NOSE SURGERY
RHINOPLASTY ( NOSE JOB )
BEFORE
AFTER
Surgery for the Nose Surgery for the Nose or Rhinoplasty is done to improve the shape and or function of the nose and is one of the most
popular cosmetic surgery procedures worldwide.
It can be carried out to make the nose look smaller or bigger, improve the alignment of the nose
or improve the shape or size of the nostrils.
The skin of the nose is separated from the bone and cartilage and the bone and cartilage
is reshaped surgically to give the desired result.
There are several techniques of doing this and your surgeon will choose the most
appropriate one for you. From what is known, the first successful rhinoplasty was carried out in India in 600 B.C.
An Indian surgeon named Sushata Samhita
used surgery and skin reconstructions to improve the shape of noses that had been injured or cut off as a way of punishment for
thieves in India during this period of time. It is a surgical procedure to reshape your nose to improve its appearance and proportion
in relation to your other facial features.
People most often elect surgery to alter the size and shape of the bridge and tip of the nose.
This can be just because they do not
like the shape of the nose, or damage due to trauma to the nose or a birth defect. Ideally rhinoplasty should not be done before 15-16 years of age as before this age the bones
of the face and nose are still growing.
By the mid-teens the facial bones have reached their full mature size and shape.
After this age rhinoplasty can be done at any age as
long as the person is in good general health. Rhinoplasty can be done by the open or closed technique. This will depend on where the
incisions are made. The surgeon will follow
the technique which he feels would be best suitable for you. 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 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 instances, 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. After surgery, some pain, swelling and bruising of the nose is to be expected, but will subside gradually.
Pain can be controlled by simple analgesics. You will need to wear a splint for about a week to ten days
and can wear cosmetics to cover any mild bruising after it is removed. Normal day to day activity can be resumed
within a few days but you will need to avoid strenuous activity and contact sports for about 2-3 weeks.
You are also advised against activities that increase your blood pressure like bending, lifting heavy objects
etc. for about 2-3 weeks. Result After surgery it takes a considerable time for the tissue to heal and the swelling and edema to settle
to reveal the new shape of the nose.
For this reason do not make any judgment on the on the result of your surgery for several months, even a
year after surgery, until the tissue healing is complete. 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 Revision rhinoplasty is performed to correct problems that develop or continue after a previous rhinoplasty.
Also known as Tertiary or Secondary Rhinoplasty, this procedure is to correct a previous unsuccessful surgery of the nose. If the problems are minor they can be easily corrected. In most cases a revision rhinoplasty is more difficult
and requires more surgical expertise and experience than the first surgery. This is due to the fact that the normal
tissue and anatomy of the nose is no longer intact and is replaced with scar tissue from the first surgery. This scar
tissue is tougher than normal tissue and is difficult to separate from the nasal bone and cartilage. Reassuringly in most cases, in the hands of an experienced surgeon, revision rhinoplasty will provide significantly
improved results. Revision rhinoplasty , is considered one of the most challenging surgeries 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.
Female Genital Surgery
Female cosmetic surgical procedures have become increasingly popular over the last few years. This is because society now accepts that women too expect sexual satisfaction and happiness in a relationship.
Elective genital cosmetic surgery such as Vaginoplasty, Labiaplasty, and Hymen Repair (Hymenoplasty) helps to restore your confidence.
Genital cosmetic surgery is not a topic that is commonly discussed or written about and so many women are not even aware of surgical techniques that are available to help them.
LABIAPLASTY (Labia reduction & Cosmetic Enhancement)
Labiaplasty is a cosmetic genital surgical procedure that will reduce the size or change the shape of the small lips on the outside of the vagina (the labia minora).
Many women are born with large or irregular labia and others can develop this after childbirth or with aging. Large or irregular labia can make women embarrassed about their genitalia.
Women who wear tight underclothes can be troubled with chronic irritation of the labia if the labia is large. This can produce discomfort during sex, sports or other physical activities.
Labiaplasty can improve the general appearance of the labia and also provide relief from the discomfort.
labiaplasty-before
labiaplasty-after
VAGINOPLASTY
With age and childbirth the vaginal muscles become lax and the vagina loses it tightness.
Vaginoplasty is a surgical technique that will serve to tighten the vaginal muscles thus enhancing pleasure during sexual intercourse.
HYMENOPLASTY (Hymen Reconstruction)
Hymen is a the thin, ring-like skin membrane partially covering the opening of the vagina. Hymen tears usually with the first sexsual intercourse and slight bleeding may occur. Hymen can tear even without sexual intercourse with severe physical activity like horse riding or cycling.
Though the hymen does not play a part in sexual intercourse, its presence is thought to be a proof of virginity in many cultures.
Hymenoplasty is a surgical technique which restores this membrane if required for social or other reasons.
Like all surgery, this should also be performed by a trained and registered plastic and cosmetic surgeon.
LIPOSUCTION SURGERY
Lipoplasty
Before
After
A procedure introduced in the United States in 1982, liposuction can remove localized 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.
The popularity of liposuction is due to the effectiveness of the technique (in the hands of a qualified surgeon) and the fact that it leaves only tiny scars, often less than one-half inch in length.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 (UAL) 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 snug dressing or garment, possibly up to several weeks, to promote skin shrinkage and to minimize swelling and skin discoloration.
If you have had surgery below the waist, you may be advised to wear a long-legged girdle for a few weeks as you resume your normal routine.
Vaser Liposuction
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