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Procedures

Cosmetic Surgery

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Hair Transplant

The main cause of baldness is heredity. No matter how extensive the baldness, there is always a "Horseshoe" shaped wreath of permanent hair at the back and sides of the head. It is proven that these hairs are genetically programmed to resist the effect of male hormones which causes hair loss. Such hairs when transplanted into areas of thinning or bald areas continue to survive and grow. This forms the basis of hair transplant

Hair transplant is an outpatient procedure performed under local anaesthesia and does not require hospital stay. After assessment of aesthetic and facial dimensions, a suitable hair line is first marked. Then a strip of hair is harvested from the back of the head and from this micrografts and minigrafts are made using magnification. Micrografts (which are single and two hair grafts) are used to form the hairline. This is actually a zone about 1 cm wide and comprises of thin hair. In this zone the single and 2 hair grafts are delicately introduced into the microslits using magnification. The entire procedure could be completed with micrografts or beyond this, minigrafts (about 1.5 mm - 2 mm diameter) could be placed. These minigrafts will grow 3 -5 hairs each and add to the density. Micro with minigrafts produce a more natural look. In contrast the old-fashioned plug method gives an unnatural 'DOLLS HEAD' look

The donor site from where the strip is removed is sutured. There would be swelling of the forehead for 1 -3 days. The hair will usually fall off with the scab in 3-4 weeks after the surgery. New hair will start growing in about 10 weeks after surgery. If required the procedure can be repeated after 6 weeks. With more sittings the density of hair growth becomes better. Patients with small amount of hair at the back and sides of head may not be good candidates for this surgery.

Lipolysis or fat suctioning

Lipectomy means removal of fat by surgery. In lipolysis, the surgeon loosens and removes the fat from an area by using long or short metal tubular instruments connected to a suction machine. Fat collections of the hips, thighs, buttocks, abdomen, arms, under the chin, upper torso, etc, can be reduced by this procedure.

Who is a good candidate for lipolysis?

Lipolysis is neither a substitute for dieting nor a cure for obesity. Individuals with reasonably normal weight and healthy elastic skin with extra localised fat in certain areas, get the best results from this procedure. (Healthy elastic skin has the capacity to shrink after the surgery). Even though lipolysis can be done on patients upto 45 to 50 years of age, it is not normally done if the skin is loose in the particular area, one could have loose skin after losing a lot of weight or after the pregnancy or due to aging. In these patients in addition to lipolysis, some of the skin should also be removed to get a satisfactory contour.

SURGICAL PROCEDURE:

A small cut about 4 mm is made, a few inches away from the area to be suctioned and the suction cannulae are inserted. The cuts are usually made in the skin folds and so, the scars are not much noticeable. Depending upon the areas to be suctioned and re contoured or reduced, anywhere from 600 gms to 3000 gms of the material is removed in one sitting. If more material is removed blood transfusions may be required

AFTER THE SURGERY:

After the surgery, snug or tight dressings will be applied for 5 to 8 days to promote the shrinkage of the skin and to minimize the swelling. In most instances one is required to wear a support or a girdle for few weeks or months during the healing time. One could feel localised areas of hardness or firmness in the suctioned areas for 1to 4 months after the surgery.

One may require oral pain medication for one to two days after the surgery. During the healing period, numbness or discomfort could be present for a varied period of time. After the surgery, there will be swelling in the areas of the surgery. Even though most of the swelling is gone in the first 2-3 weeks; it takes 2-4 months for all the swelling to be gone. Discoloration could last up to several weeks after the surgery.

Even though the patient is required to stay only one day in the hospital, one should stay within the close reach of the surgeon for about 7 days for follow up care. Even after multiple area of lipolysis one should be able to be up and around in 1 to 2 days and back to most of the normal activities in 10 to 14 days.

AUGMENTATIONMAMMOPLASTY - (Surgical breast enlargement)

Cosmetic breast enlargement is done by surgical placement of a breast implant behind the breast area muscles. The breast implants are available in many size and shapes. All the breast implants are made with silicone envelope (bag). Many of them contain just silicone gel. The inflatable implant comes empty and after placing in the body, it is filled with saline. There are other implants that will have silicone gel in the inner compartment and saline in the outer compartment.

SURGICAL PROCEDURE:

This surgery is performed in the hospital as an outpatient or as one-day surgery, either under local anaesthesia or under general anaesthesia. The surgery takes approximately 3 hours.

Approximately a two inch long incision (cut) is made above the breast fold or at the lower part of the areola, (the dark skin that surrounds the nipple). A cavity is created behind the breast area muscles. A satisfactory size implant is placed in the cavity and wounds are sutured in many layers. A snug dressing is applied and left in place for 5 to 6 days. The stitches are removed in stages from the sixth day after surgery.

AFTER SURGERY:

One may experience some discomfort during the first few days post operatively. This will be similar to a muscle pain after strenuous physical activity.

Even though the patient is required to stay for only one day at the hospital, one should stay within the close reach of the surgeon for about 7 days for follow up care.

FACELIFT

With the aging process, the skin becomes less elastic enabling the effect of  gravity to imprint changes on the face and the neck. A facelift reverses the effects of gravity on the lower face, whereas a forehead lift rejuvenates the upper one third of the face.

Incisions are made in the hairline of the temple, around the ear, and into the hair behind the ear. The skin and underlying tissues of the neck and cheek are then lifted and tightened, and excess skin is removed. The platysmal muscle bands are also re sutured thus re-establishing a more youthful appearance. Most healing following a facelift occurs during the first two weeks, although some swelling and discoloration and tightness may last a few more weeks. Cover-up make-up can be applied in one week to camouflage residual bruising and discoloration. Most patients take at least ten days from work.

Pin Back Otoplasty

This is a procedure to set back a prominent ear. Many a time prominent ears are a source of embarrassment. This surgery is usually done under local anaesthesia with sedation but in children it could be done under general anaesthesia. The incision is made behind the ear and the underlying offending cartilage is softened, pulled back and sutured. If there is excess skin then this is removed.

Other procedures performed are:

  • Body contouring
    • Lipo augmentation(Fat fill)
    • Abdominoplasty
  • Breast surgeries
    • Breast reduction
    • Correction of uneven breasts
    • Gynaecomastia
  • Surgery for ageing face
    • Double chin
    • Eyelids
    • Brow lift
  • Rhinoplasty
  • Facial implants
    • Malar implant
    • Chin implant
    • Receded chin
    • Nose
  • Scar revision
  • Excision of lesion
  • Lips correction