There are mainly three kinds of burns. The degree of burns is determined by the extent of damage that the burn causes. First degree burns are minor while third degree ones are extremely severe. Variety of factors could lead to a burn. They may be chemical, electrical, fire and even sun induced. Boiling or scalding liquids might result in burns as well. The burn type isn t necessarily determined by what causes it. Scalding hot water might cause all the three types of burns; based on the duration of the skin being in contact with the water and how hot the water is. 

Electrical and chemical burns need immediate tending to by a doctor as it might affect the internal body without it being apparent as the damage to the skin is not much. There are also fourth-degree burns. This type of burn includes all of the symptoms of a third-degree burn and also extends beyond the skin into tendons and bones.

First-degree burns: These result in the least skin damage and are also known as  superficial burns  as they only affect the skin s outermost layer. Redness, pain, minor swelling and inflammation are all the symptoms of a first degree burn. As a first degree burn heals, dry skin and peeling takes place. As the skin peels, the symptoms and signs disappear as the burn only manifests on the top most skin layer. It usually takes a week or little more for a first degree burn to heal without any scarring. If the burnt area affects over three inches of skin, or is on the face, then a doctor should be consulted. Home care generally suffices for a first degree burn. Healing time accelerates with rapid treatment of the burn.
Second-degree burns: They are serious as the extent of damage is deeper than the topmost layer of the skin. The skin becomes extremely sore with the formation of red blisters. The blisters might pop open and as time passes, the wound may develop a scab. Proper bandaging is required to reduce chances of an infection. Home remedies should be avoided. The burns usually heal within three weeks.
Third-degree burns: They are the most severe. They extend through each layer of the skin. They might not cause any pain due to the severity of burn as the nerves might get damaged. There might be extreme scarring if corrective surgery isn t done.

Burns - Understanding Its Degrees!

Gynecomastia is basically swelling of the breast tissues in boys and men. This is usually caused due to an imbalance of the hormones, estrogen, and testosterone. Gynecomastia can affect either one or both the breasts, sometimes in an uneven manner. Newborn babies, boys who go through puberty along with older men might develop this condition as a result of normal changes in the levels of the hormone.
It is not necessarily a serious problem but men might find it difficult to cope with this condition. This condition can go away on its own. In case, it persists, consultations with a cosmetic/plastic surgeon can be of great help.
Before looking at the tips from a cosmetic/plastic surgeon to come out of this problem, let us briefly talk about the symptoms and causes related to Gynecomastia.

Symptoms- 
There are certain signs and symptoms, which suggest that men could well be suffering from gynecomastia. They include the likes of:

Swelling of the breast gland tissue
Pain
Tenderness
Nipple getting discharged in either one or both the breasts
Causes -
Gynecomastia is usually triggered by a decrease in the amount of the hormone testosterone compared with estrogen. Different things can alter the hormonal balance like:

1. Natural hormonal changes

2. Several medicines including:

Anti-androgens used for treating enlarged prostate, prostate cancer
Anabolic steroids
Medicines for AIDS
Anti-anxiety medicines
Tricyclic antidepressants
Antibiotics
3. Consumption of alcohol
4. Heroin and other such drugs
5. Several health conditions like Hypogonadism, Hyperthyroidism, Kidney failure, Live cirrhosis, etc.

Tips From Cosmetic/Plastic Surgeon-
Consultation with Cosmetic/Plastic Surgeon can let men have useful tips as to the treatment as well as prevention of Gynecomastia. They include the following:

Liposuction Treatment can be an ideal way to get rid of this problem. It removes fat from the breast but leaves behind the breast gland tissue in its place. The treatment involves making two or more small incisions through narrow tubes get inserted into the chest region. The tube gets moved around gently to loosen up the excess fat tissue, which is then sucked out. The treatment involves less amount of scar.
Cosmetic/Plastic Surgeon can advise patients that there are iatrogenic causes behind this problem like side-effects from any medicine or health issues like an overactive thyroid or tumor.
Mastectomy can be another effective method of treatment. It is performed endoscopically and thus has a quicker recovery time. A patient can stay at the hospital for a few hours and go back. This involves less amount of scarring.
Cosmetic/Plastic Surgeons can also go for another extremely effective method in their hands to take care of this problem of Gynecomastia. It is the Excision Technique. This is recommended where glandular breast tissue or excess skin must be removed to cure this. The patterns of incision would vary depending on the specific conditions and patients  surgical preference.


All You Must Know About Gynecomastia!

Eczema is a common skin problem that appears as red, raised rashes on the skin, commonly the face, neck, elbows, hands, and feet. Considered as an allergic response, it is often seen in people who have a predisposition to other allergies like asthma, hay fever, hives, etc.

The good news is that these have identified patterns, and there are things that can be easily done which can prevent flare-ups.

Reduce soap: Soaps are known to dry the skin up and irritate the skin, so eczema flare-up is common in those who love to lather themselves up. If possible, switch to soap or body wash that contains moisturizer as reduce the bacterial load on the skin. People who live in hot and humid locations, such as Mumbai it is important that they cleanse their face completely, else it can lead eczema eruption. 
Moisturize: Keep a moisturizer handy at all times. Eczema is common when the skin is dry, so keep applying moisturizer at regular intervals and keep eczema at bay. Make it a habit to apply moisturizer soon after the bath. The moist skin soaks it in nicely and provides maximum benefit when applied this way.
Avoid artificial fragrances: While deodorants and skin care creams which contain fragrances smell appealing, they also cause irritation and are harsh on the skin. This exacerbates eczema, and so avoiding these products is advised.
Know your trigger: This could be anything from a dishwasher liquid to a bath soap or a deodorant to some plant in your garden. Over a period of time, you will be able to identify the trigger, and avoid it so that eczema does not flare up. Remember, it is a type of allergy after all.
Detergents for washing clothes: Using milder detergents, especially for undergarments, greatly helps. Also, wash these twice to get rid of all the soap. Avoid fabric softeners as they are fragrant and can cause irritation.
Avoid hot baths: While a hot bath at the end of a long day sounds very relaxing, it also leaves your skin dry. This can worsen the condition of eczema. Add to this the irritation from your bedspread and pillow covers. Unless you have the habit of applying copious amounts of moisturizer before going to sleep.
Cover up your hands and face: When possible, use gloves and a mask especially when washing dishes and using laundry detergents. This way, you can prevent dryness and irritation of the skin on the hands and prevent eczema.
Soak it in the tub: When you stay for about 20 minutes in a tub (no hot water though, but lukewarm), the skin absorbs moisture which prevents it from drying. This greatly helps prevent eczema.
Cut down stress: Like any allergy, eczema acts up when stressed, so manage it. There is no point stressing anyways!

Eczema - How To Prevent Its Flare-ups?

Stretch marks don t only happen after childbirth, they can happen to anyone due to sudden changes in body size and weight. These are like ugly brown scars usually present on the stomach, thighs and hips. Truth be told, 90% of pregnant women will get stretch marks around these parts of their bodies.

These are some very easy things one can do to get reduce the appearance of stretch marks both old and new:

Moisturizing- Lotioning  up regularly can lighten stretch marks. Moisturizing helps to hydrate skin and this makes it easier for it to stretch. Moisturizing is very effective in lightening new stretch marks and can prevent new stretch marks from forming. Older stretch marks are more difficult to get rid of, though.

Retin A- Retin-A based creams are very effective against stretch marks. Retin-A works by boosting collagen production which helps the skin to stretch out and avoid tears which cause stretch marks. Pregnant and nursing women should not use Retinoic acid containing products, however. It also doesn t work on old stretch marks.

Glycolic Acid- This too can increase collagen production when used on skin. It is even more effective as alpha-hydroxy acid (AHA) which is used in chemical skin peels. You can use glycolic acid on skin even during pregnancy. Save your skin from sunlight when using glycolic acid.

Vitamin E Oil- This is touted as the miracle cure for stretch marks and it delivers especially when used on new stretch marks. Use it with an unscented moisturiser for better coverage.

Essential Oils- These are common home remedies for tackling stretch marks. One can use them directly on skin or mix with the carrier oil before use. These are the ones to go for:

Lavender

Rose

Frankincense

Vitamin C- You can take Vitamin C as a supplement to lighten stretch marks. You can also mix topical glycolic acid with Vitamin C and apply on the skin directly.

Lasers- These are the magic wands of cosmetic surgery and rightly so. Fresh stretch marks can be tackled using a pulsed dye laser also called vascular laser. The downsides of this laser treatment are that it works on early stretch marks and not on mature ones. It is also very expensive. This laser also doesn t work on darker skins.

Fractional Laser Treatment- These are very effective against older stretch marks. Your doctor will use this laser to resurface the older marks smoothing the surface of the skin. The treatment is very expensive and can cause hyper-pigmentation and scarring.

Abdominoplasty or Tummy Tuck- This is the only certain way to obliterate stretch marks. What the surgeon does is cut out swathes of skin from your abdomen with stretch marks. Downsides are that it s a risky procedure. There could be life-threatening complications and recovery takes long, sometimes as long as 3 to 6 months.

Stretch Marks - How To Get Rid Of Them?

Do birth control pills help in controlling acne?

An outbreak of a pimple is perceived as a cause of embarrassment and concern as it gives rise to skin damage. Coming to the cause of acne, it generally occurs due to excess oil (sebum) production. The oil on your skin combined with dead skin cells, blocks your skin pores, thereby promoting bacteria growth and causing acne breakouts. 
The use of birth control pills to cure acne is usually recommended when topical medications and oral antibiotics don’t help in clearing up the problem. 
Here’s how they work on acne. 

Possessing properties that can regulate your hormone production, birth control pills contain the two hormones that your body naturally makes – oestrogen and progesterone. Present in different amounts in the pills, they act by lowering the amount of androgens (male sex hormones, which give rise to excessive sebum production) produced by your body. As a result, with a reduction in sebum production, there is also a decrease in the breakout of acne on your skin. However, you shouldn’t expect instant results from their use. 

Many a times, birth control pills can cause a flare-up of the problem before it can be contained. This can result in your acne getting worse before getting better. 
Although birth control pills can help to control acne, it’s still important to maintain a proper skincare routine comprising of washing, toning and moisturising for a healthy and glowing skin. 

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

Do Birth Control Pills Help in Controlling Acne?

Vitiligo or Leucoderma is a genetic disorder triggered due to mental stress and constipation. Leucoderma or vitiligo is called Shivita kushta according to Ayurveda and is caused due to defect in brajak pitta. Brajak pitta is a color forming agent in body and defect in formation of brajak pitta causes vitiligo. There are many causes, which can trigger vitiligo other than stress and genetics.

There are certain food combinations , such as taking milk and sour fruits together can trigger vitiligo. Also, using excessive salty food and meat products with milk can trigger disease. Deficiency of copper and vitamin B12 can trigger this disease. So treatment of vitiligo is done taking in account many factors.

Toxins produced in body are neutralized using herbal medicines, which helps in stopping the spread of disease. External herbal application containing Wrightia Tinctoria help in repigmentation on white skin. According to modern science steroids are used in pulse therapy where steroids are used 2 times a week.

This also prevents the disease from spreading. In some severe cases integration of allopathic and Ayurveda is key to success.

There are few important points, which vitiligo patients should always take in account, such as:
When disease is spreading sitting in sun for prolonged period can trigger the spread.
Using Brinjal and raw tomatoes and excess of vitamin C is not good.
Irregular lifestyle is a trigger the disease along with consumption of alcohol.

All About Vitiligo

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