Something about Face Lift

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Something about Face lifts (Rhytidoplasty)
The face is the social parameter of a person. We often judge a person by his or her initial appearance, and it is the face which tells the observer a lot about us, and unfortunately about our age also. The visible effects of ageing appear first on the face, and make the person look older than he or she feels.
Brief physiology of ageing
The face betrays the effects of gravity and the effect that the beating of the sun has on it. There is an effect both on the skin as well as on the underlying structures such as the SMAS ( the underlying soft tissue below the skin lying over the muscles of the face). The ultraviolet radiation has the ill effect of skin damage and gravity adds the effect of descent of tissues. It is therefore essential that any surgical treatment protocol involves tackling both the skin as well as the underlying SMAS layer. It is possible now to surgically peel off a few years off somebody’s face without giving her/ him too many visible scars
The Face Lift – what is it and how is it done
Surgical face lift is a procedure that can be done under local (under injections + sedation) or general anesthesia. It involves an incision at the junction of skin of the face and the ear. (nowdays short scar face lifts are done, where the scar is very small and over a period of time are rarely visible enough to draw attention). After the incision, the skin and the underlying SMAS is tightened and pulled in an antigravity fashion to oppose the effects of gravity. Once the symmetry is achieved on both the sides, the incisions are closed taking care not to disturb the hair line or disturb the appearance of the ear. In men the side burns can get effected and gets closer to the ear, therefore they are forewarned about the possible requirement of laser to allow hair removal. However it is not required in the vast majority of the population
Results
Following a face lift, you can expect a role back of almost a decade in your physical appearance. Combined with a PIXEL laser, it gives also a fresh and rejuvenated, soft skin to complement the effect of surgery. A good facelift, is symmetric, maintains the hair line, both in the region of the temple and in the back of head, as well as maintaining the symmetry of the ear. We can expect the effects of a surgical face lift to last for over a decade to almost 15 years if the procedure has tackled both the skin and the underlying SMAS. A number of surgeons do not tackle the SMAS for fear of injuring the underlying nerves, but no face lift is complete, without this, and at best skin only procedure, gives benefit for a few months
Revision of a face lift is also possible, and it is also possible to correct a prior poor face lift. Most common effect of a poor prior procedure is a disturbed hair line in the region of the temple, but such cases can be tackled with hair transplant in this area. The face lift can be combined with eyelid surgery (blepharoplasty) to give a young look to the eyelids also.
Complications of Face lift
The most common complication is bleeding and haematoma formation in the post operative period. Therefore it is essential that no patient should be on aspirin therapy prior to procedure and blood pressure should be well under control before surgery.
Hospital stay
The patient need only stay in the hospital for about 24-36 hours, after which he or she can go home, but under watchful supervision. There is a definite downtime, and time has to be taken off from work/ social responsibilities to allow the incisions to heal and all the post operative swelling to settle down.

Something about hair transplant

Microfollicular Hair Transplants – A surgical solution to Baldness
Hair restoration has become one of the most popular techniques in male plastic surgery. The use of punch grafts was reported by Orentreich in the 1950s. However punch grafts were associated with a lot of unsatisfactory results because of the poor aesthetic results with the punches, which gave a “ corn in a field” appearance. A new era began in 1986, when Dr Carlos Uebel in the state of Rio Grande do Sul (Brazil) started the use of micro- and minigraft “megasessions.” It is considered a safe procedure which, allied to a natural hairline, is today a much valued option for surgeons and patients.
Unfortunately in India, we were late to embrace the technique of Microfollicular Hair Transplant. A number of Plastic Surgeon in India felt that Hair Transplant was a procedure not worthy of their interest; this led to a large number of unsatisfactory procedures by professionals of other medical specialities, and a bad image of Hair transplant in the mind of the Indian public. However we must remember that revisions to correct the poor results of previous surgery are possible.
Male pattern baldness (MPB) can start at the age of 16 years, caused by a coincidence of three main factors: hereditary, androgenic hormone and age. In today’s times, stress in the forms of smoking, late night jobs, long hours of work, irregular sleep cycles are contributing to the increased incidence in young men and women. Women are not immune from baldness, and indeed hair transplant is very successful in them also. In female patients hair fall appears more in the menopause period, but we also see androgenetic female baldness and thinning at earlier ages.
What is the Microfollicular Hair Transplant technique
In this technique, a strip of hair bearing skin is taken from the back of the head (which is relatively unaffected by the male hormones which are responsible for hair loss). This strip is then processed in a way that single hair bearing units are taken out. These are known as micro-grafts. These micro-grafts are required to make the anterior hair line. Further 2-3 hair bearing units are isolated. Each such unit is known as mini-graft. This procedure can take 5-6 hours. When sufficient numbers of grafts are isolated, they are then implanted one by one into the area of baldness. The stick and place procedure is performed with a microsurgical blade, while the follicular unit insertion is done at the same time. This procedure can take 3-4 hours. Usually these two procedures run side by side, so the whole process can be expected to last 4-6 hours. Usually for the front of the head about 1000 hair follicle units are required. For a complete coverage, about 3000 units may be required. It is preferable to make a second replacement after 8 months, when we can implant another quantity of grafts with success. Hair is like a plant – we need to keep a distance of 2–3 mm between each graft to enable each one to grow with better vitality. In the frontal hairline we insert only single hair irregularly. To achieve a greater density, repeat sessions may be required.
The entire procedure is done under local anesthesia using a mixture of agents which are fast acting as well as have a prolonged duration of action. This allows a comfortable procedure, even while the patient is awake, and actively participates in the planning of the hair line. We have had patients driving back themselves to their homes after the procedure, of course with an attendant.
Hairline Design
In young patients it is important to project the definitive frontal hairline.The frontal hairline is projected irregularly, maintaining the temporal recesses, and a non-straight line is important to achieve a natural and non-detectable result. The forehead middle point is normally 8 cm distant from the root of the nose varying from 7 to 9 cm depending on the facial structure.
Results
The tiny hair that is transplanted in the graft normally falls out within the first few weeks. This is normal. The hair will then grow normally from the hair root and will be noticeable by approximately 3 months and carry on growing as fast and as long as your normal hair, usually about 1cm a month. Some crusting will occur around the grafts. These must not be scratched as the grafts may be pulled out. These crusts will quickly dissolve once hair wetting is started. The grafted area of scalp will appear slightly pinker than usual for a few days but this soon passes. please note - the above views are that of the author, and this article cannot be used for referance or for medico-legal purposesDr Amit Gupta - guptamit76@gmail.comph - 091-9999972949

Scarless Breast Augmentation (Enlargement) ( with silicone implants)

IntroductionBreasts have been seen as symbols of feminity and have attracted the kind (and unkind) attention of both women and men alike. in todays era, a lot of stress is laid out on a good figure, and a curvier bust is something most women would desire if they are not naturally endowed with itWhat is Breast EnlargementThis is a surgical procedure, where a pocket is made within the breast to accomodate the silicone implants, which have been proven to be safe in all these years. The procedure may be done by an incision below the breast or from the axilla, whereby there is no scar on the breast and gradually the axilla scar also fades, and becomes virtually invisible. This latter technique is known as the SCARLESS BREAST ENLARGEMENT or the TRANS-AXILLARY BREAST AUGMENTATION. This may be done endoscopically or without an endoscope.ResultsThere is a significant increase in the bust line of the woman, depending on the volume of the implant chosen. it not only majes the physical appearance better but also psychologically benefits the patient Dr Amit Gupta - guptamit76@gmail.com - ph- 091-9999972949

Something about Lasers in Plastic Surgery

Lasers today are almost the in thing in every aspect realted to beauty, but we need to understand that lasers are not magic and they need to be clearly understood by both the physician adminitering the laser as well as the client. Lasers have specific indications and there are over 25 different lasers for specific indications in cosmetic surgery practice. Some of the common indications are for hair removal, facial rejuvenation, birth marks, acne scar removal, correction of dark pigmentation etcWhat are the different lasers available to usA lot of different companies market the lasers. in fact today the infamous " Chinese" tag has also been associated with lasers. A lot of Chines products are the best in the world. but like products from every country, not everything is the best, nor it it the worst. It is important for the clients to know details of the company of the laser and what type of laser is being used. For Hair reduction, some of the common lasers being used are ND YAG, Diode, IPL, and more recently SHR. All have their indications and limitations. Diode most closely matches the wavelength of the hair folicle pigment, melanin, but it is time taking and painful. ND YAG, tends to leave behind a lot of the finer hair. IPL is probably believed by a lot of plastic surgeons to be the most inferior of the lot. SHR is a new Infra red Laser that is painless and works very fast. However long term analysis of the results is awaited. other lasers are PIXEL, which produces many microform spots on the skin, which leads to improvement in facila skin quality, and treatment of acne scars, and other old scars also. PIXEL also has a major role in facial rejuvenation with good results in terms of facial glow, facial tightening. LP NDYAG is good for pigmentation and birth marks, while QS NDYAG is good for tattoo removalWhat is mandatory for us to know before we undergo lasersThere are certain contra-indications for the use of lasers. It is important to know all the effects and problems associated. Please discuss these with your doctor. Also ask about the number of sittings an the total cost of the procedure. Often packages are offered, which woek out cheaper in the long term. please note - the above views are that of the author, and this article cannot be used for referance or for medico-legal purposesDr Amit Gupta - guptamit76@gmail.comph - 091-9999972949