If you see continual and long-term white patches of depigmentation on your skin, it could be vitiligo. Vitiligo is a condition that appears when melanocytes in your skin are no more alive. This bunch of cells is responsible for producing the melanin pigment that endows the skin with its colour as well as protects it from the harmful UV rays. The area which may be affected by this dermatological disease varies from person to person, and it can also affect the hair, mouth and eyes as well. In most cases, the vitiligo affected area stays discoloured for the rest of the patient s life.

Various types of vitiligo and their symptoms
Scientists have classified vitiligo into two types: segmental and non-segmental. The non-segmental vitiligo is the most common variant and 90 percent of vitiligo affected patients suffer from this kind of disorder. In this disease, the patches take place with little symmetry on both sides of the body. It can be further broken down into 5 sub-divisions.

Generalised vitiligo: It can occur at any part of the body without any rules, and this is by far the most common type.
Acrofacial vitiligo: It is mostly seen on the toes and fingers.
Mucosal vitiligo: In this condition, the discolouration normally takes place around the lips and mucous membranes.
Universal vitiligo: This is the rarest type of vitiligo where the whole body is covered in white patches.
Focal vitiligo: This is most commonly found in children. The children have white and scattered patches across the body.
Possible treatments for vitiligo

Though there are no treatments possible that will re-pigment your skin to its original colour, there are several remedies that aid in decreasing the visibility of white patches on the affected areas of the skin. Some of them include:

Phototherapy with UVB radiation: This is a common form of treatment where the affected area is exposed to UVB radiation and can be performed at home too. If you have large white spots across the body, it is important to have the treatment performed by an expert at any healthcare centre.
Phototherapy with UVA radiation: In this treatment, a drug is first administered for increasing skin s sensitivity to this radiation. Then the affected area of the skin is exposed to high doses of UVA radiation.
Skin camouflage: In mild cases of vitiligo, cosmetic creams and make-up can be used to camouflage the affected area. It can last for about 12- 18 hours when applied in proper techniques.
In case you are suffering from vitiligo, it is crucial to speak with an expert and opt for the best means to curb down the impact of vitiligo.

Vitiligo - Signs You Are Suffering From 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?

The inflammation of the kidneys as an effect of Systemic Lupus Erythematosus (SLE) is known as Lupus Nephritis. Like lupus, this is an autoimmune disease. Inflammation of the kidneys hinders kidney functioning by not allowing the kidneys to regulate the optimum amount and types of fluids in the body and restricts the removal of waste through urine. It can also cause the protein to leak out of the kidneys. If not managed in time, this can eventually lead to kidney failure by scarring the kidney tissue. However, this is a rare occurrence. 

On an average, 6 out of 10 lupus patients suffer from lupus nephritis. In most cases, this disease develops within the first five years of lupus symptoms making their appearance. The symptoms of this disease are mild and can vary from person to person. Very often, the first signs of lupus nephritis become visible only in lab tests as the symptoms are similar to those exhibited by other kidney diseases. 

Some of the common symptoms of this condition are: 

Swelling of the feet, ankles and calves 
High blood pressure 
Weight gain 
Frothy, dark urine 
There are five stages types of this disease and hence, the first step to treating this disease is to identify its type. For this, your doctor will begin with a thorough physical examination and understand your medical history. He or she will also ask for a few tests including urine tests, blood tests, an ultrasound and a kidney biopsy to confirm the diagnosis. 

Lupus nephritis is usually treated with corticosteroids and immunosuppressive drugs. Medication may also be prescribed to lower blood pressure and prevent the clotting of blood. However, in some cases, this treatment may not be enough to stop the progression of the disease and some kidney function may be lost. If both kidneys fail, dialysis is the next medical step. This involves the use of a machine in place of the kidneys to filter and removes waste products from the body. This may be followed by the need for a kidney transplant. 

Since lupus patients are at a high risk of lupus nephritis, here are a few conscious lifestyle changes that can help prevent this condition:

Have a diet that is low in salt 
Avoid smoking and alcohol 
Exercise regularly 
Avoid non-steroid anti-inflammatory drugs("pain killers") and unproven alternative medications that can affect the kidneys.

What Is Lupus Nephritis?

Raise a toast to great skin with vodka!

The Russians love their national drink, the vodka, as much as the french love their fine wines. And just like wine, vodka can be easily used in your daily beauty regime to add a much wanted healthy white glow to your skin.

Vodka is a great astringent or toner. Soak a cotton ball in a mix that is equal parts vodka and water and then lightly dab all over your skin. It will cleanse the skin and tighten pores.

You can add a dash of lemon juice to the mixture and freeze it. Rub these beauty cubes onto your face to bring down skin bloat as vodka and lemon juice together tighten pores and brighten the skin.

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


Raise a Toast to Great Skin with Vodka!

If you are in the process of considering a breast augmentation procedure, here is an insight into what you can expect. In general, or in the majority of the cases, the surgery encompasses three phases consultation, operation, and then the most important part, recovery. In most cases, the breast augmentation is completed under general anesthesia where the patient remains asleep through the procedure.

How is the surgery performed?
The surgeon makes an incision in the crease under the breast or under an arm or around the nipple to separate the breast tissues from the connective tissues and the muscles of the chest. This enables the creation of a pocket-like structure behind or before the pectoral muscle. Then the implants are inserted in this pocket and centered behind the nipple.

What may happen after the breast augmentation procedure?

Soreness and scars: After the surgery, some patients may suffer from soreness accompanied by swelling and bruising for around three weeks after the surgery. The scars tend to fade gradually with the passage of time even though a faint scar remains all through one s life.
Discomfort: Some may experience a slight or tolerable pain in the nipple after the surgery. In rare instances, patients undergo sharper, and burning pain with touch. A light massage can help ease the discomfort.
Swelling: Some people report that their breasts feel firm after the surgery though this is a passing phenomenon. As the swelling subsides, the patients feel natural tenderness in the breasts within a short span of time.
Things to take care during recovery: Sometimes, surgeons recommend wearing a compression bandage or sports bra for proffering extra support to the breasts and the implants. If there is a pain, then the patient is prescribed pain-relieving medications, as well. Though healing takes a long span of time, however, one can easily resume back to their daily activities within a week. It is advised not follow a strenuous job or continue with any strenuous workout for a few months or till complete recovery.
Avoid strenuous activities: It is advised to sleep in a recliner for the first 2 days after the surgery, as this reduces the pain and swelling. Also, one should refrain or minimize the number of times one raises the hands above the head. It is advised to refrain from exercising or strenuous workouts for at least 3 to 4 weeks after the surgery.
The week following the surgery will be most difficult, and therefore, it is advised to complete all the important jobs before the surgery so that the body gets the required rest and recovers quickly.

As you can see, it is important to know and learn about the whole process before undergoing the surgery or deciding to undergo surgery so that you can make an informed decision and go about it systematically.

Breast Augmentation - What to expect from the procedure?

3 crucial points you must know about breast enhancement

Breast augmentation is a surgical procedure designed to enhance as well as improve the symmetry and fullness of the breasts through implants (gel-like fluid in a flexible sac); or to bring back breast volume lost as a result of pregnancy, aging or weight loss. Before opting for such a procedure, there are certain points that you absolutely must consider, which are:

1. Picking silicone or saline implants: when it comes to implants, you have two options available - saline or silicone. Providing a uniform shape and firmness, saline implants come filled with sterile salt water. In contrast, silicone breast implants contain elastic gel, giving them the look of natural breasts. In terms of elasticity, saline implants can be adjusted more easily as you can inject or remove liquid from the implant. In contrast, silicone implants cannot be adjusted as they are already filled with the gel.

2. Getting the right size: choosing the right size for breast augmentation is very important. It's wrong to believe that bigger implants are not always good. The size of implant should be decided after proper assessment of the breasts.

Mammography should be done before putting breast implants. In general, size selection is made based on your natural breast size. Whether you opt for a saline implant or a silicone one, implants come in varied sizes ranging from 120-180 cc. When you choose a size for yourself, you'll have to keep in mind your body frame as well as appearance you wish to have post surgery.

3. Incision options: depending on the results you expect, you'll also need to consider which incision (a surgical cut made in your skin before the operation) option you should select before undergoing surgery. Incisions can range anywhere from 1-4 inches, with their lengths increasing as the implants expand in size. There are also certain incisions, such as the belly button incisions that are really small and don't leave behind visible scar tissue.

Apart from belly button incision, some of the other incision options that a surgeon may employ for breast augmentation could be:
- armpit incision (incision made in the underarm area for breast implantation through the armpit)
- nipple incision (incision made on the areola, which is the circular area of pigmented skin surrounding a nipple)
- crease incision (incision made in the crease area below the breast for implantation).

Fat grafting of breasts is another alternative or a complementary procedure to the breast implant. If you're considering breast augmentation surgery, be sure to check with your doctor about these factors and which options are best suited to you, before proceeding.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why Breast Cancer is No 1 Cancer in India? + How To Avoid it

3 Crucial Points You Must Know about Breast Enhancement

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