FAQ’s

FAQ’s

Forehead Lift

What is a forehead lift?

The forehead lift, also known as a brow lift, is a procedure designed to improve the appearance of the forehead area by minimizing forehead creases, drooping eyebrows, frown lines, forehead furrows, and hooding over the eyes. By removing excess tissue, altering muscles, and tightening the forehead skin, the result is a more youthful and refreshed appearance with a smoother forehead and elevated eyebrows.

What is the difference between a Forehead Lift and a Face Lift?

A face lift addresses the lower portion of the face, not the area around and above the eyes.

Where are the incisions located for a forehead lift ?

For a traditional forehead lift, an incision is made across the top of the forehead at or behind the hairline. For an endoscopic forehead lift, several smaller incisions are made within the hairline.

How long is the surgery for a forehead lift?

The average surgery time for a forehead lift is about one to two hours.

When will the stitches be removed after my forehead lift?

The stitches may be removed in about two weeks for the traditional approach and in about one week for the endoscopic approach.

Will a Forehead Lift leave scars?

All surgeries leave some scarring. The crucial question is whether those scars will be visible. During a forehead lift the incisions are made within the hairline, so scars are not visible.

What should I expect post-operatively?

Expect to be swollen and possibly bruised. This is very normal so do not be alarmed. Do not forget to take your antibiotics and pain medication. You may also experience some numbness which will go away gradually. You can resume normal, light activity at this point, but should avoid heavy lifting and strenuous exercise for three to four weeks.

When will I be able to see the results?

The results are immediate but you will be swollen, remember to be patient during the healing period and the full results should be visible in a few months. You may also think that your brows are too high, this is normal and will relax. Any numbness along the incisions should usually subside by 6 months. Remember that as each day goes on you will be that much closer to your final result — so be patient.

How long will the results last?

Several years. A forehead lift does not stop the aging process, but you will always look younger than you would have without the surgery.

How do I know if I’m a good candidate for a forehead lift?

If you are physically healthy, realistic in your expectations, and seeking an improvement in the appearance of your forehead area, you may be a good candidate for a forehead lift. Though most patients are aged forty to sixty-five, the forehead lift can be successfully performed at other ages.

Face Lift

What is a face lift?

A face lift (also known as rhytidectomy) is a surgical procedure that smoothens out loose skin on the face and neck, tightens underlying tissues and muscles, and removes excess fat.

What are the benefits?

A face lift can help minimize the signs of aging and enhance self-confidence by making the patient look younger, fresher, and more vibrant.

Who is a good candidate for face lift surgery?

Ideal face lift candidates are those who are seeking improvement for sagging and lax facial and neck skin. They should be physically and psychologically healthy, desiring improvement rather than perfection, and aware of the potential risks.

What about recovery and scarring?

A moderate recovery time can be expected following your facelift. You will need to take it easy and follow our orders carefully following this procedure. Typically, patients are back to their regular routine after only a few weeks. Scarring is minimal with a facelift.

How long will face lift results last?

The results of face lift surgery are long-lasting, typically a decade; however, the natural aging process may cause the skin to sag once again.

Is face lift surgery painful?

Although this procedure is extensive, there is usually very little pain associated with face lift surgery.

Can I be awake during face lift surgery?

If you and your doctor prefer to use a local anesthetic, as opposed to general anesthesia, you can be awake during the procedure. If this is the case, you will not feel any pain and be relaxed while the surgery is taking place.

What is an endoscopic face lift?

This technique is also referred to as the “scarless” face lift. This procedure is best suited for patients who have minimal sagging of the skin and are seeking improvement and a quicker recovery period.

How long before can one resume normal activities after my face lift?

Patients can return back to work in about 10 days, but strenuous activity should be avoided for at least three weeks.

Blepharoplasty (Eyelid Surgery)

What is blepharoplasty ?

Blepharoplasty is a term for eyelid surgery and is a procedure that removes excess skin, fat, and muscle from the upper and lower eyelids.

Who is a good candidate for this surgery?

People of all ages have had this surgery performed, but the best candidates are women and men who are in generally good health without other illnesses, good muscle tone around the eyes, healthy skin, and have realistic expectations.

How long with the results of my surgery last?

This surgery, like many other cosmetic surgeries, does not produce permanent results. But the results can be seen for a decade or so.

Will I be hospitalised for the procedure?

Blepharoplasty may be done under a local or general anaesthetic and is either an inpatient with an overnight stay in hospital or a day case. This may depend on your own preferences, but also on whether it is being combined with any other surgery, such as face lift.

Are there risks?

As with any surgery, there are risks involved with this one, too, including bleeding or bruising. Also, blurred vision or double-vision may occur for a few days following the procedure. There will also be swelling, but this will eventually go down over time.

How should I prepare for eyelid surgery?

The goal of your plastic surgeon and the entire staff is to make your surgical experience as easy and comfortable for you as possible.

If you are a smoker, it is very helpful if you stop smoking well in advance of surgery. Aspirin and and other drugs can cause increased bleeding so you should avoid taking these medications for two weeks prior to surgery.

Aesthetic eyelid surgery is usually performed on an outpatient basis. It is important that you arrange for somebody to drive you home after surgery and to stay with you at least the first night following surgery.

When can I resume my normal activities?

Straining, bending and lifting should be avoided during the first five days but in most instances you will be able to resume your normal activities in 10 days or less. Although you might feel like going back to work sooner than this, your vision might still be slightly blurry which may make reading and other paperwork difficult. You should not wear contact lenses for two weeks.

Rhinoplasty (Nose Surgery)

What is rhinoplasty ?

A rhinoplasty, commonly referred to as a nose job, is a surgical procedure that is performed to change the shape or look of a nose or improve its function due to trauma or birth defects.

How old must I be to undergo rhinoplasty?

Cosmetic rhinoplasty can be performed any time after nasal growth is complete. Nasal growth is usually complete in girls by age 15 and complete in boys by age 16. However, an emotionally mature and cooperative patient is also an essential requirement for a successful rhinoplasty. In rare cases, surgery may be performed at younger ages when severe functional impairment or other medical indications dictate.

What are the risks of rhinoplasty?

Rhinoplasty is a safe procedure, but as with any surgery, things can go wrong. The risks during a rhinoplasty could be an adverse reaction to the anesthesia, and excessive bleeding. There is also the slight possibility that you will need additional surgery in the future. Another risk with regard to cosmetic rhinoplasty is dissatisfaction with the procedure — rhinoplasty has the highest rate of revision in cosmetic surgery.

What can I expect during rhinoplasty?

Your rhinoplasty will generally be performed under general anesthesia and the surgery typically lasts two hours. Depending on your situation, your surgeon may make an incision across the bottom of your nose between your nostrils (known as the open technique), or within the lining of your nostrils (known as the closed technique). Your surgeon will then remove or rearrange cartilage, and in some cases break and rearrange bone to reshape the nose. Afterward, the surgeon closes the incisions and your nose is packed with gauze. Usually, a nasal splint is also applied.

What is the recovery time for rhinoplasty?

Your surgeon will require you to wear a nasal splint for the first 7-10 days after your rhinoplasty. After your surgery, you may have moderate swelling and bruising around your eyes that could last up to two weeks. You should avoid strenuous activity for up to four weeks following surgery.

Are there cuts outside the nose?

Most of the incisions (cuts) for rhinoplasty are made inside the nose.

Can I breathe through my nose after the surgery?

Typically the nostrils are blocked for 2 days however, one can breathe though the nose when we use nasal packs with inbuilt airways. There will be some swelling of the nose during the healing process, which will make you feel somewhat blocked, similar to having a cold.

Is there much pain with rhinoplasty?

Patients may experience some discomfort during the first few days after surgery, but this can be controlled with pain medication.

How long does the swelling last?

Most of the swelling resolves within a week. By around 2-3 weeks, typically 75% of the swelling is gone. The remainder of the swelling will gradually fade over the course of the next 6 to12 months.

How much time will I need to take off from work after rhinoplasty?

Patients are typically able to return to work within one to two weeks after rhinoplasty.

Does insurance cover rhinoplasty?

Insurance typically does not cover rhinoplasty performed solely for cosmetic purposes. In cases where breathing problems are being treated, some degree of coverage may be provided.

What features can be improved with rhinoplasty?

A number of changes to the shape of the nose can be made with rhinoplasty. Noses can be made smaller or larger, narrower or wider, shorter or longer. Bumps on the bridge can be corrected, and droopy noses can be lifted.

Will everyone know that I have had a nose job?

The goal of rhinoplasty is to bring the nose in harmony with the rest of the face. Typically, after rhinoplasty, people will comment on the fact that you look better, but most may not notice that your nose is different. After rhinoplasty, people will tend to notice other features of your face, previously masked by your nose, such as your eyes and your lips.

What can I expect after rhinoplasty?

Results from a rhinoplasty surgery can typically be seen once the swelling goes down and your physician removes the nasal splint. Nasal breathing is also difficult for about 3 weeks after the surgery due to swelling. Most of the swelling is gone two months after the surgery. You should see your nose becoming more refined over the following months.

Lip Reduction

Who is a candidate for lip reduction surgery?

Lip reduction surgery is for women and men whose lips are of a size that causes them to feel self-conscious about their appearance.
Lips that droop or turn outwards can also lead to a lack of confidence and cause anxiety.
Lip reduction surgery will provide a permanent, natural looking result and will last for life.

How is lip reduction performed?

Lip reduction is performed by making an incision in the length of your lip inside your mouth and then removing a strip of skin from one or both lips, depending upon the desired look. The surgeon will aim to enhance the mouth and lip area to complement the facial features, giving you a natural mouth.

Are there any risks with lip reduction?

Fortunately, significant complications from lip reduction surgery are infrequent. Many people undergo successful lip reduction surgery, experience no problems and are delighted with the results. Anyone considering surgery, however, should be aware of both the benefits and the risks.

What happens after lip reduction surgery?

Use pillows while sleeping to keep your head elevated. Some swelling and bruising is normal after surgery. Most of the swelling is over in two weeks. You should expect to see the final results from the lip reduction surgery in about three months. Because of the swelling your lips may look larger after the procedure than before, but they will settle in time.

When can I resume my normal activities?

Give yourself a week after the completion of your lip reduction surgery before returning to your normal routine. It’s also advisable to refrain from participating in contact sports for at least six to eight weeks.

How much does a Lip Reduction procedure cost?

Depending on the extent of correction, Lip Reduction cost will vary. It is best to come in for a consultation to determine the actual cost.

Dimple Creation

How long does it take to create dimples on the cheek and chin?

The procedure is normally done under local anaesthesia. It takes around 30 minutes.

What precautions do I need to take after the surgery?

You need routine antibiotics and painkillers. You must observe oral hygiene by keeping your mouth clean with antiseptic gargles following any food or drink.

When should I contact you following the procedure?

You are advised to confirm the follow up appointment after the procedure with our office. You should expect to see our team member within a week following the procedure.

What are the possible complications?

As with any other minor surgical procedure, complications can develop following dimple creation surgery. eg. scarring, bleeding, infection, hyperpigmentary changes, undercorrection, overcorrection, asymmetry.

When can I resume my daily routine?

The dimple creation procedure is performed under local anaesthesia. The effect of local anaesthesia lasts for to two hours. There will be a 1.5 cm dressing on your cheeks/chin. You may wish to resume your routine on the same day. The stitches are removed by 10 days.

Can I have dimple(s) of exact depth, shape and dimensions?

Dimple creation procedure is not an exact science. It is not possible to predict accurately the depth, size and shape of the dimples. However, majority of our patients are satisfied with the results.

What are the complications?

The majority of our patients are happy with the outcome of the procedure. Occasionally, an individual may request for further deepening of the dimple. There may be dimples without a smile for a variable period of time.

Otoplasty (Ear Correction)

What is otoplasty?

Otoplasty is the repair of abnormalities of the external portion of the ear. The results are very satisfying to the patient, and often the outlook of the patient will change dramatically after the operation.
This is particularly true with children. When ears protrude noticeably or are abnormal in some way, children are often teased by their peers. They are generally self conscious, and in some instances are shy and introverted solely due to the constant teasing of their friends. Adults will often wear their hair in ways that will hide the ears. Many a mother has recounted how the personality of their child blossomed after otoplasty, and some have noted improvement in school grades.

How is otoplasty performed?

Except in small children, the operation is performed using light sleep anesthesia. In children less than eight, the operation is always performed under general anesthesia so they do not fidget during the procedure. All incisions are placed behind the ear so there are no visible scars after the operation. If the ears are protruding, they may be rotated back. If some of the natural folds are missing, they are created. Missing or abnormal sections of the ear may be constructed from tissues taken from other parts of the ear or body. Ears that have been injured and are thickened can be thinned and sculpted. At the end of the operation, a pressure dressing is applied.

Where are the incisions made?

The incisions will generally be made in the most inconspicuous places – behind the ear or within the natural folds and curvatures of the ear structure.

What should I expect postoperatively?

The pressure dressing is removed after 5 to 7 days. Children should be kept relatively quiet during that time. The dressing should not get wet. After removal of the dressing, a sweat band should be worn, at night only, to protect the ears until the end of the sixth postoperative week. Nonstrenuous activity may be resumed 2 days after surgery. The patient should refrain from bending over for 3 weeks, keeping the head higher than the heart during that time. The patient should not sleep on his or her side for 3 weeks. Routine exercise may begin at the end of the fourth postoperative week. Contact sports may be restarted at the end of the tenth postoperative week.

Is it quite painful? Is there much bruising?

It takes about a week and a half for most of the swelling to subside, although the ear will be sensitive to pressure for about 3 weeks. Bruising is usually minimal, although some people are more prone to it than others. There is usually some pain postoperatively, but not a great deal, and it should be able to be controlled with overthe pain reliever.

When will I be able to see the results?

You shouldn’t even peek at the ear until the pressure dressing is removed. Doing so can increase the chance of infection or alter the results. After your dressings are removed, you will see an immediate difference in the shape of the ear, although there still may be some swelling.

What are the risks of otoplasty?

The risks of the operation are bleeding and infection. Both are exceedingly rare. With proper postoperative care, this is a very safe and satisfying operation that carries very little risk, offers beautiful results, and almost no discomfort from the operation itself.
You should know that your ears may feel numb for 2 to 3 months after the operation. Sensation returns slowly over that time. This is the reason that there is generally no pain in the postoperative period. This also makes the operation exceptionally well tolerated in children.

Facial Implant

What are facial implants?

Facial implants are implants which may be used to augment or create symmetry in the cheeks, chin, or jaw. A chin implant can improve an undersized or weak chin while cheek implants can add prominence to the cheek bones. Cheek and chin implants can greatly improve facial harmony.

What are cheek implants?

Cheek implants are implants which can be inserted into the cheek area to add prominence to the cheek bones.

What are chin implants?

Chin implants are implant which can be inserted into the chin area to improve a weak or undersized chin.

Who is a good candidate for a chin or cheek implants?

An individual interested in improving a lack of volume in the cheek, chin, or jaw area may be good candidate for a chin or cheek implant procedure.

What happens at a consultation for a cheek or chin implant procedure?

We will discuss in detail what it is that you dislike about your cheeks or your chin and what you hope to achieve through surgery. We will discuss the outcome and limitations of surgery. The treatment area will be examined and details of surgery will be explained.

What are facial implants made of?

Facial implants can be made from a variety of materials including solid silicone, silastic, polyethylene, Gore-Tex, and other materials. They also come in different shapes and sizes so they can be customized to the patient.

What type of implants are used?

There are multiple different types of implants, but silicone implants are the most commonly used facial implants.

What anesthesia is used for chin and cheek implant procedures?

This procedure performs under local anaesthesia with IV sedation or general anesthesia.

How is the facial implant procedure performed?

Once anesthesia is administered, incisions are made which are hidden. For chin augmentation, the incision may be located inside of the lower lip or just beneath the chin. For cheek augmentation, the incision may be made inside of the upper lip or on the lower eyelid. The implant is then inserted through the incision, positioned, and the incision is closed.

How long does the cheek or chin implant procedure take to perform?

Facial implant procedures usually take two hours to perform.

Where are the incisions made for facial implant procedures?

The incisions for cheek implants may be located inside of the upper lip or on the lower eyelid. The incision for chin augmentation may be made on the inside of the lower lip or just beneath the chin .

Will I have scars after undergoing a cheek or chin implant procedure?

Facial implant procedures involve small, hidden incisions which will result in well-concealed, imperceptible scars.

Will I experience any pain after undergoing a cheek or chin implant procedure?

There can be some discomfort after a cheek or chin implant procedure and facial movement may be stiff at first. Discomfort can be easily managed with medication.

What can I expect the recovery to be like after my cheek or chin implant procedure?

Patients can expect some swelling and bruising after undergoing a cheek or chin implant procedure. Dietary restrictions may be necessary, particularly when incisions are made inside of the mouth. The stitches on the skin side are removed within five to seven days. Work and other normal activities can usually be resumed at this time.

When will I be able to return to work after my facial implant procedure?

Patients can usually return to work and other normal activities within five to seven days after the chin or cheek implant procedure.

What are the risks of facial implants?

As with all types of surgery, there are potential risks associated with cheek and chin implant procedures and these may include adverse anesthesia reactions, capsular contracture, implant shifting, infection, unnatural shape, and the need for additional surgery.

Are cheek or chin implant procedures covered by insurance?

Cheek and chin implant procedures that are performed for cosmetic reasons are generally not covered by insurance. When performed for medical purposes or out of necessity, some degree of coverage may be available. Patients should consult with their own insurance company.

Neck Lift

What is a neck lift?

A neck lift is designed to rejuvenate the neck to a more youthful appearance. The benefits of neck lift surgery include removing any excess or redundant neck skin, reducing any localized fat collections, and correcting the visible muscle bands.

What types of anesthesia are used?

The procedure is done under general anesthesia or local anesthesia with sedation. The procedure generally takes two to three hours.

What are the risks of neck lift surgery?

When performed by a qualified surgeon, the risks of serious problems are rare. Most complications are minor, temporary, and are easily resolved with time. Complications may include bleeding, infection, numbness, scarring, and nerve injury. Patients with a history of keloid scarring, radiation, autoimmune or collagen disease, and smokers, are at an increased risk of complications.

Are there scars after a neck lift?

Though the incisions made for the neck lift will result in scars, they tend to be hidden, and they are mainly located behind the ear.

How long will the results of my neck lift last?

Neck lifts typically last 10-15 years depending on how you maintain your new look. Avoiding skin damage from the sun, alcohol, and smoking counteracts the effect of your neck lift, while maintaining a healthy lifestyle will let you enjoy your youthful neck for years to come.

How is the neck lift procedure performed?

he neck lift involves incisions hidden predominantly behind the ear, with only a short extension needed along the front of the ear. The skin is separated from the underlying tissue, and the platysma muscle is identified below the jawline and the back border of the muscle is lifted upward. The muscle is then secured backwards just behind the ear. By pulling the back edge of the muscle upward, the front and side of the neck are tightened, and the incision is then closed carefully with fine sutures. If the front of your neck requires liposuction, this is typically performed prior to the neck lift, and a narrow suction device is used to remove the excess fat, reshaping your neck. For platysmaplasty, an incision is made below your chin, and the edges of the two sides of the muscle are quilted together creating a contoured neckline.

Is a neck lift procedure painful?

Patients may experience some discomfort, but this is easily controlled with medication.

When will I be able to return to work after undergoing a neck lift?

Most patients are able to return to work within 7-10 days after their neck lift; sooner if swelling subsides.

When will I be able to shower?

You will be able to shower 48 hours after the surgery, however you must make sure that you dry the incisions, and apply an antibiotic ointment.

Fat Grafting

What is fat transfer?

Fat transfer, also known as fat injection, is a cosmetic procedure in which fat is removed from one area of the body (usually the waist, abdomen, or legs) and then reinjected into very specific areas of the face in order to restore the volume that gives the youthful glow that all of us lose with age. Also, some individuals have a naturally gaunt or thin face, with little definition, and fat transfer can greatly improve the contours and balance of the face in these patients. While this youthful, healthy glow can also be restored with injectable fillers, the advantages of using fat are that it is your own tissue, which eliminates the chance of an allergic reaction, and that it lasts for many years, if not permanently, as opposed to fillers which typically last one year or less.

Where can fat grafting be used?

Fat grafting is commonly used to add volume to the face, hands, or buttocks. In adding fat to the face or hands, the goal is to reduce the appearance of age that comes with a loss of fat in these areas. In buttock augmentation, often described as a Brazilian butt lift, the goal is to improve the appearance of the buttocks. Sometimes, fat grafting is also used for breast augmentation.

How is fat grafting performed?

Very small, almost imperceptible incisions are made in the donor area. Through these incisions, liposuction techniques are used to harvest the fat which is then prepared and injected into the recipient area.

Does fat grafting leave scars?

The incisions made for fat grafting are very small and almost imperceptible. This results in minimal visible scarring.

Does fat transfer involve much pain?

Patients may experience some minor irritation and discomfort which tends to fade quickly.

What type of anesthesia is used for fat grafting?

Fat grafting is performed with local anesthesia and sedation or with general anesthesia.

How long is the procedural time for fat transfer?

Fat transfer may take about 1 to 4 hours and depends on the number of areas addressed.

What is the recovery like after fat grafting?

Patients may experience some minor discomfort, swelling, redness or bruising which tends to fade quickly.

When will I be able to return to work after my fat grafting procedure?

Most patients are able to return to work on the day after their fat grafting procedure.

How long do the results of fat transfer/fat injection last?

While the results of fat transfer can vary from patient to patient, most patients see a truly remarkable effect for years, if not permanently. As much as 40-70% of the fat transferred appears to last indefinitely.

Does fat graft require multiple treatment?

It is difficult to predict how much of the transplanted fat will survive, so sometimes we end up with not enough fat in the target area and have to perform a second procedure (and sometimes more) to ensure maximum correction or augmentation.

What are the risks or possible complications of fat grafting?

There are few risks associated with fat grafting but these may include bleeding, infection, and scarring.

Breast Augmentation

What is Breast Augmentation?

Breast augmentation is cosmetic surgery. It is also known as Augmentation Mammaplasty. The size and shape of the breasts are changed in this surgery. With the help of implants the size of the breasts are increased through this surgery. To get a fuller breast or to reinstate breast volume lost after weight reduction or pregnancy are the main motives of this surgery.

Are Silicone Gel-Filled Breast Implants Safe?

The FDA has evaluated and approved silicone gel-filled breast implants for Breast Augmentation.

After the breast augmentation surgery, how long should I wait before I can start exercising and doing strenuous activities again?

It is probably best to listen to the advice of your doctor. Recovery depends on each woman, but on average, resuming full activities normally occurs within 4-6 weeks.
Resting is best while your body heals, but walking is recommended to encourage circulation. With larger breasts, a good, supporting bra is recommended to prevent drooping of the breasts.

What is the weight of the implant?

It depends on their size and volume. For example, a 250cc silicone implant filled with 250cc of gel is about 250 grams.

Is it best to be at my ideal weight for the breast augmentation procedure?

It is recommended that you be close to your ideal weight, since significant weight loss after the breast augmentation procedure can alter results. This may include drooping or decrease in size. Significant weight gain can also affect breast size.

If I’m over 50 years old, can I still get breast implants?

Being in good health is more important than age.

If I have breast implants, can I breastfeed?

Studies have shown that silicone in the breast milk of women with any type of breast implants are not higher than in those without breast implants. Most women have no problem breastfeeding with breast implants.

How long will I need to take off work?

After breast enlargement surgery you will be sore for a few days, however, many patients are able to return to work after just a few days of rest, and more strenuous activities can be resumed after about a month.

Breast Reduction

Who would breast reduction surgery and why?

Breast reduction surgery (reduction mammaplasty) is designed for women who want to reduce the size of their breasts for medical and/or aesthetic reasons. Breast reduction surgery removes fat, glandular tissue and skin from the breasts making them firmer, smaller and tighter. Breast reduction surgery can also reduce the size of the areola (the darker skin around the nipple). The goal of this surgery is to provide women with smaller, better-shaped breasts that are more in proportion with the rest of their bodies.

Who is a good candidate for this surgery?

The best candidates for breast reduction surgery are women whose breasts are fully developed and who are mature enough to fully understand the procedure and have realistic expectations about the results.

What problems do extremely large breasts cause?

Oversized breasts can cause back pain, skeletal problems, skin irritation/infection, neck pain, breathing problems and issues with dressing and a negative impact on self-confidence.

What are the benefits of breast reduction surgery?

Aside from relieving back and neck pain, skeletal problems, breathing issues and improving self-confidence, your clothes will fit you better, you can be more active, and you feel better about yourself, which will affect many aspects of your life.

Can breast reduction correct breast asymmetry?

We can enlarge the smaller breast with an implant to create symmetry.

What about scarring and other side effects?

Breast reduction surgery does leave noticeable permanent scars, although they will be covered by clothing usually. If you are a smoker, your chances for wider scars and poor healing are significantly increased. Breast reduction surgery may result in mismatched breast sizes and/or unevenly positioned nipples. Some patients have reported loss of sensation in their nipples following the surgery.

What can I expect after surgery and the recovery period?

Following the procedure, you will be wrapped in elastic bandage or a surgical bra over gauze dressings, and the bandages will be removed after a couple of days.
You may be up and around a day or two following the surgery, but your breasts may still ache for 1 to 2 weeks. You should avoid lifting or pushing or pulling of any kind for at least four weeks.

Breast Lift

What is a breast lift/ Mastopexy?

A breast lift is a surgical procedure that elevates the position of the breasts. This surgery is designed to lift sagging breasts to a more youthful, aesthetic position upon the chest.

What are the benefits of Breast lift surgery?

Your breasts will be firmer and more uplifted giving a more youthful contour. A breast lift will enhance your appearance, however, it is important to remember that gaining or losing significant weight, the effects of gravity, and the normal aging process, will in time alter the shape of the breasts.

Am I a good candidate for a mastopexy

A good candidate is someone with drooping/sagging breasts, physically and mentally healthy, and understands the procedure.

At what age can I go for breast lift India surgery?

Breast lift can be performed at any age, but waiting until breast development has stopped (usually 18 years) is recommended. If for some reason you it is important to have it done earlier you should be aware that further growth of breast may change the breast size and shape after the surgery.

How is breast lift surgery performed?

In sagging breasts there is excess of stretched skin relative to amount of breast tissue. Nipple is low and pointing down. Breast lift surgery removes the excess skin without disturbing the breast gland. Nipple areola is shifted upwards to an ideal position without detaching it from the breast. It is similar to wearing well fitting bra. The surgery also tightens the breast tissue with internal stitches.

What type of anesthesia will be used?

The most common is general or local with monitored anesthesia care.

Are there going to be scars on my breast?

There is usually a scar around the nipple areola and another one going vertically down from nipple till the breast crease. Scars on Indian skin tend to look like dark lines for the first 6 months and then gradually become lighter over next few years. It is rare for scars to become invisible.

Is there any risk?

Breast is a superficial organ with no critical nerve vessels or organs near the surgical field, so breast surgery is relatively safe. Bleeding, infection and reactions to anaesthesia are some risks common to all surgeries. Following surgery sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. Minor adjustments can often be made later. Loss of sensation in the nipples or areas of breast skin may occur rarely. Rarely hypertrophic scarring can occur and may need treatment.

How will I look and feel after surgery?

The day after surgery, you will be encouraged to get out of bed for short periods of time. After a week usually, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back to avoid pressure on your breasts.

You can have shower from 4th day after surgery and can remove your dressings and wash your breasts as well. Initially you will notice your breasts to be swollen and sometimes with black and blue patches. Breasts also feel numb and tender. Shape may look a little odd initially. You will wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminishes.

How long do the results of a breast lift last?

The results of a breast lift vary depending on each individual patient. Many can enjoy firm, youthful breasts for several years, but certain factors, such as aging, weight loss, pregnancy and gravity, can cause the tissues to weaken and the breasts to sag again.

Can I breastfeed after a breast lift?

There is no way of determining if you will be able to breastfeed after a breast lift. Some women cannot breastfeed regardless of whether or not they had surgery, while others may be affected depending on the extent of their procedure.

When can I expect to return to work and resume normal activities?

You can expect to return to work after a week or so, depending on the type of job you have. You should avoid strenuous activities for at least three weeks and any strenuous sports for a month.

Nipple Areola Correction

Can you correct misshapen and inverted nipples?

Yes. Nipple augmentation and inverted nipple correction are surgical procedures designed to reshape the nipples, giving them an aesthetically pleasing appearance. The nipples may also be reduced in length or width (nipple reduction surgery).

Why do I have inverted nipples?

Usually, inverted nipples are related to your genetics, but they can also develop following breast surgeries or infections. In cases of inversion, the nipples look as if they are indented (rather than protruding above the areola) due to overly tight breast ducts. The tension of these ducts draws the nipples inward and, in severe cases, can even lead to a visible surface depression at the areola’s centre.
While inverted nipples are not a concern in and of themselves, their development should be monitored. Cancer can alter the breast ducts and lead to nipple retraction. Unusual changes (like lumps, pain, blisters or nipple discharge) should be assessed by a doctor.

Inverted nipple correction surgery and nipple augmentation.

This surgery usually takes an hour. The surgeon carefully lifts the nipple into a more erect position making a small incision at its base, carefully dividing tethering tissues and some of the ducts to allow the nipple to remain in the desired outward position.

Nipple reduction surgery

This usually takes an hour. The surgeon removes the tip or one side of the nipple and sutures it. To reduce the width or circumference, a wedge of tissue from the side of the nipple is removed.

Is it possible to get breast augmentation, breast reduction or breast lift at the same time?

Yes it is not uncommon.

What can I expect during recovery?

You may resume rigorous physical activity after one to two weeks.

What are the risks of nipple surgery?

Despite the safety and nice results of nipple surgery, the procedure can lead to complications. This includes infection or undesirable changes in nipple sensation.

Gynecomastia (Male Breast Reduction)

What is Gynaecomastia?

The enlargement of breasts in males is known by the medical name gynaecomastia. In females breast growth is stimulated by oestrogen while in men it is stimulated by testosterone.

What are the causes?

At certain points in life a man’s breasts will be larger than at other times. The causes of these fluctuations are many from genetics to nutrition and more but generally result in either:

  • An excess of fatty tissue – more suited for Liposuction
  • An excess of glandular tissue – more suited for Surgery/excision

What is male breast reduction?

Male breast reduction can be done with liposuction, surgical removal of breast tissue, or a combination of both.

What are the treatment Options?

Liposuction with Excision of the Gynecomastia is commonly undertaken. This surgery is virtually scarless and gives a flat contour to the chest.

Will there be scarring after male breast reduction?

If liposuction alone is done, there will be a few tiny incisions. When breast tissue is removed surgically, the incisions are usually around the nipples or in the sides of the chest and are relatively unnoticeable.

Is the Treatment Result Permanent?

The results after surgery are permanent.

How long is the hospital stay?

The stay is day care or an overnight stay.

When can I resume work?

Light work is possible next day if need arises – but it is preferable if you can plan the surgery so that you can have a few days when you can rest adequately.

When can I return to normal sports, exercise or driving a car?

If your healing is proceeding as expected you can return to your normal exercise and sporting activities by 4 weeks following your surgery. Always remember that a slow, progressive return to normal is optimal for proper healing. Most patients can resume driving after a week following their procedure.

When will I be able to see results of surgery?

At the first dressing change, however, there will be some swelling for about a week after surgery. When the swelling goes down, you should be able to see what your new chest looks like.

Arm Lift

Should I get liposuction or arm lift?

If the tone in the skin and tissues of the arm is good liposuction alone may be suitable. If there has been a dramatic weight loss with extra skin it is more than likely that you will need to have an arm lift performed.

Who is a good candidate for brachioplasty surgery?

Any patient who has had loss of tone in the upper arm. This can either be secondary to weight loss or significant loss of elasticity with aging.

Who should not undergo a brachioplasty procedure?

This surgery is not suitable after a mastectomy (breast removal) or operations in the axillary lymph nodes. Those with multiple infections of the sweat glands may also not be candidates for brachioplasty. This is because there may be problems with draining the fluids from your arms as a result of your previous surgery. For best outcomes the patient should be at their target weight.

How do I prepare for the brachioplasty procedure?

Patients are asked to stop taking all medications that may increase bleeding including aspirin, , NSAIDs (anti-inflammatory medications) and herbal supplements like Vitamin E. Patients also need to be in good general health and should have a full physical before the procedure to make sure their blood pressure is controlled. Patients who smoke have delayed healing and increased wound complications.

What types of Brachioplasty are available?

A brachioplasty procedure can be performed in four different ways:

  • mini or axillary brachioplasty
  • full or standard brachioplasty
  • extended brachioplasty
  • liposuction

Depending on how much skin laxity is present and the proposed scar will determine which method would be the most effective procedure.

Where are the scars going to be located?

Depending on the actual type of brachioplasty that will be performed – the scar is normally  placed inside the inner side of the upper arm – beginning at the axillary area (underarm) to the elbow).  If a limited or a mini brachioplasty is indicted, the scar will be much shorter.  
All surgery requires a scar and all scars take time to soften and fade. The final appearance of the scar will not be seen for at least a year or two after surgery. In the beginning, the scar may appear red and raised for the first few months following the surgery. 

Are drains going to be used with the brachioplasty?

Drains are sometimes are used after this type of surgery.

Drains are used for two reasons:

  • One is to remove fluid such as serum or blood that would otherwise collect under the skin.
  • The other reason is to pull the skin against the underlying tissue to allow it to stick in place.

If you have drains when you leave the surgery center you will be given instructions on their care before you go home

When can I start exercising again?

Approximately one to two weeks are necessary to resume daily activities, and approximately four to six weeks (sometimes longer) to resume most sports activities.

Will my arms start to sag again?

With substantial weight gain and loss, there could be a partial recurrence of laxity to the area.

What are the advantages of brachioplasty?

  • Directly removes excess skin and fat of arms
  • Firms and tightens arms
  • Tones and defines arms with liposuction

What are the risks of brachioplasty

  • Brachioplasty scars the ones along the arm along the arm tend to be noticeable. Still many patients find this an acceptable trade-off in order to rid themselves of all the loose skin.
  • Severe swelling or edema
  • Bleeding and or hematoma

Liposuction

What is a Liposuction?

Liposuction removes unwanted deposits of excess fats in order to improve body appearance. This procedure is also called body contouring when different areas of the body are addressed simultaneously to create better body contour.

Am I a good candidate for liposuction?

Liposuction is not used for weight loss, rather to correct problem areas or fat bulges. The fat removed does not weigh a lot, so patients should expect a shape change, not a weight change.

How long the results of liposuction last?

As long as the patient maintains a healthy life-style, including exercise and a sensible diet, liposuction results are long lasting. Once the fat cells have been removed from an area there is no longer a preferential fat storage area and any fat gain will be distributed more evenly over the rest of the body.

Does liposuction leave scars?

Incisions made during liposuction are generally very small and put in areas that are inconspicuous. In most cases it will be difficult to see where the incisions (ports) were originally made.

What areas of the body can be treated with liposuction?

This procedure can address areas such as chin, neck, cheeks, upper arms, breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankle.

When can I return to normal activities?

Because of the significant decrease in swelling and decrease in inflammation and pain after surgery, patients are able to return to normal physical activities very soon after the procedure. There is no limitation of physical activity other than what common sense would dictate. Some patients are able to return to jogging, golf, or light aerobic exercise within a week after surgery. Some patients do find the soreness after surgery to be more significant than others, but on the average, most patients are surprised at how quickly they are able to return to normal activity.

Abdominoplasty (Tummy Tuck)

What is Abdominoplasty (tummy tuck)?

Abdominoplasty (commonly called a tummy tuck) is a surgical procedure that removes excess skin, fat, and other tissues to help you achieve a smooth abdominal contour. If you have a loose or protruding abdomen that exercise and weight loss have been unable to correct, an abdominoplasty may be able to help.

What are the different types of Abdominoplasty procedures?

There is the traditional tummy tuck surgery, as well as the mini tummy tuck procedure. The type of abdominoplasty that is appropriate for a patient depends on the amount of sagging skin that is removed, the degree of tightening that is required for the stomach muscles, and exactly where on the tummy area the excess skin lies.

What is a mini abdominoplasty, and when is it better than a regular abdominoplasty?

A mini tummy tuck is best suited for patients who require only a minimal amount of abdominal muscle tightening and loose skin removal below the belly button. Because less surgical work is being done, the scar is smaller than that of a traditional tummy tuck.

Who are the best candidates for abdominoplasty?

Good candidates include men and women who are in relatively good shape but have a large fat deposit in the abdominal wall or have loose abdominal skin. Abdominoplasty works best for people whose weight is fairly normal and stable. If you intend to lose more weight, you should consider postponing your tummy tuck until you’ve reached your target weight.

How is abdominoplasty performed? Where will the scar be?

A long cut is made very low and is concealed within the panty line. The scar can be compared to a long caeserian section scar. The skin and fat is lifted up from abdomen, pulled down and excess skin and fat is cut away. Belly button is recreated. Liposuction of abdomen is usually done along with abdominoplasty.

What are the risks involved with abdominoplasty surgery?

Fortunately, significant complications from tummy tuck are infrequent.
Some of the potential complications include collection of blood clot or serous fluid under the skin which may require subsequent drainage. Infection and reactions to anaesthesia can occur. Depending on the individual’s healing capacity, the incision may take longer than the usual 1 week to heal. Very rarely, loss of part of the skin may occur which may require removal of lost skin and a secondary procedure such as skin grafting. There can be bulges at the corners of the scar (dog ears) that may require later touchup. Risks are more if the patient has other problems such diabetes, hypertension alongwith history of smoking.

How long is recovery from an Abdominoplasty?

You will experience postoperative discomfort for about a week after your abdominoplasty. This is typically managed with medication. You should count on missing about 1-2 weeks of work.

How will I look and feel after surgery?

After surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding.
Any surgical drains will be removed a day or two after surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support abdominal binder for a few weeks. Generally, stitches are removed after 8 days. Sensations take few months to return to normal status. Incisions will initially be red or pink in color and will gradually improve with time.
The abdomen will not look very flat initially because of the swelling but in 6-8 weeks the results will appear.

Why is the binder necessary?

Binder gives firm and elastic support so the skin sticks to muscle and fluid collection is avoided. Also it promotes contouring of body shape.

Is the result permanent?

Unless you gain or lose a significant amount of weight or become pregnant, results stay. You can even improve upon the results by toning the muscles with abdominal exercises.

Vagionplasty

Hymenoplasty

Post Bariatric After Massive Surgery Lift

Hair transplantation

What is hair transplantation?

Hair transplantation is an advanced redistribution system for relocating hair follicles from a donor area, often at the back of the head, and artistically transplanting them to thinning or bald areas.

Are the results permanent?

Yes, the results are permanent. The transplanted hair continues to grow for the rest of your life just like normal hair. They require no special maintenance. They can be washed, combed, oiled, cut and styled normally giving excellent aesthetic results.

How risky is this?

No risk involves in this procedure. (Complications can occur very rarely)

For how many days person is admitted?

This is an out door procedure and person goes home on same day. This is like drive in and drive out.

At what age hair transplant can be done?

Age is no contraindication of hair transplant.

Is this very painful?

No . Patients are given local anesthesia in the donor and recipient areas. Most patients find that once the anesthesia is given that they feel no pain or discomfort during the surgery. Following surgery patients will typically feel some amount of soreness and numbness, with some mild discomfort. Most patients are pleasantly surprised by how minimal the discomfort from the surgical procedure is.

What anaesthesia is given?

This is done under local anaesthesia.

How many grafts/hairs will I need?

The amount of grafts you will need ultimately depends on your degree of hair loss, now and in the future, and on how full you desire your hair to be.

How long does a hair transplant procedure take?

Patients will arrive in the morning and will have their procedure completed by late afternoon or in the evening.

What are the surgical techniques?

FUT/Strip: This technique is extensive and entails linear incisions with a scalpel in both nerve and blood vessel areas. It is important for these procedures that the doctor has surgical experience because there is a risk of temporary or permanent loss of sensation. The area must be sutured and then the stitches are removed after about ten days. Here there is a risk of visible scarring, although hair growth can provide some cover.

 

FUE IM: Neither scalpel nor stitches are used, which minimizes the risk of visible scarring. The grafts are transplanted with the help of microscopic (0.60 – 0.70 mm) instruments. Because no stitches are needed, the patient feels neither pain nor loss of sensation and the surgical area heals within a few days. The surgical area will be nearly impossible to detect in the future.

Which method of hair transplantation for me?

Normally we use the FUE method. In exceptional cases, also called the FUT method. Which method is best for you determine the surgeon’s final response to the consultation.

When will my newly transplanted hair start to grow?

Normally it takes between three to five months following surgery before the transplanted hair follicles begin to grow new hair. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

What are side effects of hair transplant?

As such there is no side effects of hair transplant.

How soon can I get back to work after hair transplantation?

You can easily resume work on the next day. No hassles of taking a long leave from your work. This adds to the convenience of the procedure.

Plastic & Reconstructive Surgery

Why the “plastic” in plastic surgery?

The word “plastic” comes from the Greek word plastikos, meaning “to mold or shape.” Many of the first plastic surgeries were developed to close a difficult wound or replace tissue lost due to injury or cancer. These procedures often involved the formation of a skin flap to reshape or mold the defect so as to approximate the original shape.

What is the difference between cosmetic and reconstructive surgery?

The primary goal of cosmetic surgery is to improve one’s appearance, while reconstructive surgery is performed to improve personal health, body function or alleviate disease. Cosmetic surgery is generally elective; reconstructive surgery is often considered medically necessary.

What procedures are considered reconstructive surgery? b

The line between cosmetic and reconstructive surgery can sometimes be blurred because reconstructive surgery often improves both health and appearance.

Does Plastic Surgery leave any visible scarring?

As with any cut or incision made on the skin, there will be a scar left behind as part of the normal healing process. However, with special training and the extensive experience a good Plastic Surgeon will be able to minimize the size of the scars and locate them in the least conspicuous areas possible.

Does reconstructive surgery have possible risks and complications?back to to

Virtually all surgery includes some risks, including reactions to anesthesia, blood clots and infection. Potential complications increase based on the patient’s personal health history.

What is the typical recovery period for most operations?

On an average, it takes about one to two weeks for most common procedures. However, this varies with the particular procedure in question and the general condition of the patient’s health.

How long does the Plastic Surgery operation take?

Generally speaking, most common procedures of Plastic Surgery take about two to three hours in the operating room. However, complex and multiple procedures could take several hours.

What is recovery like?

Recovery time depends on the patient and specific reconstructive surgery performed. Some patients are able to return to a normal routine immediately after a procedure, while others require several weeks to retain a normal level of functioning. In some cases, the final results are not clear for months.

What are the risks involved in Plastic Surgery?

As with all types of surgeries in general, Plastic Surgery too carries its own risks such as infection, bleeding, scarring, and anesthesia reactions. And in certain types of Cosmetic Plastic Surgery, the outcome may not exactly match the original requirement of the patient in terms of “looks”.

When can I resume regular exercise?

The time a patient resumes regular exercises varies based on the operation performed. All patients are encouraged to start a slow walking routine on the second postoperative day. Regular aerobic and more vigorous activities are not allowed during the first 2 weeks in order to decrease the risks of bleeding, swelling, and bruising. Weight lifting and contact sports are allowed at 1 month in most cases.