Dr. K. E. Mukadam's

CO2 Laser Surgery : CO2 Laser is used to cut and ablate skin without bleeding and stimulating rapid healing process. When the CO2 Laser is brought in contact with the treatment site on the skin, the Laser is absorbed by the water present in the skin, raising temperature to 1000 C, producing steam and resulting into cutting or ablation of the tissue.

Radiofrequency : It is the passage of Monopolar or Bipolar high frequency radio wave (2 to 4Mhz) through the soft tissue. The resistance of the soft tissue to the radio frequency wave causes cellular water to heat up, producing steam, that dissolves cellular molecules of individual tissues resulting into cutting or coagulation and removal of the unwanted tissue.

Cryosurgery : Controlled destruction or removal of unwanted living tissue with the help of a local cryogen which causes loss of heat and freezes it. Liquid nitrogen is the cryogen of choice which provides lower surface temperature of – 1960 C. It is directly sprayed on the lesion.

Skin Resurfacing by CO2 Laser & Erbium : Yag Laser Ablation or Radiofrequency Ablation : CO2 Laser Resurfacing is the best method for the treatment of wrinkles and aging skin, which is considered as a ‘Gold Standard’ procedure. However, it is not popular with Asian skin because of some known side-effects which are due to the excessive exposure of Asian skin to the sun light. However, there are no side effects, when CO2 Laser is used for removal of skin-outgrowths, as enumerated below:

Removal of Skin Out Growths by Co2 Laser / Radiofrequency / Cryosurgery:

  • Appendageal Lesions :
    • Achrocordons – Skin tags (Over growths hanging on the skin of face, neck, under arms, legs)
    • Adenoma Sebaceum (Skin colored firm growths on face)
    • Syringoma (Skin colored tiny growths under eyes with excessive sweating)
    • Trichoepithelioma (large firm, solid nodules on face)
    • Tricholemmoma (Skin growth from hair follicle on cheeks or nose)
    • Neurofibroma (Soft, flaccid, pinkish white, slowly growing nodules along peripheral nerves)
  • Keratosis :
    • Seborrheic Keratosis (Multiple, oval, slightly raised light brown to black, sharply demarcated warty lesions, rarely more than 3 cm of size. Most commonly present on chest & back, they can also be on scalp, face & extremities. It occurs in the 4th  & 5 th decades of life.)
    • Stucco Keratosis (Loosely attached, 1 to 5mm in diameter, light brown to black lesion with warty surface commonly on lower legs, insteps, dorsa of feet, fore arms, back of hands. It occurs in men at the age of 40 years or above.)
    • Dermatosis papulosa nigra : (Common in Africans & Asians. Begins in adolescence, as minute, round, skin-colored or darkly pigmented lesions that first appear singly or sparse on the cheeks below eyes. Gradually incease in size and numbers and spread to the other parts of face, neck & upper chest)
    • Actinic Keratosis (Solar or senile keratosis –  usually multiple, discrete, flat or raised, warty, slightly red, skin colored or dark colored, adherent scaling, ill defined patches and the edges not sharply demarcated, on repeatedly sun exposed areas of face, ears, and back of hands & forearms in middle aged people who exposed excessively to the sunlight, commonly occurring in  fair skinned, middle-aged and elderly persons)
  • Non Melancocytic Nevi :
    • Epedermal nevus (Pink, dirty gray, brown or dark rough raised patches on scalp, hands or legs)
    • Collagenoma (Numerous asymptomatic skin nodules on back)
  • Hyperplasias & Hemartomas :
    • Keloid (Pinkish overgrowth of firm scars)
    • Leiomyoma (Skin color firm nodules which pains on pressure)
    • Xanthelasma (Flat yellow colored skin patches on upper or lower eyelids)
    • Plantar keratoderma (Thick scaly soles)
    • Pyogenic granuloma (Red nodules which bleeds if injured)
  • Benign Skin Tumours :
    • Kerato acanthoma (Dome shaped skin colored nodule with a crater filled with keratin plug)
    • Basal cell carcinoma (Small waxy semitranslucent nodules with central depression which may or may not be ulcerated, crusted and bleeding)
  • Infectious Lesions : (Spread by close or sexual contacts)
    • Verrucae – Warts (Periungual, Subungual, Plantar Warts and venereal warts). Skin-coloured to yellowish, greyish-black or brown out-growths, pin-point sized, growing gradually to larger size with roughened surface. Caused by papilloma virus of papova group. Genital warts in females are known to cause cancer of cervix.
    • Molluscum contagiosum (Flesh-coloured, dome-shaped , pearly appearance with a central umbilication). Caused by DNA Poxvirus called Molluscum contagiosum Virus.
  • Inflammatory Lesions :
    • Hidradenitis Suppurativa (Pus discharging boils in underarms and bikini lines)
    • Rhinophyma (Red nodular nose)
    • Haily – Haily disease (Clear or yellow fluid filled lesions in skin folds)
    • Lichen planus hypertrophicus (Violaceous or dark raised patches)
    • Lichen sclerosis (Ivory or white colored firm patches)
  • Non Healing Ulcers and Dry Gangrenes
How it is performed?
How much time it takes?
When can I resume my usual normal activities?
IS IT Safe?
Is it painful?
What are post – procedure precautions?
How many sessions required?
How can I decide, whether I need, CO2 laser or radio frequency surgery or cryosurgery or chemosurgery for my skin problem?
What are advantages of each of these procedures?
What are advantages of each of these procedures?

Treatment offered by Dr. K E Mukadam, MD, DVD and his team of  qualified, INDIAN BOARD CERTIFIED  & well trained Cosmetic – Dermatologists.

For further information, appointments & contact :-

Dr. (Ms) Pratibha Giri, Our Medical Co-ordinator at DR. MUKADAM’S LASERCURE COSMETIC SKIN & HAIR CENTRE ON :
Mobile : +91-9820102034 / 9819911933 / 9819911477 / 9833547321