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

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?

How to control hair loss through Ayurveda?

Hair loss has a direct impact on the way you feel about yourself, your self esteem and confidence. It is also true that it is a very common problem and can be controlled and stopped completely through proper treatment. Ayurvedic treatment for hair loss has long term effects and it brings out the best results since the issues get rectified from the inside which prevents them from coming back.

Ayurveda and Hair Loss
According to Ayurveda, hair fall is associated with body type that varies from person to person and also the stability of mind-body structure. Hair is considered as a byproduct of bone formation, as stated by Ayurveda. The tissues which are responsible for the development of bones are also responsible for hair growth. Diet, yoga, meditation and medicated herbal oil massage are the ayurvedic treatments generally recommended for hair loss.

Here are some ways through which Ayurveda addresses the problem of hair fall.
1. Dietary modifications
It is important to identify the lifestyle habits that cause hair fall problems. Consumption of excessive alcohol, meat, coffee, tea and smoking are some of these habits. Hair fall can also be aggravated by indulging in intake of too much greasy, spicy, oily, sour, fried and acidic foods.
Here are some ways suggested by Ayurveda to beat hair fall:
- Hair growth can be stimulated by drinking fresh juices of Pomegranate, carrot, spinach and Kokam.
- Sesame seeds promote hair growth as they are rich in magnesium and calcium.
- Cow's Ghee is a trusted remedy to resolve all scalp problems.
- Green vegetables and fruits are rich in fiber and hence help in preventing hair fall.
- To make the roots of hair strong foods rich in vitamin C, vitamin B-complex, sulphur and zinc must be consumed, which are found in whole grains, soybeans, buttermilk, nuts and milk.

2. Yoga and meditation
Inverted asanas help in stimulating the blood flow to the head. Additionally, practicing deep breathing exercises to control anxiety, stress and keep the mind balanced is also advisable.

3. Ayurvedic herbs and medicated oil
Bhringaraja, Brahmi, Amla, Neem, Ritha and Ashwagandha are some ayurvedic herbs rich in essential nutrients that help in reducing stress and promoting hair growth. Different types of oils including coconut oil, brahmi oil, amla oil or mustard oil are useful in hair fall.

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

How to control hair loss through Ayurveda?

Corns and calluses refer to the hardening of the skin to form a layer over an area where constant pressure and abrasion is experienced. This thickening of the skin is known as a corn or callus. One will usually experience pain and tenderness in the area where this thickening happens. While corns are thick and tender coatings, a callus is usually the flattened thick area on the skin. As far as shape goes, corns are conical and sharpened while calluses are flat. They are most typically found on the hands and feet. There are various ways of treating this condition. Let us find out more.

What causes corns and calluses?
To understand how to treat these corns and calluses, it is important to first of all understand what causes the same. These corns and calluses are usually formed as a natural defence as the body tries to strengthen the skin when it meets too much friction or pressure. This condition may occur when the toes are pressed together constantly with an abnormal elevation. This can also happen when there is prolonged use of high heels as well as sports training footwear. Bone deformities in the toes and fingers can also be one of the causes of this condition. In many cases, the gait and movement of the patient can cause corns and calluses. Also, when a person plays musical instruments that require constant strumming like a guitar or other instruments, it may result in formation of corns and calluses in the fingers.

1. Medical intervention for complications: if a patient is suffering from conditions like diabetes or peripheral arterial disease, it may lead to poor circulation and delicate skin. This can cause the development and growth of corns and calluses. It is important to see your doctor in such cases so that such symptoms may be treated at the onset before they become too painful and end up spreading.

2. Medication: a patient will have to ingest salicylic acid based medicines and even resort to the use of sulphur in order to cure these corns and calluses. One must ensure that a skin specialist or dermatologist prescribes the medicines so that one can apply and administer as per the correct dosage.

3. Home remedies: personal hygiene is one of the primary factors that can help in treating and curing this condition. Keeping the affected area clean can increase the chances of the growth to clear up soon. Also, one may have to avoid wearing high heels and constricting footwear for a while until the corns and calluses clear up or fall off. This will also ensure that there is less friction between the feet and the footwear for better recovery chances.

How to Treat Corns and Calluses?

What is the real reason behind the surgery?

The decision to have breast augmented surgery should be a woman s alone. Friend s advice or pressure from your partner should not play a role in this. Since this is a complicated procedure, getting the surgery done with external pressure can lead to disappointment.

How expensive are these surgeries?

Breast augmentation surgeries are slightly expensive compared to other plastic surgeries. However, the price of the surgery varies depending on the procedure chosen and the doctor who is performing it. It makes sense to consider a clinic which fits the budget and has a very good reputation of its own. Planning your finance well in advance should be one of the top priorities of a woman.

The Risks-

While most breast augmentation surgeries are harmless, there are potential complications that go with it. Bruising and swelling are common risks that are involved with this procedure. This might even last for a week. If surgeries go wrong there is a potential risk in getting a second surgery to set things right. The candidate might have to take antibiotics and pain medication for quite a few weeks till things become normal.

Think about a realistic size-

There is this general notion that breast augmentation surgeries do not give a natural look to a woman. To ensure that one gets a natural look, it is very important to choose the right size of the implant. While it remains a personal choice, the appropriate breast size makes a woman more attractive.

Set the expectation right-

Most breast augmentation surgeries give people a positive outlook towards life. They feel more confident and happier than before. Having said this, there are chances of potential changes in the physiological and physical front. Before the surgery, a detailed discussion with the doctor is recommended.

Where should you have the surgery from?

While there are many places that offer cheap implant options, money should not be the only consideration. A surgery as important as this should have various parameters weighed such as the experience of a doctor, the success rate of the doctor, talking to people who have undergone the same procedure from the same facility etc.

Is a night stay at the clinic mandatory?

A night stay at the clinic is not mandatory. While some clinics emphasize for a night stay so that the patient can be kept under observation, some prefer that their candidates go home and heal at the privacy of their homes.

Pregnancy-

If a person is planning to get pregnant after the surgery, there is a potential risk of breastfeeding. While most women do not face this, there are considerable ones who come across this problem. A prior consultation with the doctor will help to take an informed decision.

Things To Consider Before Having Breast Augmentation Surgery

The first thing anyone notices about you is your face and often people find themselves wishing for things like a slimmer nose, fuller lips etc. This is where facial cosmetic surgery comes in. Facial cosmetic surgery can address areas like your eyebrows, nose, cheeks, chin etc to give you the facial structure you've dreamed of.

Take a look at some of the common types of facial cosmetic procedures:

Brow lift: Frown lines and creases that develop across the forehead, between the eyes and over the nose bridge can be addressed through this procedure. This surgery is performed mainly to combat signs of aging and involves raising eye brows that may be sagging over the eyelid.
Eyelid surgery: Puffiness in the upper eye lids may be caused by excessive fat deposits. When combined with sagging skin, it can disturb the contours of the eye and in some cases cause vision problems. Blepharoplasty or eye lid surgery removes this excess skin and corrects fine lines, wrinkles and bags under the eyes.
Nose: A rhinoplasty is used to reconstruct the nose. The nasal skin is separated from the tissue and cartilage structure underneath which is then reshaped as desired and then sutured together again. Rhinoplasty is of two types; open rhinoplasty and closed rhinoplasty.
Ears: An octoplasty is a facial cosmetic surgery aimed at correcting protruding ears or large outer ears and correcting ear deformities such as a lop ear, cupped ear or shell ear and torn ear lobes. This surgery is usually performed on children between the ages of 4 to 14.
Chin: Surgery on your chin can reshape it to make it look smaller or bigger as desired. This can be done by reshaping the jaw bone or inserting an implant. In some cases the procedure may be combined with liposuction.
Forehead: Signs of aging on the forehead, frown lines or heavy brows triggered by stress and hereditary furrowed lines above the nose can be addressed with a forehead lift. This procedure is often performed along with a facelift or eyelid surgery.
Facelift: As we grow older, our skin loses its elasticity. This triggers the development of wrinkles and deepens creases along the nose and cheek. Facelifts address these signs of aging by tightening skin and strengthening the muscles beneath it. Facial cosmetic surgery can also be used to correct congenital defects such as cleft lips and to treat scars.
Surgery to repair a cleft lip or cleft palate not only enhances appearances but also enhances the quality of life by improving functionality. Scar revision surgery involves the injecting or application of steroid medication to lighten the scar and make it less obvious. To treat burns that leave behind prominent scars, a procedure called Z plasty may be used.

Facial Cosmetic Surgery - Which Type is Suitable for You?

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