Dr. Shiv Shanker Gupta

One of the crucial types of surgery is the heart surgery, which is commonly known as the bypass. It is a type of surgery in which the chest is cut, and surgery is done on valves, muscles, and heart arteries. As per the National Heart, Lung, and Blood Institute, it is one of the most common types of surgeries, which is performed on adults. During this surgery, the prime focus is to remove the blockage from the heart so that fresh blood can easily flow into the heart. No doubt that this process is critical, but it is easily true that after the surgery you have to take extra care of yourself.

Talking of which, here are certain things that you can expect after the surgery.

1. Moved To ICU: The moment, the surgery is done, you will be moved to the Intensive Care Unit where the person’s health conditions will be monitored, vital signs will be checked, and medical professional will frequently visit to make sure that the patient is just doing fine. Once the surgery is over, you may not wake up quickly, but you will continue to breathe through the breathing tube. About food, of course, you will not be allowed to take solid food, but there is an intravenous (IV) needle will be put in a blood vessel in your chest and arm from which you will be given fluids. 
2. Recovery At Home: Once you are given the discharge, your focus should be to get recovered quickly. Recovery at home entirely depends on the heart problem for which the surgery was done. Of course, the doctor will give you necessary instructions with regards to healing incision, dealing with after effect is and understanding the signs of complications. Follow up the medicines and attend the appointments as advised to keep track of your health condition. You may face some after effects such as appetite loss, constipation and sleeping problem. If there is any complication, make sure you speak with a doctor about the same immediately.
3. Ongoing Care Is Important Too: Once the surgery is over, as said, you will have to go for frequent checkup with your doctor. During these visits, your doctor will tell you to get blood, stress test and electrocardiogram done, which will assess the working condition of the heart. You might also be given few blood-thinning medicine and bring certain changes in lifestyle and medicine.

There are certain phases of recovery which will take time eventually. The first phase is the lengthy one that can last for around 6-8 weeks. Once you get a discharge from the hospital, you will be given instructions that you must follow with good care. This will pace up the healing process and make the process better.

Dermal fillers help to diminish facial lines and restore volume and fullness in the face. As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow's feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle. 

Dermal fillers can be used to: 

1. Plump thin lips 
2. Enhance shallow contours 
3. Soften facial creases and wrinkles 
4. Improve the appearance of recessed scars 

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery. What dermal fillers won't do For some patients, surgery such as a facelift, brow lift, or eye lift may be the best approach. Non-surgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same result, but may help delay the time when consideration of a facelift becomes appropriate. It was the 2nd most popular non-surgical cosmetic procedure. 

Dermal fillers are a naturally-derived or synthetic material that is directly injected into skin with the purpose of plumping that area to the point where the wrinkle, depression, or fold is gone. Depending on the type of filler, the effects can last anywhere from six months to two years; for semi-permanent or permanent fillers, the effects can last up to five years, and there are reports of even longer-lasting results. Don’t confuse dermal fillers with Botox. 

Although both procedures involve injections, Botox is most often injected around the forehead and wrinkles around the eyes (crow’s feet) to stop muscle movement that results in wrinkles. It has nothing to do with the plumping smoothing effect dermal fillers have. Because they work in different manners, many people elect to get both Botox and dermal fillers—the combination can produce a remarkably younger-looking face. 

Approved Uses

Soft tissue fillers made from absorbable (temporary) material are FDA-approved for the correction of moderate to severe facial wrinkles and skin folds, such as nasolabial folds. Nasolabial folds are the wrinkles on the sides of your mouth that extend towards the nose. They are commonly referred to as "smile lines" or "marionette lines." The soft tissue filler made from non-absorbable (permanent) material is FDA approved ONLY for the correction of nasolabial folds. Some soft tissue fillers are approved for the restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus (HIV). The FDA has approved two absorbable soft tissue fillers for lip augmentation, and one filler for cheek augmentation, in patients over the age of 21. The FDA has also approved one filler for hand augmentation. Patients may need more than one injection to get the desirable smoothing/filling effect. Successful results will depend on the health of the skin, the skill of the doctor, and amount and type of filler used. The time that the effect lasts depends on the filler material used and the area where it is injected. 

Unapproved Uses 
The FDA has NOT approved soft tissue fillers for: 

1. Increase breast size (breast augmentation) 
2. Increase size of the buttocks 
3. Increase fullness of the feet 
4. Implant into bone, tendon, ligament, or muscle 

The FDA has NOT approved liquid silicone or silicone gel for injection to fill wrinkles or augment tissues anywhere in the body.