Dr. Ajaya Kashyap

Hello,

I am doctor Ajay Kashyap medical director Cayasmedical centre. I am U.S board certified in plastic surgery. Today I’ll be talking about cosmetic surgery for the breast. The cosmetic surgery of the breast is basically breast reduction for very large breast which can be symptomatic. Breast lift or mastopexy for lifting up breast that has become saggy and loose but has adequate volume and thirdly breast augmentation on enhancing the size of the breast. Now going over one by one with these three surgeries lets first talk about breast augmentation. Now breast augmentation can be done through a variety of approaches. One can be through a small incision just below the breast or in the fold of the breast the second incision could be in the axila or the armpit and the third incision could be around the nipple area. An implant is put in place a different place it can be behind the muscle or in front of the muscle. It gives an impression of the enhanced volume of the breast and the surgery is carried out in general anaesthesia. Takes more than an hour or so and the patient goes home the same day usually. It’s a fairly comfortable procedure and the results are very satisfactory.

The risks are minimal and the results are very predictable as well. the implants can be placed be behind or in front of the muscle. And it results in something like this. This is through autologous or through fat which can be the other approach instead of the implants you can use fats from patients own body and reshape the breast the incisions are usually very hidden and the implant should last for many many years. Although for a young person they may need to be changed in 20 or 25 years depending on the kind of implants the second procedure I’ll talk about is a breast reduction. This is a very common problem in ladies have very heavy breast with accompanying shoulder and back pain and a poor posture. This can only be improved by a procedure of breast reduction and the approaches to breast reduction can be either liposuction which can give a very small amount breast reduction or there can be a surgical breast reduction. Now breast reduction involves different techniques.

One can be through an incision just around the nipple the second can be through what we call a lollipop or a vertical scar technique and the third can be anchor-shaped incision. All three of them have different advantages and disadvantages however the most important thing is that eventual result should be safe and ladies should beautiful looking breast with a decrease or increased elevation of shoulder and back pain. So going through the different incisions something like this. There are two different incisions this is the vertical scar technique this is the circumareolar technique and this is the vice pattern where very large reductions can be done. The results look something like this the breast is lifted up they are shaped up and they become smaller some of the relief is from lifting up itself and the rest of it is from size reduction they can be done at any age we usually prefer to do them once the person has achiever adulthood but I have done it at patients as old as 78 years. So it depends on how bad the situation is how much the hypertrophia and decrease in sizes and how symptomatic the person is. Now, this is a lady in her 70’s and you can see the nice look you can get. The third procedure which involves similar incision is called a breast lift or mastopexy this is usually done when the breast becomes saggy and they kind of fall down.

This happens because of major weight losses and weight gains and also after pregnancy ageing is also a significant contributor to the sagginess of the breast. The procedures are done in a similar manner as a reduction but without loss of volume, the breast is lifted up with the same kind of incision around the nipple alone or with a vertical scar or with a vice pattern which is like anchor shaped scar. Having said this there is one kind of reduction which is specifically for males which is a gynecomastia reduction. A significant number of males develop a breast and they can be very conscious about it especially in the locker rooms or the swimming pools around there friends. Or especially when they wear tight tee shirts or do not have a tee shirt on. For them, a very simple procedure is gynecomastia reduction which can be done through a virtually invisible scar. Here we go this is what it looks like before and after you don’t even see a scar here so it’s a very satisfying procedure for gentlemen because they can come in the morning get it done and by afternoon they are home. there are a couple of things that I have to say in addition to what we just talked about one thing is one kind of augmentation is becoming increasingly popular is autologous fat which is from the persons own body which I've briefly touched upon. It can sometimes be improved further by adding what we call platelet-rich plasma from the persons own blood the amount of augmentation you get with this is less than with the implants but usually, it is quite satisfying for the person who is seeking average improvement in the size of the breast and firmness of the breast. This has to be done very carefully it takes a little longer than implant augmentation but it’s a very satisfying procedure. If you wish to know more about these procedures you can contact me through Lybrate or through my website which is drkashyap.com
 

I'm doctor Ajay Kashyap. American board certified in plastic surgery and medical director of kaiz medical Centre. I will be speaking today about massive weight loss surgeries which plastic surgery after a person has had massive weight loss. This can happen due to periodic surgeries, or the people own effort when they lose a large amount of weight in access of 20, 25 kilos. What happens after this is that a lot of the skin start sagging and for that there are different treatments the skin can sag in the face, the neck, the breast, the body, the abdomen, the sides and the legs, pretty much everywhere because of envelope becoming looser because of fat being gone the skin start hanging down, it can happen at any age I have as young as 15 to 16 years old and as old as 75 80 years old. My experience has started with people who had the massive weight loss about 20 25 years back and techniques are still evolving at this time, now we have techniques are pretty evolved and most of the reductions of skin are surgical.

Let’s first talk about the abdomen and torso which is most often the biggest sufferer for weight loss when there is a lot of losing in the abdomen and the sides what we do is called a lower body lift or belt clap it so the large number of tissues are taken down , the skin is made titer and the incision is put below the bikini line of the underwear line, this is all that happens if you look at the lady on the left on your left on her right you see that the skin has loose pretty much all over from the breast the abdomen to the back to the love handles to the thighs everywhere.

All kind of surgeries that are done lifting off the breast the lower body lift or a belt clip it and we talked about the arms can also be taken care off, as the skin of thighs. For the thighs what we do is called the inner thigh lift surgery which is done through vertical incision in the inside of the thigh, the other part of the thigh the outer thigh can be lifted up with the buttocks and the incision goes all around like a belt or the lower body lift goes all around and can easily be hidden in the underwear , this is incision for the inner thigh lift can’t be hidden very but it is put in the position that when you look at the person if the person has shots you don’t see it right away its kind off on the back side.

This is a gentleman who had a lower body lift elsewhere and we did an inner thigh lift that you can see the redundant skin is all gone.
Now, these are incisions for completion of the buttock and outer thigh lift or completion of the belt-like or lower body lift, that’s what people look like body lifted make titer looks more astatically pleasing.it feels a lot of cloths often times when they are out of cloths also although some incisions can be seen you can see how the shape has become much better much fuller and much more youthful, this is a lady only in her late 30s, if you look at this picture it looks much older now she looks very handsome, once the skin has been tightening the body looks younger.

The other part is the arms, arms also become sagging redundant and sometimes some fat is left over the arms when everything else is shrunk so we remove the fat and tighten the arms something like this, you can see the loose hanging arms some people call it the back wing deformity but this can be tightened with this technique, sometimes we can go for small incision which is very well hidden and the rest of it we can take off with a technique called the tight,
Again upper body the arms, the breast, the back is also been tighten up. Often times breast lift is required and there is just isolated redundancy without loss of falling we can do it without putting implants, however often times some implants are also necessary, after massive weight loss even in a young person you see a lot of skin redundancy especially in the neck and this can be tightened up with the procedure called a neck lift and platysmaplasty,

All these procedures are surgical procedures that require a lot of experience and expertise because the incision is long, however, the eventual results are very very grated both for surgeon and the patient
Thank you I’m Doctor Ajay Kashyap, if you need more information about these procedures you can contact me through Lybrate or you can contact my website which is drkashyap.com
 

I’m doctor Ajay Kashyap. U.S board certified in plastic surgery and medical director of Kaiz Medical Centre. today we will be talking about mommy makeover. Once a women have job becoming a mother once, twice or thrice and also many times her body undergoes a lot of changes some of them desirable and some of them you would like to turn back clock on having completed their families a lot of mothers comes for post pregnancy and post-delivery plastic surgery and usually we delay this time the family has been completed and few months have gone by the lactation has gone and so on. Various part of the body that undergo changes are the breast the abdomen the rest of the body that fats may accumulate the skin may have got very more veins or may have pigmentations on the face or may have some other problems with the skin texture and the youth fullness of the skin.

Fortunately, most of them are reversible by mommy makeover procedure. Let’s, first talk about the abdomen which undergoes the maximum changes because of the increase in volume with the baby the skin expands and never contracts back. The muscles which are kind of the vertical muscles of getting separated, there is the gap created between the two of them. Also, ladies get the marks on the abdomen from the stretching of the abdomen also called the stretch marks. These can also be improved when we do surgical procedures like abdominoplasty or tummy tuck and other things that happen are an increase in fat in certain areas especially the thighs, the abdomen and sides. You can do liposuction buttocks, augmentation or liposuction to make the body more shapely again. The abdomen can be shaped as I said by abdominoplasty if the skin is actually that loose and in that situation the excess skin is removed the muscles which are separated are tightened again and you can have a very nice youthful looking abdomen afterwards the scar hide within the underwear or the bikini line and the shape of the abdomen improves from both sides and also from the front become tighter and much more shapely.

Often times it is better what it used to be before the babies came along now the other procedures that we do are for the breasts and what happens with breast they increase in size because of lactation and then go down in size sometimes, they go down a lot and sometimes not too much and sometimes too much so the procedure required is the breast lift breast augmentation may increase in size. So they can attain more statistically pleasing size or breast lift which is master pixy. Breast augmentation, breast lift and breast reduction all three could be required depending on the situation of the individual. Breast augmentation is for the ladies who lost a lot of volumes. Lift for the patients who just have droopy breasts, reduction for ladies who gain a lot of volumes which never went back. Sometimes we do total body contouring when we are doing mommy makeover including breast, abdomen, thighs, sides and sometimes even buttocks .the another part of mommy makeover is the skin care and sometimes care of the Uro-genital parts some ladies develop a little stress on continence after having had babies ,all these can correct with non-surgical treatments like thermi tight or thermiVA , thermiVa is specific radiofrequency treatment that increases the tone of the private parts as well as increases the lubrication and it can also decrease the size of the labia. A surgical procedure is also available to achieve all these three things, the other treatments can be for stretch marks, varicose, pigmentation cellular loose skin those all include treatments with the procedures like lasers chemical pills and so on

If you need any more information with these treatments you can contact drkashyap.com or through Lybrate.