Dr Tvacha: Hair, Skin, Slimming, Anti-Ageing

Thorough. Verified. Accountable. Clear. Honest. Approachable.

Dr Tvacha has been treating patients in Thane since 2005. Today we run doctor-led weight loss across India, hair care at four Mumbai centres, and women's midlife care with Dr Anagha at Cocoon × Dr Tvacha.

Weight Loss
Weight Loss Hair Women's Health Skin Anti-ageing

Tried Everything Already?

Let's Find What Actually Works For You

because it was never about your willpower. it was about the plan.

Five Programmes. One Rule.

Every programme starts with a diagnosis, comes with a written plan and fees before you pay, and ends with a plan for life after treatment. No package is sold on day one.

Weight loss · all-India

The Endgame Weight Programme

Dr Amit's Triad Method

"Most weight loss plans start with the first dose. Ours starts with the last one."

Doctor-led weight loss at home, anywhere in India. Dose, protein and strength are managed together, so you protect muscle, hair and skin, and the exit plan is written on day one.

Eligibility consultRs 499
Monthly, medicine includedRs 30,000
4-month courseRs 1,00,000
See the programme →
Hair · 4 Mumbai centres

The 5-Year Time Machine Hair Plan

Dr Amit's Save-First Method

"Hair you lost recently often responds. Hair you never had won't."

A diagnosis first, to find out which one you have. Then the hair you still have is protected with a four-month laser and growth-factor course, and a transplant is planned only if you need one.

Hair diagnosisRs 499
4-month course, medicines includedRs 40,000 to 80,000
TransplantQuoted in writing
See the plan →
Skin · 4 Mumbai centres

The Second Layer Skin Plan

Dr Amit's Diagnose-First Method

"Most skin problems show on top. Most start one layer down."

Acne, pigmentation, dark circles and unwanted hair, treated at the cause with lasers and peels chosen for Indian skin, and a maintenance plan in writing.

Skin consultationRs 499
Treatment planQuoted in writing
TestsAt actual cost
See the plan →
Anti-ageing · 4 Mumbai centres

The Long Game Anti-ageing Plan

Dr Amit's Endgame-First Method

"Ageing is a long game. Plan it like one."

Natural-looking anti-ageing planned over years: skin quality, tightening and, only where suitable, injectables, in small steps.

Face assessmentRs 499
Treatment planQuoted in writing
InjectablesProduct and dose in writing
See the plan →
Women 40+ · Cocoon × Dr Tvacha

The Right Stop Programme

Dr Anagha's Perimenopause-First Method

Dr TvachaCocoon

"You get off one stop before menopause. Most women are told to wait until they've missed it."

Care that starts in the years before your periods stop. A long consultation with a woman doctor, only the tests you need, and treatment adjusted to how you feel.

Midlife Women's Health CheckShared when you book
Ongoing hormone careRs 4,000 to 9,000 / month
TestsAt actual cost
See the programme →

Twenty Years In Thane. One Habit.

Start from the result you want, adopt what works early, drop what doesn't, and tell patients plainly which is which.

  1. 2005Dr Tvacha opens in Thane on 28 November.
  2. 2006An early investment in lasers, when few clinics had them.
  3. 2007Non-surgical hair treatment becomes a core service.
  4. 2010Around this year, lasers join the hair programme.
  5. 9 → 4Nine centres by 2015, then back to four by choice, so the doctors stay hands-on.
  6. TodayDoctor-led weight loss across India, and women's midlife care at Cocoon × Dr Tvacha.

Meet Your Doctors.

Dr Amit Karkhanis

Dr Amit Karkhanis →

MBBS, Dip. Dermatology (UK) · Aesthetic Physician · Reg. No. 2001/02/1124

Founder of Dr Tvacha. Dr Amit started playing chess at three and a half and was taught the endgame first, which is still how he plans treatment. He has treated hair without surgery since 2007, used lasers since the clinic's early years, and leads the weight loss programme himself, reviewing every patient monthly.

His rule in one line: tell people plainly what will work, what will not, and what it costs.

Dr Anagha Karkhanis

Dr Anagha Karkhanis →

Gynaecologist and Fertility Specialist · Reg. No. 2006/02/1187

Dr Anagha spent years managing hormones for women in fertility care. When those same women came back in their 40s with the same symptoms, and when she had hot flashes herself, she built Cocoon × Dr Tvacha, a midlife practice in the same building as Dr Tvacha Thane.

Her rule in one line: every symptom on your list gets discussed, however long the consultation takes.

How Every Programme Works.

  1. 1DiagnoseA Rs 499 consult or diagnosis, in clinic or by video. You get a clear yes, no or not yet.
  2. 2Plan in writingYour treatment, its side effects, the timeline and the fee, on paper before you pay anything more.
  3. 3Review on fixed datesReview dates are set on day one. Your plan is adjusted at each one.
  4. 4Plan the endgameA maintenance plan for life after treatment, so results are kept, not just reached.

Things We Will Do.

  • Say "you don't need this" when that is the honest answer.
  • Write your fees down before you pay.
  • Fix your review dates on day one.
  • Name your surgeon before any transplant.
  • Explain every test we ask for.

Things We Won't.

  • Sell you a package on your first visit.
  • Promise kilos, hair counts or dates.
  • Prescribe anything without an assessment.
  • Suggest surgery before every other option.
  • Run a 70-test package you don't need.

Ask Every Question. We Wrote The Answers Down.

Plain, researched answers from Dr Amit and Dr Anagha, on weight, hair, skin, anti-ageing, women's midlife health and how we work.

Read all the answers →
Weight Loss

Is online doctor-led weight loss safe in India?

Online weight loss care can be safe in India when a registered doctor sees you on video, verifies who you are, reviews your history and blood tests, writes a proper…

7 October 2026 · 7 min read →
Hair

Will my hair grow back? The 5-year window explained

It depends on two things: the cause, and how long the follicles have been shrinking. Shedding after a fever, illness, childbirth or stress usually regrows on its own…

19 September 2026 · 8 min read →
Skin

Warts: causes, spread and removal

Warts are harmless growths caused by the human papillomavirus (HPV) infecting the top layer of skin. They spread through contact and through tiny breaks in the skin,…

24 October 2026 · 7 min read →
Anti-ageing

Combining anti-ageing treatments: order and timing

Many anti-ageing treatments can be combined, because they do different jobs: protect the skin, relax lines, restore volume, tighten or resurface. A trial found wrinkle…

25 October 2026 · 8 min read →
Women's Health

Eating well in perimenopause: an Indian diet guide

In perimenopause, eat to protect muscle, bone and heart. In an Indian kitchen that means protein at every meal (dal, paneer, curd, eggs, soya, chana), calcium from milk,…

18 October 2026 · 7 min read →
Our Story

Why you won't see before-and-after photos on our website

India's National Medical Commission issued Guidelines on Ethical Advertising and Public Communication on 6 October 2026. They bar doctors and clinics from using…

19 October 2026 · 7 min read →

Frequently Asked Questions

Do I need to know which treatment I want before I book?

No. That is what the Rs 499 consult or diagnosis is for. You tell us what is bothering you, the doctor examines you, and you leave with a written plan, or with an honest "you don’t need this".

How much do your programmes cost?

Weight loss: Rs 30,000 a month or Rs 1,00,000 for four months, medicine included. Hair: a four-month course of Rs 40,000, Rs 64,000 or Rs 80,000, medicines included. Midlife hormone care: Rs 4,000 to Rs 9,000 a month. Every programme starts with a consult, and fees are written down before you pay.

Can I do the weight loss programme from outside Mumbai?

Yes. The eligibility consult and monthly reviews can happen by video from anywhere in India, with our team on WhatsApp in between.

What happens when I stop the weight loss medicine?

This is planned before your first dose. You get a taper and maintenance plan, built on protein and strength habits, so the weight is far less likely to come back.

Will my hair grow back?

It depends on when you lost it. Hair lost in the last few years often responds to treatment; hair you were born without will not. The diagnosis tells you which one you have before you spend on anything.

Should I just get a hair transplant?

Maybe, but not first. A transplant does not protect the hair you still have. We save existing hair first, and plan surgery only if you still need it, with the surgeon named in advance.

My periods are still regular. Can this be perimenopause?

It can. Perimenopause can begin years before periods stop, with poor sleep, brain fog, irritability or weight changes. The Midlife Women’s Health Check is designed for exactly this stage.

Does hormone therapy cause breast cancer?

The fear came from an older study that was widely misread. In November 2025 the US FDA began removing the boxed warnings from menopausal hormone therapy labels. It is still not right for everyone, which is why your personal risk is reviewed before anything is prescribed.

Can my husband or daughter come with me?

Yes. Family are welcome at consults, and many daughters book the Midlife Health Check for their mothers.

Do you show before-and-after photos?

No. Indian medical rules do not allow them in advertising, and your progress photos stay private between you and your doctor.

Got A Question About Your Body? →

(start with a Rs 499 consult, or just ask us on WhatsApp first. we reply within two hours on working days.)

Thane →11 am – 8 pmMon to Sat · 97685 566661st Floor, Suraj Arcade, Opp. Cosmos Bank, Gokhale Road, Thane (W) 400602
Andheri →11 am – 8 pmMon to Sat · 97683 78888204 Palm Springs Building, 2nd Floor, P. N. Tondon Street, Lokhandwala Complex, Andheri West 400053
Bandra →11 am – 8 pmMon to Sat · 97682 422224th Floor, Sagar Fortune, Waterfield Road, Bandra West 400050
Dahisar →11 am – 8 pmMon to Sat · 97684 51111Adiv House, Jaywant Sawant Marg, Gomant Nagar, Dahisar 400068
COCOON × DR TVACHA 9:30 am – 12 pm and 1:30 – 3:40 pm Women's midlife care with Dr Anagha · 2nd Floor, Suraj Arcade, Thane (W) · 97685 56666 · Call centre 022 7123 7000