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Tummy Tuck Abdominoplasty
Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. After multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area can become loose. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In men and women who have fat that is concentrated in the abdomen, the procedure will remove excess skin and fat. The surgery may not eliminate minor wrinkling or take the place of dieting, but it can improve a loss of skin elasticity in combination with localised fat accumulation.
This operation may be performed under general anaesthesia and you may need to stay in hospital for one or two days.. The surgeon works through a low abdominal incision that spans the hips.The skin is detached from the abdominal wall to reveal the muscles and fascia to be tightened. The muscle fascia wall is tightened with sutures.The sagging skin will be pulled down over the abdomen before it is removed, so it would be necessary to release the navel from its surrounding skin and bring it out through a new skin opening in the skin flap The. scars across the public area and around the navel are permanent but improve ,flatten and lighten in colour over time.
Sometimes, abdominoplasty may be combined with liposuction of the upper part of abdomen and flanks to achieve the best result. In some instances, when skin laxity and muscle weakness are limited to the area below the navel, a modified or mini abdominoplasty may be required. This procedure usually leaves a shorter scar and no scarring around the navel and recovery time is less. Endoscopic abdominoplasty is another technique for limiting scars and is useful when patients have only a minimal amount of excess skin and muscle laxity.
After the surgery, you will be advised to wear a light support garment during the recovery period and to avoid strenuous activity for a few weeks.Dr Anup Dhir performs all types of tummy tuck procedures at Image medical centre.
Dr. Giorgio Fischer, a gynecologist from Rome, Italy, invented the liposuction procedure in 1974.
Dr. Illouz, a French plastic surgeon, made the first purely cosmetic use of the procedure four years later.
Liposuction, also known as lipoplasty, is an aesthetic surgery operation that removes fat from many different sites on the human body. liposuction can remove localised collections of tiny fatty tissue in many areas of the body. By using a high vaccum device, the surgeon can suction fat from the legs, buttocks, hips, abdomen, back, arms, face and neck with help of a cannula.This surgery may be done under general anaesthesia or local anaesthesia as a day care surgery. The main purpose of liposuction is to reshape one or more areas of your body, not to reduce body weight. Liposuction is typically used on resistant areas that have not responded well to diet and exercise. These locked fat areas are often on the outer thighs and hips on women and the waist and back on men. The face, neck, abdomen, back, buttocks, legs, and upper arms are all commonly treated areas. Liposuction is neither a substitute for proper diet and exercise nor a cure for obesity. To get the most from this procedure, you should be of average weight with extra fat localized in specific areas. It is also important that you have healthy, elastic skin with the capacity to shrink evenly after surgery. Since liposuction removes only fat, it cannot eliminate dimpling or correct skin laxity. The tumescent technique, superficial liposculpture, ultrasound-assisted lipoplasty ,power assisted liposuction or other variations of conventional liposuction may be recommended by your surgeon, depending on the specific needs and the surgeon's preferred methods of treatment.
If your skin has lost much of its elasticity, your plastic surgeon may recommend a skin tightening procedure (abdominoplasty, thigh lift, buttock lift or arm lift). These procedures are effective but leave more extensive scars.
Following surgery, you will wear a dressing or a pressure garment, for six weeks, to promote skin shrinkage and to minimize swelling and skin discoloration. In recent years, improved techniques have made liposuction safer, easier, and less painful. These newer techniques include:
In this technique, large amount of an anaesthetic solution containing lidocaine and epinephrine is injected into the fatty tissue before traditional liposuction is done. Tumescent liposuction may not require general anaesthesia.
Vaser or Vibration Amplification of Sound Energy at Resonance is the trade name for an ultrasound-assisted liposuction system. During Vaser liposuction procedure, fatty tissues are extracted from your body by using sound waves. These sound waves emulsify targeted fat cells. The sound energy gets transmitted through small probes. These sound waves enter the holes and vibrate rapidly to produce ultrasound energy. This energy that penetrates inside your body breaks the cellular membrane and discharges the lipid content.
Vaser liposuction has the advantages of lower blood loss & improved skin retraction & is being offered at the Image Medical Center
This technique uses low-energy waves to liquefy the fat, which is removed through a small cannula.
Liposuction is a routinely done surgery at Image medical centre and Dr Anup Dhir has extensive experience f all these techniques and has been organising teaching courses on newer techniques.
Nose Job Rhinoplasty
Surgery for the Nose
Rhinoplasty , also referred to as nose surgery, is a surgery that changes the shape of the nose. The surgery may be done to change the appearance of the nose, its function or both.It is one of the most popular cosmetic surgery procedure worldwide.
It is a surgical procedure to reshape your nose to improve its appearance and proportion in relation to your other facial features. This is often done to alter the size and shape of the bridge and tip of the nose. This can be done if you do not like the shape of the nose, or it has been damaged due to trauma to the nose or a birth defect.
Rhinoplasty can be done under local or general anaesthesia by the open or closed technique. This will depend on where the incisions are made. Reshaping is generally done through incisions inside the nose. There may also be an incision passing across the central portion of the nose between the nostrils. This entails removing small wedges of skin at the base of the nostrils. The resulting scars usually fade very well and ultimately should be barely noticeable. The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can modify bone, cartilage, skin or all three. The nose is reduced, or in some cases built up, by adjusting it's supporting structures-either removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new scaffolding.
In some cases, there may be an internal deformity of the nose that can affect the breathing. This may be due to an irregularity in the septum (the central structure of cartilage and bone that separates the two sides of the nose) or the turbinates (structures protruding internally from the lateral walls of the nose). Adjustment of these structures to improve the nasal airway may be made at the same time as alterations to the external appearance of the nose. Rhinoplasty is not a procedure with a set series of steps. Each operation is unique and is customised for the specific anatomy and goals of the person undergoing the procedure. After surgery, some pain, swelling and bruising of the nose are to be expected, but they will subside gradually. You will wear a splint for approximately a week or longer . Your routine will be severely restricted for only a day or two, but you should curtail activities that raise your blood pressure-such as bending, lifting or exercise-for a few weeks. There can be a nasal pack and you may need to breathe through your moth initially.
The final result of your Rhinoplasty may be apparent after several months, even a year, until your nose has had an opportunity to fully heal and settle. Often the best compliment you can receive from your family and friends is that your nose does not appear very different. Remember-the intention of Rhinoplasty is for your "new nose" to blend in naturally with your face.
Revision rhinoplasty is performed to correct problems that develop or continue after a previous rhinoplasty. This procedure is done to correct a previous unsuccessful surgery of the nose.
The revision rhinoplasty is always more difficult and requires more expertise than the first surgery. This is due to the fact that the normal nose is no longer intact and the tissue before the first surgery is now filled with scar tissue. This makes it difficult to locate surgical planes to separate and reposition the remaining bones and cartilage. Normally a revision rhinoplasty will give significant improvement
Revision rhinoplasty, is considered one of the most challenging subjects in the field of facial plastic surgery and is being successfully done at Image Medical Center. Dr. Anup Dhir is one of the leading surgeons performing rhinoplasty in India and has performed many live rhinoplasty surgeries in teaching workshops.
Non surgical Rhinoplasty
This is a new technique which is often done for minor deformities with fillers or fat injections.
DR. ANUP DHIR
Plastic , Cosmetic And Reconstructive Surgeon - New Delhi