Gejje's Marvella, Bangalore (2026)

09/01/2026

What is wound ? Part 3. Mechanical forces are the hidden enemies of wound healing. Excessive tension alters collagen alignment, leading to wide scars, wound breakdown, and delayed healing. Plastic surgery focuses on redistributing forces—because geometry and planning matter more than sutures alone. When applied at the right time, plastic surgery changes outcomes. Debridement resets wound biology, skin grafts restore coverage, and flaps provide bulk and blood supply. Reconstruction follows a ladder, not shortcuts, with each step chosen to achieve stability. The take-home message is simple: wounds are both biological and mechanical problems. Early expertise prevents chronic scars, accelerates healing, and restores quality of life. Plastic surgery is not cosmetic—it is precise problem-solving for function, form, and aesthetics.

FormFunctionAesthetics ChronicWoundCare EarlyIntervention HealingByDesign

08/01/2026

What is wound . Part 2 . Not all wounds heal the same. Acute wounds follow a predictable healing timeline, while chronic wounds stall beyond 4–6 weeks, often trapped in prolonged inflammation. Identifying why a wound is not healing requires a structured plastic surgery assessment—evaluating size, depth, tissue loss, wound bed quality, edge behavior, surrounding skin tension, and infection status. Many wounds fail to heal due to poor blood supply, infection or biofilm, repeated pressure or shear, metabolic factors like diabetes and malnutrition, or inadequate early management. These factors block oxygen, cells, and nutrients essential for repair. Chronic wounds are rarely superficial problems—they are biological and mechanical failures that often require timely surgical intervention to reset healing and prevent long-term disability.

PressureSores ReconstructiveSurgery EarlyIntervention ClinicalInsight SurgicalCare

07/01/2026

What is a wound? Part 1
A wound is not just a cut on the skin—it is a disruption of skin and deeper tissue integrity that may involve the epidermis, dermis, fascia, muscle, or even bone. Beyond appearance, every wound represents loss of barrier, function, and contour.

In plastic surgery, wounds matter because healing is not simply about closing skin. The true goal is restoration of anatomy, durable healing, and minimal scarring. Poor wound handling can lead to chronic wounds, contractures, deformity, and lifelong disability—making every wound a reconstructive problem.

Wounds can arise from trauma, surgery, burns, or pathological causes like pressure sores and diabetic ulcers. They also vary by depth—from superficial injuries to complex wounds exposing tendon, bone, or vessels. Understanding the type and depth of a wound is the first step toward choosing the right intervention and achieving the best functional and aesthetic outcome.

Right assessment early makes all the difference.

TraumaCare BurnCare DiabeticFoot SurgicalScience FormFunctionAesthetics

06/01/2026

Amazing skin and hair facts . Part 16 . Clinical Insight: Hair loss rarely begins at the hairline. Subtle reductions in hair density often occur first, making early recognition and timely intervention critical for preserving follicle health. Once follicles miniaturize or are lost, reversal becomes difficult, reinforcing the value of proactive care. Hair health also reflects systemic balance—nutrition, hormonal stability, stress levels, and overall health all influence growth cycles and fiber quality. Importantly, consistency consistently outperforms aggressive, short-term treatments. Gentle, evidence-based routines maintained over time support follicle longevity far more effectively than intermittent intensive interventions. In hair restoration and care, steady biological support—not forceful correction—delivers sustainable, natural-looking results.

ScalpHealth EvidenceBasedCare MedicalAesthetics HairWellness

05/01/2026

Amazing skin hair facts. Part 15. Hair Care Science is rooted in understanding structure, not myths. Conditioners work by protecting and smoothing the cuticle—the outer tile-like layer of the hair shaft—rather than repairing the inner cortex. When these cuticle tiles are well aligned, hair reflects light uniformly, producing shine; when they are jagged or lifted, light scatters and hair appears dull. Hair strength also varies with its state—wet hair is mechanically weaker because absorbed water disrupts hydrogen bonds, making fibers more prone to stretching and breakage. Heat styling adds another layer of risk, as excessive heat alters and breaks protein bonds within the hair, leading to irreversible structural damage. Beyond the fiber itself, a healthy scalp is essential. Like fertile soil supports steady plant growth, a balanced scalp environment sustains consistent hair growth cycles. Effective hair care therefore combines fiber protection with scalp health for long-term results.

HairDamage CuticleCare EvidenceBasedCare MedicalAesthetics HairWellness

03/01/2026

Amazing skin/ hair facts part 14 . Scalp Health is a critical yet often overlooked pillar of hair wellness. Scalp skin ages faster than facial skin due to higher sun exposure, lower care routines, and dense follicular activity, making early protection essential. Chronic inflammation at the scalp level directly reduces hair shaft quality, leading to fraying, breakage, and poor fiber strength even before visible hair loss begins. The scalp microbiome also plays a decisive role—microbial imbalance can trigger dandruff, irritation, and barrier disruption. Sun exposure further accelerates damage by degrading scalp collagen, compromising structural support for follicles. Adding to this complexity, everyday hair products actively interact with the scalp barrier; harsh formulations can weaken it, while barrier-friendly products help restore resilience. Together, these insights reinforce a core principle of hair science: consistent hair growth and quality depend on a healthy, protected, and balanced scalp ecosystem—not just on treating the hair fiber alone.

HealthyHair SkinBarrier DandruffScience MedicalAesthetics EvidenceBasedCare

02/01/2026

Amazing skin /hair facts . part 13 . Hair loss is often misunderstood, yet much of what we see reflects normal biology rather than disease. Daily shedding is a natural sign of the hair cycle in action, as follicles rotate through growth, rest, and renewal. Physical or emotional stress can disrupt this rhythm, pushing follicles prematurely into the resting (telogen) phase and leading to increased shedding weeks to months later. Similarly, hair loss following illness, surgery, or childbirth is delayed—what falls today often reflects an event from months earlier. Long before visible thinning occurs, follicles undergo miniaturization, producing progressively finer hair fibers. Hair loss patterns themselves are not random; they mirror underlying hormonal sensitivity, particularly to androgens, which explains characteristic distribution patterns. Understanding these timelines and mechanisms shifts the focus from panic to proactive care, emphasizing early intervention and consistency over reactive treatments.

ScalpHealth DermatologyEducation EvidenceBasedCare HairBiology

01/01/2026

Amazing skin facts .part 12 . Hair Biology is far more complex than what we see on the surface. The hair fiber itself is biologically dead, yet it is biologically programmed—its strength, curl pattern, color response, and breakage resistance are determined deep within the follicle before it ever emerges. Hair growth speed is not uniform; it varies by scalp region, explaining why some areas grow faster or appear denser over time. Importantly, hair diameter predicts visible volume more than hair density—thicker fibers create fullness even with fewer strands. Pigmentation also follows a predictable sequence: loss of color typically occurs before a noticeable reduction in hair density. Beneath it all, hair follicles actively communicate with immune cells, influencing growth cycles, inflammation, and conditions like hair loss disorders. Understanding these principles helps shift expectations from cosmetic quick fixes to biology-driven, long-term hair health strategies rooted in science, not myths.

HealthyHair DermatologyInsights MedicalAesthetics EvidenceBasedCare ScalpHealth

31/12/2025

Amazing skin facts . Part 11 . Clinical Insight: The skin is often the body’s earliest warning system. Subtle skin symptoms can precede systemic disease, signaling internal imbalance long before laboratory values change. Equally important, texture changes usually appear before visible color changes—micro-topography shifts are early clues that skin biology is under stress. Long-term results in dermatology are therefore built on fundamentals. Barrier-first care, like strengthening a foundation before renovation, improves outcomes, tolerance, and durability of treatments. Effective skin therapies also work cumulatively, not instantly—progress is layered, gradual, and biological, not cosmetic magic. Finally, truly healthy skin prioritizes resilience over perfection. A flexible, well-supported barrier adapts to stress far better than skin pushed toward fragile flawlessness. Understanding these principles helps patients set realistic expectations and clinicians design smarter, sustainable treatment plans. In skin health, consistency, protection, and respect for physiology always outperform shortcuts and overcorrection.

LongTermResults HealthySkin MedicalAesthetics SkinHealth DermEducation

30/12/2025

Amazing skin facts .Part 10 . Sebaceous and sweat glands play a far more sophisticated role in skin health than commonly appreciated. Sebum composition changes with age—not just in quantity, but in lipid balance—affecting barrier strength and antioxidant delivery. Sweat, on the other hand, cools the skin primarily through evaporation, not by how much sweat is produced, highlighting the importance of efficient evaporation over excess wetness. Eccrine and apocrine glands serve distinct functions: eccrine glands regulate body temperature, while apocrine glands are linked to scent and social signaling. Sebum also acts as a natural transport system, carrying antioxidants to the skin surface to protect against oxidative stress. Interestingly, aggressive or frequent cleansing can disrupt this balance. Over-cleansing strips surface lipids, triggering a feedback loop where sebaceous glands respond by producing even more oil. Understanding these mechanisms reinforces a key principle of dermatology: healthy skin depends on balance, not excess—whether in oil, sweat, or skincare routines.

Sebum HealthySkin EvidenceBasedSkincare DermEducation MedicalAesthetics

26/12/2025

Amazing skin facts .Part 9 . Skin repair and immunity are dynamic processes that evolve over time. As we age, skin immunity gradually declines, reducing its ability to respond swiftly to injury and infection. When wounds heal, scars replace original skin architecture and notably lack sweat glands and hair follicles, explaining differences in texture and function. The mechanical forces acting on a wound matter—high tension across wound edges increases the risk of thicker, more prominent scars, while relaxed edges heal more favorably. At a microscopic level, healing follows a precise sequence: new blood vessels form first through angiogenesis, creating a жизнeline for nutrients before collagen is laid down to provide strength. Adding to this complexity, skin retains a form of cellular memory—areas of previous inflammation are more prone to reactivate due to persistent inflammatory pathways. Understanding these principles allows for smarter, biology-respecting approaches to wound care, scar prevention, and regenerative treatments.

DermatologyEducation EvidenceBasedSkincare SkinBiology HealthyHealing

24/12/2025

Amazing skin facts - part 8 .Pigmentation is influenced by far more than just sun exposure. Visible light—beyond ultraviolet wavelengths—can stimulate melanocytes, particularly in darker skin tones, contributing to persistent pigmentation. Importantly, skin color is not determined by the number of pigment cells but by how melanin is distributed; even dispersion creates uniform tone, while clumping leads to uneven pigmentation. Inflammation plays a key role by releasing cytokines that signal melanocytes to increase pigment production, explaining why post-inflammatory pigmentation is common. Melasma represents a classic example of hormonally amplified photodamage, where sun exposure and hormonal sensitivity overlap to drive chronic pigmentation. During wound healing, pigment cells actively migrate toward the repair site, further influencing color changes. Understanding these interconnected pathways allows for more effective, science-driven approaches to pigmentation management.

PostInflammatoryPigmentation DermatologyEducation SkinScience EvidenceBasedSkincare

Gejje's Marvella

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