Medical Treatment
Medical Skin treatment in Manchester
We are focused on your individual skin condition and will create a personalised treatment plan to achieve optimum results. Our Consultant Dermatologist, Dr Rajani Nalluri, is a UK trained dermatologist on the GMC Specialist Register with 10 years experience in treating skin conditions. We are best private dermatologist in Manchester.
How it works
Our leading Consultant Dermatologist, Dr Rajani Nalluri, or her secretary will respond to your enquiry with a complimentary telephone discussion or email, to answer any questions regarding the consultation process and schedule an appointment for you to see her in the clinic or virtually.
- A questionnaire will be emailed out for you to complete
- Also include image/s of your skin condition in the email (far and close up views)
- Please return them at least 24 hours before your appointment so that it can be reviewed in detail, and the consultation time used more effectively.
Dr Nalluri will provide a medical diagnosis and discuss your treatment options during the consultation
Acne
Acne is a very common condition that, mainly, affects teenagers and adults. This condition usually presents as blackheads, whiteheads, pus-filled spots (pustules), lumps (nodules) and cysts, with scarring and pigmentation. The condition tends to affect the face, neck, chest and back.
FAQ
What causes acne?
Excess oil production from the oil (sebaceous) glands and dead skin can sometimes clog the hair follicles. This causes bacteria (Propionibacterium Acnes) to proliferate which causes Acne.
How can acne be treated?
An initial consultation is required for assessing the severity of your acne.
There are 2 stages of treatment:
- Medical treatment: involves treating the inflammatory lesions. It is important to note that early treatment can help to prevent scarring and treatment can take over 6 months to get acne under control.Some medications may require blood tests.
- Creams or gels
- Oral antibiotics
- Spironolactone
- Isotretinoin/Roaccutane
- Physical treatment: involves treating pigmentation and scarring caused by acne. Specialist creams or Chemical Peels can be started during or after receiving medical treatment for acne. Laser resurfacing can be offered to patients following the completion of medical treatment. It is important to note that multiple sessions may be required to achieve optimum results.
Eczema
Eczema or dermatitis is an inflammation of the skin partnered with an impaired skin barrier, which causes itchy and scaly skin. When Eczema is severe, it can weep fluid or tiny water blisters can develop. If Eczema is a long term condition, the skin can become thick (called lichenification) or form small itchy lumps (nodular prurigo).
FAQ
What causes eczema?
Eczema tends to run in the family and is associated with asthma and hay fever, which is known as Atopic Eczema.
Allergies to certain preservatives, hair dye, perfumes etc can cause Allergic Contact Dermatitis
Excessive exposure to irritants and constant hand washing causes dryness and inflammation, called Irritant Contact Dermatitis.
How do we treat Eczema?
- Moisturisers, steroid creams, medicated ointments and steroid sparing creams are often used as a treatment option.
- Antiseptics or antibiotics can be prescribed if your skin is infected.
- Antihistamines are often prescribed to prevent sleep disruption.
- Medicated Bandaging can help to soothe the skin, reduce any itching and keep the cream in place.
Hair loss (Alopecia)
Hair loss is broadly called alopecia and there are causes that require specialist assessment and treatment. You may notice one of the following patterns of hair loss:
- Diffuse (generalised thinning of the hair),
- Hair shedding (hair left on pillows or clothes)
- Localised (separate bald patches)
- Receding hairline (hairline moving back at the temples or the forehead).
Hair loss is broadly divided into non-scarring and scarring alopecia. Scarring alopecia refers to the irreversible destruction of the hair follicles, which means that lost hair cannot be restored. To prevent this, early assessment and treatment is essential.
FAQ
What is the cause of alopecia?
Alopecia can be a result of stress, illness, nutritional deficiencies, the immune system attacking the hair follicles, genetics or fungal infections.
What are the common forms of alopecia?
Telogen Effluvium
Telogen effluvium is hair shedding that causes thinning hair all over the scalp. This form of alopecia can occur rapidly following illness, post child birth, or after a stressful event. It can also occur progressively following nutritional deficiencies or a long term illness.
This common condition often occurs in older adults, but can occasionally develop in young adults and children. For men, the condition presents as thinning of the hair on the crown along with a receding hairline. For women, it presents as thinning of the hair on the top of the scalp, which causes the parting to look wider.
Alopecia AreataThis condition presents as smooth bald patches that appear suddenly on the scalp, due to the body’s immune system attacking the hair follicles. It can develop if there is a family history of autoimmune disorders such as vitiligo, thyroid disease or diabetes.
Tinea CapitisThis condition is a fungal infection of the scalp and is most commonly seen in children. It can cause pus, discharge and hair loss in a part of the scalp. It can result in permanent, irreversible hair loss, therefore early treatment is essential.
Psoriasis
Psoriasis is an inflammatory condition that often presents as pink or red scaly areas on the scalp, face and body. It can also cause nail changes and joint pains, which are referred to as Psoriatic Arthritis.
FAQ
What causes Psoriasis?
It often runs within the family and can be triggered by environmental factors such as stress, illness, infections or certain medications.
How do we treat Psoriasis?
- Topical creams/ointments/gels are used in mild cases to control the affected areas and reduce the frequency of flares.
- Oral medications can be prescribed in some cases and require regular blood test monitoring
Rosacea
Rosacea is a common chronic condition that affects the central face in middle-aged people. It often causes red or yellow pus-filled spots, persistent redness, itchy eyes, and/or a bumpy enlarged nose.
FAQ
What causes Rosacea?
- We are unaware of what exactly causes this condition but exposure to extremes in temperature, exercise, hot drinks, spicy food, alcohol and stress can sometimes trigger rosacea to develop.
How do we treat Rosacea?
- Topical creams or gels can be prescribed for 8 to 12 weeks.
- Oral antibiotics for 3-6 months can treat rosacea-related spots.
- Laser treatment can be used to treat the vessels that cause the redness or reduce an enlarged nose. Multiple sessions may be required
Hyperhidrosis
Hyperhidrosis is the medical term for excessive sweating and most commonly affects the armpits, palms and soles. In some cases, it affects the face, which is known as localised hyperhidrosis, or the whole body, which is termed generalised hyperhidrosis.
FAQ
What causes Hyperhidrosis?
It can occur without any cause (called primary), or due to an underlying medical condition (called secondary). Some infections, certain medications (antidepressants), irritation of the nerves or hormonal occurrences, such as the menopause, an overactive thyroid gland or diabetes, can occasionally trigger hyperhidrosis.
How do we treat Hyperhidrosis?
- Injections of Botulinum Toxin are effective for treating hyperhidrosis that affects specific areas. The treatment needs to be repeated regularly.
- Prescribed medications can be offered for generalised hyperhidrosis
Urticaria
Urticaria commonly presents as itchy pink or white raised areas anywhere on the skin. They tend to move, so a raised area is not present at the same site 24 hours later, and they do not leave a residual mark.
FAQ
What causes Urticaria?
In most cases, there is a release of histamine from skin cells called mast cells which cause the raised areas. This could sometimes be a result of a trigger.
How do we treat Urticaria?
A combination of medications can help control the condition and the symptoms.
Actinic keratoses
Actinic Keratoses are areas of sun damage that are found on sun exposed skin. They can appear as pink scaly patches on the forehead, scalp, ears, lips, on the back of hands and forearms.There is a small chance for this condition to develop into a skin cancer called Squamous Cell Carcinoma.
FAQ
What causes Actinic Keratoses?
Long term sun exposure over a period of time can result in actinic keratoses.
How do we treat Actinic Keratoses?
- An initial consultation is required for confirmation of the diagnosis, either by skin examination or a skin biopsy
- Creams such as 5-fluorouracil, Imiquimod or Ingenol Mebutate gel can be prescribed for durations varying between 2 days and 6 weeks.
- Cryotherapy involves freezing the area with liquid nitrogen. This treatment can be performed in an outpatient setting, and may require a few repeat sessions. Cryotherapy can be slightly painful and can also cause swelling, redness, blisters and scab formation. There is also a small risk of pigmentary changes and scarring.
- Curettage and cautery involves surgically scraping off the lesion under local anaesthesia, which can leave a scar.
How can Actinic Keratoses be prevented?
Protecting your skin from the sun and avoiding artificial sources of UV, such as sun beds.
Our Approach
In most cases, our outpatient dermatology services can be administered on the same day as your initial consultation.
We understand that finding the right treatment and dermatologist can be daunting. Our vision is to provide cutting edge treatment for all skin types and to create a relationship of trust with our clients.
Dr Nalluri has a unique and specialist interest in pigmentation and treating all skin types. Find out more about your Consultant Dermatologist
