Further, the Council specified that in order to practice allopathy in Delhi, a person should have an M.B.B.S degree and a registration with the council. Any person, not having the requisite medical qualification and council registration is liable to be prosecuted, the Medical Council in the National capital further mentioned.

The RTI, a copy of which is with Medical Dialogues team, was filed on 30 October, 2024 and it sought clarification from the medical council regarding the eligibility of dentists to perform such aesthetic procedures.

Responding to the RTI filed by Dr Aman Kaushik, a NEET PG aspirant, DMC on 20.11.2024 mentioned, “With reference to your application received in this office on 30. October, 2024, on the subject noted above; based on the records available in the office of the Delhi Medical, it is informed that the dentist(s) is/are not qualified to do medical procedure like Botox, treating acne etc.”

“It is further informed that for practicing allopathic system of medicine in the NCT of Delhi, a person should hold recognized medical qualification as per the Schedule to the NMC Act and should be registered with the Delhi Medical Council; hence, a person being a holder of M.B.B.S. qualification and registered with the Delhi Medical Council can practice modem scientific system of medicine (allopathy) in the NCT of Delhi,” the Council added.

It further informed that any person, who is found to be practicing modem scientific system of medicine (allopathy) in the NCT of Delhi without holding any requisite medical qualification as per the Schedule to the NMC Act and not registered with the Delhi Medical Council, “is liable to be prosecuted in terms of the Section 27 of the Delhi Medical Council Act, 1997.”

Section 27 of the DMC Act, 1997 states the following:

“27. False assumption of Medical Practitioner or Practitioner under this Act to be an offence.—Any person who falsely assumes that he is a medical practitioner or practitioner as defined in Clause (7) of Section 2 and practises the modern scientific system of medicine, shall be punishable with rigorous imprisonment which may extend up to three years or with fine which may extend up to Rs. 20,000 or with both.”

DMC in the RTI response also asked people that they may file complaint against any person, practicing modern scientific system of medicine (allopathy) in the NCT of Delhi without holding any requisite medical qualification as per Schedule to the NMC Act and not registered with Delhi Medical Council, to the Council in the following address:

“Delhi Medical Council, Ground Floor, B-Wing, Block-1, DMRC IT Park. Shastri park, New Delhi- 110053″

The complainants will have to give details of the:

(a) name, description and address of the complainant
(b) the name, description and address of the individual who is found alleged to be practicing medicine without holding any requisite qualification
(c) documents in support of the complaint, if any i.e. Prescription, Letter Pad of the clinic, Visiting Card of the medical practitioner etc.

They may also send the complaint to the Anti-Quackery Cell, Directorate General of Health Services, Govt. of NCT of Delhi, Swasthya Sewa Nideshalaya Bhawan, F-17, Karkardooma, Delhi-110032”

Welcoming the medical council’s response, Dr Aman Kaushik who filed the RTI, told Medical Dialogues, “There has been a decrease in the trend of aspirants opting for dermatology, as in the branch of dermatology, the issue has risen to such an extent that on social media, one can find numerous reels of unqualified practitioners including dentists who can’t practice dermatology, offering aesthetic procedures and medications for acne treatments etc.

Dermatologists being the specialists in this field are quite frustrated because of this. The response that I have received from the Delhi Medical Council says that dentists are not qualified to perform these aesthetic procedures such as botox and acne treatment etc. If any practitioner, who is not qualified, is found performing these procedures, they can be reported to the medical council and the anti-quackery cell.”

“One of the reasons I filed the RTI is because there should be a thorough check from the anti-quackery cell from the government and strict action should be taken on this issue. There is also the need for reporting such cases by the dermatologists and due addressal by the National Medical Commission (NMC) and the Dental Council of India (DCI),” he added.

Meanwhile, sharing a copy of the RTI response on his X (formerly Twitter) account, Dr. Lakshya Mittal, the President of the United Doctors’ Front Association (UDFA) wrote, “RTI reply from Delhi Medical Council #DMC confirms dentists are not qualified to perform aesthetic procedures like Botox or acne treatment. Yet, many continue to do so, misleading patients through social media.”

“If any such influencer comes across, please file a complaint with the DMC or Anti-Quackery Cell. Let’s uphold ethical medical practices,” he further added.

Earlier, UDFA had raised the issue of a homeopathic practitioner in Jind performing allopathic procedures including aesthetic surgeries such as Botox, Fillers etc. Back then, the association had urged the Haryana Government authorities to conduct immediate investigations and take strict action against the concerned homeopathic doctor.
Medical Dialogues had earlier reported that back in 2022, the National Medical Commission (NMC) had ordered a crackdown on the mushrooming practice of unethical and illegal aesthetic surgeries including hair transplant. The Apex Medical Commission had clarified at that time that only properly trained licensed registered medical practitioners (RMPs) i.e. practitioner of modern medicine are eligible for conducting such procedures.

Issuing guidelines, the Ethics and Medical Registration Board (EMRB) of NMC had recommended MCh/DNB Plastic surgery, MD/DNB Dermatology with adequate grooming in dermatological surgical procedures for conducting hair transplantation surgeries.

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Botox is a protein made from Botulinum toxin that temporarily paralyzes muscle. In small doses, it can reduce skin wrinkles and help treat a range of medical conditions, including eyelid spasms and some types of migraine.

The bacterium Clostridium botulinum produces Botulinum toxin, which is the same toxin that causes botulism.

Botox is a toxin, but when doctors use it correctly and in small doses, it can have benefits. It has both cosmetic and medical uses.

As a cosmetic treatment, Botox injections can reduce the appearance of skin wrinkles.

Also, the Food and Drug Administration (FDA) have approved it as a treatment for various health issues, including eyelid spasms, excessive sweating, some bladder disorders, and migraine.

In this article, we explain how Botox works and explore its uses, side effects, and other risks.

What is Botox?

Botox derives from C. botulinum bacteria, which are present in many natural settings, including soil, lakes, forests, and the intestinal tracts of mammals and fish.

Naturally occurring C. botulinum bacteria and spores are generally harmless. Problems only arise when the spores transform and the cell population increases. At a certain point, the bacteria begin producing Botulinum toxin, the deadly neurotoxin responsible for botulism.

Botulinum toxin is extremely dangerous. Some scientists have estimated that 1 gramTrusted Source of a crystalline form of the toxin could kill 1 million people and that a couple of kilograms could kill every human on the planet.

However, when Botox is appropriately used in a therapeutic context, it is safe and has few side effects, the American Osteopathic College of Dermatology report.

Manufacturers make Botox injections with very small doses of Botulinum toxin. The drug can temporarily paralyze muscles, which can benefit people with various muscle or nerve disorders.

Commercial preparations of Botulinum toxin include:

• onabotulinumtoxin A (Botox)
• abobotulinumtoxin A (Dysport)
• incobotulinumtoxin A (Xeomin)
• rimabotulinumtoxin B (Myobloc)
• prabotulinumtoxin A (Jeuveau)

People casually use the term “Botox” to describe all of these products, though Botox is a registered trademark that one company owns.

How does it work?

Botox is a neurotoxin. These substances target the nervous system, disrupting the nerve signaling processes that stimulate muscle contraction. This is how the drug causes temporary muscle paralysis.

In order for any muscle to contract, the nerves release a chemical messenger called acetylcholine at the junction where nerve endings meet muscle cells. Acetylcholine attaches to receptors on the muscle cells and causes the cells to contract, or shorten.

Botox injections prevent the release of acetylcholine, which stops the muscle cells from contracting. In this way, the toxin helps the muscles to become less stiff.

Cosmetic uses

The primary use of Botox is reducing the appearance of facial wrinkles.

According to the American Board of Cosmetic Surgery, Botox injections are the most popular cosmetic procedure nationwide. In 2016, over 7 million people had Botox treatments.

The effects are temporary, lasting 3–12 months, depending on the type of treatment.

People often request the injections in the following areas of the face:

• wrinkles between the eyebrows, called frown lines, glabellar lines, or elevens
• wrinkles around the eyes, known as crow’s feet
• horizontal creases in the forehead
• lines at the corners of the mouth
• “cobblestone” skin on the chin

However, the FDA have only approved the injections for use around the eyes and on the forehead.

Research has not shown whether Botox could improve dark circles under the eyes.

Some people also try Botox to improve the appearance of their hair. There is little evidence that this works

Medical uses

Healthcare professionals also use Botox to treat a variety of medical conditions, most of which affect the neuromuscular system.

The FDA have approved Botox for the following uses. Unless otherwise specified, the approval is for use in people 18 or older:

• upper limb spasticity, in anyone older than 2 years
• crossed eyes, or strabismus, in those older than 12 years
• severe underarm sweating, or hyperhidrosis
• preventing migraine in people whose migraine headaches last at least 4 hours on 15 or more days per month
• reducing symptoms of an overactive bladder due to a neurological condition if anticholinergic medications do not help
• eyelid spasms, or blepharospasm, due to dystonia
• a neurological movement disorder called cervical dystonia that affects the head and causes neck pain

Some people also have Botox injections for off-label, or unapproved, uses, including as treatments for:

• alopecia
• sialorrheaTrusted Source, which involves producing too much saliva
• psoriasis
• dyshidrotic eczema, which affects the palms of the hands and soles of the feet
• anismus, a dysfunction of the anal muscle
• post-herpetic neuralgia
• vulvodynia, pain and discomfort in the vagina without a clear cause
• Raynaud’s disease, which affects circulation
• achalasia, an issue with the throat that makes swallowing difficult

Other conditions

According to a 2017 reviewTrusted Source of existing evidence, other issues and medical conditions that may benefit from off-label Botox use include:

• facial redness and flushing, including during menopause
• keloids and scars from wound healing
• hidradenitis suppurativa, an inflammatory skin disease
• blistering lesions due to Hailey-Hailey disease, a rare genetic disorder

However, confirming that Botox is safe and effective for off-label uses will require more research. Scientists must also establish the appropriate ways to deliver treatment in each case.

Procedure

Clinicians use Botulinum toxin by diluting the powder in saline and injecting it directly into neuromuscular tissue.

It takes 24–72 hoursTrusted Source for the toxin to take effect. Rarely, it can take as long as 5 days for the full effects to show. They may last 3–12 months, depending on the treatment.

People should avoid using Botox during pregnancy or breastfeeding, or if they have ever had an allergic reaction to the drug or any of its ingredients.

Cost, time, and effectiveness

The cost of Botox depends on various factors, including:

• whether it is for medical or cosmetic purposes
• who provides the treatment
• where the treatment takes place
• the number of Botox units involved

For cosmetic use, The American Society for Aesthetic Plastic Surgery noted in 2016 that, on average:

• the cost of a Botox treatment for frown lines or crows’ feet was $376
• the procedure lasted 30 minutes
• the improvement appeared in 1–5 days
• repeat treatments were necessary every 4–6 months
• the person could return to work at once

Medicare covers the cost of Botox for medical purposes that doctors deem necessary. However, due to the potentially high cost, it is important to confirm that the treatment is covered before the appointment.

When considering Botox for any reason, it is crucial to make sure that the provider is a qualified professional with the appropriate training.

For people looking to have cosmetic Botox, the American Academy of Facial Esthetics have a locator function that can help.

Anyone who believes that Botox might help with a medical condition should speak with their doctor.

Risks and side effects

People generally tolerate Botox injections well, and side effects are uncommon.

However, depending on the reason for the injections and the person’s response, Botulinum toxin can cause some unwanted effects, including:

• dry eye, following cosmetic uses
• an upset stomach
• numbness
• mild pain, swelling, or bruising around the injection site
• a headache
• temporary eyelid drooping
• temporary unwanted weakness or paralysis in nearby muscles
• urinary problems after treatment for urinary incontinence
• a worsening of neuromuscular disorders
• spatial disorientation or double vision after treatment for strabismus
• corneal ulceration after treatment for blepharitis
• cardiovascular events, such as arrhythmia and myocardial infarction

People should not use Botox if they have:

• a sensitivity or allergy to it
• an infection at the injection site

Depending on the type of treatment, there are concerns that the effects of Botox may extend beyond the injection site, possibly leading to symptoms such as difficulty breathing.

This is more likely to occur in some individuals than others, and genetic factors may play a role.

Also, some people receiving injections of Botulinum toxin type A develop antibodiesTrusted Source to the toxin that make subsequent treatments ineffective.

Summary

Botox has cosmetic and medical uses. It can reduce the appearance of wrinkles and help treat certain disorders related to the nervous and muscular systems.

If someone wants to try Botox, it is a good idea to speak to a healthcare provider about the risks, costs, and other considerations.

The post Botox: Cosmetic and medical uses appeared first on Dr. Sabyasachi Basu.

All that balding Indian television executive Athar Rasheed wanted was to look handsome and get married. But the 30-year-old’s seemingly harmless hair transplant went fatally wrong.

Women have been judged on their appearance for millennia, but in an increasingly materialistic Indian society, men are also feeling pressure to look young and presentable for fear of losing their social standing.

More and more prematurely balding men are opting for hair transplants as disposable incomes rise and an emphasis on personal appearance becomes stronger.

Seedy clinics manned by untrained personnel perform the surgery at a fraction of the cost.

New Delhi:

All that balding Indian television executive Athar Rasheed wanted was to look handsome and get married. But the 30-year-old’s seemingly harmless hair transplant went fatally wrong.

Women have been judged on their appearance for millennia, but in an increasingly materialistic Indian society, men are also feeling pressure to look young and presentable for fear of losing their social standing.

More and more prematurely balding men are opting for hair transplants as disposable incomes rise and an emphasis on personal appearance becomes stronger.

But in a weakly regulated sector, the procedure — sometimes performed by amateurs self-trained on YouTube — can have deadly results.

Rasheed was the sole breadwinner for his family and aspired to a better life — owning a house and getting his two sisters married.

But he developed sepsis after undergoing a hair transplant at a clinic in Delhi last year, his distraught mother Asiya Begum, 62, told AFP.

The swelling spread from his head and he suffered terrible agonies.

“My son died a very painful death. His kidneys stopped functioning and then all his other organs collapsed,” she said, breaking down.

Armed with photographs showing Rasheed’s bloated face and black rashes that broke out all over his body in his final hours, the family lodged a police complaint.

Four people, including the two men who performed the surgery, have been arrested and are awaiting trial.

“I remember my son every day and die a slow death,” she said, sitting in her modest one-room rented flat in a rundown neighbourhood of the capital.

“I lost my son but I don’t want any other mother to lose their child because of fraudulent practices of a few people,” she said.

– Confidence booster –

When performed by a skilled surgeon, a hair transplant can be a life-changing and confidence-boosting experience, especially for young Indian men looking for personal and professional growth.

Harish Iyer, a social commentator and equal rights activist, said men have started focusing more on their grooming as lifestyles change.

“The need to exhibit youth and vitality is echoed by all genders,” Iyer told AFP.

“The pressure was always on women to look a certain way and find acceptance, but the needle is now changing.”

But at the same time, specialists say increasingly sedentary lifestyles, smoking, improper diet and stress can result in early hair loss.

A hair transplantation procedure involves removing follicles from a dense area of hair, such as the back of the head, and then implanting them on the affected area of the scalp.

Doctor Mayank Singh performs up to 15 surgeries a month at his upscale clinic in a posh New Delhi neighbourhood.

Most of his patients are aged 25 to 35 and looking to either get married or climb the professional ladder, especially in jobs where appearances matter.

The procedure costs some 350,000 rupees ($4,300), a considerable sum in a country where millions live on less than two dollars a day.

Seedy clinics manned by untrained personnel perform the surgery at a fraction of the cost.

– YouTube workshops –

Singh, who is also the secretary of the Association of Hair Restoration Surgeons of India, said quacks were bringing the industry a bad name.

“People have this myth that this is a minor procedure, whereas the duration of the surgery is pretty long, running into some six to eight hours,” said Singh.

“It involves a lot of local anaesthesia that has to be administered over time. If someone does not have the knowledge about what we need to do, then it can become an unsafe procedure.”

Alarmed by the mushrooming number of clinics offering often subpar service at discounted prices, India’s National Medical Commission issued a warning in September.

“Watching in workshops or on YouTube or similar platforms is not adequate training to start aesthetic procedures including hair transplantation,” it said.

Only properly trained doctors should perform such procedures, it added.

Singh, a plastic surgeon, said it was imperative that the guidelines were strictly adhered to.

He has a long list of happy customers, including doctor Lakshmi Narayanan, who for years avoided going to social gatherings because of his baldness.

“My hair loss started when I was just 18. I used to avoid taking pictures of myself or even looking in the mirror,” Narayanan, now 29, told AFP.

“But not anymore. I can interact confidently with people now and I am looking for a life partner.”

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The celebrity plastic surgery have they or have not they game is tired, and inherently implies some kind of plastic surgery shaming, which we all can agree needs to end. But celebrities who choose to own their aesthetic choices and share their experiences with the world, are shedding light on plastic surgery as a whole, for better or worse.

For example, in January, Amy Schumer revealed via an Instagram snap that after healing from her endometriosis surgery, she opted to have a liposuction procedure. While her painful and difficult journey with endometriosis and fertility has been well documented, she shared, emphatically, that she never thought she’d be a plastic surgery patient, but she’s so glad she changed her mind, telling Chelsea Handler on her podcast, Dear Chelsea, “I got lipo and I’m feeling really good.”

This is incredibly normal, according to Washington D.C.-based plastic surgeon and American Society of Plastic Surgeons member, Troy Pittman, MD, FACS. “It’s all about raising awareness,” he says. “Amy Schumer had a great experience, and she did something she never thought she was going to do, and that raises awareness just as much as Linda Evangelista sharing her horrible experience with body shaping devices, which also raises awareness.”

Below, we dig into the plastic surgery journeys of celebrities who have reflected upon their different procedures, experiences and motivations. We’ve also tapped two members of the American Society of Plastic Surgeons for their take on whether celebrity testimonials helpful, harmful or somewhere in between.

Going from ‘never ever’ to ‘now’

“When I would hear liposuction, I was just like, that’s so crazy to me, and I would say I’m not ever going to do anything,” Schumer told Handler. But after turning 40 and undergoing a C-section, Schumer had a change of heart. Even more, she says she wanted to be transparent about her choice.

“I just wanted to say that, because if anybody sees me in pictures or anything and they’re like, she looks thinner: it’s because I had surgery,” she said. “It’s too hard, and I just want to be real about it.”

More recently, in a March interview with The Hollywood Reporter, Schumer said that she wasn’t nervous about being body-shamed by the public for her total honesty about undergoing liposuction because she felt confident about her decision as well as the road that got her there.

“It’s not about needing [for my body] to be slamming, because I’ve never been famous for being hot, but I’d reached a place where I was tired of looking at myself in the mirror,” she said.

From Dr. Pittman’s perspective, Schumer’s “me-centered statements are good for people to hear just as much as going on a plastic surgery website and reading patient experiences is good for people,” he says. “Because this is an individual experience based on something that’s totally personal.”

‘Not ashamed’ to show scars

Following years of physical and emotional distress, Modern Family star Ariel Winter chose to have breast reduction surgery at the age of 17 (the average age of patients for this procedure is 18) to reduce her bust from a 34F to a 34D. While this operation technically falls under plastic surgery, it is often considered medically necessary – even covered by some health insurance plans – and plastic surgeons routinely affirm that it has the highest patient satisfaction rating.

“It’s something that I did to better my life and better my health, and I think that can benefit a lot of younger girls,” she explained to the Los Angeles Times. “I have felt more happy with myself than I ever have.”

Plastic surgery is a partnership

One key takeaway from Ariel Winter’s experience is the way she views her surgical procedure as a collaboration with her surgeon to achieve a mutual goal and leaned on his medical expertise as she weighed her options.

“[My surgeon] said he didn’t think we should go smaller than a C and I agreed because I have always been a curvier girl and I enjoy being a curvier girl. I don’t want to be disproportionate again,” she shared.

This surgeon-patient partnership and its underlying trust is one of the most important aspects of a successful plastic surgery experience – even when it’s telling patients something they don’t want to hear, says David Shafer, MD, FACS, a plastic surgeon and ASPS member with a practice in New York City.

He says that saying “no” is part of the job of a plastic surgeon. “I have an obligation to tell someone that what they want is not realistic,” he says.

Celebrities are not experts

Whether they’re simply sharing their experience as a mere mortal or playing the role of armchair expert, celebrities often find themselves at the center of conversations about plastic surgery. Take Courteney Cox, for example, who famously shared her choice to have her fillers dissolved, or Michelle Visage, who filmed a documentary devoted to her experience with breast implant illness.

“It’s problematic when celebrities develop this pseudo expertise and declare things to be bad,” says Dr. Pittman. “They are kind of seen as experts just because they’re celebrities, but they’re not giving any kind of scientific rationale behind the things they say.”

Yeah – maybe Amy Schumer loved her lipo, but don’t take her word just because she’s a celeb. Other celebs have been public about regret, but living in the public eye brings its own set of pressures and perspectives. While listening to other patients’ experiences – famous or not – can help inform our decisions, every procedure and decision to have one is personal and specific to you. There is no substitute for consulting a board-certified plastic surgeon to get a full understanding of what you can expect.

The post Celebs are more transparent than ever about plastic surgery, but is it always helpful? appeared first on Dr. Sabyasachi Basu.

Plastic surgery has always been the talk of the town; however, only some of the Hollywood celebrities have publicly admitted that they have had any kind of plastic surgery. As treatments like Botox gain widespread acceptance, the stigma associated with the subject has changed, leading more celebrities to openly discuss undergoing cosmetic procedures. There are a bunch of Hollywood stars, including A-listers and reality stars, who have openly talked about getting plastic surgery. Take a look at the big names here:

Cardi B

The ‘Drip’ fame has come a long way in her career. There was a time when Cardi B got $800 illegal butt injections while working as a stripper in NYC. Since then, the rapper has openly admitted to having plastic surgeries done. The singer spoke openly about getting a rhinoplasty, a second breast augmentation, and liposuction after having her two children. Further, back in 2022, Cardi B during an Instagram Live session revealed that she “removed 95%” of her butt implants and that the surgery was a “crazy process.”

Simon Cowell

Simon Cowell is one of the most prominent celebs when it comes to TV entertainment. Cowell is widely loved by his fans. However, fans have also scrutinized Cowell’s changing looks over the years. Simon is the only celebrity to openly talk about getting filler, Botox injections, and cosmetic surgery. Back in 2018, the actor during an interview told the Sun that he got a £2,000 facelift from the “Picasso of dermatology.” A bioplastic-infused thread was stitched into his face and neck, then gently pulled back to firm up his skin. He has acknowledged being quite enthusiastic about needles in the past.

Kris Jenner

Kris Jenner, who is the head of the Kardashian-Jenner empire, documents the process of her lower facelift surgery. Kris, who is a famous face on the show Keeping Up With The Kardashians, showed the procedure during an episode that went on air in 2011. Further, Kris also documented her earlobe reduction during an episode that was released in 2018. Explaining her decision, she shared, “I learned that your nose and your ears keep growing your whole life. I feel that addressing the changes in my ears has become a sudden priority.”

Chrissy Teigen

Famous model and cookbook author Chrissy Teigen has openly discussed her extensive plastic surgeries. The model has revealed details about her “armpits sucked out” to her breast implants and later removal. In an interview with Allure in 2017, Teigen said that everything else (on my face) is fake, but my cheeks are real.

Dolly Parton

Dolly Parton is also on the list of celebs who have over the period talked about their plastic surgeries. Dolly has undergone breast implant surgery. In an interview with The Guardian, Dolly said, “How can people not understand when it is all they can see?”

Plastic surgery is one such topic that has always been brushed under the carpet. However, now, things are changing as various celebs are openly talking about the plastic surgeries they have got and how much it has cost them.

FAQs:

Q1: Who are some Hollywood stars that have openly talked about getting plastic surgery?

Ans: Several Hollywood stars, including A-listers and reality stars, have openly discussed their plastic surgery experiences. Some notable names include Cardi B, Simon Cowell, Kris Jenner, Chrissy Teigen, and Dolly Parton.

Q2: What plastic surgeries has Chrissy Teigen openly discussed?

Ans: Chrissy Teigen has openly discussed various plastic surgeries, including having her “armpits sucked out,” breast implants, and later removal.

The post Hollywood Celebrities Who Have Openly Talked About Plastic Surgery appeared first on Dr. Sabyasachi Basu.

Janhvi Kapoor is widely rumored to have gotten a ton of plastic surgery. From completely changing the shape of her nose to getting breast implants. However, several images of the actress from before her transformation are being widely circulated on social media.

A comparison between her past and current images makes it apparent that Kapoor has indeed undergone major cosmetic alterations. It all started when a user on Reddit posted a before and after image of the actress and asked, ‘Please help me identity the name of the surgery that make your eyes look bigger like hers?’

From blepharoplasty to breast and butt implants, the actress seems to have done it all. Responding to the post users commented, “Are you sure that’s the same person!?”

While another said, “The end goal is to become a Kardashian”. One user even said, “I wish they let her grow into her face. She looked so young and fresh. The pressures in Bollywood to conform to a certain beauty standard are so sad.”

Another comment read, “Sri Devi mostly got a nose job right? The surgeries didn’t affect her acting. Her face was so expressive! And her eyes too! Janvi always seemed to have gorgeous hair. I really think she looked just fine without any of that. Now her sole purpose in life seems to be having the Kardashian body. Even Kardashians are losing their BBLs now.”

Notably, Janhvi Kapoor has maintained a discreet stance on these speculations, neither confirming nor denying whether she has undergone any surgical procedures. On the work front, the actress was last seen in Bawaal opposite Varun Dhawan. Her next big release of the year is expected to be ‘Bade Miyan Chote Myan’ alongside Akshay Kumar and Tiger Shroff.

The post Janhvi Kapoor’s remarkable transformation and plastic surgery appeared first on Dr. Sabyasachi Basu.

The Plastic Surgery of Ariana Grand has been the subject of many rumors. There are many before and after pictures that have been compared to show her transformation over the years. She is one of the most popular singers in America. And she started her career when she was young. Many people who want to start their music careers dream of becoming famous like Ariana Grande. This is because of how successful she has become.

Ariana Grande’s plastic surgery has been compared to show her transformation over the years.

It is said that she has had:

• Rhinoplasty,
• Breast augmentation, and
• Every other kind of medical procedure is available for people who want to change their looks.

The star is widely believed to have undergone multiple procedures in order to make herself look better. Responding to fans on Twitter about a recent photo of her with a large nose bandage on her face. Ariana confirmed that she had indeed gotten cosmetic surgery done. But did not elaborate further. She did however mention an upcoming project that would help explain some things about herself. As well as why she decided on getting plastic surgery in the first place.

Ariana Grande’s plastic surgery is one of the most popular topics in Hollywood. She has been rumored for undergoing several face cosmetic procedures including

• a nose job,
• facelift,
• brow lift,
• Botox injections and
• lip filler injections.

Here’s what we know about Ariana Grande’s plastic surgery:

1. Nose Job – Ariana Grande surgery allegedly had a rhinoplasty procedure to reduce her nose size and shape it more naturally. This is one of the most common types of rhinoplasty procedures performed on celebrities. Because it gives them an instantly slimmer face which makes them appear younger than their actual age.

2. Brow Lift – According to sources close to Ariana Grande cosmetic surgery, she has also undergone a brow lift. That is in order to eliminate the sagging skin under her eyes and make her look more youthful at all times throughout the day. A brow lift can also improve your facial appearance. It can do that by helping you look less tired or stressed out while also removing that “angry” look from your face.

3. Facelift – Another common procedure that many stars go through is facial rejuvenation with fillers such as Botox injections. It helps prevent wrinkles from forming around their eyes or mouth area over time due to their age.

Ariana Grande Lip Fillers

Ariana Grande’s transformation has been a hot topic in the celebrity world. However, many people do not know that she has had plastic surgery on her lips.

If you’re looking for a way to increase your lips size, the lip filler injection procedure is a good option for you. This procedure can be done in a doctor’s office and only takes about 10 minutes.

The procedure uses hyaluronic acid fillers to increase the size of your lips and create a more defined appearance!

Ariana Grande Breast Implants

Ariana has never confirmed or denied rumors about having breast implants. But many people think that it is obvious from the way her breasts look now compared to how they were before. Therefore, many people believe that she has had some work done on them.

Ariana Grande Butt Injections

Ariana Grande butt is one of the most discussed topics among her fans. Fans are always arguing about whether or not her butt is real. And if it isn’t, they wonder what kind of plastic surgery she had done.

According to some sources, Ariana Grande has had a Brazilian Butt Lift. This procedure uses fat from your own body to fill out the buttocks area. It also includes liposuction on other parts of the body to make sure there’s enough fat left over after the BBL procedure.

Ariana Grande Botox Operation

Ariana Grande is a 29-year-old singer and actress who has been the subject of several plastic surgery rumors. She’s denied them, but many people still believe she has had some done.

Ariana Grande has denied having plastic surgery. However, there are many signs that she has had Botox injections. Some of her features that look unnatural are:

• Her forehead is smooth and wrinkle-free even though she’s only 29 years old. This could be a sign of Botox use. Because it prevents wrinkles from forming in the first place.
• Her lips are very thin with no natural plumpness at all. Her upper lip looks like it has been injected with filler to make it fuller and more pronounced. That would explain why her lower lip seems smaller than the upper one. A lack of symmetry between your top and bottom lips could indicate lipinjections.

Ariana Grande Chin Surgery

Ariana Grande is a popular singer and actress. Many people say that Ariana Grande has had a chin implant. This is not the first time that such rumors have been spread about her. In fact, she has heard these rumors since she was very young, and they still follow her now.

However, Ariana Grande has admitted that she felt insecure about her looks when she was younger. But she didn’t feel like it was right to get cosmetic surgery because of it. However, many people think that she has had a chin operation for her looks.

Vanity Cosmetic Surgery Hospital and Ariana Grande’s Plastic Surgery Journey

When analyzing the changes made to Ariana’s face, she probably had a rhinoplasty, eyelid surgery, and lip injections. In comparison with her old pictures, we can see that Ariana has changed pretty much in her face. From her younger pictures, Ariana was known for having very small eyes now, she has much larger and sexier eyes. Her Lips back then were very thin now they look a lot thicker and fuller than before. From the comparison with her lips, we can say that at least she got lip injections. One of the best aesthetic surgery clinics Vanity Cosmetic Surgery Hospital has lots of opportunities to get Ariana Grande’s appearance. With our expert plastic surgeons, you can have so many plastic operations. For detailed information, visit the Vanity Cosmetic Surgery Hospital page!

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Rajkummar Rao is one of the finest actors in the business today thanks to his films like Shahid, Citylights, Badhaai Do, The White Tiger and many more. The actor was in the news recently when a picture of him from Diljit Dosanjh’s concert went viral. It was speculated that the actor has undergone plastic surgery, especially for his chin. Speaking to ETimes, Rajkummar addressed the buzz about going under the knife.

The actor, who is in the midst of promoting his next film Srikant, which is a biopic on visually impaired businessman Srikant Bolla, in an exclusive conversation with ETimes he said, “First of all, I’ve lost some weight on my face and I’m very very particular about doing my cardio, I’m hardcore when it comes to skipping or running.

Long back when I gave my first audition for LSD, I still remember getting that call from Dibakar Banerjee and he said I like your test but there’s some weight on your face, you need to lose that. And it’s been 15 years, I’m still running every day because, you know, some things, they stay with you. But that particular picture that you’re talking about, I also saw that picture and now, when you look at me and you think about that picture, they’re not the same people. They’re two different people. So that picture, that’s flawless skin, it looks like some Korean K-pop star and I’m not that guy. I’m not that good looking, I know my reality. But it certainly looks like a little touch-top picture, you know, like somebody has played some prank on that picture”

The actor also revealed that he did undergo a small surgery for his chin on the advice of his dermatologist, “When I was starting out, a lot of people would comment on my looks and everything. So, 8-9 years back, my dermatologist told me that my face was slightly imbalance, which is why I used very little filler on my chin, just to balance it out and I’m glad I did that because I definitely feel confident. I feel I look much better now than I was 10 years back and you can see that in my films. After that (procedure), I’ve done films like Shaadi Mein Zaroor Ana, Newton, Trapped etc. But plastic surgery, no, I’ve not done any kind of plastic surgery.”

Rajkummar has his plate full this year as he has multiple releases this year beginning with Srikanth, followed by his first film with Karan Johar’s production house Mr and Mrs Mahi opposite Janhvi Kapoor releasing on 31st May. After that he will be seen in the sequel of his 2018 hit film Stree with Shraddha Kapoor and will end the year with Vicky Vidya Ka Woh Wala Video with national crush of India Triptii Dimrii.

Rajkummar is currently promoting his upcoming film Srikanth-a biopic on visually impaired businessman Srikanth Bolla. Talking about preparation for usl assault the role, in an exclusive interview with Etimes, Rajkummar opened up about how he didn’t want to play the role like it has been done over the years in Hollywood and Bollywood films. He said, “The first obvious thought when you play a visually impaired person is to look at one point and be dead from your eyes, and I didn’t want to do that because I’ve seen a lot of that happen.” So when I started meeting, visually impaired people, I realized that out of 20, maybe there was one who was behaving like this, and for the rest of them, there was constant movement on their face, constant movement of their muscles, etc., and it was so interesting and how come nobody has ever done it, so I picked up to play Srikant.”

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Other than risking patients health a major fallout of quackery is rising levels of antimicrobial resistance.

When 38-year-old Ravi (name changed), opted for a hair transplant at a clinic in Koramangala, Bengaluru, he had no clue that the doctor was unqualified to do the procedure.

During his preliminary visits to the clinic last November, the doctor told Ravi that 6,000 hair follicles could be grafted onto his scalp. But when Ravi expressed hesitation about the low density of the graft, the clinic’s manager assured him of a transplant of 10,000 follicles. The manager charged a total of Rs 1.9 lakh for the procedure. It was only later that he found out that just 3,500 hair follicles were transplanted during the surgery.

Other doctors whom Ravi consulted later informed him that not more than 4,000 to 5,000 hair follicles could have been grafted in his case. When confronted, the clinic’s manager refused to refund him after which Ravi filed a complaint at the Koramangala police station.

Based on Ravi’s complaint, the District Health Officer, Bengaluru Urban, found that the doctor had an MBBS, and did not have the necessary qualifications to carry out a hair transplant surgery. These surgeons are required to have qualifications like a postgraduate degree in dermatology or plastic surgery. The doctor is also currently not registered under the Karnataka Medical Council (KMC) — which is mandatory for any doctor who practises modern medicine in Karnataka.

Dr Jagadish P, a Bengaluru-based dermatologist, explains that such hair transplants, carried out by unqualified people can put patients’ lives at risk. Unfortunately, such surgeries are all too common. “Doctors have to check for conditions like alopecia and infections before hair transplant. Transplants should only be conducted if indicated. Improper implants can even cause death. Such fatalities have recently occurred in Delhi and Chennai.”

In Ravi’s case, justice has evaded him. Before the authorities could take any action, the staff absconded, even shutting down the clinic. The Bengaluru Urban District Health Officer, Dr Ravindranath M Meti, explains that action has not yet been initiated against the doctor since the police have been unable to trace him.

Ravi has tracked down around 20 others who have lost up to Rs 2 lakh each at various clinics run by the same doctor and manager in the city. “Though some of them had complained to authorities earlier, there were no results,” Ravi says.
The clinic’s website still remains functional, advertising services like weight loss management and laser hair removal.
While Ravi’s loss was financial, there are some who have been put in grave danger at the hands of unqualified medical practitioners and quacks. This April in Tumakuru, Mamata (34) died due to complications from IVF treatment conducted by a quack couple. The fake doctors had only passed SSLC.

Last December, Jyothi (26), a garment factory worker, developed complications after she was administered injections for a fever by a quack. In Shiragur in Belagavi district, a 14-year-old boy died this May, after a fraudulent doctor attempted a cure by beating the child up, claiming he was possessed by a demon.
There are plenty of such heart-rending incidents of people suffering both damages to their person, finances or even dying at the hands of quacks. In fact, according to KMC’s registry, only about 57,000 doctors are authorised to practise modern medicine in the state. According to the Indian Medical Association (IMA), however, the number of quacks operating in the state would be three times as much — 1.5 lakh.

Who is a quack?

According to the Karnataka Private Medical Establishments (KPME) Act, 2007, it is mandatory for physicians practising modern medicine to be registered under the KMC. Practising without KMC registration is illegal, and can lead to imprisonment of up to three years and fines up to Rs 1 lakh.

While a quack could be a completely unqualified person, they could also be someone with only a medical diploma, an AYUSH doctor practising modern medicine, or someone who studied abroad, but has not registered with KMC. AYUSH doctors have their own state registers and cannot register under the KMC.

The public can register complaints against unqualified persons and action can be taken by the taluk health officer (THO) or district health officer (DHO). They inspect the premises, file an FIR against the individual and issue a notice to them. Such action can be initiated suo motu as well. At the district level, the District Registration and Grievance Redressal Authority (DRGRA), headed by the District Commissioner (DC), conducts hearings. The authority also includes the DHO as member secretary and other members including the district AYUSH officer and an IMA representative.

If the person is found to be without registration, the authority forwards the FIR to the judicial magistrate, who will preside over the case.
Unfortunately, according to data from the state health department accessed by DH, district officials file few FIRs. Most of the time, the clinics are only temporarily shut or permanently closed, which would still leave quacks free to practise elsewhere.

Slow processing

According to data from the health department, 1,433 cases of unregistered practitioners were recorded across all districts in the past two years (from mid-2021 to September 2023). However, FIRs were filed only in 64 (or 4.5% of the) cases.
The highest number of cases were from Bidar (423), followed by Kolar (179) and Belagavi (170). Health officials filed no FIRs in any of these cases.

All other districts reported fewer than 100 cases of unregistered practitioners. Kodagu was the only district to report zero cases. In most instances, officials issued notices or shut down clinics.

Of the districts that did file FIRs, the highest numbers were from Ballari (20), followed by nine each in Dharwad and Yadagiri, seven in Mandya, and much smaller numbers in nine other districts.

“The health department shuts clinics but allows them to reopen later once they give an assurance or pay a fine. But the KPME Act does not say that DRGRAs can compound (settle) the offence this way. DRGRAs are supposed to verify documents, and if the person is unregistered, forward the FIR to the judicial magistrate,” says Dr Sandeep Prabhu, chairman of IMA’s state anti-quackery sub-committee.

In Kolar, for example, the DRGRA has filed FIRs against five quacks who were first identified in 2019 but let go at the time. “When the clinics were shut in 2019, the building owners gave an undertaking that they would not allow quacks to practise there. But the quacks started clinics in new locations. They have been making huge profits,” says Dr D Vijaykumar, IMA president at the Kolar Gold Fields and a member of the Kolar DRGRA.

This time, the authorities verified the quacks’ documents and found that most had only a PUC qualification or lesser, along with invalid qualifications like diplomas in community medicine from unrecognised institutions.
Most DHOs say they usually do not file FIRs, and that the proceedings are limited to notice and closure. Fraudulent practitioners also abscond once a complaint is registered, making it difficult to issue notices, explain Bengaluru Urban DHO Dr Meti and Tumakuru DHO Dr Manjunath. Pushback from associations of traditional healers can also hinder action.
In Tumakuru, Dr Manjunath says, 11 clinics have been identified as providing unqualified care, of which only one has been shut down. No FIRs have been filed.

“We have ordered taluk health officers to shut down the other 10 clinics, but some villagers are protesting such closure. They depend on these clinics as these are open at night and Primary Health Centres are far away,” he says. “The quacks are mainly those who worked under a doctor at some point and have some knowledge of medicine.”

In Dharwad, Dr Shashi Patil, DHO, says action is only initiated once complaints are filed by patients.

As a result, fraudulent medical practitioners are hardly convicted or jailed under the KPME Act. Any action, if at all, is only initiated when a police case is registered in the instance of bodily harm or death by victims or their families. FIRs filed by the police are not linked to those filed by health officials under the KPME Act.

Though the IMA had filed PILs requesting action against quacks, these have not been fruitful since only DRGRAs have the power to take action under the KPME Act.
In a PIL filed by the IMA in 2014, the Karnataka High Court had ordered health officials in Tumakuru district to verify the documents of 59 people who were practising medicine in Pavagada taluk.
Those without qualification or registration should be stopped from practising, the court said, adding that officials should communicate the action taken to IMA within the next three months. Dr Prabhu says no action was taken or communicated to IMA.
Some quacks approach courts to stall the procedures against them as well.
Dr Prabhu cites a case of a person without any qualification or certificates, practising at Bhusappa Chowk in Dharwad, against whom IMA had complained to the DRGRA. When the DHO rejected his plea to let him practise, the quack approached the court saying that only the DRGRA and not the DHO had the powers to reject his application.
“The court upheld his argument and disposed of the case,” says Dr Prabhu. This person now has a thriving practice.
Neelavva, 40, hailing from Mangalwarpeth in Dharwad, has been visiting this clinic for the treatment of her seven-year-old son for the past five years for various ailments. She says she is happy with the treatment.

Low-income areas targets

Dr Gopal Dabade of the All India Drug Action Network (AIDAN) says that quackery is common in rural areas due to an acute shortage of doctors. “MBBS graduates are not trained to become family physicians. They do not fit into the cultural milieu of slums and rural areas, and do not prefer practising there. Also, now most doctors become specialists, so there are more consultants than general physicians, who also charge more,” he says.
Many rural areas do not have general physicians or paediatricians for miles together, so quacks, who are often people from the same village with experience of having worked briefly in a hospital, are welcome, Dr Dabade says. “The government’s PHCs have doctors, but labourers are working during those hours and cannot forgo their wages. Sub-centres under PHCs are supposed to bring healthcare closer to people, but several of these centres do not have either staff or medicines.”

The consequences

B C Roy national awardee Dr Rajan Deshpande, based in Dharwad, describes the case of a five-year-old patient who was unable to walk after a quack injected her in the gluteal area, damaging the sciatic nerve. The girl recovered, but it could have caused permanent weakness in many, he says.
In yet another instance, a doctor at a clinic in Bengaluru shows the prescriptions that some of his patients had previously received from quacks. The prescriptions show oddities like an anti-malarial drug prescribed for a common cold, and paediatric doses of antibiotics prescribed for a healthy adult.
“These patients come to me when their disease is not cured or when they develop complications. The condition is much more challenging to treat then,” he says. The doctor adds that fraudulent clinics are usually located in low-income areas. Though these clinics charge low fees, they also have tie-ups with labs or pharmacists who pay them a commission, doctors say.
Other than risking patients’ health, a major fallout of quackery is rising levels of antimicrobial resistance.
Dr Jagadish P says that quacks are prescribing steroids and antifungals widely, causing fungal infections to become more resistant. “A fungal infection that can be easily cured within three to six weeks, would take three months to heal if steroids are used inappropriately.”
Even hospitals employ AYUSH doctors in junior positions, says a source at the Private Hospitals and Nursing Homes Association (PHANA), Karnataka. “They would make up about 5% of the doctors employed in hospitals. But they usually work as physicians’ assistants and not as consultants who make final decisions about the patient,” he says.
While the IMA has been strongly advocating for regular raids and strong legal action against quacks, public health activists like Dr Dabade say the problem is more deep-rooted and can be resolved only by addressing issues such as the shortage and inaccessibility of doctors in rural areas and around urban slums.

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