Breast Augmentation Ppt-1

SPEAKER – DR.
VARSHA D GAIKWAD
ASSOCIATE PROFESSOR
AESTHESTICS IN AYURVEDA w.s.r BREAST AUGMENTATION .
D.Y.PATIL SCHOOL OF AYURVEDA, NERUL
BAMS,MS,PHD
INTRODUCTION
 AESTHETIC – BEAUTY, here we are focussing on
physical beauty, nowadays lot of youngsters
are under pressure to look good and maintain
a perfect body physique but unfortunately not
all are blessed with perfection in females small
breasts is one of the cosmetic concern and
they fall prey to body image complex.. In
ayurveda also aacharyas has described ideal
breasts (stana sampad) as not too huge or not
too small. This study is an attempt to provide
economical remedy for breast augmentation.
NEED OF THE STUDY
1) Body image complex is a phenomenon wherein people are

not happy with the way their body looks and as a result of
which they are disturbed psychologically, they lack confidence
some may even cut down on their social appearances.
2) Incidence of Body image complex is whopping 71%
3) Breast implant – this is the only authentic remedy available
but not cost effective (1-1.3 lakhs)and is associated with
anaesthetic complications,hospital stay or is accompanied with
difficult breast feeding or possibility of breast cancer in
future .
4) Kasisadi tail- Non surgical, devoid of anaesthetic
complications, economical, does not affect breast feeding.
AIMS & OBJECTIVES
 AIM:
 To study clinical efficacy of local application of Kasisadi
tail in breast augmentation.

 Objectives:
 1. To review the literature of breast development with
special reference to breast hypoplasia.

 2. To prepare formulation of Kasisadi tail and to
standardize it.
 3. To assess the safety of Kasisadi tail in female patients
suffering from breast hypoplasia.

 4. To assess whether duration of study i.e 60 days and
duration of local application i.e 12 minutes for each breast

is sufficient to get optimum results
REVIEW OF LITERATURE-
Breast Hypoplasia (Small Breasts) -

Varying degree of under development of the breasts are seen and
young women may seek medical advice. on this account. The size
of the breast depends on the fat as much as on glandular tissue.
CAUSES:-
• Deficiency of ovarian hormone – in this case,
there is always other evidence of the deficiency
such as amenorrhoea and genital underdevelopment.
• Intrinsic defect in the gland itself – the gland may
be absent, rudimentary or insensitive to hormonal
stimuli. This is always the case when ovarian
function is normal and when the women is not
wasted
REVIEW OF LITERATURE-
 AYURVEDIC VIEW –
Following are the conditions where underdeveloped
breast are directly or indirectly cited.
 1) In sushruta samhita ideal breast is described as
breasts that are not too big or too small, they are
associated with good latching and thereby effective
breast feeding*
 2) In charak samhita feature of “Astani” i.e –
undeveloped breast has been narrated in shandhi

yonivyapad
 3) Shriparni siddha oil has been narrated for
enlargement of breast.
CONCEPT OF ABHYANG
REVIEW OF PREVIOUS WORK DONE
 Though there are many ayurvedic products
which claim to cause breast
enlargement ,there is not a single scientific
research study present.
1) Nonsurgical Breast Enlargement Using an
External Soft-Tissue Expansion System. Roger
K. Khouri, M.D., Ingrid Schlenz, M.D., Brian J.
Murphy, M.D., and Thomas J. Baker, M.D.
2) Breast Augmentation (Indian journal of
Plastic Surgery) K.Ramachandran.
MATERIALS & METHODS:
 The study was carried out in two parts
 A) Preparation and standardization of

Kasisadi tail
 B) Assessment of efficacy of local application
of Kasisadi tail in breast augmentation.

Study design
 Sample size – 60.

 INCLUSION CRITERIA:
 • All nulliparous women between 18-35
years of age.
 • Patients with breast measurements 32
inches or less.
 • Patients who are willing for breast
augmentation.
 EXCLUSION CRITERIA:
 • Age - patient with age < 18 years & > 35 years
 • Pregnancy and parous women.
 • Patents with or with h/o
fibroademoma, cystic breast disorder,

mastitis, benign or malignant breast tumour.
 METHOD OF APPLICATION – Patient was trained to do local
application of
 lukewarm kasisadi tail over both breasts in circular motion
for 12 minutes over each

 breast once a day (at night) for a period of two months
with follow up after every twenty days.

ASSESSMENT TOOL
 Breast size ( in inches)
Breast size ( in inches)

BEFORE TREATMENT AFTER TREATMENT
F/U 20 DAYS 40 DAYS 60 DAYS
SUBJECTIVE CRITERIA-
 Breast hypoplasia rating scale (BHRS)

Breast size ( in inches) Score
32 and more 0
31 -32 1
28 -30.9 2
26 – 27.9 3
STATISTICAL ANALYSIS
STATISTICAL ANALYSIS
BT Day 20 Day 40 Day 60
Sample Size (n) 60 60 60 60
Mean ± SD 28.75 ± 0.62 29.30 ± 0.65 29.90 ± 0.79 30.52 ± 0.95
Median 28.90 29.150 29.950 30.50
Range 28.0 – 30.0 28.0 – 31.0 28.0 – 32.3 28.0 – 33.2
Data passed No No No No
Normality Test?
Test of Friedman test (Nonparametric Repeated Measures ANOVA)
Significance
Sum of Ranks 72.500 123.50 177.00 227.00
Statistics Friedman Statistic Fr 154.53
P Value The p value is < 0.0001, extremely significant

BHRS SCORE BEFORE AFTER TREATMENT
Grade Before Treatment (BT) After Treatment (AT)
No. of Percentage No. of Percentage
Patients Patients
0 00 00% 05 08.33%
1 00 00% 20 33.33%
2 60 100% 35 58.33%
Total 60 100% 60 100%

OVERALL ASSESSMENT OF THERAPY:
Sr. Results No. of Percentage
No. Participants
1 Completely cured (4 or more 00 00%
than 4 inches growth)
2 Markedly improved (3 - 3.9 04 06.67%
inches growth)
3 Moderately improved (2 - 2.9 16 26.67%
inches growth)
4 Mild improvement (0.1 - 1.9 32 53.33%

STATISTICAL TEST APPLIED
 Chi – Square test was applied to discrete data
generated through the study.
 Chi – Square Value = 22.5
 P Value < 0.001, highly significant
DISCUSSIONS
1) Probable Mode of Action of Oil Massage
Ayurvedic view- In Sushrut Samhita, Abhyang
i.e. local application of oil has been cited to
lead to Dhatupushtee. Breast tissue is primarily
composed of fat tissue (Meda Dhatu), so the
application of kasisadi oil in breast
augmentation is justified
Probable mode of action as per
Ayurveda
 Vataprakop leads to “DHATUKSHAY”
Vatadosha Vatashamak Abhyang
Sthan is Skin Oil Vatashaman
“DHATUPUSHTEE “
 MODERN VIEW DERMAL ABSORPTION: The
skin is relatively permeable
 to fat soluble substances and relatively
impermeable to water soluble substances.

Essential oil molecules are so minute that
when they are applied to the skin; they are
able to pass through the stratum corneum
Sr Ingredien Latin name Rasa,Virya, Karma
no ts Vipaka
1 Shatavari Asparagus Rasa-Madhura Vatapittahara
racemose Virya-sheeta Rasayani
Vipaka-madhura Balya
2 Ashwaga Withania Raka –madhur, Kaphavatashamak Rasayana Vajikarana
ndha somnifera kashaya, tikta Garbhasayasothara-prajasthapana
Virya-ushna
Vipak-madhur
3 Gaja Scindapsus Rasa – ,katu, Vatakaphahara ,
krushna officinalis Virya – shita
Vipak- madhura
4. kasis Ferrous Rasa – Tikta, Vatakaphahara

sulphate amla Kshaya roga hara
Virya- ushna
Guna- snigha,
guru, nirmala
CONCLUSION
 1)Kasisadi tail Abhyang by its properties
leads to dhatupushtee of mamsa, meda and
shukra dhatu, leading to breast augmentation
 2) It’s a safe, non surgical, economical ,
remedy for breast augmentation.

 3) The duration of study i.e 60 days is
sufficient to cause breast augmentation.

THANK YOU

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SPEAKER – DR.

1) Body image complex is a phenomenon wherein people are

tail in breast augmentation.

special reference to breast hypoplasia.

suffering from breast hypoplasia.

duration of local application i.e 12 minutes for each breast

Breast Hypoplasia (Small Breasts) -

undeveloped breast has been narrated in shandhi

 A) Preparation and standardization of

of Kasisadi tail in breast augmentation.

 Sample size – 60.

fibroademoma, cystic breast disorder,

for 12 minutes over each

with follow up after every twenty days.

Breast size ( in inches)

 Breast hypoplasia rating scale (BHRS)

Sample Size (n) 60 60 60 60

Mean ± SD 28.75 ± 0.62 29.30 ± 0.65 29.90 ± 0.79 30.52 ± 0.95

Median 28.90 29.150 29.950 30.50

Range 28.0 – 30.0 28.0 – 31.0 28.0 – 32.3 28.0 – 33.2

Test of Friedman test (Nonparametric Repeated Measures ANOVA)

Sum of Ranks 72.500 123.50 177.00 227.00

Statistics Friedman Statistic Fr 154.53

P Value The p value is < 0.0001, extremely significant

Grade Before Treatment (BT) After Treatment (AT)

No. of Percentage No. of Percentage

Total 60 100% 60 100%

Sr. Results No. of Percentage

1 Completely cured (4 or more 00 00%

than 4 inches growth)

2 Markedly improved (3 - 3.9 04 06.67%

3 Moderately improved (2 - 2.9 16 26.67%

4 Mild improvement (0.1 - 1.9 32 53.33%

Vatadosha Vatashamak Abhyang

Sthan is Skin Oil Vatashaman

impermeable to water soluble substances.

4. kasis Ferrous Rasa – Tikta, Vatakaphahara

remedy for breast augmentation.

sufficient to cause breast augmentation.

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