FAQs RHINOPLASTY.COSMETICO.

FAQs RHINOPLASTY

Who is a good candidate for rhinoplasty?

If you do not like the way your nose looks and want to improve the function or appearance of your nose, then you might be thinking about getting a rhinoplasty. You are considered to be a good candidate; if you are in good physical health and do not have any serious medical condition. Also, it is essential to have realistic goals and a positive outlook in your mind regarding the procedure.

What is the best age for undergoing a rhinoplasty?

There is a minimum age requirement for getting a rhinoplasty in order to make sure that the facial growth and maturity is achieved, which is 13 year old in girls and 15 year old in boys. There is no cut-off age for elderly patients for having a rhinoplasty; in fact, there are cases of 70-80 years old patients getting rhinoplasty without any complications. However, the ideal age range is anywhere between 20-40 years old as the people of this age have good skin elasticity; statistically, they are in good health and are financially and psychologically well equipped to make their own decisions.

Is it painful to get a rhinoplasty?

During the procedure, you are under the influence of anesthesia; therefore, you won’t feel any pain. However, as everyone heals differently, it is completely normal to experience some discomfort or pain, swelling, bruising, and headaches for a few days after the surgery.

Can rhinoplasty affect normal breathing?

Initially, there is some swelling that occurs inside your nose that can result in some minor breathing problems, but it resolves quickly within 6-12 weeks. Sometimes swelling inside your nose can last up to one year; using ice can help in relieving swelling and troubled breathing. As this inflammation subsides, the internal space of your nose becomes more open, and breathing becomes much better.

What is the success rate of a rhinoplasty?

Rhinoplasty is included in one of the most commonly performed cosmetic surgery, and medical literature confirms that rhinoplasty has approximately 85-90% of success rate.

Will there be visible scars after rhinoplasty?

It depends on the procedure; in the case of closed rhinoplasty, there are no visible scars at all. But in the case of open rhinoplasty, the scars are well hidden on the base of the nose, they are not visible, and they fade with time.

What to expect during a rhinoplasty consultation?

In your pre-operative consultation, the photographs of your nose are taken from different angles and are discussed with you in complete detail. Your nose is examined from inside out, and your concerns about the shape or function of your nose are considered. After mutual discussion, an operative plan is devised based on your needs and priorities.

Briefly discontinuing certain medicines and supplements before getting rhinoplasty?

Intake of certain medicines and supplements, such as aspirin, ibuprofen, and vitamin E, etc., should be discontinued two weeks prior and two weeks after the surgery. You should discuss all your medications and supplements that you are taking with your surgeon to get guidance on which ones to stop taking and when it is safe to start them again. Sometimes certain supplements are added to help in reducing bleeding, swelling and improving the healing process.

Can you drive home after your rhinoplasty?

After getting the rhinoplasty, you can go home the same day, but you should not drive as you would be under the influence of anesthesia. You should arrange for someone to be with you for the next 24 hours. Or you can also choose to stay overnight at the hospital, and the nurses can take care of you.

Why should you avoid exercise right after the rhinoplasty?

Light physical activity such as walking is preferred to start as soon as possible, as it helps in mobilizing the fluids and reducing swelling. Other activities can be resumed slowly and gradually; on average, it takes about two weeks before going back to exercises, but it is recommended to wait 4-6 weeks to start more strenuous exercises, as vigorous activities too soon after the surgery can increase the swelling.

When can you return to work after your rhinoplasty?

It takes about a week before your bandaging is removed and two weeks for your residual bruises to disappear. If your work does not require physical exhaustion like a desk job, you can go back to work after a few days; however, it is up to you whether you want to wait for the bandaging or bruises to go off before going to work.

Does everyone need nasal packing after rhinoplasty?

The purpose of applying nasal packing is to apply direct pressure and provide support to the nasal septum. It is only needed when the rhinoplasty is combined with a septoplasty.

What to eat and drink after your rhinoplasty?

Ideally, after your surgery, you should take soft foods with good fiber content, such as yogurt, oatmeal, peaches, and whole-grain bread, etc. Constipation is quite normal after the surgery because of your limited diet, some medications, and restricted physical activity. You should avoid chewy foods, caffeinated drinks, and salty foods.

How should you sleep after your rhinoplasty?

After your surgery, it is best that your head and nose are above the level of your heart. The position is calculated as a 35-40 degree angle; you can use extra pillows to manage your posture, or if you have a reclining chair, sleeping in it for a week would be a very good option. Maintaining this position of your head and nose is very helpful in minimizing the swelling and reducing nasal congestion.

How long does it require to see the final results of your rhinoplasty?

FAQs LIPOSUCTION

Is liposuction a weight loss procedure and helps to treat obesity?

Liposuction is not a weight-loss procedure; it is a fat reduction procedure that is performed to get rid of stubborn fat deposits.

How does liposuction is performed?

There are different methods to perform liposuction, all methods include using a combination of a cannula which is a hollow tube, and an aspirator which is a suctioning machine, and the stubborn fat is simply suctioned out from the target area.

Can liposuction leave scars?

Significant scarring after liposuction is highly uncommon. Very small incisions, usually less than a centimeter, are made to perform liposuction, initially; for some time after the procedure, there can be red or raised scars, but with time they heal and blend with the skin. Any scars normally go away within one year or so; it depends upon how your body responds to healing.

How much weight can you lose through liposuction?

The goal of liposuction is body contouring, not weight loss; however, during a liposuction procedure, you can lose about 5-10 pounds per session.

Can the fat return after liposuction?

Fat does not return, and the ideal results can be permanent if you maintain a stable weight. Liposuction removes fat cells more or less permanently; in case of weight gain, new fat cells may develop, but the proportion of fat deposits is less in the areas treated with liposuction than in other parts of the body.

What are medical compression garments?

Medical compression garments are made up of strong synthetic fabrics such as nylon and lycra that are designed to stretch and provide a level of pressure that encourages healing after a surgical procedure. They are made in all sizes and shapes so that a wide range of patients may benefit.

Why do you need to wear medical compression garments after liposuction

Your body naturally produces fluids during the recovery period, and these fluids can accumulate and cause swelling, which can prolong the healing process. Compression garment applies even pressure at the treatment area to prevent excess fluid buildup and helps reduce swelling, decrease scarring, and shape your final results.

Who can benefit from liposuction?

Liposuction is beneficial for those who are at or near their ideal weight and are looking to remove the pockets of stubborn fat.

How to prepare for your liposuction?

Your plastic surgeon will equip you with the customized guidance that you need before having liposuction. You will need to discontinue smoking, certain medications, and supplements for some time. You will have to undergo some lab testing and medical evaluation to verify your good health.

When to stop eating or drinking before liposuction?

You should not eat or drink anything eight hours before your surgery, including water and chewing gum.

What is helpful to do on the day of your liposuction?

Get a shower as you will not be able to get one for a few days; you can brush your teeth but do not swallow water. You should not wear any jewelry, makeup, lenses, cream, or lotion. Wear loose and comfortable clothing and arrange for someone to drive you home and stay with you.

What happens after liposuction?

You might experience some discomfort, redness, swelling, bruising, and pain in the first week after your liposuction. The prescribed medications can help you provide comfort and relief.

How long is the recovery period after liposuction?

Healing varies from person to person but in general, and the recovery period requires 5-7 days before you can get back to a desk job and light physical activities, and 4-6 weeks before you can return to strenuous exercises.

When can you see the results of your liposuction?

As the swelling goes down and depending upon how much fat is removed, you will be able to see the final results of your liposuction anywhere between 1-3 months after the procedure.

What can you do to maintain your new look?

You should try to eat a healthy diet, drink plenty of water, and exercise on a regular basis to enjoy your results for a long time.

FAQs BOTOX

How does a Botox treatment feel like?

The procedure for Botox injections is quick with minimal discomfort. No anesthesia or long recovery period is required for this procedure. In fact, you can get botox treatment in your lunch break and return to work after your appointment.

How long does the procedure take?

On average, the botox treatment procedure takes about 15-20 minutes. No anesthesia is required; topical numbing ointment or icing might be used to eliminate any discomfort, especially in pain-sensitive patients.

How are Botox injections different from fillers?

People get these two treatments mixed all the time. The easy way to differentiate them is to know that botox injections limit muscle movement, and fillers add volume in the targeted region.

What to avoid after getting botox injections?

• Avoid touching, rubbing, massaging, and putting pressure on the area.
• Do not perform any strenuous exercises, including lifting heavyweight, workout, and any other activity that raises your heart rate, for at least 24 hours.
• Don’t take a nap immediately after your appointment. If you need to lie down, it is best to lie on your back, avoid lying on your side or stomach.
• Avoid sun and heat for 24 hours after your treatment.

Are botox injections used by women only?

Not at all; many men undergo botox treatment to reduce their facial wrinkles and lines.

How many injections will you receive?

It depends upon what areas you wish to address and the severity of the lines. For instance, the frown lines normally require five injections, crow’s feet area can be treated with three injections, etc.

Can Botox make your face look unnatural and expressionless?

Botox injections offer natural and smooth results without affecting any other muscles when the right amount of the product is used in the targeted muscles. However, it is vital to get it done by an experienced and board-certified specialist to avoid the frozen look.

What should you discuss with your doctor before getting botox?

  • Be transparent about your medical history and any medications you are taking, including natural supplements.
  • Discuss your goals and needs and what you expect out of this procedure.

How to prepare for your botox treatment?

It is best to start preparing for botox injections a week before your appointment. You might be asked to stop taking certain blood-thinning medications and supplements. If you smoke, you’ll have to stop smoking a week before your treatment. These precautions are taken to minimize the risk of complications and ensure the best outcome.

Can Botox injections cause numbness?

As botox is not injected into the nerves, it cannot cause any long-term nerve damage that can result in numbness. Numbness is rare after botox injections; even if it occurs, it resolves quickly.

Is there any long-term impact of botox on your health?

Botox injections are very safe and do not interfere with other systems of your body impacting your health. However, possible side effects can include pain, swelling, bruising at the injection site, headache, and flu-like symptoms; these resolves within a few days.

What is the appropriate age for getting botox injections?

Anyone who wants to benefit from this anti-aging procedure to get rid of their lines and wrinkles can get botox anytime. It is an approved procedure from 18 years onwards; many experts believe 30 is the right age for getting botox because the wrinkles are more developed. Many believe people getting botox after 25 years is a good preventive measure for lines and wrinkles. If you are in your 20s and have deep lines due to genetics, you can begin the treatment, as can those in their 30s, 40s, and beyond who want to refresh their looks. Everything considered, it is a personal choice, and you can choose whenever you want to get the botox injections.

Who cannot get botox injections?

  • Allergic to botox
  • Infection at the site
  • Pregnant or breastfeeding women
  • Certain neurological disorders

How long do the results of botox injections last?

The results of botox injections last for up to 3-6 months. However, you can choose to maintain botox results for a longer duration by undergoing periodic maintenance treatments; with follow-up treatments, the results begin to last longer.

How soon can you repeat the botox treatment?

As soon as your wrinkles return, you can get another Botox treatment.

FAQs FAT GRAFTING

Why go for fat grafting?

Fat grafting gives the added benefit of enhancing one area and slimming down the other. It uses your own body’s fat to enhance the areas that lack the volume to improve your contours for a more natural appearance. Since your own fat is used in this procedure, the risk of tissue rejection or reaction is minimal.

How is the fat taken from the body?

Fat tissue is removed from other parts of your body such as thighs, abdomen, and buttocks through liposuction.

How many fat grafting sessions needed to achieve the desired results?

It depends on the procedure; for instance, one session is usually enough in facial procedures, although a second session can also prove beneficial. But to fill in scars, or in case of breast reconstruction or augmentation, 2-4 sessions may be required, depending upon the need for additional volume.

What type of anesthesia is used during the fat grafting procedure?

For a minor procedure like facial fat grafting, local anesthesia can be used. But in the case of extensive procedures such as breast augmentation, general anesthesia is used.

How long does the fat grafting procedure take?

It can take about one to five hours, depending on where it is being performed. Fat grafting on a small area like lips can take about one hour, and a large area like buttock augmentation can take about four to five hours.

Which parts of the body respond well to fat grafting?

All areas of your body respond well to fat grafting except the lips and laugh lines. You may be required to undergo more than one session to get the desired result in these areas.

What role does fat grafting play in breast reconstruction?

In breast cancer surgery, partial or complete removal of single or both breasts is required. However, this loss of breast tissue can be successfully and effectively restored by fat grafting that can increase the breast size by a full cup per session and achieve the total breast reconstruction with natural results.

What is facial fat grafting?

With time and aging, you lose facial volume, and your face becomes sunken and smaller. Facial fat grafting restores lost facial volume to smooth lines, wrinkles, creases and offers a more youthful appearance. Commonly used in the lips, under the eyes, temples, hollow cheeks, and the lines going from the corner of your mouth towards the nose.

Can fat grafting remove acne scars?

Fat grafting is effective in treating contour defects that are caused by scarring due to acne. It is very helpful in removing the pits, correcting the skin irregularities, recovering the smoothness, and also slowly improving the pigmentation.

Which is better to remove wrinkles, fat grafting, or fillers?

Both of these procedures provide effective management of wrinkles; you should go for fillers if you want immediate and short-term results because the results of fillers last for about 6-12 months. However, if you can spare time for the recovery period and prefer long-lasting results, then fat grafting is the best choice.

How long does it take to recover after the fat grafting procedure?

It takes almost two weeks for swelling and bruising to settle; most people are able to return to their work after 7-10 days. You should expect to be completely recovered after 4-6 weeks of your fat grafting procedure and return to your normal routine.

What should you not do after fat grafting?

You cannot sit, sleep or rest directly on the grafted site and avoid any activity or movement that can put direct pressure on it for at least two weeks. Avoid any strenuous exercises, massage, and weight training as well.

How long do the results of fat grafting last?

Your own fat is moved from one place to another, and when it is transferred to a new place, it lives there permanently, securing the results of fat grafting for a lifetime.

When to consider fat grafting?

You should consider fat grafting if you want to achieve skin rejuvenation and enhance volume anywhere on your body, such as the face, breasts, hands, feet, etc. Or if you have smaller or asymmetrical breasts and are looking to balance or enhance the size.

FAQs STEM CELL THERAPY

What are stem cells?

Stem cells can be called as body’s raw material because these are the cells from which all other cells with specialized functions are generated. Stem cells can be transformed into specific cells such as skin cells, blood cells, muscle cells, etc., that can be used to repair and rejuvenate damaged or aged tissues in people.

How do stem cells play a role in skin rejuvenation?

After a certain age, our cells begin to die, which is why we age. But we can rejuvenate the skin by giving back these cells to the skin. Stem cells enhance tissue healing and promote the growth of new blood vessels, which ultimately leads to improving your skin tone and texture, smoothing out lines and wrinkles, and producing a more youthful appearance of your skin.

How can stem cells help sun-damaged skin?

Within a few weeks after your stem cell therapy, the older sun-damaged elastin network is replaced with the normal, undamaged tissues and structures even in the deeper layers of your skin.

How does stem cell therapy differ in cosmetic and regenerative treatment?

The procedure in both cases is almost the same; however, the intention is different. For cosmetic purposes, the aim of stem cell therapy is to repair the tissue damage done due to aging for a younger appearance. However, it is also being used to treat many diseases because of the ability of stem cells to produce any cells in the body and replace the damaged ones. In medical procedures, the stem cell treatments are injected (e.g., joints) or given intravenously.

Where do stem cells come from to use in the treatment?

Stem cells are extracted from your fat tissue through a mini liposuction procedure. But in some cases, they can also be sourced from other tissues such as blood, and bone marrow, etc.

What to expect from stem cell therapy?

Stem cell therapy can raise the volume and structure of your skin and increase the integrity of your skin by increasing the levels of elastin and collagen.

Where can stem cell therapy be performed?

Stem cells are extracted from your fat tissue through a mini liposuction procedure. But in some cases, they can also be sourced from other tissues such as blood, and bone marrow, etc.

  • It is a minimally invasive procedure and is performed under local anesthesia or an oral sedative.
  • Mini liposuction is performed on the belly fat or other areas of your body to extract fat tissue.
  • The extracted fat is processed to separate stem cells from the fat cells.
  • The stem cells are injected into the desired area for skin rejuvenation.
  • There is some mild bruising and swelling that resolves in a few days.

Where can stem cell therapy be performed?

Stem cell therapy can be performed anywhere in your body. Most common procedures include

  • Facial rejuvenation
  • Neck rejuvenation
  • Hand and feet rejuvenation

What is a stem cell facelift?

Stem cell facelift is a revolutionary procedure when it comes to plastic surgery. It is a minimally invasive facial rejuvenation procedure that uses stem cell technology in creating more collagen and filling tissues with healthy blood circulation resulting in a glowing and youthful appearance.

How is a stem cell facelift different from a traditional facelift?

Traditional facelifts contour your face by tightening the underlying structures to take away the looseness and provide a wrinkle-free appearance. Stem cell facelift is a less invasive procedure that can provide facial contouring using stem cell injections harvested from your own body fat.

Who should consider having stem cell skin therapy?

Anyone with unwanted skin laxity, wrinkles, spots, scars, sagging on their skin can consider having stem cell skin therapy treatment. Since your own cells are used, the risk of rejection or side effects is very little.

How does stem cell therapy differ from a fat grafting procedure?

Although both treatments use your own body fat, the main difference lies in how this fat is then manipulated in the lab to gain the required ingredient. As a result, the solution that is then injected into the desired area is different in both procedures.

FAQs GYNECOMASTIA

How does gynecomastia look like?

It starts as a little lump under your nipple, and if it does not go away with time, it can grow bigger, causing the nipple to stick out, resulting in puffy and pointy nipples. The breast tissue feels firm and rubbery. Normally it is not too noticeable, but in extreme cases, gynecomastia can look like a women’s breast.

How to check yourself for gynecomastia?

  • Feel for soft lumps under your nipples on both sides. It can be in one or both breasts, and the size may vary.
  • Check for pain or tenderness, especially when you touch or press.
  • The ability of your nipples to appear forward through the fabric of your shirt is a key sign of gynecomastia.

Can gynecomastia go away with the help of diet and exercise?

Since the cause of true gynecomastia is the presence of excess glandular tissue, it cannot be resolved with weight loss and exercise; male breast reduction surgery is the only effective way of treating gynecomastia. However, obese or overweight individuals can benefit from losing weight and improve their overall post-surgical appearance.

What is the difference between true gynecomastia and pseudo gynecomastia?

Both gynecomastia and pseudogynecomastia may look the same in the male chest, but they are different conditions. Male breast enlargement due to accumulation of chest fat occurs in pseudogynecomastia. In contrast, in true gynecomastia, there is an increase in the glandular tissue or breast glands, causing the enhancing the size of male breast tissue.

How to know if you have chest fat or gynecomastia?

  • In gynecomastia, you can feel a firm lump under your nipples. It gives a firm appearance to your chest.
  • In chest fat or pseudogynecomastia, you don’t feel a lump or firmness in a specific region, rather the fat is soft to touch, and it feels the same throughout your entire chest region. It gives a saggy appearance to your chest.

Can obesity cause true gynecomastia?

Obesity is a very common cause of gynecomastia in men. In obese men, the levels of an enzyme called aromatase increase, which converts the testosterone into estrogen, causing an increase in the levels of estrogen in your body. These increased levels of estrogen stimulate the growth of male breast tissue, leading to gynecomastia.

How long does gynecomastia surgery take?

Gynecomastia surgery can be carried out under general anesthesia, and it takes about 1-2 hours, and you can go home the same day. You will need someone to drive you home and stay with you for at least 24 hours so you can recover from the influence of anesthesia.

How long does it take to recover from gynecomastia surgery?

The recovery time varies from person to person and the amount of tissue removed; generally, you will feel mild swelling, pain, soreness, and bruising for the first few days. You might need to put on a compression garment for a week. If you have an office job, you can return to work after 3-4 days. You will have to avoid heavy lifting and strenuous exercises for 3-4 weeks. Typically the complete recovery time for gynecomastia surgery is 4-6 weeks.

Will gynecomastia surgery leave any scars?

Gynecomastia surgery results in minimal scarring, with most of them hidden under the armpits. If your male breast reduction surgery is combined with a breast lift as well, you will have some scars around your areola that are well hidden in the pigmentation of your skin.

Can gynecomastia return after the surgery?

Most people are able to get rid of their gynecomastia permanently through surgery, and the gynecomastia does not typically come back. However, in some cases where the cause still remains and stimulates the growth of breast tissue, such as certain medications, herbs, lifestyle or taking steroids, etc., there is a chance of recurrence of gynecomastia.

Can gynecomastia surgery be performed with other cosmetic procedures at the same time? 

Multiple cosmetic surgeries can be performed at the same time as long as you are in good health. Gynecomastia surgery is often combined with a tummy tuck, liposuction of the abdomen and flanks, and body contouring procedures. Other procedures such as rhinoplasty (nose reshaping), facelift, etc., can also be performed.

FAQs HAIR TRANSPLANT

What is the most typical cause of hair loss?

Hair loss is basically caused by a combination of;

  • Aging
  • Family history of baldness
  • Change in hormones

As a rule, the earlier your hair loss begins, the more severe your baldness will become.

Who can consider being a good candidate for a hair transplant?  

You may be a good candidate for the hair transplant if you have good hair growth on the sides and the back of your head to serve as donor areas for hair grafts. It is important to understand that all transplant techniques use your own existing hair, and other factors such as color, texture, waviness, or curliness of your hair affect the cosmetic result of your hair transplant.

Can other areas be used as donor hair for hair transplants? 

In case of lack of donor scalp hair, fine caliber body hair can be utilized in addition to scalp hair. The characteristics of body hair are taken into account, and hair follicles from the beard, trunk, and extremities can be used to compensate for the inadequate amount of donor scalp hair.

Can donor hair grafts be taken from other people? 

Hair transplant uses hair from your own body only due to compatibility issues. Hair restoration is not performed using another person’s hair to avoid rejection of donor’s hair and other complications.

How long does it take to get done the hair transplant procedure? 

Hair transplant procedures take anywhere between 4-8 hours, depending upon the technique used and the size of the area being treated.

How many sessions are needed for a hair transplant? 

Most of the time, one session is enough to achieve the desired results; however, in case of more egregious alopecia, follow-up procedures might be needed.

Will hair transplant surgery leave scars? 

For punch grafts single stitch can close each punch site and don’t leave any noticeable scar; however, in strip graft, a small linear line scar occurs, which is concealed by the surrounding hair.

How to prepare for a hair transplant procedure? 

You will be given specific instructions for your surgery, including guidelines on eating and drinking, smoking, and taking or stopping certain medicines and vitamins. If you smoke, then you will have to stop at least a week or two before the procedure as it can inhibit blood flow to the skin and interfere with healing. Following these instructions can help your surgery go more smoothly.

How is the hair transplant procedure performed? 

 

  • Marking; first, the receiving and the donor area is marked in front of the mirror.
  • Anesthesia; Then local anesthesia is administered
  • Harvesting; Hair will be harvested from your donor area
  • Graft preparation; Then hair grafts will be prepared
  • Implantation; the last step includes the implantation of hair grafts in the bald area.

Can hair-fall occur after the hair transplant procedure? 

It is completely normal and temporary in many cases for the new hair to fall out after five to six weeks. After the hair falls out, it takes another five to six weeks for hair growth to resume. You can expect half an inch of hair growth per month.

Who can benefit from PRP therapy for hair restoration?

Platelet-rich-plasma (PRP) therapy can help with hair loss in people who began to lose their hair within recent five years; hair loss longer than this duration causes the hair follicle to become too small that promoting hair growth won’t make a difference.

When can the final results of the hair transplant procedure be seen? 

55% of new hair growth is noticeable after five to six months; during this time, new hair is thick and long, and the texture starts to improve. After about eight months, the hair becomes thicker and darker, and the final pattern of hair growth becomes clear. Any significant changes stop within twelve months, you can see the optimal results of your hair transplant in 12 to 18 months, and at this point, hair achieves the right density, length, and texture.

What to expect during the recovery period after the hair transplant procedure? 

Your recovery period depends upon the extent and complexity of your procedure. Most people are able to return to work after two to five days. Any pain, excessive tightness, or throbbing can be managed by pain medications. You may experience some bruising or swelling that will resolve in a week or two. Vigorous and strenuous activities that can increase your blood flow should be avoided for three weeks.

Can PRP treatment help in hair restoration? 

Platelet-rich plasma (PRP) therapy can help in restoring lost hair, specifically in androgenic alopecia, by stimulating new hair growth from the existing dormant hair follicles and strengthening and thickening your current hair.

Will the transplanted hair eventually fall out?

The transplanted hair will keep growing for the rest of your life. The transfer of the hair follicle is permanent. Once the healing process is complete and the hair follicles start to grow hair to fill out the bald patches, this hair will continue to grow naturally as you get old.

FAQs BURN SURGERY

Can burn victims get plastic surgery? 

Yes. Performing Reconstructive burn surgery after burn injury is a standard protocol done to regain the normal function and appearance of the skin as much as possible.

What is reconstructive burn surgery?

Reconstructive burn surgery is performed to improve the function and cosmetic appearance of burn scars. This includes altering scar tissue using different techniques like grafting, flaps, tissue expansion, etc. following are the goals of reconstructive burn surgery;

  • Achieve wound closure
  • Prevention of infections
  • Cosmetic enhancement
  • Re-establish tissue loss
  • Decrease functional restrictions and contractions

What happens in plastic surgery for burns? 

Basically, in plastic surgery for burns, the burnt skin and tissues are replaced with healthy skin and tissues to improve the appearance and function of the burned area.

When is reconstructive burn surgery needed?

Fortunately, most burn injuries are minor and require only first aid treatment. However, burns that are deep and affect a large area of the body are far more serious and can be life-threatening, and can involve intensive care treatment and several operations. The seriousness of a burn injury is determined by

  • How much area is burned (body surface area BSA)
  • Prevention of infections
  • Age and general health of the burn victim

What is burn contracture? 

A contracture is a serious complication of a burn. If you get a contracture, you are not able to move the scarred area normally. Contracture occurs when burn scars thicken, mature, and tighten. They can prevent movement and make daily functions extremely difficult to perform. They usually occur when a burn injury covers a joint.

Can burn surgery treat burn contractures? 

Yes. Once established, burn contractures can be corrected with reconstructive burn surgery using different techniques, including serial splinting, the release of contracting bands with Z plasties, incision and skin grafting, excision, and resurfacing with skin grafts or flaps, free flaps reconstructions, or using tissue expanders.

Can plastic surgery treat the burn scars of the face? 

Yes. Facial reconstruction surgery is performed to regain both the function and appearance of facial features.

How long is the healing period of skin grafts? 

The donor site of the graft heals within one to two weeks. The graft site will be covered with a sterile dressing until the graft has connected with the surrounding blood supply, which usually takes up to five to ten days. A bandage is also placed at the donor site of the graft to provide protection. At first, the color of the grafted skin may appear red or purple, but it will start to look like the surrounding skin over time. It can take up to a year or two for the final appearance to settle down.

When is the tissue expansion technique used in burn reconstruction surgery? 

In tissue expansion, extra skin is grown by stretching the tissues; it is used in case of large burn wounds when your body does not have enough amount of normal skin to use as grafts.

What skin changes to expect after plastic surgery for burns? 

Be patient with your healing after plastic surgery to repair burns. You will notice changes in the color, appearance, and feel of your skin at the surgical site. You might also experience some tingling, numbness, pain, or minimal feeling around your incisions. This is normal, and it will continue to improve in the next few months.

What should be the expectations in terms of treatment and outcome of plastic surgery for burns? 

Plastic surgery for burn injury has proven to be very successful as it has shown dramatic results in many cases. The amount of treatment required and the recovery period depends upon the severity of burns, your age, and general overall health. Patients with major burns can need many procedures to improve their function or appearance.

How long the recovery takes after-burn reconstruction surgery?

What you experience after a serious burn depends largely on the extent of damage and severity of your skin. For a minimum of three to four weeks after the surgery, you will need to avoid any activities that could stretch or injure the site. According to your specific situation, your plastic surgeon will guide you to resume your normal activities. For the skin to get back to normal varies from person to person; roughly, it can take anywhere from one to two years, more or less, to restore the function and appearance completely.

FAQs BLEPHAROPLASTY

What is the purpose of blepharoplasty? 

Blepharoplasty remove excess skin with quality conduct, fatty tissue and muscle from your upper and lower eyelids to;

  • Correct puffiness in the upper eyelid
  • Remove loose skin that hangs down from upper eyelids
  • Enhance vision blocked by droopy eyelids
  • Remove the puffy bags under the eyes
  • Remove excess skin and fine lines in the lower eyelids
  • Treat certain eyelid conditions

How to know when you need a blepharoplasty? 

  • If the droopy eyelids are constantly making you look tired, unhappy, or older than your age.
  • Heavy sensation, headache or brow ache due to working your forehead muscles in an effort to lift your drooping eyelids.
  • Constant eye irritation due to excess skin touching the eyelashes.
  • Interference in your vision from eyelashes in the centre or drooping of eyelids in the corner.

Why do people get lower eyelid blepharoplasty? 

People who get lower eyelid blepharoplasty are usually bothered by;

  • Inflated fat pads in the lower eyelids
  • Watery eyes due to eyelids not sitting properly against the eyes
  • Tired or sad look as if they have not slept well

What are the medical conditions that need blepharoplasty? 

If your drooping eyelids are interfering with your vision, then blepharoplasty becomes a medical necessity for you. A comprehensive eye examination diagnoses your problem.

Following are certain conditions that require blepharoplasty;

  • Blepharospasms
  • Entropion eyelid
  • Ectropion eyelid
  • Skin irritation
  • Muscle strain
  • Ptosis

Are there any visible scars after blepharoplasty surgery?

Most of the time, there are no prominent scars after the healing is complete. This is because, during the procedure, the incisions make within your natural skin folds and creases. With time, the hairline scars fade and blends in with the natural colour of your skin.

What to expect during the recovery period? 

You should expect some swelling, bruising, pain, light sensitivity, double vision, and discomfort after your surgery. These symptoms can be easily managed with pain medication, cold packs, keeping the head elevated while lying down, and lubricating eye ointment. If it doesn’t bother you going to work with mild swelling or bruising, you can return to work within two to three days; otherwise, you will need about a week off from work. Heavy exercises and contact lenses should be avoided for the first two weeks.

What is transconjunctival blepharoplasty? 

During transconjunctival blepharoplasty, the incision is made inside the lower eyelid to avoid external scarring. This technique can be used in some patients and successfully removes the fat, eye bags, and loose skin from the lower eyelid.

How to know whether you need an upper eyelid lift or a brow lift? 

  • If you push up your eyebrow to an ideal height, not too high, and the sagging of your eyelid is mostly corrected, then you may need a brow lift.
  • If your eyebrow is located above your eye socket and still your upper eyelid is drooping down, then an upper eyelid lift is performed.
  • Sometimes some people need both procedures for the desired results; your plastic surgeon can guide you best for the final decision after examining.

Can you get a blepharoplasty after LASIK surgery? 

Yes. Many people realize after their LASIK surgery that their glasses masked their eyelids, and they can now benefit from blepharoplasty. These patients are excellent candidates for cosmetic eyelid surgery.

Can blepharoplasty help with dark circles? 

Yes and no. If your dark circles result from shadowing due to bulging fat or bags, they can be corrected by lower lid blepharoplasty. But if your black circles are due to skin pigmentation changes, blepharoplasty can improve the condition, but you will need to consider other

Can blepharoplasty change the shape of the eyes? 

After blepharoplasty, your eyes as a whole looks different and better, and to some extent, the shape is changed. However, blepharoplasty does not change the fixed structures of your eyelid, such as where it attaches towards your nose and to the temple, so the eyelids’ fundamental shape stays unchanged.

Can blepharoplasty be performed only on one eye?

Yes. Blepharoplasty is usually performed on both eyes, and it is the preferred approach; however, it can also be performed on one eye only when needed.

Why choose blepharoplasty over other treatments? 

Blepharoplasty can quickly and easily correct drooping eyelids and other surrounding tissues such as under-eye bags, tired-looking eyes, etc. In most cases, these problems cannot be resolved in the long term with injectables, topicals, or other treatments. The best option for long-lasting correction is eyelid surgery.

Are the results of blepharoplasty permanent?   

The results of blepharoplasty are designed to last a lifetime and rarely needs to be done again. However, it can slightly vary among different patients due to the difference in the quality and elasticity of the skin.

FAQs FACELIFT

How to know when you need a facelift? 

There is some genuine reason to know when you need a facelift.

  • You might want to consider getting a facelift if you have sagging skin that easily pulls away from your face and neck and hangs loosely.
  • Visible muscles in the neck cause banding in your neck
  • Extra fat in the neck
  • Loss of clear border between face and neck,
  • Deep lines from the corner of your mouth to the jaw
  • Lines from nose to the corners of your mouth, and visible jowls.

What happens during the procedure? 

The whole procedure can take anywhere between two to five hours; there are different techniques to perform a facelift, but the following is done;

  • Sculpt or remove facial fat
  • Reposition underlying tissues
  • Lift facial muscles

Where are the scars located for a facelift procedure? 

This depends upon which type of facelift you have had. Very small incisions are used in all facelifts, and they are concealed in your hairline, natural contours of your face and behind the ears to reduce the visibility of scars. With time these scars fade and blend in with your natural skin colour.

When is reconstructive burn surgery needed?

Fortunately, most burn injuries are minor and require only first aid treatment. However, burns that are deep and affect a large area of the body are far more serious and can be life-threatening, and can involve intensive care treatment and several operations. The seriousness of a burn injury is determined by

  • How much area is burned (body surface area BSA)
  • Prevention of infections
  • Age and general health of the burn victim

What is the best facelift procedure? 

There is no best facelift procedure because the right procedure for you depends upon your facial anatomy, skin and desired goals. If one procedure looks good on someone, that doesn’t mean it is right for everyone.

Does the facelift also include the neck? 

Yes. In most cases, a lower facelift comprises your neck as well

Can you have a neck lift without a facelift? 

Yes. You can have a neck lift as a separate procedure.

What is the difference between a facelift and a neck lift? 

A facelift mainly targets your face and partly improves your neck’s appearance as well. Whereas a neck lift only focuses on restoring the younger appearance of your neck.

What not to expect from a facelift? 

A facelift helps in skin rejuvenation and can take almost 10-15 years off your face. Still, a facelift is not the right treatment for superficial wrinkles, sun-damaged skin, creases around the nose and upper lip, or skin irregularities.

Can non-surgical facelifts give effective and long-lasting results?

No. There exists no such thing as a non-surgical facelift as they cannot provide the same results as a traditional facelift. For example, fillers can restore some volume and reduce wrinkles, but the results are not long-lasting, and they cannot elevate the sagging skin, remove excess skin or fat, and tighten facial structures. However, non-surgical alternatives can provide a good temporary solution for some mild to moderate ageing signs

How to know whether you need fillers or a facelift? 

Dermal fillers can restore volume, reduce wrinkles and plump up the skin, and are useful in younger patients. But the results of fillers last up to six months, and overuse of fillers can cause filler fatigue. On the other hand, a facelift is a good option for you if you are looking for a long-lasting treatment and want to get rid of hanging skin, extra fat, double chin, and jowls.

Do you have to “redo” your facelift? 

No, if you don’t want to. Getting another facelift procedure after some years is always your own choice. You can get one if you feel like it or not get another one if you don’t want to.

Can laser treatments give you the same results as a facelift? 

No. laser treatment can remove broken capillaries and brown spots, but they cannot lift the sagging skin and tighten the skin as much as a facelift can.

Does a facelift also include eyes, brows, and forehead? 

No. Blepharoplasty and brow lift is performed to improve eyes, eyebrows, and forehead. These procedures can be combined with a facelift or performed separately, depending upon what you need. 

For how long do the results of the facelift last?

You look better for the rest of your life; it’s not as if the results of facelift go away one day, and you look as if you never had one. On the contrary, a Facelift provides long-lasting results that can last up to 15-20 years. The only thing that prevents it from providing permanent results is the ageing process.

FAQs HAND SURGERY

Can plastic surgeons make your hands look younger with hand surgery? 

Yes. With time the thin skin on the hands starts to wrinkle, and soft tissues start to disappear, giving a bony look to your hands. But the cosmetic hand surgery can fill and rejuvenate your hands to achieve younger-looking hands and can help you with;

  • Loss of soft tissue and fats
  • Floppy or flaccid skin
  • Visible veins and tendons
  • Skin pigmentation
  • Lines and wrinkles
  • Deterioration of skin quality
  • Loss of fullness

What is hand rejuvenation, and how it is performed? 

The age-related changes can be corrected by hand rejuvenation techniques. The primary method of correcting these changes is through fat transfer. Fat transfer or grafting is being used safely for a variety of conditions, including breast augmentation, correction of contour deformities etc. The procedure includes;

  • Taking your own fat from another part of your body using liposuction.
  • The fat injections are prepared.
  • Then the fat is injected under the skin of your hands.

The procedure does not take long, and you can go home the same day.

Why choose fat transfer for aging hands? 

Fat transfer for younger-looking hands can be very beneficial because

  • Fat from your own body is used, minimizing the risk of an allergic reaction
  • Results are long-lasting
  • It provides very soft and natural-looking results
  • The procedure can be combined with other fat transfer procedures such as facial wrinkles.

When can structural fat grafting in hand surgery be used? 

Structural fat grafting is used in hand surgery for both hand rejuvenation and reconstruction

Who can perform hand surgery? 

Hand surgeons are plastic, orthopedic, or general surgeons with additional training in the surgery of the hand.

Why is hand reconstructive surgery done?

Hand reconstructive surgery is done to restore the function of your hands. It can be helpful in several conditions, including;

  • Hand injuries
  • Infections of hand
  • Degenerative changes in the structures of your hands
  • Problems or abnormalities of the hand that are present at birth
  • Rheumatic diseases such as osteoarthritis, rheumatoid arthritis can change and damage the structure of your hands

How to know when you should consider reconstructive hand surgery? 

Many hand conditions are treated or managed through non-surgical methods. If you are undergoing any problems with your hands, you might need to consult a hand surgeon if;

  • Non-surgical treatments are not working for you
  • You cannot perform your daily tasks
  • You have had an injury
  • You have constant or recurring pain
  • You have a restricted range of motion, and you cannot move your hands freely.

Are you awake during hand surgery? 

Many hand surgical procedures such as carpal tunnel syndrome release, tendon repairs, nerve repairs, removal of masses, etc., can now be performed under local anesthesia, which means you will be awake during the procedure. You will be administered an injection to numb your hand to prevent pain, and you may also be given some medicines to help you relax.

What are the common conditions that can be treated with hand surgery?

Some of the common conditions that can be easily treated with hand surgery are:

  • Carpal tunnel syndrome
  • Dupuytren’s contracture
  • Trigger finger
  • Mallet finger
  • Having extra thumb or finger
  • Cubital tunnel syndrome
  • De Quervain’s tendonitis
  • Ganglion cysts
  • Tendinitis
  • Tenosynovitis
  • Raynauds syndrome
  • Traumatic hand injuries, etc.

Are both hands treated at the same time during reconstructive hand surgery? 

It depends upon the severity of the patient’s condition. We can operate on one hand at a time to allow you to use one hand as your other hand recovers. However, in case of a serious condition, surgery is completed on both hands at the same time, and the recovery process begins at once for both hands.

How long does it take to recover from hand surgery?

Most of the hand surgeries are minor surgeries and not very difficult to recover from. Normally the patients are able to go home the same day wearing only a light bandage. Your recovery period depends upon the type of surgery you have had. After your surgery, you may experience some aching, throbbing, discomfort, swelling, pain, and bruising. The duration of these symptoms depends upon the complexity of your procedure. In case of minor procedures, you can return to work after two to three days, but in case of complex surgery, you’ll need more time.

FAQs BREAST AUGMENTATION

Why is breast augmentation done?

Breast augmentation or boob job can help you with

  • Enhance your appearance if you think your breast size is small or one is smaller than the other.
  • Adjust the reduced appearance of your breast size after pregnancy and significant weight loss
  • Correct uneven breasts after breast surgery for other conditions

Improve your self-confidence

What is the difference between a breast lift and breast augmentation?

Breast lift is designed to lift and change the shape of your breasts, whereas, in breast augmentation, the size of your breast is enhanced with the help of breast implants or fat transfer. Oftentimes both procedures are performed together to achieve the desired contour.

Do you need a breast lift with your breast augmentation procedure?

This question is better answered after an in-person examination as many factors are taken into account while deciding, such as

  • Nipple position; if your nipple position is below your breast fold, then only adding implants won’t help, and you’ll end up with a nipple pointing downward off your implant; getting a breast lift will be helpful. On the other hand, if your nipple is at, just above or above your breast fold, you may not require a breast lift, and you may do just fine with getting implants alone.
  • Breast tissue position; if most of your breast tissue lies below the fold (pseudo ptosis), you will need a breast lift to get the best shape.
  • Breast skin quality; if you have stretched and loose breast skin, getting a breast lift in addition to implants will give you the best results.

What is the position of the scars associated with breast augmentation?

Experienced plastic surgeons do everything possible to minimize the scars. There are multiple ways to perform breast augmentation, and it depends on how much the breast tissue needs to be moved. The scars resulting from breast augmentation can be located on;

  • Under your arm
  • Around the nipple
  • Round the nipple and down the front

All the way around the nipple, then down the front and underneath the breast

What does the recovery process look like after breast augmentation surgery?

It is a one to two-hour-long surgery, and you can go home the same day. You can expect to be up and walking after a few hours of your surgery. You can return to work within three to four days. You can start light exercise after two to three weeks, and for more rigorous activities, you have to wait until almost six weeks.

What is the difference between smooth surface and textured surface breast implants? 

A smooth breast implant has a thin and polished shell which helps it to give a soft and natural look. It tends to move around freely like natural breast tissue. Whereas textured implants have a thick shell that helps them create a firmer feel, they do not move around freely. Smooth implants are frequently used, but textured implants are needed in other cases to achieve the desired look. You can reach the right decision after an in-person examination and discussion with your plastic surgeon. The type of breast implant that works for you depends upon how you want your breast to look and feel.

Which is better fat transfer or implants for breast augmentation? 

Fat transfer for breast augmentation is a natural and advanced way of enhancing breast size. If you have spare fat on your hips, thighs or abdomen, you are a good candidate for fat transfer breast augmentation. Fat transfer can be a good choice if you want a mild to moderate increase in your size, approximately about ½ to 1 cup size and would like to avoid having breast implants. However, if you are looking for more than one cup size increase, breast implants are a more reliable and consistent procedure.

What is the influence of breast augmentation on breastfeeding? 

It is a very common misconception that breast augmentation interferes with breastfeeding. During the procedure, considerable care is taken to ensure that milk ducts are not disturbed; therefore, breast augmentation will not have an impact on your ability to breastfeed, and you will be able to breastfeed normally after your surgery.

What is the effect of pregnancy on breast augmentation?

The hormones and weight fluctuations during pregnancy will potentially increase your breast size. When those hormones go away, your breast tissue may or may not shrink down; in either case, you will continue to enjoy the fantastic results of your breast augmentation.

How long do the results of breast augmentation last? 

Breast implants are not meant to last forever, but they don’t have a specific lifespan. While no one can speculate with absolute certainty how long the results of breast implants will last but generally, the results last for 15 to 20 years. Also, you can take steps to maintain your results for as long as possible such as;

  • Staying out of the sun
  • Maintaining a stable weight
  • Not smoking, etc.

FAQs ABDOMINOPLASTY

How much weight can you lose with a tummy tuck? 

You can lose up to 5-10 pounds with a tummy tuck, but it is not considered to be a weight-loss procedure; in fact, the ideal candidate for abdominoplasty is considered to be someone who is close or at their ideal weight and is troubled by the appearance of a protruding belly or saggy loose skin on their abdomen. A tummy tuck can help you lose inches in your midsection and drop clothing sizes.

What is the difference between a mini-abdominoplasty and a full abdominoplasty? 

Both of these procedures involve removing excess skin and tightening abdominal muscles. However, the difference between the two procedures is that the full tummy tuck includes the area above and below your belly button, whereas the mini tummy tuck only involves the lower abdominal area.

What to expect after the abdominoplasty surgery? 

  • After your surgery, you will be put in a compression garment which will be used for 4-6 weeks to help with swelling.
  • You may experience some pain or discomfort that will be easily managed by the prescribed pain medications.
  • You will be slightly bent at the waist while standing or lying down for 7-10 days to protect the incisions and allow the skin to adapt. After this time, you will be able to stand up straight.
  • If a drain is put, then it will be taken out as soon as the fluid output is low enough, which takes about 1-2 weeks.

Is it okay to have abdominoplasty before having kids? Can abdominoplasty interfere with pregnancy? 

No, abdominoplasty does not interfere with future pregnancies. Some people think that because abdominoplasty surgery tightens the abdominal muscles, it might interfere with future pregnancies, but abdominoplasty does not have any negative impact on pregnancy. However, future pregnancies after abdominoplasty impact the results of abdominoplasty and may raise a need for another tummy tuck. Therefore it is recommended to wait until you are done having children. Doing so can help ensure that the results of a tummy tuck last long and are not impacted by the bodily changes occurring during pregnancy.

Can abdominoplasty remove stretch marks? 

Stretch marks are in the skin, and because the skin is removed during a tummy tuck, some stretch marks are removed, some get repositioned lower on the abdomen, and some might stay unaffected. The goals and priorities are set during the consultation, and the outcome can vary from person to person.

What is the difference between liposuction and tummy tuck? 

A tummy tuck removes excess skin and tightens the abdominal muscles, and liposuction is used to remove excess fat. Liposuction does not remove excess saggy and loose skin. Liposuction and tummy tuck are often used together to achieve the desired contour.

Why is liposuction not enough to remove the extra belly fat?

For some patients, liposuction is the ideal procedure to remove excess abdominal fat. If your protruding abdomen is primarily composed of fat and your skin tone is good enough to contract after the removal of fat and won’t get loose and saggy, then liposuction is recommended. However, having excess or saggy skin and loose abdominal muscles prevents liposuction from giving the ideal results, and a tummy tuck is needed.

What are the medical reasons to get a tummy tuck? 

A tummy tuck can be deemed as a medical necessity in the following cases

  • To correct diastasis recti
  • To correct a ventral hernia
  • Reduce stress urinary incontinence
  • Improve posture and back pain
  • Improve abdominal tone
  • Excess skin following significant weight loss

What is the recovery period after abdominoplasty surgery? 

You can walk on the day of your surgery. In fact, it is encouraged to walk three times a day after your surgery to improve circulation and avoid blood clots. However, running, lifting heavy weights, and other strenuous activities should be avoided for six weeks after the procedure. On average, people are able to return to work after two weeks. The bruising subsides within a couple of weeks, and the swelling will continue to diminish until approximately three months. Your scars will continue to heal and will become thinner and lighter in color at around 12-18 months.

What are the risks of abdominoplasty surgery? 

Like in the case of any other surgical procedure, there is a small risk of infection and bleeding. Certified plastic surgeons take great care to make sure that these risks are kept to the absolute minimum. Additionally, there is also a small risk of blood clots in the legs and lungs. Adequate precautions such as using blood thinners and compression bandages are taken to avoid any complications.

What are long-term considerations after abdominoplasty?

With stable weight, the results of abdominoplasty last a lifetime. However, if you experience any weight fluctuations or get pregnant, the results of your tummy tuck can be affected.

FAQs DERMAL FILLER

Where can dermal fillers be used? 

Dermal fillers can be used for facial contouring and to treat static lines, i.e., the lines which remain on your face even when it’s relaxed and expressionless. The treatment areas include;

  • Eye bags
  • Nose (liquid rhinoplasty)
  • Cheeks
  • Marionette lines (lines extending from corners of the mouth down to the chin)
  • Nasolabial folds (lines on either side of the nose)
  • Lips
  • Chin
  • Jawline
  • The neck
  • The back of the hands

Dermal filler injections can be used to alter and define facial features like nose, jawline, and chin, as well as for treating acne scars.

What is liquid rhinoplasty?

Liquid rhinoplasty, also called a non-surgical nose job, effectively and strategically uses dermal filler injections to enhance the shape of the nose, straighten a hooked nose, correct asymmetry, or create a slight turn-up.

How to prepare for the dermal filler procedure?

After a detailed consultation with your cosmetic surgeon, you will be given customized guidelines for the preparation of the procedure. For instance, you will be asked to stop taking certain medicines and supplements 1 week before the procedure, and if you smoke, you will have to take a break for one week.

What can you do after your procedure?

  • You can go back to your daily routine after the treatment, drive yourself home, or return to work immediately after the procedure.
  • There may be slight redness, and makeup can be applied to conceal it.
  • You can use icing to reduce swelling and soreness.
  • It is better to avoid extreme heat 2 weeks after the treatment.
  • Avoid exercise and other strenuous activities for 24 hours.

Are dermal filler injections painful?

No. Filler injections are not painful when performed by a skilled and board-certified cosmetic surgeon. The procedure includes injecting a few tiny injections in the skin, and topical anesthesia is used to eliminate any discomfort.

What are the associated risks and side effects of dermal fillers?

Dermal fillers are considered to be very safe. The most common reactions are swelling, redness, itching, bruising, and tenderness. These are typically mild and resolve in a couple of days.

What are the benefits of dermal fillers?

When it comes to reconstructing a youthful appearance without surgery and downtime, dermal fillers set a standard that is tough to beat. Dermal fillers offer many benefits, including;

  • Non-surgical procedure
  • Effective results
  • Minimize scars
  • Cost-effective
  • No downtime
  • No side effects

What is the difference between dermal filler injections and botox injections?

Botox works on dynamic lines, i.e., the line that appears when a muscle is moving or making expression, by restricting the muscle movement. But fillers reduce lines and wrinkles by plumping up and filling the affected area. Sometimes effective results can be achieved by a combination of these both.

What are different types of filler, and how long do they last?

Hyaluronic acid is the most commonly used dermal filler. There are different types of dermal fillers differing in their composition, application, and longevity of results, including;

  • Collagen lasts for 2-4 months, often longer when treating scars.
  • Hyaluronic acid lasts for 12-18 months.
  • Calcium hydroxylapatite lasts for 6-12 months.
  • Poly-L-lactic acid lasts for 1 to 3 years.
  • Fat injections last 1 to 3 years, often longer when treating scars.
  • Polymethylmethacrylate (PMMA) is considered to provide permanent results.

However, the exact longevity varies from person to person and can be maintained for a longer duration through regular repeated treatments.

How do hyaluronic acid fillers work?

Fillers that are made up of hyaluronic acid, which occurs naturally in the cells of your skin, works by drawing in water and therefore augmenting the skin and treating wrinkles.

Can dermal fillers be removed?

Yes. Hyaluronic-based dermal fillers can be quickly removed using an enzyme called hyaluronidase; it acts by dispersing hyaluronic acid and speeding up its natural breakdown.

How soon do the results of fillers appear?

Results are visible immediately right after the procedure. However, these results should not be seen as the final results as they will keep improving over the course of the following 2-4 weeks.

Which dermal filler do you need?

The choice of the right filler depends upon the individual patient, treatment goals, and customized facial anatomy. Booking a consultation with a board-certified plastic and cosmetic surgeon to discuss your queries can be very helpful.

FAQs NERVE REPAIR SURGERY

Why is nerve repair surgery needed?

Nerve damage can cause an inability to perform your normal functions and feel various sensations. It is because of your nerves that you are able to tell whether something is soft or hard, cold or hot, smooth or rough, etc., and carry out the right response. The goal of nerve repair surgery is to repair the damaged nerve and restore normal function.

What happens if nerve damage is not treated?

When left untreated, nerve damage can worsen over time. Motor nerves that are responsible for carrying out movements; have a time limit for regenerating. The surgical repair for motor nerves needs to happen within 12-18 months of the injury; otherwise, the nerve dies away, and muscles wither. Damage to sensory nerves, which helps you feel different sensations, can induce further injuries as you don’t get any protective sensations.

What is overuse or repetitive nerve injury of the hands?

Overuse injury, also called repetitive strain injury, occurs when you do the same movement over and over again for a long time.

How is it possible to damage the nerves of your hands?

A nerve injury of the hand can occur when the finger, hand, or wrist is overstretched, crushed, cut, or burned.

Can the effects of nerve injury go away on their own?

Mild nerve injuries are capable of healing themselves. But the majority of nerve injuries require medical intervention. Nerves are delicate threads, and they carry very important information, so leaving them untreated without a doctor’s supervision can be a dangerous oversight.

What kinds of treatments are there to treat nerve injuries?

Non-surgical treatments for mild nerve injuries can include rest, splinting, icing, medicines, and physical therapy. For severe nerve injuries, a nerve repair surgery is necessary for rejoining the disconnected ends of your nerves to restore the functions and sensations of the hand.

When is there surgery for nerve damage?

If some kind of accident has caused a wound, and there are signs of nerve injury, then operation becomes necessary to look at the nerves and repair the damage. In other cases, symptoms are analyzed, and different tests are done to verify nerve injury and its severity.

How is nerve injury diagnosed?

To fully determine the extent of nerve damage, electromyography (EMG) is performed to test the electrical conduction activity of nerves. You may also need to get imaging tests i.e.

  • CT scan
  • MRI

What to expect during a nerve repair surgery?

During a nerve repair surgery, you can be asleep or awake depending upon which type of anesthesia is being used, which is based on your preference and the type and length of surgery. Your surgeon makes an incision on the affected area and trims damaged tissue from the nerve. Then the nerve is repaired using the suitable technique according to your condition to reattach the nerve, and then the incisions are closed.

When are nerve grafts needed?

Nerve grafts are used when a significant amount of tissue from the nerve is damaged, leaving a gap so that the two ends of the nerve cannot be reconnected.

When is the direct repair method used in nerve repair surgery?

The direct nerve repair method is used when there is enough length on the ends of your nerve so that it can be reconnected without stretching.

What are nerve conduits, and when are they used?

If you have certain health conditions that exclude using nerve grafts, a nerve conduit can be used. It is a tube made up of biological or synthetic materials that span the gap and connects the nerve endings.

What is the recovery period of nerve repair surgery?

Your wrist is likely to be in a splint or bandage for 1 to 2 weeks. You might experience some discomfort or pain, which is easily managed by pain killers. As your nerve heals, you will feel unpleasant tingly sensations accompanied by electric shock feelings over the affected area, and the location of these sensations moves as your nerve heals and grows. Over time these sensations subside, and the area feels more normal. Complete nerve recovery can take anywhere from a few days to a few months, depending upon the type and severity of the damage to your nerve.

FAQs DERMABRASION & MICRODERMABRASION

What is the difference between dermabrasion and microdermabrasion?

  • Dermabrasion is a deep peeling of the skin; it abrades the skin just like peeling paint off the wall. It is used specifically for restoring normal skin in certain medical conditions such as vitiligo, scars etc. It is the debridement of skin till the point of pinpoint bleeding, and it requires downtime for the skin to heal and repair.
  • As the term itself suggests, by adding micro before dermabrasion, microdermabrasion is a superficial peeling of the skin done to remove the top layer of dead, damaged and dull skin cells.

Can dermabrasion or microdermabrasion help with burn scars?

No. Burn surgery is used to treat burn scars.

How long does the microdermabrasion procedure take?

It takes about 20-40 minutes to treat the whole face and 20 minutes to cover the neck. You will feel a sanding sensation, but it is not painful. After the procedure, moisturizer is applied.

What will you need to do after the microdermabrasion?

  • You will need to apply moisturizer or other skincare products at home according to the skincare plan that will be given to you.
  • You will need to avoid sun exposure.
  • As microdermabrasion treats only the top layer of skin so there is no downtime required after microdermabrasion, and you can go back to your normal activities after your procedure.

How many microdermabrasion sessions are needed?

It varies in different people based on the reason for getting the procedure. Many people feel satisfied with the results after just one session, while others need more sessions to get the desired results. Acne scars may require 6 to 8 sessions to smooth the skin. Microdermabrasion sessions can be repeated after 2 to 4 weeks as your skin needs time to heal after the session.

What are the common side effects of microdermabrasion?

Your skin may become red or pink, and you might experience some swelling. These tend to disappear in a day. In some people, there can be little bruising, burning or stinging sensation and sensitivity to light. They also tend to go away in a couple of days.

How long does microdermabrasion last?

The results of microdermabrasion depend upon the natural turnover cycle of your skin. Typically the results last for one month and can be maintained by regularly repeating the procedure.

How to prepare for the dermabrasion procedure?

Once you have scheduled your dermabrasion procedure, your cosmetic surgeon will provide you with proper instructions such as;

  • Avoid sun exposure for a few days for the best results.
  • Stop taking certain medicines and supplements.
  • Stop smoking at least one week before your procedure.

What happens during the dermabrasion procedure?

  • Your skin is cleansed, and you are given a numbing spray, topical anesthetic gel or local anesthesia injection to eliminate discomfort.
  • Then a high-speed rotatory instrument is used to scrape away the outer layer of your skin.
  • A moist dressing is applied to your skin to keep it protected while it heals.

What to do after the dermabrasion procedure?

  • You will need to have someone to take you home as you won’t be able to drive.
  • You will be prescribed an antiviral and antibiotic to prevent infections.
  • You will have to cleanse your skin several times a day to help avoid the crusting caused by the normal healing process.
  • You will need to take care of the treated area, keep it moist and change the ointment or dressing regularly. Proper guidelines will be given to you on how to change the dressing.
  • You will have to avoid sun exposure.

What is the recovery timeline of dermabrasion?

After the procedure, you may feel a stinging sensation for a few days. The newly formed skin will be very pink and tender in the beginning and will gradually develop the normal colour over the course of three months. It takes about two weeks for your skin to heal. Most people can resume their normal activities 7 to 14 days after their treatment.

How long do dermabrasion results last?

Dermabrasion provides long-lasting results and gets rid of scars permanently.

FAQs TENDON REPAIR

Why is hand tendon repair surgery done?

The tendons of your hands connect muscles to the bones and control how your wrist and fingers move. The aim of tendon repair surgery is;

  • To bring back the normal range of motion, strength, and function of the injured tendon.
  • To provide pain relief.

When is hand tendon surgery needed?

You may need tendon repair surgery when;

  • The tendon of your hand is ruptured, severed, or cut to the point that it limits the movements of your hand.
  • Injury from contact sports.
  • Tendon injury or tear due to rheumatoid arthritis or other neuromuscular disorder.

Is tendon repair an emergency procedure?

No. It is not considered an emergency procedure, but it is carried out as quickly as possible after the injury because the longer the tendon remains ruptured, the more damage it causes.

What are the signs of a damaged tendon in hand?

In case of a damaged tendon, you will not be able to bend or straighten your thumb or one or more fingers of your hand. Tendon damage can also cause pain, swelling, weakness, and restriction of movement in your hand.

What does a torn tendon feel like?

  • You will hear or feel a snapping or popping sound at the time of injury.
  • You will experience severe pain.
  • There will be rapid bruising at the site of injury.
  • Inability to lift weight.

How is tendon damage diagnosed?

Damage to your Tendon can be diagnosed using;

  • MRI
  • Ultrasound
  • Physical examination

How long does it take to fully recover from tendon damage?

Depending upon the location and severity of your injury, it can take up to 3 to 4 months for the repaired tendon to regain its previous strength.

What does the recovery period look like after tendon repair surgery?

Tendon healing occurs in three stages after surgery;

  • Inflammation; you will feel some swelling for the first 3-5 days.
  • Early recovery; during the next 3-6 weeks, your range of motion will start to return, but there will still be some stiffness.
  • Later repair; swelling will be completely gone after about 10-12 weeks, and it will feel more normal to move your hands.

When can you return to normal activities after tendon repair surgery?

  • You can go back to light activities after 6-8 weeks.
  • Heavy activities and sports can be resumed after 10-12 weeks.

What to expect after tendon repair surgery?

  • You will have to wear a protective splint for 2 to 3 weeks.
  • Specific hand exercises will be recommended to you that will help prevent the repaired tendon from getting stuck with surrounding tissues.

What are the complications of hand tendon repair surgery?

The most common complications are;

  • Infection
  • Rupture
  • Adhesions

If proper care is taken after the procedure, these are easily avoidable.

Why do you have to wear a splint after tendon repair surgery?

The splint is designed to protect and minimize movement on the newly repaired tendon.

Why do you need to do hand exercises after tendon repair surgery?

Specific hand exercises are done regularly after tendon repair surgery to prevent scar tissue development which can become very hard and limit movement.

FAQs ARM LIFT / BRACHIOPLASTY

Why is arm lift surgery done?

  • An arm lift is not a weight loss procedure; it aims to remove excess skin and fat from your upper arm that jiggles when you wave.
  • As you get older, the skin on your upper arms becomes loose and saggy.
  • You can get droopy upper arms after losing a significant amount of weight.

Why might you need arm lift surgery?

You might need to remove extra skin from your upper arms because of;

  • General discomfort
  • Rash and inflammation. This can lead to infection.
  • Hygiene problems
  • Low self-esteem

While exercise and diet can help you improve muscle tone or lose weight, they cannot get rid of excess skin, and arm lift surgery is required.

Are you a good candidate for arm lift surgery?

You are considered to be a good candidate if you have;

  • Stable and relatively healthy weight
  • Loose upper arm skin
  • Good overall health
  • Realistic expectations from the procedure

How is arm lift different from liposuction?

Liposuction only removes extra fat, whereas arm lift aims to remove loose and saggy skin; a combination of both is often used for good results.

How to know if you need an arm lift or liposuction alone is sufficient?

It depends upon the amount of excess skin, fat and skin tone in the area. People who have lost a significant amount of weight typically have stretch marks, poor skin quality and loose and hanging skin, which respond poorly to liposuction alone. People who have good skin tone, no stretch marks and just excess fat in the upper arm are better candidates for liposuction alone.

Can liposuction also be performed with arm lift surgery?

Yes. If you have excess fat in your upper arm, then liposuction can be combined with your arm lift procedure to generate the best results.

Can other cosmetic procedures be combined with arm lift surgery?

Yes. Especially people who have lost a considerable amount of weight are typically looking for more than one body contouring procedure, and it is not uncommon to combine some of them to decrease cost and time. An arm lift can be combined with a tummy tuck, liposuction, breast lift, panniculectomy (removing extra skin hanging below the belly button), or thigh lift.

What are the lifestyle changes you need before your arm lift?

  • If you smoke, you will have to stop smoking 3-4 weeks before your procedure.
  • Try getting into a regular routine with exercise and a nutritious diet plan for weight maintenance before and after your procedure.
  • You will need to temporarily discontinue some medicines and supplements that increase bleeding; therefore, it is important to discuss all the medicines and supplements that you are taking with your cosmetic surgeon.

How to get ready for an arm lift?

  • Don’t eat or drink anything 12 hours before your surgery.
  • Wear loose clothing, don’t wear any jewellery.
  • You will need to arrange someone who can drive you home and stay with you as you begin your recovery.

Why is it important to stop eating and drinking before the arm lift surgery?

As with any surgical procedure, fasting before the arm lift procedure prevents some complications, including nausea, vomiting, aspiration, infection, and aspiration pneumonia.

What to expect in the recovery period after an arm lift?

  • You will experience some bruising, swelling, and discomfort for a week or two.
  • It’s best to wear a compression garment to minimize swelling and speed up recovery.
  • You will have to avoid strenuous activities, especially those that can stretch your incisions for 4-6 weeks.
  • You can return to work after 2-3 days if your work does not include exhausting physical activities.
  • Avoid lifting your arms above your shoulder level for 3-4 weeks.

Are there visible scars after arm lift surgery?

No. Arm lift surgery is designed to hide scars as much as possible. Scars are located on the inside of your upper arm and are not visible when the arms are down. They can only be seen if your arms are elevated, and you are wearing short sleeve shirt. Scars are not prominent and fade over time.

Do arm lift surgery provides permanent results?

The arm lift surgery provides long-lasting results, provided that you maintain a stable weight and active lifestyle.

FAQs WEIGHT LOSS SURGERY

Who performs weight loss surgery?

Weight loss surgery, also widely known as bariatric surgery, is performed by board-certified bariatric surgeons.

Who should consider having weight loss surgery?

You may consider having weight loss surgery if;

  • You have a BMI (body mass index) of 40 or more.
  • You have a BMI between 35 to 40 accompanied by an obesity-related health condition such as diabetes, sleep apnea, high cholesterol etc.
  • You have already tried your best to lose weight through diet and exercise, but it didn’t work.

How does weight loss surgery affect overall health?

Weight loss surgery improves obesity-related diseases such as diabetes, joint degeneration, asthma, high cholesterol etc., and improves the quality of your life.

How does weight loss surgery work?

Weight loss surgery works through three mechanisms;

  • Restrictive weight loss surgery restricts the amount of food you can consume.
  • Malabsorptive weight loss surgery decreases the number of fats your digestive system absorbs from your food.
  • A combination of both.

Can weight loss surgery help PCOS (polycystic ovarian syndrome)?

Weight loss surgery works through three mechanisms;

  • Restrictive weight loss surgery restricts the amount of food you can consume.
  • Malabsorptive weight loss surgery decreases the number of fats your digestive system absorbs from your food.
  • A combination of both.

What is the impact of weight loss surgery on pregnancy-related complications?

After losing a significant amount of the excess weight, there is much less risk of complications during pregnancy (e.g. eclampsia, gestational diabetes, macrosomia, etc.) and childbirth. There is also a decreased risk of miscarriages and stillbirths. The kids born after their mother’s bariatric surgery are less prone to being obese later in life. Losing a significant amount of weight in obese patients also decreases the need of getting a C-section.

How long is the procedure of weight loss surgery?

Depending upon which procedure you are undergoing, it can take anywhere between 1-2 hours. You will need to stay in the hospital for one or two days.

When can you go back to work after weight loss surgery?

Most patients can return to their work two to three weeks after the procedure. Some people are able to start their work from home as early as one week after the surgery.

What can you eat after weight loss surgery?

The first week you will be on a liquid diet; after that, you will be on a pureed diet for about two weeks, and then you will be on a soft diet for the next two weeks. After that, you will be able to eat whatever you want, preferably in controlled portions. However, foods with high sugar and carbohydrates should be avoided.

Why do you have to take multivitamins after weight loss surgery?

After weight loss surgery, your body has difficulty absorbing certain nutrients such as iron, calcium, vitamin D, folate, vitamin B12, etc. Therefore taking multivitamins and supplements on a regular basis prevents these deficiencies.

Will you have to exercise and eat a balanced diet after weight loss surgery?

Yes. In order to acquire the best possible outcome after your weight loss surgery, you will have to maintain a well-balanced diet and an active lifestyle.

Can you gain weight after weight loss surgery?

It completely depends on you. Some people do not follow diet and exercise guidelines and go back to eating high-calorie food, and they are more likely to regain weight after their surgery. However, if you maintain a proper diet, exercise, and behavioural changes, you can ensure successful results for a lifetime.

What is the purpose of medical tourism?

Medical tourism also called health tourism, is international travel for the purpose of receiving medical care. Many people engage in medical tourism to undergo procedures that are not available in their home country, or the procedures they seek are performed at relatively low costs and quality care in other countries without the delay and inconvenience of being placed on a waiting list.

Why choose medical tourism for weight loss surgery?

Losing weight is a struggle in itself, but if you combine having weight loss surgery and vacation in a single trip, it can become a little easy. People from all over the world are choosing medical tourism for bariatric surgery to take advantage of high-quality care in an atmosphere of relaxation and enjoyment.

How long do the results of weight loss surgery last?

The results can be long lasting if you make the necessary lifestyle changes. It takes long-term commitment and dedication to maintain the weight and keep the extra pounds off.

FAQs BODY CONTOURING

What is body contouring surgery?

Body contouring refers to a broad range of cosmetic surgery procedures that address excess skin and fat areas. Body contouring surgery can be performed in normal-weight patients as well as patients who have experienced significant weight loss through diet, exercise or surgery.

Is body contouring surgery a weight loss procedure?

No. Body contouring is not meant for weight loss. The aim of performing body contouring is to get rid of extra skin and stubborn fat deposits and improve your body shape and tone.

What is the difference between body contouring and weight loss surgery?

While both these procedures reduce your body fat, they work in very different ways. You are able to lose a significant amount of weight through weight loss surgery, whereas body contouring procedure is mainly performed to remove the loose and saggy skin from certain areas of your body such as the upper arm, back, neck, thigh, abdomen, etc.

What is the recovery period like after the body contouring procedure?

  • After the body contouring procedure, you may experience some swelling, bruising and soreness for a few days.
  • You will have to wear compression garments.
  • It’s best to rest well in the first few weeks to help the healing process.
  • You will have to avoid strenuous activities for six weeks.
  • Light activities like walking are started as soon as possible after your surgery.

How long is the recovery period after body contouring surgery?

Recovery from a body contouring procedure can take anywhere from one to three weeks depending upon the procedure you had. In general, people are able to go back to their work after three to five days if they had a single procedure and almost two to three weeks in case of multiple procedures.

Is achieving a stable weight required for the body contouring procedure?

It is very important to achieve a stable weight before getting a body contouring procedure. Ideally, you should maintain a stable weight for a minimum of six months before going for body contouring surgery. This is important because weight fluctuations, both weight gain or loss, can affect the aesthetics of the body contouring procedure.

What is panniculectomy?

Panniculectomy is done to remove the excess fat and outstretched skin from your lower abdomen. The skin may be hanging down as low as to cover your thighs and groin.

For how long do the results of body contouring surgery last?

The body contouring procedure provides long-lasting results; however, maintenance is required. Although body contouring can successfully remove excess fat and skin, it cannot prevent future weight gain. Therefore, maintaining a healthy diet and active lifestyle is very important for enjoying your results for the rest of your life.

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