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

Gynecomastia is a hormonal condition that causes swelling of the breast tissues in men and boys. This condition usually arises as a result of hormonal imbalance. Breasts do not form in the same pattern in males as they do in females but all males are naturally born with tiny quantities of the breast tissues. The male body produces the testosterone hormone, which plays an important role for growth during the stage of puberty. However, they also make the hormone estrogen that is instrumental for developing sexual growth in females.

When a male passing through the stage of puberty makes lesser amounts of testosterone then there is an imbalance of the hormones. As a result of the higher amount of estrogen present in men leads to swelling of the breast tissues.

Cause of imbalance-

Aside from the common reason which is the lesser production of testosterone, there are a few other reasons that can put into effect this imbalance. They are-

  Injury to the testicles that are responsible for producing testosterone
  Obesity which leads to greater production of estrogen
  Taking illegal drugs
  Liver disorder
  Failure of the kidney
  Thyroid problems that result in throwing off your hormonal balance
  Medications that you might be taking for illnesses such as cancer, depression, heart disorders and ulcers

Treatment of Gynecomastia

The treatment of gynecomastia involves a general surgery which reduces the size of breasts by flattening and enhancing the contours of the chest. If in very severe cases the weight of the breast tissue has sagged and stretched the areola region, then the areola size can be improved surgically by reducing the excess skin.

  Mammaplasty

Plastic surgery, known as Mammaplasty, is also sometimes put into effect in order to treat the condition of gynecomastia.

  Liposuction

In the case of liposuction, the procedure of the treatment first starts with a set of medications that need to be consumed. These medications help to reduce pain during the surgery. There are two ways of taking this medication, either through intravenous sedation or via general anaesthesia. The liposuction technique involves the insertion of a hollow tube with the help of several incisions. Liposuction technique is generally prescribed if the cause of gynecomastia is excess of fatty tissues. During the procedure, the cannula or the tube will be moved back and forth in order to loosen up the excess fat. This fat is then removed via vacuum suction.

  Excision Technique

The excision technique is prescribed when the glandular breast tissue needs to be removed in order to rectify gynecomastia. In this procedure, the nipple will either be repositioned to a manlier contour or the areola size will either be lessened. In some other cases, the general surgery of gynecomastia can also involve a combination of both the excision technique as well as the liposuction technique.

Gynecomastia is a condition that can severely damage the emotional balance of a man and lessen their self-confidence. It has been also seen that many men suffering from this condition tend to avoid physical intimacy or sexual activities as a result of body-image issues. Therefore, treatment is highly recommended for those suffering from gynecomastia.

Gynecomastia - Knowing The Causes & Treatment Of It!

Swollen breast tissues in men or boys caused by hormonal (testosterone and estrogen) imbalances is called gynecomastia. Both breasts or one breast, can be affected by gynecomastia. At any point in life, from birth to puberty, even in adulthood, you might develop gynecomastia. Most of the times, gynecomastia is caused by hormonal imbalances, but there might be some underlying causes as well.
Gynecomastia is normally not a serious condition, but it can be difficult to deal with the pain and embarrassment.

It can be cured with surgery or medication, if it doesn't go away on its own.

Symptoms and signs of gynecomastia include:

Enlarged glands in the breast tissue
Tenderness in the breast
The causes that trigger gynecomastia include:

Hormonal changes: Testosterone and estrogen control the sexual development in men and women respectively. Estrogen is not a hormone that only women produce; men produce it too. When the production of testosterone and estrogen are thrown out of balance, gynecomastia occurs.
Medication: Certain medications such as anabolic steroids, androgens, HIV/AIDS medicines, antibiotics and chemotherapy can cause gynecomastia.
Drugs and alcohol: Substances such as alcohol, marijuana, amphetamines, heroin and methadone cause gynecomastia.
Health condition: Certain factors, such as aging, hypogonadism (hormonal disorder), hyperthyroidism (overactive thyroid gland), tumors, kidney failure, cirrhosis, liver failure, malnutrition and starvation can lead to gynecomastia.
Herbal products: Essential oils derived from plants such as lavender or tea tree, used in lotions or shampoos, have weak estrogenic actives. They have been said to cause gynecomastia.
Gynecomastia can be cured either with medication or surgery. Surgical options for gynecomastia are, however, limited.

Treatment

There is no definitive medical treatment. The main answer for Gynecomastia is -SURGERY. It is a daycare procedure in most situations. It is done by a Surgeon, usually, a Plastic surgeon does a better job. 

Anesthesia- Either Local or General anesthesia is given to make it painless. 

Procedure-Through a small incision in the areola, the swelling is removed by both Liposuction of the Fat part and Excision (removal) for Breast gland part. As the incision is through the areola, the final scar is hardly visible. In extensive swellings, skin also needs to be removed, where in a scar around the areola border is visible. 

Recovery- usually can go back to work in 2-3 days time.

Treating Gynecomastia (Enlarged Breasts in Men) With Surgery

Gynecomastia is a condition characterized by enlargement of the breast tissue in men. It occurs when there is an imbalance of the testosterone (male sex hormone) and estrogen (female sex hormone) in the body. It may a cause of embarrassment in men.
Causes:
The primary cause for this condition is increase in the level of estrogen in comparison with testosterone in the male body. Testosterone controls male characteristics such as body hair and muscle mass. Estrogen is responsible for controlling female characteristics such as breast enlargement. 
Men usually produce small quantities of estrogen in their body to maintain certain sexual functions. Complications occur when estrogen levels in the male body increase too much in proportion to testosterone.
The condition can be classified as follows:
1. Gynecomastia in infants:  Half of the infants are usually born with large breasts due to their mother's estrogen. The effect tends to wear of in a few weeks.
2. Gynecomastia during puberty: Gynecomastia occurs during puberty due to changes in hormones. The condition goes away without any treatment in six months to 1 year.
3. Gynecomastia in men: This condition may peak in men during the age of 50-80. Statistics show that at least 1 out of 4 men in this age group have this condition.

Some other causes for this condition in middle aged men are as follows:
1. Heart medications
2. Anti-anxiety drugs
3. Antibiotics
4. Chemotherapy
5. Medications that are used to treat heartburn
6. Smoking marijuana and drinking alcohol 

Treatments:
1.        If the cause of the condition is medications, then discontinuing the medicines should stop the effects. It can also be treated by taking medicines to reduce estrogen levels in the body. 
2.        Surgery is another option where an incision is made in the chest area and the extra breast tissues are removed from the area. This also requires repositioning of the nipple in the chest. 
3.        Post-surgery, you should stick to a proper and healthy lifestyle to retain the new shape of the chest area. Weight gain or taking steroids can cause the symptoms of this condition to reappear.


Causes and Treatment of Gynecomastia

A runny nose, Itchy rash, red eyes and shortness in breath are the most common allergic phenomenon which annoys you in frequent intervals, generally driven by several conditions due to hypersensitivity of the immune system towards something usual prevailing in the environment which may not cause any threat to others. It is why you may find different person allergic to different foods or different conditions. 

Diseases such as asthma, anaphylaxis, atopic dermatitis and so on are commonly considered as predominant allergic diseases. But most of the marketed drugs you take are as exasperating as the allergy itself, firstly due to its expensiveness and secondly, it droops you out. Though you may not be able to diminish the pollen in the air, but you can restrict the number of drugs you take by choosing natural remedies as it has been propounded by the medical editor of WebMD Dr Brunilda Nazario. He has also stated that the biggest trend we observe in allergies in these days is not found in any technological innovation or development rather it is the tendency of the common people to go for natural treatment to cure allergy.

 Prevention is better than cure - Cleanse your nose daily before the allergy strikes
According to most of the doctors, nowadays you are commonly encountered by seasonal allergies. It is mainly due to the fact that allergy season seems to appear earlier every year than the previous one. So as Nathanael Horne, MD of New York Medical College advises that you should begin treating allergies before it starts to pose threat. One such step is to spritz a saline cleanse into your nose on a daily basis in order to wash away pollen. Obviously, this particular method would not replace your need for medication but it would certainly minimise your dependence on drugs. In one survey, those who clean their nose twice a day with saline water are reported less nasal congestion than others.

About some of the seful natural herbs which fight allergy
Famous allergist from New York, Dr Tim Mainardi is of opinion that natural herbs are comparatively more effective than any other drugs and among them, one of the scientifically proven fighters of allergy you have, is Green tea because it is a natural antihistamine. According to his suggestion, if anybody starts to take two cups of green tea a day about two weeks before the arrival of the allergy season, it is likely to resist allergic infection. Mainardi also says that there is an another natural herb called butterbur, which effectively fights allergy as well as antihistamines. Apart from this Liquorice root is also a good choice because it helps to helps to raise the level of naturally produced steroid in your body and ameliorate immunity system.

Cook with turmeric to get rid of allergy:
If you taste every Indian dishe, you would get one spice common in all of them and that is Turmeric. Bharat Aggarwal, an Indian allergist expert from Houston considers Turmeric more efficacious than any other drugs in certain conditions as it contains Curcumin. It is why Turmeric may act as a decongestant. Though in the end, it should be mention that before you go with the natural treatment you should consult your doctor because these natural treatments would incorporate various alterations in your diet and medication.

Allergy - Top Natural Cures You Can Opt For!

Food allergies can be defined as a sign of danger given by the human body when it considers some particular food items as harmful. This is basically an allergic reaction to some food proteins. As per the Center for Disease Control and Prevention, about 4 to 6 percent of kids and 4 percent of adults worldwide are affected by different types of food allergies. The most interesting fact about the food allergies is that you can develop an allergy to a particular food at any age. Also, one can develop an allergy to a particular food even when you have been eating that food with ease all these years.

Food allergies can be categorized into main types:

Immunoglobulin E (IgE) mediated allergies: These allergies occur mostly in infants and children and can be seen for milk, peanuts, eggs, soy, and wheat. Moreover, the affected body areas include the mouth, skin, eyes, heart, brain, and gut.
Non-IgE mediated food allergies: These allergies normally affect the digestive tract and symptoms of these food allergies take a long time to develop.
Let us have a detailed look at different methods that can assist you in dealing with different food allergies.
Remove food items that can trigger allergy
It is obvious that food allergy is pertaining to a particular food and thus it is advisable to remove the triggering food items from your diet. It is also advised to remove the byproducts of such food items. This will minimize the danger of food allergy. There are some common food items which can trigger the food allergies which are:

Milk
Eggs
Wheat
Fish
Peanut as well as tree nuts such as walnuts
Shellfish
Soy
Try to stock your pantry with alternatives to the allergic food items. There is no need to make your taste buds suffer by removing food items which can activate allergies. You can try alternatives to such food items and have a healthy life. Read the label on food while shopping for groceries as most of the triggering ingredients are common in many of the food items. Thus, it is advisable to read the ingredients on the food labels before you buy them. You can also look for these common names for allergens:

Glucosamine for Shellfish
Flour, triticale, durum, vital wheat gluten for wheat
Natto, tempeh, shoyu, miso, Edamame, for soy
Roe, surimi, nuoc mam, fish gelatin for fish
Rennet casein, tagatose, whey, rennet casein, casein in milk
Lysozyme, vitelline, surimi, albumin, livetin, globulin, and lysozyme for egg
Write down your meal plans
Preparing your own meal can minimize the risk of food allergies. Thus, try to make your own food and keep a memo of what you would like to eat in a meal. This way you can eliminate the dishes which include triggering ingredients. These above-mentioned methods can surely help you in preventing food allergies effectually. However, if the symptoms of food allergies are severe, do not hesitate to take medical help.

Food Allergies - How To Deal With Them?

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