Plastic, Reconstructive and Cosmetc surgery is done to correct the facial and the body abnormalities caused by trauma, birth defects, aging or disease. It includes a variety of fields such as surgery for clefts, cosmetic surgery, hand surgery, craniofacial surgery, microsurgery and burn surgery.
- Face Rejuvenation
- Neck Lift
It is a set of procedures to enhance the appearance of the neck. The procedures include altering the neck tightness, removing loose skin, and improving the neck contour. Surgery includes making the cuts in front and behind the ears. With time, all the scars become imperceptible.
- Face Lift
It is the most comprehensive approach to treat sagging and facial wrinkles due to aging. The best candidates for facelift surgery are the people in their 40’s or 70’s. During this procedure, the surgeon will remove the loose skin, access the tissues below the skin and alter their tightness. Depending on the circumstances, it can take anywhere from two to six hours.
It is a surgery to reshape the nose or correct the indentations, bumps or other deformities in the nose. Usually it is done under general or local anaesthesia and involves making incisions inside the nose so that the scars aren’t visible post surgery. Depending on the result, some bone and cartilage may be removed and tissue may be added either from another part of the body or using the synthetic filler. A splint will be placed outside the nose which supports the new shape of nose as it heals. Nasal packaging is done inside the nose to provide additional support for a day. Usually, it is done as a day care procedure but sometimes you need a one night stay in the hospital or surgery center.
The cosmetic eyelid surgery dramatically improves the appearance of the droopy, tired and aged eyes by removing excess skin and pockets of fat from the upper and lower eyelids through incisions made along the natural skin lines of the eyelids or the incisions totally hidden within the lower lid. Often it takes less than two hours, depending on the amount and the location of the tissue being removed.
- Lip augmentation
It is a cosmetic procedure which gives you with fuller, plumper lips. Injectable dermal filler is the most commonly used method of lip augmentation these days. Alternatively augmentation using fats offer long lasting results.
- Chin reduction
People with large chins in comparison to the other facial features will benefit from the cosmetic chin reduction. The aesthesis of the face needs that each part is in harmony with the others. A chin which is too large detracts from the other normal features and this imbalance can have a major impact on the psychological well being of the patient. They can suffer with the low self esteem and become withdrawn. Using the specialized instruments, the surgeons would reshape and remove the excess bone to properly contour the chin. Also known as genioplasty, it aims to restore the balance and provide a natural aesthetic appearance.
- Lip reduction
The thick or fat lips are reduced in size by removing a strip of the red part of the lip along with the underlying tissue from one end to the other. This is done under local anaesthesia without any hospital stay. Both the lips can be addressed at the same time.
- Chin augmentation
It is done to balance the face by making the chin bigger as compared to the nose. The best candidates are people with receding chin but have a normal bite. This may be done either by inserting an implant or by moving or reshaping the bones. The incisions are places inside the mouth or under the chin and hence they are not visible.
- Ear surgery
Otoplasty or ear reshaping is a cosmetic surgery procedure to improve the appearance of the ear and the earlobes. This surgery corrects the prominent ears. Most commonly an incision will be made on the back of the ear where it will be hidden and the sutures are used to bend the ear cartilage to create a natural looking ear.
- Cheek, Jaw and Chin Implants
The facial implants are used to enhance certain features of the face including the cheeks and jaw line. A good candidate for face implant is someone who is in good health and has reasonable expectations.
- Body Contouring
Also known as tummy tuck, it is recommended for patients with excess skin on the abdomen which doesn’t respond to diet and exercises. This surgery flattens the skin by removing excess fat and skin and tightening the muscles in the abdominal wall. The incision is like a C section usually hidden inside the garments. This surgery is specially suited for patients or women who have a lax abdomen post pregnancy.
Also known as arm lift cosmetic surgery, it is done to reshape the underside of the upper arm from the armpit to the elbow. It removes the extra fat and skin to provide a more toned and balanced appearance. The extra fat will be removed with liposuction and if necessary a cut on the inner surface of the upper arm from the armpit to the elbow removes the extra skin.
It is a minimally invasive surgery which removes the stubborn fat deposits that are not responding to diet or exercises. Often it is performed under general or local anaesthesia with sedation. Usually this is treated as a day case. The surgeon will make a small incision in the area being treated and sulk out the fat using cannulas. Similarly, thighs, back, abdomen, arms and neck can also be addressed.
- Lateral thigh lift and buttock lift
The lateral thigh and buttock lift are ideal for patients who are relatively in good shape with excess skin and fat at the thigh region. A surgeon will show what procedures are available to solve a particular problem. Wide variations in the design of the incisions are possible to meet clothing or personal desires. If desired, the lateral or anterior thigh lifts can be performed as separate procedures. Lifting the entire thigh and buttock or the circumferential lower body lift will need much longer incisions which start in the buttock crease extent around the groin and come up over the side of the abdomen and reach over the flak and across the back.
- Medial thigh plasty
The medial thigh plasty is aesthetic reshaping of the thigh following the removal of excess medial skin and the fat. The new contour should be attractive, there will be minor complications and the scars are inconspicuous. The medial thigh plasty may be solely an upper thigh crescent excision adjacent to the labia majora or scrotum, extended with a wide band excision tapering at the knee for distal deformity or something in between. The extent of the operation depends on the deformity and the patient’s expectations and acceptance of the risks. The essential facets to improve the thigh contour are the excision of the medial thigh skin, the efficient use of prone and supine operative positions, lipoplasty, accurate pre-surgical marking of a unique excision design using the multiple patient positions.
- Breast lift (mastopexy)
Sagging of breasts is a common problem due to aging. This procedure can raise the sagging or dropping breasts and also elevate the nipple and areola. Usually, this surgery takes around three to five hours and will need an overnight stay. The surgery will be done under local anaesthesia for smaller reductions.
- Breast augmentation
It is a way to enhance the self-image and boost confidence. Also known as the augmentation, mammoplasty is a surgical procedure for increasing the breast size. During this surgery, the implant is placed behind the natural breast tissue which makes the breasts larger. The incisions will be made in the natural crease of the breasts, in the underside of the nipple area or in the armpit which makes them inconspicuous. Usually, the procedure is done under general anesthesia and takes about one to two hours for completion.
- Breast reduction surgery
Also known as reduction mammoplasty, this is advised to women suffering with neck or back pain and skin infections die to large breast size. It removes the excess skin and tissue from the breasts to reshape and reduce the breast size. It can also make the dark area surrounding the nipple areola smaller.
It is done under general anaesthesia and often takes three to five hours. Usually an overnight stay will be recommended. A compression garment is advised post surgery to contour the breasts.
- Male breast reduction (gynaecomastia)
A good candidate for this surgery included those with elastic and firm skin which allow the effective re-shaping of the chest contour. The surgeon will make small incision to remove excess fat around the lower half of the chest area using liposuction. This is a day care procedure done under general or local anaesthesia and takes around one to two hours for completion. A compression garment will be recommended post surgery.
- Ear lobe repair
Piercing your ears puts the earlobes at risk for tearing, stretching, and keloid scarring which is a benign growth of scar tissue. Due to their location, the tears often split and are quite visible. The earlobe repair surgery fixed the spilt and enables you to wear earrings again.
- Fat transfer
A liposuction is a technique used to harvest the fat and prepare it for transfer. The fat is then injected into the desired portion of the body or the face. Most commonly this procedure is done under local anesthesia with a light oral sedation. The fat transfer has been used for rejuvenation of the face and augmentation of the buttocks, lips, hands and breasts.
- Mole removal
If you have a skin lesion such as a cyst, mole, wart or skin tag and like it removed then this is a very simple procedure. Most lesions are removed using the scalpel under local anaesthetic which means you will awake but the area will be completely numb. Other techniques include freezing the skin or applying the chemical treatments. The skin tags may be simply snipped off with the surgical scissors. Sometimes a laser is used to destroy the lesion.
- Dimple creation surgery
Dimples have been always considered to be cute and lucky, however not all of us were blessed with that natural factor. The dimple creation surgery can stimulate the naturally occurring process by making a small incision inside your cheek. There will be no incision or scar on the outside of the skin. A small absorbent suture is passed through the inside of the cheek and catches the under surface of the skin where the dimple is desired. When this suture is tied, it causes the dimpling in the overlying skin. Initially, there is a dimple present even without smiling but after several days or sometimes a few weeks, the dimple is only present when smiling or moving the face. Even after the suture is absorbed, the adhesion between the inner skin and muscle will cause a permanent dimple.
Also known as xanthelasma palpebrarum is a sharply demarcated yellowish deposit of cholesterol underneath the skin which is usually present on or around the eyelids. Xanthelasmata can be surgically removed which gives a great relief to the patient.
Microdermabrasion can be helpful to the common skin problems ranging from acne scars to sun damage and the more severe problems such as hyperpigmentation and melasma.
- Scar revision
If you have a scar which makes you feel self-conscious or uncomfortable you may consider scar revision. A scar may be caused by injury, burns, acne, surgery or chickenpox. There are many options available to improve your appearance. Normally, the scar revision is performed under local anaesthetic and takes around 30 minutes to an hour which means you will be awake but the area will be numb. As with any other cosmetic procedure, it is vital that you review your expectation thoroughly before deciding to proceed. Your specialists will explain the results you can expert and also the associated risks and the alternatives to the procedure before going ahead.
Body piercing is a form of modification and the practice of puncturing and placing a ring or a piece of jewellery. The ear and nose piercing is a common procedure. The umbilicus, lips, nipple piercing are also becoming quite popular.
It is a surgical procedure in which a woman’s Hymenoplasty is reconstructed. Following the procedure, you can expect some swelling and discomfort. You will have sutures which need not be removed as they are dissolvable. Most of the patients can return home the same day.
Popularly known as leocoderma or white patch it happens due to the absence of melanin pigmentation over the skin. The white patches on the skin when stabilized with the medical treatment can be surgically treated by melanocyte transfer to restore the pigmentation.
- Hair transplant
It is a surgical technique which moves the individual hair follicles from a part of the body called the donor site to bald or balding part of the body also known as the recipient site. Primarily, it is used to treat male pattern baldness. During this minimally invasive procedure, the grafts containing the hair follicles are genetically resistant to balding will be transplanted to the bald scalp. It can be used to restore the eyebrows, eyelashes, chest hair, beard hair and pubic hair and fill in the scars caused by accidents or surgery such as previous hair transplants or face lifts. Hair transplantation differs from skin grafting as the grafts contain almost all of the epidermis and dermis surrounding the hair follicle and many tiny grafts are transplanted instead of a single strip of skin.
- Vaginal tightening
The repeated child births can cause dilation of the muscles of the vagina leading to the widening of the vagina. The lax muscles and supporting tissue layers are meticulously dissected out and repositioned in their normal position. The vectors of the muscles are restored gaining a good vaginal and perineal tone. The improved voumtary tone and muscle strength will lead to an improved self esteem.
- Reconstructive surgery
- Ear reconstruction
It is a specialized kind of plastic surgery used to form an ear which looks as normal as possible. The plastic surgeon will use a piece of cartilage, a material holding the body structure together from your child’s ribcage to form the framework for the eat. If possible, the surgeon will use your child’s excising ear as a model for the new one. The reconstruction process is in two stages about the six to twelve months apart.
- Cleft Lip and palate
The cleft lip and cleft palate are the birth defects which happen while the baby is developing. Normally, the mouth and nose of a baby develop between the first six and twelve weeks of growth inside the mother. However, in some babies the parts of the lips and the roof of the mouth don’t grow together. Since the lips and the palate develop separately, it is possible to have cleft lip alone, cleft palate alone or both together.
The most common surgical procedures for a child with a cleft lip and palate are:
- Repair of the cleft lip
- Revision of the cleft lip
- Repair of the cleft palate
- Palatal lengthening
- Closure of the palatal fistulae
- Closure and bone grafting of the alveolar cleft
- Pharyngeal flap
- Lip scar revision
- Columellar lengethning
- LeFort I maxillary osteotomy
- Cleft lip rhinoplasty and Septoplasty
Additionally, the orthodontic treatment is quite specialized and varies as per different cases.
The two stages of orthodontic treatment of a child with cleft lip and palate are:
- Early management since birth until the time of surgical close of the palate
- Surgery related orthodontics
- Permanent dentition management
- Orthodontics related to alveolar bone graft
- Cleft-related orthodontics which is not related to the surgical treatments.
- Breast reconstruction
It is the rebuilding of a breast in women which involves using the autologous tissue or the prosthetic material for constructing a natural looking breast. Usually, this includes reformation of a natural looking areola and nipple. This procedure includes using the implant or the relocated flaps of the patient’s own tissue.
Our Team of Specialists
Cosmetic and Plastic Surgery
Dr. Vipul Nanda- Head
Dr. Manik Sharma- Consultant
Dr. Raja Tiwari