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Cosmetic Surgery

Q. How cosmetic surgery help to reshape the body?

Minimizing the Effects of Aging - Nowhere does aging leave its imprint more noticeably than on the face. Sun exposure as well as aging contribute to facial wrinkling, as do diet, the amount of alcohol you consume, and whether or not you smoke.

Facial rejuvenation surgery may involve procedures of the face and neck, eyelids, forehead and eyebrow areas, and procedures to reduce fine skin lines. These procedures can often be performed at the same time or can be carried out in separate sessions.

Which procedure, or combination of procedures, is right for you depends on your personal objectives and the opinion of your surgeon.

Redefining Facial Features - Irregularities of the nose, ears, cheeks or chin may upset the balance of the face and affect the overall appearance, since these features are often viewed in relation to one another.

Aesthetic surgery can reshape the nose, diminish prominence of the ears, and reshape the chin or cheeks to improve excesses or deficiencies in these areas. In many cases, changing a single facial feature can enhance your entire appearance and affect the way you feel about yourself.

Body Contouring - There are several aesthetic procedures to reshape the breasts, abdomen and other parts of the body. Dramatic advances have been made in recent years, particularly in suction techniques that now often replace more extensive surgery to remove unwanted fat.

The success of body contouring - whether it is done to reduce, enlarge or lift - is influenced by your age and the size, shape and skin tone of the area to be treated. While some contouring procedures leave small scars, more noticeable scars may result when surgical removal of fat and skin is necessary to achieve desired results. In such cases, you must be willing to accept these scars in exchange for looking better in clothing.

Benefits of cosmetic Surgeries

Q. Are you a Good Candidate for Cosmetic Surgery?

The ideal candidate for aesthetic surgery is an individual who recognizes a specific area in which his or her appearance could be improved and has a strong personal desire to make a change. This personal desire may be influenced to some degree by the individual's role in society. Because our culture is youth-oriented, people seek ways to counter the effects of aging on their appearance. Many elect surgery to look as young as they feel, to build confidence after a lifestyle change or to retain their edge against younger competitors.

Whatever your reasons for choosing aesthetic surgery, it is important to have realistic expectations. Improving a feature of the face or body may give you greater self - confidence and add to your sense of well-being, but it is not a guarantee of happiness or better relationships with others. Surgery can enhance your appearance; the rest is up to you.

As with all surgical procedures, cosmetic surgery carries with it certain risks. Select a doctor who is well-trained and experienced in performing the specific procedure you want. (For help, use the questions listed inside.) Find out beforehand any possible side effects, risks, and complications of the surgery you want. Early on, discuss with your doctor what goals you hope to accomplish with cosmetic surgery and whether these goals are realistic. Remember that insurance usually does not cover costs for elective cosmetic surgery.

Q.What are the different type of Cosmetic Surgical Procedures?

Mammoplasty Breast Augmentation - Breast augmentation is one of the most common plastic surgery procedures today. Breast implants are used during augmentation to increase the size and shape of the breast.

Breast reduction: Removal of skin and glandular tissue. Indicated to reduce back and shoulder pain in women with gigantomastia and/or for psychological benefit in women with gigantomastia/macromastia and men with gynecomastia.

Breast lift (Mastopexy): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue. Liposuction Localised unwanted fat over various parts of the body.

Nose Reshaping (Rhinoplasty) - Rhinoplasty uses surgical techniques to reshape the nose.

Eyelid Surgery (Blepharoplasty) - surgery is performed on adults of any age to correct problems associated to aging or to receive treatment for inherited traits.

Tummy Tuck - Tummy tuck, also known as Abdominoplasty, helps to significantly reduce the appearance of a protruding abdomen, loose skin, and stretch marks in the abdominal area.

Hair transplantation - Hairtransplantation uses the surgical technique of microfollicular hair grafting for male pattern baldness.

Q.What is the difference between Cosmetic Surgery and Plastic Surgery?

Cosmetic surgery is surgery to improve appearance - Aesthetic surgery is another name for cosmetic surgery. It comes from the Greek word for beauty.

Plastic surgery is surgery to change the shape or form of the surface and sometimes the deeper structures of the body. The word plastic comes from the Greek word for moulding. Plastic surgery includes cosmetic surgery, repair operations after burns and other injurie s, correction of inherited deformities, breast reconstruction after operations for breast cancer, and removal of skin tumours.

Plastic surgery also covers various reconstructive surgeries to repair damage caused by injuries or accidents. Like all surgeries, plastic surgery does carry certain risks, and it is important for you to research and find a qualified plastic surgeon to discuss your surgery options

Q.Does health insurance typically cover plastic surgery ?

Health insurance will generally cover plastic surgery if it is performed on a medical basis such as reconstructive surgery, i.e breast reconstruction following mastectomy. It does not usually cover any cosmetic surgical procedures or operations if it is purely for self enhancement. However it is always advisable before considering any surgery or making a claim to check your policy terms and conditions with your medical provider.

Q. What are the risk OF Cosmetic Surgery?

As with any other medical procedures possibility of complicationalways exist, but problemes associateed with cosmetic surgery tend to be relatively minor and temporary, if operation is performed by skilled cosmetic and Plastic surgeon

Q. What is the recovery of plastic surgery like?

Every patient heals differently and the healing process will depend on the type of surgery undertaken. To enjoy the benefits of the surgery we would recommend our patients listen to their consultants advice on recovery and recuperation

Q.What are average physician/surgeon fees for cosmetic surgeryprocedures?

Cosmetic surgery costs can vary widely from surgeon to surgeon and from one city or area to another. You should ask your plastic surgeon what the fee he/she quotes includes; is it only his or her surgeon's fee.

Q.Is Cosmetic Surgery very expensive?

Another most important FAQ about cosmetic surgery is regarding its expenses. The surgery is not very expensive its expenses varies in different institutions, the infrastructure required for a particular surgery, material used, nature of the procedure, anesthesia and the operating surgeon. As compared to other countries in West, cosmetic surgery in India is very cost effective. The world class healthcare facilities and presence of best practitioners makes the surgery easily available with no waiting period. In comparison to other medical super specialties, a routine plastic surgery requires minimal instrumentation and infrastructure but also high standards of innovative surgical skills.

Q. Are you Considering Cosmetic Surgery?

If you are considering cosmetic surgery it is vital you take the time to research your options and examine your reasons carefully.

We are constantly making choices throughout our lives about the way we look and how we feel about ourselves. What was considered to be exclusively for the very wealthy has become more available to society today as a whole. With so many more options available to you it is imperative that you take the time to consider them all.

It is also very important to make sure you are having surgery for yourself and not to please somebody else. You must make sure your expectations are realistic. Whilst perhaps a new bust will give your confidence a boost it will not guarantee a career as a model. However, many people find that cosmetic surgery is beneficial. So before you decide as to whether plastic or cosmetic surgery is right for you have to think carefully about your own expectations and remember some surgeons may refuse to operate if they feel that a person has unrealistic expectations.

At our Centre you can feel reassured that our standards of care and our facilities are of the highest quality. Our consultants are fully accredited and are on the specialist register of the Association of plastic surgeons of india and are supported by our team of anaesthetists all of whom are fully qualified and experienced. Our dedicated nursing teams and Resident Medical Officers are on duty 24 hours a day, providing care within a friendly and comfortable environment.

Patients should also remember that everyone is unique and some may take longer to heal than others. Some patients from ethnic backgrounds for example are more prone to scarring than others. Whilst some patients have a high pain threshold others may experience pain more readily. Cosmetic surgery will always be unique to every patient that is why it is so important to have a thorough initial consultation and we would encourage our patients to see their consultant once more before a date for cosmetic surgery is agreed.

If you would like a consultation please telephone our helpline or complete the contact form. A consultation does not commit you in anyway to having cosmetic surgery. Once you have had your consultation and your consultant has explained the options available to you and has accepted you as a patient then we would be happy to discuss convenient dates for your cosmetic surgery if you wish to proceed.

Q.What is liposuction?

Liposuction, also referred to as lipoplasty or suction-assisted lipectomy, is a surgical procedure that recontours the body by removing excess fat from specific areas, including the abdomen, hips, thighs, buttocks, upper arms, chin, and neck. by the use of especially designed metal cannulas and suction machine.

Q.Am I a good candidate for liposuction?

The best candidates for liposuction are normal-weight people who have localized fat disease that do not respond well to diet or exercise . Liposuction can be done at any age, but those with firm, elastic skin achieve the best results since elasticity lends itself to smoother contouring after the fat removal. Large volume of fat removal will also help reduce weight of the person.

Q.What technique will the surgeon use to perform the liposuction?

Tumescent liposuction is the one basic technique used in all patients undergoing liposuction surgery. This technique involves the infiltration of wetting solution followed by insertion of a metal cannula, through a tiny incision into the layers of fat that lie deep beneath the skin . The cannula is connected to a suction device that literally vacuums the fat out as the surgeon breaks up the cells with a push/pullmotion.

Q.What is "wetting solution"? Why do we use it?

Wetting solution is the delivery of subcutaneous infiltration into the subcutaneous fat before the use of liposuction. It has two advantages: an anaesthetic effect secondary to the use of lidocaine and a haemostatic effect due to use of epinephrine.

Q.If the fat is removed, will it return?

The body produces fat cells during three different periods: in utero, early childhood and early adolescence. In general, after reaching maturity the total number of fat cells in the body will not increase. Fat cells that are removed through liposuction or other techniques will not be replaced by other fat cells. So the resultant loss of fat & weight loss cells will be permanent

Q. How much fat can be removed?

Whatever extra subcutaneous fat is there can be removed in a single sitting from different parts of body

Q. How long is the recovery period?

The recovery period usually lasts from 3 weeks to 3 month for the final shape of that body part but the result of liposuction is visible immediately after surgery , depending on the patient and the extent of the procedure . Usually patients can return to work from the next day of surgery more strenuous physical activity after two to four weeks

Q.What is the postoperative care required?

No special care is required but one has to wear pressure garments for at least 3-6 months

Q.Does the excessive skin need to be resected after removal of fat by liposuction?

In general, despite large amounts of fat being removed, skin has good elasticity and will reconfirm to the new underlying volume with the help of pressure garment. However, in patients with inelastic skin or in older patients skin resection like Abdominoplasty or tummy tuck operation may be needed along with SAL

Q.Are the results of liposuction permanent?

The results of liposuction are usually permanent with a sensible diet and exercise. If the patient gains weight post-liposuction, the fat is usually distributed to other areas of the body

Q.What are the risks associated with liposuction surgery?

The most common sequelae include contour irregularities, paraesthesias, oedema, ecchymosis & discoloration, which occur routinely in almost all patients who undergo liposuction. However, they resolve spontaneously or with minimal treatment such as massage & Pressure garment.

Q.How much does liposuction surgery cost?

The cost of a liposuction procedure depends on a number of factors including the surgeon, the geographic region, and the size and number of body areas targeted.

RHINOPLASTY (Nose Correction)

rhinoplasty

Q. What is Rhinoplasty?

Rhinoplasty, which is more commonly known as a 'nose job', is a surgical procedure used to refine and/or reshape the nose. Common changes include modifications in the size and shape of the bridge and/or the tip of the nose by using bone graft or silicone implants or it may also be reduced. It may also correct bi_ defects or breathing problems. Rhinoplasty is one of the most technically demanding cosmetic surgeries. It requires _ anatomical knowledge to fix functional deformities and produce the best-looking nose possible. 'Perfect' noses are acquired, not born with.

Q. At what age can rhinoplasty surgery be performed?

In general, rhinoplasty for purely cosmetic reasons should be avoided before the face and nose have completed most of their growth. For most people, this means that they should put off surgery around the age of 16-17 years for girls and 17-18 years for boys.

Q.Who is a good candidate?

Some of the indications that you may be a good candidate for Rhinoplasty are:

Occasionally your surgeon may suggest other surgical correction to improve facial balance, for example, chin reshaping.

Breathing problems if any can be corrected at the time of Rhinoplasty. You will be asked to explain exactly what you wish to improve. The surgeon will then evaluate what can be realistically achieved

Q.How is a rhinoplasty performed?

nose rhinoplasty

A rhinoplasty can be performed under either local anesthesia with sedation or general anesthesia. Surgery generally lasts about one and a half hours. An incision is made either across the bottom of your nose between your nostrils (an open technique) or in the mucosal lining of your nostrils (a closed technique) which is invisible post operatively.

The surgeon then may use surgical tools to shave down a hump, remove or rearrange cartilage, or break and rearrange bone (Reduction Rhinoplasty), augment the depressed dorsum with bone or cartilage graft or silicon implant (Augmentation Rhinoplasty) to reshape the nose. After he or she is done, the incisions are closed. Your nose may be packed with gauze or other material and a splint or cast may be applied.

You will be awakened after the procedure and after an hour or two of recovery, you can go home. You must have someone to drive you home since you will not be able, or be allowed, to drive yourself. The packing usually comes out in a day or two and the splint or cast, if you have one, comes off in about 7 days.

Q. When will I be able to see the results?

face rhinoplasty

Your nose is going to look swollen and bruised for at least a few days. The swelling starts to disappear about a week after the cast is removed or a week after surgery. About 80% of the swelling and all of the discoloration are usually gone by 2 weeks after surgery. Swelling starts to resolve more slowly after that. Ninety percent of the swelling is gone by 2 months after surgery and the rest slowly disappears over the next year.

Although the nose is still swollen after the first month, this will not be visible to anyone else. You will see your nose becomes more refined with better definition over the first year.

Q.How long do the results last?

Rhinoplasty permanently alters the shape/size of a patient's nose. Results will last permanently, though they may be affected by the natural signs of aging.

Q.What are the risks of rhinoplasty?

Some negative side effects of rhinoplasty include bruising, swelling and pain. All of these are considered temporary. Permanent risks include tiny burst blood vessels in the nose and scarring.

Some more serious risks are those related to any surgical procedure, such as bleeding, infection and complications arising from the administration of anesthesia.

Hair Transplantation

Q.What causes hair loss?

The hair loss usually occurs in one of several specific patterns and hence it has been called male pattern baldness or androgenetic alopecia. Only about one percent of hair loss is caused by other conditions. These include various nutritional, metababolic and hormone disorders,Fungal Infection,Bacterial Infection,Liver Disease.

Male pattern baldness involves a genetic susceptibility of some of the hair follicles to the hormone dihydrotestosterone, (DHT). This hormone acting over time on these susceptible follicles causes a gradual shrinking, (miniaturization), and finally death of these follicles. On average, individuals typically lose some 100 hairs daily. These hairs should regrow several months later, and it is only until the hair loss exceeds the new hair growth that baldness results. Once hair loss starts, however, it is a progressive condition and will continue for a lifetime.

Q. Do medications helps to control or defeat hair loss ?

There are several medications which are FDA approved to treat androgenetic pattern hair loss, including Minoxidil (brand name Rogaine) which is a topical medication for both men and women that is applied twice a day, and Finasteride (Propecia), a pill intended for men only and taken once a day. While these medications can slow down and even stop altogether the progression of hair loss on the back of the head, their effectiveness is limited as less than two-thirds of all men actually obtain these results. Surgical hair restoration, or hair transplantation, is the only permanent solution for hair loss.

Q.Are there other hair loss treatments?

There are so many hair loss treatment in the form of medicines and cosmetic procedures are available in the market among them hair weaving and hair bonding is common.Hair weaving is tying a wig on the head with silk thread knots. Hair bonding is holding the wig with clips and hair fusion is sticking a light weight nylon wig with a double sided sticking tape. These are all temporary methods. Prolonged use causes bad hygiene, pull out of the anchoring hair and excoriation of skin. These methods are, done at hair saloon & not by doctors. Hair transplants, performed by experienced cosmetic and plastic surgeons, are the only effective means of reversing hair loss. Hair transplantation is a proven surgical method that has evolved to become the answer for those that suffer from hair loss.

Q. What is hair transplantation?

hair transplantation surgery

Hair transplantation is the surgical procedure which involves the removal of hairs from donor areas, commonly the back of the head, which are then transplanted to other areas that are thinning or balding. Because the hairs removed from the donor area are not susceptible to baldness, they will continue to grow for a lifetime once transplanted. Follicular unit grafting is the most modern and state-of-the-art procedure for hair transplantation. Hair naturally grows in groupings of one to three, and sometimes four, hairs which are called follicular units. Grafts are individually cut under the microscope, and as many as 2500 of these grafts can be transplanted during a single procedure, which typically lasts anywhere between three and six hours.

Q. Are hair transplants painful?

The procedure is performed under local anesthetic infiltrated in donor and recipient area, following anesthesia patient feel no pain and discomfort .

Q.How long does hair transplantation procedure take ?

Typical session of 1500 to 2000 graft normally take 6 to 7 hour, most of the patient come in the morning and completed in late afternoon.

Q. what is the post operative care?

Following surgery close dressing is applied over the scalp which has to be remove after 3 days , after that patient has to apply neosporin eye oint locally for 4 to 5 days .patient can take shower with mild shampoo on 7 th day . Antibiotic and pain killer tablets are to be taken for five days. After the surgery head is to be covered with cap and avoid smoking and heavy exercise for 3 weeks is mandatory.

Q.How long does it take for grafts to grow ?

For the average patient, grafts will begin growing noticeably between 3 weeks to 3 month post-op. The most significant growth will be seen between 6 and 8 months and growth will continue for up to one year post-op before you see the final results. Your transplanted hair will continue to grow for the rest of your life.

Q.What other hair loss can be replaced with FUT?

Restoration of Eyebrows, Eyelashes, Burn, Bald Areas, Scars, Beard, Moustache, Cleft lip, Pseudopelade, Folliculitis, Decalvans

A Follicular Unit Hair Transplant Surgery - Step by Step

The below step by step presentation shows how todays state of the art follicular unit hair transplant procedure is normally performed.

1. Preparation for the hair transplantIn the initial step of the Hair Transplant Surgery, hair follicles from the back of the head are removed and relocated to the balding areas.

2. Donor area trimmed Before the surgery is started, the hair in the donor area are trimmed.

3. Donor area prepared for surgery Once the hair in the donor area are trimmed it is given local anesthesia.

4. Tissue in the donor area removed and the Donor area sutured. The tissue in the donor area that contains the bald resistant hair follicles is then removed surgically and the donor area is sutured.

5. Combed hair over sutured donor area The sutures in the donor area are hidden from the patient's hair that are combed over them. These sutures are removed almost ten days after the hair transplant surgery.

6. Donor tissue trimmed into follicular unit grafts Microscopes are then used by the surgical technicians to view the donor tissue for dissecting and preparing follicular units hair grafts.

7. Bald recipient area prepared Once the local anesthesia is given to the patient, the balding recipient area is prepared for the surgical process No trimming/removal of hair is required at the top of the recipient area.

8. Incisions made in the balding areas Follicular Unit Grafts are placed in the tiny incisions that are made in an irregular pattern in the recipient area.

9. Grafts placed according to their densities The smallest grafts (one and two) are placed in front of the hairline and three and four (denser than one and two) are placed behind.

10. Immediately after the Hair Transplant Surgery After the hair transplant surgery, tiny incisions with short hair would be visible on the patients operated area.

11. Closing of the Hair Transplant Surgery The incision marks heal naturally and the redness in the recipient area vanishes itself within a week.

Breast enhancement and reshaping

There is nothing more deeply personal to a woman than her breasts. If you are not happy with the shape or size of your breasts, it's difficult to feel right about your body and your self esteem may suffer. But you don't have to put up with disappointment or even embarrassment any longer.

A number of wonderfully effective cosmetic surgeries either augmentation mammoplasty, or reduction mammoplasty are now available and more and more women are having their breasts reshaped in order to look the way they want to.

(1) Augmentation mammoplasty or breast Augmentation

Breast augmentation is a cosmetic surgery procedure that increases the size of a womans breasts. A silicone implant placed under the breast tissue or under the chest muscle, increasing the size of the breast.. Augmentation can dramatically improve the appearance of a woman's breasts, enhancing the size and improving the the shape to create a fuller and entirely natural look.

Q. What are the Types,Shapes & Sizes ofimplants?

A variety of implants are available to achieve this made of a silicone shell filled either with silicone gel or saline or both. The shape and size of the implants vary according to the expectations of the patient.

Q. Who is the best candidate for a breast augmentation?

Ideal candidates for breast augmentation may be women who wish to increase the size of their breasts for a number of reasons including:

Q. How is a breast augmentation surgery performed?

breast surgery Breast augmentation is typically performed under general anesthesia. Anesthesia medications will be administered prior to surgery t. The implant will be inserted through the incision in the crease between the breast and chest called inframammary fold and placed behind the breast tissue or under the chest muscle.

Q. What is the recovery time for breast augmentation?

The recovery period after breast augmentation surgery may take two or three weeks. All dressings will be removed on seventh after surgery and Patients may resume normal activities, but should avoid heavy lifting. Initially there will be some discomfort and swelling, but this subsides quickly. Most residual swelling will resolve within a month. You will have to wear a surgical bra or a support bra for a few weeks.

Q. What are the risks associated with breast silicon implant?

There is no evidence that breast implants will cause cancer, affect fertility, pregnancy or your ability to nurse.

(2) Breast Reduction Very large breast can cause headache, back or neck pain, arm or hand numbness, rashes, decreased activity and psychological concerns, fungal infection apart from being a social problem. Breast reduction surgery remove excess breast and fatty tissue, reduce areola, and lift the breast for a smaller and more desirable shape. Patient s are recommended to undergo this procedure after completion of family. A cosmetic breast reduction can change all that forever. It can be wonderfully liberating and give you a real confidence boost when your breasts are reduced to the size you want.

Thread lift or Non surgical face lift

Q. What is Thread lift" Surgery?

The Thread Lift is a minimally invasive, safe and effective non-surgical procedure that offers that offers subtle, natural-looking facelift-like results. This nonsurgical technique is preferably used to:

Q. How is the procedure performed?

In a thread lift, barbed sutures (threads) are used to lift sagging eyebrows and eyelids, deep nasolabial folds (those furrows between your nose and the corners of your mouth) or aging neck tissues. Your surgeon would use a thin needle to insert the sutures under the facial tissues. The barbs on one end of the thread grab and lift the sagging skin, and the teeth on the other end anchor the skin to the underlying facial tissues.

Q. What is the difference between traditional face lift and D Liftos/Contour?

Face lift surgery involves extensive cutting of tissues with attended risk and hospitalization. It will leave behind fine scars which may not be acceptable to the patients.

The THREAD LIFT technique in contrast is very simple to perform can be done under local anaesthesia with no downtime and it also provides equivalent result.

Q.What is the recovery time for the threadlift procedure?

You can go home immediately following the procedure. Pain and discomfort are very minimal with the ThreadLift procedure . In most cases, ice compresses are recommended for the first 24-48 hours. Depending upon your job and your tolerance for some minor bruising and swelling, you may be able to return to work in 2-3 days following the procedure. The recovery time for the threadlift is less than one week. During that period you should not rub the face, or eat foods which require a lot of chewing. ThreadLift results vary between three to five years or more, depending on your age, the degree of sagging and the number of threads used.

Botox and fillers

Q. What is BOTOX & how does it work?

BOTOX is botulinum toxin type A, a natural purified d protein, produced in a pharmaceutical laboratory. It acts by reducing the nerve stimulation to muscle & therefore causing muscle relaxation when injected into it and creates a smoothed, rejuvenated and more youthful appearance. Tiny amount of botox is injected in selected facial amounts using a very fine needle. Treatment taken 10 min. and you can resume normal routines immediately.

Q. What are the conditions that can be treated with BOTOX?

Q. What are the precautions to be taken for BOTOX injections?

Aspirin certain medicines should be stopped one week before BOTOX injections and the injection should be avoided

When there is known hyper sensitivity to any ingredient in the formulation

Botox and fillers

During pregnancy and to lactating mothers

Q. when is the effect of BOTOX visible and how long it last?

Following injection, the result, usually takes few days and begins to relax away lines reaching its full action by one week. It continue to prevent and reduce facial lines and wrinkles of about 6 months longer period than that of 1st injection.

Q. What are the complications of BOTOX injection?

BOTOX injection is very safe if administered in proper done by correct technique, however their may be temporary redness and burning at injection site.

Soft tissues dermal fillers

Q. What are the Fillers?

There may be patients own tissues like fat or the injectable substances manufactured in pharmaceutical laboratory like Restilane, Perlone, Dremadeep etc.

Q. What is the treatment like?

Dermal fillers are injected with very fine needle just under the skin surface to increase the volume where it is wanted. Anaesthesian is not required and the treatment is over few minutes. One can resume his or her activities immediately after treatment.

In case of fat injection it is first harvested under suitable anaesthesia from the area of body where it is present in avundence like abdomen, flanks, buttocks etc. And then the harvested fat is injected beneath the skin to correct the soft tissues depressions.

Q.In which conditions fillers are useful?

Fillers and fact injections are useful to correct,

Q. How long the effect of fillers lasts?

It depends on the hyper of fillers used eg. The effect pf Restilane and Perlane last for about 6 months and that of Dermadeep for about 2 3 years Aquamid 7 to 10 years . In case of fat injection some amount of fat gets reserved by over a period of time and ultimately about 30-40% remains at the site of injection, permanently.

Q. What precautions should be taken after treatment with fillers?

Nothing especial, though one should avoid massage over site of injection for about a week in care of filers and for 3 weeks when fat is injected.

Q. How safe is the treatment with fillers?

Treatment with the fillers we use (Rstilane, Perlane, Dermadeep, Aquamid) is very safe and usually there is no complications there something may be redness or burning at the site of injection but that too is temporary. Fat being ones own tissue, there is on adverse affect of fat injection , thought there is little swelling locally due to over injection of fat, swelling usually resides in a few weeks time

Laser Hair Removal

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Q.What is laser hair removal

Laser hair removal is designed to permanently remove unwanted body hair by using the light energy from a laser.Unwanted hair is a common problem in women and men. Shaving, waxing, and tweezing only produce temporary results and can generally only be carried out on relatively small areas. Laser hair removal treatment can be used to permanently treat and remove small and large areas of unwanted hair from the body.Best results occur in those with light skin and dark hair, and hair removal works better on coarse hair rather than fine hair.

Q.What is involved with laser hair removal?

The area is shaved and cleaned, and an cooling gel is applied. The laser then produces pulsed beams of highly concentrated light which is absorbed by the pigment located in the hair follicles, damaging the surrounding follicle.The procedure can be is not usually painful. The length of a laser session may be a few minutes to an hour or more, depending on the size of the area being treated.Any redness and swelling of the affected areas usually disappears in a short time. And most people return to normal activity right away.

Q.What are the common area of body can be treated by laser?

Laser Hair Removal Treatment Areas

Q.Are there any risks associated with Laser Hair Removal?

Laser hair removal is a safe procedure if carried out by an experienced cosmetic and plastic surgeon.

Q.How many treatments will I need?

Most treatments require 6-7 sessions repeated at monthly intervals for permanent hair removal in any one area vary according to area to be treated, type of skin and type of hair.

Laser photorejuvination

Q. What is photorejuvenation (Laser Facial)?

It is Fractional ablative laser process using Erbium Yag laser (Pixel), causing fresher, younger looking skin. Ablate the skin layer and stimulates connective tissue growth, which is responsible for tonning of the skin.

Q. For which conditions photorejuvenation is useful?

Sun damaged skin with fine wrinkles, Fine acne scars, small post burn or post traumatic scars, Age spots,Lack of glow

Q. What precautions are needed after photorejuvenation?

Usual down time for pixel laser is 3-4 days so that It is advised to limit sun exposure and to use sun screen with SPF 30+ for few weeks after treatment.

Q. How many treatment sessions are required?

Though there is improvement after each treatment session, for maximum benefit 4 to6 treatment sessions are required at 3 weeks interval.

Q. Are there any complications of treatment?

Usually none but there may be temporary redness and burning sensation and very rarely superficial burn, if skin is very sensitive

Acne and pimples

Q.What is acne? What are the different types of acne?

Acne (acne vulgaris, common acne) isa problem of teenagers and young adults; it can affect people of 30 and 40 also. These blemishes occur wherever there are oil (sebaceous) glands, mainly on the face, chest, and back. You can do a lot to treat your acne using products available at a drugstore or cosmetic counter that do not require a prescription. However, for tougher cases of acne, you should consult a physician for treatment options.

Q.What causes acne?

No one factor causes acne. Acne happens when oil (sebaceous) glands come to life around puberty, stimulated by male hormones from the adrenal glands of both boys and girls. Sebum (oil) is a natural substance which lubricates and protects the skin, and under certain circumstances, cells that are close to the surface block the openings of sebaceous glands and cause a buildup of oil underneath. This oil stimulates bacteria (which live on everyone's skin and generally cause no problems) to multiply and cause surrounding tissues to become inflamed. Inflammation near the skin's surface produces a pustule; deeper inflammation results in a papule (pimple); deeper still and it's a cyst. If the oil breaks though to the surface, the result is a "whitehead." If the oil accumulates melanin pigment or becomes oxidized, the oil changes from white to black, and the result is a "blackhead." Blackheads are therefore not dirt, and do not reflect poor hygiene.

Although everyone is different, acne is usually caused by the build up of oil and dead skin in a pore. This build up of oil and dead skin is caused because of: Natural hormones. These are particularly active in your teens.

Plugged skin - Lots of skin cells can close the oil glands or pores, creating blackheads or whiteheads, (as mentioned earlier).

Bacteria - Bacteria can easily infect oil glands and pores and grow very quickly.

Family background - If you have acne, your kids are more likely to have it too.

How To Reduce An Acne Problem - You shouldn?t squeeze, pick, scratch, or rub your skin as it makes the problem worse, and it might even cause scarring.

Regularly shampoo your hair,- and try to keep it off your face if possible - especially at night.

Keep a food diary to work out- if you are one of the few people whose acne gets worse if they eat certain things.

Exercise regularly- to get the old blood flowing, and make sure you get a wash as soon after as possible.

If possible, -try to minimize your stress levels.

Avoid getting sunburned.-

Change your wash cloth -every day, as bacteria can grow on damp cloth.

Wash your face twice a day -with a gentle soap. GlamShowAds Medication For Extreme Cases

Topical treatments

There are several topical treatments you may be prescribed.

Azelaic acid, which is an alternative to benzoyl peroxide, which may cause less skin soreness. Topical retinoids, which are medicines based on vitamin A, and are rubbed into the skin once or twice a day. They work by encouraging the outer layer of skin to flake off, and may cause irritation and skin peeling at the start of treatment. Disadvantages of this treatment include them making the skin hypersensitive to sunlight.

A topical antibiotic lotion applied to the skin can be used to control the Propionobacterium acnes bacteria. Treatment needs to continue for at least six months. Preparations that combine an antibiotic with other acne medication are available.

Oral treatments

Oral antibiotics (tablets), taken daily for around 3 months, can be prescribed for inflammatory acne. This acts to kill off the bacteria infecting the skin. The success of this treatment can be limited because the strains of bacteria are often resistant to the common antibiotics. It might take four to six months for the benefits to be seen. Antibiotics do not prevent pores from becoming blocked so treatment to prevent blackheads, such as benzoyl peroxide, is often also prescribed at the same time. Some people find that its a prolonged course of antibiotics is a nuisance. This explains whey some people do not always complete the course.

Hormone treatment. For women, a standard combined oral contraceptive pill (containing an oestrogen and a progestogen) can improve acne symptoms. But in some women, it can also make symptoms worse. One particular type of Pill, called Dianette, contains a medicine called cyproterone acetate which cuts the amount of male hormone in circulation and be an effective treatment for acne.

Isotretinoin (Roaccutane) is a powerful medicine known as an oral retinoid - which also exists in topical form (see above). It tends to be used in severe forms of acne that have proved resistant to other treatments. It works by drying up oily secretions. There are a number of side effects of this drug including dryness of the skin, aches and pains and headaches. It can also damage an unborn baby if taken by a pregnant woman. For safety reasons, isotretinoin is only prescribed by hospital specialists.

Q.What is acne scars and how can I get rid of this problem?

Acne is a skin condition that affects up to 80% of people in their teens and twenties, and up to 5% of older adults. While many people recover from acne without any permanent effects, some people are left with disfiguring acne scars. There are some topical skin care products and medications that can improve mild scarring, but most acne scars are treated with a combination of surgical procedures and skin resurfacing.

The scar treatments that are currently available include - Dermabrasion. This is thought to be the most effective treatment for acne scars. Under local anesthetic or general anaesthesia, a high-speed brush or fraise used to remove surface skin and alter the contour of scars. Superficial scars may be removed altogether, and deeper scars may be reduced in depth. Results of skin resurfacing are very good if dermaabrasion combined with Er:Yag LASER resurfacing.

Microdermabrasion. This new technique is a surface form of dermabrasion. Rather than a high-speed brush, microdermabrasion uses aluminum oxide crystals passing through a vacuum tube to remove surface skin. Only the very surface cells of the skin are removed, so no additional wound is created. Multiple procedures are often required but scars may not be significantly improved.

Laser Treatment. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions. Ablative Er:Yag LASER and Fractional ablative Er:Yag Laser are commonly use for skin resurfacing .Superficial layer of skin actually removed with laser treatment along with it helps to rejuvenate the skin because neocollegenesis of underlying layer of skin , thats by result of laser skin resurfacing are permanent and long lasting.

Chemical peel Chemical peel improve and smooth the texture of the facial skin using a chemical solution that causes the skin to blister and eventually peel off. The regenerated skin is usually smoother and less wrinkled and scarred than the old skin.

Subcission and injection fat : Subcission is a process used to treat deep rolling scars left behind by acne or other skin diseases. Essentially the process involves separating the skin tissue in the affected area from the deeper scar tissue. This allows the blood to pool under the affected area, eventually causing the deep rolling scar to level off with the rest of the skin area. Once the skin has leveled, autologous fat injection can be used to smooth out the scarred tissue.