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Reconstructive Surgery Health Feed

Facial Reconstruction Surgery - How To Prepare?

Facial Reconstruction Surgery - How To Prepare?

Facial surgery can be opted by people for a number of reasons, and these include being born with facial impairments like cleft lip, birthmark or other birth defects, the effects of aging, sun damage or other facial traumas that are noticeable on the face as well as a sense of general dissatisfaction with your facial features. Depending on these factors, facial plastic surgery can be divided into two categories - reconstructive and cosmetic.

Reconstructive plastic surgery is performed for correcting conditions that may be present from birth, including birthmarks on the face, cleft lip and palate, protruding ears and a crooked smile. Conditions resulting from accidents, traumas or burns are also corrected by this type of surgery.
Cosmetic facial plastic surgery is performed to enhance visual appearance of facial structures and features which include facelifts, eye lifts, rhinoplasty, cheek and chin implants and liposuction.

If you are planning to get a facial surgery done, there are certain things you need to do to prepare yourself for it. These are:
1. Schedule a surgery when you are healthy

If you are planning for either of the surgeries, try to schedule it during a period of relatively good health. Your immune system will have the best chance towards a speedy recovery. Scheduling the surgery at the year-end is ideal when you can take a few days off with paid vacation time.

2. Get enough essential nutrients
Your diet, before and after the surgery should be rich in vitamin A, vitamin C, zinc, copper and selenium. They help the wound to heal quickly and in building your immunity, thereby reducing the chances of an infection. You can recover from more comprehensive procedures like tummy tuck, facelift or liposuction by including the requisite nutrients in your diet.

3. Protein intake
Calories and protein are the two most healing elements. Extra protein will help to build new tissue and blood vessels, repair injured tissue and increase production of cells that heal the wound. Choose high quality protein sources like fish, poultry, beans, legumes and meat.

4. Stay hydrated
Consuming 6-8 glasses on the day prior to the surgery is very important to help cleanse and hydrate the body. Since fluid intake is reduced on the day of surgery, water intake is especially important prior to the surgery. To avoid complications during surgery, ensure that you do not drink anything after midnight the night prior to your surgery, unless advised by your surgeon.

Where Is Reconstructive Surgery Applicable?

Where Is Reconstructive Surgery 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? 
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

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

Reconstructive Surgeries - Know Utility Of Them!

Reconstructive Surgeries - Know Utility Of Them!

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 choose how you look in order to get the right aesthetic, reconstructive surgery deals with a more utilitarian and corrective approach.

The Procedure & Benefits Of Hymenoplasty!

The Procedure & Benefits Of Hymenoplasty!

These days everything is available, including a new body. You can get a new nose, jaw, perky breasts and yes, a brand new hymen as well, all through minute surgery. The procedure of hymen restoration or reconstruction is called hymenoplasty, hymenorrhaphy, virginity surgery or just hymen reconstruction surgery. The hymen, as you know is a ring-like membrane in a woman’s vagina. It usually ruptures due to vigorous exercise or sexual penetration. This is also usually the reason many women, egged on by families, decide to go for the reconstruction of their hymen because certain cultures value female virginity and losing one’s virginity before marriage is a taboo.


Benefits
: The benefits of hymenoplasty, if any, are that it allows women to take control of their futures in conservative societies. If she has been sexually active pre-marriage, she can still decide to go for a traditional marriage without the fear of ostracization. Hymenoplasty surgery restores the ability of the hymen to bleed at intercourse on the wedding night. Victims of sexual assault can also use the procedure to get over the traumatic event and its memories. Some women like to get a hymen rejuvenation to feel young again.

Procedure: Hymenorrhaphy can be done months or years after a woman loses her virginity. It must be performed by a gynaecologist. In this procedure, the torn edges of the hymen are sutured back together. If done correctly, the touched-up hymen appears as good as new and bleeds on sexual penetration. Sutures dissolve by themselves after a few days. Hospital stay is only 5-6 hours post hymenorrhaphy. The procedure is done under anaesthesia and it usually takes less than an hour to finish. Patients are discharged from the hospital the same day and are advised not to do any vigorous activity like playing games, climbing stairs, and of course sex.

The risk involved: There are no documented risks of hymenoplasty and there are no complications either if the surgeon is good. If an adverse reaction occurs, it’s temporary. Usually, any discomfort in the private parts and swelling in the outer parts of the vagina usually subsides within days.

Recovery: The recovery time is minimal and the patient can return to work the next day if she wants. Complete healing, though, takes approximately 4 weeks. Good hygiene is important to avoid infection. Patients are advised to contact their doctor immediately after a hymenorrhaphy if there is fever, abdominal pain, bleeding from the vagina or the reconstructed hymen.

Cleft Palate - Know Risks Of It!

Cleft Palate - Know Risks Of It!

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medical practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:

1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time-consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensure a normal development for the child in the longer run, given the surgery were done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

2014 people found this helpful

Reconstructive Burn Surgery - When Is It Recommended?

Reconstructive Burn Surgery - When Is It Recommended?

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 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.
  5. Custom pressure garments should be worn to protect your skin.
3074 people found this helpful

Ear Deformities - Know Classification Of Them!

Ear Deformities - Know Classification Of Them!

Abnormal development of the ear can lead to a lot of complications in the anatomy of the ear such as developmental and hearing problems. It can also give a deformed look to the ear. As such, ear deformity surgery corrects the shape of the ear and facilitates activities inside of it.

Types of ear deformities which can be treated with ear deformity surgery:

  1. Protruding ears: This is also called prominent ears. This condition is characterized by the ear protruding out from the side of the head. It can stick out more than 2cms from the side portion of the head.
  2. Constricted ears: This condition is characterized by the rim of the ear getting wrinkled, folded or tight. This condition is also known as ‘lop ear’ disorder.
  3. Cryptotia: This condition occurs when the framework of the ear cartilage gets partially buried under the skin.
  4. Microtia: This occurs when the external ear is underdeveloped.
  5. Anotia: When the ear is totally absent.
  6. Stahl’s ear: In this condition, the ears are pointy in shape and there is extra cartilage in the scapha portion (groove or depression of the ear).
  7. Ear tagsThey are also known as branchial cleft remnant or accessory tragus. This disorder consists of extra skin and cartilage in the ear.
  8. Earlobe deformities: These include duplicate earlobes, earlobes with clefts and skin tags attached to the ear lobe.
  9. Traumatic ear deformities: Some people have tears, laceration and bite injuries in their ears due to accidents or traumas. It can also be cured with ear deformity surgery.
  10. Cauliflower ear: Sometimes, abnormal cartilage might form on the normal cartilage, this gives an abnormal appearance to the ears.
  11. Ear keloids: This is caused by excessive tissue formation after minor trauma such as ear piercing.
  12. Ear hemangiomas: This is a common form of tumor in infancy. It can not only occur on the ears but also on any other parts of the body.

Ear deformity surgery is performed by a team of experts and plastic surgeons. Ear reconstruction can also be performed after an ear deformity surgery.

2765 people found this helpful

Anterior Cruciate Ligament Tear - How Can It Be Managed?

Anterior Cruciate Ligament Tear - How Can It Be Managed?

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL 

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.
3778 people found this helpful

Can Cleft Lip Be Surgically Corrected?

Can Cleft Lip Be Surgically Corrected?

Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

3493 people found this helpful

Anterior Cruciate Ligament Tear - Quick Recovery Tips For You!

Anterior Cruciate Ligament Tear - Quick Recovery Tips For You!

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL-

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Physical therapy and range of motion exercise is for free knee movement but does not replace the ACL reconstruction. This is also a prerequisite for the surgery to have a free ROM and at the same time it is a requirement for those not getting operated upon for any reason.

  • Surgical Treatment: Once the swelling subsides, surgeons would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Surgeon makes a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.
3741 people found this helpful
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