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

In medical science, the term used to refer white patches on the skin is vitiligo. This can appear on various parts of the human body. These are commonly found to develop on hands, feet, arms, legs, face, lips, and around the eyes and mouth. Researchers are not aware of the exact cause behind this skin disease. Some experts believe that it could be an instance of any kind of an autoimmune disorder.

The immune system attacks the melanocytes or the cells that produce skin coloring pigment i.e. melanin. It can also be caused due to genetic factors, excess exposure to sunlight, stress and deficiency of vitamin B12. The white patches are also caused due to infection caused by fungus like tinea versicolor.

Whatever be the cause, the problem is quite embarrassing for all. It mars your beauty and makes you look ugly. There are cosmetics and medicines to treat the condition. 

But you can also choose some home-based remedies from the list below to get rid of the white patches:

Babchi: It is an effective remedy for the problem of hypopigmentation or white patches. It has antipsoriatic properties. You must soak the seeds of this herb in the juice of ginger for at least three days. You must replace the ginger juice timely. It is thereafter advised to remove the husk from the seeds and dry them under the sun to make a powder out of it. Mix the powder with 40gms of milk a day and consume it. You can also put babchi oil on the skin and stay under the sun for 15 minutes.
Ginkgo Biloba: It has antioxidant properties to fight against the white patches. It hampers the spread or progress of the disease. You should consume 40-80mg of this three times in a day.
Coconut Oil: It helps in soothing the skin and cures inflammation. It helps in re-pigmentation. It is antifungal in nature.
Ginger: It benefits the blood. It boosts the production of melanin. Place a slice of ginger on the white patch and let it dry. You must repeat this twice daily for a week to see the best result.
These are just a few of the home-based remedies. You must consult your dermatologist for expert advice. Your treatment may vary on the gravity of the situation. Your doctor will be in the best position to tell you what suits you the most.

Vitiligo - Home Remdies to Treat Vitiligo on Body

Orange Peel Scrub For Flawless Glowing Skin

An orange is much more than just a refreshing tangy fruit. Orange, rich in Vitamin C, is the best all rounder when it comes to your skin. It’s rich in antioxidants and helps your skin to get younger looking, glowing and healthy. It’s almost a miracle for your skin.

Ground orange peels (and nothing else) just on their own make for the perfect scrub. 

It has these 4 effects on your skin.

1. Scrubbing off Dead Skin: The leathery granular texture & calcium present in it, serves as a gentle but extremely effective scrub, removing layers of dead and decaying skin. 

2. Moisturizing: The natural oil & potassium present in orange peel moisturizes & hydrates your skin simultaneously. 

3. Anti-ageing: The antioxidants neutralize the free radicals keeping wrinkles and sagging cheeks at bay.  Vitamin C & Magnesium present in it make skin glowing, youthful & healthy.

4. Skin Lightening: The orange peel also serves as a natural bleaching agent which helps with skin whitening. 

How to Get the Glow: To get an instant glow, all you need to do is rub frozen orange peel cubes onto your skin.  Continue rubbing till the cubes dissolve onto your skin into a scrub/mask. Splash your face with water to reveal the magic!

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

4 Magical  Effects Orange Peel Has On Your Skin

Are you experiencing skin itchiness and development of dry, scaly rashes on your skin? This indicates you have eczema, which is a group of skin diseases occurring due to the inflammation and irritation of skin. Atopic dermatitis is the most common form of eczema. The disease can be controlled if proper treatment is undertaken.

Symptoms
Itchy skin is the most common symptom of eczema. In some cases, the itching starts before the development of the rash. The rash appears most commonly on the back of the knees, face, hands, wrists and feet. The affected areas become dry and thickened and in people with a fair complexion, the areas may turn reddish initially and then become brown.

Causes
The specific cause of eczema is yet to be determined. However, the condition is associated with an overactive response by the immune system to an external irritant. This response leads to eczema. The condition is more common in people who have a family history of allergies or asthma.

Treatment

As the condition turns the skin dry and itchy, certain creams and lotions are recommended to be used in order to keep the skin moist. You should apply these products when your skin is damp, ideally after taking a shower. This helps the skin in retaining moisture. You can use a cold compress to ease the itching.
Several creams such as hydrocortisone cream and ointments which contain corticosteroids are prescribed in order to reduce inflammation.
In case the affected area becomes infected, antibiotics should be taken to eliminate the infection-causing bacteria.
Antihistamines are used for reducing the severity of the itching. 
Prevention of Eczema Flare-ups

Moisturize your skin frequently
Avoid sudden changes in humidity or temperature
Abstain from overheating and sweating
Try to reduce stress
Avoid starchy material
Avoid soaps, detergents and solvents, which are harsh
Be aware of food items which trigger eczema flare-ups
It is recommended for you to consult a dermatologist if you experience any symptom of eczema. This will help you with a quick diagnosis so that you can start the treatment without further worsening of the symptoms.

Eczema - How You Can Prevent Its Flare-ups?

Eczema is a common skin problem that appears as red, raised rashes on the skin, commonly the face, neck, elbows, hands, and feet. Considered as an allergic response, it is often seen in people who have a predisposition to other allergies like asthma, hay fever, hives, etc.

The good news is that these have identified patterns, and there are things that can be easily done which can prevent flare-ups.

Reduce soap: Soaps are known to dry the skin up and irritate the skin, so eczema flare-up is common in those who love to lather themselves up. If possible, switch to soap or body wash that contains moisturizer as reduce the bacterial load on the skin. People who live in hot and humid locations, such as Mumbai it is important that they cleanse their face completely, else it can lead eczema eruption. 
Moisturize: Keep a moisturizer handy at all times. Eczema is common when the skin is dry, so keep applying moisturizer at regular intervals and keep eczema at bay. Make it a habit to apply moisturizer soon after the bath. The moist skin soaks it in nicely and provides maximum benefit when applied this way.
Avoid artificial fragrances: While deodorants and skin care creams which contain fragrances smell appealing, they also cause irritation and are harsh on the skin. This exacerbates eczema, and so avoiding these products is advised.
Know your trigger: This could be anything from a dishwasher liquid to a bath soap or a deodorant to some plant in your garden. Over a period of time, you will be able to identify the trigger, and avoid it so that eczema does not flare up. Remember, it is a type of allergy after all.
Detergents for washing clothes: Using milder detergents, especially for undergarments, greatly helps. Also, wash these twice to get rid of all the soap. Avoid fabric softeners as they are fragrant and can cause irritation.
Avoid hot baths: While a hot bath at the end of a long day sounds very relaxing, it also leaves your skin dry. This can worsen the condition of eczema. Add to this the irritation from your bedspread and pillow covers. Unless you have the habit of applying copious amounts of moisturizer before going to sleep.
Cover up your hands and face: When possible, use gloves and a mask especially when washing dishes and using laundry detergents. This way, you can prevent dryness and irritation of the skin on the hands and prevent eczema.
Soak it in the tub: When you stay for about 20 minutes in a tub (no hot water though, but lukewarm), the skin absorbs moisture which prevents it from drying. This greatly helps prevent eczema.
Cut down stress: Like any allergy, eczema acts up when stressed, so manage it. There is no point stressing anyways!

Eczema - How To Prevent Its Flare-ups?

6 Best Home Remedies To Get Rid of Acne

Acne causes skin damage and leaves marks that ruin appearance. Although these scars cannot be completely removed, they can be reduced to an extent that they become invisible.

Give your skin these tested remedies to get rid of pimple scars-

1) Cleansing of Lemons: Lemons, as you know are rich in vitamin C, which helps in the synthesis of collagen (the connecting tissues of skin) in the body. Therefore, regular use of lemons helps in keeping your skin free from blemishes or scars. Treating with lemon includes consuming lemons as well as application of lemon juice on the scars and washing it off.

2) Smoothening of Aloe Vera: Aloe Vera gel application is extremely beneficial for skin, it not only reduces the scars but also soothes the skin. It also smoothens out the skin as well as lightens the complexion.

3) Soothing of Sandalwood: Sandalwood or chandan is antiseptic and anti inflammatory in nature. It is therefore highly effective at cleansing of scars as well as soothing facial skin. Regular application of sandal wood powder mixed with rose water gives a glow to your skin that nothing else can.

4) Healing of Fenugreek: Fenugreek or Methi seeds are anti-inflammatory and are also a smoothening agent. It heals skin conditions and greatly reduces acne scars. Its extract can be applied externall for the reduction in the intensity of the scars  appearance.

5) Protection of Neem Leaves: Neem leaves are effective against a lot of skin problems, from acne and eczema to ringworm. Its alkaloids content gives Neem its antibacterial, antiviral and antifungal properties. Neem also helps in removal of toxins from the body. It can be crushed and externally applied in the form of a pack or its bitter juice can be comsumed.

6) Care of Apple cider vinegar: Vinegar promotes peeling off skin, which is helpful when you have scars. It is also antiseptic in nature.  It can be applied on the scalp using cotton, with a little dilution. The vinegar is particularly helpful in dandruff.

Have any further questions on how Ayurveda can help you get beautiful skin? Click on consult privately to ask me.

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6 Best Home Remedies To Get Rid of Acne

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