Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

Psoriasis is a disorder which is characterized by rapid multiplication of skin cells on the skin s surface. These extra skin cells develop into silvery scales, which are often dry and itchy. It may also lead to formation of painful red patches on the skin. This disorder might produce symptoms, which flare up and reduce periodically. There is no cure for psoriasis; treatments however can make the symptoms manageable. 


Symptoms
The symptoms of psoriasis include red patches on the skin and scaly and dry skin. The red patches might be itchy and one might often experience a burning sensation around the area. The joints in your body may also become stiff and swollen. 


Causes
The exact cause of psoriasis has not been ascertained. The accepted theory is that psoriasis occurs when the immune system attacks the healthy skin cells. There is a type of white blood cell called the  T cell , whose function is to combat harmful virus or bacteria in the body. With Psoriasis or any other autoimmune disorder, these T cells start attacking the healthy (skin) cells. 


Overactive  T Cells  may trigger other responses in the body, thus, leading to excess production of skin cells and white blood cells. The excess cells move to the skin surface and end up causing the red painful patches.


Treatment options to manage psoriasis
Although there s no cure for psoriasis as such, the symptoms can be controlled. The treatment options for psoriasis are:
1. Topical treatments: Topical treatments involve application of creams and lotions. They have been mentioned below:
I. Corticosteroids: Corticosteroid creams or lotions reduce the excess skin cell production, thus, reducing inflammation. They are generally not used as a long term treatment as they cause skin thinning.
II. Vitamin D analogues: A synthetic form of Vitamin D, it helps in slowing down skin cell growth. 
III. Salicylic acid: This treatment is used to reduce scaling on the skin, caused due to psoriasis. It is usually administered along with other medications.


2. Light therapy: Light therapy involves using sunlight or artificial light to reduce inflammation and scaling. It helps in reducing the activity of T cells in the body. 


3. Oral medications
In case of severe symptoms, oral medications are prescribed. Medications such methotrexate helps in reducing the excess production of skin cells. Cyclosporine is a drug that is used to suppress the erroneous immune system response. 

Psoriasis - 3 Easy Ways You Can Get them Treated

A wart (also known as verruca) is generally a small, rough tumor, typically on hands and feet but often other locations, that can resemble a solid blister.

Warts are a type of infection caused by viruses in the human papillomavirus (HPV) family. There are more than 100 types of HPV viruses. Warts can grow on all parts of body. They can grow on skin, on the inside of mouth, on genitals and on rectal area. Common types of HPV tend to cause warts on the skin (such as the hands and fingers), while other HPV types tend to cause warts on the genitals and rectal area. Some people are more naturally resistant to the HPV viruses and don t seem to get warts as easily as other people.

Warts come in all shapes and sizes. They are caused by the human papilloma virus (HPV) and can happen to any individual, irrespective of age or sex. They can grow on external skin, genitalia and even on the rectal area. Viral warts are contagious when one comes into contact with the skin of infected person. Sometimes they disappear on their own in a few months and at other times, they can last for years. Usually harmless in nature, warts become a cause of concern due to their unsightly appearance. 

Common Homeopathic Remedies: 

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The homeopathic remedies for warts given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition.

Homeopathy is a medicinal repository when we talk about treating viral warts. Medication is selected after a careful examination of the patient and considering his/her medical history. Here are some of the most advisable homeopathic medicines that are usually prescribed for viral warts. 

Thuja Occidentalis: Thuja is one of the most commonly prescribed homeopathic medicines for various kinds of warts. Especially if no other remedy is clearly prescribed, Thuja can be considered. 
Antimonium Crudum (Ant-c): This remedy works best for hard and smooth warts which appear in groups. These kinds of warts are often found on soles and hands. 
Calcarea Carbonica (Cal C.): Useful for treating warts that appear on the neck, this homeopathic remedy treats warts that are round, hard and appear solitarily. 
Causticum (Caust.): This remedy treats old, large warts that usually appear on the face (nose), under the fingernails or even on the fingertips. Such warts are hard, painful and bleed easily. 
Dulcamara (Dulc.): Flat looking warts appearing on the face and hands call for this remedy. These warts are brown to blackish in colour and get worse in cold or damp weather. 
Graphites (Graph.): This remedy works for warts that are periungual or corn-like in appearance. They appear on palms or soles of the feet and have a yellowish tinge. This medicine also works for patients of eczema. 
Different individuals respond differently to homeopathic treatments. It is important to take a holistic approach to the case in point and start treatment accordingly. We have treated more than 1200 such cases with Homeopathic treatment, so that dermatologists refers patients to us.

Viral Warts and Its Solution With Homeopathy

3 crucial points you must know about breast enhancement

Breast augmentation is a surgical procedure designed to enhance as well as improve the symmetry and fullness of the breasts through implants (gel-like fluid in a flexible sac); or to bring back breast volume lost as a result of pregnancy, aging or weight loss. Before opting for such a procedure, there are certain points that you absolutely must consider, which are:

1. Picking silicone or saline implants: when it comes to implants, you have two options available - saline or silicone. Providing a uniform shape and firmness, saline implants come filled with sterile salt water. In contrast, silicone breast implants contain elastic gel, giving them the look of natural breasts. In terms of elasticity, saline implants can be adjusted more easily as you can inject or remove liquid from the implant. In contrast, silicone implants cannot be adjusted as they are already filled with the gel.

2. Getting the right size: choosing the right size for breast augmentation is very important. It's wrong to believe that bigger implants are not always good. The size of implant should be decided after proper assessment of the breasts.

Mammography should be done before putting breast implants. In general, size selection is made based on your natural breast size. Whether you opt for a saline implant or a silicone one, implants come in varied sizes ranging from 120-180 cc. When you choose a size for yourself, you'll have to keep in mind your body frame as well as appearance you wish to have post surgery.

3. Incision options: depending on the results you expect, you'll also need to consider which incision (a surgical cut made in your skin before the operation) option you should select before undergoing surgery. Incisions can range anywhere from 1-4 inches, with their lengths increasing as the implants expand in size. There are also certain incisions, such as the belly button incisions that are really small and don't leave behind visible scar tissue.

Apart from belly button incision, some of the other incision options that a surgeon may employ for breast augmentation could be:
- armpit incision (incision made in the underarm area for breast implantation through the armpit)
- nipple incision (incision made on the areola, which is the circular area of pigmented skin surrounding a nipple)
- crease incision (incision made in the crease area below the breast for implantation).

Fat grafting of breasts is another alternative or a complementary procedure to the breast implant. If you're considering breast augmentation surgery, be sure to check with your doctor about these factors and which options are best suited to you, before proceeding.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why Breast Cancer is No 1 Cancer in India? + How To Avoid it

3 Crucial Points You Must Know about Breast Enhancement

Eczema is a skin condition marked by eruptions that are often pus filled boils and can be of many kinds. One of the kinds of eczema is also known as Atopic Dermatitis. Before treating Atopic Eczema it is always good to take an opinion of a Dermatologist, as the skin of Atopic patients is sensitive and not all home remedies may suit everyone. It is known to aggravate during cold and biting months of winter and can lead to dryness and scaly patches. It is commonly found in patients who are young children and babies. The flare up can also relapse again. Reddish brown patches and oozing boils characterize this skin ailment. It is mostly found on the face, scalp, knees and elbows.

Let us look at the natural ways in which it can be treated effectively:



Oil Massages: Atopic Eczema is usually characterized by severe dryness, which can be fixed with the help of coconut oil and olive oil massages. Sunflower seed oil and others like camomile, chickweed, licorice and thyme can help in bringing down the inflammation by soothing the area and removing the dryness to a great extent. These oils also have antibacterial properties which can help in treating the eczema in an efficient manner. Further, green tea, primrose oil, aromatherapy and other such methods can also be used to soothe the skin and treat the condition.
Probiotics and other Essentials: It is important to get a good dose of Omega-3 oils as well as other essentials like probiotics and flavonoids that are contained in food like green and leafy vegetables, dairy products, fish and others. These elements can help in treating Atopic Eczema in a natural manner.
Vitamins: Eating the right food can help in removing painful symptoms to a great degree. One can turn to the best vitamin d supplement that will supply precious Vitamin D to the body and help the skin become clear. Vitamin D can also be found in green vegetables, fish and dry fruits like figs and almonds.
Lifestyle Changes: There are other ways of treating this condition. One of the methods includes making lifestyle changes like using deep breathing and meditative techniques that can bring the stress level down so that the flare up does not happen and the immune system continues to function properly. Also, patients would be advised to use a cold compress every night as this is when the itching increases by leaps and bounds. The use of oat meal baths with baking soda can also help.
Aloe Vera Gel: The soothing and healing properties of Aloe Vera are well known. One can use the gel of this herb to bring down the painful inflammation as well.
Healthy drinks: Green tea usage can be found efficient in treating eczema, according to many pieces of research. Apart from consuming green tea, there are many other healthy drinks which you must consume if you are suffering from eczema.
There are various ways to deal with Atopic Eczema and hygiene is one of the top methods along with a good lifestyle.

The Best Natural Remedy for Eczema

Most of Almost every one of us dreams of a flawless skin. But, your beauty gets a patch of ugliness with the presence of unwanted moles on your skin. Moles develop from cells called melanocytes, which produce pigment melanin that gives skin its color. It is for this reason that the moles are darker than the other parts of the skin. They are usually caused due to hormonal changes.

Here are some common causes behind moles:

Teenage: It is the stage that sees a lot of hormonal changes and imbalances. This increases the chance of developing moles.
Pregnancy: It is that period when a woman s body goes through a hell lot of changes. It doesn t give rise to more moles but it is responsible for darkening of the existing ones.
Sunlight: Exposure to sunlight for a prolonged period of time may lead to the formation of moles. These can worsen later by taking the shape of melanoma, or skin cancer.
Genetics: Researchers believe that genes are responsible for having moles on the body or face.
Types of Moles
It is difficult to identify the various types of moles. They almost look the same. But, on closer scrutiny, you will see the differences. Here are the most common ones:

Dermal melanocytic naevi: They protrude from the skin. They have a pale hue. They may have hair on them as well.
Junctional melanocytic naevi: They are either flat or round. They are deep brown or black in colour.
Compound melanocytic naevi: They protrude from skin. They are light brown in colour.
Blue naevi: They are dark blue in colour.
Halo naevi: The moles have a pale circular ring around it.
Home remedies to get rid of moles
Here are some common home-based remedies to treat moles:

Apple Cider Vinegar: It is a strong natural acid. It burns the area and the mole falls off. But, you need to be anti-allergic to the acid. Dip a cotton ball in the acid and apply on the affected part. You will see results in 10 days time.
Baking soda and Castor oil: The mixture of baking soda and castor oil makes a slow but effective solution for treatment of moles. It also prevents the scars. Castor oil has the ability to disperse any growth of pathogens.
Flaxseed oil, Ground Flaxseeds and Honey: This is an effective remedy for moles that are raised from the skin. It causes loosening of the edges of the mole. Gradually, the mole falls off due to its application.

Moles - Know The Common Types!

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