — including Wood's lamp or dermoscopy to judge whether the pigment sits in the epidermis or deeper — decides the plan and the realistic timeline.

• Cause-specific
• 6–8 weeks to change
• Peels · lasers · topicals
• Sun protection essential

Melasma is the symmetrical brown patching across the cheeks, forehead and upper lip that darkens with sun, heat and hormonal change. It is chronic and relapsing, which means the goal is long-term control rather than a cure — and aggressive treatment makes it worse. Management combines strict photoprotection, prescription depigmenting agents, gentle peels and low-fluence laser toning in selected cases, with maintenance to prevent rebound.

• Chronic, controllable
• Relapses without maintenance
• Gentle protocols
• Sun protection central

Psoriasis is an immune-mediated condition producing well-defined red plaques with silvery scale, commonly on elbows, knees, scalp and lower back, and sometimes affecting nails and joints. It is lifelong but controllable. Treatment is matched to severity: topicals and vitamin D analogues for limited disease, phototherapy for wider involvement, and systemic or biologic therapy for severe or joint-involving disease, with monitoring.

• Long-term control
• Scalp & nail psoriasis
• Phototherapy available
• Joint symptoms assessed

Atopic dermatitis is a barrier and immune problem, not an infection or an allergy to one food. Treatment works on three fronts: repairing the barrier with the right emollient used often enough, controlling inflammation during flares with appropriately chosen topical therapy, and identifying triggers — soaps, fabrics, heat, dust. Steroid-sparing options are used for children and for sensitive areas. Properly managed, flares become shorter and further apart.

• Adults & children
• Steroid-sparing options
• Barrier repair
• Flare plan

Urticaria — raised, intensely itchy wheals that come and go within hours — is common and often has no identifiable external trigger. Acute cases settle in weeks; chronic urticaria lasting over six weeks needs a structured approach with antihistamine titration and, in resistant cases, further therapy. Contact allergy to cosmetics, metals or topical medicines is a different problem, diagnosed with patch testing rather than blood panels.

• Acute & chronic
• Patch testing
• Antihistamine protocol
• Trigger identification

Vitiligo is loss of pigment cells producing sharply defined white patches. It is not contagious and not caused by diet. Treatment aims to stop progression and stimulate repigmentation: topical immunomodulators, phototherapy (NB-UVB) which remains the mainstay for widespread disease, and surgical options for stable segmental patches. Results depend on site, duration and stability — face and neck respond best, hands and lips least.

• Stabilise first
• NB-UVB phototherapy
• Site-dependent results
• Not contagious

Recurrent ringworm has become a genuine public health problem in India, largely because over-the-counter steroid-antifungal combination creams suppress the rash, alter its appearance and make the fungus harder to kill. Correct management means confirming the diagnosis, stopping the steroid, prescribing an adequate dose for an adequate duration — usually far longer than patients expect — and treating the household and clothing to prevent reinfection.

• KOH confirmation
• Full-course therapy
• Stop steroid creams
• Household measures

Keloids are scars that grow beyond the original wound, commonly on the chest, shoulders, earlobes after piercing, and jawline after acne. They do not resolve on their own, and simple excision alone makes them recur larger. Treatment uses intralesional steroid injections at intervals, often combined with other intralesional agents, cryotherapy or laser, over several months. Milia — small firm white bumps — are removed in a single sitting.

• Injection course
• Months, not weeks
• Recurrence managed
• Milia same-day

Stretch marks are dermal scars from rapid stretching during growth spurts, pregnancy, weight change or bodybuilding. Red or purple marks are recent and respond considerably better than old white ones, which is why early treatment matters. Microneedling and MNRF, fractional laser and prescription topicals improve texture and colour over several sessions. Complete disappearance is not an achievable outcome, and any clinic promising it is overselling.

• Early = better
• 4–6 sessions
• Texture & colour
• Honest expectations

Under-eye darkness has three distinct causes and most people have a mix: pigmentation, hollowing that casts a shadow, and thin skin showing the vessels beneath. Treatment only works when the right cause is targeted — pigment responds to topicals and gentle peels, hollowing to hyaluronic-acid filler, vascular darkness to laser or nothing at all. Sleep and screens are rarely the whole story, though they do not help.

• Three causes
• Cause-matched
• Peels · filler · laser
• Assessment first

Children's skin is not adult skin at a smaller dose. Infantile eczema, diaper rash, molluscum contagiosum, warts, birthmarks, fungal infections and childhood psoriasis all need age-appropriate strengths and formulations, and parents need a routine they can actually follow at home. Dr. Malviya treats paediatric skin conditions with steroid-sparing plans wherever possible, and explains what is normal, what will resolve on its own, and what needs treating now.

• Infants to teens
• Steroid-sparing
• Parent-friendly plans
• Eczema · rashes · warts