Cosmetic Surgery

Breast Augmentation enlarges a woman’s breasts through surgical placements of silicone breast implants. It is done to increase fullness & projection of the breasts thereby improving the balance in a woman’s figure and enhancing self-image & self-confidence.
Another procedure in vogue to increase the breast size is for women undergoing liposuction (unwanted fat removal) from any other part of the body. Here the excess fat removed is injected in the breasts thereby increasing their size naturally. This excess fat can also be enriched with stem cells so as to provide better and definitive size enlargement.

Am I a candidate for Breast Augmentation?
This procedure is used cosmetically to:
• Increase breast size of naturally small breasts
• Increase breast volume & firmness lost during pregnancy or as a result of weight loss
• Achieve a balance when both breasts are of different sizes or shape
• As a constructive technique to restore a breast lost due to injury or other reasons

Implants:
The breast implant is made of a silicone shell filled either with silicone gel or saline or both. Implant placement, type, & size will be determined based on your breast anatomy, body type, desired increase in size & your plastic surgeon’s judgment.

Procedure:
An incision 1.5-2inches long is made either underneath the breast just above the crease or around the dark area around the nipple or within the armpit. Then an adequate pocket is created to place the implant. The latest trend is to place the implant between the chest muscle and the sheath above this muscle. This gives the most appropriate and ideal results.

What is the period of special care required in the hospital?
A morning to evening stay in the centre is all that is required.

What precautions are to be taken post surgery?
Initial swelling or discomfort is taken care of with medication. A support bra may be recommended for 2-3 weeks.

When can I resume my normal activities?
You will be able to return to work within 5-10 days. Most normal activities including exercise may be resumed after three weeks or when your plastic surgeon advises you to do so. Vigorous movements, especially arm movements or heavy weight lifting may be restricted for 1-2 months.

When will the results of Augmentation be apparent?
The results of Breast Augmentation are visible immediately. Final results appear gradually over the next few weeks.

Are there any complications following silicone breast implants?
There is no evidence that breast implants will cause cancer, affect fertility, pregnancy or your ability to breast feed.

Breast reduction is a surgical procedure to reduce the size of large breasts that are disproportionate to a woman’s body and can cause physical pain, discomfort or impair her ability to lead an active life. Emotional discomfort or self-consciousness is often associated with large pendulous breasts.

Candidate:
It improves breast size, shape and the associated conditions of large breasts that include:

• Back, neck & shoulder pain caused by heavy weight of breasts
• Shoulder discomfort from bra straps supporting heavy breasts
• Restricted activity
• Sagging, Stretched skin & low breast profile
• Self-consciousness and emotional discomfort

Procedure:
It is most commonly performed through keyhole incisions with surgical removal of the excess fat, tissue & skin that contribute to large breasts.
If breast size is largely due to fatty tissue and not excess skin, then liposuction procedure alone may be used for breast reduction.

What is the period of special care required in the hospital?
An overnight stay at the centre is preferred. However some patients may go home the same evening.

What precautions are to be taken post surgery?
Initial swelling or discomfort is taken care of with medication. A support bra or elastic bandage dressing is to be worn for 1-2 weeks to minimize swelling/discomfort and support the breasts as they heal.

When can I resume my normal activities?
You will be able to return to work within a week to ten days time. Most normal activities including exercise may be resumed after three weeks or when your surgeon advises you to do so. Vigorous movements, especially arm movements or heavy weight lifting may be restricted for two to three weeks.

When will the results be apparent?
The results of Breast Reduction are visible immediately. Final results appear gradually over the next few months as swelling, edema subside and breast shape evolves.

Eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of the eyes, making one look more rested and alert.

Specifically, eyelid surgery can treat:
• Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
• Excess fat that appear as puffiness in the upper eyelids
• Fat prolapse leading to baggy eyelids
• Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
• Excess skin and fine wrinkles of the lower eyelid

Procedure:
It is usually done under local anesthesia with or without sedation. An incision is made in the upper eyelid fold through which excess fat & skin is removed. Since the suture lies in the fold it is not visible.
In the lower eyelid the incision is made very close to the margin (eyelashes) of the lower eyelid. Through this the under eye bags are either removed or relocated. The lower eyelid muscle is tightened and excess skin removed as necessary.
This procedure may be combined with a facelift or threadlift procedure.

What is the period of special care required in the hospital?
A morning to evening stay in the centre is all that is required.

What precautions are to be taken post surgery?
After the procedure is completed, lubricating ointment and cold compresses may be applied, and in some cases the eyes may be loosely covered with gauze after the first few hours after surgery which are removed before discharge.

When can I resume my normal activities?
Day to day activities may be resumed in 2-3 days. The sutures are removed in 4-5 days time. One may be advised to use sunglases for a week to 10 days time.

When will the results be apparent?
The final results of eyelid surgery will be apparent once the swelling subsides in few weeks time.

Facial aging includes a loss of skin elasticity and firmness, sagging tissue and wrinkles. Sagging in the midface can create a deep crease below the lower eyelid and between the nose and the mouth that may make you appear tired and sad. Fat that has fallen or is displaced and loss of muscle tone in the lower face may create jowls. Loose skin and excess fatty deposits under the chin and jaw can make even a person of normal weight appear to have a double chin. Even droopy eyebrows and neck folds are common signs of aging.

A facelift is designed to correct all aging features, thereby restoring a more youthful, rested appearance with uplifted contours and improved tone in facial skin and underlying muscle. It is a surgical procedure which does not change the basic facial appearance but restores it to a younger version of itself which continues to gae naturally over time.

How is it performed? 
Depending on the part of the face requiring facelift, small incisions are created. Fat may be sculpted or redistributed and underlying tissue repositioned. Skin is redraped over the uplifted contours and excess skin is trimmed away. Once healed the incision lines are well concealed within the natural contours of the face. A facelift requires general anesthesia.

What is the period of special care required in the hospital? 
A morning to evening stay in the centre is all that is required. However some patients might prefer an overnight stay.

What precautions are to be taken post surgery? 
Initial healing may include swelling, numbness or discomfort which can be controlled with medication. Facial movements may be temporarily restricted. Your head needs to be kept elevated at all times until the initial swelling subsides. Also specific instructions as to face and hair cleansing have to be followed.

When can I resume my normal activities? 
The face lift healing time and recovery period can last anywhere from one week to several weeks, depending on the type of face lift surgery undergone. Most patients can return to work from a standard face lift in 10 days to two weeks, and patients who choose a mid face lift can expect about the same amount of recovery time. Patients who undergo an endoscopic face lift can return to work in as little as a day or two, and thread face lift and mini face lift patients can expect about the same “weekend” recovery time.

Fat transplantation is a procedure to harvest fat from one part one part of the body and transplant it to another part that requires reshaping, rejuvenating or for flaw correction. Usually the fat is harvested from the thighs, abdomen and buttocks for the procedure.

Body Areas Benefited Most by Fat Transplantation include:

• Lips and cheeks are the most popular sites for fat transplantation. As we age, the face loses its fullness. The fat under the skin, shrinks, resulting in a more hollow looking face and wrinkles around the mouth.
• Breasts for women whose breasts have naturally small breasts or for those whose breasts have shrunk post pregnancy or due to weight loss.
• Pectoral muscles in men, often competitive body builders, are implanted with fat to increase the size of the pectoral muscles or calf muscles.
• Buttocks retain transplanted fat very well
• Penis enlargements often use fat transplants during penis enlargement and lengthening procedures.

Procedure:
Fat transplantation is done under local or general anesthesia and the amount of time required for the procedure depends on the amount of fat transplantation that needs to be done. The fat is removed from an area of excessive fat through a liposuction procedure. This fat is then injected into the recipient area with very small, specially designed blunt cannula.

What is the period of special care required in the hospital? 
A morning to evening stay in the centre is all that is required. However some patients might prefer an overnight stay.

What precautions are to be taken post surgery? 
Fat implantation is usually done in conjunction with other procedures such as liposuction and the recovery is similar to that for liposuction. Initial healing may include some swelling, numbness, soreness or discomfort. However these are common conditions and are controlled with medication. Also it is preferable to wear pressure garments for a period of 1-6 months. fat injections.
For breasts that received a fat transplantation, a special bra is worn for two to three weeks to allow the fat to stay in place. Another rigid cover is used for penis transplants. The swelling lasts about three weeks.

When can I resume my normal activities? 
The patient is advised to start walking around a few hours after the surgery. Strenuous activity and exercise should be avoided for a few weeks or as advised by the surgeon.

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Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease or the use of certain drugs.
Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may even avoid certain physical activities, wearing skin hugging outfits and intimacy simply to hide their condition.

Gynecomastia is characterized by:
• Excess localized fat (false gynecomastia)
• Excess glandular tissue development (true gynecoamstia)
• A combination of both excess fat and glandular tissue
• Gynecomastia may be present in one breast or both breasts

Procedure:
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques with ultrasonic alone may be used.
Ultrasonic/laser lipolysis with or without excision techniques are recommended where there is presence of glandular breast tissue or excess skin.

What is the period of special care required in the hospital?
A morning to evening stay in the centre is all that is required.

What precautions are to be taken post surgery?
After surgery, dressings or bandages will be applied to your incisions and an elastic bandage or support garment may be used to minimize swelling and support your new chest contour as it heals.

When can I resume my normal activities?
You will be able to return to work within a five to seven days. Most normal activities including exercise may be resumed after three weeks or when your surgeon advises you to do so. Vigorous movements, especially arm movements or heavy lifting may be restricted for two to three weeks.

When will the results be apparent?
The results of Gynecomastia are visible immediately post surgery. The swelling may take 3 weeks to 3 months to subside.

What is Liposuction/Liposelection? 
Liposuction/Liposelection is the surgical removal of fat cells. It slims & reshapes specific areas of the body by permanently removing localized or regional excess fat deposits, thereby improving your body contours and proportion and ultimately enhancing self image.

How is Liposuction done? 
The area from where the fat is to be permanently removed is marked and infiltrated with saline based solutions through a small & inconspicuous incision. The fat is then liquefied with the help of ultrasonic, laser or power assisted fine metal cannulas. This liquefied fat is then sucked out of the body with the help of a powerful suction device. This procedure can be carried out under local, regional or general anesthesia.

How much fat can be removed? (Benefit) 
Whatever extra fat is present in different parts of the body can be removed in a single sitting itself. For a person who is obese, mega liposuction can remove more than 10-15 litres and even up to 25 litres of fat in one session. When fat needs to be removed from multiple areas of the body e.g. front and back, it may require more than one session. The plastic surgeons at Vasudhan are pioneers of Mega Liposuction with numerous scientific presentations and publications to their credit. A large scientific study involving more than 1000 liposuction procedures carried out at our Centre has proved an average loss of more than 10% of the body weight after mega-liposuction

Am I a candidate for Liposuction/ Body sculpting? 
Both obese as well as people in the normal weight range are candidates for liposuction. For those with average weight it works best for treating localized fat deposits that are stubborn, recurrent or do not respond to diet and exercise. For an obese person, it primarily reshapes multiple areas resulting in permanent fat and weight loss. Some of the most desired areas for fat removal are double chin, arms, chest, abdomen, back, buttocks, thighs & calves.

What is the period of hospitalization required? 
Liposuction is a day care surgery. For most people a morning to evening stay in the centre is all that is required.

Aspiration of more than 5 liters of fat or more than 7% of body weight in one session is termed Mega Liposuction.

The indication and the need for doing a Mega Liposuction procedure would be to remove and debulk large volumes of fat from an area in obesity. In usual circumstances the amount of fat removed is from 8-10 litres to 20-25 litres in one session from more than one area of the body. The procedure though simple to carry out requires expertise of an Aesthetic Plastic Surgeon. It is also important to cary out this procedure in not more than 2-3 hours. This ensures that the patient recovers quickly, does not require hospitalisation for more than a day and usually does not require any intensive care treatment.

We, at Vasudhan Cosmetic, Plastic & Laser Surgery Centre, in Mumbai, specialise in this procedure and have the longest and largest experience helping hundreds of patients who wish to kick start their weight loss programme.

The beauty of the procedure is that when a large volume of fat and fat cells are removed permanently from an area, the fat usually never comes back and the results are permanent and long lasting.

We are happy to share, that a large scientific study involving more than 1000 liposuction procedures carried out at our Centre has proved an average loss of more than 10% of the body weight after Mega Liposuction.

How is Mega Liposuction done?

The area from where the fat is to be removed is marked and infiltrated with saline based tumescent solutions through a small & inconspicuous incision. The fat is then liquefied with the help of Ultrasonic, Vaser Liposelection machine (power assisted fine metal cannulas). This liquefied fat is then gently sucked out of the body with the help of a powerful suction device. This procedure can be carried out under local, regional or general anesthesia.

What is the period of hospitalization required?

Liposuction is a day care surgery. For most people a morning to evening stay in the centre is all that is required. However outstation patients may prefer to stay overnight.

Post Surgery Care

You will be required to wear a compression garment for at least 4 weeks (and up to 12 weeks for optimum benefit) after your procedure. Bruising, swelling and soreness to some extent are to be expected post procedure. These are temporary effects of surgery and are expected to resolve quickly.

The aging process, rapid weight loss, and excessive sun exposure can all cause the skin on a person’s neck to lose its natural vitality. A neck lift is a minor surgical procedure that improves the appearance of a patient’s neck by removing excess skin and tightening the muscles underneath. A neck lift can get rid of loose “bands” of skin and fat that accumulate with age, as well as accentuate the patient’s jaw and reduce the “jowly” appearance that also sometimes occurs.

Am I a candidate for a neck lift? 
The ideal neck lift candidate is someone whose skin still has some elasticity and who has realistic expectations for the surgery. The patient must also be in good physical health and be able to miss at least a week of normal activity. The most important step to take when considering any kind of cosmetic surgery, however, is to talk to an experienced doctor. Knowing the potential risks, benefits, and limitations of the procedure will help ensure satisfactory results.

Procedure: 
The neck lift procedure is done under local or general anasthesia, depending on the preferences of the doctor and patient. The doctor then usually makes small incisions behind the ears and underneath the patient’s chin, through which most of the surgery will be done. This procedure consists of several techniques. The procedure may target to removal or reshaping of the extra neck muscle. If extra skin the skin is lift and organized in a desired position. If an extra fat is present, liposuction is also performed. A small cut is made below the chin through which a special cannula is inserted. Through the cannula the extra fat is removed.

What is the post-operative care involved? 
Initial healing may include swelling, numbness or discomfort which can be controlled with medication. It is advisable to avoid strenuous activities for 1-2 weeks after the procedure.

When can I resume my normal activities? 
Most people can return to work after 10-14 days.

When will the results be apparent? 
The cosmetic results of the procedure can be seen within a few days of the neck lift,. Final results usually take from three to six months to fully appear. The tighter neck and more defined jaw will typically last from five to ten years, after which the patient will return to his or her pre-surgery state.

What is a thread lift? 
A thread facelift is a convenient, less invasive alternative to traditional facelifts, designed for people experiencing early signs of aging, such as minor facial sagging. Designed to be less invasive, it can reduce sagging around the eyes, cheeks, jawline, area between the nose and corners of the mouth and neck more quickly and with less risk than the conventional approach. Special threads are used during this facelift to discreetly hold repositioned skin and facial tissue in place after surgery.

Procedure: 
A Thread lift can be performed in just one or two hours, often under local anasthesia. During a thread facelift, the cosmetic surgeon inserts thin threads into the face through tiny incisions made in the targeted area. These threads attach to the skin tissue and are then pulled back to lift and smooth the face. Almost immediately, treated areas will be raised slightly, eliminating sagging and giving patients a rejuvenated appearance. Because patients usually remain fully conscious during the procedure, they can approve the look of their thread lift while the surgeon works. Once the threads are knotted, they become hidden within the skin itself, and any scarring that results will be virtually invisible.

Who are the best candidates for a thread lift? 
The best candidates for a thread lift are in their 30s to 60s and have relatively good skin tone. Most are beginning to experience sagging in their face or neck but do not have excessively loose skin or drooping facial areas that might require more rigorous facelift surgery. If signs of aging are relatively minimal, a thread lift may be a good way to make cosmetic enhancements while avoiding facelift scarring and other potential side effects, which sometimes occur after more intensive surgical procedures.

What is the post-operative care involved? 
Initial healing may include swelling, numbness or discomfort which can be controlled with medication. Postoperative instructions will include limits on physical activity, pain management, and some diet restrictions for the first week. The head should be elevated for the first day to minimize swelling and discomfort. Surgeons may recommend no facial makeup for two to three weeks after a thread lift.

When can I resume my normal activities? 
One can resume normal activities the following day itself. In just a couple of days, one can enjoy full recovery from a thread lift procedure.

When will the results be apparent? 
The thread life procedure shows noticeable results almost immediately. If you dislike the result of your thread lift, simply removing the thread easily reverses it. Results can also be adjusted by having your plastic surgeon adjust the tension of the thread. The results can last for 1-2 years.

A flat and well toned abdomen is something many of us aim for through exercise or weight control. Even individuals of otherwise normal body weight & proportion can develop an abdomen that protrudes, is loose or sagging.

What is Tummy Tuck? 
Tummy Tuck surgically removes excess skin and fat and in some cases restores weakened or separated abdominal muscles. This creates an abdominal profile that is flatter & firmer thereby enhancing body image & self-confidence.

Am I a candidate for a Tummy Tuck? 
One or all of the following conditions can be surgically improved with a Tummy Tuck:
-:- Excess localized fat in the abdominal area
-:- Loose and sagging skin in the abdominal region
-:- Weakened and separated abdominal muscles or abdominal hernia due to pregnancy, weight loss, aging or previous surgery

How is Tummy Tuck performed? 
Liposuction is performed first to remove excess fat from the entire abdominal region and flanks. Then in the same sitting, sagging or overhanging skin and tissues are removed through skin excision.
This procedure is also known as Lipo-abdominoplasty.

What is the period of hospitalization? 
A morning to evening stay at the centre is all that is usually required. However some patients might prefer an overnight stay.