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

Moles and Nevi are formed when there is a localized concentration of pigment cells on the skin or mucous membrane. They appear as colour growths and may appear anywhere. Colours may vary and can be brown, black, or natural skin colour. These growths usually appear in early childhood or adulthood, but there are some that may appear late. With the passage of time, these growths may change in appearance and become darker in colour or raised in appearance. Hairs may also develop among them.

Treatment for Moles:

Your plastic surgeon can advise to remove a mole when he/she has a clinical suspicion that it may transform into a malignant nevus. People may also want to go for mole removal if it bears an aesthetic dimension. If the patient wants to remove moles from sensitive areas like eyelids, eyes, mouth etc., he/she needs to consider meeting a Plastic Surgeon who is skilled and experienced in mole removal. Plastic surgeons can conduct procedures with minimal scarring.

Plastic Surgery for Mole or Nevi Removal:

There are many processes of mole removal. Some of the commons ones are listed below:

Shaving with Surgical Scalpel:

The plastic surgeon may shave off a small & superficial mole with a surgical scalpel. There are some moles which have cells underneath the skin which may need to make a deeper cut.

CO2 Laser or Electrocautery:

The plastic surgeon may also do cauterisation of the moles using radiofrequency cautery. Laser plastic surgical treatment encounters less scarring. Nevertheless, Laser treatment may be required in stages for satisfactorily removing the deeper moles.

Excision & reconstruction of bigger moles & nevi:

Giant hairy nevus or huge moles needs reconstructive surgery after complete excision of such bigger moles.

Benefits of Plastic Surgery:

Brings Down Risk of Melanoma - Though moles are benign in general, there is a risk of them turning cancerous over time and giving rise to melanoma. This is why plastic surgeon may monitor certain moles in patients and advise mole removal. While cosmetic reasons are attributed to the patient's concerns, doctors are concerned about the likelihood of melanoma. So, the best mole removal procedure can bring down the risk of melanoma.
Cosmetic Benefits - Some moles, especially those in the face, appear unsightly. Removing these moles can offer cosmetic benefits.
Conclusion:

In general, moles need to be removed with the help of a plastic surgeon for better cosmetic results & prevention of possible complications.

Moles & Nevus - How Can Plastic Surgery Remove These?

Thanks to cosmetic surgery, today, it is possible to alter your facial features any way you want. For some it's a way to reverse signs of aging while for others it may be to restructure a part of their face that they are not comfortable with. Whatever be your reason, here are ten tips to ensure safer facial cosmetic surgery.

1. Have the right motivation: cosmetic surgery will change the way you look, not your lifestyle. Do not undergo such a surgery if you think it will give you a new lifestyle.

2. Have realistic expectations: going under a plastic surgeon's knife can alter your facial feature, but only up to a limit. You may want your nose to look like that of your favourite actress, but the end result of the surgery will depend on the bone and cartilage structure of your nose. Having unrealistic expectations can take away from the satisfaction of plastic surgery. 

3. Find a surgeon who shares your aesthetic sense: if you and your surgeon do not share the same ideas on what looks good, you may end up with a result you are not satisfied with. Before deciding on a doctor, take a look at photographs of their earlier clients.

4. Be wary of promotions that offer to pay for your surgery: cosmetic surgery is expensive, but do not try and save money by choosing to work with inexperienced doctors. 

6. Meet the entire surgical team: along with the doctor it is also important to meet the other members of the surgical team. Also, take a look at the facilities offered and the type of surgical atmosphere available.

7. Have a clear written plan for the surgery and possible follow up procedures: cosmetic surgeries often require multiple procedures. Ask your doctor for a clear plan with all the costs involved. 

8. Ensure that you have an aftercare plan: on the off chance that something does not go according to plan, ensure that you know what is to be done and insist on an aftercare treatment from your doctor.

9. Have a strong support system in place: it will take a few months for the effects of your surgery to be visible. Until then, your face may appear swollen and bruised. Get support from your friends and family as this may keep you indoors for awhile. 

10. Be aware of the risks: like any other surgery, this one too has risks associated with it. Ensure that you are aware of these risks so that you can make an informed decision. 

11. Don't rush your decision: lastly, take your time deciding on the exact procedure you want. Remember that the effects of cosmetic surgery are permanent.

10 Expert Tips to Undergo Safer Facial Cosmetic Surgery

Is Hair Transplant Surgery a Lasting Option?

Hair transplant surgery is the technique wherein hair is taken out from other parts of your body and grafted on the scalp to treat baldness. Basically, these are such hair follicles that are genetically resistant to balding; therefore, they serve as a permanent treatment for hair loss. Experts believe that in most cases, hair transplant surgery is a lasting option.

How long does the transplant last?

If you are worried about the length of time for which your hair transplant will last, you can be assured that it may even last a lifetime. Only a few among the transplanted hair are lost with time but this loss is not very noticeable.

Reason why hair transplant surgery can be considered as a lasting option

Hair transplant surgery is naturally a lasting and safe treatment for hair loss, as the chances for your body to reject the intervention in the form of implanted hair is minimal. This is because the technique that is used involves taking your own hair out from the follicle roots, (mostly from areas like the neck or the back and sides of your head) where they are not needed so much and place them in specially designed holes in the bald areas. Since no external factors are involved, the body does not tend to reject the transplant.

Supplementary Treatment

Hair transplant surgery is anyway a lasting option but just as everything else, it may require a little care over time. Hair may still be lost from those parts of your head that have not been subject to the implantation, so those areas do require little efforts in order for you to maintain the overall results. Occasional touch-up sessions along with easy, non-surgical treatments such as laser therapy, rogaine, and Propecia would ensure a permanent and lasting solution to all your problems related to hair loss and baldness. Such supplementary treatment solidifies the hair follicles that have been transplanted and also decreases the chances of hair loss from hair follicles that were not treated during transplantation.



Is Hair Transplant Surgery a Lasting Option?

A lower body lift is also called a belt lipectomy, is an increasingly popular type of surgery. The aim of this surgery is to eliminate or improve excessive or sagging of thigh and buttock skin from the area. This surgery is mostly opted to enhance the physical appearance and is becoming increasingly popular these days.

Causes to undergo lower body lift
1. A lower body lift may be undergone when, due to extreme weight loss or advanced age, the skin in the buttocks, thighs and abdomen becomes loose and appears to be sagging 
2. Apart from loosening the skin, weight loss can also make the buttocks &amp; thighs and abdomen look deformed or de-shaped. In that case, a lower body lift helps the patient correct the area.

Lower body lift are most likely to be successful when: 
1. The layers of fat beneath the skin of the patient are relatively thin. 
2. The patient does not smoke, as smoking slows down the healing process and also increases the risk of post surgery complications. 
3. The patient's weight does not fluctuate a lot. He or she must have stable weight for at least a year before the surgery. 
4. The overall health of the patient is good, and he or she does not suffer from chronic medical conditions.

How is the surgery performed? 
1. Depending on the body type and other condition of the patient, the doctors make a circumferential incision at the waist or slightly below that area. 
2. After that, the excess fat or skin is removed from the soft tissue that is present there. Following this, the skin is closed up in layers and tightened.

Things to keep in mind before the surgery: 
1. It may take a few months to recover fully, post surgery
2. Weight gain or loss in the future may affect the results of the surgery.

All About Lower Body Lift

Pregnancy and the resultant hormonal whirlpool change a woman s body in more ways than one. This is true especially when a woman starts to breastfeed her baby. Before pregnancy, a woman s breasts are taut and firm. During pregnancy and breastfeeding, her breasts enlarge, are stretched out, and tend to sag. All this is very much the natural course of your breasts changing in tune to your bodily changes. However, if you feel that they are hanging lower than what can be expected after pregnancy, you can take the help of a cosmetic gynaecologist.  

Non-surgical Breast Lift Techniques - 

You don t have to resort to surgery to get back firm breasts. There are several non-invasive ways of going about it-

Carboxy Therapy -

This therapy consists of injections of carbon dioxide. Carbon dioxide is administered through a fine needle just beneath the skin. It reaches the adjacent blood vessels and causes them to dilate.  Engorged blood vessels mean more robust circulation of blood. This makes the skin of the breasts more elastic because this therapy triggers the production of collagen.

Hyaluronic  Acid Treatment -

Another effective way to non-surgically gives your breasts a lift is through Hyaluronic acid therapy. In the gel form, this can be a substitute for breast implant surgery. Not only do they make breasts firmer but fuller also.

Hyaluronic acid provides hydration to the cells and tissues of the breasts and makes them supple. They remove wrinkles and stretch marks.

The Vampire Breast Lift (VBL) -

Another way to get firmer breasts without having to undergo the trauma of surgery is the very popular Vampire Breast Lift. There will be no incisions and sutures. The surgeon will simply inject Platelet Rich Plasma into your breasts. The proteins present in the PRP promote growth and repair of cells. The advantages of VBL are-

Gives you firmer and shapely  breasts

Makes the skin taut and smooth

Enhances blood circulation

Minimizes scars and wrinkles

The change in the shape of your breasts in the aftermath of pregnancy should not be a cause for insecurities and anxiety because you do not have to conform to society s ideals of feminine beauty.  But, if you think your body image is driving you towards depression then you may consider opting for the above-mentioned non-surgical treatments of a breast lift.

Non-Surgical Breast Lift - Know More About It!

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