Primarily common among middle-aged women, rosacea is a disorder which is characterized by redness and pus-filled bumps and blisters on the chin, cheeks and the forehead. As time progresses, these red bumps can get aggravated and result in other complications. It may also affect other parts of the body such as the back, neck and the chest. If the eyes are affected, then they might appear to be watery and bloodshot. It can also lead to formation of bumps and pimples on the face.

Causes
The exact cause of rosacea has not yet been ascertained. However, certain factors have been known to act as catalysts in the development of this disorder, such as problems of the blood vessels. It may also be caused by fungus and microscopic skin mites. Though more research needs to go into it, but psychological factors are often considered to be important reasons behind this disorder. Some other risk factors of rosacea are:

Gender: It is more common among women
Complexion: People with fairer skin are at a higher risk
Symptoms
The symptoms of this disorder can vary among individuals, but they all share a few common symptoms. The major symptoms of this disorder are:

Bumps and pimples: Similar to pimples, pus filled bumps and pimples are a few common symptoms.
Flushing: A flushed face or a face that appears reddish is one of the most common symptoms indicative of rosacea.
Visible blood vessels: The blood vessels on the face tend to become visible.
Thickening of the skin: The skin tends to thicken and enlarge, caused by the presence of excessive tissue.
Stinging and burning: One may experience burning sensations and inflammation on the face.
Treatment
There are two primary methods of treatment and the required type is decided upon after a through diagnosis of the symptoms. They are-

Medications: Topical and oral medications can be administered to treat symptoms of pimples, bumps and the reddish hue on the face. Medications help you manage the symptoms and prevent them from aggravating or resurfacing.
Surgical procedures: Surgical procedures for rosacea are aimed at reducing the excessive facial redness, remedying blood vessels that are visible and correct other deformities if required.
There are certain preventive measures that you can adopt, them being:
1. Avoid direct exposure to the sun
2. Don t overdo your exercise sessions
3. Avoid eating spicy foods
4. Take steps to minimize your stress levels

Swollen Red Bumps On Skin - Can It Be A Sign Of Rosacea?

How your baldness is completely reversible (non-surgically): part-2

I explained in part-1 about prp treatment. Dermaroller treatment follows the prp treatment.

Let's understand how does it work.

What is derma roller

Dermaroller is an instrument with multiple small needles attached to a handle, which is rolled over the treatment area, to stimulate hair follicles.

How does derma roller work?

It activates stem cells in hair bulge region and releases growth factors to stimulate re-growth. It is again a painless procedure and is usually done without anesthesia.

Any risk or side effect of derma roller?

There is no risk for using derma roller as it is used is a completely aseptic and clean environment.

Total number of treatment sessions required?

For most patients 3prp + 9 derma roller (total 12 sessions done every week over 12 weeks) are sufficient.

Are results achieved with prp + derma roller permanent?

This treatment reverses the 'hair loss stage' to 'hair growth stage' and once the bald scalp is covered with hair, the results can be maintained with just a solution. However, some patients may need prp for maintenance every 6 months to 1 year.

Advantages of i-prp


	
	Simple, effective and non-surgical procedure
	
	
	Completely safe, as your own blood is used.
	
	
	Hair regrowth with i-prp gives best cosmetic appearances.
	
	
	It gives a natural density. Number of hair strands is in lakhs as compared to a maximum of 6000 hair follicles that can be grafted when a hair transplant treatment is done.
	
	
	The hair growth direction remains same (giving a completely natural look), which is not the case with hair transplant treatment where the hair growth direction changes (giving an odd look).
	
	
	Cost of i-prp is much less compared to hair transplant
	


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


How Your HAIR LOSS or BALDNESS is Completely Reversible (Without Surgery):  PART-2

What is Follicular transfer (FT) is also known as follicular unit extraction (FUE).

It is a type of hair transplant procedure which is less invasive than the other types. It is performed when the person has a good hair growth at the back or side of the head which becomes the donor s area.

How is it performed?

The procedure is performed by specially designed instruments under a high powered microscope which provides precision for best and natural results. When the part gets numb the follicles are isolated with a specialized punch device which extracts the follicular units completely with necessary glands. This method is used to separate the surrounding tissue from the follicular unit which results in minimal injury and undetectable scarring.
Then the follicles are removed without any damage to the area. If the scar is left behind it takes few days to heal proceeded by hair growth which takes about weeks.
Then the extracted hair is prepared and sorted for treatment.
Then the follicles are implanted in the scalp by making small incisions by microsurgical needles generally in a group formation of 1-4 to give a natural and recognizable look.
To create a natural hairline transacted hair are used, which will start to grow within weeks naturally. The length of your hair depends upon the follicular units grafts. Approximately 12 months later you will have re-grown hair.
You can get the discharge immediately after the treatment. In 5-7 days the healing takes place after which the redness and swelling disappear.
Advantages of Follicular Unit Extraction

Easy recovery: As there were small incisions made in the procedure which lowers the risk of widening which generally occurs in FUT procedure. This is the reason there are fewer limitations on exercise post-procedure.
Less scarring: FUE doesn t produce linear scarring on the donor's area because it doesn t require any sutures, scalpels; due to which you can wear your hair short too.
Quick healing: As there is less scarring, the time required for healing is very less as compared to FUT where the scarring is more, therefore, the healing is slow.
Disadvantages of follicular unit extraction

It s expensive: As the cost is decided on a number of sessions required for the procedure. FUE requires more sessions than FUT, as this transplants individual follicle units which are more time-consuming.
It s temporary: In most of the cases it doesn t last longer than FUT. because in this the follicular units are taken from a various area which leads to thinning of the donor zone and visible scarring.
Shaving: The one who doesn t like shaving can have a problem. Because FUE requires shaving of donor s area. Only in advanced procedures like long hair FUE, shaving is not required.

Follicle Transfer - Know The Benefits!

 Hives , also known as urticaria, is the outbreak of pale red, swollen bumps on the body. It can occur on any part of the body including the face, back, arms or legs. It is a type of hypersensitivity reaction in which the cause for the reaction is idiopathic (unknown). Also, it can come in various shapes and sizes. Hives can be associated with redness, itching, and a burning and stinging sensation. These can last for more than a minute or even more than that; up to days.

What causes hives?
Most of the times, hives are idiopathic, i.e. the reason that causes this type of hypersensitivity reaction is unknown. The bumps are caused by the action of histamine that makes the plasma in the blood leak out of the small blood vessels. Histamine is a substance that is released from a specialized cell and is what causes allergic responses in general. There are three types of hives- namely, acute, chronic urticaria and physical urticaria. Acute urticaria is when the hives last for less than six weeks. Chronic urticaria occurs when the hives last for more than six weeks. 

Physical urticaria refers to the condition when the hives are triggered due to causes such as heat, cold, sun exposure, sweating, pressure and exercise. Although, this condition is mainly idiopathic, there are common causes that may trigger this condition such as:

Foods such as nuts, fish, chocolates, milk and milk products
Environmental triggers such as pollen grains, dust etc
Medications such as ibuprofen or paracetamol
Insect bites
Latex
Blood transfusion
Bacterial infections including strep throat and urinary tract infection
Pet dander
Plants such as poison oak or poison ivy
What are the symptoms of urticaria?
Hives are usually self-diagnosable. The various symptoms of urticaria are:

Swollen red bumps known as weals
The red bumps can occur suddenly and subside all of a sudden as well
 Blanching which is characterized by the whitening of the swollen red part.
They occur on any part of the body and can change shapes, and sizes. It can become larger or it can reduce in size; it can also move around in the body.

Hives - Most Common 9 Reasons Behind It!

Lymphedema is a condition that typically affects the arms and legs. The most common cause of this condition is damage to the lymph nodes or their removal as part of a cancer treatment program. There is no known cure for this condition. However, surgeries such as Vascularized lymph node transfer surgery may help deal with it better.

Vascularized lymph node transfer surgery involves replacing the affected lymph nodes with healthy lymph nodes from other parts of the body. This allows blood to flow more easily and restores or augments the lymphatic drainage system. In most cases, the healthy lymph nodes are harvested from the patient s groin. This procedure is relatively new, and its limits are still being explored by doctors. In cases of breast cancer that causes lymphedema in the upper limbs, this procedure may be performed along with breast reconstruction.

To be a viable candidate for this procedure the patient must have maximized control over lymphedema through other forms of lymphedema therapy. This therapy will need to be restarted after the surgery to ensure good results. The lymphedema diagnosis should also be less than 5 years old such that the patient s lymphedema is in its early stages.

As with any other surgical procedure, there are certain risks associated with this procedure. These can include

Reaction to anesthesia
Bleeding
Infection
Scarring at the site and poor healing
Damage to adjacent blood vessels
Nerve damage that can cause a temporary loss of sensation
Muscle weakness
Numbness ta the sites from where healthy lymph nodes were harvested
Risk of Lymphedema in the area where the lymph nodes were harvested from
After the surgery, the patient will need to keep pressure off the site where the lymph nodes have been transferred. The surgery site may be bandaged but compression garments will not need to be worn. On being discharged the patient may resume normal activities such as driving and work. High-intensity exercises that involve the use of the operated limb should be avoided for at least a month after the surgery. Compression garments should not be used until recommended by the doctor or a minimum of 2 weeks post-surgery. They will also need to schedule review consultations with the doctor. The schedule followed usually involves check-ups after 2 weeks, 1 month, 3 months, 6 months, 9 months and 1 year. 

Lymphedema - Vascularized Lymph Node Transfer Surgery!

Breasts are integral to womanhood. They define a woman s beauty. Well grown, firmer breasts are what every woman dreams of. However, not many women are lucky enough to have the perfect shape and size of breasts. A common belief among people is that bigger the size of the breasts, the better they are. This is a big misconception. The ideal breast size is the one that is in proportion to the rest of the body. Bigger breasts do not look good on women with smaller structure and are also prone to sagging. Apart from a disproportionate figure, many women with larger breasts complain of backache, neck and shoulder pain due to the physical burden born by the upper body. Hence, the need for a medical intervention. Such women can consider breast reduction as a permanent solution to their problem.

Breast reduction or reduction mammoplasty is a procedure that reduces the size of the breasts through surgical removal of tissues, fat and skin, thereby making it ideal as per the body structure. The procedure is performed under the guidance of a trained aesthetic plastic surgeon and takes about three to five hours.

Hospital admission is usually required and a general anesthesia is given to the patient. Healing of wounds may take a few days. Breast reduction surgery also deals with issues of sagging breasts and helps them give an uplifted and firmer appearance. Another advantage of this surgery is that it can reduce the size of areola making the breasts appear younger and better.

Like any other surgery, reduction mammaplasty is not free of side effects. There are risks associated and one has to carefully weigh the risks and benefits before taking this decision. It can cause complications like excessive bleeding and adverse anesthesia reactions. Apart from this, some of the common side effects of this surgery are loss of sensation in the nipples and areola, inability to breastfeed and scarring. Sometimes, the procedure may need to be repeated in case there is a visible asymmetry in the size of both the breasts.

In general, women considering this option are overweight, have no plans to bear children in future and are suffering from heaviness and pain in upper part of the body due to larger breasts. However, many women desire to improve their appearance. Cosmetic market delivers many new gels and creams for breast reduction, claiming them to be simpler and safer than surgery, but their effectiveness is doubtful. Women looking for a more permanent solution may consider a surgical procedure. However, following the surgeon s instructions is important pre as well as post-surgery. If you are worried about the size of your breasts, do visit a plastic surgeon and discuss your options.

Should You Get Breast Reduction Surgery? 

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