Articles on ageing

Ageing and Eye Problems

Dr. Mukesh Paryani, Ophthalmologist
As the age advanced , the eye also shows signs of ageing and makes it important for everyone to undergo frequent eye checkup which helps us to maintain a good vision at the age we want it the most.The common problems that usually comes with age and needs evaluation and further management  are:Cataract: Cataract is the leading cause of treatable blindness worldwide. It has profound impact on patient’s quality of life .A cataract is a clouding of the eye's lens and is a major cause of blindness in INDIA. Cataract can occur at any age due to a variety of causes. Patients with cataract experience diminution of vision, glare, night blindness, halos and Starbursts around lights, colours appearing duller, dimmer, or browner.Modern cataract surgery is very different from the procedures performed 10 years ago. Cataractsurgery used to require a hospital stay and a lengthy recovery period. Buttoday, cataract surgery is a day care procedure and generally takes less than15 minutes with no stitch, no eye-pad, no injection and the patient is back tomany normal activities by the next day. Post-operative vision has dramaticallyimproved over the years with monofocal intraocular lenses (IOLs) correctingvision for distance and new high-tech IOLs such as multifocal IOLs reducingdependency on glasses for near and intermediate distance alsoDiabetic retinopathy:India is on its way to become  diabetic capital of world.with diabetes on a steep rise with associated bodily stress and lifestyle changes, the incidence of diabetic retinopathy has increased considerablyDiabetes damages the blood vessels of the retina  , thereby causing damage and swelling in the retina. In advanced stages there can be severe bleeding in eye and irreparable blindness.If detected at early stage and treated appropriately on time, it can be  controlled and blindness can be easily prevented.The most important thing is to keep the blood sugars under control and visit eye specialist atleast once in a year after the diabetes has been detected. One has to visit eye specialist more frequently if eye specialist finds existing diabetic retinopathyAge Related Macular Degeneration:Macula is the central portion of the retina, which gives us crisp and clear vision.Age related degeneration can lead to severe visual impairment.most important risk factor in developing this disease is progression of age and genetic predispostionif one notices distortion of images, turned  or tilted images ,or some obstruction in central vision, these could be signs of ARMD and need intervention by the eye specialistGlaucoma:Glaucoma is called as SILENT THIEF OF THE EYEthe reason is that its usually very late by the time patient realizes its symptoms. the important risk factor for glaucoma is having a family history of there is blood pressure, there is  something called as eye pressure or intraocular pressure( IOP).one needs to check IOP on a regular basis with visit to Eye specialistGlaucoma can be easily treated with eye drops in most of the cases and hence blindness due to glaucoma can be controlled if one undergoes regular eye checkup.SO TO SUMMARIZE , ONE NEEDS AT-LEAST ONCE A YEAR EYE CHECKUP AFTER THE AGE OF 40.THESE DISEASE ARE SIGHT THREATENING DISEASE AND NEEDS EARLY DIAGNOSIS AND EARLY INTERVENTION FOR US TO ENJOY GOOD VISION TILL THE END OF OUR LIVES

What a Pain! Managing Pains Associated With Ageing

Dr. Vishwas Virmani, Physiotherapist
Ageing is a part of growing up and one cannot stop growing. But one can certainly manage the pains that grow with time. Arthritis, particularly osteoarthritis, back pain, frozen shoulders etc are common pains associated with aging.Ignorance is NOT alwaysbliss! Flexibility and stiffness could be quite a challenge especially aftercrossing 60. Most often, we ignore stiffness and joint pains thinking they aretemporary and will cure by itself without medical help.Here is a list of some chronic pain conditions that mostsenior citizens face: ●  Joint pain & stiffness: Osteoarthritis and rheumatoid arthritis can be possible reasons for your suffering as you grow older. Senior citizens suffering with this condition complain of morning stiffness in fingers, knees and other joints.●  Lower back pain: Do you face pain that often starts from your neck and then crawls down to your lower back? This pain grows common with age and is called degenerative disc disease.Degenerative disc diseases generally start during forties and might go worse after sixties.●  Another reason of lower back pain could be bone spurs. These are calcified growths along the spine,neck, knees and feet. This too increases with age.●  Frozen shoulder: This excruciating pain arises when connecting tissues around the shoulder joint thicken. This could be a result of arthritis or prolonged shoulder immobilization.How to manage pain?●   Exercising regularly will help you manage pain. Your doctor may also suggest physiotherapy in order to improve flexibility and reduce joint pain.●   If it is a muscle pain then muscle relaxants for the back and neck could also give you relief.●   Inflammation may also accompany joint pains, with the help of non steroidal pain relief medicines both inflammation and joint pains could be managed. But make sure you suggest a good doctor first.

Stop Your Skin From Ageing

Dr. Soujanya Dhulipala, Dermatologist
You may not care much for what people think about your looks, but we all can accept that older-looking skin is not what we want. Premature wrinkles and dull, discoloured skin are two main aspects of older-looking skin that can easily be avoided.Ageing is a natural process and some of us show signs of accelerated ageing. The reason for this can either be because of your genetic structure (which is out of your control) or extrinsic factors, which relate to your lifestyle habits and your skincare routine.Skin ageing is influenced by many extrinsic factors including ultraviolet radiation, excess alcohol consumption, tobacco abuse, and environmental pollution. In addition, unhealthy life style habits result in increased body weight  blood sugar levels, which leads to  biochemical reactions disrupt the very structural framework of their skin. Combined, these factors lead to cumulative deterioration in skin appearance and function.Healthy tips for the prevention of skin ageingPrevention is always better than cureSun protection: Application of a quality sunscreen or a total sunblock is  the most important step in the  prevention of ageing . Apply sunscreen 30 minutes before you step out. If you’ve been out in the sun for a few hours, touch it up again every 2 hrs so that you’re well protected. If you can, try and stay indoors between 11am and 3pm. That’s when the sun’s rays are the strongest and can have an adverse effect on  your skin.Skincare: Once you’ve crossed your mid-twenties, it is important that you take good care of your skin. You may feel that it’s unnecessary, especially if there aren’t any prominent signs of ageing, but your skin will thank you for it later. Invest in a good cleanser and moisturiser. Going in for occasional peels or medi-facials will go a longway in keeping wrinkles at bayLifestyle -Quit smoking and restricts your alcohol intake - both of which  can result in dull, listless skin. Make sure to follow an exercise routine, as it improves your metabolism, which goes on to maintain your skin tone. Reducing stress is another important tip that will prevent skin from ageing. Finally, remember to follow a healthy, balanced diet. If the pigment  spots, fine lines and wrinkles  are already present, do not panic, consult a Dermatologist. Several options are available to you, like: Chemical peels , Microderm abrasion, Qswitched lasers and Mesotherapy . A chemical peel, also called chemexfoliation or derma peeling, is one of the least invasive ways to improve the appearance of your skin. Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands.Microdermabrasion(MDA) also referred as microresurfacing, is a dermatosurgical procedure used for mechanical exfoliation of skin. MDA is commonly referred as body polishing and uses a mechanical medium as aluminum oxide crystals at high pressure to remove the outermost layer of stratum corneum from the epidermis. It is a painless and noninvasive procedure, performed in office by dermatologist. MDA is a simple safe and commonly used treatment modality yields mild but measurable improvement after repeated sessions.Helios II Qswitched  laser skin rejuvenation is an  non-invasive laser treatment that uses light energy to gently stimulate collagen growth deep under your skin, which will reduce fine lines and wrinkles, restore the skin from sun damage, remove dark spots and sun spots and decrease open pores safely. The effects of laser treatment will continue after the treatment and you will see the result after neocollagenosis. The laser also breaks the melanosomes and absorbed by body defence mechanisms.Although you'll see immediate results, however improvement would be seen gradually. It is recommended to take 4 to 6 sessions in 3 to 4 weeks gap for each session.Mesotherapy – (Meso glow)  It refers to minimally invasive techniques which consist of the use of intra- dermalinjections containing liquid mixture of compounds (skin lightening agents ) to treat local medical and cosmetic conditions. It is a debatable addition in thetherapeutic armamentarium in the management of skin rejuvenation.

Anti-Ageing Products: Keep Those Wrinkles at Bay!

Dr. Sasi Kiran Attili, Dermatologist
Prevention is better than cure! Therefore the best way to look after your skin is to prevent ageing. Nine ways to speed up your skin's cell function to reveal a youthful, glowing complexion.MoisturisersUse a moisturiser regularly, depending on your skin type. Moisturised skin is supple and is less prone to damage by chemicals in various cosmetics and products we come in contact with in everyday life. Moisturising can also even out your skin tones and smoothen out fine lines and wrinkles.SunscreensSunlight exposure is the single most important factor that makes our skin age. People who use sunbeds or sunbathe have much older looking skin compared to age-matched controls. Use a sunscreen with a SpF factor of at least 30. Using a sunscreen with <30 SpF is as good as using nothing. SpF or 'Sun protection Factor' is basically a measure of how much longer it takes for the skin to burn the skin when the sunscreen is applied, as opposed to when you do not have the sunscreen on.So basically if your skin normally starts burning after 10 minutes of exposure to mid-day sun, using a SpF 30 sunscreen should allow you to stay out in the sun for 30 x10 = 300 minutes. However, this is in test conditions when the sunscreen is applied on the skin at a volume of 2mg/ cm2. In practice, we use much less than this and thus the true SpF potential of the sunscreen is never achieved.Thus, it is recommended to always use a sunscreen of SpF> 30 and top it up every 2 hours, as sweating and rubbing against clothing removed the sunscreen from the skin. Even sunscreens that claim to work all day, do not do so.SoapWashing the skin is important to remove bad odours, makeup, sunscreens, dirt etc which might potentially clog the pores and make the skin look lustreless.Water alone is not sufficient to get rid of fat soluble and water insoluble grease and dirt accumulated on the skin. Removal of these requires substances called surfactants, contained in soaps and cleansers. If you have normal or oily skin it doesn't really matter which soap you use. However, people with dry/sensitive skin are better off using perfume-free, neutral pH soaps (called syndets), which do not irritate the skin. People with dry/sensitive skin in fact should try and wash their face/skin as infrequently as possible (not more than 1-2 times a day), and make sure they moisturise immediately.Cleansers, toners, scrubs and exfoliationMost people with normal skin do not need to use any cleansers, scrubs or exfoliators, particularly if you have a good personal hygiene and are not working in a dirty environment. Cleansers and exfoliators are completely over-rated and publicised by multi-national companies looking to make a quick buck from unsuspecting customers looking for skin products to make them look better. People with sensitive or dry skin should stay away from any such products. These products are only useful for people with oily/ acne-prone skin, where soaps alone are not enough to remove the oil/dirt/make-up from the skin. However, one needs to be careful not to overdo it as excessive cleansing can remove the protective oil layer on the skin and damage the skin further causing an irritant dermatitis or even a form of acne called perioral dermatitis. Which product one wants to use is a question of personal choice, depending on how harsh the product is on the skin. Commonly, cleansers contain 0.5-2% salicylic acid or 2-5% benzoyl peroxide, useful for exfoliating the dead skin cells and unclogging pores.Chemical peelsOnce again, this does not really apply to people with sensitive/dry skin who are advised to stay away from chemical peels. Chemical peels (like Glycolic acid, salicylic acid, Jessner peels, Trichloracetic acid, phenol etc.) can certainly help even out uneven skin tones and reduce the appearance of fine lines and wrinkles. However, this mainly applies to medically-administered chemical peels (that produce a medium to deep peel). Most over-the-counter chemical peels contain chemicals in mild concentrations which only cause a superficial peel and thus, mainly serve as cleansers. If you wish to pursue chemical peels, it is best to see an experienced dermatologist in person.MicrodermabrasionThis is perhaps one of the most effective ways to rejuvenate your skin and remove the dead skin layer to make the skin look more plump and youthful. Microdermabrasion is a general term for the application of tiny rough grains to buff away the surface layer of skin, wherein the process painlessly abrades (like fine sandpaper) the surface of the skin. This has an effect of encouraging new skin cells to grow from underneath to replace the older cells on top.However, there is also some evidence to suggest that unlike salon microdermabrasion with creams etc, medical microdermabrasion which also uses a vacuum device (diamond microdermabrasion), helps in remodelling the collagen in your skin and helps is making some superficial acne scars, open pores and fine lines less obvious. Over a year, with periodic monthly microdermabrasion, one might find an improvement in texture and smoothness of the skin. However, once again people, with sensitive/dry skin need to be very cautious.Topical retinoidsTopical retinoids are chemicals derived from Vitamin A, scientifically proven to reduce the appearance of wrinkles and also used in the treatment of acne/comedones. Retinol and Retinaldehyde are the commonest topical retinoids contained in many over the counter anti-aging creams. Unfortunately, these are very mild retinoids and in the concentration used in cosmetic products, have no scientifically proven effect on ageing/wrinkles. Only medically prescribed retinoids like tretinoin, isotretinoin and adapalene, have any visible effect on the skin.Collagen, serums etcUnfortunately, these do not have any anti-aging effect apart from moisturising the skin and making the fine lines/wrinkles temporarily appear less visible (just like any other moisturising product would do).

The Secret of Ageing

Ms. Raisa Luther, Psychotherapist
Ageing. The process starts from the moment we are born. You can’t stop the clock. The only way to stop the process is to die!Youth is worry-freeDuring the first 25 – 30 years, ageing is a rapid and overt process of change. Puberty, adolescence and youth are stages of immense shifts both physically and mentally. It is the age of transition from childhood to adulthood. Except for the vulnerable age of adolescence when there may be some identity issues, the individual normally feels confident and upbeat about life during this period. Death and disease are far from his mind. Hope, aspirations, drive to compete and achieve are at an all-time high.Growing upAround 30, the person begins to experience the responsibilities that go with a job, spouse, and maybe even children. He now has to comply with societal rules and obligations. He now has to think about the future in a more practical way than he did when he was younger. He begins to plan for coming days and years.Fear creeps inAs he or she gets older, the body begins to show signs of ageing – health issues begin to crop up. After 40, he begins to think more about preserving and prolonging his physical condition. Mentally, he may be in optimum condition to think and analyse. He now has the benefit of experience. At this stage, a new element enters his life – Fear.Fear of old age and death. Fear that there is little time to achieve goals. Fears that one would lose loved ones – especially parents. Fears that the children may not ‘settle’ down. Fears regarding grandchildren. Unknown fears.Fear vs. FaithThe antidote to fear is faith. That is why age-old religious texts stressed on prayer and service during this stage in life.Modern world has, however, extended life expectancy exponentially. Since 1900 the global average life expectancy has more than doubled. Today, the global life expectancy is 71.4 years. Medical science now helps people live healthy and productive up to 70s and beyond. This poses its own challenges. Retirement is not an option any more for many. Elderly persons now have to channelize their energy for fulfillment and to avoid a sense of uselessness. The accumulated experience and consequent wisdom can now be leveraged for families, businesses and service organisations.Acceptance is the keyWhile life expectancy has increased dramatically, there are some who do not wish to go beyond youth. They are not comfortable with their senior status. Anti-ageing formulations and fashions are big business. This industry feeds on the fears of people.The secret to continual and consistent well-being is Acceptance. Accept your age and live accordingly. While identifying and leveraging your personal assets, accept your shortcomings. Act your age - it’s okay to look your age, too. Stay positive, healthy and feel happy and fulfilled!

Anti Ageing Solutions

Dr. Sanjay Panicker, Homeopath
THE SECRET OF STAYING YOUNGSince times immemorial Man has been searching for the ultimate secret to remain young. The fact is that no one wants to grow old, although ageing is inevitable part of life. Can we stop or reverse Ageing?Sadly till date there is no remedy discovered to transform an old man to fine young chap or to reverse the process of ageing . However on the brighter side, Man has been successful in finding many  solutions to slow down the ageing process.  There are people we know who look much older and way beyond their age, as well as people who look much younger than their actual age. Film stars like Salman Khan(49years), Hema  Malini(66yrs),  Rekha(60 years), Sreedevi( 51 years), Anil kapoor(58years)  etc are all living examples of people who look much younger than their age. They have been able to slow down their ageing process and stay young. Even in their fifties and sixties they look so much younger. How the heck do they pull it off? What secret did they apply?  So what’s the secret to their great hair,pore-free complexion? Can anyone apply the same and remain young..! Can you suggest some tips to slow down the ageing process?  1. Quit smoking : Smoking damages the collagen and elastin found in the dermal layers, these are which provides  pliability and elasticity to skin tissue.This leads to an acceleration of sagging and wrinkling of the skin. Cigarette smoke also constricts the blood vessels that deliver oxygen and nutrients to skin cells, which slows cellular production and growth. The effects begin to appear quickly. A 2002 study found that smokers as young as 20 years old can display wrinkles under a microscope. 2. Eat Right : You are what you eat, the saying goes. Foods containing antioxidants have been shown to neutralize free radicals by stabilizing them.  We recommend eating a diet rich in antioxidants, such as all colorful vegetables and cold-water fish like trout and salmon, food rich in vitamins C and E and beta carotene. A well planned individualised diet from a nutritionist certainly corrects the toxic effect and aids in speedy recovery. 3. Optimum sun exposure: Too much UV radiation can accelerate the appearance of wrinkles and other signs of aging by destroying collagen and elastin. The sun's damaging effects on the skin is a specific form of external aging called photo aging. We recommend regularly using a sun block with a Sun Protection Factor (SPF) of 15 or higher when going out in the sun Additionally, covering skin with clothing offers substantial protection from UV rays.4. Exercise: Ageing results in a loss of muscle mass which cause sagging of the skin and hence wrinkles. As we lose muscle fibres beneath our facial skin, the tissue droops. Luckily, this not only be decreased, its effects can even be reversed through resistance weight training. Exercise can boost self-confidence, release pleasure-inducing chemicals in the brain and bestow a sense of well-being, all of which repairs your body. 4. Reduce stress: Chronic stress shortens the lifespan of cells in the body . Eventually, first cells, followed by tissue, then organs succumb to it. Reducing the stress in your life is an internal anti-aging technique.Practising  positive visualization, learning time management, spending time with friends and family improving communication can all lead to decreased stress. A good yoga trainer can train you for effective distressing and relaxation techniques.5. Sleep adequately: Sleeping minimum of 6 to 8 hours, is essential for recovery of daily wear and tear, it reduces the appearance of age, like wrinkles and the bags under the eyes.6. Homeopathy: Consuming less of chemical based medicines and using more of natural &herbal based medicines can help to reduce ageing. Many drugs are capable of triggering  the release of free radicals which cause ageing. In our in house studies it has been noticed that people using homeopathic medicines for their various illness, since childhood age at as lower rate. Specialised anti Ageing treatments and techniques at Amrita Homeopathy by integrating an individualised diet with homeopathy and yoga. We use the latest video microscopic hair and skin analysis for diagnosis and use techniques such as low level laser combs and spot puva A therapy where it is required for hair and skin problems.

Anti-Ageing Fillers: Good or Bad?

Dr. Venu Kumari, Dermatologist
" class="fr-dib fr-fil" src="">Having a filler injected in a non-medical setting can be extremely dangerous. To protect your health, you should never get a filler injected at a:Non-medical spaParty.Salon.Someone’s home. The American Association of Dermatology recommends that you see a doctor who has expertise injecting fillers and many satisfied patients. The results you see depend largely on the experience of the person performing this procedure. A dermatologist has the knowledge and experience required to inject fillers safely and effectively.What happens when you get a filler?  The procedure varies with the filler how dermatologist will use, the part of the body to be treated, and your medical history. Here are some general guidelines about what you can expect:   Most filler treatments take between 15 and 30 minutes and require one office visit.Before getting the injections, you may need ice, an anesthetic applied to the skin, or a nerve block (an injection). This varies with the filler and area to be treated. Hands generally do not need anesthesia; lips often require a nerve block. Dermatologist will inject the filler into the area, often giving you several injections to produce the best results. You may feel a stinging or burning sensation as the filler is injected. What is the safety record for fillers?   This is one of the safest cosmetic treatments available. For years, dermatologists have been refining the use of fillers to diminish signs of aging. Today, dermatologists safely treat people of many ages and all skin colors.When fillers are injected in a non-medical setting or by an inexperienced provider, reports of more serious side effects increase dramatically. These side effects include: Lumps.  Ridges.   Over-filled areas.    Allergic reaction.Skin discoloration.Infection.Severe swelling.

Facial Rejuvenation Possibilities: Be Beautiful , Repair Years of Damage in Minutes

Dr. Sadhana Deshmukh, Dermatologist
With an endless round of festive parties, late nights, rich food and alcohol, your skin takes the maximum beating. While we keep powering through the weekday, our tired skin and body start showing its weariness through deep lines, wrinkles, age spots, sagging etc.As we age, the hyaluronic content of our skin decreases thereby reducing its capacity to stay moist and supple. The effectiveness of oil producing glands decreases and our skin loses fat making the skin lose its youthful glow and become dry. Wrinkles are very natural part of the aging process. Many facial wrinkles occur when we make repeated facial expressions involving muscle contractions such as a smile ,laugh or frown. It has therefore become important to take good care of our skin so that we not only look good but feel better as wellRenowned dermatologist and cosmetologist, Dr. Sadhana Deshmukh from Forever Young Clinic talked to us about the kinds of skin care treatments frequently used to reverse the stress and years away. Let your skin go back in time to confidence with BOTOX:BOTOX is a safe and proven solution to achieve younger looking skin in the time it takes to have your lunch. BOTOX® works simply by relaxing the tiny facial muscles that cause expression lines, leaving your skin smooth and unwrinkled. As the lines gradually fade out, BOTOX® also prevents new creases from forming. BOTOX as it is a painless way to get smooth and firm skin that lasts for as long as 6 months. The results are so natural that the secret to your healthy skin always remains with you.To contour your skin, add volume and revitalize go the way of Dermal Fillers:Dermal Fillers will make your skin taut and fuller and are a great option, as they are made with a substance similar to the hydrating Hyaluronic Acid that is responsible for giving your skin its natural volume and fullness. Through Beautifillers, you too can smoothen out the uneven contours of your face and get those luscious lips and fuller cheeks that you always wanted.For reversing those years, Skin Tightening and Resurfacing works:Skin tightening and contouring are popular treatments, as there is minimal social downtime with maximum results. “Accent Radiofrequency” provides controlled heat therapy to fight wrinkles and tighten skin on the face and body. The process is entirely comfortable, quick and virtually pain-free. Now there is no need to go under the knife as skin resurfacing refreshes the skin’s appearance and stimulates rapid healing so that you look like the hands of time have stood still.Remove acne, brown spots, and unwanted surgical scars stretch marks through - Skin Resurfacing: Skin Resurfacing is one of the most powerful and effective treatments that helps to remove unwanted brown spots, acne scars, and pigmentation. At Forever Young, we use a pixel RF handpiece that uses Unipolar RF-based technology. It penetrates deep into the skin and gives a boost of new collagen naturally for a visibly more youthful appearance. The procedure has proven to give excellent visible results in 3 to 4 sessions. Moreover, with a combination of peels, the benefits of Skin Resurfacing can increase four-fold. To look your best on the, reach out to the haven that is Forever Young for a complete skin and body consultation