Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

We all think of sunscreen as something that goes into our vacation kit when heading out on a hike in the hills or to the beach. What we fear is being out in the sun can reduce fairness, can cause a tan, and a sunscreen will help maintain complexion.

Well, these are completely wrong notions. What we need to be aware of is that even the regular, daily sun exposure during driving or going to the office can do as much damage, if not more. The sunscreen, therefore, assumes a very important role in your daily personal care. Read on and find out more.

Relationship with skin cancer: Studies in the US have shown that skin cancer is the most common type of cancer and sun exposure is the leading cause of this. It is the regular exposure on a daily basis that cumulatively leads to this, rather than a one day exposure minus the sunscreen. Using sunscreen on a daily basis provides a good shield against skin cancer.

Slows down aging: Dry skin, wrinkles, sun spots, and dark circles on the skin are more related to unprotected exposure to the sun rather than just aging. The sun is the most powerful agent that can lead to these effects and it is very essential to guard yourself against it.

While a general belief is that the sun is less harmful during cloudy days, it is not so the case. The ultraviolet rays of the sun filter through clouds and can cause equal damage as they would during sunny summer days. Studies have shown that the rays, which filter through the clouds are capable of accelerated aging effects and continue to do so, even after you have reached home.

It is not just the amount of time, you are actually out in the sun that counts. The collagen in the skin that gives it the firmness, if is damaged, leads to sagging and bagging of skin. Using a sunscreen provides a shield against these harmful ultraviolet rays.

Research has shown a 73% reduction in the invasive forms of skin cancer by using sunscreen on a regular basis. It is a popular belief that fair complexion is more affected by exposure to the sun. It is true that darker complexion has more melanocytes that increase the natural protection, but this does not ensure complete protection against the harmful ultraviolet rays.

After reading this, a sunscreen lotion with a sun protection factor (SPF) of 15 or more should surely find its way into your grooming kit.

Why Do You Need To Use Sunscreen Daily?

Cosmetic surgery has made it possible for almost everyone to have the body they desire. Having small breasts is one of the most common reasons women choose to undergo cosmetic surgery. This type of surgery is known as breast enhancement or breast augmentation.

For this procedure, the doctor will make a small incision along the natural crease lines of the breast. The breast tissue is then lifted to create a pocket in the breast area and an implant is placed in the pocket. These implants can be filled with saline or silicone. The surgeon will then close the incision and reshape the breasts to accommodate the implant.

Breast augmentation is a relatively safe procedure but as with any other invasive surgery, it does have a few risks. Some of the risks associated with this procedure are:

Reaction to anesthesia
Pain for the first 48 hours after surgery
Hematoma
Infection and bleeding
Numbness and temporary loss of sensation in the breasts
Asymmetric breasts
Scarring
Recovery time from breast augmentation surgery varies from person to person. However, to be on the safe side, avoid any sort of strenuous activity or exercising for a few days. Also, avoid running, jumping or any activity that will make your breasts bounce or potentially dislodge your implants. Swimming should also be avoided. The surgical dressing will need to stay in place for a few days after which you may be advised to wear a support bra. Do not wear under-wired bras until your doctor says you can. You should be able to return to work within a week. During this time, surgical sutures, if any, will also be removed. Avoid sleeping on your stomach or on your side for atleast a month after the surgery.

Follow the aftercare regime prescribed strictly to speed up the healing process. Avoid alcohol for as long as you are taking medication and do not self-medicate yourself in any form. Massaging your breasts can help deal with the scarring unless you have been advised not to.

Most women notice a drastic difference in the way their breasts look after a month. However, for the implants to completely settle into your breast tissue it will take around 3 months. During this time, they become softer and shift until they are placed just behind the nipple. In some cases, you may require a follow up surgery and hence it is best to stay in touch with your cosmetic surgeon. 

Breast Enhancement - Safety, Procedure and Aftercare

Moles are a common form of growth or formation on your skin that appear often in the form of small, black spots. They can develop anywhere on the body. They usually occur during adolescence or childhood and with the passage of time, they may change colour. Moles are a type of skin growth, which usually do not go away with time.

On the other hand, freckles are often described as round, flat, dark colour spots which vary in size from about 2mm to 4mm. They may result from pigment precipitation in one particular area as the skin that surrounds the dark spot is comparatively lighter in shade. Being sensitive to the sun s ultra violet rays, freckles become more noticeable during or after sunlight exposure. Although freckles are usually found in areas which are not covered from the sun s exposure, they could also occur anywhere on your body.

What causes them?
Moles are caused due to certain skin cells, known as melanocytes, grow in a very close group instead of being evenly and normally spread across the skin. Moles that occur during birth are called congenital nevi and their chances of occurring are around 1 in a 100. These moles are more prone to develop into skin cancer (melanoma) in later stages of life.

Freckles on the other hand are 

Genetically transferred, so the chance of you becoming affected are higher, if any of your parents have it.
If there s a prolonged exposure to the sunrays, then freckles may appear on your skin and they become even more prominent on a fair skin. Since the presence of melanin is less in people with fair skin the sunlight exposure causes these dark spots to surface easily
Hormonal imbalances could be yet another reason for freckles to appear as estrogen could be over-stimulate cells that produce pigment and thus become more prominent in the presence of sunlight.
Rare disorders like Xeroderma Pigmentosum (a condition leading to extreme light sensitivity and also skin cancer in certain cases) can make your skin more sensitive to the UV rays, thus resulting in freckles.
Treatment of moles and freckles

Laser Treatment: There are different types of lasers which are absolutely safe and can help reduce or lighten these dark spots effectively.
Cryosurgery: The physician would use a light freeze in conjunction with liquid nitrogen to reduce the spots of freckles. However, not every spot responds to this kind of treatment.
Retinoids: Mostly used with a combination of other bleaching creams, retinoids help reduce freckles when used continuously for a couple of months.

Moles and Freckles? How They Can Be Treated?

Men also suffer from breast enlargement, medically called gynecomastia. This usually happens when the levels of female sex hormones, in the affected male, overshadow the male sex hormone levels.

Gynecomastia is different from fat accumulation in the male upper chest. It is typically characterised by an increase in the glandular tissue, which can produce milk.

Lots of adolescent boys suffer from male breast enlargement due to the adolescent hormonal surge, though, the condition can present in men at any age. Adolescents lose the breast enlargement typically in periods ranging from 6 months to a year. Beyond this period, a man with enlarged breasts has to seek medical intervention for treatment.

Typically, gynecomastia occurs due to certain medications like for renal failure and hypertension. It can also be caused due to conditions like hyperthyroidism or kidney failure, liver cirrhosis or problems with testes which causes changes in hormones in the male body.

Treatments-

Whatever be the reason, gynecomastia is a deeply distressing condition for men of all ages. Treatments are available, both surgical and medicinal and they help especially surgery.

Male Breast Reduction Surgery- Facts

Surgery for male breast reduction can be performed safely and successfully on teenagers and adult men alike.

In male breast reduction surgery, the surgeon makes an incision around the nipple and removes the excess glandular tissue and fats causing the appearance of the breast. This is the only effective treatment for gynecomastia that has long-lasting, if not permanent, results. Male breasts may also appear due to excess fat in the upper chest. Liposuction is generally very effective in treating this. The surgeon removes fats and some glandular tissue and then sculpts a new chest contour that looks natural for your body.

More severe cases of gynecomastia may require more than this. The surgeon has to then go for something called  surgical tissue excision  to achieve optimal results. Older males with gynecomastia with sagging skin also require tissue excision. This technique allows the surgeon to remove a major chunk of glandular tissue and/or skin that cannot be successfully removed by mere liposuction.

If you are planning to go for breast reduction surgery, find the best cosmetic surgeon. This will go a long way in you getting the best results and minimise scars.

Also be prepared for the after-effects of the surgery. Even though it is typically performed as an outpatient procedure using general anaesthesia or local anaesthesia with sedation, you must be prepared for soreness and swelling. Recovery time is usually a week and a patient is often given a compression garment to wear for the first few weeks after surgery to support the healing breast tissue. Also, be prepared to be off exercise for a month or so after surgery.

Can Surgery Help Reduce Enlarged Breasts In Men?

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

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