Category Archives: Body

Buttock Augmentation in Nagpur

Buttock Augmentation

Gluteoplasty is a surgical intervention with the objective of improving and accentuating the contour of the gluteus region (buttocks). Thus, the improvement of the contour can include the increase of volume or the redistribution of existing fat, to improve the proportion between the waist and the hip. Thus, Gluteoplasty is often associated with Liposuction, but to remove unwanted fat from the back, belly or thighs. It is known by other names like “Brazilian Butt Lift”, “BBL”, “Brazilian Butt”.

WHO HAS INDICATION TO PERFORM A GLUTEOPLASTY?

Anyone who wants to improve the contour of the buttocks, accentuate the contour, or improve the ratio between the waist and hip. Who wants to increase or decrease the volume of the buttocks. It is also indicated for those who have ptosis (“fall”) of the buttocks and need a facelift of the buttocks.

HOW IS IT PERFORMED?

Gluteoplasty can be performed in several ways: with silicone implants, with fat transfer or with a combination of implants and fat. Each situation should be examined in a particular way to decide which technique is best.

The silicone implants are placed through a small incision between the two buttocks, the implants are placed between the nadegueiros muscles to be more protected and the buttock to look natural. They are more indicated in lean patients who do not have enough fat to be used to increase glutes.

The transfer of fat (lipofilling, liposculpture or lipograft) is performed through very small incisions (less than 1 cm) and that are hidden between the two buttocks and in the groove below the buttocks. First, it is necessary to do a liposuction to remove fat from unwanted areas; then the fat is treated (it can be in several ways: decanting, centrifugation or washing) and is finally transferred (injected) into the buttocks, to improve or accentuate the contour of the buttocks.

This surgery is performed under general anesthesia or epidural anesthesia. Surgery can take between 2 to 3 hours, depending on the areas that are liposuctioned. The usual hospitalization period is 24 hours. It may be 48 hours, in case liposuction involves several areas of the body.

CAN GLUTEOPLASTY BE PERFORMED WITHOUT SCARRING?

Like any surgery, Gluteoplasty cannot be performed without scarring.

Nevertheless, the latest techniques allow you to easily hide the scars, so that they are not visible when wearing underwear or bathing suits. Moreover, they become less evident over time.

The size of the scar is usually less than 1 cm when the fat transfer is performed. When nadegueiros implants are placed, the scar is usually about 5-6 cm.

Therefore, your Plastic Surgeon will be able to advise you on how best to treat your scars.

WHAT ARE THE ADVERSE EFFECTS?

The most frequent adverse effects are transient (transient) and disappear spontaneously. The most frequent are ecchymosis (bruising) and edema (“swelling”). Usually, ecchymosis disappears between 2 to 3 weeks and edema progressively improves in the first 4 weeks.

A feeling of pressure in the buttocks is also frequent, resulting from increased volume and the skin stretching suddenly with increased volume.

In case liposuction is done to remove fat, it is normal to feel some numbness (which progressively improves from 2 to 6 months) or small irregularities in the skin, which will be attenuated over time.

It is still customary to feel more tired and trapped in movements the first time you get out of bed and so should do it gradually and with help.

WHAT IS THE EXPECTED RESULT?

The result of Gluteoplasty is the improvement of the contour and shape of the buttocks and the improvement of the proportion between the buttocks and the waist; the improvement of the proportion between the buttocks and thighs and the improvement of their self-esteem.

The final result will only be visible between 4 to 6 months after surgery, when the edema is already resolved, without bruising and the skin has already acquired its usual tonicity.

Therefore, to obtain the desired result it is essential to comply with the postoperative recommendations.

Small touch-ups or scar corrections may be required.

WHAT CARE AFTER A GLUTEOPLASTY?

Usually, the patient is discharged the day after surgery and can recover in the comfort of his home. Only in cases where high-volume liposuction is performed may more days of hospitalization be required (usually 2 days).

In this way, it is advisable to wear compressive clothing (post-surgical shorts) for a period of 1 to 2 months to avoid edema (“swelling”) and bruises (“bruising”).

Manual lymphatic drainage is also advised to speed up recovery, improve comfort and decrease edema and fibrosis. Lymphatic drainage should begin 2 to 3 days after surgery. What we recommend is that you perform daily treatments in the first week, 3 treatments in the second week and 1 treatment in the following weeks.

In cases of gluteoplasty with prostheses it is recommended to avoid sitting and pressure the operated region for 1 week. You can sit down, but you always have to stand on your thighs and not on your buttocks.

All patients screen for the risk of thrombosis prior to surgery and prevention of the risk of thrombosis with the measures indicated before, during and after surgery. It is also recommended that patients move early.

We also advise the follow-up of a Rehabilitation Physiotherapist in the first weeks to help the recovery of strength and mobility after surgery, with an individualized and adequate plan for each patient.

WHEN CAN YOU RESUME DAILY ACTIVITY/ROUTINE AFTER SURGERY?

The return to daily routine depends on the characteristics of the patient, the type of activity and the extent of the abdominal procedure, which is the one that usually has the most prolonged recovery.

All patients are advised to walk early, preferably the day after surgery. Most return to work 4 to 6 weeks after the intervention, although a period of 2 months is recommended until they resume more intense physical exercise.

Therefore, it is important that you get up early and move to help reduce edema and to reduce the risk of thrombosis.

WILL I GET BETTER AFTER PERFORMING SURGERY?

Gluteoplasty is a surgical intervention that aims to provide an improvement of your physical appearance and also a strengthening of your self-esteem. However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

In fact, emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

IS IT SAFE?

Like any surgery, Gluteoplasty is not without risks.

Thus, the first step is to consult a Plastic Surgeon, who is well experienced.

In addition, you should choose a clinic with an appropriate environment for consultation and surgery.

It is also important to choose the appropriate time to perform the surgery, whether socially, personally or professionally.

You should talk openly with your doctor, ask all questions, clarify your goals and expectations and listen to the possible results, the necessary postoperative care and possible complications.

WHAT IS THE PRICE OF A GLUTEOPLASTY?

The value of a Gluteoplasty-like intervention is dependent on the technique that is used. Thus, to give you a reference price that is as close to your case as possible, report your problem to Dr. Bhupendra Gaidhane through our Contact Form.

Mommy Makeover in Nagpur

Mommy Makeover

After pregnancy it is very common for the woman’s body to suffer changes in the level of the breast and abdomen, which cannot be improved, either with physical exercise or with a balanced diet. In these cases, surgery is a necessary resource.

It is very common for the breast to become slumped and empty.

Mastopexy with implants allows to lift the breast (mastopexy) and reset the volume and projection that were lost (with the implants).

It is also common for the abdomen to become flaccid skin and fat buildup in some areas.

Abdominoplasty is the surgery that allows to remove excess skin and fat, improving the contour and silhouette.

POST-PREGNANCY BODY REMODELING SURGERY

It is the combination of one breast surgery and another in the abdomen, performed at the same time.

Usually, it is carried out when there are changes in the woman’s body, which resulted from pregnancy.

This surgery allowed to fill and lift the breast (MASTOPEXIA WITH IMPLANTS), improve the shape of breast, and remove excess skin in the abdomen and define the muscles (ABDOMINOPLASTY).

WHAT IS MOMMY MAKEOVER?

Mommy Makeover is the name that is made when breast surgery and abdominal surgery are performed simultaneously.

It is, therefore, a surgical intervention with the aim of improving the aspect of the breast and abdomen, which are often altered after pregnancy.

In fact, several breast procedures may be associated, such as augmentation mammoplasty, mastopexy or breast reduction, and one of the abdominal procedures, such as liposuction, mini-abdominoplasty, or abdominoplasty with umbilical transposition.

A strengthening of the abdominal wall muscles can also be made, which in cases of multiple pregnancies is very frequent.

Therefore, with this surgery can be improved the contour of the breast and abdomen, with a very large transformation of the woman’s body.

WHEN IS IT INDICATED TO PERFORM MOMMY MAKEOVER?

The mommy makeover is indicated when there is a breast change (or because it has become “drooping and empty”), or too large or too small and at the same time an excess of skin and fat of the abdomen, which is misadjusted in relation to the rest of your body.

Mommy Makeover is usually performed when the woman’s body undergoes major changes caused by pregnancy, at the level of the breast and abdomen, causing disruption of body image and self-esteem.

HOW IS IT CARRIED OUT?

Mommy Makeover is a surgery that aims to treat the breast (“drooping”, “empty”, too “large” or small) and the abdomen (flaccid, striated or with excess skin and fat).

At the same time, a strengthening of the muscles of the abdominal wall can be done.

Mommy Makeover is performed under general anesthesia, with 48-hour hospitalization.

Sometimes, longer hospitalization is required, especially in overweight patients and in those in which a large amount of skin and fat has been removed.

In fact, there are several types of Mommy Makeover, depending on the procedures that are associated.

Thus, at the level of the breast can be done an augmentation mammoplasty (breast augmentation), reduction breast or mastopexy (breast lifting) with or without breast implants.

Any of these breast procedures can be associated with one of the procedures of the abdomen: liposuction, mini-abdominoplasty, or classic abdominoplasty.

Liposuction is indicated in those women with a weight close to ideal, with excess abdominal fat but without excess skin and whose skin has good elasticity. Usually, no stretch marks of pregnancy and no sagging.

In turn, mini-abdominoplasty is indicated in women with a weight close to ideal for their height and who have small excess skin and fat and sagging in the lower abdomen.

Finally, classical tummy tuck is indicated in cases where there is a large excess of skin and fat. In these cases, the navel transposition is also performed (and if there is a separation of the abdominal rectums, the suture is also done to approach them).

WILL I GET BETTER AFTER PERFORMING A MOMMY MAKEOVER?

Mommy Makeover is a surgical intervention that aims to provide an improvement in your physical appearance and also a boost of your self-esteem.

However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

Emotional balance, in fact, is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

CAN MOMMY MAKEOVER BE CARRIED OUT WITHOUT SCARRING?

Like any surgery, Mommy Makeover cannot be performed without scars.

Nevertheless, the latest techniques allow you to easily hide the scars, so that they are not visible when wearing underwear or bathing suits. Moreover, they become less evident over time.

The size of the scar is proportional to excess skin and fat and skin sagging. The higher the excess skin, the longer the scar.

Your Plastic Surgeon will be able to advise you on how best to treat your scars.

WHAT ARE THE ADVERSE EFFECTS?

In fact, the most frequent adverse effects are transient (transient) and disappear spontaneously. The most frequent are ecchymosis (bruising) and edema (“swelling”).

Usually, ecchymosis disappears between 2 to 3 weeks and edema progressively improves in the first 4 weeks.

The feeling of tightening in the abdomen is frequent (especially if a strengthening of the muscle wall), feeling numbness (which progressively improves from 4 to 6 weeks) or small irregularities in the skin, which will be attenuated over time.

It is also common to experience breast tension, especially if increased mammoplasty or mastopexy is performed with implants. This voltage is transient, normally lasting 2 or 3 weeks.

It is still customary to feel more tired and trapped in movements the first time you get out of bed and so should do it gradually and with help.

WHAT IS THE EXPECTED RESULT?

The result of Mommy Makeover is the improvement of the contour and shape of the breast and the reduction of excess fat and/or skin in the abdomen, the improvement of the waist contour and improvement of your self-esteem.

In fact, the final result will only be visible between 4 to 6 months after surgery, when the edema is already resolved, without bruising and the skin has already acquired its usual tonicity.

To obtain the desired result it is essential to comply with the postoperative recommendations.

Small touch-ups or corrections of scars may be required, especially if weight increases or decreases after surgery.


WHAT CARES AFTER A MOMMY MAKEOVER?

Usually, the patient is discharged two days after surgery and can recover in the comfort of his home. Only in cases where a large amount of skin and fat is removed from the abdomen may more days of hospitalization be required.

The use of compressive clothing (post-surgical bra and shorts/strap) is advised for a period of 1 to 2 months to avoid edema (“swelling”) and bruises (“bruising”).

Manual lymphatic drainage is also advised to speed up recovery, improve comfort and decrease edema and fibrosis. Lymphatic drainage should begin 3 to 4 days after surgery. What we recommend is that you perform 3 treatments in the first week, 2 treatments in the second week and one treatment per week, starting in the third week.

All patients are prevented for the risk of thrombosis with perioperative measures and medication after discharge from the clinic.

It is also recommended that patients move early.

WHEN CAN YOU RESUME DAILY ACTIVITY/ROUTINE AFTER SURGERY?

The return to daily routine depends on the characteristics of the patient, the type of activity and the extent of the abdominal procedure, which is the one that usually has the most prolonged recovery.

All ladies are advised to walk early, no later than the day after surgery.

In fact, most ladies return to work 4 to 6 weeks after the intervention, although a period of 2 months is recommended until they resume the most intense physical exercise.

It is important that you get up early and move to help reduce edema and to reduce the risk of thrombosis.

WILL I GET BETTER AFTER PERFORMING SURGERY?

Mommy Makeover is a surgical intervention that aims to provide an improvement in your physical appearance and also a boost of your self-esteem.

However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

In fact, emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

IS IT SAFE?

Like any surgery, Mommy Makeover is not risk-free.

The first step is to consult a Plastic Surgeon, who is well experienced.

In addition, you should choose a clinic with an appropriate environment for consultation and surgery.

It is also important to choose the appropriate time to perform the surgery, whether socially, personally, or professionally.

Therefore, you should talk openly with your doctor, ask all questions, clarify your goals and expectations, and listen to the possible results, the necessary postoperative care and possible complications.

WHAT IS THE PRICE OF A MOMMY MAKEOVER?

The value of a Mommy Makeover-like intervention depends on what the associated procedures are.

Thus, to give you a reference price that is as close to your case as possible, report your problem to Dr. Bhupendra Gaidhane through our Contact Form.

Abdominoplasty in Nagpur

Abdominoplasty

tummy tuck in Nagpur

Excess skin and fat in the abdominal region can have a very negative impact on self-esteem. In addition, it can make it difficult to practice physical exercise, the choice of clothing and even hygiene. Abodominoplasy / Tummy tuck in Nagpur is surgical procedure which removes excess skin & fat from abdomen.

Pregnancy produces changes in a woman’s belly that are sometimes irreversible and impossible to improve with only a healthy lifestyle.

Sagging in the lower belly and around the navel are very common after pregnancy, especially when the belly increases a lot during pregnancy.

Abdominoplasty in Nagpur is the surgery that allows to remove excess skin and fat, improve the contour of the abdomen, the proportion between waist and hip and achieve a smooth abdomen.

WHAT IS IT?

Abdominoplasty is a surgical intervention with the aim of removing excess skin and fat from the abdomen. A strengthening of the abdominal wall muscles can also be made.

With this surgery can be improved the contour of the abdomen, make it proportional to the rest of the body and give a more elegant appearance to the waist.

WHEN IS IT INDICATED TO PERFORM  TUMMY TUCK IN NAGPUR?

It is indicated when there is an excess of skin and fat in the abdomen, which is misadjusted in relation to the rest of your body.

It can also be performed after heavy weight loss (such as bariatric patients) or in women who have become sagging, stretch marks, and excess skin after pregnancy.

Tummy tuck in Nagpur is not a form of treatment of obesity. Nevertheless, in patients with morbid obesity (extreme cases of overweight), it can be performed to improve their life condition, hygiene or to facilitate the initiation of obesity treatment.

HOW IS IT PERFORMED?

It is performed under general anesthesia, with hospitalization of 24 to 48 hours. Sometimes a longer hospital stay is required, especially in patients with great excess weight and in those in which a large amount of skin and fat has been removed.

There are several types of abdominoplasties, depending on the excess skin and fat you present.

Therefore, mini-abdominoplasty is indicated in people weighing close to ideal for their height and who have small excess skin and fat and sagging in the lower abdomen.

On the other, classic abdominoplasty is indicated in cases where there is a large excess of skin and fat. In these cases, the navel transposition is also carried out (and if there is a separation of the reabdominal muscles, the suture is also made to approach them).

On the other hand, circumferential abdominoplasty is indicated in the most severe cases, in which there is also excess skin and fat in the lower trunk (back and sides).

In all cases, liposuction (lipo-abdominoplasty) may be associated.

WILL I GET BETTER AFTER PERFORMING AN ABDOMINOPLASTY IN NAGPUR?

This is a surgical intervention that aims to provide an improvement in your physical appearance and also a strengthening of your self-esteem.

However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

Indeed, emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.
abdominoplasty in Nagpur

CAN AN ABDOMINOPLASTY BE PERFORMED WITHOUT SCARRING?

Like any surgery, abdominoplasty in Nagpur cannot be performed without scarring.

Nevertheless, the latest techniques allow you to easily hide the scar, so that it is not visible when wearing underwear or bathing suits. Moreover, they become less evident over time.

The size of the scar is proportional to excess skin and fat and skin sagging. The higher the excess skin, the longer the scar.

This way, your Plastic Surgeon in Nagpur will be able to advise you on how best to treat your scars.

WHAT ARE THE ADVERSE EFFECTS?

The most common adverse effects are transient and disappear spontaneously. Therefore, the most frequent are bruising and edema (“swelling”). Usually, ecchymosis disappears between 2 to 3 weeks and edema progressively improves in the first 4 weeks.

In addition to these, it is frequent the feeling of tightening in the abdomen (especially if a strengthening of the muscle wall), feeling of numbness (which progressively improves from 4 to 6 weeks) or small irregularities in the skin, which will be attenuated over time.

It is also customary to feel more tired and trapped from movements the first time you get out of bed and so should do it gradually and with help.

WHAT IS THE EXPECTED RESULT?

The result of tummy tuck is the reduction of excess skin and fat in the abdomen, the improvement of the waist contour and the improvement of your self-esteem.

However, the final result will only be visible between 4 to 6 weeks after surgery, when the belly is swollen, without bruising and the skin has already acquired its usual tonicity.

To obtain the desired result it is essential to comply with the postoperative recommendations.

Sometimes, small touch-ups (liposuction of small areas) or corrections of scars may be required, especially if there is an increase or decrease in weight after surgery.

WHAT CARE AFTER AN ABDOMINOPLASTY IN NAGPUR?

Usually, the patient is discharged between one and two days after tummy tuck in Nagpur and can recover in the comfort of his home. Only in cases where a large amount of skin and fat is removed may more days of hospitalization be required.

We advise you to wear compressive clothing for a period of 1 to 2 months to prevent edema (“swelling”) and bruises (“bruising”).

Manual lymphatic drainage is also recommended to accelerate recovery, improve comfort, and decrease edema and fibrosis associated with liposuction. Lymphatic drainage should begin 3 to 4 days after surgery. What we recommend is that you perform 3 treatments in the first week, 2 treatments in the second week and 1 treatment per week, from the third week.

All patients are prevented for the risk of thrombosis with perioperative measures and medication after discharge from the clinic. It is also recommended that patients move early.

WHEN CAN YOU RESUME DAILY ACTIVITY/ROUTINE AFTER SURGERY?

The return to daily routine depends on the characteristics of the patient, the type of activity and the extent of the tummy tuck.

All are advised to walk early, no later than the day after abdominoplasty in Nagpur. Most patients return to work 3 to 6 weeks after the intervention, although a period of 2 months is recommended until they resume more intense exercise.

In fact, it is important that you get up early and move to help reduce edema and to reduce the risk of thrombosis.

IS IT SAFE?

Like any surgery, tummy tuck in Nagpur is not without risk.

Thus, the first step is to consult a Plastic Surgeon. In addition, you should choose a clinic with an appropriate environment for consultation and surgery.

It is also important to choose the appropriate time to perform the surgery, whether socially, personally, or professionally.

Therefore, you should talk openly with your doctor, ask all questions, clarify your goals and expectations, and listen to the possible results, the necessary postoperative care, and possible complications.

WHAT IS THE PRICE OF TUMMY TUCK IN NAGPUR?

With regard to abdominoplasty, it depends on each case. Thus, to give you a reference price that is as strict as possible, report your case to Dr. Bhupendra Gaidhane through our Contact Form.

Difficult Wound Treatment in Nagpur

Bedsore/Difficult Wound

What is Bedsore/Difficult Wound Treatment in Nagpur?

Also called pressure ulcers or even decubitus ulcers, sores are lesions and wounds on the skin that arise as a consequence of a continuous pressure applied to the skin and they require difficult wound treatment in Nagpur.

This is the case, for example, of people who spend a lot of time layered or even in the same position for long periods of time and without proper movement.

As they usually arise in people who already have reduced mobility or even some pre-existing condition, the bedsore treatment in Nagpur can be quite difficult and prolonged.

There are different degrees of bedsore/difficult wound, ranging from a superficial lesion on the skin to even a necrosis or ulceration, which happens when the wound is so deep that it even exposes the bones.

What are the signs of Bedsore/Difficult Wound?

The bedsore/difficult wound usually presents as a superficial lesion, which can evolve to a deeper lesion if the individual is not moved properly.

These wounds can be smelly, have different colors, nodules and can even itch. In patients without sensitivity, they may go unnoticed, but in those who still feel the limbs of the body, the pain of the bedsore/difficult wound can be quite intense.

The squeathers can arise in any part of the body in which the person puts enough pressure, such as on the buttocks, trunk and ankles.

How is the Bedsore/Difficult Wound Treatment in Nagpur?

The best way to treat is prevention, which involves the use of special mattresses, hydration of the skin mainly in the supporting regions, use of heel protectors, thin hydrocolloid plates or even polyurethane films in these regions.

However, none of these measures is effective if the patient does not receive a change in position every 2 hours. Wheelchair users should use special cushions and relieve pressure for 2 minutes every hour, considering that the ischial regions are the ones with the greatest support pressures.

However, for different reasons, it is not uncommon for bedridden and wheelchair-bound patients, despite care, to develop pressure injuries.

The different degrees of injury determine the therapy to be used. Initial cases can be treated with hydrocolloid patches and cases that develop necrosis require debridement.

The most effective and fastest difficult wound treatment in Nagpur is surgical, at the bedside or in the operating room under anesthesia. However, there are cases in which surgical debridement cannot be performed and chemical debridement becomes the only option. The most used debriding substances are papain and collagenase; among others.

There are today several special dressings that the updated Plastic Surgeon in Nagpur knows and can indicate for the best treatment of each type of wound. Hyperbaric therapy provides oxygen in high concentrations and usually has good results for wounds that are difficult to heal or with signs suggestive of infection.

Similarly, negative pressure therapy or vacuum therapy also often has good results by accelerating healing by continuously or intermittently removing secretions through a vacuum system, while administering topical antibiotic therapy in the wound. Both conventional dressings, special dressings and therapies to accelerate healing aim at closing wounds. However, in certain cases, surgery coverage through skin grafts or flaps will be required.

Liposuction in Nagpur

Liposuction

liposuction in NagpurLiposuction in Nagpur allow to remove fat and increase skin firmness and help define the waist and improve the proportion between waist and hip.

WHAT IS IT?

Liposuction/lipomodelation is a surgical procedure used to model and modify the body contour.

WHO HAS INDICATION FOR SURGERY?

All women or men who wish to improve the overall contour of the body or some particular area. We will then remove unwanted accumulations of fat or accentuate the contour of a certain area (breast/pectorals, buttocks).

Indeed, some areas of the body accumulate unwanted fat and that is difficult to lose, even with a healthy diet and exercise.

All body areas can be treated with liposuction, for example: submentonian region (“papacy” of the neck), trunk (breast), abdomen, flanks/waist, buttocks, arms, legs, and ankles.

However, liposuction/lipomodelation does not serve as a treatment for losing weight. Someone overweight should be referred for a Nutrition consultation and eventually to a bariatric surgeon.

Thus, the ideal candidate is the one who has had weight stability (stable body weight) for at least 6 months. It is also important that you have good quality skin (elastic and without stretch marks), that you are motivated for surgery and willing to comply with postoperative care (compressive clothing, lymphatic drainage massage, LPG).

HOW IS IT PERFORMED?

Liposuction that is performed under general anesthesia (when treating large areas, such as abdomen or limbs), consists of the removal by aspiration of localized and unwanted fats (liposuction) and their transfer to other regions, in order to improve or accentuate the contour of the body (lipomodelling).

When treating small areas such as the sub-mentonian region (“chin”) liposuction can be performed under sedation. In this way, the patient may be discharged on the very day of the intervention, provided that accompanied by someone who supports him or her.

Liposuction in Nagpur can be performed using several techniques, one of which is associated with vibration (VibroLipo) that allows a better separation of adipose cells (fat) and a faster and more homogeneous aspiration.

CAN SURGERY BE PERFORMED WITHOUT SCARRING?

Like any surgery, liposuction/lipomodelling cannot be performed without scarring.

Therefore, the surgery is carried out with very thin cannulas (2 to 5 mm), inserted through holes in the skin also very small (less than 1 cm) and in places that can be hidden by clothing.

Your Plastic Surgeon in Nagpur will be able to advise you on how best to treat your scars.

WHAT ARE THE ADVERSE EFFECTS?

The most frequent adverse effects are transient (transient) and disappear spontaneously. The most frequent are ecchymosis (bruising) and edema (“swelling”).

Usually, bruises disappear between 2 to 3 weeks and edema between 8 and 10 weeks.

Another unwanted effect is small irregularities in the skin, which are associated with poor skin quality (e.g. low elastic skin), tobacco consumption, exaggerated sun exposure or exaggerated fat removal.

Indeed, it is customary to feel dizzy the first time you get out of bed after liposuction and therefore should do so gradually and with help.

In the first few weeks, it is also customary to feel heavier and swollen than before liposuction in Nagpur, but this sensation is transient.

Therefore, scars are inevitable (as in any surgery), but in addition to being small and staying in places that are easy to hide with clothing, the scars become less evident over time.

Your Plastic Surgeon will be able to advise you on how best to treat your scars.

WHAT IS THE EXPECTED RESULT?best liposuction in Nagpur

Liposuction /lipomodelling is not a procedure for losing weight.

In fact, the expected result of lipomodelling is the modification of the contour or volume of a given body area, after transferring the previously aspirated fat. For example: the increase of the volume of the breast or buttocks, after transferring fat that had been previously aspirated from the abdomen.

The end result is not immediate. It is to be expected that the result will emerge progressively.

After liposuction, the skin will have to adapt to the new shape of your body. For this reason, the higher the amount of fat that is aspirated, the longer it will take until the desired end result is obtained.

WHAT CARE AFTER SURGERY?

Usually, the patient is discharged one day after surgery and can recover in the comfort of his home. Only in cases where very large areas are treated, may more than one day of hospitalization be required.

We recommend the use of compressive clothing for a period of 1 to 2 months to prevent edema (“swelling”) and bruises (“bruising”).

We also advise manual lymphatic drainage to speed up recovery. This will improve comfort and decrease edema and fibrosis associated with liposuction. Lymphatic drainage should begin 3 to 4 days after liposuction.

All patients are prevented for the risk of thrombosis with perioperative measures and medication after discharge from the clinic.

It is also recommended that patients move early instead of lying down and gradually resume their activities of daily living, so that they can start exercising after 4 weeks.

WHEN CAN YOU RESUME DAILY ACTIVITY/ROUTINE AFTER SURGERY?

The return to daily routine depends on the characteristics of the patient, the type of activity and the extent of liposuction.

All are advised to walk early, no later than the day after liposuction.

Therefore, most patients return to work within 5 to 7 days of intervention. However, a period of 4 to 6 weeks is recommended until you resume more intense physical exercise.

Thus, it is important that you get up early and move to help reduce edema and to reduce the risk of thrombosis.

WILL I GET BETTER AFTER PERFORMING SURGERY?

Liposuction in Nagpur is a surgical intervention that aims to provide an improvement in your physical appearance and also a strengthening of your self-esteem.

However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

Thus, emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

IS IT SAFE?

Like any surgery, liposuction is not without risks.

The first step is to consult a Plastic Surgeon, who is well experienced.

In addition, you should choose a clinic with an appropriate environment for consultation and surgery.

It is also important to choose the appropriate time to perform the surgery, whether socially, personally, or professionally.

Thus, you should talk openly with your doctor, ask all questions, clarify your goals and expectations. You should also hear the possible results, the necessary postoperative care, and possible complications.

WHAT IS THE PRICE OF LIPOSUCTION IN NAGPUR?

With regard to a Liposuction, it depends on each case. Thus, to give you a reference price that is as close to your case as possible, report your problem to Dr. Bhupendra Gaidhane through our Contact Form.

Body Lift in Nagpur

Body And Thigh Lift

Physical exercises do not always solve the problem of localized fat, let alone excess skin on the inner thighs. Lipodystrophy and sagging thighs affect self-esteem and cause discomfort. In addition, the friction caused between the thighs can generate diaper rash and local skin changes.

Thigh plastic surgery (  thigh dermolipectomy, crural lifting, cruroplasty) aims to reshape the thighs, leaving them more toned and with smoother and more proportionate contours. However, it is always important to evaluate the cost-effectiveness of this surgery, as the patient will be exchanging sagging for scars in visible and apparent regions.

Plastic surgery of the thighs is part of post-slimming surgeries and can be associated with other procedures, such as: plastic surgery of the abdomen (abdominoplasty), reduction and lifting of the breasts (reduction mammoplasty or mastopexy), and plastic surgery of the arms

According to the degree of involvement of the thighs, different procedures are proposed, with scars of varying sizes, which increase proportionally to the degree of sagging:

(1) Liposuction (without skin resection): indicated for young patients, with small accumulation of fat and absence or small flaccidity of the skin. The scars are imperceptible (0.5 cm each), only for the introduction of the liposuction cannula, in the crease of each groin, and there may be another on the medial side of each knee. Laser liposuction (lipolaser or laserlipolysis) is a good technique to eliminate sagging in some cases in which skin resection would already be indicated. In this procedure, the energy released towards the skin causes a greater retraction of this tissue, reducing the need for skin resection of the thighs.

(2) Conservative cruroplasty: indicated for patients with excess skin and fat on the thigh roots. The scars are horizontal and are hidden in the groin and inside the roots of the thighs.

(3) Conventional cruroplasty: indicated for patients who are older or who have suffered great weight loss (example: post-bariatric surgery), with a lot of excess skin and sagging on the inner side of the thighs. The scars are vertical along the inner side of the thighs and horizontal at the roots of the thighs (forming a “T”), extending from the groin to the inner side of the knees, with or without extensions to the sides of the pubis and the folds of the bottom of the glutes.

Surgical technique

  • Bilateral marking of the area to be resected on the inner side of the thighs.
  • Anesthesia + antisepsis.
  • Removal of excess skin and fat from the inner thighs, with or without associated liposuction (the types and sizes of incisions depend on the amount and location of excess skin, however, the incisions, although visible, are positioned in the discrete – groin and/or medial thighs).
  • Review of bleeding areas.
  • Remodeling of the subcutaneous tissue + closure of operative wounds.
  • Dressing + compression mesh.
  • Observation: If there is only a need for fat reduction, without skin resection, the indicated surgery is liposuction.

Recovery

Recovery is usually fast, requiring relative rest and 14 days away from work. It is important to wear compression garments on the thighs for at least 60 days. During this same period, one should avoid: walking a lot, doing physical exercises or making sudden and wide movements with the thighs (measures that prevent the opening or enlargement of operative wounds). Purples and bumps are temporary and tend to go away gradually. Pain is rare. Sunbathing on scars is not allowed for at least 6 months.

COMMON QUESTIONS

Thigh plastic surgery: indication

Plastic surgery is indicated in ex-obese patients, with a lot of sagging and excess skin along the inner or medial region of the thighs, who have realistic expectations about the scars produced by the procedure.

From what age is thigh plastic surgery recommended?

Adults

What type of anesthesia is used for thigh lift surgery?

Site with sedation, spinal anesthesia with sedation, epidural with sedation or general.

How long does the surgery take?

Two to three hours.

What is the length of stay?

Hospitalization of eight to twelve hours. The patient is released the same day.

When can stitches be withdrawn?

Skin stitches do not need to be removed when they are absorbable or they are removed from 14 to 21 days when they are non-absorbable.

Are there risks during or after plastic surgery?

Postoperative complications are rare. Among them, we can mention: unfavorable scars (dark, enlarged, or raised scars), bleeding (hematoma), fluid accumulation (seroma), infection, the opening of the surgical wound (suture dehiscence), tissue suffering (necrosis), asymmetry, sagging residual pain, permanent pain or numbness, persistent edema, lesions of noble structures (nerves, blood vessels or muscles), deep vein thrombosis, etc.

Thigh Plastic Surgery – Result

A definitive result can be considered after 6 months to 1 year, but the improvement in the contour of the thighs is already visible early. The scars are located in the groin and inner thighs, hidden and discreet places while standing, with the lower limbs in line. In any case, they are visible when the thighs are pulled apart. Generally, scars become thin and white over time, however, their final appearance cannot be predicted. The durability of the result depends on weight maintenance, skin quality, and hereditary characteristics. A partial loss of firmness acquired in the thighs and descent of scars from the roots of the thighs with aging is normal.

Birth Defect Surgery in Nagpur

Birth Defects

Birth Defects / Congenital malformations are among the most difficult to prevent and cure medical problems. Due to various causes, they affect the muscles, skeleton, sensory organs, respiratory and nervous systems, circulation and metabolism of the newborn.

The name of congenital malformations is the functional or structural anomalies of the newborn, whether manifest or latent.

Types and causes. Birth defects are not the result of a single cause. They may be due to genetic inheritance, preexisting diseases or diseases contracted by the mother in the first months of pregnancy, the intake of medication by the mother during the same period and the joint action of some of these factors.

Determining the stage of pregnancy at which malformations occur implies establishing a clear distinction between embryo and fetus. The period of eight weeks following fertilization corresponds to the embryonic stage. In this phase, the incipient form of life acquires its essential structure and its tissues begin to define and distribute themselves. From the eighth week of pregnancy, the embryo transforms into a fetus and the progressive and definitive differentiation of tissues, as well as growth, takes place. There are anomalies that manifest in the fetus, especially in the eyes, brain and inner ear. It is in the embryonic stage, however, that the most frequent malformations occur, many of which only manifest themselves years later.

When the causal agent is genetic, the malformation may result from a dominant gene, in which case it is manifested in all carriers, or from a recessive gene, which only produces effects when transmitted by both parents.

An example of the first case is achondroplasia or dwarfism, in which cartilage turns into bone and in this mutation growth is paralyzed. Carriers of this malformation are commonly known as dwarves. They present quick and agile movements, short steps, intense hand movement and lively intelligence. The upper and lower extremities are very short, but the other dimensions remain normal.

Among the birth defects of genetic origin, those that derive from a recessive gene are more common. They include albinism, or lack of skin and hair pigment; microcephaly, a process in which the brain does not fully develop; haemophilia, a blood disorder that prevents clotting; and many other diseases of a metabolic type. There are common defects, such as congenital dislocation of the hip, which cannot be explained by the action of a single gene, but whose transmission results from the accumulation of several genes. This inheritance is frequent in some families and is also recorded in descendants of consanguineous marriages.

A birth defect can also be caused by spontaneous mutations, that is, by sudden changes in the hereditary code of a gene. In addition, chromosomal abnormalities in cell division are also possible. Most of the cases in which the fetus die occur due to them, which are also responsible for other relatively common defects, such as mongolism, or Down syndrome, which results from a defect in chromosomal division.

Among the maternal diseases that produce congenital anomalies is toxoplasmosis, which in the congenital form affects the nervous system and causes chorioretinitis, with consequent blindness, and rubella, which is contracted in early pregnancy and causes serious defects in the embryo. Pharmaceuticals can also cause birth defects, as happened with thalidomide, a drug that in the 1960s gave birth to children without arms and legs. Radiation, if it affects cells that are actively dividing, can also cause mutations.

Dr Bhupendra Gaidhane is a leading plastic surgeon in Nagpur for birth defects surgery in Nagpur. Consult today for treatment options.

Burn Treatment in Nagpur

Burns

Prevention is still the cheapest and most effective way to fight burns. Reconstructive plastic surgery plays an important role in the burn treatment in Nagpur.

Burns have several causes, such as: heat, cold, electricity, chemicals, radiation and friction. Their injuries can be classified according to their extent and depth.

 

Extent of burns

The extent or body surface area burned (BCS) can be quantified by the rule of nine (head and neck – 9%, trunk – 18% anterior region and 18% posterior region, upper limbs – 9% each, lower limbs – 18% each, perineum – 1%) or by comparing the burned area with the patient’s palm, which is equivalent to 1% of the SCQ. The rule of nine is not valid for pediatric patients, who have a proportionally larger head.

Depth of burns

Burns are classified into 3 degrees, according to their depth:

• First degree burn: superficial, it affects only the epidermis (first layer of the skin). Example: sunburn.

• Second degree burn: deeper than first degree, reaches the dermis (second layer of the skin), can reach the most superficial layers of the dermis (superficial second degree) to the deepest layers (deep second degree), causes blisters ( blisters) and is very painful (exposed nerve endings). Example: burn with hot liquids.

• Third-degree burn: deeper than the second-degree burn, it affects all layers of the skin and can affect fat, muscles and bones, has a whitish appearance and is painless (destruction of nerve endings). Example: electric burn.

Indications for hospital admission

According to their location, extent and depth, burn treatment in Nagpur can be initiated on an outpatient basis or require hospitalization. The criteria for admission are as follows:

• Second degree burns reaching more than 20% of the body surface in adults or more than 10% in children and the elderly (less than 10 years old or older than 50 years old).

• Second or third degree burns on the face, genitals, perineum, hands and feet.

• Third degree burns greater than 5% of the body surface.

• Circumferential burns.

• Electrical burns.

• Chemical burns.

• Burns complicated with infection.

• Inhalation injury (airway burn).

• Unfavorable clinical and social conditions.

Initial care of the burned patient

• Intubation and abundant oxygen supply for patients with airway burns.

• Venous hydration according to the burned body surface and monitoring through diuresis.

• Removal of all clothing, rings and watches from the involved areas.

• Pain relief with analgesics.

• Debridement of blisters and devitalized tissue.

• Escharotomies in third-degree circumferential burns, which compromise breathing or limb circulation.

• Cleaning with antiseptics and changing dressings every 12 hours.

• Occlusive dressings with topical antibiotics such as silver sulfadiazine, preventing burnt tissues from being further damaged by infections.

• Food rich in proteins and calories due to accelerated metabolism.

• Other precautions: special attention must be given to the agent causing chemical burns to avoid further reactions, the validity of the tetanus vaccination must always be checked, etc.

Burn treatment in Nagpur

early excisions

Deeper burns in smaller areas may undergo total resection and suturing of edges. In addition, larger, deep partial-thickness burns (deep second degree) may undergo debridement and early grafting, reducing the chances of scarring changes and sequelae.

skin grafts

Skin grafts are very useful for the closure and protection of extensive wounds, but they depend on a vascularized bed in the recipient area for their integration. They can be donated by the individual (autografts), by individuals of the same species (allografts or homografts) or from other species (xenografts or heterografts), the last two being indicated when there are not enough donor areas in the patient and are used as dressings biological benefits or provisional coverage. In terms of thickness, skin grafts can be divided into partial-thickness and full-thickness grafts.

Partial skin grafts

They contain epidermis and part of the dermis, which can vary in thickness (thin, intermediate or thick grafts).

  • Indication: it is the most used in the medium and large burn treatment in Nagpur.
  • Format: can be used as small fragments (seal grafts), strips (blade grafts) or expanded by creating fenestrations (mesh grafts).
  • Removal technique: they are removed with special devices (dermatome or Blair knife).
  • Donor areas: scalp, abdomen, thighs and back. Fixation technique: can be fixed only with dressings or bandages.
  • Integration time: 7 days.
  • Advantages: they are easier to integrate into the recipient area, cover large surfaces, can be expanded and cover larger areas using fewer grafts.
  • Disadvantages: suffer greater secondary contraction, become more fragile and dry (need for constant hydration).
  • Donor area recovery time: the thicker the graft, the longer the recovery time.

Full skin grafts

They contain the epidermis and the entire dermis (all layers of the skin).

  • Indication: they are used in small lesions of noble areas such as the face, hands and fingers, they are rarely used in the treatment of burns in its acute phase.
  • Shape: usually have the shape of a spindle.
  • Removal technique: they are obtained through the excision of the skin spindle and suture of the donor region.
  • Donor areas: abdomen, inguinal region, groin, retroauricular regions.
  • Fixation technique: it is necessary to remove all the remaining fat under the graft and fix it with suture and compressive dressing.
  • Integration time: 7 days. Advantages: they suffer less secondary contraction, better mimic normal skin, are firmer, more resistant and hydrated.
  • Disadvantages: they are less easy to integrate into the recipient area, requiring richly vascularized beds, and are only used to cover smaller lesions.
  • Donor area recovery time: it is fast and leaves only a linear scar.

Skin substitutes (temporary dressings)

The solution established by plastic surgery for loss of skin lining is autogenous skin grafting (from the individual himself), but there are cases in which there is a shortage of donor areas, such as in major burns.

Currently, there is a lot of interest in biological, biosynthetic or synthetic materials that can replace the skin, even temporarily, reducing the risk of infections until the moment of definitive wound coverage. There is a wide variety of skin substitutes with different applications, advantages and disadvantages. Unfortunately, most of these materials are still very expensive or are not released in most Burn Treatment Centers.

COMMON QUESTIONS

What are burns?

It is skin damage caused by fire, heat, electricity, radiation or chemicals.

They are classified as follows:

  • First-degree burns: the skin becomes red and painful (slight burn, for example).
  • Second degree burns: the damage is deeper and blisters on the skin.
  • Third-degree burns: Tissues in all layers of the skin are destroyed.
  • The first thing to do is to limit the extent of damage and to prevent the burn from getting worse.

How can you reduce damage?

The burned area should be cooled by placing it under cold running water for several minutes until the pain has eased. If it’s a big burn you should go to an emergency department.

First-degree burns (which affect only the outer layer of the skin’s epidermis), such as from the sun, are treated with specific creams or ointments.

What requires medical treatment?

The ones that are bigger than the palm of your hand.
Burns on the face, neck and hands.
All third grade.
Most second-degree burns.

Remember:
It can be difficult to distinguish between second and third degree burns.
If possible, continue to pour water over the burn or use sterile, moist compresses until you are attended to by healthcare personnel.
Do not handle blisters (pricking or skin removal).
Never apply ointments or other home remedies. Water is the only thing to use.
Don’t forget to get the tetanus shot if you haven’t been vaccinated in the last ten years.

What complications can arise?

When the skin is burned, it loses its protective function, which increases the risk of infection.

For this reason it is important that the damaged area is well cleaned for the first six hours and kept clean while it is healing. If after a few days there are signs of infection (eg, the skin becomes red, hot, drains, or the victim experiences sharp pain), you should see a plastic surgeon in Nagpur.

Severe burns can cause scarring.

In cases of severe and large burns, the body can lose a significant amount of fluid. This can hamper blood circulation and cause problems with the body’s balance. These wounds must be treated in the emergency medical service.

Remember that a burn assessment must be performed by a plastic surgeon, an extensive superficial burn can lead to serious complications.

What can you do to prevent burns?

Keep children away when cooking (especially preparing hot drinks), using coffee makers, barbecues, and other types of fires. Remember that barbecues can produce sparks, flames when flammable liquids are poured.

When preparing the children’s bath, first fill the bathtub with cold water to avoid the risk of entering the water that is too hot.

Never pour water into boiling oil (pots, for example). This can cause an explosion with serious consequences. The fire must be turned off, covering the pan with a lid or damp cloth.

Arms Reshaping in Nagpur

Arms Reshaping

The aging of the skin and weight changes can cause changes in the inner part of the arms, which bother in daily life, cause disorder in the practice of physical exercise and do not allow the woman to choose a certain clothes because of the shame of showing her arms with sagging. Arms reshaping in Nagpur comes to rescue in these situations.

Brachioplasty also called arm lift in Nagpur allows to remove excess skin, resulting in an arm with a younger and more athletic contour.

The scar is hidden in the inside of the arm.

WHAT IS IT?

Brachioplasty in Nagpur is a surgical intervention with the aim of improving the appearance of the arm, which is often altered after major weight loss or with natural aging of tissues.

In this way, the skin of the arm loses elasticity, becomes flaccid and in excess. Sometimes it is accompanied with exaggerated accumulation of fat.

Sagging and accumulated fat contribute to an aged and uncomfortable appearance, as the arm shakes too much with movements. This prevents the choice of a more undercut garment, ashamed to show off his arms.

WHEN IS IT INDICATED TO PERFORM BRACHIOPLASTY IN NAGPUR?

This procedure is indicated when there is sagging skin and accumulation of fat in the arm, commonly referred to as:

“Drooping” skin;

“Goodbye muscle” or “bat wings”.

It is also indicated when day-to-day routines are impaired by this excess skin and fat, such as physical exercise or the choice of shorter clothing.

Brachioplasty is also indicated when this aged aspect of the arm is misadjusted in relation to the rest of your body.

HOW IS ARMS RESHAPING IN NAGPUR IS PERFORMED?

Arm lift in Nagpur is a surgery that aims to treat the arm when there is flaccid skin and excess fat.

It can be done simultaneously with other procedures, such as reduction mammoplasty, mastopexy, thistoplasty or liposuction.

Brachyplasty is performed under general or local anesthesia, with 24-hour hospitalization. Sometimes it may be possible to be discharged on the same day.

There are several techniques:

Brachyplasty in Nagpur can be performed with a scar hidden in the armpit when excess skin is light. In these cases, liposuction of the arms may be associated. In cases where there is a large excess of skin, it is necessary to perform a longitudinal scar, along the arm, which is hidden in the “inside” part of the arm.

There is also an innovative technique for treating sagging skin and excess fat in the arms that is called Bodytite. Bodytitis is a technology of RFAL (Radiofrequency Assited Lipolysis), i.e. liposuction and destruction of fat cells through radiofrequency. It is made with very thin cannulas, through small incisions, hidden in the armpit and elbow. This procedure can be done with local anesthesia and does not require an operating room or hospitalization.

WILL I GET BETTER AFTER PERFORMING A BRACHIOPLASTY?

Brachioplasty is a surgical intervention that aims to provide an improvement of your physical appearance and also a strengthening of your self-esteem.

However, the new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

Emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

CAN BRACHIOPLASTY BE PERFORMED WITHOUT SCARRING?

Like any surgery, arms reshaping in Nagpur cannot be performed without scarring.

Nevertheless, the latest techniques allow you to easily hide the scars, so that they are not visible when wearing short-sleeved sweaters. Moreover, they become less evident over time.

The size of the scar is proportional to excess skin and fat and skin sagging. The higher the excess skin, the longer the scar.

This way, your Plastic Surgeon in Nagpur will be able to advise you on how best to treat your scars.

WHAT ARE THE ADVERSE EFFECTS?

The most frequent adverse effects are transient (transient) and disappear spontaneously. The most frequent are ecchymosis (bruising) and edema (“swelling”).

Usually, ecchymosis disappears between 2 to 3 weeks and edema progressively improves in the first 4 weeks.

There is often a feeling of numbness (which progressively improves from 4 to 6 weeks), small irregularities in the skin, which will be attenuated with time or varied sensations in the scar (e.g., stings, burning, itching).

WHAT IS THE EXPECTED RESULT?

The result of BRACHIOPLASTY is the improvement of the contour and shape of the arm and the improvement of its self-esteem.

In fact, the final result will only be visible between 4 to 6 months after surgery, when the edema is already resolved, without bruising and the skin has already acquired its usual tonicity.

To obtain the desired result it is essential to comply with the postoperative recommendations.

Small touch-ups or corrections of scars may be required, especially if weight increases or decreases after surgery.

WHAT CARE SITS AFTER A BRACHIOPLASTY IN NAGPUR?

Usually, the patient is discharged one day after surgery, or even the same day and can recover in the comfort of his home.

The use of compressive clothing (mangoes) is advised for a period of 1 month to avoid edema (“swelling”) and bruises.

Manual lymphatic drainage is also advised to speed up recovery, improve comfort and decrease edema and fibrosis.

Lymphatic drainage should begin 3 to 4 days after surgery. What we recommend is that you perform 3 treatments in the first week, 2 treatments in the second week and one treatment per week, starting in the third week.

All patients are prevented for the risk of thrombosis with perioperative measures and medication after discharge from the clinic. It is also recommended that patients move early.

WHEN CAN YOU RESUME DAILY ACTIVITY/ROUTINE AFTER ARMS RESHAPING IN NAGPUR?

The return to the daily routine depends on the characteristics of the patient, the type of activity and the extent of the procedure, that is, the amount of skin and fat that are removed.

All patients are advised to walk early, no later than the day after surgery. Most return to work 4 to 6 weeks after the intervention, although a period of 2 months is recommended until they resume more intense physical exercise.

Therefore, it is important that you get up early and move to help reduce edema and to reduce the risk of thrombosis.

WILL I GET BETTER AFTER PERFORMING SURGERY?

Arms reshaping in Nagpur is a surgical intervention that aims to provide an improvement of your physical appearance and also a strengthening of your self-esteem.

The new image you will acquire will not change, by itself, all other areas of your life (professional, family, social), so it is essential to have this awareness.

Emotional balance is indispensable to undergo surgical intervention, especially if it is aesthetic in nature.

IS ARM LIFT IN NAGPUR SAFE?

Like any surgery, Arm Lift in Nagpur is not without risks.

The first step is to consult a Plastic Surgeon in Nagpur, who is well experienced.

In addition, you should choose a clinic with an appropriate environment for consultation and surgery.

It is also important to choose the appropriate time to perform the surgery, whether socially, personally or professionally.

Therefore, you should talk openly with your doctor, ask all questions, clarify your goals and expectations and listen to the possible results, the necessary postoperative care and possible complications.

WHAT IS THE PRICE OF A BRACHIOPLASTY IN NAGPUR?

The value of a Brachioplasty intervention depends on which techniques are used. Thus, to give you a reference price that is as close to your case as possible, report your problem to Dr. Bhupendra Gaidhane through our Contact Form.

Scar Revision

scar revision surgery in NagpurScar Revision in Nagpur plays an important role in the correction of scars and defects on the body surface. The final look is a concern.

Scar Treatment in Nagpur

Healing is a natural process of repairing damaged organic tissues that occurs through the production of collagen fibers. The scar is a definitive mark and one of the main concerns is its final appearance after cosmetic plastic surgery or repair plastic surgery to correct scars and defects. Even examining the patient’s skin type and surgical history, there is no way to be sure about the development of a pathological or unsightly scar.

Factors that influence the quality of scars

Location in the body

Certain body regions are at greater risk of developing scar changes (examples: anterior chest, shoulders, back, earlobes).

Scar shape

Oblique scars or scars with curved paths tend to have worse aesthetic results.

Wound direction in relation to lines of tension

Wounds that are not parallel to the lines of lesser tension in the skin can cause scars that are more tense and enlarged.

Wound size

Larger, deeper wounds with great loss of substance are more likely to have scar changes.

Age of patients

Young patients are more likely to have more visible scars than older patients.

Genetic characteristics

Patients with a dark color or of oriental origin are at greater risk of developing pathological scars.

Surgical technique

Adequate closure by planes, relieving the tension of the wound edges, tends to produce scars of better quality.

Postoperative care

Postoperative care reduces the risk of stitches opening or wound infection, contributing to good scar quality.

Healing time

Scars usually get less noticeable over the years.

Types of scar changes

Hypertrophic scar

Elevated scar that does not go beyond the limits of the initial wound, caused by disordered collagen production. It has a tendency to regress over time and is not hereditary.

Keloid

Elevated scar that extends beyond the limits of the initial wound, caused by excessive collagen production (behavior similar to a benign tumor). It does not tend to regress over time and is hereditary.

Retracted scar

Tense scar, which pulls the adjacent tissues (scar contracture, retractable or contractile scar). It can restrict normal movements of the affected area.

Elongated scar

Shallow, loose and spreading scar. It may result from increased tension on the sides of the scar or from rupture of stitches and healing by secondary intention.

Atrophic scar

Scar deeper than the relief of the surrounding skin. Among its causes, we can mention very thin skin and healing disorders due to metabolic diseases and nutritional deficiencies.

Dyschromic scar

Scar that is darker (hyperchromic) or lighter (hyperchromic) than the surrounding skin. Hyperchromia is more common and can be the result of sun exposure in a recent scar, especially in dark-skinned people.

Scar “in trapdoor”

A scar with a curved path (in a “C” or “U” shape), which causes the skin contained in its inner part to become more swollen due to the damming of lymphatic fluid.

Surgical Scar Treatment in Nagpur

Fusiform resections

• Direct resection, with primary closure whenever possible. Indication: short scars.

• Serial resections or skin expansion and subsequent resection. Indication: very wide scars.

• Intralesional resection by removing a scar spindle inside the lesion, reducing its width and thickness, without running the risk of creating new lesions. Indication: treatment of keloids.

Reorientation of scars

• W-plasty: removal of the old scar with wound closure with broken lines. It is indicated in wide scars or with stitch marks resembling train tracks, to dissipate the forces of contracture and prevent new scar retractions.

• Z-plasty (zetaplasty): making new incisions on each side of the old scar and creating small triangular flaps; transposition (reorientation) of the flaps to cover the wound, creating a “Z” or “zig-zag”. It is indicated to reposition and lengthen scars such as joints in joints (example: fingers, armpits, elbows), scars contrary to lines of lower tension (example: longitudinal scars on limbs) and “trapdoor” scars.

Defect correction

Facial and body contour defects can be acquired or congenital. The restorative procedures performed by plastic surgery to correct defects include:

• Treatment of injuries and sequelae caused by trauma resulting from previous surgeries, accidents, falls, aggressions, sports activities, burns, radiation, etc.

• Treatment of sequelae caused by tissue damage, such as varicose ulcers, ischemic ulcers, pressure or decubitus ulcers, etc.

• Treatment of sequelae caused by tissue infection.

• Treatment of wounds resulting from the removal of tumors or other injuries.

• Treatment of congenital anomalies, involving morphological and structural changes in terms of shape, size, etc.

Surgical treatments for defects

Wound closure

• Primary closure (first intention): approximation of the wound edges with sutures. It presents rapid epithelialization and minimal formation of granulation tissue.

• Secondary closure (spontaneous or by second intention): wounds are left open. Debridement of devitalized tissue using antibiotics, dressings, and frequent wound care are necessary. Closure is slow and depends on the contraction generated by the healing process.

• Delayed primary closure (third intention): wounds are left open initially and, after a few days, are closed with sutures.

• Elastic suture: alternative treatment for closing large wounds. Elastic rubber bands are sutured under moderate tension on the edges of the wounds, promoting their gradual approximation until their complete closure.

Grafts

Grafts are tissues transferred from a donor area to a recipient area, without maintaining its vascular pedicle, thus, the recipient area must be well vascularized so that the grafted tissue, through intimate contact, integrates. Several tissues can be grafted, including: skin, mucosa, hair (hair transplant), fat (fillers), muscle fascia, bones, cartilage, tendons, nerves and vessels.

Grafts can consist of a single type of tissue, for example, skin (single grafts) or more than one type, for example, a fragment of skin with cartilage taken from the ear for reconstruction of nasal defects (compound grafts). Skin grafts can be partial or full thickness and are very useful in closing large wounds.

Patchwork

Flaps are tissues transferred from a donor area to a recipient area, with maintenance of their vascular pedicle (definitive or temporary), that is, in principle, they have their own circulation, regardless of the recipient area. They are indicated for the closure of larger wounds (examples: defects after tumor removal and wounds that do not close by simply approaching the edges of the lesion), reconstruction of more complex structures (examples: nose and ear reconstruction), coverage of structures (examples: coverage of vessels, bones and cartilage) and areas with vascular deficiency or bony protrusions (examples: areas without a bed for graft integration and pressure ulcers).

The flaps may be local, regional or distant, and may contain skin, subcutaneous tissue and muscle. They can have different shapes, such as: tubes, spindles, triangles, rectangles, etc. They can also be divided into random (randomized) flaps, which present vascularization without a defined anatomical path, and axial (arterial) flaps, which present vascularization based on the anatomical location of a known artery. Random flaps are transferred through advances, rotations, interpolations, among other ways, while axial flaps are transferred in an island, peninsula or free (microsurgical).

Expansores

Expansion is indicated when there is not enough skin to repair defects. Its results are aesthetically superior in relation to the transfer of flaps from other regions, which may have different color, texture and capillary coverage. The procedure is performed using a silicone expander balloon inserted under the skin or muscle, close to the area to be repaired. The expander is gradually filled with saline over weeks to months, causing the local skin to stretch and grow.

Examples of some of its applications are:

(1) breast reconstruction : when there is not enough skin to accommodate a silicone implant and

(2) head and neck reconstruction : when there is not enough skin tissue to cover areas of the face, neck or scalp, where hair growth makes it difficult to replace lost tissue with skin from other regions.

Expansion may be difficult in areas where the skin is thicker, such as the back. If the area to be expanded is damaged and inelastic scarring, this procedure is probably not a good option.

Implants

The basic difference between implants and prostheses is that the implant is included within regions of the body, while the prosthesis, even when fixed, is only fitted. Implant is the correct term for most silicone products and other alloplastic materials used in plastic surgery, however, the term prosthesis has become very popular and is used practically synonymously.

The increase in volume and the definition of contour provided by the implants make them also very useful in reconstructive surgeries, such as:

(1) head and neck reconstruction : cartilaginous grafts used in nose and ear reconstructions, for example, can be replaced in some cases by pre-molded silicone parts,

(2) breast reconstruction : the breast implant creates or reestablishes the contour of the breast, providing volume and projection under the local tissue or below a myocutaneous flap transferred to the region,

(3) reconstruction of the pectoral region : the pectoral implant can correct traumatic or congenital asymmetries of the region,

(4) reconstruction of the calves: the calf implant can symmetrize defects resulting from sequelae of infantile paralysis, trauma or genetic anomalies that affect the legs.

COMMON QUESTIONS

What options are there for scar treatment in Nagpur?

  1. Compressive dressings
  2. silicone plates
  3. Use of ointments and massages
  4. Surgical treatment
  5. Corticosteroid injection
  6. Beta therapy (use of radiation at the scar site)
  7. Others

What drives people to seek scar revision in Nagpur?

The search is based on 2 aspects: making the scar more aesthetically pleasing and improving the function of the compromised area.

Will my scars fade?

We can make them less noticeable, but they will never really disappear.

Can my skin colour influence healing?

Normally, light-skinned individuals are less likely than dark-skinned people or people of oriental descent to develop any type of unsightly scarring, regardless of the type of technique used.

What is the best time to start scar treatment in Nagpur?

Normally, we do not perform scar corrections before 6 months to 1 year of scar existence, due to the intense process of evolution through which it can go.

Will I have a keloid or hypertrophic scar again?

In both situations the lesions can return, and this is much more frequent in the case of keloids.

Will I feel pain after surgery?

Usually not, but occasionally pain may occur, which is most often associated with movement of the operated area, and which usually subsides with common analgesics.

What type of anesthesia is used?

Normally, local anesthesia is used, but in cases of very extensive scars or in very anxious patients, sedation can be used. In some special cases, other types of anesthesia may be used.

How long will my surgery last?

It can last from a few minutes to hours, depending on the size of the scar to be corrected. During the surgical procedure, newsletters about the surgery and the patient’s condition may be issued periodically, if the family wishes.

How long will I be hospitalized?

The patient may be released immediately after the surgery, he may have to wait a few hours or may only be released the next day, depending on the type of anesthesia to be used.

Will dressings and drains be used in my surgery?

Yup. Dressings may be simple or compressive, depending on the type of surgery. Drains are used only in some cases where there is a large detachment of the skin.

Are there stitches to be removed?

Sometimes yes, depending on the type of wire used. When necessary, they are withdrawn Between the 7th. and the 15th. postoperative day, and must be strictly performed by my team.

When can I return to my physical activities?

It depends on the type of exercises and individual evolution, there is no standard period. Heavy exercises involving the operated area should wait at least 1 month, depending on the case.

How long after surgery is the final result achieved?

Only after the 12th month will the scar reach its definitive shape.

Are there any risks of complication in this type of surgery?

Scar correction is usually safe, but there is always the possibility of complications. These can include infection, bleeding, a reaction to anesthesia, or the return of an unsightly scar.

When will I be able to shower at the surgery site?

Depending on the case, even the day after the surgery. Everything will depend on the evolution of your surgery, as well as the type of dressings, observing only the special care that will be taught by your doctor.

How is the postoperative evolution?

You must not forget the 12 months required to achieve the desired result. Until then, any and all concerns on your part should be transmitted to your doctor, who will provide you with the necessary clarifications for your peace of mind.

Should the sun be avoided?

For a period of 30 days, after which exposure to the sun should be gradual, using sunscreen.

Is there sensitivity modification?

There may be a small change in sensitivity in the first two months or so, which gradually disappears.

Is the result rewarding?

If you are aware of what you want and the surgeon can provide you with what you asked for, it certainly pays off. However, it is important to take into account the fact that some types of scars do not have such a good evolution, and can present difficult and time-consuming treatment.