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!

Wounds and bruises are both injuries. However, they differ widely in terms of the causing factors, the nature of the injury, the pain they cause and the kind of treatment they require. The following are a few of the myriad ways in which the two injuries differ from each other:

1. A wound causes quick damage - the skin tissue is cut or punctured while a bruise (also called a closed wound) is where the skin is not torn. 

2. A wound is usually caused by a sharp object but bruises are the results of blunt force or trauma.

3. A wound almost certainly bleeds due to ruptured tissue and blood vessels. Blunt injury also damages the blood capillaries of the skin and causes blood to accumulate under the skin tissue, creating a dark patch of skin. Blood vessels can also break due to lifting of heavy objects or overexertion of muscles.

4. A wound carries the risk of infection because the skin is open but a bruise does not get infected.

5. A wound has a burning or stinging sensation but a bruise is characterized by swelling and a blunt throbbing pain.

6. A wound can be healed by antiseptic and antibiotic medication. Large wounds need to be closed by stitching them up to avoid severe infection. On the other hand, a bruise usually heals by itself. A cold compress and pain killers may be used to ease discomfort. Heat can be applied to the injured spot to normalize the blood flow and dissolve the blood clot.

7. A wound can lead to complications like bacterial infections or the healing might be delayed by chronic diseases like diabetes. In case of a bruise, it usually does not cause complications but if there's a blunt injury to sensitive areas like the head, the tailbone or the eyes, medical attention is advised.

8. Wounds and bruises can also be differentiated on the basis of their subtypes. The different types of wounds are:

a. Incision (sharp objects cutting the dermis layer of skin)
b. Abrasion (the epithelial tissue is scraped off)
c. Avulsion (a body structure is torn off)
d. Penetration (a sharp object causes an entry and an exit wound)
e. Puncture (only an entry wound caused by a sharp object)

The different types of bruises are:
a. Hematoma (blood pools under the skin)
b. Purpura (tiny spots of blood on the inside of the mouth)
c. Contusion (similar to hematoma and caused by external trauma)
d. Crush injury (caused due to a large amount of force on the body part for a long time)

Wounds VS Bruises

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

Skin tags: causes and treatments

Skin tags, also known as acrochordons, are small brown or darker-than-skin tone growths on the surface of the skin. Tags are very common and harmless growths and tend to occur on the neck, under the breasts, armpits, eyelids and folds of the groin. They generally take place after midlife. About 25% of people report having skin tags after they cross the age of 50.

What causes skin tags to occur?

Skin tags are very common among diabetics and obese individuals. Pregnant women also develop skin tags, as a consequence of changes in the body's hormonal levels. Skin tags tend to occur when your skin rubs against clothing or skin. They are normally caused by blood vessels and collagen that gets trapped inside the thicker portions of the skin. For this reason, they are typically found in folds and creases of the skin. Sometimes, they reduce on their own if blood supply to the tissue has been disrupted due to them getting twisted.

What procedures are involved in their treatment?

Skin tags are generally removed for purely cosmetic reasons but when they do become troublesome, as in, they rub against jewelry, skin or clothing, doctors recommend their removal as the area can end up becoming irritated.

The following procedures are performed to remove these annoying growths on skin:

1. Excision - in this procedure the skin tag gets removed using a scalpel.

2. Ligation - the procedure involves the cutting off of blood supply to the skin tag.

3. Cauterization - the procedure involves the burning off the skin tag using electrolysis (process that involves decomposition of a matter by electric current)

4. Cryosurgery - in this procedure, the skin tag is frozen before removing it. An instrument containing liquid nitrogen is used to do the removal.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: How does salt help in clearing skin?

Why are SKIN TAGs so annoying?

Plastic Surgery is a speciality that deals with reconstruction, alteration and restoration of certain parts in the human body. It improves a person's appearance and may also help in improving the functionality of various body parts. It can be classified as either re-constructive or cosmetic Surgery:

    Re-constructive Surgery: These type of surgeries are used to correct various defects in the body such as injuries as a result of trauma, physical birth defects, deformities in the ear and cleft lips.
    Cosmetic Surgery: Cosmetic Surgery is used to modify a part of the body for cosmetic reasons. The most common cosmetic surgery procedures are reconstructing the nose, removing fat from certain parts of the body and reshaping the breasts.

Outlined below are 5 facts about plastic surgery:

    Liposuction is popular among males: The most common plastic surgery among men is liposuction. So far, out of the 1 million plastic surgeries that men have undergone, most have been liposuction. The other popular cosmetic surgeries for men are face lifts and Rhinoplasty.
    35-50 year old undergo the maximum number of plastic surgeries. In 2014, over 4 million procedures were performed on people whose ages were in the range of 35-50 years. The most common concerns were sagging skin and fine lines. Liposuction was the most popular surgery in this age group.
    Most women opt for breast augmentation: Breast augmentation often requires correcting various issues such as post-op sagging and various other tweaks like modifying the size of the implants. The number of revisions in breast surgeries has actually gone up compared to the initial breast surgeries.
    Asian double eyelid surgery: A surgery where the eyelids are altered to make your eyes look bigger and attractive. It is a popular surgery among Asian women.

5 Facts You Never Knew About Plastic Surgery

When it comes to a man's physique, enlarged breasts can be quite embarrassing. This is a condition known as gynecomastia or men boobs or  enlarged breast in men and affects more men than you would imagine. It may affect one or both breasts. It can result in terrible embarrassment, teasing, and social trauma. Many will try to hide it with thick loose shirts, avoid bare chest activities like swimming, exercises etc and withdraw from public exposure.Though it does not pose a significant health risk, it can affect a man's psychological health and lower his self-confidence. The good news is that men suffering from this condition do not need to live with it. 

Male breast reduction surgery or gynecomastia surgery, aims at reconfiguring the contours of a man's chest by removing excess breast fat & if needed extra gland tissues. The only permanent solution to this condition is surgery. This is because fat tissues are not solely responsible for enlarged breasts. Often glandular tissue is present in excessive amounts as well. Patients need careful evaluation by Plastic Surgeon & sometimes if needed by endocrinologist to determine the source of their breast enlargement. 

Gynecomastia surgery is usually a daycare procedure. It is performed by Plastic Surgeons under local anesthesia with liposuction being the most preferred procedure. This procedure begins when the surgeon makes a small incision on each side of the chest. These incisions are usually placed along the natural contours of the body, around the edge of the areola or near the armpit so as to reduce the visibility of scars. Excess fat and glandular tissue are then sucked out of this incision. Simultaneously, the surgeon sculpts the other tissues in the chest to redefine chest contours. Patients are usually advised to wear a compression garment after the surgery to support the healing tissues and minimize swelling. 

Results of this procedure are visible almost immediately. Recovery from gynecomastia surgery is usually quick and many men find themselves back to their normal routine within a few days. However, vigorous exercising and heavy lifting should be avoided for a few weeks after the surgery. The patient may also experience slight soreness and minimal pain that can be relieved with over the counter pain killers. 

The results of this procedure are generally permanent if there are no hormonal abnormalities. It is important to maintain a healthy lifestyle and avoid drugs that influence your testosterone levels. Regular exercise can also help tone the chest muscles and maintain the achieved good shape of chest. It is really a very simple but rewarding surgery for the male & it definitely boosts his confidence, body image & self-respect.

Enlarged Breast In Men - Causes And Treatment 

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