Psoriasis is managed by decisions far more than by procedures, which treatment, at what point, for how long, and when to escalate. Almost all of that can be done properly over video.
Both fees are fixed and are the same for every condition. Consult online first and, if an examination in person turns out to be necessary, only the difference is charged.
₹1,299
History and photographs are taken on WhatsApp first, so the doctor has read your case before the call begins rather than during it.
₹1,499
The full examination, including the two instruments that cannot travel over video: the Wood’s lamp and the dermatoscope.
Fees are for the consultation itself. Where an online consultation turns out to need an examination in person, only the difference of ₹200 is charged, not a second full fee. Medication, tests and procedures are separate and are quoted after examination, in writing.
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.”
Unlike conditions that need a scalpel or a light box, most of what determines a psoriasis outcome is judgement: whether the current treatment is adequate, whether a potent steroid has been running unsupervised for too long, whether the joint symptoms being dismissed are actually psoriatic arthritis, and whether it is time to escalate.
All of those can be assessed from a good history, clear photographs and recent blood results. And they are exactly the questions patients outside major cities most often cannot get answered.
The commonest single finding in these consultations is not a missed diagnosis. It is a patient using a potent topical steroid month after month with no maintenance plan and no review. Controlled just enough not to complain, and heading for a rebound.
Most of what a psoriasis review decides can be judged from good photographs and a careful history, because the structure of a plaque is characteristic and does not need to be touched to be recognised.
What a camera cannot do is examine a scalp under magnification, check nails properly, or assess a joint. Those are the things that bring people in rather than online.
Illustration, not a photograph.
A written plan: what to use now, what to step down to, what to start at the first sign of a flare, and the point at which to escalate or be seen in person.
Wide shots of each affected region and close shots of representative plaques. Include the scalp, nails and any fold involvement.
Names, strengths, how long each was used and whether it worked. ‘Some cream from the chemist’ cannot be assessed.
Especially if you are on or considering methotrexate. Liver function and blood counts.
Morning stiffness and how long it lasts, any swollen finger or toe, heel pain, back pain that eases with movement.
Up to a third of people with psoriasis develop psoriatic arthritis, and the joint damage it causes does not reverse. Morning stiffness lasting over 30 minutes, a swollen finger or toe, heel pain, or low back pain that improves with movement all need reporting. Early treatment protects the joint.
Systemic treatment started or continued remotely requires blood tests, and those have to be practical where you live. So part of the consultation is agreeing the arrangement: which laboratory, how often, and how the results reach the clinic before the next review.
Where that cannot be arranged reliably, the honest answer is that systemic therapy should be supervised by someone you can reach, and that is said rather than avoided.
Book a reviewStandard practice for out-of-state patients, and it works when it is agreed in advance.
The plan states what change means ‘be seen in person’, so nobody is left guessing during a flare.
An online video consultation is ₹1,299. An in-person appointment at the clinic in Secunderabad is ₹1,499. Both cover the consultation itself; medication, tests and procedures are separate and are quoted after examination.
Before. Send your history and photographs on WhatsApp, settle the fee, and you then choose a date from the slots that are open. Paying in advance is what holds the slot — it is a video appointment with a doctor, not a callback queue.
No. Only the difference of ₹200 is charged. Being told a video consultation cannot settle your problem is a legitimate outcome, and you should not be charged twice for finding that out.
Managed, yes: psoriasis care is mostly decisions rather than procedures. What cannot be done remotely is phototherapy, joint examination, and biopsy of an unclear rash.
Daylight, no flash or filter. Wide shots of each affected area plus close shots of representative plaques, and specifically include scalp, nails and any skin folds. Those three change the diagnosis most often.
Sometimes, provided baseline bloods are available and ongoing monitoring can be arranged reliably where you live. If that cannot be arranged, you will be told so rather than started on it anyway.
The history is highly informative, morning stiffness over 30 minutes, a swollen finger or toe, heel pain, inflammatory back pain. If those are present you will be advised to be examined, usually by a rheumatologist, without delay.
Many psoriasis patients do not. Travel is worth it mainly for phototherapy courses that are not available locally, or for a rash that needs biopsy.
English, Hindi and Telugu.
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.