A Reverse abdominoplasty is a cosmetic surgery procedure used to improve the contours of the abdomen. Unlike an abdominoplasty to tummy tuck, this surgery addresses patients who have excessive skin above the belly button.  Here the skin is pulled up rather than down. 

For this surgery, an incision is made along the bottom half of the rib cage, just below the breasts. The excessive skin is removed along with fat deposits and the remaining skin is pulled in order to tighten the tissues and improve the look of the upper abdomen. This incision is usually made along the natural curves of the breast so as to minimize the visibility of the scar. 

Unlike many other types of cosmetic surgery, this will require a 2 to 3 day stay in the hospital. 
Women who want breast restructuring along with abdominal contouring will find this type of surgery very beneficial. This is because the placement of the incision allows the surgeon to work on both areas simultaneously. This leads to the formation of only a single scar, unlike having breast contouring surgery and a traditional abdominoplasty, which would create two separate scars. 

The incision is also made in such a way that the scar created is camouflaged by the natural contours of the breasts. In most cases, it is also not visible when wearing a two piece swimsuit and thus suits more women than the traditional tummy tuck. Another advantage of this surgery is that it does not alter the position of the belly button. 

A reverse abdominoplasty is usually performed on people who have a flat stomach below the navel, but have excessive fat and skin above the navel. It can be seen in people have experienced drastic weight loss. It may also be suggested as a follow up surgery to a traditional tummy tuck is the skin above the navel is still sagging. However, only a doctor can decide if this is the type of surgery needed for you. 

This procedure very rarely has side effects. This is because it does not interfere much with the muscle structure and only adjusts the skin. In some cases, there may be slight irregularities. This can be corrected by further liposuction. Another issue would be the recurrence of the problem is the tissue is not correctly adhered to the rib fascia. However, this is seen in very few cases. In normal scenarios, even slight weight gain at a later date is accommodated by the skin.

What Is a Reverse Abdominoplasty and Who Needs It?

Losing weight for an obese person is a big achievement, but mere weight loss may not give them the desire look. Dramatic weight loss often causes excess skin to hang in folds. This can be both embarrassing and unappealing. While exercising and dieting can reduce fat, there is no way to deal with this excess skin other than surgery. Body contouring refers to plastic surgery procedures that address this. 

There are many type of body contouring surgeries. Face lifts, tummy tucks and breast lift procedures are common examples of such surgeries. Body contouring surgeries that follow weight loss usually address more than one area.  The lower body lift, which focuses on the tummy, midsection and thighs is one of the most common procedures. Though such a surgery is usually performed by a team of surgeons who simultaneously focus on different parts of the body, a body contouring surgery can take up to 8 hours. People who have undergone drastic weight loss may still need multiple surgeries to achieve the desired look. 

The risks of such a surgery are similar to other procedures that are performed under anesthesia. The most common complications experienced after this surgery are infections of the wound, seroma formation, slow healing of the wound, excessive bleeding and reopening of the wound. Patients may also notice a difference in the quality of their skin. This can lead to slow wound healing, skin laxity and issues related to scarring. For the overall cosmetic results to be appreciated, the patient must wait for at least 3 months. The scars can take up to a year to heal and blend with the rest of the skin. Body contouring is also a surgery that is not covered by most insurance policies and can be quite expensive. 

If you are considering this surgery, ensure that your weight remains stable for 3 to 6 months before the surgery. This will ensure that the surgery has long lasting results. Weight fluctuations, both gain and loss can lead to the need for additional procedures. If your weight loss is a result of bariatric surgery, you may need to wait a year before undergoing a contouring procedure. Instead of opting for an overall contouring procedure, prioritize your problem areas and address these first. You may realize that you do not need additional surgeries. You should also be aware that though this surgery removes excess skin, it will not leave you with flawless skin. the scars caused by this surgery may lighten over time but are permanent.

Facts About Body Contouring Surgery

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 bruising 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 

Infections 

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.

Rhinoplasty - Things You Must Know!! 

Immediately after hair transplantation, you need to exercise little extra care to derive the best benefits. This includes immediate postoperative care, some common with most other surgeries and some very specific to hair transplantation. 

The following things will happen immediately after transplant, throughout the first week: 

Immediately after surgery, like any other surgery requiring anesthesia, there will be slight drowsiness and so it is advisable to arrange for a drive.

Expect some mild swelling and soreness that can be managed with rest and anti-inflammatories.

There will also be a tight and itchy feeling in areas where transplant has been done.

Spray water or saline every half an hour to keep the scalp moist in both the recipient and the donor sites. This promotes healing and also reduces the itchy feeling in these sites.

Thermal shock would be applied to areas to damage the existing follicles and new stem cells would be transplanted. This can also produce a warm feeling, sometimes referred to as 'thermal shock'.

In some people, there could be scab formation which occurs due to fall of the topmost transplanted hair follicles.

If you have undergone a micrograft, then you will have a compression bandage around your head. This should be in place for a day and will cause a tight feeling.

Sleep with your head elevated with a couple of pillows.

The first day after surgery, hair needs to be washed under the supervision of a physician or a nurse. Use a shampoo, which contains tea tree oil.

It is recommended to shampoo your hair regularly from day 2, as it is required to remove the dirt, blood, and oil that often accumulates at the recipient's site. This also helps to controlling infection, which is common post surgery.
Wait for at least 14 days before you resume coloring your hair, use of hair sprays, gels, and other hair care products.

All transplant surgeries require stitches. If the suture material is absorbable, there is no need to follow-up for removal. If it is not of absorbable material, they need to be removed after 2 weeks' time.

Please do not get into a regular exercise routine for up to 6 weeks. Cycling, gymming, swimming, golfing, etc., are to be avoided until the scalp is completely dry and to avoid stretching of the scar.

Everyone's body is unique and responds differently to hair transplantation. Go for periodic review with your doctor to understand how your body is responding.


What To Expect After Your Hair Transplant Session?

Wrinkles are a normal yet unsightly sign of aging, which can come about due to various reasons including too much exposure to the sun, poor diet, excessive smoking and drinking, lack of proper sleep, advent of age, loss of moisture and elasticity as well as collagen, which creates a smooth and supple look and other such reasons. Cosmetic and plastic surgeons are now turning to a variety of methods to lessen the pronounced look of wrinkles and remove them for younger looking skin. Here are a few methods currently in use:

*fillers: fillers like collagen and others including poly lactic acid, calcium hydroxylapatite and hyaluronic acid can be used to restore the elasticity of the skin even as they provide precious hydration. These injectables can be used on the face as well as on hands for a smooth and supple look.

* botox: to get rid of the lines on the forehead and to prevent the onset of more pronounced wrinkles, botox or botulinum toxin type a is a favoured element used by many cosmetic surgeons and dermatologists. This is usually administered via injection.

* retinoids: this is administered with a surgical procedure in order to remove uneven pigmentation as well as the roughness of skin, which sets in with age and excessive smoking and sun exposure. It may cause skin peeling and redness.

* laser: the use of laser resurfacing can also help in stimulating collagen production of the skin, which restores some of its elasticity so that wrinkles may be removed and further wrinkles prevented. 

*surgery: the use of surgical methods like face lifts, brow lifts and other cosmetic processes can help in giving the skin a tighter look, which does away with the appearance of wrinkles. These are usually minor procedures from which one will heal fast.

*dermabrasion: this method is a surgical one that basically sands the surface of the skin in order to remove the wrinkles. It can cause side effects like permanent discolouration of the skin as well as scarring of sensitive skin in particular.

* peels: glycolic acid peels and deeper peels that use elements like salicylic acid can be used to go deep into the skin and making it smooth again. It basically makes a difference to the fine lines. There is a chance of side effects like scarring, bruising and general discolouration in this method as well. 

Adequate sleep, good nutrition, avoiding excessive sun exposure and a good skin care regimen can help in keeping wrinkles at bay for a long time. Moisturising with products that contain plenty of vitamin a and e can also help in reducing fine lines.

Getting Rid Of Wrinkles

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

Stitches Post Surgery - How You Should Take Care?

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