Tehami Dermatology
    Procedure library

    Dermatology procedure guides

    A detailed explanation of every procedure offered: how it works, who it suits, realistic results and risks, with numbered citations to recognised medical sources.

    Cosmetic dermatology in Baghdad and KarbalaBotox, fat transfer and nanofat, chemical peels, melasma care and skin rejuvenation on one page, with what each treatment can and cannot do.

    41 guides

    Injectable treatments

    Gloved hands preparing a fine injection syringe on a sterile clinic tray
    Injectable treatments14 min read

    Botulinum toxin (Botox) in Baghdad and Karbala: what it treats, how long it lasts and how to stay safe

    What botulinum toxin can and cannot do for lines and sweating, which uses are approved and which are off-label, realistic timing, and the safety points every patient should know.

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    Sterile injection tray prepared for a dermal filler treatment
    Injectable treatments12 min read

    Hyaluronic acid dermal fillers: restoring volume without changing your face

    Fillers replace lost structure rather than stretch skin. Here is how they behave in tissue, where they are safe, and what to insist on before anyone injects you.

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    Clinical preparation for an autologous fat transfer procedure
    Injectable treatments11 min read

    Autologous fat transfer and nanofat in Baghdad and Karbala: volume, skin quality and scars

    Your own fat can restore lost volume, and finely processed nanofat can improve skin texture and some scars. Only part of the fat survives, and the risks need an honest discussion.

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    Clinical assessment of facial volume before a corrective injection
    Injectable treatments9 min read

    Lipoatrophy and facial volume loss: why hollows appear and how they are corrected

    Hollow cheeks and temples are not always ageing. Some causes are medical and treatable, and identifying the cause changes the correct treatment.

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    Preparation for an injection lipolysis treatment under the chin
    Injectable treatments9 min read

    Double chin treatment: fat dissolving injections and what actually works

    Not every double chin is fat. Choosing between injections, tightening and surgery starts with working out which layer is causing the fullness.

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    Fine needle mesotherapy preparation on a clinic tray
    Injectable treatments7 min read

    Mesotherapy and skin boosters in Baghdad and Karbala: what the evidence does and does not support

    Mesotherapy covers everything from licensed hyaluronic acid skin boosters to unlabelled vitamin cocktails. The evidence is limited, so claims should be modest and the exact product should always be named.

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    Centrifuge tube of platelet rich plasma prepared for injection
    Injectable treatments11 min read

    Platelet rich plasma (PRP) in Baghdad and Karbala: hair, acne scars and realistic results

    PRP uses your own concentrated platelets. The evidence is positive in hair loss and, combined with microneedling, in acne scars. For general skin rejuvenation the research is mixed.

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    Fine needle prepared for an intralesional injection
    Injectable treatments10 min read

    Intralesional injections: targeted treatment for keloids, alopecia areata and stubborn lesions

    Delivering a small dose of medicine directly into a lesion achieves what months of creams cannot, with far less systemic exposure than tablets.

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    Clinical consultation about excessive sweating treatment
    Injectable treatments10 min read

    Excessive sweating (hyperhidrosis) in Baghdad and Karbala: a stepwise treatment guide for a hot climate

    Excessive sweating is a medical condition with a clear treatment ladder. Most patients get control without surgery, even in the Iraqi summer.

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    Skin resurfacing

    Microneedling pen and treatment solutions on a clinic tray
    Skin resurfacing8 min read

    Microneedling in Baghdad and Karbala: acne scars, skin texture and support for melasma

    Microneedling can improve the texture of acne scars over several sessions and suits darker skin well. For melasma it is an add-on to creams, not a treatment on its own.

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    Radiofrequency microneedling handpiece in a treatment room
    Skin resurfacing9 min read

    Radiofrequency microneedling: tightening and scar remodelling in one treatment

    Adding radiofrequency energy to microneedling delivers controlled heat below the surface, which tightens tissue and remodels scars more powerfully than needling alone.

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    Chemical peel solutions and gauze prepared on a clinic tray
    Skin resurfacing10 min read

    Chemical peels in Baghdad and Karbala: choosing a safe peel for pigmentation, acne marks and texture

    Superficial peels are the safe workhorse for most skin in Iraq. Deeper peels carry real risks in darker skin, and peels support, rather than replace, medical treatment for melasma and acne.

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    Hydradermabrasion device tip and serums prepared for a facial
    Skin resurfacing7 min read

    Hydradermabrasion facials: what they do, what they cannot do, and where they fit

    A well performed hydradermabrasion facial is an excellent maintenance treatment with no downtime. It is not a treatment for acne, scars or pigmentation on its own.

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    Fractional laser handpiece in a dermatology treatment room
    Skin resurfacing11 min read

    Fractional laser resurfacing: scars, sun damage and texture in skin of colour

    Fractional lasers treat a fraction of the skin at a time, leaving untreated bridges that speed healing. That principle is what makes deep remodelling possible with acceptable downtime.

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    Intense pulsed light handpiece prepared for treatment
    Skin resurfacing9 min read

    Intense pulsed light (IPL): redness, sun spots and hair, and its limits in brown skin

    IPL is a broad spectrum light source rather than a laser. That flexibility is its strength for redness and sun spots, and also the reason it needs careful settings in darker skin.

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    Fine surgical instruments prepared for a subcision procedure
    Skin resurfacing8 min read

    Subcision: releasing tethered acne scars from underneath

    Rolling scars are pulled down from below by fibrous strands. Nothing applied to the surface can fix that, which is why subcision is the correct first move.

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    Precise application of a chemical agent into a focal scar
    Skin resurfacing7 min read

    TCA CROSS: the focused treatment for ice pick acne scars

    Ice pick scars are too narrow and too deep for lasers or needling to reach. CROSS delivers a focal chemical stimulus directly into the pit.

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    Q switched laser device prepared for tattoo removal
    Skin resurfacing9 min read

    Laser tattoo removal: how ink is cleared and what determines the number of sessions

    Tattoo removal is a series of controlled photomechanical events, not an erasure. Ink colour, depth, age and your skin type decide how many sessions it takes.

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    Microneedling device with serum ampoules prepared for infusion
    Skin resurfacing5 min read

    Mesoneedling in Baghdad and Karbala: why what goes through the needles matters

    Needling opens temporary channels, so what is applied during treatment reaches the deeper skin. That makes product choice a medical decision, and the evidence for many popular products is limited.

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    Microneedling pen beside small vials of mesotherapy serum on a marble tray
    Skin resurfacing7 min read

    Microneedling with mesotherapy in Baghdad and Karbala: what the combination can and cannot do

    Microneedling has good evidence for acne scars and helps stubborn melasma alongside creams. What is applied during the session matters: it must be sterile and made for injection, and its own evidence is often limited.

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    Energy and light devices

    Laser hair removal handpiece with cooling tip
    Energy and light devices10 min read

    Laser hair removal in brown skin: choosing the right wavelength

    Hair removal works by heating pigment in the follicle. In darker skin the surrounding skin holds pigment too, so wavelength and cooling decide whether the treatment is safe.

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    Vascular laser being used on facial skin
    Energy and light devices9 min read

    Vascular laser: treating thread veins, port wine stains and facial redness

    Vascular lasers heat blood inside a vessel until the vessel wall collapses. Choosing between pulsed dye and Nd:YAG depends on vessel size, depth and skin colour.

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    Radiofrequency handpiece treating the lower face
    Energy and light devices8 min read

    Radiofrequency skin tightening: what it can and cannot lift

    Radiofrequency heats tissue by electrical resistance rather than light absorption, so it works the same way in every skin colour. Its honest role is mild tightening, not a facelift.

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    Focused ultrasound transducer applied to the jawline
    Energy and light devices8 min read

    HIFU: focused ultrasound lifting explained without the marketing

    Focused ultrasound deposits heat at precise depths, including the fibromuscular layer surgeons tighten. The effect is real but modest, and patient selection decides satisfaction.

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    Liquid nitrogen cryotherapy applied to a small skin lesion
    Energy and light devices7 min read

    Cryotherapy: freezing warts, keratoses and small skin lesions

    Liquid nitrogen at minus one hundred and ninety six degrees destroys tissue by ice crystal formation. Simple, quick and effective, with one important caveat in darker skin.

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    Narrowband UVB phototherapy cabinet in a dermatology clinic
    Energy and light devices10 min read

    Narrowband UVB phototherapy for psoriasis, vitiligo and eczema

    Narrowband UVB is one of the most effective and best studied treatments in dermatology, and for many patients it is safer than long term systemic therapy.

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    Targeted excimer phototherapy applied to a small skin patch
    Energy and light devices7 min read

    Excimer targeted phototherapy for localised vitiligo and psoriasis

    Excimer light delivers a high dose to the patch and nothing to the skin around it, which makes it the efficient choice when disease is limited.

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    Red light source used for photodynamic therapy of the scalp
    Energy and light devices8 min read

    Photodynamic therapy for actinic keratoses and superficial skin cancer

    A cream that accumulates in abnormal cells, then light that activates it. Photodynamic therapy treats a whole field of sun damage with an excellent cosmetic result.

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    Ultrasonic cavitation handpiece and contact gel on a clinic towel
    Energy and light devices9 min read

    Ultrasonic cavitation for body contouring: what it can and cannot do

    Low frequency ultrasound can reduce a localised fat pocket by a few centimetres over a course of sessions. It is not a weight loss treatment, and honest expectations are the whole story.

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    Dermatologic surgery

    Sterile surgical field prepared for a skin lesion excision
    Dermatologic surgery9 min read

    Surgical excision of skin lesions: margins, closure and scars

    Excision removes the lesion and provides a specimen for the laboratory. That second point is what makes it the definitive procedure for anything suspicious.

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    Curette and electrosurgical unit prepared for a minor procedure
    Dermatologic surgery7 min read

    Curettage and electrosurgery: fast removal of benign and selected lesions

    A curette scrapes away tissue that is softer than the skin around it, and electrosurgery seals the base. Fast, cheap and effective for the right lesion.

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    Sterile field prepared for minor nail surgery on a toe
    Dermatologic surgery8 min read

    Nail surgery: ingrown toenails, nail biopsies and pigmented streaks

    Nail problems are treated with precision surgery under a digital block. Done well, an ingrown toenail is a permanent fix and a suspicious streak gets a real diagnosis.

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    Dermatology procedure room prepared for a vitiligo grafting session
    Dermatologic surgery8 min read

    Vitiligo surgery: melanocyte transfer for stable patches

    When a patch has been stable for a year and has not responded to light, moving melanocytes into it is the logical next step.

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    Fine surgical scissors and an electrocautery tip on a sterile clinic tray
    Dermatologic surgery8 min read

    Skin tag removal: safe in-clinic options and why home remedies go wrong

    Skin tags are harmless but they catch, bleed and multiply. Removal in clinic takes minutes; removal at home is how people end up with infection and scars on the neck.

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    Fine oculoplastic instruments and sutures laid out on a sterile surgical drape
    Dermatologic surgery11 min read

    Upper eyelid lift (blepharoplasty): when heavy lids are cosmetic and when they are medical

    Removing the excess skin fold of the upper eyelid is a short operation under local anaesthetic that opens the eye, relieves heaviness and, in some patients, restores lost upper field of vision.

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    Sterile nail surgery instruments laid out on a white drape
    Dermatologic surgery9 min read

    Ingrown toenail: why it keeps coming back and the procedure that ends it

    Trimming the corner away relieves pain for a few weeks and guarantees the problem returns. Treating the nail edge at its root, with phenol, cures it in roughly nine out of ten cases.

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    Sterile minor procedure tray with scalpel, gauze, antiseptic and local anaesthetic
    Dermatologic surgery8 min read

    Skin abscess: why incision and drainage beats antibiotics alone

    Pus under pressure does not respond to tablets. Draining it relieves pain within minutes and is the single treatment that reliably resolves an abscess.

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    Diagnostic procedures

    Punch biopsy instrument and specimen container in a clinic
    Diagnostic procedures8 min read

    Skin biopsy: how a diagnosis is actually made

    When the eye and the dermatoscope are not enough, a few millimetres of skin under a microscope settle the question.

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    Dermatoscope examining a pigmented lesion on the skin
    Diagnostic procedures8 min read

    Dermoscopy and mole mapping: catching skin cancer earlier

    A dermatoscope reveals structures invisible to the eye. In trained hands it raises melanoma detection accuracy and reduces unnecessary surgery.

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    Patch test chambers applied in rows on a patient back
    Diagnostic procedures8 min read

    Patch testing: finding the cause of contact dermatitis

    Patch testing is the only reliable way to identify a delayed contact allergy. It turns a chronic unexplained rash into a problem you can avoid.

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    Wood's lamp ultraviolet examination device glowing violet on a clinic counter
    Diagnostic procedures7 min read

    Wood's lamp examination: what ultraviolet light reveals about your skin

    A simple handheld ultraviolet lamp in a darkened room can separate vitiligo from other pale patches, confirm certain fungal and bacterial infections, and show whether pigment is superficial or deep.

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