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?

Gynecomastia is a condition where the tissues of the breasts swell in a boy or men. This is caused by the imbalance of testosterone and oestrogen. It might affect one or both the breasts depending on the level of hormonal imbalance. Although not considered as a serious condition, Gynecomastia can be a difficult condition to cope up with. There are multiple treatment options and surgery is one of them. In many cases, this condition goes as abruptly as it appeared. For cases that are complicated and difficult to get rid of, doctors suggest a medical procedure get rid of the condition.


Symptoms of Gynecomastia:
Some common symptoms of Gynecomastia include tenderness of breasts, swollen breast gland, pain in the breasts, discharge from the nipple etc.


Causes of Gynecomastia:
There could be many causes of this disease. If the condition is witnessed in babies, it could well come from the mother due to an overdose of oestrogen. Gynecomastia also appears during puberty resulting in the breast to swell up. The condition can again crop up after the age of 50 due to hormonal changes.
Certain medications can be a reason of Gynecomastia. Some of the common medications include certain antibiotics, anti-anxiety related medications, chemotherapy shots, HIV patients receiving HAART, cardiovascular medications such as Lanoxin, anabolic steroids etc.
Certain drugs such as heroin, alcohol, methadone, marijuana, Amphetamines etc.
Certain health conditions such as hypogonadism, hyperthyroidism, liver cirrhosis, ageing, certain tumours, failure of the kidney malnutrition etc.


Risk Factors Of Gynecomastia-
Certain risk factors of gynecomastia include older age, use of certain steroids, adolescence and other medical conditions such as Klinefelter's syndrome, tumour related to hormonal fluctuation and disease related to thyroid.
Diagnosis:
A doctor typically checks the history of drugs along with the health condition of the patient. He might also take a look at the health of the extended family. A careful tissue evaluation of the genitals, breast and abdomen are done. This is followed by a physical exam followed by prescribing certain tests such as mammograms, complete blood work, CT scan, biopsy of the tissue, MRI scan etc.


Treatment:
Most people suffering from Gynecomastia see a significant regression with periodic treatment. If however the condition arises from an underlying cause such as cirrhosis and malnutrition, a doctor suggests 2 option- medications and surgery:


Medications: Certain medications that are known to be helpful for breast related cancers are known to be effective in this condition. Some common examples of these drugs include evista, arimidex and soltamox.
Surgery: Only after exploring all medical options a doctor suggests surgery. There are 2 procedures namely mastectomy and liposuction. The latter removes the fat cells of the breast and the former removes the breast gland tissue.     


Gynecomastia - Is Surgery The Best Option?

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

Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning. 
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture . 
Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities. 
Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars. 
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to replace the burn scars & deformities.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Can It Help To Reduce Deformities & Scars?

4 Common Combing Mistakes That Lead To Excessive Hairloss

You will be surprised to know that about 35 million men and 21 million women suffer from excessive hairfall in India. Excessive hair fall can be the result of certain illnesses, hormonal changes, over-use of hair products that contain chemicals or a poor diet. What you may not have considered is that you can also lose a lot of hair by combing it the wrong way. 

Check if you’re making these common combing mistakes.

1. Are you combing your hair from the roots down?
If you’re combing your hair you should always start from the middle while working it downwards. Move the comb upwards (near the roots) only when there are no more tangles remaining in the bottom half.
If you start combing from your roots, you may have to fight more tangles on the way to the bottom. This induces strain on your scalp, and increases hair breakage. The end result is weak hair and roots, and more hair fall.

2. Are you combing post the application of a hair product?
A comb should never be used just after the application of a hair paste, serum or cream for treatment or styling. You must use only your fingers to comb through your hair once you've applied a styling product.
If you use a comb post-application of a styling product, it not only loses its effect, but may also harm your hair and its texture.Consequently, it may lead to increased breakage and hair loss over time.

3. Are you detangling your hair after shampooing or washing?
Hair is known to be at its weakest when wet, which can also make it prone to tangling. Combing and excessive pulling of tangled, wet hair increases your chances of hair breakage and eventual hair loss.
To avert water-induced frowns, you can try giving a comb-through before wetting your hair in the shower. Alternatively, you can also try combing your hair during a shower. Apply the conditioner first; next, untangle the strands by using only your fingers, and then use a wide-toothed comb just before washing.

4. Are you regularly back-combing your hair?
Sometimes people back-comb their hair from the roots working towards the ends. This hair teasing technique adds volume and texture to your hair. Although it’s a great trick, its regular use may damage your hair cuticles, which as a result, may also ruin your hair’s quality, lead to frizzy hair and increase breakage and hair loss.
To get the element of volume without the damage, you can try light hair sprays, which help you in getting a similar look.




4 Common Combing Mistakes That Lead To Excessive Hairloss

6 effective ways to get rid of warts

Warts are small, rough patches on the skin (resembling cauliflowers) that are caused due to the human papillomavirus (hpv- a dna virus that can infect humans). In this condition, only the topmost layer of your skin gets infected and acquires a rough texture. Warts are not fatal (they do not cause cancer), but they are contagious in nature and do not vanish easily. 

Read on to find the most effective ways to get rid of warts. 

1. Over-the-counter wart removers
Over-the-counter wart treatments containing salicylic acid (a type of fungicide) as an active ingredient are commonly used for effective removal of warts. These medications generally eliminate warts by removing the topmost layer of the skin, following the peel-off process.

2. Cryotherapy
Cryotherapy, also known as freezing therapy, is generally performed by a dermatologist and consists of the use of liquid nitrogen for freezing the warts. The application of the chemical results in the formation of a blister around the warts, which shed off after about a week. It takes almost 3 to 4 weeks to have completely wart-free skin. This method proves to be more effective when used with salicylic acid-based wart removers.

3. Laser treatment
Another form of wart removal is pulsed-dye laser treatment. An ablative co2 laser acts by cutting and burning the wart. In this type of treatment the affected blood vessels are burnt, leading to the death of the infected tissue, following which the wart too disappears. However, this method is not commonly used if other treatment methods tend to work as it is painful and may leave behind scars.

4. Vaccine
Sometimes your dermatologist may recommend the use of human papillomavirus (hpv) vaccine to successfully eliminate warts.

5. Bleomycin
In this type of treatment each wart is injected with a shot of bleomycin, a medicine that fights cancer. However, this treatment is not preferred generally as it may be painful and comes with side effects like nail loss if the wart is present on the finger.

6. Immune therapy
When warts refuse to vanish after the use of all common treatments, this method is put into use. This type of treatment involves the use of medications or solutions, which strengthens your immune system so that it can repel warts. In this case your warts may be injected with an antigen or a solution or cream may be applied on them. 

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

6 Effective Ways to Get Rid of Warts - Cauliflower-like Skin Inflammation

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