A Reverse abdominoplasty is a cosmetic surgery procedure used to improve the contours of the abdomen. Unlike an abdominoplasty to tummy tuck, this surgery addresses patients who have excessive skin above the belly button.  Here the skin is pulled up rather than down. 

For this surgery, an incision is made along the bottom half of the rib cage, just below the breasts. The excessive skin is removed along with fat deposits and the remaining skin is pulled in order to tighten the tissues and improve the look of the upper abdomen. This incision is usually made along the natural curves of the breast so as to minimize the visibility of the scar. 

Unlike many other types of cosmetic surgery, this will require a 2 to 3 day stay in the hospital. 
Women who want breast restructuring along with abdominal contouring will find this type of surgery very beneficial. This is because the placement of the incision allows the surgeon to work on both areas simultaneously. This leads to the formation of only a single scar, unlike having breast contouring surgery and a traditional abdominoplasty, which would create two separate scars. 

The incision is also made in such a way that the scar created is camouflaged by the natural contours of the breasts. In most cases, it is also not visible when wearing a two piece swimsuit and thus suits more women than the traditional tummy tuck. Another advantage of this surgery is that it does not alter the position of the belly button. 

A reverse abdominoplasty is usually performed on people who have a flat stomach below the navel, but have excessive fat and skin above the navel. It can be seen in people have experienced drastic weight loss. It may also be suggested as a follow up surgery to a traditional tummy tuck is the skin above the navel is still sagging. However, only a doctor can decide if this is the type of surgery needed for you. 

This procedure very rarely has side effects. This is because it does not interfere much with the muscle structure and only adjusts the skin. In some cases, there may be slight irregularities. This can be corrected by further liposuction. Another issue would be the recurrence of the problem is the tissue is not correctly adhered to the rib fascia. However, this is seen in very few cases. In normal scenarios, even slight weight gain at a later date is accommodated by the skin.

What Is a Reverse Abdominoplasty and Who Needs It?

Rosacea is a skin condition that is characterized by redness and the appearance of pus filled red patches on the face. Small bumps that are red in color and filled with pus may also be present on the skin. This condition can last from a few weeks to a few months. However, because of its appearance, this condition may be mistaken for acne or other allergic reactions.

It mostly affects women who are middle aged or have a fairer skin tone. This disorder does not have a cure but treatments can help in limiting the symptoms of rosacea.

The symptoms of rosacea are:
1. Swollen red bumps: Bumps that look like pimple and contain pus can develop on the skin; the skin tends to feel tender and hot.
2. Facial redness: Facial redness is caused by swelling of blood vessels on your cheeks and nose.
3. Problems in the eye: This disorder may lead to problems in the eye such as irritation, dryness and swelling in the eyelids.
4. Enlarged nose: The skin on your nose may become thick and swollen, making it look enlarged.

Causes of rosacea
There is no exact known cause of rosacea. Contrary to popular belief, poor hygiene does not cause rosacea. There are certain factors that trigger increased blood flow to the skin, them being:
1. Exercise
2. Environmental factors
3. Spicy foods
4. Various medications that dilate the vessels that carry blood
5. Chemicals present in cosmetics

Treatment options available for rosacea are:
1. Oral antibiotics: Antibiotics are used to fight bacteria and reduce inflammation resulting from rosacea.
2. Medications that reduce redness: Certain medications which come in the form of gels, when applied on the affected area, help in constricting blood vessels thus reducing the redness.

There are certain measures that you can take to prevent rosacea, some of them are:
1. Use sunscreen: Use a sunscreen to prevent damage from sun exposure, make sure the sunscreen has a SPF count of 25 or more. However, the SPF measure should be determined by your skin texture.
2. Use gentle products on your skin: Use a mild cleanser to clean your skin and make sure to moisturize on a daily basis.

Did You Know Rosacea Can Cause a Swollen Nose?

If sunburn is taking the mickey out of your fun time in the sun or your summer vacation, then you may want to read this article or pin it up where you can see it every day. Sunburn is something that does not show up immediately. It can happen when you have been in the sun for too long a time, and without the protection of proper clothing, hats, glares and sunscreen lotions. So what can you do when you feel that first sting of sunburn? here's our list!

Swift action: you will need to act fast towards cooling down the onset of a sunburn. Taking a quick dip in a pool or a lake if you are near one can help in soothing the area so that the sunburn is not too bad. Also, you can then cover yourself up and step indoors immediately, where you will be properly shaded from the sun. You can continue with the cool treatment by using a cold or ice compress to press around the area that is burning or has been most affected. Remember to stay away from the exact spot as it may lead to inflammation.

Avoid drying: do not let the area become too dry. Take frequent showers but stay away from harsh soaps as they may make the area dry which leads to chapping and pain.

Breathe: allow the skin to breathe. Do not obstruct the area with too many items of clothing and wear cotton fabric or other light weight clothing that will protect the area and let the skin breathe. Stay away from tight clothes as this may lead to chafing of the skin and the sunburns.

Moisturise: one good way of getting rid of sunburns quickly is to moisturise as soon as you have had a bath or a shower. This will help in locking in moisture which is not really possible when you moisturise the surface later. Use a gentle lotion or cream based moisturiser and stay away from products that contain petroleum gel as this may irritate the skin further and clog the area instead of getting absorbed into the skin.

Inflammation: tackle inflammation by taking corticosteroids or other anti inflammatory drugs. These should be prescribed by a doctor. Aloe vera can also be used to soothe the inflammation.

Hydrate: drink plenty of fluids for fast regeneration of the skin cells and so that the burns do not draw the fluid from the surface if the skin.

Take all the necessary precautions before you step out for some fun in the sun with proper sunscreen and protective clothing as well!

Feeling the Sting of Sunburn? These Tips Can Help!

Do birth control pills help in controlling acne?

An outbreak of a pimple is perceived as a cause of embarrassment and concern as it gives rise to skin damage. Coming to the cause of acne, it generally occurs due to excess oil (sebum) production. The oil on your skin combined with dead skin cells, blocks your skin pores, thereby promoting bacteria growth and causing acne breakouts. 
The use of birth control pills to cure acne is usually recommended when topical medications and oral antibiotics don’t help in clearing up the problem. 
Here’s how they work on acne. 

Possessing properties that can regulate your hormone production, birth control pills contain the two hormones that your body naturally makes – oestrogen and progesterone. Present in different amounts in the pills, they act by lowering the amount of androgens (male sex hormones, which give rise to excessive sebum production) produced by your body. As a result, with a reduction in sebum production, there is also a decrease in the breakout of acne on your skin. However, you shouldn’t expect instant results from their use. 

Many a times, birth control pills can cause a flare-up of the problem before it can be contained. This can result in your acne getting worse before getting better. 
Although birth control pills can help to control acne, it’s still important to maintain a proper skincare routine comprising of washing, toning and moisturising for a healthy and glowing skin. 

If you would like to consult with me privately, please click on 'Consult'.

Do Birth Control Pills Help in Controlling Acne?

Vitiligo is a skin disorder where white patches of depigmentation develop on the skin and keep enlarging. This disorder is long term and continuous in nature. The patches appear due to the death of melanocytes within the skin. Melanocytes are skin pigment producing cells, which produce melanin. Vitiligo can affect the skin of several areas, including the eyes, hair and the portion inside the mouth.

Causes
The causes of this disease are as follows:
1. Autoimmune disorders in which the immune system of a patient becomes over reactive and the melanocytes are destroyed.
2. This disease may also occur due to genetic oxidative stress imbalance.
3. Stressful events may also lead to vitiligo.
4. Harm or damage to the skin from sunburns or cuts also leads to vitiligo.
5. Exposure of the skin to several harmful chemicals may be a cause.
6. Neural disorders are also responsible for vitiligo.
7. Vitiligo may also happen from viral causes or may be hereditary and passed on from family members.

Symptoms
Vitiligo has only one major symptom. White, flat spots and patches develop on the surface of the skin. The earliest of these white patches appear on the parts of the body which are exposed to the sun continuously.
It starts off as a simple spot in the beginning and gradually, the spot starts getting pale and finally turns white. The patches have irregular shapes, and in some cases the edges get inflamed and are red in color. Itchiness is experienced in the affected areas. Symmetrical patches signify slow development of vitiligo.

The two major types of vitiligo are:
1. Non segmental vitiligo, which affects the back of the hand, the arms, knees, elbows, feet, mouth.
2. Segmental vitiligo, which is more stable than non segmental vitiligo, but spreads faster. It usually affects areas of the skin, which are attached to nerves.

Treatment
The different methods of treatment for vitiligo are:
1. Phototherapy with UVB and UVA light: Exposing the affected area of the skin to UVB lamps is a popular cure for vitiligo. This treatment can be performed easily at home. UVA treatment incorporates taking of a drug which makes the skin more sensitive to ultraviolet light and then the skin is exposed to high doses of UVA light.
2. Skin Camouflage: Cosmetic creams and makeup can be used to camouflage affected areas of the skin. These topical creams are waterproof.
3. Depigmentation: Depigmentation is used to treat widespread areas affected by vitiligo. The skin color of the unaffected areas is reduced in order to match the affected areas. It is done using topical ointments.
Vitiligo is a skin disease, the major causes of which are still to be discovered. Proper care and treatment should be taken for skin areas affected by vitiligo.

Vitiligo: Causes, Symptoms and Treatments

Lymphedema is a condition that typically affects the arms and legs. The most common cause of this condition is damage to the lymph nodes or their removal as part of a cancer treatment program. There is no known cure for this condition. However, surgeries such as Vascularized lymph node transfer surgery may help deal with it better.

Vascularized lymph node transfer surgery involves replacing the affected lymph nodes with healthy lymph nodes from other parts of the body. This allows blood to flow more easily and restores or augments the lymphatic drainage system. In most cases, the healthy lymph nodes are harvested from the patient s groin. This procedure is relatively new, and its limits are still being explored by doctors. In cases of breast cancer that causes lymphedema in the upper limbs, this procedure may be performed along with breast reconstruction.

To be a viable candidate for this procedure the patient must have maximized control over lymphedema through other forms of lymphedema therapy. This therapy will need to be restarted after the surgery to ensure good results. The lymphedema diagnosis should also be less than 5 years old such that the patient s lymphedema is in its early stages.

As with any other surgical procedure, there are certain risks associated with this procedure. These can include

Reaction to anesthesia
Bleeding
Infection
Scarring at the site and poor healing
Damage to adjacent blood vessels
Nerve damage that can cause a temporary loss of sensation
Muscle weakness
Numbness ta the sites from where healthy lymph nodes were harvested
Risk of Lymphedema in the area where the lymph nodes were harvested from
After the surgery, the patient will need to keep pressure off the site where the lymph nodes have been transferred. The surgery site may be bandaged but compression garments will not need to be worn. On being discharged the patient may resume normal activities such as driving and work. High-intensity exercises that involve the use of the operated limb should be avoided for at least a month after the surgery. Compression garments should not be used until recommended by the doctor or a minimum of 2 weeks post-surgery. They will also need to schedule review consultations with the doctor. The schedule followed usually involves check-ups after 2 weeks, 1 month, 3 months, 6 months, 9 months and 1 year. 

Lymphedema - Vascularized Lymph Node Transfer Surgery!

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