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?

Psoriasis is a common autoimmune disorder of the skin that results in the formation of thickened and elevated plaques of cells that remain covered by scales (loose, whitish-silver scales). In psoriasis, the skin cells multiply at an alarming rate resulting in the scaling of the skin. Though non-contagious, psoriasis can be itchy and often painful. Psoriasis mainly affects the scalp, elbow, and knees. In some, the condition may also affect the palms, feet (soles of the feet), and the torso.

As per a survey, psoriasis is known to affect approximately 2.2% of the total adult population. Psoriasis can also affect children (children under the age group of 5-8 years are mostly affected by this inflammatory skin disorder).

Psoriasis Can of Different Types

Plaque Psoriasis: As the name suggests, this type of psoriasis results in the formation of plaques of cells (thickened and elevated) on the skin surface. One of the most common types of psoriasis, plaque psoriasis affects the scalp, knees, and elbow.
Pustular Psoriasis: Pustular psoriasis mainly affects the hands and the feet of the adults whereby white blisters (pus-filled) appear on the affected area of the skin. The skin also appears red and inflamed.
Guttate Psoriasis: This type of psoriasis usually affects the legs, torso, and arms. Common in children (sometimes young adults), Guttate psoriasis results in the formation of small red spots.
Inverse Psoriasis: In Inverse psoriasis, shiny red (bright red) inflammations or lesions appear on the armpits, groyne, breasts.
Erythrodermic Psoriasis: Though rare, this type of psoriasis is marked by extreme redness of the skin. There is also shedding of the scales (in the form of sheets). The skin more or less appears sun burnt.
Symptoms:
The symptoms associated with psoriasis include

Elevated and inflamed red patches covered by whitish- silver scales (plaques).
The nails appear thick and pitted.
There is a pain in the joints followed by swelling.
At times, the affected skin may crack resulting in bleeding.
Soreness, itching and a burning sensation around the red patches.
In psoriasis of the scalp,

There may be the formation of scales (usually mild).
In severe cases, there may be crusting (the full scalp) which can spread to the forehead, ears (inside and behind), in the beard or even around the nose.
Treatment:
Though there is no definite treatment for psoriasis of the body and the scalp, the following medications may prove to be helpful

Medications like Methotrexate and Cyclosporine (immunosuppressant drugs), Retinoids, and Biologics (injected intravenously) may provide some relief.
Patients may also benefit from light therapy, anthralin, topical corticosteroids as well as vitamin D analogs.
Precaution and care
For psoriasis of the scalp

Before the treatment, it is important to remove (and soften) the scales. Medicated shampoos that contain salicylic acid can be used to remove the scales.
Use of petroleum jelly or medicated oils and ointments (as recommended by the doctor) can be helpful.
For better results, you can keep the scalp covered (preferably with a shower cap) after applying the ointment.
For Psoriasis of the Body

Avoid the skin from getting dry. You can use a medicated lotion or a moisturizer.
Drinking and smoking can worsen the situation. Avoid these vices as much as you can.
Avoid using hot water while bathing. To keep your skin moisturised, you can add oil or salt to the water (bathwater).

Psoriasis - Types, Symptoms, and Treatment

What are dermal fillers + how different it is from botox?

Dermal fillers are an artificial or naturally-derived material used for directly injecting into the skin. These soft tissue fillers are used with the aim to restore your facial appearance to address issues related to facial aging. Depending on the kind of filler that you opt for, the effects can vary from 6 months to 5 years. Nonetheless, they are used for a number of problems associated with facial aging such as:

  for smoothen out and add volume to creases known as laugh lines

  for enhancing thin lips

  for providing shape and fullness to cheeks so as to provide a youthful appearance

  for enhancing the under eye areas to the point that depressions or hollows are no longer visible

  for merging scars from chicken pox or acne with surrounding skin

  for adding volume to your temple or lower cheek area when shifting of fat pads (masses of tightly packed fat cells) underneath your skin surface occurs.

How are these fillers different from botox?

Even though both these procedures involve the use of injections, they are completely different from one another. Botox or botulinum (a purified, natural protein) works by numbing muscles that contract to create facial lines. It is mostly used around the eye and forehead areas for stopping the movement of muscles that cause wrinkles to form. Moreover, it treats active lines, which are visible when you smile, frown or squint.

Dermal fillers, on the other hand, treat wrinkles that are very deep and static, which you can only be seen when the face is in a restful state. Furthermore, it serves to enhance the skin while lightly swapping the collagen (a protein that helps connective tissue in the body to remain strong) that gets lost as you age. When it comes to swelling and bruising, botox reports minimal effects and dermal fillers a certain amount of swelling and bruising that disappear within 7-10 days.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Every day!

For Your SKIN: What are Dermal Fillers + How Different it is from Botox?

3 crucial points you must know about breast enhancement

Breast augmentation is a surgical procedure designed to enhance as well as improve the symmetry and fullness of the breasts through implants (gel-like fluid in a flexible sac); or to bring back breast volume lost as a result of pregnancy, aging or weight loss. Before opting for such a procedure, there are certain points that you absolutely must consider, which are:

1. Picking silicone or saline implants: when it comes to implants, you have two options available - saline or silicone. Providing a uniform shape and firmness, saline implants come filled with sterile salt water. In contrast, silicone breast implants contain elastic gel, giving them the look of natural breasts. In terms of elasticity, saline implants can be adjusted more easily as you can inject or remove liquid from the implant. In contrast, silicone implants cannot be adjusted as they are already filled with the gel.

2. Getting the right size: choosing the right size for breast augmentation is very important. It's wrong to believe that bigger implants are not always good. The size of implant should be decided after proper assessment of the breasts.

Mammography should be done before putting breast implants. In general, size selection is made based on your natural breast size. Whether you opt for a saline implant or a silicone one, implants come in varied sizes ranging from 120-180 cc. When you choose a size for yourself, you'll have to keep in mind your body frame as well as appearance you wish to have post surgery.

3. Incision options: depending on the results you expect, you'll also need to consider which incision (a surgical cut made in your skin before the operation) option you should select before undergoing surgery. Incisions can range anywhere from 1-4 inches, with their lengths increasing as the implants expand in size. There are also certain incisions, such as the belly button incisions that are really small and don't leave behind visible scar tissue.

Apart from belly button incision, some of the other incision options that a surgeon may employ for breast augmentation could be:
- armpit incision (incision made in the underarm area for breast implantation through the armpit)
- nipple incision (incision made on the areola, which is the circular area of pigmented skin surrounding a nipple)
- crease incision (incision made in the crease area below the breast for implantation).

Fat grafting of breasts is another alternative or a complementary procedure to the breast implant. If you're considering breast augmentation surgery, be sure to check with your doctor about these factors and which options are best suited to you, before proceeding.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why Breast Cancer is No 1 Cancer in India? + How To Avoid it

3 Crucial Points You Must Know about Breast Enhancement

Everyone wants to have a bright and radiating skin. But blemishes and skin abnormalities are common and can occur due to lifestyle, diet or hormonal imbalances. Moles and warts are typical skin issues. But how do you tell them apart?

Moles   What are they?

Hardly ever causing pain, they appear in many different colours and can be bumpy or flat. Most often of red, brown or black colour, they occur as a result of skin pigmentation called melanocytes. They can be caused due to direct exposure to sunlight or due to genetic factors as well. They can appear in any part of the body and form slowly, taking a long time to grow.

Warts   What are they?

Small bumps or rough growth on the skin that appear in hands, legs, fingers, soles of the feet, face or in the genital area manifest as warts. They are white or pale. They occur as a result of harmful virus infection of Human Papilloma Virus (HPV) and hence, can be contagious. As opposed to moles, warts need to be removed quickly since a virus causes them.

How do you differentiate a mole from a wart?
Below are some common characteristics of each that can help you identify the skin problem:

Moles

Either flat or elevated from the skin, they are commonly referred to as beauty marks or birth marks.
At times, they have hair growing from them.
Usually, they have one colour   mostly on the darker side.
It cannot be transmitted between people.
They are generated by a collection of pigment cells in the body and darken during hormonal changes.
They tend to become cancerous and lead to melanoma.
Warts

They are harmless, yet contagious.
They have small black or dark dots in the centre that are tiny blood vessels, which provide them with nutrients.
They grow outwards on the skin with a scaly or bumpy deposit.
They can grow anywhere on the body, but are commonly found in feet, hands or fingers.
How to treat warts and moles?

The good news is that both warts and moles do not pose a grave risk to your health, but they are annoying and can turn dangerous in the long run. Especially with warts, you can give it to someone or acquire from someone, since it is a type of virus infection. So, seek medical assistance if you want them to be removed from your skin.

Be aware of the difference between warts and moles to know what you are dealing with. Consult a dermatologist to decide the right steps to remove it or not.

Warts vs. Moles - All You Need To Know!

Botox is one of the evolving beauty treatments in the recent times. It has gained massive popularity due to its incredible results. Almost every individual undergoing Botox treatment observes appreciating the changes in their most prominent facial features.

What to do before Botox treatment?

One of the crucial steps to do before opting for a Botox treatment is to research for the best doctor who is specialized with the Botox treatments. This will help you to achieve the results you are aiming from the respective treatment.
Be transparent about any allergies or earlier skin disorders you had earlier with your doctor. This provides a scenario of keeping a realistic expectation based on your case type.
Ask your doctor regarding your doubts related to the treatment. If you are worried about some side effects you got to know from someone, then it is recommended that you discuss the same with your doctor.
What to do during Botox treatment?

Keep your skin natural. Make sure that you clean your skin thoroughly right before the commencement of the procedure.
Stay relaxed during the treatment. This is one of the most essential do s for the success of the Botox treatment. If you stay calm, then you will find that just within a few seconds the Botox is injected.
What to do after Botox treatment?

Keep your hands away from the place where Botox is injected. This ensures that it does not spread throughout the face.
Keep the workouts light. You can exercise after Botox treatment but avoid the moderate and light intensity ones.
Avoid visits to the parlors for facial treatment or chemical treatments. You can later choose for natural ways to clean your face without applying much pressure to your face.
Don ts for Botox treatment:

If you are a regular alcohol drinker or addicted to drinking alcohol quite often, then you need to start avoiding it to get the desired results from the Botox treatment.
Make sure that you do not keep very high expectations for your Botox treatment. Talk to your doctor before setting any targets in your mind. This will help you to be satisfied and happy with the ultimate results.
Avoid using suggestions of other individuals on your face right after the completion of the Botox treatment. If you have any queries, then talk only to your doctor.
Thus, Botox treatment is a beneficial procedure to reduce your worry about aging less. You just need to follow those mentioned above do s, and dont s to ensure successful completion and achievement of the results of Botox treatment.

Botox - Do's & Don'ts Before And Post Treatment!

Don't wait any longer, manage your Cosmetic/Plastic Surgeon online with a Lybrate doctor today

Consult for Cosmetic/Plastic Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES