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 

Wrinkles are a normal yet unsightly sign of aging, which can come about due to various reasons including too much exposure to the sun, poor diet, excessive smoking and drinking, lack of proper sleep, advent of age, loss of moisture and elasticity as well as collagen, which creates a smooth and supple look and other such reasons. Cosmetic and plastic surgeons are now turning to a variety of methods to lessen the pronounced look of wrinkles and remove them for younger looking skin. Here are a few methods currently in use:

*fillers: fillers like collagen and others including poly lactic acid, calcium hydroxylapatite and hyaluronic acid can be used to restore the elasticity of the skin even as they provide precious hydration. These injectables can be used on the face as well as on hands for a smooth and supple look.

* botox: to get rid of the lines on the forehead and to prevent the onset of more pronounced wrinkles, botox or botulinum toxin type a is a favoured element used by many cosmetic surgeons and dermatologists. This is usually administered via injection.

* retinoids: this is administered with a surgical procedure in order to remove uneven pigmentation as well as the roughness of skin, which sets in with age and excessive smoking and sun exposure. It may cause skin peeling and redness.

* laser: the use of laser resurfacing can also help in stimulating collagen production of the skin, which restores some of its elasticity so that wrinkles may be removed and further wrinkles prevented. 

*surgery: the use of surgical methods like face lifts, brow lifts and other cosmetic processes can help in giving the skin a tighter look, which does away with the appearance of wrinkles. These are usually minor procedures from which one will heal fast.

*dermabrasion: this method is a surgical one that basically sands the surface of the skin in order to remove the wrinkles. It can cause side effects like permanent discolouration of the skin as well as scarring of sensitive skin in particular.

* peels: glycolic acid peels and deeper peels that use elements like salicylic acid can be used to go deep into the skin and making it smooth again. It basically makes a difference to the fine lines. There is a chance of side effects like scarring, bruising and general discolouration in this method as well. 

Adequate sleep, good nutrition, avoiding excessive sun exposure and a good skin care regimen can help in keeping wrinkles at bay for a long time. Moisturising with products that contain plenty of vitamin a and e can also help in reducing fine lines.

Getting Rid Of Wrinkles

5 Unexpected Triggers of Hair Fall

Your genes may be the most common triggers of hair fall, but in certain cases hair fall can be triggered by a host of other reasons you wouldn t have thought about. Sometimes these reasons can range from being simple and temporary (lack of essential nutrients in your diet for example) to something more complex and indicative of an underlying health problem. Read on...

1. Brushing wet hair

Detangling wet hair (easy at it may seem) is probably one of the most common triggers of hair fall. Wet hair is extremely delicate, and brushing wet hair causes the strands to break, leading to excessive hair fall. Repeatedly doing so can cause your hair to become thinner over time, which may result in visibly less hair on your scalp.

2. Food poisoning

Food poisoning can cause an abnormality in your blood circulation, which, as a result, can lead your hair to prematurely enter into a shedding phase. The hair loss that takes place due to this reason is known as  diffuse hair loss.  This type of hair loss usually lasts for a period of 3 months, after which, the hair follicles are replaced by new ones. Hair fall caused by food poisoning is only temporary, and is corrected on its own with time.

3. Car crashes or any other traumatic events

When you go through a car crash or any other traumatic incidence for that matter (divorce, death in the family etc), you may experience an extreme form of shock. This can lead to the development of small bald patches on your head, which is known as Telogen Effluvium. Usually, trauma triggers an autoimmune reaction, because of which the white blood cells attack the hair bulb. This causes the hair bulb to enter into the resting phase, which leads to mildly painful hair loss in particular patches. This type of hair fall is reversible.

4. Food allergies

Different foods (such as dairy, wheat, soy etc) can cause allergies in different people. Such an allergic reaction can cause your immune system to react violently, consequently making your immune system send signals throughout your body to ward off attacks. This, in very rare cases, can give rise to the condition of Alopecia Areata, as your immune system detects the growth of your hair as foreign attack and sends off signals to destroy hair follicles. This type of hair fall ceases once you stop consuming food(s) you re allergic to.

5. General Anaesthesia and Surgery

Hair fall triggered by general anaesthesia and a major surgery usually shows up 3 months after the surgery has taken place. The combination of general anaesthesia and a major surgery can put your body under heavy physical stress, which can cause alterations in the life cycles of the hairs on your scalp, consequently leading to excessive hair fall. Hair fall caused by this reason is temporary too, and usually your hair will grow back over time.
Now that you know about the possible triggers of hair fall, you may be in a better position to control your condition and prevent your hair from falling out. 



5 Unexpected Reasons Why You Might Be Losing Your Hair!

Tummy tuck or abdominoplasty is a frequently performed cosmetic procedure which is meant to improve the looks or appearance of your abdominal region. The primary goal of this procedure is to remove excess skin or fat from the abdominal region and then reconnect the tissues with sutures to get a more toned and flat look.

The requirement for abdominoplasty
The tummy tuck surgery is for someone who has folds of fat or skin on their abdominal region that results in an unsightly appearance and causes body image issues. These problems may be caused by multiple factors, some of which are mentioned below:

1. Significant weight loss: Men or women who have lost a lot of weight tend to have excess loose skin on their bodies as a result of the skin being stretched over a long period of time.

2. Pregnancy: Many women who have gone through multiple pregnancies also have similar problems as the skin in their abdominal region tends to stretch over multiple times which may result in the skin becoming flabby.

3. You have a weak lower abdominal wall: Some patients tend to generally have a weak lower abdominal wall which over the years tends to protrude and hang. This results in a misshapen body which they want to correct for body image issues. 

4. To correct scarring from C section: Many women who give birth via C-section tend to have a scar on their body and some abdominal contouring can change the shape and size of the scar, which in turn not only tightens the tummy but also hides the scars.

Considerations before abdominoplasty
Abdominoplasty isn't recommended if you fall under any of the following categories:
1. Still have to lose weight: If you have to lose a lot of weight, then it is advised that you wait till your goal weight is reached and only then consider this procedure. Abdominoplasty isn't meant to reduce weight, but to take out excess skin and flab that remains after weight loss

2. Plan on becoming pregnant again: If you are planning to become pregnant again, then the muscles and tissues in your abdomen might loosen and cause a flabby belly again.

3. If you have heart disease or other conditions: If you have heart related conditions or are diabetic, then abdominoplasty won't be considered as it might put you at high risk of complications after surgery.

Abdominoplasty - An Overview

When an injury happens, the normal tendency of the skin is to repair itself from inside out, until it is completely closed and healed. However, in some cases, due to various reasons, excessively large scars can form. These hypertrophic scars are known as keloids. Here is everything you would like to know about keloids:

Features of keloids:

Benign, fibrous, smooth, hard growths that form over a healed wound
Can be bigger than the original wound
Most commonly found on chest, ear lobes, cheeks, and abdomen
Pregnant women are usually at the risk of developing keloids
Though they do not develop into malignant lesions, they are a cosmetic issue, especially when the visible portions of skin are affected
They are localized, flesh-colored and red in color
They are raised from the surrounding tissue and are prone to repeat injury
It continues to grow with time
Could cause discomfort and irritation when it comes in contact with clothing
Sun exposure or tanning can worsen it and cause tenderness
Common injuries that can lead to keloid formation include burns, surgical incisions, skin piercings, chicken pox scars, tattoos, etc.
Treatment for keloids may not always be effective and need repeat treatments
Treatment options: If the keloid is not in a visible area and does not cause any problem, it is best to leave it untreated and observe for any changes. The following changes could indicate the need for treatment.

Change in color from pale pink to red (indicating inflammation)
Severe increase in pain/tenderness
Sudden increase in size, which could indicate malignancy (keloids are an area where benign growth can turn cancerous)
A biopsy can be done to identify if treatment is necessary. This involves removing a small part of the tissue by injection and sending it for laboratory examination.
Treatment options include both nonsurgical and surgical. Nonsurgical methods are tried first before resorting to surgery.

Steroid injections into the keloid to control growth and inflammation
Moisturization to keep it soft and avoid dryness and cracking and bleeding
Freezing the tissue (cryotherapy) to freeze the growth can help in further increase in the size of the tissue
Laser to remove the tissue, especially if it is small. Alternately, this could be used as a secondary measure after the keloid is excised to prevent further growth
Radiation therapy to shrink the growth
Surgical excision, where the keloid is quite visible or large. This could be followed by radiation or laser to prevent further growth.
Also, in people who are prone to develop keloids, surgical incisions can be treated for a longer time with pressure dressings and silicone pads.

Keloids - Know About Its Treatment!

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

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