Dr Tvacha: Hair, Skin, Slimming, Anti-Ageing
The Second Layer Skin Plan · Thane, Andheri, Bandra, Dahisar

Most Skin Problems Show On Top. Most Start One Layer Down.

Dr Amit Karkhanis · Aesthetic Physician · lasers and skin care since 2005

Acne, pigmentation, dark circles, dull skin and unwanted hair, treated at the cause. A diagnosis first, a written plan, and lasers and peels chosen for Indian skin.

Second Layer
— Diagnose Treat Protect Maintain

Tried Every Cream On The Shelf?

Let's Find Out What Your Skin Needs

a cream works on the surface. the cause usually sits one layer down.

Why Skin Problems Keep Coming Back.

The cause was never found.Hormonal acne, sun pigmentation and dark circles from structure or allergy can look alike on the surface, but each needs a different treatment.
Indian skin was treated like any skin.Brown skin tends to react to heat, harsh peels and aggressive lasers with dark marks, so products and settings have to be chosen for it.
There was no plan after the treatment.Sun protection, home care and maintenance decide whether results last, especially in Mumbai sun and humidity.

Diagnose. Treat. Protect. Maintain.

Every skin plan follows the same order, whether it is acne, pigmentation or unwanted hair.

  1. 01DiagnoseSkin examination and history, with tests only if needed, to find the cause and your skin type.
  2. 02TreatIn-clinic lasers, peels or procedures chosen for your skin, with home medicines where needed.
  3. 03ProtectSun protection and a simple home routine, so the treatment is not undone.
  4. 04MaintainA maintenance schedule in writing, so you know what keeping results involves.

What We Treat.

Treatments available at Dr Tvacha centres. Which one suits you is decided at your consultation.

AcneAcne and acne marksMedical treatment, peels and lasers for active acne, with a plan for marks once it settles.
PigmentationPigmentation and uneven toneMelasma, tanning and dark patches, treated gently because pigment in Indian skin can rebound.
LasersLaser therapyLaser treatments for skin concerns, with the laser and settings chosen for your skin type.
PeelsChemical peelsMedical peels at controlled strengths, from light refreshing peels to treatment peels.
Unwanted hairLaser hair reductionLaser sessions to reduce unwanted hair on the face and body, spaced through the hair growth cycle.
Under eyesDark circlesDark circles have several causes. We find yours before choosing peels, lasers or other treatment.
GrowthsRemoval of unwanted growthsSkin tags, warts and similar growths removed by a doctor after examination.
FacialsMedical facialsDoctor-designed facials that work on skin health, not only on the surface.
PRPPlatelet-rich plasmaOffered where it suits your skin concern, and explained before you decide.

What Every Skin Plan Includes.

  • A diagnosis of the cause and your skin type before any treatment.
  • A written plan with the treatments, number of sessions and fees.
  • Sessions at fixed intervals, at any of our four centres.
  • Home care guidance, with medicines prescribed where needed.
  • Sun protection advice that works in Mumbai heat and humidity.
  • Progress photos taken on fixed dates and kept private.
  • A maintenance plan, so results are looked after, not just reached.

The Fees, Written Down.

Skin consultationRs 499At any of our four Mumbai centres.
Treatment planQuoted in writingFor the full course of sessions, after diagnosis and before you pay.
Tests, if neededAt actual costOnly the ones your skin concern calls for.

No package is sold on your first visit. Fees depend on the treatment and the number of sessions your diagnosis calls for.

Made For You If…

  • You have acne or acne marks that keep coming back.
  • You have pigmentation or tanning that creams have not shifted.
  • You want laser hair reduction under a doctor's care.
  • You want to know what is actually going on with your skin.

Not For You If…

  • You want results from a single session.
  • You cannot protect your skin from the sun after treatment.
  • You want a peel or laser without a skin assessment.
  • You want a package before a diagnosis.
Dr Amit Karkhanis

Lasers Since The Early Days. Doctor-Led Since 2005.

Dr Amit Karkhanis grew up with doctor parents and a ZX Spectrum computer, and that love for technology is why lasers became his field. He invested in lasers early, when few clinics had them.

The rule has stayed the same for twenty years: find the cause, choose what suits your skin, and say plainly what a treatment will and will not do.

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

Questions We Answer Every Day.

All skin answers →
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Warts: causes, spread and removal

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Uneven skin tone: causes and treatments

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Sunscreen myths Indians still believe

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Vitamin C serums: do they work for Indian skin?

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Sunscreen for Indian skin: SPF, PA and how much to use

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20 October 2026 · 8 min read →
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How to remove a sun tan: what works and what doesn't

A sun tan is your skin making extra pigment after UV damage. It fades naturally as the outer skin renews, usually over weeks to a few months, if you stop adding fresh…

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Frequently Asked Questions

Do lasers suit Indian skin?

They can, when the laser and its settings are chosen for your skin type. Brown skin is more prone to dark marks after heat or injury, which is why every laser plan starts with a skin assessment.

How many laser hair reduction sessions will I need?

Usually several sessions spaced weeks apart, because hair grows in cycles. The number depends on the area, your hair and your skin type, and it is written in your plan before you start.

Are chemical peels safe?

Medical peels done by a trained team at the right strength are generally safe. Mild redness or peeling for a few days is common. The strength is chosen after assessment, because strong peels on Indian skin need care.

Why does my pigmentation keep coming back?

Pigmentation such as melasma is triggered by sun, heat and hormones, so it can return. Daily sun protection and a maintenance plan matter as much as the treatment itself.

Can acne marks be treated?

Yes, once active acne is under control. Marks and scars are treated with peels, lasers or other procedures depending on their type. Treating marks while acne is still active usually wastes money.

Do I need to stop my current skincare?

Bring what you use to the consultation. The doctor will tell you what to keep, what to stop and what to pause before treatment.

What should I avoid after a laser or peel?

Usually direct sun, heat, scrubbing and strong active ingredients for a few days. You get written aftercare instructions for your treatment.

Will I see before-and-after photos of other patients?

No. Indian medical rules do not allow them in advertising. Your own photos are taken on fixed dates and kept private to track your progress.

Not Sure What Your Skin Needs? →

(book the Rs 499 skin consultation at any of our four centres. you'll leave with a diagnosis and a plan in writing.)

Thane 97685 56666Andheri 97683 78888Bandra 97682 42222Dahisar 97684 51111

Mon to Sat, 11 am to 8 pm · Call centre 022 7123 7000