The development of breasts is one of the most prominent physical difference between the structure of a man and a woman. In some cases, hormonal imbalances can cause enlargement of the male breast gland, which is known as gynecomastia.  Apart from being a cause for embarrassment, it is also associated with a number of medical conditions such as kidney failure and liver cirrhosis. However, there is little need to worry if you have been diagnosed with such a condition as it can easily be treated with dietary changes, medication and surgery. Among these, surgery is the only method of treatment that guarantees a permanent and immediate solution to the problem. 

Surgical treatment for gynecomastia is of two types

Liposuction 
Mastectomy
The type of surgery suitable for you will depend on a number of factors including the extent and type of gynecomastia.

Liposuction involves the removal of fat from the breast, but does not touch the breast tissue itself. For this surgery, a surgeon makes a small incision on either side of the chest or along the edge of the areola. Excessive fat is then removed through these incisions and the skin and remaining tissue is then restructured. Liposuction can take anywhere between a week and 3 weeks for complete recovery. In the meanwhile, the patient must wear a compression garment to minimize the swelling and support the chest tissue as it heals. 

A mastectomy on the other hand is used to remove the breast tissue. A mastectomy is performed endoscopically and hence is less invasive. In this case, the incisions are located around the edge of the areola or in the natural crease of the chest. A mastectomy requires a shorter recovery period. In some cases, a combination of the two techniques may also be used. 

The results of both surgical approaches can be seen immediately after the surgery. Slight soreness and pain is a common side effect of this procedure and can be relieved with pain medication. Some men may also experience a temporary loss of sensation over the treated area. 

Though the results of both types of surgeries are permanent, it is important to maintain a healthy lifestyle after the surgery. Unhealthy eating that leads to significant weight gain can make the problem recur. Use of steroids or medication that affects the testosterone levels in the body and certain medical conditions can also lead to recurring gynecomastia.

Enlarged Male Breast Problem - Is Surgery Helpful?

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

Some diseases like chicken pox, measles etc. have definitive symptoms that make it easy to diagnose. However, others like lupus affect each person in a different way making them complex diseases that may take longer to diagnose. Lupus attacks the immune system and causes the antibodies that would normally fight infection to react against the body s own cells and tissues. There are two main forms of lupus; systemic lupus that affects any part of the body and cutaneous lupus that affects the skin. These can occur simultaneously or on their own.

Some of the rashes that can be caused by cutaneous lupus are:

Malar rash or butterfly rash: This affects the face and appears as a butterfly shaped rash over the nose and cheeks. It is triggered by the sun s uv rays and can appear as a faint blush or a severe, scaly rash.
Discoid lupus: Lupus can also cause small. Coin shaped sores or rashes. These are reddish and scaly in appearance and usually affect parts of the body exposed to sunlight and uv radiation. If left untreated, these sores can worsen with time. Though they do not cause pain or itchiness, they can result in scarring. In cases where these sores develop on the scalp, they can cause permanent bald patches.
Subacute cutaneous lesions: These can be described as small, red sores that are shaped like coins. These can be found on the arms, shoulders, neck and chest in patches that resemble psoriasis. These lesions are also triggered by uv exposure. Though they do not cause scarring, these lesions can lighten or darken skin.
Mucous membrane lesions: Sores in the mouth or nose that have been triggered by lupus are known as mucous membrane lesions.
Baldness: Lupus can make the hair follicles near the scalp fragile and brittle. This can destroy the hair follicles and lead to hair fall. In some cases, hair may grow back while in others it could result in permanent baldness.
Cutaneous vasculitis lesions: These refer to purplish spots or lines on the calves and feet. This is caused by the inflammation of skin tissues and can cause severe damage and gangrene.
Raynaud's phenomenon: When exposed to cold, the skin on your fingers and toes may also change colour to red, white or blue due to lupus. This is triggered by the tightening of blood vessels and may be accompanied by a tingling sensation or numbness.

Lupus - 7 Common Types!

Sunburns are caused due to long stretches of exposure to the sun. People living in tropical countries are more prone to sunburns. The harmful ultraviolet rays of the sun can lead to skin pigmentation that if not treated, can become a permanent skin condition. The worst aspect of sun tanning is that it keeps piling on your skin layer after layer. It is therefore absolutely essential to cover the skin of your face and arms while venturing outdoors. 

Medications are effective in certain cases, but in some other cases, the afflicted person's skin is so sensitive that medicated ointments fail to show improvement. Ayurvedic home remedies can be put to use to avoid alarming side effects. 

Sunburns are characterized by the following symptoms:

 The affected area is usually hotter than other parts of your skin 
 A stinging and itching sensation may develop
 Red and pink patches may be seen on your face and arms or around the neck
 Acute sunburn can even make a person suffer from fevers and fatigue 

 These ayurvedic ways can be followed at home to treat sunburns:

 Use black tea to cure sun rashes and sunburns: refrigerate some black tea if possible. This cold beverage must be applied to the areas that have been harshly affected by the ultraviolet rays of the sun. Applying black tea on your skin multiple times in a day can repair the damage already done.
 Coconut oil is a great way to remove sun tan: coconut oil has been held in high esteem since ages. It is known for its ability to cure rashes. One must use coconut oil on the red patches every night before going to bed.
 Aloe vera gel can do wonders with your affected skin: instead of using creams that contain aloe vera; one should use aloe vera gel by extracting it directly from the plant. Aloe vera can heal the burns and can also soothe the burning sensation.
 Cucumber in combination with lemon juice can remedy sunburns: lemon juice has acidic effects that helps in lightening sun tan. When this juice is used with cucumber paste, the latter cools down an irritated skin area and rejuvenates it from within.

Treating Sunburns with Ayurveda

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!

Cancer can be very devastating, it can tear families apart. The cancer virus generally kills all the healthy cells in your body and starts to destroy your organs one by one. When a person is affected by breast cancer, their breasts have to be removed so that the cancer virus doesn t affect the rest of the body. In the society which we live in we are fed with the notion that breasts are an integral part of a woman s body and only voluptuous breasts make a woman look more attractive. Survivors who have won the fight against breast cancer have had to surgically remove their breasts for survival. 

They are left with an empty spot in their body as well as their lives. So, in such cases breast reconstructive surgery becomes extremely important. Breast reconstruction surgery implants a mound in place of the actual breast. So that it looks like an actual breast with the nipples and the areola.

How to get ready for a breast reconstruction surgery?
1. You should quit smoking if you are a regular smoker.
2. Avoid certain vitamins or supplements as prescribed by your doctor before the surgery.
3. Take someone with you to stay back during and after the procedure for moral support and to assist you with your stay in a hospital.

Possible complications:
1. Infection can occur after the surgery.
2. Hematoma or pooling of blood.
3. The implants can also break through the skin.
4. The implants can rupture and the silicon or saline can leak from the breast tissues.
5. Hard scar tissues can form around the implant.
6. It might not be enough for a woman who has had larger breasts.
7. Implants don t last life-long. It needs to be replaced after a point of time.
8. Radiation therapy might damage the implants.
9. It can leave a scar from the region where the extra tissue was taken for constructing the breast.

Methods of breast reconstruction surgery:
1. Tissue expander
2. Flap reconstruction
3. Abdominal flaps
4. Mold-assisted reconstruction
5. Direct to implant procedure

Breast Reconstruction - How You Can Prepare Yourself?

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