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Reconstructive Surgery Tips

Suturing In Facial Plastic Surgery!

Dr. Punit Dubey 90% (113 ratings)
MDS - Oral & Maxillofacial Surgery
Cosmetic/Plastic Surgeon, Ghaziabad

Sutures in facial reconstruction forms the most essential part of any surgery specifically for face as it is our center of attention in whole body.

Improper suturing and knowledge related to facial anatomy can give unpleasant results.

 This could be best avoided if you choose a right surgeon with expertise and updated skills in facial plastic surgery which requires years of training and experience of placing thousands of them.

Trust your face to facial plastic surgeon.

Breast Reconstruction - Factors That Influence Its Timing!

Dr. Chaitanyanand B. Koppiker 88% (44 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Reconstruction - Factors That Influence Its Timing!

Breast Reconstruction refers to a surgical procedure used for restoring a woman’s breast to a normal shape and size, either after mastectomy, which involves removal of entire breast or after lumpectomy, when a part of the breast is removed. The reconstruction is done by using a patient’s own tissue or by using implants.

Breast Reconstruction is considered to be an integral part of the healing and recovery process but it’s not an ideal option for everyone. The most important thing is that the reconstructive efforts should not cause interference or complicate breast cancer treatment.

When is breast reconstruction done?
Breast Reconstruction can be done at different times, mainly depending on what would ideally work for a particular situation of a candidate affected by cancer. It is generally conducted at the same time as mastectomy surgery, which involves removal of entire breast. This is known as immediate reconstruction. Right after the removal of breast by the breast cancer surgeon, reconstruction is conducted by the plastic surgeon, either with tissue from any other location on a woman’s body or with an implant. Only one surgery is required to get all these things done.

Immediate reconstruction is not always possible if additional treatments such as chemotherapy or radiation therapy is required. Under those circumstances, a surgeon would recommend that one should wait till all these treatments are finished before going ahead with the reconstruction. A patient might also get recommendation, wherein a surgeon might opt to conduct partial reconstruction and conduct the other part after chemotherapy.

Factors influencing the timing of reconstruction

  • Stage of Cancer: Stage I or stage II breast cancer patients who choose mastectomy, where they prefer removal of entire breast, are less likely to require radiation or any other treatment. These candidates are ideal for immediate reconstruction. In case of stage III or stage IV patients, for whom radiation therapy is mandatory due to the size of the cancer, doctors might recommend to delay reconstruction till all other cancer treatments are completed.
  • Facilities or availability of experts in a particular area: Women might look to delay reconstruction till they find surgeons with expertise in this field. Otherwise it’s a risky proposition.
  • Time for making a decision: The time a woman takes in order to take a decision regarding mastectomy or lumpectomy is a major factor which influences, when exactly the reconstruction surgery would be conducted. Thinking long-term is always desirable than to opt for something which would only give you relief for a short duration.
  • Overall health: If a woman has diabetes, circulatory problems or any other disorder, the doctor might want her to recover completely from entire breast removal process, before going for reconstruction.

Risks associated with breast reconstruction
Breast Reconstruction Risks are mainly dependent on existing medical problems of patients. Patients would be at high risk for complications if they have diabetes, excess body weight and high blood pressure. Women who have had lumpectomy and radiation therapy done to their chests, are also prone to high risk for complications. In case you have a concern or query you can always consult an expert & get answers to your questions!

2956 people found this helpful

Reconstructive Burn Surgery - Aftercare Tips For Quick Recovery!

Dr. Ajaya Kashyap 90% (650 ratings)
American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Reconstructive Burn Surgery - Aftercare Tips For Quick Recovery!

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? 

  1. 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). 
  2. 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. 
  3. 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?

  1. 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. 
  2. 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. 
  3. Itching is also very common after a burn surgery. If this problem persists, you should consult your doctor for a moisturizer. 
  4. 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. In case you have a concern or query you can always consult an expert & get answers to your questions!

3262 people found this helpful

Nasal Reconstruction Surgery - Know Its Indicators!

Dr. Ajaya Kashyap 90% (650 ratings)
American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Nasal Reconstruction Surgery - Know Its Indicators!

A nasal reconstruction surgery is required to correct deformities in the nasal area formed as a result of birth defects, injuries, trauma etc. It is also used to correct missing parts of the nasal anatomy if required. Recent developments in techniques such as microsurgery, expansion of the tissue and so on, have helped surgeons improve the methods of nasal reconstruction surgery to a great extent. At this point, a patient has a great number of reconstruction methods to choose from, depending on his/her particular case. 

Types of Nasal Reconstruction Surgery: 

  1. Local flaps 
  2. Regional flaps 
  3. Secondary Intention Healing 
  4. Simple Suture closure 
  5. Skin grafts 
  6. One stage nasolabial flap 
  7. Two stage nasolabial flap 
  8. Forehead flap Bone and Cartilage frame work reconstruction 

Indicators of the need for Nasal Reconstruction surgery 

  1. One indicator of the need for this type of surgery is fractures in the nose that have changed the shape of the organ. Patients opt for this kind of surgery in order to improve their overall appearance. 
  2. Another indicator is fractures or other deformities that lead to breathing problems. Living with such problems is difficult; hence it is important to get nasal reconstruction surgery. 
  3. The presence of the Deviated Nasal Septum prevents proper breathing and increases vulnerability to ENT infections. Nasal reconstruction surgery can be used to fix this problem. 
  4. Deformities formed as a result of treatment of skin cancer can be fixed with the help of nasal reconstruction surgery. 

Things to know about recovering from Nasal Reconstruction Surgery 

  1. Medication taken orally can help to counter the discomfort experienced right after a nasal reconstruction surgery. 
  2. Usually, splints are used inside the nose during the surgery. 
  3. These are generally removed within a week. Patients are able to get up and walk about within a few days. Normal daily activities may be resumed upon the doctor's instructions. 
  4. At times, a swelling may be observed in the nasal area, but this goes away within a few weeks.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3032 people found this helpful

ACL Surgery Recovery - What To Expect During It?

Dr. Murali Krishna 89% (108 ratings)
DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Visakhapatnam
ACL Surgery Recovery - What To Expect During It?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2976 people found this helpful

Breast Surgery - Things You Should Know About It!

Dr. S. K Chawla 88% (109 ratings)
MBBS, MS- Surgery, MCh - Plastic and Reconstructive Surgery
Cosmetic/Plastic Surgeon, Delhi
Breast Surgery - Things You Should Know About It!

As feminine as they are, breasts can also be a cause of concern for females. Most women are not happy with the size and/or shape of their breasts. They would be happier if they were a little different (whatever that different is!!).

This is where the cosmetic industry realized a huge potential and came up with the concept of breast reconstruction surgery. The size and/or shape of the breasts can be altered to meet the desires of the patient. There are mainly two types of breast surgery.

  1. Reduction surgery: This is where a person complains of excessively large breasts, which are not just cosmetic concern but can also cause back and neck pain.
  2. Reconstruction surgery: Either using a person’s own tissue from another part of the body or using medically proven implants such as silicone, the breast is reconstructed to achieve the desired results.

In either cases, the nipple and surrounding tissue (areola) may or may not be touched during surgery.

Reconstruction surgery that is autologous, using one’s own tissue, is often time consuming and requires opening up another part of the body. However, using silicone can cause rejection and lead to complications. Therefore, the first option for this type of surgery is often preferred.

Either of these, reconstruction or reduction, can be done for medical reasons also. For instance, in breast cancer, after lumpectomy or mastectomy, reconstruction may be necessary. There are various flaps used, and the type used on a person would depend on the actual procedure to be done and the extent of surgery.

Things to consider with reconstruction surgery:

  1. If you are going for reconstruction surgery for purely cosmetic reasons, do thorough research, and then find a good doctor to do it for you.
  2. If you are going for it after mastectomy, think about whether you want to look for other options. There are artificial breasts which can be worn when required alone, and much easier. Having to go through another major surgery is a decision to be taken seriously.
  3. After the surgery, regular follow-up and even minor surgical corrections may be required. Nipple reconstruction may be required. If silicone implants were used, there could be rejection and may need removal.
  4. There are also scars, redness and soreness that will take some time after the surgery to subside.
  5. Returning to normal activity may take about 8 weeks.
  6. Medical insurance provides for reconstruction surgery if done due to breast cancer. Procedures done for purely cosmetic purpose might not be covered by insurance providers. Do check with your provider before opting for the procedure.

Breast reconstruction surgery has gained popularity over the years and the success rates and results have improved significantly in the last few decades.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3459 people found this helpful

Anterior Cruciate Ligament Injury - Know Everything About It!

Dr. Deepak Thakur 88% (118 ratings)
M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Anterior Cruciate Ligament Injury - Know Everything About It!

In general, anterior cruciate ligament injuries, or ACL injuries, are understood to be tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases, like complete tears or when the ligament and one of the bones gets displaced from the other. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms

Signs and symptoms of anterior cruciate ligament may include:

  1. You are unable to move properly.
  2. You experience immense pain while walking up and down stairs.
  3. You are unable to engage much in physical activities.
  4. Your knee begins to swell gradually.
  5. You can sense a loud popping sensation when moving your knee.
  6. You experience feelings of instability.

Causes
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

  1. Sudden arrest in motion
  2. An unsteady landing from a jump
  3. Direct blows to the knee from tackles
  4. Sudden shifts in direction

Treatment
Treatment of ACL injuries normally involves the following:

  1. Immediate medical attention along with intense first aid care
  2. Sincere adherence to the R.I.C.E model of self care -
    • Rest: Proper rest for a couple of weeks or months depending upon the severity of the injury
    • Ice: Using ice packs to help cool the nerves
    • Compression: Ice treatment further helps in compression
    • Elevation: When lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions
  3. Success rehabilitative therapy for several weeks
  4. Anterior cruciate ligament surgery or reconstruction

In case you have a concern or query you can always consult an expert & get answers to your questions!

2613 people found this helpful

How Breast Cancer Patients Can Get Benefit from Physical Therapy?

BPTh/BPT
Physiotherapist, Kolkata
How Breast Cancer Patients Can Get Benefit from Physical Therapy?

Physical therapy can help, ease the symptoms of treatment and aid in rehabilitation following reconstructive surgery.

  • Easing pain
  • Reducing fatigue
  • Promoting bone density
  • Stimulating the immune system
  • Reducing stress and depression
  • Ridding the body of toxins
  • Decreasing swelling and inflammation
  • Treating lymphedema

One of the most beneficial treatments for cancer patients is exercise to prevent bone loss and maintain strength. A customized exercise program will be created that factor in the type of cancer treatments you’re receiving, your overall health and physical condition.
Breast cancer strikes fear into the hearts of men and women who have been diagnosed, along with family and loved ones. Physical therapists has treatments and therapies to help ease the effects of chemotherapy, radiation, mastectomy and reconstructive surgery. Breast cancer and associated treatments can be scary and have far reaching effects. Physical therapy can help you meet those challenges of the body, mind and quality of life.

2 people found this helpful

Reconstructive Surgeries - Where All They Are Applicable?

MCh - Plastic and Reconstructive Surgery, DNB, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Bangalore
Reconstructive Surgeries - Where All They Are Applicable?

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?

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.

Evaluation
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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3360 people found this helpful

What Are The Risk Factors of Craniofacial Surgery?

Dr. M Rajkumar 86% (100 ratings)
M.Ch (Plastic)
Cosmetic/Plastic Surgeon, Chennai
What Are The Risk Factors of Craniofacial Surgery?

A craniofacial surgery is required when there are deformities or abnormalities present in the head or face area of the patient. Depending on the type of deformity, a craniofacial surgery is done to repair or reconstruct it.

The areas that come under a craniofacial surgeon's domain are the cranium (skull), the brain, the face, skin on the face, facial bones, and the nerves. For this reason, in order to conduct craniofacial surgery, a neurosurgeon and a cosmetic surgeon may often work together.

The time taken for completing a craniofacial surgery may vary between four hours and twelve hours.

Why do you need a craniofacial surgery?

There may be multiple reasons why a patient would require craniofacial surgery. These are:

  1. Tumors in the head or face region are one of the most common causes behind this type of surgery. The surgeries conducted to remove these tumors may sometimes lead to the formation of deformities in the region. A craniofacial surgery is conducted in order to correct them.
  2. This kind of surgery can also be used to correct abnormalities formed as a result of injuries or wounds on the face, the jaw or the head.
  3. Some patients may also undergo a craniofacial surgery in order to correct defects that they were born with. Such defects include Apert Syndrome (a syndrome characterized by the premature fusion of certain bones in the skull), cleft palate or cleft lip and craniosynotosis (premature fusion of certain bones in the skull).

Risks related to Craniofacial Surgery:

Certain risks are associated with this type of surgery. These are:

  1. A craniofacial surgery is conducted after putting the patient under general anesthesia. As a result of this, the patient may suffer from breathing problems, blood clots, infections and blood loss. He or she may also react to the medicine in an unwanted way.
  2. As a result of the surgery, the patient may also lose their bone grafts partly or wholly. He or she may go through cranial nerve dysfunction or damage in the brain. The formation of permanent scars is another possible risk of a craniofacial surgery. Some patients, especially children who are of growing age, may need a follow up surgery later on.
  3. Certain patients can face more risks as compared to other patients. These include patients who are malnourished, or suffer from other illnesses like lupus. Those that have suffered nerve damage in the past are likelier to develop complications. Smoking is also another risk factor.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4063 people found this helpful
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