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

A skin tag is a diminutive, harmless, extension of skin that is usually attached from beneath the skin by a tiny support stalk. These skin tags are seen in places which are exposed to frequent friction with clothes or areas that have more skin to skin friction. They hang out from the skin surface. They commonly occur in the neck, underarms, groin, and upper chest. Medically a skin tag is termed as an acrochordon. Often skin tags are also identified as soft warts, fibroma pendulum, pedunculated fibroma, or soft fibromas. 

Reasons why they happen
Skin tags comprise of blood vessels surrounded by skin and loose fibers of collagen. Collagen is a kind of protein located all through the body. Anybody can develop a skin tag irrespective of gender and age, but elder people are prone to skin tags especially those who have type 2 diabetes. 
Skin tags tend to evolve in the layers of the skin folds, where the skin rubs against itself as mentioned earlier, but it is also observed that few individuals get skin tags without any such reason. This is also a reason why skin tags occur more in overweight people as they have more skin folds that are susceptible to chafing. 

Why should you get them removed? 
Most skin tags don't need treatment as they are harmless, but at times people do tend to discard them for cosmetic purpose or may be out of discomfort when they rub against skin or clothing. Checking with your physician in case you doubt the shape of the skin tag and suspect a cancerous element. In such scenario, you will be recommended biopsy for further proceedings if any. 

How is a skin tag removed?
A skin tag is removed through few procedures. Your doctor can consider any of the procedures mentioned below: 

 Cryotherapy: Cryotherapy requires chilling the skin tag with nitrogen fluid. Your physician may spray or swab a little amount of liquid nitrogen onto the skin tag. After the treatment, you may have a small blister which will heal by itself. 
Surgical removal: In the case of surgical removal, the skin tag is cut with a scalpel or scissors. The cut might sometimes be deeper in which case the cut will require stitches. Surgical removal has the advantage of obliterating the skin tag, but there is a risk of minor bleeding. Removal of skin tags doesn't require a full anesthesia. Local anesthesia is sufficient. 
Electro Surgery: Electro Surgery is another remedy where the skin tag is burned with electrical energy in high-frequency. The heat is applied through the narrow stem that holds the skin tag to the skin. 
Ligation: Ligation is yet another method where a surgical thread is tied up to remove the tag. 
There are also natural remedies, such as using lotions or essential oils over a period or also over the counter medicines but then a doctor s advice is always essential to prevent the scope of any scarring, to bleed or other such side effects.

Skin Tags - Get Rid Of Unwanted Extensions

Do you know that enlarged breasts, which are observed in many men are caused because of a health condition? This is known as gynecomastia and involves enlargement of the breast tissues in men. The condition is commonly called man boobs. It is usually not something serious and is not always permanent.

Causes
During the puberty stage, gynecomastia is quite common and normal. It occurs because of natural changes in oestrogen and testosterone, the sex hormones. The condition is also likely in men of old and middle age because of ageing and hormonal shift. Certain medicines such as antibiotics, heart medicines, AIDS medicines, drugs for heartburn and anti-anxiety medicines may also be responsible for this condition. Drinking alcohol in excess and taking marijuana, and other recreational drugs also increase the chances of gynecomastia. Breast size may also get enhanced by the use of herbal products containing lavender oil and tea tree oil.

Symptoms
Men affected by gynecomastia are featured by having a rubbery mass underneath their nipple region. It is less in amount and is usually tender. Fluid discharge is also an indication in some cases.

Diagnosis
For the diagnosis of gynecomastia, you should visit a plastic surgeon, who deals with cases of hormone imbalances. Blood or hormone tests may be required if your physical examination shows that your breasts are larger than usual, the lymph nodes are swollen, or when the lump is sore.

Treatment
Commonly, gynecomastia can not be cured with medicines. Surgery is compulsory. In the case of teenagers, the breasts become of normal shape within two to three years. Surgery is the only option for restoring your chest shape and improving your self-image. In the surgery for treating gynecomastia, a small cut is made on your breasts and extra breast tissues are removed. This makes your breasts smaller and flatter. The nipple may also need to be repositioned. Liposuction is another procedure which is carried out for this purpose, in which extra fat is sucked out from under your skin. Among the different modes of treatment for gynecomastia, surgery is meant for long term results. However, you need to undertake a healthy lifestyle in order to maintain your new chest shape. Gaining weight and taking drugs may cause gynecomastia to reoccur.

Gynecomastia - What You Need To Know About It!

Stress and fatigue as well as hormonal issues and genetically inherited conditions may leave a mark on our faces, and the eyes in particular. We talk about getting under-eye puffiness, yet we fail to notice that some of us also experience the ill effects of another issue: eyes that look hollow. This issue is particularly evident on more thin faces. As a general rule, ladies who experience them say that they look tired even when they aren't. For some ladies, they start seeing hollows in the under eye area in their mid-30s. As they grow older, the procedure accelerates and gives them a tired and old appearance.

Causes: So what causes a hollow to happen? The fat cushions that line the drop and start to leave the area with an empty look. This creates a less than flattering look which also looks dark and unsightly. Some of the fixes for this problem are as follows:

Filler Fix: Hyaluronic corrosive is successful in filling the affected areas under the eyes, when the tissue is injected with it. The best choice is hyaluronic corrosive filler, for example, Restylane or Juv&eacute;derm Voluma, in combination with the surface medicines for the skin.

Lasting Fix: A lower eyelift or blepharoplasty surgery can expel any free skin under the eyes that gives a hollow look. The fat can be repositioned or added to smooth out depressed skin.

Product Fix: Applying cucumber cuts and items with vitamin C can also help. It can diminish the dark circles that occasionally come with eye hollows. If you find that you have dark circles as well, a solution of hydroquinone can help up under-eye shadows.

Utilize an eye cream with hyaluronic corrosive as one of the fixings.

Use hyaluronic corrosive alone on the influenced region, being exceptionally cautious not to get it in your eyes.

Some of the natural strategies are:

1. Rest: This is the genuine, essential and a viable home solution for hollow eyes. As said before, a depressed eye usually calls for more rest.

2. Almond Oil: Apply almond oil under the eyes a few times each day. Almond oil is rich in Vitamin E, a sustaining vitamin for glowing skin.

3. Raw Potato Juice: Raw potatoes are equally important to heal sore eyes and dark circles. Cut the potatoes and lay it on the affected spot for around 20 minutes.

4. Utilized tea packs: With rich cell reinforcements, utilizing tea packs advances blood flow. The sore and darker skin gets renewed.

5. Cucumber: Any eye based solution without cucumber is incomplete. Get some rest by setting cut cucumber on eyes and wake up with new, restored and sparkling eyes.

The Best Procedure for Doing Away With Under Eye Hollows

Over the past decade, many women have opted for Breast Augmentation Surgery. It is a surgical process to improve the aesthetics of one's breast. Apart from giving a much needed lift to the bust size, the augmented breasts can lift up your confidence. Breast Augmentation Surgery, if gone wrong, can create a havoc. The outcome of the surgery can be influenced by a number of factors. Thus, before going under the knife, some important and vital points need to be taken care of.

1. It is advisable to avail the services of an experienced surgeon, who has a higher success rate. A lot of confusions and apprehensions may arise during course of the surgery. An experienced surgeon will ease out the tension to a great extend and guide you better.

2. Breast Augmentation is no child's play. Do not embark on breast augmentation surgery if you are below 18 years of age. It can result in serious health complications. Surgery can wait, but health once lost, will be gone forever.

3. Know the type of implants to be used. Saline and Silicone implants are commonly used in breast augmentation. Both the implants come with their own sets of merits and demerits.

Being softer and smoother, Silicone implants give the augmented breasts a very natural feel. The chances of scalloping (the skin around the breasts appear wavy) are negligible in case of Silicone implants. However, the Silicone implants come pre-filled. Thus, a bigger incision is needed to get it inserted. Though approved by the FDA, leakage of the silicone implants into the body has been reported. The leakage can affect the health seriously. Interference of Silicone implants with the mammogram can also pose a serious threat.

The Saline implants, on the other hand, are not pre filled. Thus, a small incision is all it takes to get the implants inserted. Once inserted, the implants are filled with saline solution. The saline implants can also leak into the body, without any serious implications. The biggest limitation of saline implants is in the fact that it gives the breasts a very hard feel. Scalloping cannot be ruled out either.

Things to take care of:
 
1. Do not go for breast augmentation surgery if you are planning to start a family in 1-2 years of time. A weaning or lactating lady should also avoid the surgery.

2. The exact location of the implant is an important factor to ponder upon. One can go for an under the muscle or over the muscle implants.

3. One can opt for a round implant or a tear shaped implant. The biggest USP of tear shaped implant lies in the fact that it gives a very natural feel to the augmented breasts. The round implants, on the other hand, are much safer to use.

4. Go for the surgery only when you are physically, mentally and emotionally fit and healthy.

Considerations Before Having Breast Augmentation Surgery 

The main pigment responsible for the hair and skin color is melanin. Melanocytes are the cells involved in the formation of melanin. Vitiligo is a dermatological condition (depigmentation) characterized by white spots or patches that appear in the body. Lack or absence of melanin is often responsible for the appearance of the white patches. Improper functioning or destruction of the melanocytes may interfere with the cell's ability to produce melanin. The condition can also affect your hair, scalp, eyebrows, and eyelashes, resulting in their premature graying or whitening.

Vitiligo can be localized (only one or very few body parts are affected), generalized (affecting many body parts) or segmented (the condition affects only one side of the body). An autoimmune condition such as Diabetes (Type-1) or Hashimoto's thyroiditis may trigger the destruction of the melanocytes. Vitiligo may also be a hereditary condition. In some cases, stress or exposure to harmful chemicals may be responsible for the destruction of the melanocytes.

While many people confuse vitiligo with leucoderma, there is a small difference between the two. Like vitiligo, the white watches in leucoderma appear due to the destruction of the melanocytes. However, the destruction of the melanocytes in the case of leucoderma may result from an accident, a cut, burn or tear.

When it comes to the treatment, many people prefer homeopathy over conventional treatments and medications. Being natural with negligible or no side effects are the main USP of homeopathic treatment. People with vitiligo and leucoderma have benefitted immensely from the treatment. The treatment may not provide you with immediate results, but it is worth your time and patience. Most of the homeopathic medicines activate the melanocytes. This activation triggers the formation of the melanin, thereby resulting in re-pigmentation.

The following homeopathic medicines are very effective against vitiligo and leucoderma.

Silicea 30: Silicea 30 is helpful for people with a sensitive skin that appears waxy and pale. In such patients, the patches or spots are not typically white but slightly rose-colored. There is extensive sweating of the hands and feet. The fingertips also appear cracked with brittle nails.
Arsenic Album: In some patients with vitiligo or leucoderma, the skin may appear dry and rough. In addition to the white patches, a person may complain of exhaustion and asthma (not in all patients). The person may show signs of extreme restlessness and anxiety. They freak out over cleanliness and neatness. Such patients benefit immensely from Arsenic Album.
Calcarea Carb is used to treat vitiligo where the patches appear milky white in color. There may be a weakness in the bones as well.
Sepia: Sepia is used when people with vitiligo distant themselves from their families and loved ones.
Nitric Acid 30 is used in the case of the white spots appearing at the mouth, nipples, nose, eyes, penis, vulva (mucous junctions).


Also, Sulfur, Psoralea Coryl 3X, Staphysagria, Borax, are equally helpful in treating vitiligo and leucoderma. To play it safe, use the medicines only after consulting a specialist. Self-medication may not be a wise idea.

Vitiligo And Leucoderma - Homeopathy Remedies Help In Treating Them?

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