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Servives | Dr Vikas Kakkar

COSMETIC SUGERY


Rhinoplasty

Rhinoplasty (more commonly referred to as a nose job) is a surgical procedure that reshapes or resizes What is Rhinoplasty?

Rhinoplasty is a procedure to enhance facial harmony and the proportions of your nose. It can also improve impaired breathing due to structural defects in the nose.

Which deformities can be corrected with Rhinoplasty?

Nasal asymmetry
Nasal tip deformity like i.e. enlarged or bulbous, hooked and drooping tip
Nostrils that are large, wide, or upturned
Broad Nose with wide nostrils
Visible humps or depressions on the nasal bridge
Deviated septum leading impaired breathing

Who is ideal candidate for Rhinoplasty?

The ideal candidate who has realistic expectation and positive attitude, who has completed his facial growth and physically healthy.



What is required for preoperative preparation for Rhinoplasty?

Routine blood test, Preanaesthesia check up
CT face if breathing difficulty
Stop smoking and medication which cause bleeding i.e. aspirin, herbal medicines.


What is postop protocol and how is recovery?

During postoperative period a splint and/or packing will be placed to support and protect the new structures during initial healing.

Swelling may come or go and more during morning hours for few months after rhinoplasty surgery.



What are the risks of Rhinoplasty?

In healthy adult the risks due to surgery is remote but there are mandatory to explain surgical and anaesthesia risk.

Bleeding, Infection, numbness, Poor wound healing or scarring,
Swelling and difficulty in breathing
Unsatisfactory nasal appearance
Possibility of revision surgery
Nasal septal perforation (rare)


When will Rhinoplasty results appreciated?

While initial swelling subsides in a few weeks, gradually you may be able to appreciate changes of your nose but final outcome may take up to a year for new nasal contour to fully refine. The results of rhinoplasty surgery will be long-lastingal.


Ear Reconstruction

Congenital malformations of the external ear are uncommon birth defects with long-term sequelae for children and their families. The impact of such deformities on the patient can be both physical and emotional. Parents often experience feelings of guilt because they believe they have caused the deformity. School-aged children may be the object of teasing and ridicule. Hearing loss due to associated ear canal atresia can result in learning difficulties.


Face Lift

Facelift surgery , clinically known as rhytidectomy, is a procedure used to reduce the appearance of facial wrinkles and other telltale signs of aging, with the goal of improving the overall appearance of the face and jaw. Facelift surgery can help to reverse the harmful effects of time, stress, and exposure to the elements. To perform this procedure, a facial plastic surgeon will lift and tighten the underlying muscles of the face to create more aesthetically pleasing contours appearance and rejuvenate the facial structure. Then he or she will remove excess pockets of fat and skin that can contribute to an aged, tired appearance.


Hair Transplantation

Hair Transplant is one of the most important achievements of the last century by medical science. There had been unlimited efforts to restore hair or natural looks; which lead to manufacturing of wigs etc from very old times.Hair transplantation is a surgical procedure in which hair from the back of the scalp is taken and transplanted in the bald area. The advantages of Hair Transplant include.


Abdominoplasty

Abdominoplasty (Tummy-Tuck)
What is tummy – tuck or abdominoplasty?

Tummy Tuck is a procedure to remove the excess sagging abdominal skin along with tightening of the abdominal wall muscles to restore the tone.

When do you need tummy tuck?

This operation is helpful especially for women with lax abdominal skin after pregnancy, aging or after excessive weight loss or following bariatric surgery.

If some one has a combination of excessive fat and loose skin, tummy tuck can be combined with liposuction (excess fat removal).
What do you do in tummy tuck?

It takes approximately 2 to 4 hours for this surgery and it requires general anaesthesia. The usual hospital stay is 2 to 5 days depending upon the individual’s response to the surgery.

During this process of lifting the abdominal skin from the muscles, the umbilicus is relocated and excess sagging skin excised. Stitch line come as a fine line horizontally. Stitches are under the skin and absorbable and strengthen with tapes and no need of stitch removal. The final scar is hidden in undergarments.

Sometimes, abdominoplasty is combined with liposuction (fat suctioning) for abdomen contouring.

How is post op recovery?

Usually, the patient can resume routine work in 2 to 4 weeks, whilst strenuous and sports activity should be postponed till the 6th to 8th week, the scars fade and flatten by 3 months to 2 years.

Smoking and consuming alcohol must be totally stopped two weeks before the operation, as they impair wound healing


Liposuction

Liposuction, also known as lipoplasty or liposculpture, is surgical removal of excess fat tissues by the use of small metal cannulas. It is the most commonly performed cosmetic surgery procedure in the world.

What are the indications for liposuction?

Liposuction works best for treating localized fat deposits like Abdomen, Hips, Thighs, Buttocks, Waist, Back, Cheek, Jowls and Neck, Arms, Upper Torso, etc. that do not respond to traditional diet and exercise. The treated areas will usually retain the new contours. Large volume of fat removal will also help reduce weight of the person with proper dietary care.

If the fat is removed, will it return?

Most of the fat cells are situated under the skin. The total number of fat cells present in a person's body usually does not increase in number after the age of 18 years. In general, after reaching maturity the total number of fat cells in the body will not increase. Fat cells that are removed through liposuction or other techniques will not be replaced by other fat cells. So Therefore, the fat cells that are removed, are removed permanently.

The results of liposuction can be permanent, provides you eat sensibly and exercise regularly. If you gain weight, you will gain it more uniformly throughout your body and not just in the former "Bulges".



What are the common sequelae of liposuction?

The common sequelae include contour irregularities, numbness, swelling & discoloration, which occur routinely in almost all patients who undergo liposuction. However, they usually resolve spontaneously or with minimal treatment such as massage & Pressure garment.

How much fat can be removed?

Usually up to 10% of total body weight, deposited extra subcutaneous fat can be removed safely in a single sitting from different parts of body.

What is the postoperative care required?

No special care is required but one needs to wear pressure garment for at least 3-6 months.

What is "wetting solution"? Why do we use it?

Wetting solution is the delivery of subcutaneous saline injection into the subcutaneous fat before liposuction. It has an advantage of allowing fat suction with minimal effort & blood loss.

Does the excessive skin need to be excised after removal of fat by liposuction?

In general, despite large amounts of fat being removed, skin has good elasticity and will give no laxity. However, in patients with inelastic skin or in older patients, the skin may not redrape and skin removal may be needed. (Tummy tuck / Abdominoplasty)


Scar Correction

When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible or relocated surgically


Acne/Pigmentation Treatment

Acne marks and scars can appear on anyone, although some skin types are more delicate, and hence they are easier to mar. However, hyperpigmentation is not a type of scarring, so it shouldn’t be confused as such. These marks can look a lot like scars, but they are easier to clear up.


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  • 564, B-Block, Ranjit Avenue, Amritsar
  • +91 98151-31355, 0183-2500955
  • clinickakkar@gmail.com

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