Hair Transplant in Nagpur is indicated in hereditary cases of hair loss and androgenetic baldness, which occur in many men and in some women.

Androgenetic baldness or alopecia is a condition that affects more men and is related to sex hormones, mainly testosterone. Hair transplantation is the surgical treatment of baldness. In this plastic surgery, hairs, usually from the back of the scalp (donor area), are transplanted in an area where there has been total or partial loss of hair (recipient area).

Modern baldness surgery aims to obtain a more aesthetic and natural result. The dreaded “doll hair” look no longer occurs. Among the precautions taken, we can mention:

(1) use of broken lines in tracing the anterior part of the bald area,

(2) capillary complementation of the sides of the head,

(3) use of fine and delicate follicular units,

(4) distribution of follicular units very close together in the anterior line of the bald area,

(5) maintenance of the natural direction of hair growth.

This procedure requires a specialized team, which is divided into a group to dissect the follicular units and another to implant them.

During the surgery, thousands of hairs are transplanted. The hair used is always the patient’s own. In more extensive baldness, complete hair restoration is impossible, as the number of follicular units obtained from the donor area is insufficient to cover the entire bald area. However, strategically distributing the follicular units associated with new hair transplant sessions (minimum of 8 months between surgery) helps to achieve a more satisfactory result.

Hair transplant in Nagpur: FUT x FUE

The Strip technique or FUT (Follicular Unit Transplantation) is the classic hair transplant technique and remains the most performed. Another technique used for hair transplantation is FUE (Follicular Unit Extraction), in which an incision is not made to remove a strip of tissue in the donor area. In this way, there is no linear scar on the scalp. In FUE, follicular units (FUs) are removed through small round incisions around them (less than 1 mm). In this process, respect for the direction of the hairs’ birth is essential to avoid their transection.

FUE is subdivided into simple and robotic (Robotic FUE). In simple FUE, follicular units (FUs) are extracted using a micropunch (a device with a small round cutting blade), while in robotic FUE, these units are removed by a machine consisting of a robotic arm, controlled by sophisticated software. In this case, a program uses a laser to scan the patient’s donor area and identify the FUs to be extracted. It is up to the doctor to activate the extraction process of these units, performed by the machine. The robot needs to be calibrated and constantly supervised. In both simple FUE and robotic FUE, the extracted follicular units are separated and transplanted as in the classic technique, that is, by the surgeon with the help of his team.

The submental fat, or double chin, is the accumulation of unwanted fat, under the chin, between the chin and neck.

WHAT ARE THE CAUSES OF THE DOUBLE CHIN?

The submental fat or double chin usually appears after the age of 35 or 40, when the skin begins to become flaccid due to aging but can appear at any age due to a marked weight loss or genetic cause.

WHO HAS INDICATION TO TREAT THE DOUBLE CHIN?

Anyone who has an unwanted accumulation of fat under the chin, may be a candidate for a treatment for the submental fat or double chin.

HOW DOES DOUBLE CHIN TREAT?

In fact, there are several ways to treat the submental fat or double chin. The choice of treatment should be made after careful examination, in consultation, with your doctor. Some treatments can be performed in the office, such as radio frequency.

The traditional way to treat double chin is liposuction. This technique is the most effective when we are in the presence of a large accumulation of fat.

WHAT ARE THE ADVERSE EFFECTS OF DOUBLE CHIN TREATMENT?

In fact, the most frequent adverse effects of treatment of the submental fat or double chin with injections or with liposuction are transient (transient) and disappear spontaneously. The most frequent are ecchymosis (bruising) and edema (“swelling”). They often disappear between 2 and 3 weeks.

An unwanted effect of liposuction is the scar. Most people who wish to remove the submental fat or double chin prefer the existence of a scar, than to live with an unaesthetic submental fat.

In fact, the scar to treat the submental fat is hidden under the chin and is hardly visible by other people. In addition, the scars become less noticeable over time. Your Plastic Surgeon will be able to advise you on how best to treat your scars.

WHAT IS THE RESULT AFTER THE TREATMENT OF DOUBLE CHIN?

The treatment of the double chin aims to eliminate the unwanted and unaesthetic fat that is accumulated in the underpart of the chin, creating an angle between the chin and neck that is well defined, improving the appearance of the entire neck and also improving the self-esteem of those who undergo treatment.

WHAT CARE AFTER THE TREATMENT OF DOUBLE CHIN?

When treatment is done with liposuction, usually the patient is discharged on the same day and can recover in the comfort of his home. With the other treatment modalities, which are performed in the office, the patient returns home immediately after treatment.

We advise the application of local ice for 48 hours, to reduce swelling, the use of a compressive band, during the period of 1 month and also a diet without very hard foods that require a great effort to chew, for 1 or 2 days.

Whenever possible, and especially after liposuction, we recommend manual lymphatic drainage to speed up recovery, improve comfort and decrease edema associated with surgery.

WHEN CAN THE ACTIVITY / DAILY ROUTINE AFTER TREATMENT BE RESUMED?

Recovery is very fast, with any of the treatment modalities.

In general, after treatment with injections that dissolve fat, return to work and the routine of daily life is immediate.

Therefore, after liposuction of the double chin, most people are able to do any activity after 2 or 3 days. A longer interval (1 month) is recommended before starting over with the most intense physical exercise.

Your Plastic Surgeon will be able to advise you on the most appropriate way to reintegrate your routine.

WILL I GET BETTER AFTER TREATING THE JITT?

The treatment of double chin is an intervention that aims to improve physical appearance and also strengthen self-esteem.

However, your new image 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 or treatment, especially if it is aesthetic in nature.

IS DOUBLE CHIN TREATMENT SAFE?

Like any treatment or surgery, the treatment of the submental fat or double chin is not without risks.

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

In addition, it is important to choose a clinic with adequate environment for consultation and surgery. You should also choose the appropriate time to perform the procedure.

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

WHAT IS THE PRICE OF TREATMENT TO DOUBLE CHIN?

With regard to the treatment of papacy, 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.

No other part of the body is as evident, unique or aesthetically significant as the face. For many people, Facial Trauma brings self-image and self-esteem issues to the fore, so I treat injuries in this area with great care and attention. Unfortunately, in certain cases some degree of scarring is unavoidable, but we do our best to minimize the visual impact of facial injuries and the surgeries required to treat them.

The main point is accident prevention. We must never forget to wear a seat belt, helmet and all possible protective equipment. The use of adequate protective equipment in sports and compliance with safety standards at work are other effective preventive measures. And finally, don’t talk on your cell phone while driving.

What is Facial Trauma?

Facial Traumas are considered all traumas in the face region, being superficial (skin, fat, muscles), deep
(bones, nerves and great vessels) or complex (eyes, nose, brain, airway).

What are the main causes of Facial Trauma?

The most frequent cause of fractures and serious facial injuries is an automobile accident. Other causes include sports trauma, physical aggression, accidents at home and at work, gunshot wounds, among others.

What are the main facial injuries?

• Simple wounds of the face (skin, fat and muscles);
• Lacerations of important structures (lips, nose, eyelids and ears);
• Lacerations with tissue loss;
• Lacerations involving deep structures (nerves, saliva and tear ducts);
• Nose fractures;
• Fractures of the jaws and orbit;
• Craniofacial injuries (skull, skull base and facial skeleton);
• Lacerations involving tissue loss.

How is the diagnosis made?

The diagnosis is made by physical examination of the wounds and, in cases of suspected fracture, radiographs and computed tomography should be associated.

What are the main goals of treating Facial Trauma?

The first step in treatment is to ensure the patient’s life. The doctor must ensure that the patient is breathing well and without serious injuries that can lead to death quickly (such as severe bleeding and damage to vital organs).

Then, the treatment aims to correct the injuries that were caused by the trauma (returning form and function to the extent possible) and preventing sequelae (such as unsightly scars, retractions, changes in vision, malocclusion and facial deformities).

How is Facial Trauma Surgery performed?

Most simple skin wounds can be treated with local anesthesia, wound cleaning, and suturing.

Facial fractures and complex injuries are treated under general anesthesia. Broken bones are usually restored using titanium miniplates and screws (which are biocompatible and do not suffer rejection).

What are the possible risks and complications?

The risk depends on the severity of the trauma and the patient’s clinical condition. Mild trauma usually does not bring any complications and extremely satisfactory results are achieved. Hematomas are common and rarely require drainage.

In severe trauma, it may be necessary to delay treatment until the patient is stable and it is not uncommon to require more than one intervention to improve the outcome.

What are the post-operative care?

Hospital stay and postoperative course vary according to the severity of the injuries. In most cases of facial fractures, patients return to their usual activities within 15 days. Stitches are removed after 10 to 15 days.

Rhinoplasty in Nagpur: 3 things to know about getting your nose done

The rhinoplasty in Nagpur is a surgical procedure which consists in remodeling of the nasal septum and nasal pyramid for aesthetic or functional purposes.

The aesthetic perception of one’s face and the acceptance of one’s image are often compromised by the irregularity of a nose which can also undermine a patient’s sociability.

How is the nose made and what it is for?

The nose is an organ placed in the center of the face, it represents the initial part of the respiratory tract and has a dual activity:

• respiratory, the inhaled air initially passes into the nasal cavities through the nostrils where it is heated, humidified, and purified and continues its journey towards the lungs.

• olfactory, the upper mucosa records the olfactory signals and through the bulb and the olfactory nerve they are transmitted to the brain.

The nose is made up of bones, the nasal bones, and the jaw, and of cartilage, which is the tip of the nose.

Inside the nose there are the two nasal cavities, long canals lined with mucosa, which on one side flow into the nostrils and on the other communicate, through two openings called choane, with the upper part of the pharynx (called nasopharynx).

The mucous membrane that covers the nasal cavities is divided into two parts:

• olfactory or higher composed of olfactory cells, olfactory bulbs, and olfactory nerves.
• or lower respiratory system composed of a vascular network, for heating the inhaled air, and of mucus and cilia, which humidify and purify it.

The nasal septum separates the two pits and is made up of cartilage and bone.

What is rhinoplasty and what is it for?

The rhinoplasty or nose reshaping surgery in Nagpur is one of the most popular surgeries and allows you to change the shape and size of the nose in order to improve the harmony of the face without distorting its appearance.

Specifically, cosmetic surgery of the nose allows you to:

• increase or decrease the size of the nose (too small, too large, or too wide).
• change the shape of the back (sunken or with the presence of a hump or hump).
• change the shape of the tip (too wide, too narrow, or too long).
• change the width of the nostrils.
• change the angle between the forehead and the nose.
• change the angle between the nose and upper lip.
• correct post-traumatic defects.
• correct birth defects.
• solve breathing problems.

The techniques of rhinoplasty

Based on the history of the operation, the patient’s ethnicity and the technique used, rhinoplasty is called:

• primary.
• secondary.
• ethnic.
• closed.
• open.

Primary or secondary rhinoplasty

The rhinoplasty in Nagpur is primary when it is executed for the first time, while the secondary aim to eliminate those defects that could not be corrected with the first intervention or that have been caused by a previous rhinoplasty.

It may happen that due to the importance of the trauma suffered or the severity of the malformation, some patients need several interventions to correct or resolve the problem.

Closed rhinoplasty

The closed rhinoplasty technique is indicated to correct small defects, especially on the tip, and noses without large asymmetries or large deviations of the nasal pyramid.

Closed rhinoplasty consists in making incisions inside the nose, passing through the nostrils thus avoiding scars.

Open rhinoplasty

Unlike the closed one, open rhinoplasty is chosen to correct important defects of the tip such as asymmetries, bulbous tip, “pinocchio” nose, “pinched-nose”, bifid or deviated tip or to correct outcomes of cleft lip and palate, in secondary or post- traumatic, therefore defects of the osteo-cartilage structures.

This technique consists of incisions made inside the nose passing through the nostrils, as in closed rhinoplasty, but also an incision on the columella at the base of the nasal pyramid thus avoiding scars.

Since there is no single technique valid for all types of surgery, a good surgeon knows and knows how to perform both techniques according to the defect to be corrected.

In addition, rhinoplasty in Nagpur can also be performed in association with functional nose surgery:

• rhino septoplasty.
• nasal polyp surgery.
• turbinate surgery.

The post-surgery

The operation is performed under general anesthesia and can last about 1 hour depending on the technique used and the defect to be corrected.

After surgery, the patient immediately wears a rigid brace for 7 days which will then be replaced with paper plasters for a further 7 days.

In the 2 days following the surgery it is recommended to rest with the head raised and then normal activity can be resumed, however, avoiding:

• strenuous activities.
• saunas and baths.
• sun exposure to avoid brown pigmentation.
• very hot food and drink.

Over the course of 15 days, bruises and subzygomatic and eyelid swellings tend to disappear and for 30 days after the operation it is not recommended to use glasses and carry out “dangerous” activities that could cause trauma to the nose.

At what age is it possible to undergo rhinoplasty in Nagpur?

Surgery on the nose can only be performed after 16 in women and 18 in men.

When is it best to have surgery?

The rhinoplasty in Nagpur can theoretically be performed at any time of the year, but it is better to avoid the hot months of summer, such as July and August, because the heat favors edema and hypertrophy of scar tissues.

Risks of rhinoplasty

In addition to the general complications common to any surgery (anesthetic risk, infection, bleeding), rhinoplasty presents the risk of specific complications such as bleeding, edema of the nasal mucosa and dark circles.

• bleeding: at the end of the rhinoplasty, nasal swabs are placed inside the nostrils, the purpose of which is to reduce bleeding and limit the risk of hematoma, which are subsequently removed after 24 hours.

Nosebleeds (nose bleeds) can often occur soon after removal.

• edema of the nasal mucosa: aesthetic rhinoplasty, even if it does not make changes to the functional part of the nose, could create a temporary worsening of breathing, mainly due to edema of the nasal mucosa.

• bruises and dark circles: it may happen that swelling, or bruises may remain visible for more than 15 days and in subjects with particularly light skin, the formation of dark circles due to the blood pigment may persist for several months.

Correction of prominent ears (otoplasty) is indicated to make the ears less prominent and improve the definition of their inner contours.

The prominent ear is the most frequent malformation of the auricle. It is characterized by anterior rotation of the ear (distance of the ear in relation to the skull), usually associated with the erasure of folds or internal protrusions. It can be hereditary and present different degrees of involvement. These changes make the ears more evident and appear larger than they really are. This can bother adults and, especially, children and young people, in addition to generating anxiety and concern in parents. The purpose of protruding ears correction (otoplasty) is to decrease the projection of the ears in relation to the skull (turning the ears backwards) and improve the definition of their internal reliefs (creation of folds and internal protrusions).

Surgical technique

• Marking the incisions in the posterior regions of the ears.
• Antisepsis + anesthesia.
• Incision in the posterior region of the ear + resection of a small skin spindle.
• Tissue detachment to well expose the auricular cartilage and the bony region behind the ear (mastoid).
• Review of bleeding areas.
• Marking the limits for the creation of the cartilaginous bulge (anti-helix).
• Incision or scraping of the cartilage in the area where it will be folded (to weaken it) + sutures to create the anti-helix fold.
• Sutures bringing the concha of the ear closer to the skull.
• Closure of the incision behind the ear.
• Repetition of the same steps in the other ear, trying to obtain the greatest possible symmetry.
• Dressing maintaining the repositioning of the ears.

Postoperative Guidelines

The bandage covering the head and both ears will only be removed after 24 hours. After its removal, the use of a ballerina tape (women) or tennis headband (men) will be recommended, keeping the ears close to the skull for about 30 days (15 days full time and 15 days only at night). After the 1st postoperative day, there will be no need for rest, but great care must be taken when lying down so as not to bend the ears. Purples and bumps may appear, but they will soon disappear. Pain and discomfort are temporary and will subside easily with prescribed medication. Hair and ears should be washed carefully at first.

Guidelines on otoplasty

• The bandage covering the head and both ears will only be removed after 24 hours. Pain and discomfort are temporary and will subside easily with prescribed medication.
• Avoid driving in the first 5 days after surgery.
• After discharge, it will be important to rest in bed or in a reclining chair. When lying down, keep the headboard elevated 30º for 5 days. Avoid tucking your ears against the pillow.
• After removing the bandage, you can take your full body bath, washing the operated areas, without rubbing them, using the prescribed soap. Hair and ears should be washed very carefully at first. Carefully wash operative wounds (areas with stitches). Complete the bath with normal soap.
• Always have a separate clean face towel to dry the operated area and a regular towel to dry the rest of the body. In the operated area, press lightly when drying and do not rub.
•  The dressing will be exchanged for ballerina tape for women and tennis headband for men. This will be recommended for a period of 30 days, keeping the ears close to the skull (15 days full time and 15 days night only). Men can wear a cap if they want to hide the forehead.
• After the 1st postoperative day, there will be no need for bed rest. Return to your normal activities, respecting the aforementioned limits.
• It will be possible for the appearance of bruises (ecchymosis) and swelling (edema) in the operated areas, which will disappear over time.
• Sun exposure should be avoided for the first 30 days after surgery. The use of sunscreen is advisable.
• More intense physical activities should only be resumed 3 months after surgery (examples: swimming, running, weight training, ball sports).
• You must return to the doctor’s office regularly, as requested, for the removal of the stitches and evaluation of the evolution of the surgery.
• After removing the stitches, start massaging the scars with the prescribed oil. In some cases, special care for the scars will be necessary.
• The outcome of your surgery will depend a lot on following these guidelines correctly. Any questions, contact your doctor.

COMMON QUESTIONS

What is the indication for protruding ears correction surgery?

Protruding ears correction surgery is indicated in children and adults who have protruding ears to make the ears less prominent and more harmonious in relation to the facial contour, in addition to improving the definition of their internal contours.

What is the recommended age?

The ideal time to perform otoplasty is from 6 to 7 years old, at which age the ears stop developing. At this stage, psychological damage can be stopped early. The success of otoplasty results is the same in adult patients.

What type of anesthesia is used in protruding ears correction surgery?

Local anesthesia associated with sedation is the most used, but the surgery can also be performed under general anesthesia.

How long is the surgery?

The protruding ear correction surgery lasts about 1.5 to 2 hours.

What is the length of stay?

The hospital stay is 8 to 12 hours. Usually, the patient is released on the same day.

When will stitches be withdrawn?

Stitches will be removed 7 to 10 days after surgery.

Does protruding ears correction surgery have risks?

Postoperative complications are rare. Among them we can mention: hematoma, infection, scar alterations, etc.

How long does it take to get the expected result?

The scars are hidden in the grooves behind the ears and most of the time they have great aesthetic quality. Although the result can already be noticed in the recent postoperative period, only after 3 to 6 months will we have a definitive result.

More than just a cosmetic procedure, mole removal is the gold standard treatment for skin cancer. Understand how the plastic surgeon contributes to this process

The moles can be very charming marks, but they can also correspond to serious lesions that can become skin cancer. Therefore, the removal of mole is a procedure that encompasses aesthetics, prevention and treatment.

When we are born with a mole or have had it for many years, it is very likely that it is a benign sign – although only the evaluation of a dermatologist or oncologist can assure this fact. In that case, you don’t need to remove it.

However, in the case of moles with characteristics of malignancy, which make skin cancer suspect, removal surgery is usually indicated.

Excision: surgery to remove moles

Excision is the surgical technique used to completely remove a skin lesion, whether benign or malignant, through an incision around the mole made with a scalpel.

For malignant lesions, a piece of healthy skin around them is also removed, the so-called safety margin. After the procedure, these tissues are examined under a microscope to verify that all cancer cells have been removed.

In the case of benign signs, which would be removed for aesthetic reasons, it is essential to talk to the surgeon to understand if it is really worth doing the mole removal surgery, as the excision leaves a scar.

How is surgical excision performed?

The excision of small and easily accessible moles can be done on an outpatient basis, using local anesthesia. In the case of larger and deeper lesions, general anesthesia may be necessary, so the surgery must be performed in a hospital environment.

The type of anesthesia can also vary depending on the type of lesion, as the safety margin of healthy skin removed increases with the severity of the mole.

Thus, for carcinomas, which are less aggressive tumors, the safety margin is usually around 1 cm. For melanoma, which is the most aggressive skin cancer, this margin is about 2 cm.

With the skin already anesthetized, the surgeon makes an incision around the mole, already including the safety margin of healthy tissue, and this material will go to the biopsy.

What is the healing process of a mole removal like?

When the lesion is small, the surgical wound can close on its own, without the need for stitches. This process is known as “healing by second intention” and is usually quick, leaving a scar of good aesthetic quality.

For incisions that require suturing, stitches are usually removed 7 to 15 days later. In addition, depending on the size of the lesion and its location, it may be necessary to perform a skin flap, which consists of pulling the skin from the margins to close the surgical wound.

In cases of larger incisions, when it is not possible to use this technique, it may be necessary to make a graft with skin taken from another region of the body to close the surgical wound.

Because it involves a large amount of tissue removal, this is one of the cases in which the presence of the plastic surgeon is even more important. This also happens for tumors in more exposed regions, such as the face, hands and limbs.

In the case of melanomas, it is quite common to apply plastic surgery techniques to obtain a good aesthetic result after the removal of the mole, in addition to restoring the normal behavior of the manipulated region.

Care for a good healing

Although mole removalis related to the prevention and treatment of a very serious disease, having a good quality scar is also an essential factor in the patient’s recovery.

Therefore, it is necessary to follow some care in relation to cleaning the wound, following the surgeon’s guidelines on site hygiene to avoid infections. Topical antibiotics may also be indicated.

After the stitches are removed, the doctor may recommend the use of healing products to stimulate and accelerate tissue regeneration.

At all stages of healing, it is essential to protect the region from the sun. For this, avoid exposure and always use sunscreen as instructed by the surgeon.

Torn ear, also known as torn earlobe or bifid earlobe is a cosmetic problem that bothers many people. Fortunately, it can be resolved with a simple and quick procedure for the correction of this Ear Laceration.

Do you know what Ear Laceration or Lobuloplasty is?

Ear laceration or lobuloplasty is when there is a progressive enlargement of the earring hole; which can tear partially or completely (until it tears completely, becoming a bifid lobe, split in half).

The main causes are the use of very heavy earrings, and plugs.

Is Ear Laceration or Lobuloplasty a Health Problem?

Although Ear Laceration or Lobuloplasty is not considered a serious health problem, it can interfere with the patient’s aesthetics and self-esteem, hence the importance of being taken seriously.

My lobe is torn, now what?

The right thing is to look for a plastic surgeon to perform a small surgery called “Lobuloplasty”, which aims to repair this cleft.

My lobe is just enlarged; is there anything i can do?

Plastic surgery called Lobuloplasty also repairs cases of partial clefts (only the enlarged hole).

How is Ear Laceration or Lobuloplasty performed?

The surgery is quite simple, and basically consists of local anesthesia, followed by the removal of a thin layer of skin, and finished with a suture that joins the edges of the earlobe tissue.

The plastic surgeon will choose the best technique to perform the surgery, he will take into account several factors (ear pattern, lobe pattern, laceration pattern).

How long does it take to perform an Ear Laceration or Lobuloplasty?

It is a quick surgery, which takes an average of 30 minutes.

How does the postoperative period of Ear Laceration or Lobuloplasty work?

The postoperative period is not usually very painful, although some bruising and swelling in the region may appear.

It is necessary to wear a bandage for up to 2 days after surgery.

It is recommended that the patient does not have direct exposure to the sun for a period of 30 days.

After how long are the stitches removed?

Stitches are removed after 7 days.

Will I have any scars?

In surgery, the ear is sutured, so it is possible for the scar to be visible (hence the importance of looking for a specialized surgeon, who will leave the scar as discreet as possible). The final result can be seen on average 6 months after the lobuloplasty is performed .

What are the Complications of Ear Laceration or Lobuloplasty?

Possible complications are: formation of keloids, hypertrophic scars, change in color and elevation of the scar in relation to the local tissue. The plastic surgeon must evaluate these situations and propose the best solutions for these problems.

Will I be able to wear earrings again after Ear Laceration or Lobuloplasty?

Probably yes, but the hole can only be performed 6 weeks after the surgery (and with the permission of the plastic surgeon). It is also important to remember that the same should not be done on top of the lobuloplasty scar.

How much does Ear Laceration or Lobuloplasty surgery cost?

By determination expressed in a Resolution of the Federal Council of Medicine (CFM) and also by the Internal Regulations of the Brazilian Society of Plastic Surgery (SBCP), it is PROHIBITED to disclose prices of plastic surgeries and aesthetic procedures, such as Lopuloplasty , on internet sites.

To know the value of the surgery, the first step is to schedule a face-to-face evaluation. If there is an indication for surgery, we will explain all the costs and the various forms of payment available.

How to choose a qualified professional to perform Ear Laceration or Lobuloplasty?

Ear Laceration or Lobuloplasty is a medical procedure and for this reason it must be performed by a specialized professional. Only the plastic surgeon can safely and effectively conduct this technique. The patient should still verify that the professional:

• is registered with the Federal Council of Medicine (CFM);
• is a member of the Brazilian Society of Plastic Surgery (SBCP);
• has experience, it is recommended to talk to people who have already performed the technique with the specialist.

From this evaluation, the patient will be confident to perform the Ear Laceration or Lobuloplasty in a safer environment and with a qualified professional.

The “lips” are a sex symbol that can be visible. Sensual lips can convey vast emotions such as erotic, bright or alluring. Beautiful lips should be rosy, full, moist and plump. We have to understand the upper and lower lip parts to consult and create the new shape.

  “Lip surgery” is an aesthetic surgical procedure to improve the shape and provide balance to the facial appearance. Popular lip surgery includes reducing the volume of a lip, lifting a droopy lip, and adjusting lip shapes such as a chestnut-shaped lip, a cupid’s bow shape, etc. Make you look more attractive and youthful. However, lips relate to a pretty smile. Kamol Cosmetic Hospital, we offer many methods of lip surgery and perioral surgery, such as:

• lip reduction
• Chestnut shaped lip
• Upper lip lift     
• Cupid lip enhancement
• Philtrum Improvement
• lip enhancement
• Lip corner lift 
• dimple surgery

1. Lip Reduction

Lip reduction is a surgical procedure that improves facial appearance by reducing the volume of the upper, lower, or both lips through an absorbable suture. Stitches last for 7 to 10 days. If they still remain in your mouth, you can take them out. It’s a permanent result. like a figure 1.

The operation time takes less than an hour and is done under local anesthesia. 

Picture 1. Incision line and the result of lip reduction

2. Chestnut-shaped lip surgery

Chestnut Lip Surgery is a plastic procedure to create the upper lip like a chestnut. The upper lip runs in the side curve up and the center part is curved down like a bow. The upper lip always seems to reveal a little to show incisors. Chestnut shaped lip depends on the original upper lip shape and size and facial proportion. As in figure 2

Figure 2. Chestnut-shaped Lip Surgery incision and result

3. Upper lip lifting surgery (Lifting Lip)

Upper lip lift is a surgical procedure to shorten the aging extended lip. This procedure reduces the space between the nose and the top of the mouth, called a “filter”. It is usually between 12 and 15 mm long. This procedure increases the amount of more visible pink tissue, which comes closer to rejuvenating the aged mouth.

Lip Lifting Techniques, we offer three methods for Lip Lifting:

3.1. Upper lip lift with sub-nasal ox horn technique The incision scar will be hidden along the base of the nose where it is less visible. The incision is shaped like a bull’s horn. The upper lip is pulled up towards the nose, as shown in figure 3

Figure 3. Elevation of the upper lip with sub-nasal bull horn technique

3.2 Elevation of the upper lip directly on the lip,  the incision is above the upper lip, close to the vermilion of the upper lip. Excess skin can be reduced to balance the facial proportion. The benefit of this technique is that it is shorter than the other one, but the scar may be visible.

Figure 4. Elevation of the upper lip directly on the lip

4. Lip surgery through Cupid’s Bow enhancement

Cupid’s bow is a facial feature in which the double or M-shaped curve of the human upper lip is similar to the Cupid’s bow. Cupid’s bow lip enhancement is a surgical procedure to highlight the cupid’s bow by injection or augmentation of the acellular dermal matrix. The surgeon will mark 4 points, as in figure 5, and then insert the material passage through the edge of the upper lip, on both sides. 

Figure 5. Enhancement of the Cupid’s Bow via augmentation of the acellular dermal matrix 

5. Lip Surgery via Lip Filter Enhancement

The philtrum is a narrow groove between the nose and upper lip; Lip philtrum enhancement is a surgical procedure to improve the philtrum prominence. Make the upper lip more dimensional. There are two methods for improving the Lip Filter, as follows;

5.1 Lip Filter Enhancement via V Scar , the surgeon makes a 2-3 mm wide V-shaped incision near the central base of the nose and removes the skin. Then sew. This procedure will make a philtrum more prominent. As figure 6

Figure 6. Lip philtrum enhancement with V-shaped scar

5.2 Lip Filter Enhancement via augmentation, the surgeon will make the 4 stitches to insert the acellular dermal matrix through the filter on both sides and then suture as in figure 7.

Figure 7. Lip Filter Enhancement via Augmentation

6. Lip Enhancement

Lip enhancement is a cosmetic surgical procedure to adjust the shape of the upper or lower lips or both lips to achieve more facial features of volume, fullness and proportion. There are many methods of lip enhancement:

6.1 Lip Enhancement by Autologous Cell Regeneration (PRP)  Due to facial aging, perioral volume is lost. The use of platelet-rich plasma (PRP) is one of the most advanced procedures to improve muscle tissue vascularization and neuronal regeneration. It can increase the volume on the lips. This is a minimally invasive lip rejuvenation procedure that uses PRP injection three times in three months. The result can be visible up to 3 months.

6.2 Lip enhancement via filling  this is a widespread technique, a non-surgical method. Acceptable filler material includes hyaluronic acid. Generally, the injected filler is not permanent, lasting around 6 to 12 months, as a figure 8

Figure 8. Lip filler with hyaluronic acid

Advantage: It is natural, it is not surgical and the results are seen immediately.

Disadvantages: you have to inject repeatedly, wasting time and money. There is a possibility of becoming allergic to hyaluronic acid.  

6.3 Lip Enhancement via dermo-acellular matrix;  this procedure is simplified to increase the volume of the lips. The acellular dermal matrix is ​​a soft connective tissue graft generated by a decellularization process that preserves the intact extracellular matrix of the skin. This procedure is performed under local anesthesia. The incision will be 2 points and will insert the passage through the lip, as in figure 9, and will suture only the ends. The result can stay in shape for more than five years.

Picture 9. Lip enhancement via dermo-acellular matrix

6.4 Lip enhancement via fat grafting, fat is sucked from the body, such as the abdomen or under the arm. The fat is extracted to keep only the nano fat, which is placed in the syringe and then injected into the lip, making it fuller. As figure 10

Advantage: The fat comes from the tissues themselves.

Disadvantages: Some of the injected fat disappears, causing the lip shape to be unbalanced. ome fat that injected may disappear, the lip shape may be unbalanced. It will be necessary to inject 1 or 2 times more to acquire a stable form.

Figure 10. Facial Enhancement via Fat Grafting

7. Lip surgery via lip corner lifting

A corner lip lift is a plastic procedure to improve the shine of the downward-facing corners of the lips of an aged mouth. Aged lips can develop an unhappy or even bitter appearance that cannot be treated with a facelift. The incision is small on either side of the red border lateral to the commissure and fixes the muscle. Excess skin will be reduced as shown in figure 11.

Figure 11. Incisions and results of the Lip Corner Lift surgery

8. Dimple Surgery, 

A dimple in the indentations that occurs when some people smile is usually located on the underside of the cheeks. The surgeon makes a hole to create space for future dimples that are located in the nasolabial fold. This procedure is performed under local anesthesia. A suture from one side of the cheek muscle to the other, the seam is tied to permanently fix the dimple. As figure 12

Figure 12. Dimple surgery incision and result

Postoperative care for dimple surgery

1. Keep scars clean by drinking water or liquid drink the first day after surgery. Thereafter, eat light food and frequently use mouthwash to prevent infection for at least two weeks after surgery.
2. It is possible to start using a toothbrush from the 3rd day after surgery.
3. Avoid sticky food and keep silent for about 2 to 4 weeks to avoid losing stitches

A good candidate for Lip Surgery

• A person dissatisfied with the appearance of their lips
• Healthy person
• Quit smoking for at least one week before surgery
• Realistic Expectations

Postoperative Care for Lip Reshaping

• Placing an ice pack on the lips within 24 hours to reduce pain and swelling
• Keeping your head elevated for a few days to reduce swelling
• After the surgery, in a week the stitches come out if you are using an absorbable suture; follow up two weeks after surgery to check the stitching
• keep lips moist
• Keep the incision clean
• Use a small toothbrush and brush your teeth carefully
• Follow all post-operative instructions and attend all post-surgery appointments

Risks and complications of Lip Reshaping

Lips are a very sensitive area. After the surgery, some difficulties may arise, such as:

• Redness
• Swelling
• Pain for a few days
• numbness
• Bruises
• bad healing
• Asymmetry
• bleeds
• Infections in the scars

Lip Remodeling Recovery

In the days following surgery, patients take pain relievers and place an ice pack on their lips to reduce pain and swelling. The patient can usually return to work within a week of the surgery. The best results will occur about two to three months after the surgery.

Facial filling with fat (facial fat grafting) is indicated for revitalization and improvement of the contour of the face. Fat is aspirated from certain regions and injected into others. In this technique, the aspirated content is separated, decanted or strained, placed in syringes and injected into the desired regions through thinner needles or cannulas. Since the fat is the patient’s own, allergic reactions or rejections are avoided. However, even with all the care, part of the graft is reabsorbed. To circumvent this problem and ensure a lasting result, it is recommended to fill in more of the indicated places.

On the face, fillers are useful for:

(1) revitalizing the face by smoothing creases and wrinkles,

(2) correcting sunken eyes,

(3) enhancing the lips and cheekbones, and

(4) enhancing the chin.

Fillers can also accompany other procedures, such as liposuction and facelift plastic surgery. Non-surgical fillers with hyaluronic acid can also be used in smaller areas and have immediate results similar to fat fillers, however, they are not long-lasting and need to be repeated after some time.

Surgical technique             

• Marking of liposuction areas and fat grafting areas.
• Anesthesia + antisepsis.
• Liposuction and collection of fat in a sterile bottle.
• Separation of fat from the rest of the aspirate and distribution in syringes.
• Fat grafting through existing incisions or new, even smaller incisions.
• Review of bleeding areas.
• Closure of operative wounds + dressing.

Postoperative Guidelines

There will be no need to restrict movement. To minimize the resorption of the injected fat, no pressure should be applied to the grafted area. Sun exposure should be avoided for at least 30 days. Pain and discomfort are temporary and will subside easily with prescribed medication. Purples and bumps are common and will tend to go away.

Facial filler guidelines

• Pain and discomfort are temporary and will subside easily with prescribed medication.
• Avoid driving in the first 3 days after surgery.
• After discharge, it will be important to rest in bed or in a reclining chair. When lying down, keep the headboard elevated 30º for 5 days. Normally, there will be no restrictions on sleeping positioning.
• The day after discharge, you will be able to take a full-body bath, including washing the operated areas. Get in the shower and wash the operated areas with the prescribed soap. Carefully wash operative wounds. Complete the bath with normal soap.
• Always have a separate clean face towel to dry the operated area and a regular towel to dry the rest of the body. In the operated area, press lightly when drying and do not rub.
• From the 1st postoperative day, there will be no need for bed rest. Return to your normal activities, respecting the aforementioned limits.
• To minimize the resorption of the injected fat, no pressure should be applied to the grafted area.
• It is likely that bruises (ecchymosis) and swelling (edema) will appear in the operated areas, which will disappear over time.
• Lymphatic drainage sessions may be recommended.
• Sun exposure should be avoided for the first 30 days after surgery. The use of sunscreen is also advisable.
• More intense physical activities should only be resumed 3 months after surgery (examples: swimming, running, weight training, ball sports).
• You must return to the doctor’s office regularly, as requested, for the removal of the stitches (if any) and evaluation of the evolution of the surgery.
• The outcome of your surgery will depend a lot on following these guidelines correctly. Any questions, contact your doctor.

COMMON QUESTIONS

What is the indication for facial filler?

The facial filling is indicated for women and men who seek to revitalize and improve the contour of the face: attenuate furrows and wrinkles and increase the projection of certain areas.

What is the recommended age?

It is generally a recommended procedure for adult patients.

What type of anesthesia is used in facial filler?

Local anesthesia associated with sedation is the most used, but the surgery can also be performed under general anesthesia. Epidural anesthesia or spinal anesthesia associated with sedation can also be used for areas submitted to liposuction.

How long is the surgery?

Facial filling surgery can last from 1 to 2 hours (depends on the number of areas undergoing liposuction and fat grafting).

What is the length of stay?

The hospital stay is 6 to 12 hours. Usually, the patient is released on the same day.

When will stitches be withdrawn?

When stitches are needed, they will be removed 7 days after surgery.

Does facial filler have risks?

Postoperative complications are rare. These include: fat graft absorption, asymmetry, bleeding, bruising, infection, skin distress, redness, rash, temporary numbness or tenderness, temporary paralysis of facial muscles, and fat embolism.

How long does it take to get the expected result?

A definitive result is achieved after about 6 months. Scars, in addition to being very small, are hidden in natural folds of the skin or can be hidden with underwear or bathing suits. The good result will depend on the technique performed and the lowest possible fat reabsorption.

Face lifting is a surgical intervention that aims to treat the signs of aging of the face, namely wrinkles and sagging.

WHO HAS INDICATION FOR A FACE LIFTING / RITIDECTOMY?

Anyone with skin sagging, wrinkles or depressions/grooves may be a candidate for a face lift. In fact, there is no ideal age to perform a face lifting; there are ideal candidates (whose age may vary).

Therefore, the ideal candidate will be the one with moderate skin sagging (which is no longer indicated for other non-invasive treatments), with wrinkles, grooves, or depressions throughout the face, with accumulation of fat in the “papacy” or on the bottom of the face (“cheeks”), non-smoking and who is able to maintain a daily routine of skin care (to be able to prolong the effect of his surgery).

HOW IS IT CARRIED OUT?

In fact, there are several surgical techniques to perform a face lifting. Thus, the choice depends on the type of result that is intended, the characteristics of the patient and the experience of the surgeon.

Face lifting is performed under general anesthesia and hospitalization can be 24 to 48 hours.

The incision (cut with scalpel) begins in the temporal region, in front of the hair, passes through the lower part of the ear and continues behind it. After removing the excess skin, the remaining skin is pulled up and back to give the best possible contour and the youngest appearance to the face.

CAN FACE LIFTING / RITIDECTOMY BE PERFORMED WITHOUT SCARS?

Like any surgery, face lifting cannot be performed without scars.

Nevertheless, the latest techniques allow to hide the scar, so that it is not easily visible. In addition, the scars become less evident over time.

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.

Sometimes there may be a feeling of numbness (which progressively improves between 2 to 4 weeks) or small irregularities in the skin, which will attenuate over time.

WHAT IS THE RESULT OF A FACE LIFTING / RITIDECTOMY?

The result of face lifting is the reduction of sagging and wrinkles of the face, the improvement and smoothing of the contours of the face and the improvement of your self-esteem, giving it a younger and more relaxed appearance.

However, the final result will only be visible 4 to 6 weeks after surgery, when the face is completely 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.

Small touch-ups (filling with hyaluronic acid or fat) or scar corrections may be required, especially if a very flaccid skin lift has been done.

WHAT CARE AFTER SURGERY?

Usually, the patient is discharged between one and two days after surgery and can recover in the comfort of his home. Only in cases where the patient complains of indisposition or dizziness may it be necessary for more days of hospitalization.

We recommend using a compressive facial band for a period of 1 to 2 months to prevent edema (“swelling”) and bruises (“bruising”). Its use should be continuous in the first 2 weeks and then discontinuous (use at home and at night).

It is also advisable to perform manual lymphatic drainage to accelerate recovery, improve comfort and decrease edema and fibrosis associated with surgery.

WHEN CAN YOU RESUME THE ACTIVITY/ DAILY ROUTINE AFTER FACE LIFTING / RITIDECTOMY?

The return to your family life at home is done after 24 or 48 hours.

After 7 days you can put on your usual make-up and creams.

Generally, the return to professional activity is made about 15 to 20 days after surgery. In some cases, it may take a little longer, due to the extent of edema (swelling) and bruises (bruising).

WILL I GET BETTER AFTER PERFORMING SURGERY?

Face lifting/rhythecectomy 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 that 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 FACE LIFTING /RITIDECTOMY SAFE?

Like any surgery, the face lift is not without risks.

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

In addition, it is important to choose a clinic with an appropriate environment for consultation and surgery and choose the appropriate time to perform the surgery (at the social, personal, or professional level).

To this extent, 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 FACE LIFTING?

For a Face Lifting, 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.