Psoriasis is managed over years, which makes the review appointment the one that decides the outcome, and a review you can reach in fifteen minutes is a review you keep.
Almost any potent steroid will flatten a plaque. What separates good psoriasis care from the other kind is what happens once it has: whether there was a step-down plan, or whether treatment was simply stopped and the disease rebounded, sometimes worse than it began.
So a first consultation here produces three things: what clears the current flare, what holds it afterwards, and a written plan for what to start at the first sign of the next one. Patients who leave with that third thing flare less, because they act in week one rather than week six.
It also produces a joint assessment. Up to a third of people with psoriasis develop psoriatic arthritis, the damage it causes does not reverse, and the early symptoms are routinely dismissed as unrelated aches.
Dr. (Lt Col) Khagendra Varada
Reg. No. 10461, Hyderabad State Medical Council
Full background →“Dr. Varada is an incredibly patient, knowledgeable and wonderful doctor. He sorted out an issue that I had been dealing with for years in one appointment and there’s been no looking back since!”
“Dr. Varada was excellent. Clearly knowledgeable and thorough, took time to explain what they saw and why. Office staff were friendly and the visit felt unrushed. Highly recommend for anyone wanting a dermatologist who really knows their craft.”
Creams, then light, then tablets, then the targeted injections. Where you start depends on how much skin is involved and what it is doing to your life — not on what is newest.
The wedge beneath the steps is the monitoring each rung asks of you, and it thickens the whole way up. Nobody starts at the top, and nobody should be left at the bottom for years if it is not working.
Illustration, not a photograph.
Narrowband UVB is two to three sessions a week. Excimer is usually twice a week. Both run for months, not weeks. That means somewhere between forty and eighty separate trips before the course is finished, and the single commonest reason a course is abandoned is not that it stopped working. It is that the journey stopped being possible.
Which is why this page leads with the address rather than the equipment. If you live on the Secunderabad side, a clinic in Karkhana is a fifteen-minute problem. The same course booked across the city is a ninety-minute problem twice a week, and the difference between those two numbers decides how much of your skin repigments.
Every locality, and how farAdherence is the variable a patient controls most and hears about least. Distance is most of it.
Consulting runs mon–sat, 11:30 am – 5:00 pm, so a session slots into a lunch break rather than costing an afternoon.
| Locality | Distance | Practical for 2–3 visits a week |
|---|---|---|
| Karkhana | the clinic’s own locality | Yes |
| Vikrampuri Colony | walking distance | Yes |
| Trimulgherry | about 2 km | Yes |
| West & East Marredpally | about 3 km | Yes |
| Bowenpally | about 4 km | Yes |
| Bolarum | about 5 km | Yes |
| Alwal | about 6 km | Yes |
| Tarnaka | about 7 km | Yes |
| Begumpet | about 7 km | Yes |
| Malkajgiri | about 8 km | Yes |
| Kompally | about 9 km | Yes |
| Sainikpuri & A.S. Rao Nagar | about 10 km | Yes |
Psoriasis reviews are usually every six to eight weeks rather than weekly, so distance matters less than it does for vitiligo, until phototherapy enters the plan, at which point it matters just as much.
Bring the previous diagnosis, every prescription and any blood results. The commonest finding in a psoriasis second opinion is not a wrong diagnosis. It is a potent steroid that has been running for months with no maintenance plan and no review date.
One consulting location, formerly BNR Skin & Vitiligo Hospital. The practice has held this address for years.
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad 500009. Formerly BNR Skin & Vitiligo Hospital. Monday to Saturday, 11:30 am to 5:00 pm.
Yes, narrowband UVB on site. A course typically runs 20 to 36 sessions at two to three a week, so it is worth checking the timings suit you before starting.
No. It is a long-term immune condition. Treatment aims at remission: skin that is clear or nearly clear, held there with maintenance, sometimes for years.
It may well be. Up to a third of people with psoriasis develop psoriatic arthritis, and catching it early matters because joint damage does not reverse. Raise it at your appointment. It will be asked about anyway.
Yes, where conventional systemics have failed or are unsuitable, and after TB and hepatitis screening. They are not a first step and are not offered as one.
On WhatsApp at +91 80088 55330. Say what you are seeing, send a photograph if you have one, and the clinic team come back with a time.
The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.
Not a treatment plan sold on the spot. Message the clinic and bring your history.