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

Gynecomastia is a condition where the tissues of the breasts swell in a boy or men. This is caused by the imbalance of testosterone and oestrogen. It might affect one or both the breasts depending on the level of hormonal imbalance. Although not considered as a serious condition, Gynecomastia can be a difficult condition to cope up with. There are multiple treatment options and surgery is one of them. In many cases, this condition goes as abruptly as it appeared. For cases that are complicated and difficult to get rid of, doctors suggest a medical procedure get rid of the condition.


Symptoms of Gynecomastia:
Some common symptoms of Gynecomastia include tenderness of breasts, swollen breast gland, pain in the breasts, discharge from the nipple etc.


Causes of Gynecomastia:
There could be many causes of this disease. If the condition is witnessed in babies, it could well come from the mother due to an overdose of oestrogen. Gynecomastia also appears during puberty resulting in the breast to swell up. The condition can again crop up after the age of 50 due to hormonal changes.
Certain medications can be a reason of Gynecomastia. Some of the common medications include certain antibiotics, anti-anxiety related medications, chemotherapy shots, HIV patients receiving HAART, cardiovascular medications such as Lanoxin, anabolic steroids etc.
Certain drugs such as heroin, alcohol, methadone, marijuana, Amphetamines etc.
Certain health conditions such as hypogonadism, hyperthyroidism, liver cirrhosis, ageing, certain tumours, failure of the kidney malnutrition etc.


Risk Factors Of Gynecomastia-
Certain risk factors of gynecomastia include older age, use of certain steroids, adolescence and other medical conditions such as Klinefelter's syndrome, tumour related to hormonal fluctuation and disease related to thyroid.
Diagnosis:
A doctor typically checks the history of drugs along with the health condition of the patient. He might also take a look at the health of the extended family. A careful tissue evaluation of the genitals, breast and abdomen are done. This is followed by a physical exam followed by prescribing certain tests such as mammograms, complete blood work, CT scan, biopsy of the tissue, MRI scan etc.


Treatment:
Most people suffering from Gynecomastia see a significant regression with periodic treatment. If however the condition arises from an underlying cause such as cirrhosis and malnutrition, a doctor suggests 2 option- medications and surgery:


Medications: Certain medications that are known to be helpful for breast related cancers are known to be effective in this condition. Some common examples of these drugs include evista, arimidex and soltamox.
Surgery: Only after exploring all medical options a doctor suggests surgery. There are 2 procedures namely mastectomy and liposuction. The latter removes the fat cells of the breast and the former removes the breast gland tissue.     


Gynecomastia - Is Surgery The Best Option?

Cellulitis is a common contagious bacterial skin infection marked by redness and swelling of the skin that feels tender and hot. It usually occurs when bacteria penetrate through a crack or a cut on the skin s surface. Although cellulitis can develop anywhere over the face or the body, it is your lower legs that are affected the most. It damages the tissues beneath the skin, spreading to the bloodstream and the lymph nodes. If left untreated, the infection might get aggravated and turn fatal.  


Prevention:
In case of a recurrence, preventive antibiotics may be recommended by the doctor. Adopting the below mentioned precautionary measures can help: 
1. Gently rinse the wound with soap and water on a daily basis, whenever you go in for a shower.
2. Apply an antibiotic ointment or a cream over the wound to get adequate protection.
3. Use a bandage to dress your wound and change it daily.
4. Watch out for signs of infections such as pain and redness and accordingly go for medical help.
5. People with diabetes often suffer from poor blood circulation. They require extra precautions in order to prevent any skin injury:
Minutely check for signs of injury, failing which you might be even more susceptible to infections. 
Moisturize and lubricate your skin daily to prevent peeling and cracking.
Trim your toenails and fingernails carefully so that they do not injure the ambient skin.
Wear appropriate gloves and footwear to protect your feet and hands.
Treat any infection developing on the skin surface at the right time because they might be contagious.


5 Tips to Prevent Cellulitis

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?

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

The metatarsal and tarsal bones form two different types of arches at the bottom of the foot. These are known as the transverse and longitudinal arches. These arches act as springs and help support the body. The arch of a foot influences the person s posture as well. Longitudinal arches can be further categorized as a medial arch, lateral arch, and fundamental longitudinal arch. The amount a person s foot arches, can also determines the type of injuries the person is susceptible to.

Low Arch
A person with minimal foot arch is also said to be flat-footed. Up to 20% of people across the world are flat-footed. Low arches make feet very flexible and also increase the risk of making the foot roll inwards. People with low arched feet have a high risk of heel pain, plantar fasciitis, heel spurs, bunions and arch pain. It can also increase the risk of medial knee problems. Arch support and rearfoot posting can help align the foot and control over-pronation.

Medium Arch
This is an example of a biomechanically efficient foot. It can be described as a defined arch and a moderately flexible foot. The most common foot problems such people are susceptible to are metatarsalgia and heel pain. This is triggered by wearing improper footwear. People with a medium arch in their feet should ensure that they wear footwear that fits them properly. The right footwear for a person with a medium arch has extra cushioning, good support and it absorbs shock well. This can help prevent injuries and align the body properly.

High Arch
A high arch is defined as a well-defined arch that sits higher from the ground than the average foot. This type of an arch makes the foot very rigid and puts extra pressure on the forefoot and rear foot. This can affect up to 20% of the worldwide population. People with high arches have a very little surface area to absorb impact while walking or running. This can make them very susceptible to heel pain, pain in the forefoot and plantar fasciitis. It can also increase the risk of calluses, arch strain, heel pain syndrome, and claw toes. The good news is that it can be treated. Wearing shoes with the right arch support, good cushioning, and metatarsal pads to provide forefoot relief can help disperse the shock and help you prevent injuries.


Arches Of Foot And Its Effect On Body!

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