1Q. What exactly
do you mean by Plastic and Cosmetic Surgery? Do you use plastic
A: Plastic Surgery means a branch of surgical specialty where
we try to mould or give shape to the tissues. Cosmetic surgery
is a part of Plastic Surgery where we concentrate on surgical
methods to improve one's look and appearance. Actually Plastic
Surgery is the specialty of wound healing and we deal with all
kinds of non healing wounds, chronic ulcers like diabetic ulcer
etc. We do not always use Plastic or foreign materials.
2Q. Can you make
one ugly looking person transform into a beautiful person?
A: There are limitations. We can improve to certain level only. One
must be mature enough to understand the procedure and have realistic
expectations about the results.
3Q. If you go to a Plastic Surgeon, you
will not have scars after the operation. Is it true?
A: That is not true. Healing of any wound is with scar tissue. But
a Plastic Surgeon takes extreme care to get a least visible scar
by placing the incision in the natural creases of the body. You
must realize that the scars are permenanent and it will take three
months to one year to look their best.
4Q. What are the specialized areas of
A: In addition to Cosmetic surgery which itself is very vast, Plastic
Surgeons are the best doctors to manage BURNS, Facial injuries and Hand injuries, Congenital defects like cleft lip, deformities
of ear, Hypospadias, fused fingers, Abdominal hernias, skin tumours
and very importantly chronic ulcers like diabetic ulcers in the
5Q. Every body talks about liposuction? What
A: Liposuction is really a very useful procedure to remove localized
deposits of fat from the body by an extremely small unnoticeable
incision. One must realize that it is not a method of weight reduction.
6Q. How easy is the liposuction?
A: It is a surgical procedure.It can be done under general Anesthesia
or local anesthesia. Patient can go home the same day. After liposuction, compressive elastic garments should be worn for 3 weeks to 3
months for better results.
7Q. What kind of patients benefit from
A: It is the method of choice in men with fat deposits in the breast
called Gynaecomastia. In females, fat collection in the abdomen, flanks, hips, upper thighs and nape of the necks are the common sites
8Q. Why are the fat deposits on my hips, thighs and waist
so hard to budge, even though I am exercising and have a sensible
A: Many women gain weight on their hips and thighs during their
teenage years. Often this is of a genetic predisposition. The
main contributors to later fat deposition, however, are hormonal
changes in a woman, such as pregnancies, menopause or hormone
We encourage patients to have a healthy diet and regular exercise,
but this is not sufficient for many patients. Treatment options
include liposculpture either with a traditional procedure or sometimes
other surgical procedures such as a tummy tuck, or a thigh lift.
Once again, one must realize that liposuction is not a method for
9Q. What are other common plastic surgery demands you come across?
A: Pendulous abdomen and big breasts are very common. They are
usually seen after multiple pregnancies. Many women suffer from
the hanging pounds of flesh and their after effects like difficulty
in walking, knee and heel pain. Some women have neck and back pain. Truly
speaking, surgeries for pendulous abdomen and big breasts are not
cosmetic surgeries. They are surgeries related to functional restoration.
10Q. What type of scar results from the breast reduction
A: Many patients with large breasts over D size
become quite symptomatic, suffering from back pain, neck strain
and the inability to wear certain clothes. They often inquire
about breast reduction and are concerned about what types of scar
result from the different procedures. The scars usually lie in
the undersurface of breast and not visible.
Breast reduction is one of the most successful
operations as patients are grateful for the new shape, size and
the elimination of symptoms associated with having large breasts.
11Q. What about small pendulous breasts?anything can be
done to improve ?
A: Definetely. Small hanging breasts make a woman depressed and withdrawn. She
loses her self confidence. Various sizes of breast implants are
available. By a simple surgical procedure breast can be made bigger
and the sagging can be corrected.
12Q: What type of implant do
you prefer for breast enhancement?
A: The choice is contingent upon the patient’s shape, the condition
of the breast tissue, whether there is droop (ptosis) of the breasts
and the overall figure shape. In over 90% of cases, I use a saline
implant. The smooth-walled saline is ideal for the younger patient
who has never had an implant, has very little ptosis of the breasts
and wants to have a C or C+ brassiere size.
13Q. Do you have any solution for sagging
skin of the face and neck?
A: Sagging is a natural process of aging. Jowls and sagging can be
corrected by FACE LIFT procedure. It is a major surgical procedure. Many
forms of facial rejuvenation methods are practiced. Featherlift
with Aptos threads, fillers and face peels are office procedures
which give considerable improvement in selected patients.
14Q. Baggy and puffy eyelids are also a common problem
in the old age. Can you correct it?
A: Yes. By a simple surgery the excess fat can be removed or repositioned
to give a better look. Trans conjunctival approach gives a scarless
15Q. What about wrinkles in the face?
A: Lot of new methods have been developed for wrinkles. Botox injection
is the most popular non-surgical method of tackling the wrinkles
of forehead which gives a tired or “always anxious”
There are many fillers either synthetic, natural, temporary or
permananent ones are in the market. One's own fat is the best filler
to smoothen out deep wrinkles. Autologous fat is also used to
give a youthful appearance to the hand.
Semi permanent fillers are better than permanent filler where
a very minor imperfection will show up for a life time. Acid peels
are another good method in fair skin for facial rejuvenation.
16Q: What is a good age to have my child’s ears
A: Bat ears or very prominenant ears usually cause parents concern
when their child is attending pre-school or kindergarten. Because
the ear is near adult size by the age of six, it is safe to consider
surgery at this age. Protuberant ears can attract unkind comments
from peers in early childhood and such comments may prompt parents
to seek advice from a plastic surgeon.
17Q: What is a good age to have my nose
A: The most common age for people to undergo nose surgery is in their
young adult years between the ages of 20 and 40. The range of
patients, however, extends from 15 to 75 years old! Improving
a person’s profile can dramatically enhance their overall
appearance, and often Rhinoplasty is combined with a cosmetic
procedure on the chin or facial rejuvenation surgery to balance
and enhance the appearance of the face.
18Q: What options do I have for Lip Enhancement?
A: We can provide a number of excellent ways of enhancing your lips,
either temporarily or permanently.
For permanent enhancement, I use either a dermal graft or a patient’s
own fat. Restylane, Radiance Artecoll are few types of fillers commonly
19Q: What do you advise for diabetic
patients to prevent the ulcer formation?
A: Very good control of the diabetic status, good care of both feet
like cleaning, inspection of the webspaces for any fissures, cracks. Good
quality, soft, protective foot wear, moisturizing agents and stoppage
of smoking will definitely prevent ulcer formation. Since diabetes
affects the sensation of the feet, small wounds are neglected which
leads to non healing ulcer. Timely recognition can prevent major
problems. Once ulcer has formed it needs expert management by
a team of doctors like Diabetologist, Chirapodist, General Surgeon
or Plastic surgeon.