Liposuction is a type cosmetic surgery that refers to the removal of excess fats from the body through suction.During liposuction, small, thin, blunt-tipped tubes (cannula) are inserted through tiny cuts in the skin.

Liposuction is used to remove fat deposits from:

Thighs.

Hips and buttocks.

Abdomen and waist.

Upper arms.

Back.

Inner knee.

Chest area.

Cheeks, chin and neck.

Calves and ankles.

Different techniques are adopted in liposuction process. Some of them are:

Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump.

Tumescent Liposuction: Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications.

Super-wet Liposuction: Super-wet liposuction is a variation of the tumescent technique that uses less fluid injection.

Ultrasonic Liposuction: This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove.

Power Assisted Liposuction: By employing a cannula that has a vibrating tip, surgeons are able to break up fat cells for easier removal.

More and more people are turning to liposuction to help achieve their aesthetic goals. Patients benefit both mentally and physically from liposuction. In fact, liposuction has become one of the most popular plastic surgery procedures in the world because it is a safe and effective way to remove fat and cellulite in your body. To add to it s effectiveness, liposuction can be paired with a myriad of complementary procedures such as breast augmentation, tummy tuck, and even facial plastic surgery.

The benefits of liposuction include:

Safe removal of fat

Reduction of cellulite or improvement in the appearance of cellulite

Improved health, usually associated with fat loss

Changes the way you look, and the way others perceive you

Boost in self-esteem

Sculpting areas of body that even exercise and diet don t seem to impact

Liposuction Surgery

Do you know that enlarged breasts, which are observed in many men are caused because of a health condition? This is known as gynecomastia and involves enlargement of the breast tissues in men. The condition is commonly called man boobs. It is usually not something serious and is not always permanent.

Causes
During the puberty stage, gynecomastia is quite common and normal. It occurs because of natural changes in oestrogen and testosterone, the sex hormones. The condition is also likely in men of old and middle age because of ageing and hormonal shift. Certain medicines such as antibiotics, heart medicines, AIDS medicines, drugs for heartburn and anti-anxiety medicines may also be responsible for this condition. Drinking alcohol in excess and taking marijuana, and other recreational drugs also increase the chances of gynecomastia. Breast size may also get enhanced by the use of herbal products containing lavender oil and tea tree oil.

Symptoms
Men affected by gynecomastia are featured by having a rubbery mass underneath their nipple region. It is less in amount and is usually tender. Fluid discharge is also an indication in some cases.

Diagnosis
For the diagnosis of gynecomastia, you should visit a plastic surgeon, who deals with cases of hormone imbalances. Blood or hormone tests may be required if your physical examination shows that your breasts are larger than usual, the lymph nodes are swollen, or when the lump is sore.

Treatment
Commonly, gynecomastia can not be cured with medicines. Surgery is compulsory. In the case of teenagers, the breasts become of normal shape within two to three years. Surgery is the only option for restoring your chest shape and improving your self-image. In the surgery for treating gynecomastia, a small cut is made on your breasts and extra breast tissues are removed. This makes your breasts smaller and flatter. The nipple may also need to be repositioned. Liposuction is another procedure which is carried out for this purpose, in which extra fat is sucked out from under your skin. Among the different modes of treatment for gynecomastia, surgery is meant for long term results. However, you need to undertake a healthy lifestyle in order to maintain your new chest shape. Gaining weight and taking drugs may cause gynecomastia to reoccur.

Gynecomastia - What You Need To Know About It!

All ayurvedic treatments have their roots in hundreds of years of research and thus are extensive. The philosophy followed by these treatments is that every human being in governed by three doshas of forces - vata (air), pitta (fire) and kapha (earth). Depending on the force that is in highest proportion in an individual, all his psychological and physical attributes are determined. Hair loss is attributed to the pitta dosha which is concentrates on metabolism and digestion. The various methods to treat premature loss of hair, according to ayurvedic principles are:


	Balancing the pitta dosha:&nbsp;pitta dosha can be managed by eating less salty, fried and spicy food, consuming limited amount of alcohol, coffee and meat and reducing smoking habits. Certain herbs can curb excess pitta like shatavari or asparagus and bitter vegetables.
	Ayurvedic oil and shampoo: an effective remedy is oil made by boiling a cup of neem (margosa) leaves in 4 cups of water. The mixture is then strained and stored. If applied at night and rinsed off in the morning, hair loss can be prevented and your hair gets healthier. An ayurvedic shampoo can be made at home by preparing a mixture of methi (fenugreek), green bean (mung dal), soapberries, lemon juice and curry leaves which need to grinded well together before applying on the scalp.
	Ayurvedic diet plan:&nbsp;ayurveda believes that a well-balanced diet is the preventive measure to most ailments, including hair loss. Consuming vegetables with high protein and iron content like cauliflower, kale, pumpkin leaves, spinach, salsify, lentils, beet greens, string beans, dandelion greens, raisins, soybeans etc. Proves to be helpful in this regard. This diet can also help to combat systemic diseases like alopecia which may causes loss of hair and sizeable bald spots.
	Ayurvedic medicines:&nbsp;four ayurvedic medicines are used extensively for the purpose of combatting hair loss. These are thikthakam kashayam, thikthakam grisham (regulates metabolism), chyavana prasam and narasimha rasayanam, which improves the strength and quality of hair).
	Combating other problems that cause hair loss:&nbsp;using herbs like brahmi (to manage stress), shilajita and jatamansi (for thyroid imbalance), cardamom (for chronic problems) and ashwagandha (for immune system disorders) can indirectly help when hair loss is a symptom or side effect of another disease.



Combating Hair Loss And Ayurveda

A mole, sometimes known as a birthmark, is a non-cancerous disorder of pigmented skin cells. They can vary in color and shade and by and large, can be medium to dark brown, sometimes they can be skin-colored or black too. Most of them are regular in shape, flat to moderately even as well. Sometimes, they appear to be slightly raised above the skin, are delicate to touch and lighter in shade. Also, they may or may not cause any kind of pain.

You need to get your moles checked at least once in every three months, because of the following reasons:

In case you have noticed the growth of new moles or have a family history with medical background marked by melanoma.

You need to watch out for moles that do not look like your other moles specifically. Dysplastic moles are the ones that look different from the normal ones and may lead to melanoma. In case you have different dysplastic moles, you are in serious danger of getting melanoma.

In case you have any moles that are bigger than the others and are smudgy or have unpredictable edges, which are uneven in shading or have some pinkness, you need to see a specialist and get them checked. Also, if you notice a change in the color or shade or it gets itchy, agonizingly painful or begins to bleed, it can be a sign of something serious. Thus you must visit a specialist immediately. 

Although, most of them are non-cancerous and not that dangerous. However, there are some types that can convert into lumps and can be cancerous in nature. Although the chance of something like that happening is very rare, still it is a possibility.

In case you notice a liquid discharge or pus formation in the mole, you must consult a doctor immediately. 

Being proactive about your well-being is the best way to avoid serious health conditions and you must look out for moles that can be risky as they are connected to skin cancer. Self-diagnose and examine your skin in front of a mirror. Give careful consideration to the zones of your skin that are frequently exposed to the sun, for example, the hands, arms, abdomen, face and head. Along with limiting your exposure to sunlight and utilizing sunscreens, inspecting yourself for moles can help with early detection of melanoma (the deadliest kind of skin tumor) and hence, get treated for the same. In case you have a concern or query you can always consult an expert & get answers to your questions!

Important Reasons Why Should You Get Your Moles Checked!

Acne is a condition that affects many people including teenagers and women during their menstruation period. It is characterized by red eruptions that are usually filled with oil, secreted by overactive oil glands in the hair follicles. So what else should you know about acne? 

Here are six things you probably did not know about this condition:

1. Clogged Pores - Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores, and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.

2. Over Treating the Skin - The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run. The constant use of cleansers and moisturizers can also have a harsh effect on the skin, due to perfume and chemicals present in such products. 

3. Exfoliation - Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.

4. Two Weeks Notice - Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start changing cleansers and creams every other day, remember to use the two week thumb rule.

5. Menstrual Cycle - Acne, more often than not, happens about five days before and a few days after the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.

6. Dermatologist - Visit a dermatologist if regular cleaning and over the counter creams are not working. Persistent acne may turn into infection. Remember to ask your dermatologist for an oil reducing formula too. 

Acne is a skin problem that should be treated the right way.

All About Acne

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

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