Introduction 

The common male problem in an Aesthetic clinic, Gyanecomastia, is truly Pseudogynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone. What is seen and what is treated is just a tip of the iceberg. 

Gynaecomastia, an innocuous condition, that affects 35-70% of male population immediately after birth, during adolescence and old age is rarely brought to notice as the sufferer makes all attempts to hide it as the condition brings with it a sense of shame and pain in public places and mental suffering. Herein starts the search for the treatment. Medical and multifaceted surgical options evolved over centuries with the current opinion being fat removal by anyone form of liposuction and the gland removal by direct excision. Gynaecomastia, is increased breast tissue in males composed of glandular and fatty tissue. 

Physiological gynaecomastia of puberty that normally regresses with age tend to stay back being sustained by the modern lifestyle changes. Processed foods and environmental pollution of air and water, the cosmetics used on the body like deo odorants, perfumes and toiletries, synthetics and chemicals have contributed to explosions of generalised obesity. With this generalised obesity, the tendency to hold back excess fat in the breast developed. This clearly shows the reason for higher incidence of (pseudo) Gynaecomastia of late. Hormonal imbalance due to reasons stated above, aggravate the situation. Gynaecomastia is part of the generalised obesity and it is more fat and little gland. 
However, this condition does not have any harmful effect on the body, but it can cause distress emotionally. Men may lose their self-confidence and they can be psychologically affected by this.

What Causes Gynaecomastia?

It is a type of hormonal imbalance that results in the growth of the male breast tissues. The ratio of oestrogen v/s androgens gets altered and causes the enlargement of the breasts. For this condition to occur, the amount of oestrogen increase in the body, or the amount of testosterone drops. Sometimes it can be the combination of both.

There are certain diseases that may contribute to gynaecomastia and they are as follows:

Kidney diseases

Liver disease

Drop in testosterone levels

Certain medications such as methadone, medications for HIV or treating prostate cancer

Certain tumours caused in male sex organs such as cancer of the Leydig cells or the Sertoli cells resulting in deprivation of androgen levels

Conclusion: 
True Gynaecomastia that requires surgical treatment is not so uncommon. What is commonly believed to be gynaecomastia is truly Pseudo gynaecomastia with a co exiting clinical picture of obesity, high BMI, sedentary life and wrong lifestyle. Surgical treatment by laser liposuction under Tumescent Anaesthesia gives very good results with high patient satisfaction and negligible post operative complications. Gland fragmented with laser can be extricated thro  same entry point without sub areolar incision.

Gynaecomastia (Enlarged Breasts In Men): Causes and Treatments

Dermatitis is a disorder where inflammation on the skin is caused. It is also known as eczema. Itchy, erythematous, vascular or crusting patches appear on the skin. Dermatitis denotes an acute condition, and eczema refers to a more chronic condition of the disease. Any form of dermatitis can be cured effectively using homeopathic medicines. Homeopathy helps in decreasing the severe itching associated with the disease and also the frequency of relapse.

Here are some primary homeopathic medicines, which are used in the treatment of Dermatitis:

Sulphur: This is said to be the best homeopathic medicine for treating Atopic Dermatitis. Very effective results are obtained when sulphur is used to cure dermatitis. It is used mainly when the skin gets excessively dry and develops scales, accompanied by itching. The itching reaches its peak during the night and is followed by a heated sensation in the affected area. In cases where sulphur is used, the skin looks dirty and unhealthy. The patient also has an increased craving for sweets and tends to avoid bathing.
Graphites: This medicine is the best natural remedy for Dermatitis which occurs in the folds of the skin. It may occur in the folds of the elbow, knee, behind the ear and neck. There may be rawness with the itching and eruptions occur in the skin folds. Glue-like discharge from the affected area is also indicated. Graphite also treats eczema on the face, nose, chin and the eyelids.
Rhus Tox: This is an effective homeopathic medicine used in the treatment of dermatitis due to asthmatic disorders. Rhus Tox is used when the skin turns red in color, and the itching is severe. Fluid-filled eruptions appear on the skin. Scaling of the skin is also common among asthmatic patients who develop dermatitis. Rhus Tox is usually used for dermatitis, which happens during the monsoon.
Mezereum: This is a very useful homeopathic medicine used for treatment of dermatitis where weeping eruptions appear on the scalp. The medicine is also used to cure oozing eruptions, which occur on the scalp. Mezereum is used when a thick scab is formed on the scalp which discharges thick pus. Ulcers and vesicles are likely to appear on the scalp.
Natrum Mur: It is used in cases of dermatitis where dry eruptions occur along the hairline, or in the margin of the scalp. Crusting takes place along the hairline as well. The patient develops an extra craving for salty food.
Homeopathy is a very effective form of medicine used for the treatment of dermatitis and there are homeopathic remedies for all types of dermatitis conditions. Not just the symptoms but the entire disease is cured from its roots using homeopathy.

Best 5 Homeopathic Medicine for Dermatitis Treatment - Safe Remedies

Eczema refers to any kind of superficial inflammatory process that primarily involves the epidermis, and is characterised by itching, redness, vesicles and sometimes crusting and oozing. Another term for eczema is atopic dermatitis. This kind of skin infection can start during infancy and continue until many years. Though there are some people who outgrow the condition, others may have it all their lives.

Causes:

The factors that play a role in causing eczema are:

Genetics is one of the factors that may affect the proper functioning of your skin as a barrier against harmful substances. Therefore, if either one of the parent or both suffers from the condition, it is very likely that their children too will suffer from it.
Abnormal functioning of your body's immune system can also lead to this skin condition. This is because it's your body's immune system that fights off infections as well as harmful intruders.
Dry skin brings down your skin's ability to fend off irritants as well as allergy causing substances from entering your skin, resulting in an inflammatory condition.
The presence of the bacteria called Staphylococcus aureus, which brings about sweat buildup, inflames the skin considerably, leading to this condition.
Even environmental factors like pollen, cigarette smoke lead to the flaring of eczema.
What are the symptoms of eczema?

Atopic dermatitis is commonly seen as dry patches appearing on the skin and sometimes these patches are extremely itchy and cause discomfort. In the case of infants, the rashes appear on the scalp and cheeks and often bubble up before the liquid oozes out. Rashes commonly appear on the backside of the creases of the elbows and knees in the case of kids above two years, and other places on the body may also be affected. In adults, the rashes can make the skin dry and cover maximum area of the body. It may also lead to further skin infections, skin irritation, and may also cause eye problems.

How can eczema be treated?
Though there is no overall cure for eczema, but the treatments can heal the affected skin as well as prevent flaring of the symptoms. Doctors often suggest a plan of treatment on the basis of the age of the patient, symptoms, and the present state of health. You can opt to take warm baths on a regular basis and apply moisturiser within three minutes. You will have to avoid harsh soaps and instead use the mild soap or non-soap cleansers while washing. It is important to keep your fingernails short so that you don t scratch the affected area which would further aggravate it.
If you are unable to keep eczema under control with all these preventive tips, then it would be best to consult a dermatologist for curing it.

How can you prevent an eczema outbreak?

It is very common for this skin condition to flare-up from time to time. But you can avoid such outbreaks or reduce their severity by following these very simple ways:

Sudden changes in temperature can cause the skin condition to break out. So, when the weather is hot, keep yourself cool but during cold weather, use a humidifier to prevent the skin from drying out.
Keep sweating in check as it can cause an outbreak very easily
Keep your skin well-moisturized so that it doesn't dry out causing further irritation.
Avoid the use of harsh detergents and soaps, woolen materials as well as the consumption of foods that may lead to flare-ups. 

Eczema - Causes, Symptoms and Treatments

Alternative medicine is fast picking up with its beneficial treatment for several skin disorders. Vitiligo or patchy skin is a common skin problem that can be effectively treated by the ancient Unani system of medicine.

What is vitiligo?
Also referred to as leucoderma, it is a patchy loss of skin colour that occurs due to acquired depigmentation of the skin. The absence of skin cells called melanocytes leads to nonproduction of the melanin pigment and as a result, manifests itself as patchy skin in several parts of the body. It can affect any area of the body including the face, neck, back, hands, and legs.

Unfortunately, conventional medicine has not been able to discover a full-proof treatment for this skin disorder, except for surgical intervention. Thanks to the yesteryear s Unani medicine system, which has its foundations in the ancient Greek, Roman, Persian, and Indian medicine, certain herbal formulations help to treat conditions of vitiligo or leucoderma. The Unani system of medicine aims to create the right balance in the body by stabilizing the four humours   blood, phlegm, yellow bile and black bile, which constitute insulin, hormones and other fluid releases.

Herbal powder and capsules are prescribed for the patient s consumption depending on the severity of the disorder.
Herbal ointment for external application   The affected individual must apply the topical ointment or balm before 10:00 am and then expose it to sunlight for around 10 to 15 minutes. After that, it should be shown back in shade and kept for one hour before washing it off.
Diet for vitiligo
Certain food items like banana, beef, sea food, poultry, citrus foods, pickles and dairy products are to be restricted during treatment. Foods with excessive tamarind and cashew nuts are also to be avoided. Recommended food includes all vegetables, fruits, eggs, and organic chicken.

How effective is Unani in treating vitiligo?
For years together, Unani compound formulations for systemic as well as topical usage are catering to the needs of patients. It helps to treat and induce re-pigmentation. There are several treatment modalities available to control the spreading of the disease and minimize the chances of a relapse of the skin condition.

There have been no reported side effects of Unani medicines and they are well tolerated even after prolonged use. It usually takes about 2 to 3 months to see a visible improvement of the condition. The disease tends to become stable after regaining pigmentation.

The Central Research Institute of Unani Medicine located in Hyderabad, India has taken several measures to eradicate Vitiligo. While conventional medicine does try to offer remedies to treat vitiligo, Unani medicine offers a cost-effective approach that is more promising.

Best Unani Medicine for Vitiligo Treatment

Most men, about 60%, see some development of breast tissue in their lifetime. This growth could be round, symmetrical and occurs bilaterally. This growth of breast tissue in males is medically known as gynecomastia.

Causes:

The most common cause is an imbalance between the oestrogen and androgens, with excessive oestrogens leading to the growth of breast tissue.
Excessive use of anabolic steroids
Obesity
Unknown reasons
It can affect men of all ages, and if this presents as a serious problem, then surgery is the most definitive form of treatment.

Surgical options: There are two major options available for correcting gynecomastia   liposuction and excisive surgery.

Liposuction:

Done either under local sedation or under general anaesthesia depending on the extent of the tissue proliferation
A small incision is made either in the armpit or around the areola
Excessive fat tissue and breast gland tissue are suctioned out
The chest contour also is altered at the same time, if desirable
Post-surgery, the person is made to wear a compression garment for the first few days
This helps in keeping the tissue in place and also helps reduce swelling
Healing takes about a couple of weeks  time, depending on the person s overall health status and the extent of surgery.
Excisive surgery:

This is done when the extent of gynecomastia is more severe
These people would have sagging, stretched skin around the breast area
More amount of fat and glandular tissue can be removed through excision
This is more often done under general anaesthesia
The incision is often done around the areala (dark portion around the nipple) so it is concealed or along the natural creases which are formed due to excessive breast tissue
Excessive breast tissue is removed and the incisions are closed
There could be swelling, pain, bruising, and higher chances of post-surgical infections
Recovery will take about ten days to two weeks
Refraining from exercise is often advised for up to 2 weeks
Benefits:

Restore a masculine appearance
Shorter surgery
Faster recovery
Minimal or invisible scars
Almost immediate results that can be dramatic
Improved confidence and self-image
After the surgery:

Surgery is definitely a sure way to remove the male breast tissue, it is almost a permanent treatment for this condition.
It is very important to get a trained, experienced surgeon for the procedure
It is important to follow post-op instructions including pain management, infection control, and recovery
If it was caused by use of steroids or obesity, lifestyle modification is essential to prevent recurrence

Enlarged Breasts In Men - Surgery At Your Rescue!

Pregnancy and the resultant hormonal whirlpool change a woman s body in more ways than one. This is true especially when a woman starts to breastfeed her baby. Before pregnancy, a woman s breasts are taut and firm. During pregnancy and breastfeeding, her breasts enlarge, are stretched out, and tend to sag. All this is very much the natural course of your breasts changing in tune to your bodily changes. However, if you feel that they are hanging lower than what can be expected after pregnancy, you can take the help of a cosmetic gynaecologist.  

Non-surgical Breast Lift Techniques - 

You don t have to resort to surgery to get back firm breasts. There are several non-invasive ways of going about it-

Carboxy Therapy -

This therapy consists of injections of carbon dioxide. Carbon dioxide is administered through a fine needle just beneath the skin. It reaches the adjacent blood vessels and causes them to dilate.  Engorged blood vessels mean more robust circulation of blood. This makes the skin of the breasts more elastic because this therapy triggers the production of collagen.

Hyaluronic  Acid Treatment -

Another effective way to non-surgically gives your breasts a lift is through Hyaluronic acid therapy. In the gel form, this can be a substitute for breast implant surgery. Not only do they make breasts firmer but fuller also.

Hyaluronic acid provides hydration to the cells and tissues of the breasts and makes them supple. They remove wrinkles and stretch marks.

The Vampire Breast Lift (VBL) -

Another way to get firmer breasts without having to undergo the trauma of surgery is the very popular Vampire Breast Lift. There will be no incisions and sutures. The surgeon will simply inject Platelet Rich Plasma into your breasts. The proteins present in the PRP promote growth and repair of cells. The advantages of VBL are-

Gives you firmer and shapely  breasts

Makes the skin taut and smooth

Enhances blood circulation

Minimizes scars and wrinkles

The change in the shape of your breasts in the aftermath of pregnancy should not be a cause for insecurities and anxiety because you do not have to conform to society s ideals of feminine beauty.  But, if you think your body image is driving you towards depression then you may consider opting for the above-mentioned non-surgical treatments of a breast lift.

Non-Surgical Breast Lift - Know More About It!

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