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Plastic & Cosmetic Surgeries
Plastic & Cosmetic Surgeries
Breast Augmentation
What is Breast Augmentation?
Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast by inserting an implant behind each breast. Following which surgeons are able to increase a woman's bust line by one or more bra cup sizes.

What is a Breast Implant?
A breast implant is a soft shell or a rubber sac which is filled with saline (salt-water) or silicone gel. It is available in several different sizes to fulfill different patient's needs and surgeon's preference. The actual feel of the implant is very natural and close to the feel of the normal breast tissue. Moreover, the surface texture of the implant can be smooth or contoured.

Who can undergo Breast Augmentation surgery?
A healthy woman above 18 years of age who is not pregnant or breast feeding can undergo breast augmentation surgery.

Procedure
Procedure varies from Individual to individual.

Best Candidates for Breast Augmentation:
The best candidates for breast augmentation surgery are:
  • Women who are physically healthy and emotionally stable with realistic expectations as to what the surgery can and cannot do
  • Women who feel their breast size is too small
  • Women who want a balanced pair of breasts
Anesthesia:
During surgery, general anesthesia will allow you to sleep through the entire procedure.

Risk Involved:
Risk varies from patient to patient.  It’s always better to let your surgeon know about your medication, history of disease, medical complications etc. Few risks are as follows; deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard, bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent.

Surgery Time:
Time required: 1-2 hours
Anesthesia: General or local with sedation

Side Effects:
Temporary pain, Swelling, soreness. Change in nipple sensation

Breast Augmentation Recovery:
Recovery: 3-5 days
Back to work: 3-5 days
Strenuous activity: 3-4 weeks
Fading of scars: several months to a year or more

Kindly note that information provided should be used only as a guide to your treatment. All specifics will be discussed with your Physician at the time of consultation.

What is a Breast Lift?
Breast Lift or Mastopexy is a surgical procedure commonly performed in men and in women to reshape sagging or drooping breasts. If your breasts are small or have lost volume - breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.

During the procedure for Breast Lift, the areola or the dark skin around the breasts is also reduced in size, and the nipple and areola are repositioned in relation to the new contour of the breast.

Procedure
Surgery involves raising and reshaping sagging breasts by removing excess skin and repositioning the nipples for a youthful look.  Many a times Breast Augmentation is performed along with Breast Lift operation. In that case a breast implant is inserted either directly under the breast tissue or under the muscle of the chest wall.

Risk Involved
Thick, wide scars, skin loss, infection. Unevenly positioned nipples. Permanent loss of feeling in nipples or breast, bleeding from the scars, delayed healing, allergic reaction to anesthesia and change in the color of nipple.  Again it always differs from patient to patient.

Surgery Time
1-3 hours

Anesthesia
Local with sedation or general.

Side effects
  • Temporary bruising, swelling, discomfort, numbness
  • Dry skin
  • Permanent scars
Breast Lift Recovery time
Back to work: 1 week or more
Strenuous activities: After 6 weeks
Fading of scars: several months to a year

What is Breast Reduction?
Breast Reduction is also known as reduction mammoplasty. It is a surgical procedure to remove excessive fat, glandular tissue, and skin from large and pendulous breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.

Breast Reduction is also performed in men for the correction of Gynecomastia (enlargement of breast tissue in men)

Procedure
The most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Excess glandular tissue, fat, and skin are removed, and the nipple and areola are moved into their new position.

Risk Involved
Bleeding, infection, or reaction to the anesthesia. Future breast-feeding may not be possible, as during the surgery there is removal of milk ducts leading to the nipples. Some patients may feel a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. During the consultation, your surgeon will explain the different options available to you. The surgeon will explain how your age, the size and shape of your breasts, and the condition of your skin may affect the results. He/she will discuss the procedure in detail, explain the risks and limitations, and explain the type of anesthesia that will be used. Risks and risk rates vary from patient to patient depending on a range of factors.

Surgery Time
2 to 4 hours

Anesthesia:
General anesthesia.

Side effects:
Permanent scars, slightly mismatched breast, unevenly positioned nipples.

Recovery Time:
3 to 4 weeks
Extra strenuous activity: After 6 weeks
Fading of scars: several months to a year or more

EYE LID SURGERY ,
What is Eyelid Surgery/Blepharoplasty?
Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Specifically, eyelid surgery can treat:
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
  • Excess fatty deposits that appear as puffiness in the upper eyelids
  • Bags under the eyes
  • Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
  • Excess skin and fine wrinkles of the lower eyelid

Procedure:
Risk Involved
There are very rare chances of complications. The usual complications and risks are those that are associated with any surgery - unfavorable scarring, temporarily blurred or impaired vision, dry eyes, difficulty closing your eyes, a pulling down of the lower eyelid may occur and is often temporary, rolling of the eyelid outwards, Bleeding, poor wound healing, infection, fluid accumulation, blood clots etc. Keep in mind that although complications can occur, they are rare.

Surgery Time:
2-4 Hours

Anesthesia:
Local intravenous with sedation

Side effects:
Tightness of lids, Burning and itching of eyes, Excessive tearing and light sensitivity.


Recovery time:
Reading: 2-3 days
Back to work: 7-10 days
Strenuous activity: 3 weeks
Bruising and swelling gone: 2-4 weeks


Face Lift
What is a Face Lift?
Face lift surgery, also known as Rhytidectomy, is a cosmetic surgical procedure that is used to reshape or contour the lower two-thirds of the face. It also removes deep creases especially around the nose and mouth that are common with aging. Face Lift can either be done alone or in conjunction with Blepheroplasty, Rhinoplasty or a Forehead Lift.

Procedure
An incision is made along the hairline above the ear which extends down along the front edge of the ear, around the earlobe, and then up and behind the ear extending back into the hairline. The same kind of incision is repeated on the other side of the face. Using various kinds of modern instruments that are used for the Face Lift procedure, the surgeon separates the skin of the face from its underlying tissue, moving down to the cheek and into the neck area and below the chin.  This is a surgical procedure to tighten facial skin and muscles around the face and neck.

Risk Involved
Injury can be caused to the nerves that control facial muscles or feeling (usually temporary). Infection, bleeding, poor healing, excessive scarring - maybe change in hairline.

Best Candidates for Face Lift
The best candidates for a facelift are:

  • Men and women over the age of 40 with good bone structure but sagging skin or deep creases around the nose and mouth

Surgery Time:
2-3 hours

Anesthesia:
Local with oral sedation or general

Side effects:
Temporary bruising, swelling, numbness and tenderness of skin
Tightness around face, Dry Skin

Recovery Time:
10-14 days
Strenuous activity: 2 weeks or more.
Bruising: 2 to 3 weeks.
Exposure to sun for several months must be avoided.

What is Tummy Tuck?

The medical term for a tummy tuck is abdominoplasty. This surgical procedure flattens the abdomen by removing excess fat and skin and also tightens the muscles of the abdominal wall. The procedure reduces the extension of the middle and lower sections of the stomach. Two types of tummy tuck exist: a complete abdominoplasty and a partial, also known as mini, abdominoplasty.
A tummy tuck is not to be confused with liposuction or gastric bypass surgery. Liposuction is cosmetic surgery that removes fat deposits; it may or may not be performed as a part of a tummy tuck. Gastric bypass is a major surgery that reduces the size of the stomach and allows food to bypass part of the small intestine.



A tummy tuck does not cause weight loss. In fact, it is often performed after a person has lost a significant amount of weight and desires to improve the resulting sagging skin. Some women who have experienced multiple pregnancies choose to have a tummy tuck to tighten the abdominal muscles and reduce the skin stretched during pregnancy. Those who plan to have more children or still want to lose a great deal of weight should postpone having a tummy tuck.

Procedure
In a complete tummy tuck, the option for patients who need a great deal of alteration, the abdomen is cut horizontally. The surgeon contours the skin, tissue and muscle. In this surgery, the navel is separated from surrounding tissue. A patient may require drainage tubes post-surgery. A complete tummy tuck procedure can last up to five hours.

In a partial or mini abdominoplasty, shorter incisions are used and the navel remains intact. This type of surgery can take as few as two hours and may be performed with an endoscope. Both types of surgeries have risks, although most serious ones are not common.

Risk Involved
Risks include infections, blood clots and bleeding under the skin. Suture rupture and skin loss are other possible complications. Permanent scarring occurs in all cases. Surgery Time: 2-5 hours (Depending on how extensive a Tummy Tuck procedure is)
Anesthesia: General or local with sedation

Side Effects
Temporary pain.  Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.

Recovery Time: 2-4 weeks
Strenuous activity: 4 to 6 weeks or more.
Fading and flattening of scars: 3 months to 2 years

Liposuction
Often used in conjunction with other plastic surgery techniques, liposuction removes pockets of fat from troublesome areas such as the thighs, hips, abdomen, and upper arms. Liposuction procedures vary depending on what your ultimate cosmetic goal is, and whether you are combining liposuction with other plastic surgery procedures. To learn more about liposuction, read the sections below.

What Is Liposuction?
Many Americans have only a vague concept of what liposuction is. Simply put, liposuction is the surgical removal of fat cells through a stainless steel suction tube called a cannula. Liposuction was first performed in 1974 and was a tremendous improvement over previous surgical body contouring techniques. There have been many advances in liposuction procedures over the last few decades, making it one of the safest and most popular body contouring surgeries in the world.

Areas of the Face and Body Treatable with Liposuction
Liposuction works best for areas of the face and body with stubborn fat deposits resistant to overall weight loss, such as the infamous "love handles." The thighs, abdomen, buttocks, flanks, hips, upper arms, chin, and neck generally respond well. Men and women may also choose liposuction to reduce breast size, a procedure that results in less scarring than other types of plastic surgery. Liposuction can be performed consecutively on many different sites; in fact, many patients choose to have several body parts treated during the same day. Learn more about facial liposuction and liposuction of the body.

The Liposuction Procedure
The basic liposuction procedure involves the insertion of a small, tube-like instrument called a cannula through tiny incisions made by the surgeon. The cannula then breaks up and vacuums away unwanted fat deposits beneath the skin. Local or IV sedation will be used, depending on the type and number of liposuction procedures you undergo. As with any plastic surgery, you should prepare for liposuction carefully and allow yourself plenty of recovery time.

Risks and Benefits of Liposuction
Like any plastic surgery, liposuction carries some amount of risk. Although liposuction complications are rare, they can include infection, nerve damage, seizures, and negative reactions to anesthesia. The most effective way to minimize your risk is to have a thorough physical examination prior to liposuction surgery. There is also the risk of experiencing adverse side effects, such as bruising and scarring. On the other hand, the benefits of fat and cellulite removal can be enormous, with many patients reporting improved appearance, self-esteem, and overall confidence.

Maintaining Your Figure after Liposuction
Although liposuction does remove a number of existing fat cells, it does not guarantee that you won't regain some fat. The importance of healthy lifestyle choices post- liposuction cannot be stressed enough; you should stick to a moderate diet and be sure to exercise for at least 30 minutes three to five times per week. Not only will this help you maintain your figure after liposuction, it will also improve your overall health and help prevent the onset of certain diseases. If you are going to treat yourself to liposuction, be sure to treat your body well afterward

Rhinoplasty (Nose Surgery)
For many people, a prominent, asymmetric, bumpy or undesirable nose leads to extreme self-consciousness. One of the most common of all cosmetic procedures, rhinoplasty (nose surgery) is used to improve the appearance and possibly the function of the nose. It may also be performed to reduce the dorsal hump, modify the nasal tip, narrow the nostrils or reduce the width of the nose.

Procedure
Incisions for Rhinoplasty are made depending on the reshaping job that needs to be performed. This is a surgical procedure that can increase or decrease the size of your nose, change the shape of the tip or the bridge, or change the angle between your nose and your upper lip. The skin of the nose is separated from its fundamental bone and cartilage which are cut and trimmed to get the preferred results. The skin is then re-done over the bone and cartilage. Incision(s) is stitched and nose packs are placed to minimize the chances of bleeding.

Risk Involved
Possible risks associated are Infection. Small burst blood vessels resulting in tiny, permanent red spots, incomplete recovery, requiring additional surgery.

Surgery Time: 1–2 hours
Anesthesia: Local with sedation or general

Side Effects
Temporary discomfort, bruising around the eyes and nose, some bleeding and stuffiness.

Recovery Time: 1-2 days
Strenuous activity: 2-3 weeks
Final appearance: 1 year or more

Chin Augmentation
What is Chin Augmentation?
A chin augmentation is a surgical procedure to enhance or reshape the size of the chin by reshaping existing bone or inserting a prosthetic chin implant.

How is it done?
Chin augmentation surgery may take anywhere from 30 minutes to an hour. It is performed either under general anesthetic or under a local anesthetic with sedation. Most chin augmentation procedures involve an incision inside the mouth inside the lower lip, or in the skin just under the chin. The surgeon inserts the chin implant via the incision and maneuvers it into place and the incision is closed with sutures. The skin may be taped with a pressure dressing for about one week after surgery.

Why is it done?
Chin augmentation seek to increase or reduce the size of the chin by altering the underlying structure of the face providing better balance to the facial features. It may seek to correct a birth defect or injury.

Risks & complications
The outcome of a Chin augmentation is never completely predictable. Complications are infrequent and usually minor. However, as with any surgery, there are risks, including the possibility of:
  • Infection requiring antibiotics and in some cases hospitalization
  • Blood clots
  • Extended swelling and bruising
  • Movement or displacement of the implant
  • Reaction to anesthesia

Normally, swelling and bruising should be expected for up to two weeks, however, in some cases bruising and swelling may be evident for up to two months. Risks can be reduced by following the surgeon's instructions before and after surgery.

Alternatives
The surgeon may discuss alternative approaches to the chin augmentation procedure. Liposuction of the neck and chin may remove enough excess fat to redefine the chin or neckline. Orthodontics can treat misaligned teeth which are often the root cause of a recessed jaw.

Candidate eligibility
The best candidates for chin augmentation surgery are patients with weak chins, but with a normal dental bite. The surgeon will make the final determination of each patient’s eligibility for the procedure after an examination and consultation with the patient.

Hair Transplantation
Hair transplantation is a very safe surgical procedure to help people self-conscious about hair loss. Hair grafts are taken from denser growing areas, such as the sides of the head and back of the scalp, and meticulously placed into the bald or thinning area of the scalp. As live grafts are used, this procedure results in a more natural and lasting solution.
Patients include:

  • Men with male pattern baldness
  • Women with thinning hair
  • People with areas of scarring form injury or face lift procedures
  • People who want to thicken or restore eyebrows, eyelashes and beards
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