1Q. What exactly 
                do you mean by Plastic and Cosmetic Surgery? Do you use plastic 
                materials always?
                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 
                Plastic surgery?
                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 
                foot.
              5Q. Every body talks about liposuction? What 
                is it?
                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 
                lipopsuction?
                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 
                for liposuction.
              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 
                diet?
                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 
                replacement therapy. 
                
                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 
                weight reduction!!!! 
              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 
                  operation?
                  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 
                result.
                
                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” 
                look.
                
                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 
                  set back?
                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 
                fixed? 
                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 
                used. 
              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.