HOME
  About Dr.Ashok
  Myths in PlasticSurgery
  Procedures
  Contact us
   


Face lifts


Rhytidectomy, also called facelift is a surgical procedure to correct the features of aging face, and restore a more youthful appearance and improved tone in facial skin and underlying muscles.
Some visible signs of aging in the face and neck are:
Sagging cheeks in the midface
Deep creases below the lower eyelids
Deep creases between the nose and mouth
Decreased or loss of muscle tone in the lower face that may create jowls
Excess skin and fatty deposits under the chin and jaw

Procedure: Under anesthesia, incisions begin within the temporal hairline, above and continue along or just inside the ear, ending behind the ear. Through this tightening of underlying tissue, removal excess fat and reduction of sagging skin is done.
A second incision under the chin is sometimes necessary. Liposuction may be used to remove deposits of fat.

Results: Swelling and bruising usually subside within 2-4 weeks. Final results may be apparent in 1-2 months. Incision lines will continue to refine and fade for 1 year.

Eyelid Surgery

Blepharoplasty, also called cosmetic eyelid surgery is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, restoring firmness to the area surrounding the eyes and making you look more youthful.
Eyelid surgery treat:
Loose or sagging skin that creates folds on the upper eyelids and sometimes impair vision
Fatty deposits that appear as puffiness in the upper and lower eyelids
Laxity of the lower eyelids, showing white below the iris
Wrinkles of the lower eyelid

Procedure: An incision along the natural crease of the upper eyelid allows access to remove excess skin, muscle and underlying fatty tissue. Using an incision on the lower eyelid just below the eyelashes, fat is removed or redistributed, muscle modified and excess skin is removed to correct a baggy lower eyelid.
Laser resurfacing may be used to remove fine wrinkles over lower lid skin.

Results: Bruising will subside in 5-7days and swelling in 2-3weeks. Final results may appear in 1-2 months. Incision scars will continue to evolve and fade for 1 year.

Nose surgery (Rhinoplasty)
The shape of your nose is usually determined by heredity; it may have been altered due to injury or prior surgery.
Rhinoplasty or surgery of the nose alters the appearance and proportion of the nose, enhancing facial harmony and facial balance. It may also correct impaired breathing caused by structural defects in the nose.
Rhinoplasty can change:
Nose size; make it big or small
Nose width, at the root or in the size and position of the nostrils
Nose profile, with visible humps or depressions on the bridge
Nasal tip, that is enlarged or bulbous, drooping, upturned or hooked
Nasal asymmetry

Procedure: Incisions are done at the nostril base and/or inside the nose allow access to reshape underlying cartilage and bony framework. This may include lowering humps, narrowing of nasal bones, shaping of the nasal tip or nostril size and improving the angle between the nose and the upper lip.

 Results:  Changes are seen within 4-6 weeks following surgery, when swelling reduces.  Continued refinement occurs for 6-12 months. Cartilage is a flexible and growing tissue, therefore results following surgery are not fully predictable if cartilage changes are made during Rhinoplasty.

Brow lift (Forehead lift)

A brow lift is designed to correct all of the aging features, which affect the upper face (Forehead and brows)
A brow lift:
Minimizes the forehead creases, or on the bridge of the nose, between the eyes (Glabellar folds)
Improves frown lines
Raises sagging eyebrows that is hooding the upper eyelid to a more youthful position

Procedure: Brow lift surgery is performed through multiple small incisions within the hairline or through an incision in the natural crease of each upper eyelid.
Results of a brow lift may be enhanced through laser resurfacing or a chemical peel or with Botox injection that can further improve skin tone and surface appearance.

Results: Swelling will subside in 2-3weeks. Final results may be apparent in 1-2 months. Incision lines will continue to refine and fade for up to 1 year.

Facial Implants

Facial implants are used to change the contours of the face, improve proportion and profiles and correct imbalance caused by injury or hereditary traits.

Procedure: Incisions are made inside the mouth or discreetly placed externally to create soft tissues pockets into which an implant positioned and fixed. Most commonly used in the cheek, chin, jaw or nasal region. Usually performed, as an outpatient procedure under local anesthesia or sometimes-general anesthesia may be needed.

Results:  results are noticeable immediately after, although initial swelling will take 2-4 weeks to subside and final results appear in 1-2 months.

Fillers

Soft tissue fillers restore facial contours, and reduce the appearance of lines and creases.
Fillers can:
Plump thin lips
Enhance shallow contours
Soften facial creases and wrinkles
Improve the appearance of depressed scars

Procedure: A pharmaceutical or a natural (Fat) filler substance is injected below the skin surface to fill hollow areas and creases, or plump the lips and back of the hands. Fat is taken from the inner thigh or abdomen.

Results: Swelling should subside in 2-3 days, or within a week with fat injections. Results may be temporary, lasting a few months to several years or more, based on the type of filler used, treatment site and individual patient factors. Some products may be permanent.

Skin resurfacing

Skin resurfacing improves the surface and appearance of your skin; reduce fine lines, surface irregularities such as scarring, uneven pigmentation and sun damage.

Procedure: A variety of lasers, chemicals or mechanical dermabraders are used to resurface skin with a wide range of benefits.

Results: Flaking or crusting resolves in 5-10 days. Results may appear in 10-14 days. Skin is most likely pink or flush for 1-6 months. Pigmentation is sometimes unpredictable in brown skins.

Breast augmentation

Women opt to enhance their breast size for various for reasons.
Breast augmentation can:
Increase fullness and projection of breasts
Improve the balance of your figure
Also known as augmentation mammoplasty, the procedure uses implants to increase the size of the breasts or to restore breast volume lost after weight reduction or pregnancy. Implants are also used to reconstruct a breast after mastectomy or injury.

Procedure: Common incision sites include the breast crease, in the underarm, or around the areola.
Placement of implants beneath the chest wall muscle or directly behind breast tissue using Gel filled implants or saline filled implants creates desired volume.
Generally performed as inpatient procedure under general anesthesia.

Results:  Dramatic and immediate. Swelling subsides in 1-3 weeks. Incision lines will continue to flatten and fade for up to 1 year.

Implants may need to be replaced:
It’s important to know that breast implants are not designed to last a lifetime. They tend to fail after ten years. Annual examination by a plastic surgeon to see if the implants need to be replaced is advisable.

Breast lift

Mastopexy, or a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well.

Procedure: Excess skin is surgically removed to raise the nipple and tighten the breast tissue. Incision patterns vary, depending on degree of excess skin and amount of lifting required as well as patient and surgeon preference. All types Mastopexy leaves some scars on breast.

Results: Swelling subsides in 1-4 weeks. Breast shape may take 1-3 months to fully refine. Incision lines will continue to flatten and fade for up to 1 year.

Gynecomastia

Enlarged male breasts, (gynecomastia), can cause social and emotional discomfort
Gynecomastia is characterized by:
Enlarged male breast comprising of Excessive localized fat
Excess glandular tissue development
A combination of both excess fat and glandular tissue
Gynecomastia may present unilaterally (one breast) or bilaterally (both breasts)
Gynecomastia can be surgically treated by removing excess fat, glandular tissue and/or skin or by liposuction.

Procedure: Through a small incision on the areola, surgical removal of excess gland and or fat is done. This procedure can include areola reduction. If fat is predominant tissue in gynecomastia then liposuction is performed.

Results: Initial swelling should dissipate in 1-3weeks. Final results may appear in 2-4 months. Incision lines will continue to fade for up to 1 year. Significant weight gain can reverse results.

Tummy tuck

Abdominoplasty, or a tummy tuck removes excess fat and skin, and in some cases restores weakened or separated muscles. This creates an abdomen that is smoother, tighter and flatter often enhancing the body image.

Procedure: A tummy tuck removes excess abdominal fat and skin and tightens the abdominal wall muscles, which have weakened due to childbirth or weight loss.
In a full tummy tuck a horizontal incision is made in the area between the pubic hairline and navel. The size is largely proportional to the amount of excess skin to be removed.
Where correction is isolated to the area below the navel, mini tummy tuck with a shorter incision at the pubic bone may be recommended.
Liposuction may be combined with tummy tuck to remove excess fat.

Results: Swelling subsides in 2-4 weeks. Final results could appear in 6-8 weeks. Incision lines will continue to flatten and fade for up to 1 year.

Liposuction

Despite good health and fitness, some people may still have a body with undesirable contours due to localized fat deposits. This fat is extremely resistant to exercise. These areas may be due to family traits rather than a lack of weight control or fitness.
Liposuction reduces or reshapes specific areas of the body by removing excess fat deposits, improving the body contours and proportion.
These techniques may be used to reduce localized fat deposits of the:
Thighs
Hips and buttocks
Abdomen and waist
Upper arms
Back
Inner knee
Chest area
Cheeks chin and neck
Calves and ankles

Procedure:
The tumescent or super-wet technique requires an infusion of saline solution with adrenaline and possibly anesthetic prior to removal of excess fat by suctioning using thin canula through small incisions
Ultrasound-assisted lipoplasty uses ultrasonic energy to liquefy excess fat prior to surgical suctioning

Results: Swelling subsides; bruising fade and initial results may appear in 1-4 weeks. Final results could appear in 2-6 months. Significant weight gain can cause recurrence of fatty deposits.