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Reconstructive surgeries are means to usually correct a deformity within the body, which is either congenital (since birth and formed in the womb) or acquired. Reconstructive surgeries are used to correct problems caused by accidents and injuries as well as correcting deformities. It is a large umbrella term and includes plastic surgery to correct certain defects. However, it may or may not include elements of cosmetic surgery. Reconstructive surgery primarily aims to restore utilitarian functions but doesn’t always necessarily have a cosmetic angle.
Where is reconstructive surgery applicable?
- Surgeries to correct the functionality as well the appearance of feet and hands: These may include webbed fingers and toes, removal of an extra finger or toe, or corrective surgeries on your hand from other disorder such as carpal tunnel syndrome.
- Correcting functionality and the look of an area after tumor removal: Cancerous tumors may require the removal of larger sections of tissue surrounding the tumor. This will result in an unsightly appearance or even balancing issues in the body. Reconstructive surgery aims to correct this and can be done on any part of the body.
- Breast reduction or reconstruction: Women who undergo mastectomy and have breasts removed, either partially or fully, undergo surgery to reconstruct breasts. Some women who tend to have large breasts and thus suffer from back and neck pain, undergo this surgery to reduce the breast size and thus, improve the quality of life.
- Burn victims: Burn victims often require the most amount of reconstructive surgery, which also becomes a necessity to avoid further infection from wound exposure. This is possibly one of the areas where reconstructive surgery is used most widely.
- Accident victims: Areas of the body severely affected by accidents can be corrected with reconstructive surgery. Grafting and replacement are also used in such cases to reconstruct damaged areas.
- Correcting congenital defects: Some congenital defects, such as a child born with a cleft lip, are prime candidates for reconstructive surgery. These have functionality issues as well as cosmetic reasons entwined together. Examples of other disorders corrected by reconstructive surgeries are cleft palette and a deviation in the nasal septum which may cause breathing problems.
Who performs reconstructive surgery?
Plastic as well as cosmetic surgeons may be required to perform reconstructive surgery, depending on the requirement. However, in most cases, it is the plastic surgeon who performs the corrective surgery to return function and utility to the affected area of the body.
Unlike cosmetic procedures, it is your doctor who determines what is viable and possible and what would be the proper requirement in case you require reconstructive surgery. Unlike cosmetic surgery wherein you get to chose how you look in order to get the right aesthetic, reconstructive surgery deals with a more utilitarian and corrective approach.
Abnormal development of the ear can lead to a lot of complications in the anatomy of the ear such as developmental and hearing problems. It can also give a deformed look to the ear. As such, ear deformity surgery corrects the shape of the ear and facilitates activities inside of it.
Types of ear deformities which can be treated with ear deformity surgery:
- Protruding ears: This is also called prominent ears. This condition is characterized by the ear protruding out from the side of the head. It can stick out more than 2cms from the side portion of the head.
- Constricted ears: This condition is characterized by the rim of the ear getting wrinkled, folded or tight. This condition is also known as ‘lop ear’ disorder.
- Cryptotia: This condition occurs when the framework of the ear cartilage gets partially buried under the skin.
- Microtia: This occurs when the external ear is underdeveloped.
- Anotia: When the ear is totally absent.
- Stahl’s ear: In this condition, the ears are pointy in shape and there is an extra cartilage in the scapha portion (groove or depression of the ear).
- Ear tags: They are also known as branchial cleft remnant or accessory tragus. This disorder consists of extra skin and cartilage in the ear.
- Earlobe deformities: These include duplicate earlobes, earlobes with clefts and skin tags attached to the ear lobe.
- Traumatic ear deformities: Some people have tears, laceration and bite injuries in their ears due to accidents or traumas. It can also be cured with ear deformity surgery.
- Cauliflower ear: Sometimes, an abnormal cartilage might form on the normal cartilage, this gives an abnormal appearance to the ears.
- Ear keloids: This is caused by excessive tissue formation after a minor trauma such as ear piercing.
- Ear hemangiomas: This is a common form of tumor in infancy. It can not only occur on the ears but also on any other parts of the body.
Ear deformity surgery is performed by a team of experts and plastic surgeons. Ear reconstruction can also be performed after an ear deformity surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
As you grow old, you start noticing certain not so plesasant things about your face. You skin sags; you have wrinkles around your eyes and laughter lines appear even when you are not laughing; and (gasp!) a double chin. Most people associate double chin with obesity, or with genetic predispositions. But in reality, you can be slim and still develop a double chin as you grow older. Skin loses collagen as you grow older, and collagen is the element in your skin which keeps your skin tight and firm when you are young. Loss of collagen leads to skin sagging and the occurrence of a double chin. Thankfully, there are many methods to counter the appearance of double chin.
Mesotherapy involves injecting certain solutions in your body to breaks down unwanted fats. The injections will be directly applied to your chin.
- Procedure: During a single session, the solution is injected directly into the connective tissues and fat layers. The procedure is painless, though some patients request for anaesthetic creams. The solution injected results in a reaction with the fat cells, which causes them to harden. The hardened fat cells are later excreted by the body.
- Aftercare: You will see differences within 2-3 weeks. After that regular check-ups may be required to monitor your hormone levels and overall health.
- Side effects: There are no serious side effects save some pain, swelling and bruising which goes away on its own.
Radio frequency treatment
Radio frequency is a non-invasive method of reducing double chin. Radio frequency is a treatment that uses electromagnetic energy to tighten skin.
- Procedure: The skin around your neck and chin will be slathered in a glycerine-based gel. After that a contraption will be used to tighten the skin. The reasoning behind is that the waves emitted will smoothen down any obstacles that comes its way. You may need 6 sessions for optimum results.
- Aftercare: There is no special aftercare required.
- Side effects: Redness is an obvious side effect, but it will reduce in a few days.
Aging is often considered to be the only ‘truth’ in the life of a human being, a ‘truth’ that is unalterable. However, being unalterable does not mean that it has to be reflected on your body. The skin loses collagen as you grow older. Collagen is the element in your skin that keeps your skin tight and firm when you are young. Loss of collagen leads to skin sagging as well as wrinkles.
Botox, a cosmetic treatment derived from Clostridium Botulinum, is utilized for smoothing wrinkled skin. Botox is utilized in the form of injections. The Botulinum toxin is injected into the body in traceable amounts; it inhibits the secretion of chemical (acetylcholine) associated with contraction of muscles and hence, helps in smoothening wrinkles and fine lines. Botox prevents the nerve cells from transmitting signals to the muscles.
The various benefits of Botox include:
- Non-surgical: Since Botox is administered using injections, the fears and hassles of undergoing a surgery are avoided.
- Excessive sweating: Botox injections can be used to address hyperhidrosis. Hyperhidrosis is generally characterized by increased sweating.
- Overactive bladders: In addition to treating wrinkles, Botox can also be utilized to address the condition of overactive bladder and urinary incontinence (involuntary and uncontrolled urination). Botox increases the volume of the bladder thereby reducing incontinence. Once an injection is administered, the overactive bladder will be cured gradually.
- Migraines: Botox injections, administered at regular intervals for around 12 weeks, can be used to address chronic migraines. It helps reduce headaches and additionally, reduces the chances of relapse. It is extremely beneficial for those who suffer from chronic headaches during one such migraine attack.
- Eyebrow: Your eyebrow may sag due to various factors, age being the primary contributor. Botox helps lift your drooping eyebrows; giving you a fresher and youthful look.
- Enlarged Prostate: Botox injections can have long term beneficial effects on men with enlarged prostates. Problems related to frequent urination and infections in the urinary tract can be addressed, while side effects, that accompany other medications, are avoided. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.
Moles are the most common form of physical identification proof, but are often unwanted. Moles and freckles are common skin irregularities that make a person consider cosmetic surgery. Moles can be described as non-cancerous skin lesions that develop when dark skin cells are bound together in small clusters. Almost everyone has one or more mole on their body. However, freckles are simply skin discolorations that appear on light skinned people. There are a number of ways in which moles and freckles can be removed.
- Dermabrasion: This is a procedure where a small wheel is run over your skin to remove the top layer. Dermabrasion is performed under anaesthesia and is a very effective way of removing freckles and flat moles.
- Laser Surgery: Laser surgery involves the use of concentrated beams of light to remove the topmost layer of skin. As this top layer is removed, freckles and light, flat moles are also destroyed thus leaving you with a clear complexion. In some cases, multiple sessions may be required to completely remove moles and freckles. Laser surgery is not recommended for large moles or moles that protrude out of the skin.
- Shave excision: This is a surgical procedure that involves cutting off the raised section of a mole with a sharp scalpel. It does not require any sutures, but may not remove the entire mole. This surgery is often suggested in cases where a mole had grown to protrude from the skin but the discolouration itself does not bother the person. There is a very low risk of scarring associated with this procedure but the mole may recur.
- Punch Excision: Small protruding moles can also be removed with a punch excision procedure. Here, a doctor will use a small cutting apparatus in the form of a small, cylindrical punch to twist and remove the entire mole. One of two sutures may be required to close the skin in this area.
- Surgical Excision: This procedure is suggested in cases of large moles. In such cases, the surgeon will remove the entire mole and close the skin with sutures. This procedure may leave a scar behind, but in most cases, this scar is not very prominent.
In rare cases, moles can be malignant and hence it is not recommended to try removing a mole at home. For this reason, you should always a consult a surgeon if a mole appears suddenly appears or begins to look suspicious.
Whether to get younger looking skin or just to follow the latest beauty trends, plastic surgery has becoming an important tool to enhance rejuvenate and reshape women’s beauty. Correcting defects or changing features on your face to feel more confident and improve self esteem are usually the most common reasons cited by patients.
There could be many reasons for you to go for cosmetic surgery, but you need to think carefully before you opt for the procedure. Some common reasons for getting plastic or cosmetic surgery may include:
- Bad genetics: Your genetics determine how you will look throughout your life. Therefore, undesired features caused by bad genetics are a big motivation for you to undergo cosmetic surgery.
- Reducing aging signs: though there are many non invasive anti-aging therapies, cosmetic surgeries such as a face lift are the most effective means to knock off years of your face.
- Scars and acne: If you have birth marks or marks of injury in areas where you don't want it to be then cosmetic surgery is the best solution. You can also have plastic surgery to get rid of your acne scars.
- To fix physical deformity: if you have a tilted nose or a grim lip, then cosmetic surgery is the best way to fix these problems and boost your self-esteem by improving self image.
Although there are many types of plastic surgeries to fix your facial and body problems, the best thing for you would be to pinpoint and understand the priority areas and go for surgery in the area which you think requires most attention.
Some of the most opted cosmetic surgeries are
- Face lifts: In this surgery, the doctors re-contour and reshape your face by excising droopy and excess skin. The remaining skin is then strategically put back together in manner which makes it tighter and reduces years from your face.
- Nose job: This process helps you to change your nose structure. This process involves the removal of nose skin and sometimes it may also change the cartilage and bone of your nose.
- Breast augmentation or reduction: You may seek cosmetic surgery to get the desired breast size and shape. Some may also want to increase or decrease the size of their breasts, or may just want to reshape them.
- Eyelid surgery: Eyelid surgery is done to remove eye-bags, puffiness, dark circles and wrinkles. In this process the muscles get tightened, excess fat is removed and areas are concealed well to provide a youthful look.
- Lipoplasty: This is a form of surgery which reduces fat from specific areas of the body to reduce problems like love handles and eye bags. It is also used to suck fat out from areas such as the lower jaw, upper arm and even thighs for topical reshaping.
Scars may mar the beauty and proportion of your face and its features. There are many reasons why we may suffer from scars starting from accidents to other causes like birth defects and other ailments. When we are injured or the skin is ruptured, the bruise or the wound usually heals itself by turning into scar tissue.
While much of this may disappear for smaller wounds, there are others that remain obvious and become scars. Many of these scars may be in a prominent location like the face, which can lead to loss of confidence and self-esteem. While make-up and creams can diminish the jarring effect of such scars, there is also a permanent way to deal with them cosmetic surgery. Here is everything you need to know about the same.
- Point of surgical techniques: While total scar removal will depend on the severity of the scar and its location, the point of most surgical techniques for scar removal involve making the skin as smooth as possible so that the scar becomes almost invisible.
- Skin resurfacing methods: Dermabrasion and laser resurfacing are some of the most popular methods employed for this process. While dermabrasion basically helps in scraping away the top surface of the skin in order to help new skin grow back, laser resurfacing does pretty much the same with the help of laser beams that will act on the problem areas. Dermabrasion usually helps when the scar is slightly raised and embossed on the skin, giving the appearance of a second skin with its defect. The laser light of the laser resurfacing helps by smoothen the rough patch of skin that forms the scar. This is done by running the beams on the rough or elevated patches until they are removed for the new skin to emerge eventually.
- Kelotoid scars: Most kelotoid scars are treated with the help of medicated injections that can be administered by a cosmetic surgeon. Hypertropic scars are also treated in this way.
- Surgical incisions: In case the above methods do not help in removing particularly stubborn or old scars, the cosmetic surgeon can also suggest using a surgical incision in order to join the skin together with very fine stitches. This process can help in making the scar less prominent to a great extent.
- Side effects: In all these methods, you would do well to discuss the possible side effects with your cosmetic surgeon. Some amount of bruising and redness of the skin is to be expected for a few days. Also, a little bit of swelling is normal. But if these side effects do not abate in a hurry and get progressively worse, then it would be a good idea to report the changes to the doctor for further treatment. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.
Liposuction is one of the many forms of cosmetic surgery which is used to improve the appearance of the whole or part of a person’s body. This surgery involves the removal of fat from the body by using the method of suction. The process involves insertion of thin, small and blunt tubes called cannula into the skin which are connected to a suction device known as “aspirator”. It is an outpatient procedure and generally does not require an overnight stay at the hospital. Usually, local anaesthesia is utilized in this procedure unless it is large amounts of fat that need to be worked on.
Reduction of weight is not the main objective, but to reshape certain parts of your body by getting rid of the fat. It is generally preferred for those areas in your body which do not respond to either exercise or diet, such as the buttocks, upper arms and the legs. In some cases, it might also have to be combined with other procedures such as face lift, breast reduction and abdominoplasty.
There are multiple liposuction techniques such as:
- Laser assisted liposuction: The technique utilizes a laser to melt the excess fat in the targeted area.
- Tumescent liposuction: Local anaesthesia is administered to the treatment area to facilitate liposuction.
- Ultrasound-assisted liposuction: A special cannula, which transmits ultrasound waves throughout the body, is used.
- Suction assisted liposuction: This is the standard method which utilizes a cannula which is inserted via a tiny incision.
- Power assisted liposuction: A special cannula capable of mechanical movement is used.
- External ultrasound assisted liposuction: In this method, ultrasonic waves are applied using an external device.
Certain factors to be considered
Certain medical conditions such as fatty tumours, complications in fat metabolism and enlargement of the male breasts are treated by liposuction. An improvement in the body shape might be noticed immediately after the procedure. The skin around the area where the procedure has been performed may turn loose and it may take a few months for the area to be normal again. After the procedure, a course of antibiotics may be prescribed to treat any infection that may occur. The recovery period is around a few days to one week. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.
Rhinoplasty, more commonly known as Nose-Job, is a cosmetic procedure designed to change the shape and size of the nose.
A Rhinoplasty can effectively change the size and shape of the nose to complement the facial balance. It also helps improve nasal symmetry efficiently enhancing your facial features.
How is the surgery performed?
We prefer General Anaesthesia for the surgery to make patient pain free and most comfortable. It’s a Day-care procedure or may need overnight stay.
The operation involves an incision which is made for easy access to the cartilage and bones of the nose. These incisions are generally placed inside the nose, so that they do not appear as scar marks after the surgery is done. Moulding, removal or replacement of the bone or cartilage depends on the demands of the restructuring of the nose. Once the reshaping of the nose is done, the nose tissue is put back into place and a splint is temporarily placed to support the new structure of the nose. The splint is removed at 5-7 days.
Precautions to take after a nose surgery
After a nose surgery, the area around your nose will stay swollen and bruised for around 10-15 days. Thus you have to ensure that-
You get adequate period of rest.
Use cold compresses over the swollen face, this will reduce the swelling and ease the pain.
Do not indulge in relatively vigorous physical activity for 15 days.
Take you medicines regularly.
Risks of nose surgery
Every surgery or medical procedure involves certain risks, and so does Rhinoplasty. Along with some puffiness and ` around the eye and nose region, you may also experience-
Some amount of bleeding
Injury to the septum area
Irritation of the skin and skin problems
Nasal blockage due to swelling in the inner nasal area
Complications resulting from anaesthesia
Although there are certain risks to Rhinoplasty, the surgery is considerably safe if done by a qualified expert plastic surgeon and the results are quite permanent.
Burn surgery is very common these days. Burn surgery is usually done on people who suffer from major burns. Reconstructive burn surgery is usually required in the last stages when the initial burns have healed to a certain extent. Usually reconstructive burn surgeries are done on patients who have suffered from huge accidents and have burnt their face, neck and hands to a great extent. Patients requiring this surgery usually become unrecognizable after an accident.
When is reconstructive burn surgery recommended?
- If you have been involved in a household accident and the scars have not healed completely. Surgery might not totally heal the face, but it can improve your basic functions like breathing, smelling, seeing or tasting (if most of your senses are burnt and disfigured).
- Reconstructive burn surgery is also very useful for acid attack victims. Sometimes, burns are not only caused by fire, but it is also caused by chemicals and acidic substances which are worse and can completely burn and disfigure your face. When hydrochloric acid, nitric acid and sulfuric acid come in contact with your skin it seeps into the skin and burns off your nose, cartilage and sometimes even causes blindness. It disfigures your face completely, reconstructive burn surgery can do miracles, though it cannot bring back your previous features and skin texture, but it does make you look more recognizable.
- After a burn, facial scarring occurs which leads to the loss of eyelids, hair, nose and lips. In this case burn surgery is required.
How to take care of yourself after a burn surgery?
- Regular stretching should be done, especially if the areas of your burn include your hands, legs, joints, etc. Do as much as activities as possible like getting dressed and grooming yourself. It will also make you more self-reliant and give you confidence.
- Depression is very common after a burn surgery. A reconstructive burn surgery will not magically make you look the way you used to. A lot of sittings is required and remember, appearance and looks do not matter much. The wounds will fade away with time.
- Itching is also very common after a burn surgery. If this problem persists, you should consult your doctor for a moisturizer.
- Avoid sun exposure. Don’t go out in the sun, because the U.V rays are extremely harmful and can singe your already sensitive skin; you can also get skin cancer.
- Custom pressure garments should be worn to protect your skin. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.