COSMETIC SURGERY
What is eyelid surgery?
Blepharoplasty surgery is commonly known as eyelid surgery. The eye and surrounding area are the focal points of attention during conversation. The youthful and alert look is crucial in human interaction. Our age, stress, and gravity play a pivotal part in making our eyes look tired, angry, or hostile. You lose your confidence and your self-esteem, making you feel in the backseat in this competitive world.
The procedure improves the appearances of the area surrounding the eyes, it gives a quite youthful look. This surgery will rejuvenate the periodontal area. The goal of the surgery is to repair, restore, and preposition those droopy and saggy eyelids and fat bulges. It not only serves an aesthetic purpose but also rectifies functional issues associated with eyelids. It can be performed on the upper lids, lower lids or both.
What Eyelid Surgery Can Do For You?
- It removes excess skin and wrinkles from the eye area
- Saggy and loose skin hanging around the eyes sometimes disrupts vision. Eyelid surgery rectifies it, thus providing a natural contour.
- Eye bags can be diminished
- Fatty deposits provide an impression of puffy eyes and this surgery removes that puffiness
- Drooping lower eyelashes that reveal white below the iris (salesclerk show) correction
Am I A Good Candidate For Eyelid Surgery?
Good candidates for eyelid surgery include:
- Individuals with no medical conditions that impair healing
- Healthy individuals with no serious eye conditions
- Individuals with realistic expectations from the surgery
- Nonsmoker
- Individual with good physical, mental and emotional health
Sometimes the eyelash might appear droopy due to the relaxation of the forehead skin and drooping of the eyebrow. The stretching out of the upper eyelid levator muscle might cause drooping eyelashes, known as eyelid posits, both of which might require a different surgical treatment. The Cosmetic surgeon will review the facial structure and discuss the surgery that is best suited to you.
Dimple Creation Surgery (Dimpleplasty)
“Smile magnify beauty because of your Dimple and it is Dimple that always helps you in smiling back”
- Do you want to have a cheery smile with a perfect dimpled cheek?
- Do you want to have a natural dimple because you are not born with it?
- Are you taking dimples as a good fortune & facial profile?
- Do you need facial appeal with having a dimple on your face?
People have been getting habituated to esthetics for so many years and having natural beauty is now not on the question mark!
We have a lot of examples where we have seen many patients come to our centre to enhance their natural concerns apart from the cosmetic affair. And the dimple creation is one of them that is associated with fortune, a sign of lucky by luck.
Some patients come to us to have a natural dimple as they are not blessed with that and express their feeling by saying it doubles the charm with a pleasing personality.
So, we have done a number of dimple creation surgery to meet their desire and expectation. There are many who availed the benefits of dimpleplasty and doubled their smile joy with natural dimple cum good luck, fortune, and future and here we will say keep smiling.
Dimple creation surgery as a part of cosmetic surgery performs to improve and enhance the facial appeal of a person. Mostly, the dimple is considered as an attractive facial feature that emphasises the beauty of the smile.
What is Dimple Creation Surgery?
Dimples are what makes you beautiful with an appealing smile. It is a small depression on the surface of the body which can be easily noticeable. People appreciate the presence of a dimple on the cheek and believe that it is a sign of good fortune and prosperity. The dimple creation surgery is performed for those who wish to have a dimple on the face. With the advancement in cosmetic surgery, there has been an upsurge in having dimples on the face. However, expert cosmetic surgeons are now performing the dimple on the face known as dimpleplasty or dimple creation surgery.
Ear Correction | Otoplasty Surgery
Protuberant ears can be a devastating aesthetic deformity. Otoplasty is a simple, straightforward procedure, which can give the ears a natural shape, orientation, and configuration, and have dramatic positive effects on one’s self-esteem.
Two principal conditions require Otoplasty for cosmetic reasons. These may exist in isolation or combination.
- A “lop-ear deformity” refers to the absence of an ear-cartilage fold known as the antihelix, which is the smaller curved inner ridge of the ear that parallels the outer curve of the ear. This type of deformity is presented as an abnormally shaped ear that tends to flop forward.
- The second most common condition is a “cup-ear deformity,” which refers to the exuberant cup-like cartilage bowl that resides near the actual ear canal that in turn makes the ear project out excessively.
- Surgery involves identifying the exact cosmetic problem and intervening in a targeted approach and on a timely basis.
The Otoplasty Advantage
Otoplasty not only provides a cosmetic improvement but also a psychological improvement as well. Otoplasty, or ear surgery, refers to the surgical correction of ears to pin them back, reduce them in size, correct a deformity, or make them more symmetrical
Scar Revision Surgery
Scars—whether they’re caused by accidents or by surgery—are unpredictable. Scars are known to have profound psychological implications like lowering self-esteem substantially. The way a scar develops depends as much on how your body heals as it does on the original injury or on the surgeon’s skills. Many marks that appear large and unattractive at first may become less noticeable with time. Some can be treated with steroids to relieve symptoms such as tenderness and itching.
Scars may or may not be removed permanently, but in the hands of expert plastic surgeons they can be improved in appearance, made less obvious through the injection or application of certain steroid medications or through surgical procedures known as scar revisions.
The Scar Revision Surgery Advantage
Many scars that appear large and unattractive at first may become less noticeable with time. Some can be treated with steroids to relieve symptoms such as tenderness and itching. For these reasons, many plastic surgeons recommend waiting as long as a year or more after an injury or surgery before you decide to have a surgical option.
How much a scar bothers someone depends on person to person. Different types of marks entail different solutions; Surgical or non-surgical. We shall list all types of scars and their possible treatments in the ‘Procedure’ section.
VITILIGO (WHITE PATCHES) SURGERY
Vitiligo or Leucoderma or White Patches is a common condition where white patches develop on the skin due to loss of pigment from affected areas of the skin. There are usually no other symptoms. In some cases the pigment can be restored with medical treatment & phototherapy without surgery. Also the affected area can be covered by skin camouflage creams & colours.
If the vitiligo is noticeable by other people, embarrassment can lead to self-esteem problems, and in some cases depression. Thus it is considered as a social stigma. These girls & boys with white skin patches, especially demand correction if they are in the marriage age group. Some elderly parents also want vitiligo correction to avoid rejection of their son or daughter for marriage, as vitiligo is known to run in some families.
Skin Pigmentation:
The skin has two layers: the epidermis and the dermis. Beneath the dermis is a layer of fat, and then the deeper structures such as muscles, tendons.
Melanocytes:
These cells are dotted about at the bottom of the epidermis. They make a pigment called melanin. The melanin is passed to the nearby skin cells which colours the skin and protects them from the sun’s rays. Melanin causes the skin to tan in fair skinned people. Dark skinned people have more active melanocytes. The melanocytes are stimulated when exposed to sunlight to make more melanin.
Causes of Vitiligo
Vitiligo is a condition where pale white patches develop on the skin due to a lack of pigment (colour) in the affected areas of skin.
Areas of skin with patches of vitiligo have no or very few melanocytes. Therefore melanin cannot be made, and the colour of the skin is lost. It is not known why the melanocytes go from affected areas of skin. They may be destroyed by the immune system or ‘self-destruct’ for reasons not yet known. There is some genetic factor involved and vitiligo may ‘run in the family’.
An autoimmune disorder – the patient’s immune system becomes overactive, and destroys the melanocytes .Genetic oxidative stress imbalance. A stressful event. Harm to the skin due to a critical sunburn or cut. Exposure to certain chemicals. A neural cause. A viral cause. Vitiligo is not transmittable.
Who gets vitiligo?
Less than 1% of people develop vitiligo. Men and women are equally affected. It can develop at any age. However, it begins before the age of 20 in about half of cases. Vitiligo is not infectious.
The most common sites involved are the face, neck, and scalp. Other common sites include the backs of hands, front of knees, and elbows. In the areas of the scalp that are affected, the hair too is affected.
How is the progress of Vitiligo?
The course and severity of vitiligo varies from person to person. Sometimes a few small patches develop slowly and progress no further. Sometimes a number of patches develop quite quickly and then remain static for months or years without changing. However, it is quite common for the white patches to gradually become bigger and for more patches to appear on other parts of the body. Large areas of the skin may eventually be affected.
What are the symptoms of vitiligo?
There is no natural protection from the sun in affected areas of skin. Vitiligo skin gets sunburned much more easily than normal skin.
Types of Vitiligo :
Basically two types which are called: non segmental, and segmental vitiligo.
Non Segmental Vitiligo
It is the most common type of vitiligo and occurs in up to 90% of the people who have this disorder.
In non-segmental vitiligo, the patches often become visible equally on both sides of the body, with some kind of symmetry. These unusual symmetrical patches most commonly appear on skin that is exposed daily to the sun, such as the face, neck, and hands, but it also appears on these other areas:
backs of the hands, arms, eyes, knees, elbows, feet, mouth.
Non-segmental vitiligo has sub-categories:
Generalised Vitiligo: The most familiar pattern, it has no specific area or size when the white patches start occurring.
Acrofacial Vitiligo: This type of vitiligo is considered only when the appearance is mostly on the fingers or toes.
Mucosal Vitiligo: The appearance of the depigmentation generally around the mucous membranes and lips.
Universal Vitiligo: It is very rare since depigmentation has to cover most of the body.
Focal Vitiligo: one or a few scattered white patches in a small certain area. It is often noticeable in young children.
Segmental Vitiligo:
Segmental Vitiligo has a different form of appearance. This condition spreads more rapidly, but is considered more constant and stable than non segmental. It is definitively much less common, and it affects only about 10% of people with this condition. But unpredictably, segmental vitiligo is more noticeable in the early ages affecting about 30% of the children that have been diagnosed with vitiligo.
Plastic Surgery Treatment for Vitiligo:
Surgery is very much helpful in stable vitiligo patches. Especially in marriage age group patients, if there is very slow or no response to medical treatment, then plastic surgery is a better and quicker option.Surgery is contraindicated in children & in active unstable vitiligo patches. Outcome varies with the body areas involved such as lips, genitals, eyelids, bony prominences, etc.
- Autologous skin grafts
- Skin grafts using blisters
- Micro pigmentation (tattooing)
- Autologous melanocyte transplants
Autologous Skin Grafts:
This is the most commonly used surgical method. Plastic Surgeons harvest skin grafts from the normal, pigmented skin (donor sites) and place them on the dermabraded surface of depigmented areas (recipient sites).
Skin graft procedures should never be performed in children. It should be performed in adults only if no new white patches have appeared or become worse in at least a year, and if the vitiligo was not originally triggered by damaging the skin due to a severe sunburn. Such skin grafts are used as sheets of graft or as small stamp grafts with Meek Micrografting technique. Sheets of split skin grafts produce uniform pigmentations with no cobblestoning.
Skin Grafts Using Blisters:
In this procedure, the Plastic Surgeon creates blisters on the patient’s pigmented skin by using heat, suction, or freezing cold. The tops of the blisters are then cut out and transplanted to a depigmented skin area. This technique is very much time consuming and hence not commonly used.
Micropigmentation (Tattooing):
Tattooing implants pigment into the skin with a special surgical instrument. This procedure works best for the lip area, particularly in people with dark skin; however, it is difficult for the doctor to match perfectly the colour of the skin of the surrounding area. Tattooing tends to fade over time. In addition, tattooing of the lips may lead to episodes of blister outbreaks caused by the herpes simplex virus.
Cultured Autologous Melanocyte Transplants:
In this procedure, a plastic surgeon takes a sample of the patient’s normal pigmented skin and sends it to a laboratory for special cell culture to grow melanocytes. When the melanocytes in the culture solution have multiplied, the surgeon transplants them to the patient’s depigmented skin patches. This technique allows larger areas to be treated in a single session using relatively smaller donor sites. Also colour matching of treated areas is excellent. This sophisticated technique needs a special laboratory for culture.
Non-cultured Autologous Melanocyte Transfer:
It consists of separation of epidermal cells obtained from the donor site & spreading these cells as a suspension on the depigmented & dermabraded recipient area. This technique allows larger areas to be treated in a single session using relatively smaller donor sites. Also colour matching of treated areas is excellent.
VAGINAL COSMETIC SURGERY
Young vagina is tight, labia minora are small and outer labia majora are full and firm. Female external genitalia change with ageing and motherhood. Using Cosmetic Plastic Surgery, ageing genitalia can be restored to a youthful look again. Nowadays, these types of vaginal cosmetic surgeries have become increasingly popular.
Generally these vaginal rejuvenation procedures are all day care surgeries.
Female Genital Cosmetic Procedures
1.Labiaplasty: is a procedure for changing shape and size of the labia. It is also called the procedure for ‘designer vagina.’ Many women suffer from large labia majora or minora that can develop during puberty, after childbirth or only due to the ageing process. Such large labia may cause discomfort during routine activities like cycling, walking, or during sexual intercourse Athletic women, dancers, swimmers, and other sportspersons prefer a trim contour to fit performance gear better and minimize friction. Labiaplasty can help improve a woman’s self-confidence and her sex life.
*Laser Reduction Labiaplasty of the Labia Minora with Reduction of Excess Prepuce (LRL) is one of the common Female Genital Plastic Surgery procedures.
*Labia minora (Inner vaginal lips) trimming is done, if they are too long and hanging.
*Labiaplasty may be combined with clitoral hood reduction. Other requested vulvar aesthetic procedures include labia majora reduction or augmentation.
- Hymenoplasty or Virginity Surgery: Intact Hymen is considered a mythical symbol of virginity. Ruptured or torn Hymen due to previous intercourse, trauma ,sports or due to any other reason can be reconstructed back by a minor surgery under local anaesthesia for revirginization .This hymen reconstruction surgery duration is only half an hour & patient can go home a short while after having this surgery . Patients can return to work the very next day.
- G Spot augmentation :
The G-Spot is situated beneath the surface of a woman’s vagina on the wall toward the front of her body. It is recognized for its high sensitivity, It can be augmented with autologous fat graft or filler injection for heightened sexual pleasure.
- Vaginoplasty (Vaginal Tightening) Surgery:
- Mons pubis liposuction :
It is removal of the unsightly fatty bulges of the mons pubis. Fatty accumulation in these areas can create aesthetic issues in clothing, undergarments, bathing suits, and when nude. Many times this procedure is performed along with Liposuction of other areas.
5.Cliteroplasty:Cliteroplasty aims to reduce the size of the clitoral hood to enhance tactical stimulation. During Hoodectomy, the fold of skin covering the clitoris is reduced in size. Clitoral hood reduction may be performed along with Labiaplasty. In Clitoropexy, the position of the clitoris can be reduced and repositioned.
- Vaginoplasty (Vaginal Tightening) Surgery:
Most often, women who have undergone multiple childbirth (vaginal deliveries) experience looser vaginal muscles due to natural stretching of the birth canal , resulting in decreased sensation during sexual intercourse. Such women want to regain strength & tone in these vaginal tissue and muscle sphincter for better sexual pleasure & self esteem.
Vaginoplasty involves vaginal sphincter tightening & narrowing with tightening of the vaginal mucosal lining , surrounding tissue and muscles. This restores the vagina to a pre-pregnancy state.Scarring ,if any,is inside the vagina.This procedure will help to improve sexual pleasure of both the partners.
- Non-surgical Laser vaginal rejuvenation/Laser Vaginoplasty/Vaginal Tightening Laser Therapy:
CO2 or Erbium lasers are used for non surgical laser vaginal tightening procedures. It is designed to enhance sexual gratification for women, who for any reasons lack an overall optimum architectural integrity of the vagina. It enhances vaginal muscle tone, strength, and control. It will also decrease the internal and external vaginal diameters along with strengthening of the perineal body.
There are many advantages of using lasers for Vaginoplasty rather than conventional surgical Vaginoplasty, such as: painless outpatient procedure without risk of anaesthesia & infection. Also it can be repeated easily, if required. It hardly takes 30 minutes for the actual procedure.