The inflammation of the kidneys as an effect of Systemic Lupus Erythematosus (SLE) is known as Lupus Nephritis. Like lupus, this is an autoimmune disease. Inflammation of the kidneys hinders kidney functioning by not allowing the kidneys to regulate the optimum amount and types of fluids in the body and restricts the removal of waste through urine. It can also cause the protein to leak out of the kidneys. If not managed in time, this can eventually lead to kidney failure by scarring the kidney tissue. However, this is a rare occurrence. 

On an average, 6 out of 10 lupus patients suffer from lupus nephritis. In most cases, this disease develops within the first five years of lupus symptoms making their appearance. The symptoms of this disease are mild and can vary from person to person. Very often, the first signs of lupus nephritis become visible only in lab tests as the symptoms are similar to those exhibited by other kidney diseases. 

Some of the common symptoms of this condition are: 

Swelling of the feet, ankles and calves 
High blood pressure 
Weight gain 
Frothy, dark urine 
There are five stages types of this disease and hence, the first step to treating this disease is to identify its type. For this, your doctor will begin with a thorough physical examination and understand your medical history. He or she will also ask for a few tests including urine tests, blood tests, an ultrasound and a kidney biopsy to confirm the diagnosis. 

Lupus nephritis is usually treated with corticosteroids and immunosuppressive drugs. Medication may also be prescribed to lower blood pressure and prevent the clotting of blood. However, in some cases, this treatment may not be enough to stop the progression of the disease and some kidney function may be lost. If both kidneys fail, dialysis is the next medical step. This involves the use of a machine in place of the kidneys to filter and removes waste products from the body. This may be followed by the need for a kidney transplant. 

Since lupus patients are at a high risk of lupus nephritis, here are a few conscious lifestyle changes that can help prevent this condition:

Have a diet that is low in salt 
Avoid smoking and alcohol 
Exercise regularly 
Avoid non-steroid anti-inflammatory drugs("pain killers") and unproven alternative medications that can affect the kidneys.

What Is Lupus Nephritis?

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

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?

When an injury happens, the normal tendency of the skin is to repair itself from inside out, until it is completely closed and healed. However, in some cases, due to various reasons, excessively large scars can form. These hypertrophic scars are known as keloids. Here is everything you would like to know about keloids:

Features of keloids:

Benign, fibrous, smooth, hard growths that form over a healed wound
Can be bigger than the original wound
Most commonly found on chest, ear lobes, cheeks, and abdomen
Pregnant women are usually at the risk of developing keloids
Though they do not develop into malignant lesions, they are a cosmetic issue, especially when the visible portions of skin are affected
They are localized, flesh-colored and red in color
They are raised from the surrounding tissue and are prone to repeat injury
It continues to grow with time
Could cause discomfort and irritation when it comes in contact with clothing
Sun exposure or tanning can worsen it and cause tenderness
Common injuries that can lead to keloid formation include burns, surgical incisions, skin piercings, chicken pox scars, tattoos, etc.
Treatment for keloids may not always be effective and need repeat treatments
Treatment options: If the keloid is not in a visible area and does not cause any problem, it is best to leave it untreated and observe for any changes. The following changes could indicate the need for treatment.

Change in color from pale pink to red (indicating inflammation)
Severe increase in pain/tenderness
Sudden increase in size, which could indicate malignancy (keloids are an area where benign growth can turn cancerous)
A biopsy can be done to identify if treatment is necessary. This involves removing a small part of the tissue by injection and sending it for laboratory examination.
Treatment options include both nonsurgical and surgical. Nonsurgical methods are tried first before resorting to surgery.

Steroid injections into the keloid to control growth and inflammation
Moisturization to keep it soft and avoid dryness and cracking and bleeding
Freezing the tissue (cryotherapy) to freeze the growth can help in further increase in the size of the tissue
Laser to remove the tissue, especially if it is small. Alternately, this could be used as a secondary measure after the keloid is excised to prevent further growth
Radiation therapy to shrink the growth
Surgical excision, where the keloid is quite visible or large. This could be followed by radiation or laser to prevent further growth.
Also, in people who are prone to develop keloids, surgical incisions can be treated for a longer time with pressure dressings and silicone pads.

Keloids - Know About Its Treatment!

Acne can be such an annoyance, you might have an important day tomorrow and that is when your skin decides to go rogue. What is acne? Overactive oil glands in your skin cause acne. It is a kind of skin disease where the skin produces excess oil, which traps bacteria and dead skin cells. This growth and proliferation of bacteria causes inflammations, leading to acne. Thankfully there are numerous acne care treatment. One of the most common methods is laser treatment.

Laser Treatment for acne
Laser treatment is a kind of dermatological treatment which uses concentrated light to treat acne.

What laser light does?
The concentrated light targets the bacteria, which combines with the excess oil on your face to cause breakouts. The light destroys the acne-causing bacteria, thus eliminating acne and also prevents future breakouts.
Laser treatment also shrinks the size of the oil glands and simultaneously targets pigmentation.

Laser light and scars?
The most common side effect of acne is acne scarring. And if acne scarring is your main concern, then laser treatment for acne will be integrated with laser skin resurfacing to treat your problem. Laser skin resurfacing directs short, pulsating light beams to remove your skin layer by layer with sharp precision. This smooths down scars, and fine lines while stimulating collagen growth.
It is recommended to use the two treatments alternatively. This way you can avoid side effects like redness and swelling. However, these treatments are safe and can give you clear, acne-free skin.

Is it recommended often?
The treatment is recommended based on the severity and frequency of your acne condition. Usually, 6 treatments are suggested, with monthly touch-ups. The touch-ups will maintain your glowing complexion, collagen production and prevent your acne from returning.

Differences you will see
The obvious differences you will see after laser therapy are clearer skin and reduced breakouts. It will also diminish sun damage, and you will have healthy and glowing skin.

Benefit
When topical creams fail, laser treatment for acne is the best option available. Laser treatment is non-invasive; and it will correct you skin problems and maintain clear skin. The best benefits of this treatment are-
i. It is long-term
ii. It will make you less dependable on creams.

Get Rid of Acne with Laser Treatment!

Rhinoplasty, more commonly known as Nose-Job, is a cosmetic procedure designed to change the shape and size of the nose. 

A Rhinoplasty can effectively change the size and shape of the nose to complement the facial balance. It also helps improve nasal symmetry efficiently enhancing your facial features.

How is the surgery performed?

We prefer General Anaesthesia for the surgery to make patient pain free and most comfortable. It s a Day-care procedure or may need overnight stay.

The operation involves an incision which is made for easy access to the cartilage and bones of the nose. These incisions are generally placed inside the nose, so that they do not appear as scar marks after the surgery is done. Moulding, removal or replacement of the bone or cartilage depends on the demands of the restructuring of the nose. Once the reshaping of the nose is done, the nose tissue is put back into place and a splint is temporarily placed to support the new structure of the nose. The splint is removed at 5-7 days. 

Precautions to take after a nose surgery

After a nose surgery, the area around your nose will stay swollen and bruised for around 10-15 days. Thus you have to ensure that-

You get adequate period of rest.

Use cold compresses over the swollen face, this will reduce the swelling and ease the pain.

Do not indulge in relatively vigorous physical activity for 15 days. 

Take you medicines regularly.

Risks of nose surgery

Every surgery or medical procedure involves certain risks, and so does Rhinoplasty. Along with some puffiness and bruising around the eye and nose region, you may also experience-

Some amount of bleeding 

Injury to the septum area

Irritation of the skin and skin problems 

Infections 

Nasal blockage due to swelling in the inner nasal area 

Complications resulting from anaesthesia 

Although there are certain risks to Rhinoplasty, the surgery is considerably safe if done by a qualified expert plastic surgeon and the results are quite permanent.

Rhinoplasty - Things You Must Know!! 

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