Dr. Rashmi Mahajan

"Sometimes they stay with us for a month, it is not possible that we do not have an emotional connect with them. You tend to know what their lifestyle is like,  and what's happening with their families.” - Dr. Rashmi Mahajan

From Human side of Dr. Rashmi Majajan to discussions on all healthy skin related questions.

A Path to Dermatology

Dr. Rashmi candidly shares that dermatology wasn’t her initial career aspiration. “In the beginning,” she recounts, “my first priority was pediatrics, but I was not getting MD pediatrics.” She explains that the limited availability of seats played a significant role in shaping her path. “I had a chance at MD dermatology and so I took dermat because I used to like the subject, and I always used to find it something new and challenging.” This decision opened the door to a field she finds constantly evolving.

The Scope of Dermatological Cases: Beyond the Surface

While some may perceive dermatology as solely focused on superficial skin conditions, Dr. Rashmi emphasizes the significant impact these conditions can have on an individual’s well-being. “You tend to deal with a lot of skin conditions,” she explains, “which may be as simple as acne or…skin pigmentations, fungal infections, psoriasis, and vitiligo; they really affect the self-esteem of a person.”

She also underscores the presence of critical cases within dermatology, particularly in a medical college setting. “We do see conditions called pemphigus, erythroderma, drug reactions which tends to be signifcantly fatal in many cases.

The Human Side of Medicine: Empathy and Connection

Through her nineteen years of practice, Dr. Rashmi Mahajan has experienced deep connections with many patients.One case, from five years ago, remains particularly vivid: a 70-year-old man battling a fatal skin condition, Pemphigus. His body was failing, unresponsive to every treatment they attempted.

Dr. Mahajan remembers a moment in the ICU when the gravity of the situation became deeply personal. As she explained the need for a senior consultant, the patient said to her, “Madam mai kisiko nahi Janta hu mai toh sirf Aapko Janta hu” (Ma’am, I do not know anyone, I only know you).

He passed away two days later.

The memory of this patient has stayed with Dr. Mahajan. She often recalls seeing him in her mind’s eye, a fighter, clinging to hope, yearning to walk again, even as his body betrayed him.

This experience underscores the profound trust a patient places in their doctor, a trust that carries immense weight. She shares, “He was a fighter, and he just wanted to get out and start walking. But in spite of all our trials, that wasn’t to happen.”

She further emphasizes the deep connections that form between doctors and patients, especially those requiring extended care. “Sometimes they stay with us for a month,” she says, “and it is not possible that we do not have an emotional connect with them. You tend to know what their lifestyle is like,  and what’s happening with their families.”

It’s true that patient stories and aspects of clinical practice don’t just stay within the hospital; they often come home with us, profoundly shaping our perspectives and lives.”

Acne and Self-Esteem: More Than Skin Deep

Dr. Rashmi discusses the significant psychological impact of acne, particularly in its severe forms. “When you start seeing a lot of pus or large nodules or the skin becomes very disfigured,” she explains, “that is when the problem actually starts.”

One of the first things she emphasizes is the connection between acne and our gut, highlighting what’s known as the “skin-gut axis. She advises that focusing on diet, and particularly reducing our intake of high-calorie dairy products, can lower the chances of developing acne. This also brings us to the issue of insulin resistance, which, she points out, is also associated with acne.”

Dr. Mahajan stresses that we should address acne as soon as it starts. However, she clarifies that “This does not necessarily mean aggressive treatment. Blackheads and oily skin are generally manageable.”

However, she advises that treatment should begin as soon as we see slightly bigger pimples, nodules, or pus-filled lesions. Importantly, she states that this treatment should only be administered by a qualified dermatologist – someone with a diploma or MD in dermatology who is a member of the Indian Association of Dermatologists, Venereologists and Leprologists Association (IADVL).

Dr. Mahajan strongly advises against going to shops and applying random anti-acne creams or using over-the-counter serums, including those containing “the world famous Retinol”. She warns that while you might get lucky and experience no side effects, around 50% of people, especially younger individuals, do experience some kind of adverse reaction.

Dermatologist’s Warning: Choose Expert Laser Treatment Centers

While demand for these procedures, particularly hair removal, is surging across India and globally, the rise of unauthorized clinics poses significant risks. Dr. Mahajan’s core message: Don’t compromise your skin’s health by seeking treatment from unqualified individuals.

Dr. Mahajan emphasized that operating a laser machine doesn’t equate to providing expert treatment. As Dr. Rashmi states, “Currently, people in multiple professions have started providing laser treatments, especially for hair removal. Even beauty parlors have portable laser machines.” This puts patients at substantial risk.

The most significant takeaway is Dr. Mahajan’s warning against prioritizing cheaper options over qualified care. A dermatologist possesses the specialized knowledge to assess your skin type, hair pattern, and desired outcomes, ensuring both safety and efficacy. Seeking treatment from unqualified providers can lead to skin damage, burns, and ultimately, unsatisfactory results. As Dr. Mahajan aptly stated, “Do not go to places where you do not have a qualified dermatologist to guide you. Holding a laser machine and putting it on your skin, does not entail a typical Lazer treatment. You do not need to be a genius for that, as anyone can just hold it, put it on your skin and keep moving it.”

“Go to the right person from the beginning rather than going just anywhere,” urges Dr. Mahajan.

In essence, Dr. Mahajan urges us to consider skin treatments with the same seriousness as other important investments. Choosing a qualified dermatologist is crucial for safe, effective results and long-term skin health. 

Technology in Dermatology: A Double-Edged Sword

Dr. Rashmi acknowledges the benefits of technological advancements in dermatology, including the use of AI in diagnosis, learning, and dermoscopy for enhanced skin examination. 

For instance, in medical colleges, it is very easy using AI to come up with PPTs for teaching techniques.

In regards to clinics, she specifies about dermoscopy, where they keep an instrument on the surface of the skin, and, get the affected region magnified or see it on their phones or on the screens to be able to diagnose conditions correctly.

However, she also expresses reservations about the limitations of teledermatology. “The actual physical presence of a doctor,” she believes, “cannot be replaced by somebody who is sitting far away from you.”

Skincare Awareness: Essential Guidance

Dr. Rashmi provides valuable skincare advice for both teenagers and adults.

A. Skincare for Teenagers (12-18 years)

Dr. Mahajan emphasizes that teenage skin undergoes significant changes due to hormonal fluctuations. Here’s her advice for this age group:

• Oil Control: Expect increased oiliness as hormones change and sebaceous glands grow. Regular cleansing is crucial.
• Blackheads and Whiteheads: These are a normal part of adolescence. If they’re a major concern, consult a dermatologist for suitable skincare products.
• Acne: Seek professional dermatological treatment if acne worsens.

B. Skincare for Adults

As we age, our skin is affected by extrinsic aging factors like sunlight, environmental pollution, stress, and diet, leading to issues like age spots and pigmentation (e.g., melasma from hormonal changes). Dr. Mahajan recommends these habits:

• Cleansing: Cleanse your skin regularly with a gentle cleanser or soap that suits your skin type (i.e., doesn’t dry it out, make it too oily, or cause blackheads).
• Moisturizer: Incorporate a moisturizer into your daily routine.
• Sunscreen: Use a broad-spectrum sunscreen with SPF 50+ daily. Choose a gel-based sunscreen for oily skin and a lotion for dry skin.
• Nighttime Routine: Follow a basic routine of cleansing, toning, and moisturizing.
  • Toning: Use a toner to shrink pores. Options include cold rosewater or an ice application.
  • Moisturizing: If you have oily skin, you may not need a moisturizer at night.
• Retinol Serums: For anti-aging, retinol serums can help with fine lines and wrinkles as you get older. However, avoid them at a younger age as they can dry the skin and cause allergic reactions.
• Other Serums: For younger skin, hydrating or Vitamin C serums are good options. Avoid other serums unless prescribed by a dermatologist.

The Importance of Diet and Lifestyle

Dr. Mahajan stresses that a healthy diet and lifestyle are crucial for skin health. Her recommendations include:

• High-fiber diet
• Plenty of fruits and vegetables
• Adequate intake of dry fruits
• Drinking plenty of water

The Importance of Inner Beauty: Breaking the myth of looking Fair

Dr. Rashmi passionately addresses the societal obsession with skin fairness. “Beauty is something that comes from within,” she asserts. There are also People who go to beauty specialists few days before their marraige in request of getting fair skin, to look more fair on the day of marraige. 

She advises, emphasizing a holistic approach to beauty:

• “Don’t think; You are going to change with your skin” Dr. Rashmi stresses that true beauty is not about altering one’s natural skin tone.
• “It’s just your skin color.” She highlights that skin color is a natural characteristic and should not be a basis for self-esteem or societal judgment.
• “Beauty is from within.” Inner qualities, such as confidence, kindness, and character, are what truly make a person beautiful.
• “It’s not just skin deep.” This reinforces the idea that focusing solely on external appearance neglects the more important aspects of a person’s character and personality.