Surgical Procedures

Surgical Procedures in Mumbai

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Gynecomastia

Male Breast Surgery / Gynecomastia

Gynecomastia Surgery Procedure & Precautions

“Gynecomastia” is a Greek word which means “women like breasts”. Gynecomastia is a swelling of the breast tissue in men. Gynecomastia can affect men of any age or weight. Male breasts are relatively smaller when compared to the breasts of a female. Due to genetic reasons, an imbalance in the hormone levels of estrogen and testosterone, usage of certain drugs or other unspecified reasons, men may develop enlarged breasts. The swelling may reduce over a period of time by itself or it can be treated with the help of male breast reduction surgery.

What is Male Breast Reduction or Gynecomastia?

Male breast reduction is a treatment to reduce the size of the male breasts. It is a procedure that removes the excess fat and the glandular tissue to provide men with a flat, firm and masculine contour to the chest. Male breast reduction is the most consistent and effective treatment for enlarged breasts in men.

When should men consider Gynecomastia?

• If men are conscious to remove their shirt in public to swim, to exercise or to participate in sports
• In case of psychological discomfort or embarrassment
• To improve the overall body
• To increase social confidence

Preparation for the Gynacomastia:

The surgeon may need the complete medical history of the person. The patient may also be asked to perform certain medical tests like mammogram or breast x-ray prior to the surgery as the surgeon may need to examine the breasts.

The patient may have to stop smoking as smoking decreases the circulation of blood and interferes with the healing process.

The doctor may adjust the present mediations taken by the patient and may stop the intake of aspirin, anti-inflammatory drugs, and other medications as it may increase bleeding.

Procedure:

The surgery begins by making an incision in the breast and the excess fat tissues are removed. As the size of the breast may become smaller or flatter, the surgeon may have to reposition the nipple or the aerola.

Care taken after Gynecomastia:

Soon after the surgery, an immediate change is seen in the shape and appearance of the chest. There may be minimal pain but soreness may remain for a few days. The doctor will discuss the dos and don’ts and how to get back to normal level of work and activity. The person will have to follow a strict diet and opt for a healthy lifestyle with regular exercise to maintain the new shape.

Liposuction

Liposuction treatment procedure & recovery steps

Stubborn or excess fat, which occurs on the tummy, buttocks, thighs, hips, and chin, is often a cause of concern for many, including those who aspire to look good. Despite following a sensible diet and dedicated exercise regimen, people face difficulty in getting rid of the stubborn fat. Liposuction a surgical procedure can help these individuals to achieve a leaner, firmer appearance by reshaping their body contour.

What is liposuction?

Liposuction is a cosmetic surgical procedure that involves the removal of localized fat deposits from the body by suctioning. It restores the proper body contour and enhances the aesthetic appeal.

In today’s world, the advancement in the technology and techniques has made the liposuction procedure safer. The benefits of liposuction include the following:

• Facilitates safe removal of fat
• Boost in confidence and self-esteem
• Improves the health condition associated with fat loss
• Helps reshape the body areas which are resistant to diet and exercise
• Reduces pressure on the blood vessels and eases the circulation

Who is eligible for a liposuction?

Liposuction is best suited for the individuals:

• who do not respond to the diet and exercise
• who have firm, elastic skin, and good muscle tone
• who do not have a life-threatening medical condition

How to prepare for the liposuction?

Before the surgery, your doctor might suggest you to undergo certain tests to ensure your body is fit for the procedure. Your doctor would review your past medical and medication history before the surgery. You may be asked to stop certain medications such as aspirin a week or two before the surgery. You must avoid smoking and alcohol consumption as it may interfere with the process of healing after the surgery. Prior to the surgery, it is important that you clear all your doubts about the procedure and address any concerns that you may have.

What does the procedure involve?

There are different types of liposuction and your doctor suggests the one which is suitable for you considering the advantages and disadvantages of the procedure. The liposuction is performed under general anaesthesia.

During the procedure, small incisions are made in the areas to be treated. Then, a thin, hollow tube is inserted through the incisions to loosen the fat deposits under the skin. Now, your doctor will use the suction mechanism to remove the dislodged fat from your body.

Liposuction After care and Recovery Steps:

Post-surgery, the treated areas are covered using compression garments or elastic bandages to help reduce swelling. Your doctor will give you specific instructions regarding the care for surgical sites, medications to be used, and follow-up visits. It may take several days to weeks for complete recovery.

Most people return to normal activities immediately after the treatment. However, it is important to consider returning to work few days after the treatment so as to prevent the post-surgery complications. Although the fat deposits are suctioned out permanently from your body, you must still follow a healthy diet and perform regular exercise to maintain the body contour.

Cosmetic Breast Surgery

Important points about breast augmentation surgery

For women, the size of the breasts plays an important role in defining their self-confidence. The breasts look appealing and attractive when they are full and in a proper shape. Women who want to look beautiful by enhancing their breasts might go for procedures such as breast augmentation to improve their look.

What Is Breast Augmentation?

Breast augmentation surgery is performed to increase the volume of the breasts or to restore the size of the breasts by using implants. The size of the breast is usually lost after pregnancy or weight reduction, and therefore, breast augmentation surgery is performed to bring back the volume in the breasts.

Breast augmentation has a number of advantages:

• It increases the volume of the breasts, makes it look full.
• It improves the balance of the figure.
• It enhances and boosts the confidence and self-image.
• It gives a youthful look.
• It is a long-term solution for achieving an ideal body.

Reasons for opting for breast augmentation:

Women usually opt for breast augmentation due to the following reasons:

• Breasts size that are too small for the body and so it does not look good while wearing a swim-suit or other low-neck tops
• Breasts that are no longer firm after pregnancy
• Breasts that have become small due to weight loss
• One of the breasts is noticeably small when compared to the other
  Patient preparation

Before the surgery, you will have to visit the doctor to get certain blood tests performed. You may have to avoid the intake of certain medications such as aspirin, anti-inflammatory drugs and other specific drugs as it may increase bleeding. Your current medications may be adjusted or replaced with other medicines. You will have to stop smoking as the use of tobacco interferes in the process of healing.

Procedure

The surgeon begins by making an incision under the breasts above or below the chest implant. Once the silicone gel implant is placed inside the breasts, the surgeon seals the cuts with sutures. The chest will be wrapped with gauze bandage and a compression bra is used to provide support and assist in healing.

Care and recovery

You will have to visit the doctor a couple of times after the surgery before you return to your normal level of work and activity. The doctor may check the condition of the breast and may prescribe a few painkillers, in case you experience any pain. Your breasts may feel tight and sensitive to touch. You may find it difficult to raise your arms. Swelling and slight discoloration may occur which will soon resolve.

You should be able to walk soon after the surgery. It is important to walk for a few minutes every hour as it prevents the formation of blood clots. You will be able to get back to your routine within a week. You should be careful while performing activities that strain your upper body like lifting, pulling, pushing or twisting. Follow the instructions given by your doctor and stay healthy.

Breast Reduction Mammoplasty

Breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.

Initially after breast reduction surgery, your breasts will be swollen, and may feel sore and bruised. You will have one drain in each breast for 24 – 72 hours, in most cases. The drain should not hurt when it is removed. You should also avoid heavy lifting and refrain from exercise and other strenuous activities for at least four weeks following the procedure. For extra support, a special soft surgical bra or athletic bra may be recommended. Most of the sutures are buried under the skin and will dissolve on their own. The remaining stitches will be removed in two weeks after the breast reduction procedure. To ensure that the breasts are healing properly, breast reduction patients should attend follow-up appointments for several months after surgery.

Body Sculpting Surgery (Body Shaping)

Body sculpting treatment procedure & recovery steps

Every individual is aiming for a slim body in order to stay fit and active. For the people who are wondering how to get rid of the body fat, body sculpting is one of the best options to reduce fat.

What is body sculpting?

Body sculpting surgery is the procedure to modify and improve the body shape by removing excess fat from the body. It is a cosmetic surgical method of reshaping almost all the areas in the body. Body sculpting includes methods like tuck and Liposuction which are used to achieve a lean and toned figure.

Liposuction loosens the fat from a particular area from the body by using metal tubular instruments connected to a suction machine. Liposuction procedure is performed to remove the fat from various regions of the body like hips, thighs, abdomen, buttocks, arms etc.

Tummy tuck is also a cosmetic surgical procedure which combines the removal of excess fat in the midsection of the abdomen with the surgical tightening of the abdominal muscles. This procedure is performed to make the abdomen firm.

When does a person opt for body sculpting?

Body sculpting is best for the person who needs one or more of the following listed points;

• To perform targeted fat reduction
• To enhance the shape of the body
• To remove moderate bulges
• To maintain a healthy body

How to prepare for the surgery?

A week before the surgery you will have to visit the doctor to discuss a few things about the body sculpting surgery. The doctor would review your medical history to know the current and past medications. You may have to stop smoking as the use of tobacco can interfere in the healing process. You may be asked to stop the intake of certain medications like aspirin and anti-inflammatory drugs as it can increase bleeding. The doctor would also discuss the risks and benefits associated with the surgery.

What is the procedure of body sculpting?

The body sculpting procedure is performed under local anesthesia and it takes about three hours to complete the procedure. An incision is made at the site of surgery and the excess fat is removed from that particular area. The cuts are hidden in the natural folds of the stretch marks. After the removal of the fat, the incisions are closed using a surgical garment to provide support and drainage.

Recovery steps

You will have to visit the doctor a couple of times. He may check for bruising and swelling and would prescribe a few painkillers in case you experience pain. Within 2 to 3 days, patients usually recover. Follow the instructions given by your doctor. Eat healthy and incorporate daily exercise into your schedule to keep your body in shape.

Tummy Tuck/ Abdominoplasty

Treatment & procedure

Unattractive skin folds in the abdomen that occur due to pregnancy, severe weight loss or aging may affect the body contour and aesthetic appearance. Many people struggle to get rid of their bulged tummy even after following a healthy diet and exercise. For those who want a flatter, firmer belly or toner body, tummy tuck surgery or the abdominoplasty might be the best choice.

What is Tummy Tuck Surgery?

The tummy tuck, also known as abdominoplasty, is one of the most common body contouring procedures. The surgery involves removal of excess fat and skin in the abdominal wall and tightening of the abdominal muscles of a flatter stomach.

The tummy tuck also has certain medical benefits that include the following:

• Reduces stress urinary incontinence after vaginal delivery
• Improves the posture
• Prevents future occurrence of hernias
• Reduces the efforts to maintain the weight loss
• Boosts self-esteem

When to opt for a tummy tuck surgery?

• If you have got stubborn fat and excess skin in the abdomen
• If you feel that your belly fat is making you less confident
• If severe weight loss or pregnancy has affected the abdominal contour

The individuals with heart diseases, unstable weight, or those who are planning for pregnancy may not be the right candidates for tummy tuck surgery.

How to prepare for the procedure?

Firstly, you must visit the surgeon to understand the pros and cons of the procedure and to schedule the procedure. Based on the medical evaluation, your doctor will determine whether you are a suitable candidate for the abdominoplasty. Once the surgery is scheduled, your doctor will give certain instructions on how to prepare.

Your doctor might suggest you to avoid taking certain medications such as aspirin that may lead to complications during the surgery. You must stop smoking several weeks before the surgery.

What happens during the Tummy Tuck surgery?

The tummy tuck procedure is performed under general anaesthesia. During the procedure, the surgeon makes an incision in the abdomen where the length of the incision depends on the excess fat or skin to be removed. Then, the surgeon will disconnect the skin from underlying tissue and fat deposits and tightens the abdominal muscles. Finally, the remaining skin is stretched tightly and sutured. The surgery may last for about three to four hours.

Tummy Tuck surgery Recovery Steps:

After the surgery, it may take few weeks to return to the normal activities and work. You must avoid strenuous exercise and lifting heavy objects for about six weeks. Your doctor would prescribe you certain medications after the surgery. You must follow the instructions given by your doctor to avoid the complications.

Face Lift

Face lift surgery procedure & recovery steps

Face lift surgery, which is otherwise called as rhytidectomy, is the most extensive way to reduce or get rid of the appearance of wrinkles and sagging of the face caused due to aging. It is a type of cosmetic surgery, performed to bring a young or a youthful appearance on the face.

What is face lift surgery?

Face lift is a procedure to tighten the skin and also reposition the muscles, skin, and fat. It removes the excess skin on the face and makes the face look younger. Additional procedures may be necessary to achieve best results on the face.
Candidates for face lift

The best candidates who could opt for a face lift surgery are the people who show signs of facial aging but still have some elasticity in their skin.
Preparing for the surgery

Your surgeon will want to review your medical history to know your medical status. The doctor will examine your facial skin and make a note of the scars, skin irregularities and other specifications. The surgeon may also take a picture of the face for medical records. You will be asked to perform a few tests if required. Before the face lift surgery, you may have to avoid medications like aspirin, anti-inflammatory drugs and other medicines that could increase bleeding. You will also be asked to stop eating, the day before your surgery. Try to arrange for help on the day of the surgery and also during your recovery.

Procedure

For the procedure, you are either given general anesthesia or a sedative through an intravenous line or local anesthesia to numb your skin. Next, the surgeon makes an incision that starts in the temple area and circles around the front of the ear. The skin is raised, and the muscle and tissue underneath is tightened. The surgeon may remove some fat and skin. The skin is then re-draped over the face and the incision is sutured. The incision usually falls along the hairline or in a place where the skin would naturally crease so that it does not show after the surgery. Some people are able to have a limited-incision face lift. This surgery uses shorter incisions at the temple and closes to the ear. Sometimes an incision is made within the lower eyelid or under the upper lip. A neck lift can tighten sagging jowls and loose skin under the chin. The incision starts in front of the earlobe and goes behind the ear to the lower scalp.
The face is then covered with bandages.

Recovery steps

The dressings are usually removed 1 to 2 days later. If a drainage tube has been placed (usually behind the ear), it will also be removed 1 to 2 days after the surgery. Your doctor will remove your stitches in 5 to 10 days.

Your doctor may prescribe medicines to relieve pain after the surgery. Expect to have swelling and bruising of the face. Cold compresses can help relieve these side effects.

Keep your head elevated and still as much as possible.

It is important to avoid smoking and even second-hand smoke for 2 to 4 weeks before and after surgery. Tobacco smoke increases the risk of skin and tissue death and will delay your face’s healing process and make scarring worse. Most people can return to their normal activities 2 to 3 weeks after a face lift surgery. At first, your face will feel stiff and will probably look and feel strange to you. This is normal, but it is important to be prepared for it. Numbness of the skin may last for months after the surgery. Your skin may feel rough and dry for a few months. You will have to visit the doctor a couple of times till you recover completely. Follow a healthy diet, a healthy lifestyle and stay happy to look more youthful.

Rhinoplasty (Nose Job)

Rhinoplasty Treatment, Procedure & Aftercare

Many of us are unhappy with the shape of our nose. Some noses are big while some are small. For sure, a sharp nose always intensifies your facial appearance. Are you the one who is concerned about your nose shape? If yes, nose reshaping or rhinoplasty can help beautify your nose.

What is nose reshaping?

Nose reshaping is a complex procedure that is very effective in changing the size and shape of your nose. The procedure can also change the angle of the nose, correct the tip of the nose, bumps and other defects related to the nose. Nose reshaping or rhinoplasty is also effective in treating breathing problems by altering the structure of the nose.

Who are the right candidates for nose reshaping?

You are eligible for a nose reshaping procedure:

• If you have a wide or thin nose
• If you have a bump on the nose
• If your nostrils are too wide and unattractive
• If your nose tip is not in sync with the rest of the face or nose
• If you have a deviated nasal septum
• If your nose is injured or broken

What happens during the procedure?

• Nose reshaping is performed under a general or local anesthesia. It is performed as an outpatient procedure, but sometimes you may have to stay for the night.
• During the procedure, your surgeon makes a small incision to access the cartilage and bone that supports your nose. The incisions are made inside the nose which makes them invisible after the procedure. Depending on the goal of the treatment either some bone or cartilage is removed or tissue may be added. The tissue can be extracted from another
• part of the body or it can be artificial filler.After rearranging the bone and cartilage the skin and tissue are re-draped over the nose. The nose is then supported with the help of a splint from outside. The new perfect shape of the nose appears as it heals.
• What to expect after the procedure?After the procedure, you may experience swelling and bruising around your eyes for 2 days to 2 weeks. You will have to wear the nasal splint for one week. There will be a little swelling on your nose for about six months which is not so prominent. The final shape of your nose will appear gradually once the nose is completely healed.
• What are the risks of nose reshaping?Temporary swelling and bruising around the eyes is common, sometimes you may also experience bleeding, nasal blockage, infection, injury to the nasal septum, and complications of anesthesia.
• Aftercare and recoveryAfter the surgery, it is important for you to make yourself feel comfortable. You must spray saline mist and then place antibiotic ointment inside your nose four times per day. This helps minimize the risk of nasal crust formation. It is important to refrain from smoking until two weeks after the surgery. There may be a slight nasal congestion which will be improved by third or fourth week after the procedure. You must be watchful for any signs and symptoms of complications after the surgery.

Otoplasty (Ear Correction Surgery)

Ear correction surgery is done on protruding ears to make them less visible. The missing fold is created by folding the ear cartilage and the skin is then sutured. It can be done under local or general anesthesia and usually does not require hospital stay.

ear surgery, also known as Otoplasty, can improve the shape, position or proportion of the ear.

• Otoplasty can correct a defect in the ear structure that is present at birth that becomes apparent with development or it can treat misshapen ears caused by injury.
• Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem.
• Specifically ear surgery can treat: Overly large ears — a rare condition called macrotia
• Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss
• Adult dissatisfaction with previous ear surgery

Aesthetic Lid Surgery / Blepharoplasty

Blepharoplasty treatment benefits, procedure & recovery steps

The eye is the key feature of one’s face and eyelid plays an important role in the eye’s health. It protects the underlying tissues, maintains a moist environment and distributes tears across the surface for the removal of dust. As the skin ages, it loses its elasticity as the collagen levels that support the elasticity of the skin begin to decrease. In such conditions, people opt for a treatment called as eyelid uplift.

What is eyelid uplift?

Eyelid surgery which is also called as blepharoplasty is a cosmetic surgical method. Eyelid surgery (blepharoplasty) is used to remove excess skin around the eyes and to reduce bags above or below the eyes. This surgery will make your eyes look younger and fresher. Many people with complaints of heavy, drooping eyelids (particularly late in the day) also find that their peripheral vision is impaired due to the eyelids hanging over the eye. Blepharoplasty may improve this.

Aging may cause loss of elasticity of the skin, and therefore excess skin gets collected on the upper and lower eyelids. Excess skin present on the upper eyelid cause an extra fold of skin to hang on the eyelashes and excess skin present on the lower eyelid develops the formation of wrinkles and bulges. This can be corrected by blepharoplasty.

Benefits of eyelid surgery

• Reduced bagginess from the lower eyelids
• Reduced number of fine lines after eyelid lift
• Fresh and new appearance
• Improved vision

Preparation

The surgeon will want to review your medical history to know your medical status. The doctor will examine your eyelid and make a note of all the specifications. The surgeon may conduct a physical examination that includes testing the tear gland and measuring the parts of the eyelid. An eye test may also be performed to test the vision and the eyelid will be photographed to plan for the surgery.

Before the eyelid lift surgery, you may have to follow instructions like avoiding the intake of aspirin, anti-inflammatory drugs and other medicines that would increase bleeding. You will have to stop smoking as the use of tobacco interferes in the process of healing. Try to arrange for help on the day of the surgery and also during your recovery.

Procedure

You will be given local anesthesia in the area of the surgery. The surgeon will follow the fine lines of your eyelid to make an incision. He will then separate the skin from the underlying tissues. The cuts are closed with the help of small stitches. There are many techniques used to perform the eyelid uplift surgery.

Recovery

Swelling and bruising around the eyes is expected postoperatively. Most of the swelling and bruising will resolve within 2 weeks of the surgery but some residual swelling may take weeks to resolve. Ice compresses to the eyes may help reduce swelling, you may need eye lubrication drops. Antibiotic ointment will be prescribed for you whilst you are in the hospital. You will need to consider taking 7-10 days off work to allow the swelling and bruising to settle. REST is essential to a good recovery. Follow the doctor’s instructions and stay healthy.