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.

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.

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

With changing times, roles for women have undergone a major shift.  Not that it has in any way reduced the pressures of everyday life. Rather, increased expectations from every single minute.  But, what do you crave for in the midst of all the chaos? To catch a glimpse of your-self and know everything is fine, right?.

If you have tried all methods to bring back the glow to your skin or retaining the freshness which you had during your youth or envy the ever youthful celebrities and have failed or just tired of it, please read on.Others may also read on because for the first time you will be able to defy age and turn the age clock with the help of your own cells.

‘Cell Enriched Facial Rejuvenation’, a procedure launched by Cytori Therapeutics, offers a new natural approach to restoring a youthful appearance to your face. Physicians around the world are recognizing that the youthful appearance of the face is not restored by tightening the skin alone, but by addressing the soft tissue volume of your face. Cell-Enriched Facial Rejuvenation reverses many tell-tale signs of aging by reducing or eliminating wrinkles, restoring soft-tissue volume and correcting slight imperfections. Early clinical experience has suggested that facial rejuvenation with fat tissue also improves skin texture and tone while minimizing discoloration.

During the procedure, fat is removed from your stomach, hips, thighs or another area of your body via liposuction. A portion of this removed fat is processed to extract the stem and regenerative cells that naturally reside within your tissue. The cells are combined with the remaining fat tissue to form a cell-enriched fat graft that can be used as a natural filler. The cell-enriched graft is then carefully delivered into the desired areas on the face.

The use of the stem and regenerative cells in the graft allows the transplanted fat to successfully integrate with the surrounding tissue. With no risk of rejection, the use of a cell-enriched fat graft in facial rejuvenation is both safe and minimally invasive

Is it Right for Me?
This procedure is ideal if you want to reverse the common signs of aging on your face with no risk or rejection and minimal risk of scarring. Using only your own tissue as a filler, the implanted fat becomes a natural part of your face, continually changing as your body naturally ages and evolves.

Cell-Enriched Facial Rejuvenation works wonders if:

You want to reverse signs of aging such as wrinkles and soft tissue volume loss

You seek a more youthful appearance for your face

You desire a solution that does not involve artificial fillers vis-a-vis other methods which offer short-term and short cuts procedure
If you choose to undertake the procedure and not let your facial woes be evident to the world and you wish to show up with an ever youthful self then it could be soon available to you in India as well.

‘Cell Enriched Facial Rejuvenation’, a procedure launched by Cytori Therapeutics, USA Headquartered (NASDAQ CYTX) organisation is fast claiming fame – the natural way.  As a part of the facial rejuvenation procedure, Cell Enriched Facial Rejuvenation uses the patient’s adipose-derived stem and regenerative cells (ADRCs) to create fat grafts that can be used as natural fillers.

Speaking on the subject Dr.Anup Dhir,Indraprastha Apollo Hospital,New Delhi, of India said that with such innovations which help in natural facial rejuvenation and using patients own stem cells will be a trail-blazer in enhancing the confidence of women and we are eagerly awaiting to see Cytori’s Celution be made available in next few weeks- it will be a game changing application.

Though the procedure, in terms of number of seating required may seem a little lengthy, the results are permanent . As the patient’s own tissues are used, it greatly reduces the risk of rejection by the body.  And most importantly, the final effect looks natural.

So the next time you wonder who the beauty in the mirror is…it’s just you!

Dr.Anup Dhir, Senior Cosmetic Surgeon, Indraprastha Apollo Hospital, New Delhi, India.