PLASTIC SURGERY

It offers state of the art secondarylevel care in all disciplines of Plastic Surgery. The department has an outstanding team of specialists covering all aspects of Plastic Surgery such as Aesthetic Surgery, Craniofacial surgery, Hand Surgery, Reconstructive Microsurgery, Burns and General Plastic Surgery.
Plastic surgery is a multi-faceted specialty that combines form, function, technique, and principle.

Plastic surgery is the only field in medicine in which art and science combine. For the aesthetic or cosmetic plastic surgeon, perhaps the predominant factor is the art. Cosmetic plastic is the aspect of surgery in which concentration and interest are focused on the restoration and improvement of forms as well as function. The problems that plastic surgeons encounter may result from aging, congenital defect, trauma, and prior surgical procedure that have a profound effect on human emotion or psychological structure. Aesthetic plastic surgery, though admittedly done on occasion to rehabilitate a particular part of the body, is mainly performed to rehabilitate the entire person.

Aesthetic plastic surgery involves techniques intended for the “enhancement” of appearance through surgical and medical techniques, and is specifically concerned with maintaining normal appearance, restoring it, or enhancing it beyond the average level toward some aesthetic ideal.

The five most commonly performed aesthetic surgeries are breast augmentation, liposuction, nasal surgery, eyelid surgery and abdominoplasty. The American Society for Aesthetic Plastic Surgery looked at the statistics for thirty-four different cosmetic procedures. Nineteen of the procedures are surgical, such as rhinoplasty or facelift. The commonest nonsurgical procedures include Botox, fillers and laser hair removal. In Asia, cosmetic surgery has become an accepted practice, and China, followed by India has become Asia’s biggest cosmetic surgery centers.

OUR DOCTORS

Dr. HIREN DESAI

M.B.B.S.,M.S.,M.C.H(PLASTIC SURGEON)

Dr. HARSHIL RAWALJI

M.B.B.S,M.S.,M.CH.(PLASTIC SURGEON)

The most prevalent aesthetic/cosmetic procedures include:
  • Abdominoplasty (“tummy tuck”) : reshaping by removing folds of skin and fat and tightening of the abdomen. The navel is often relocated.
  • Blepharoplasty (“eyelid surgery”) : reshaping of the eyelids or the rejuvenation of ageing , saggy, baggy eyelids, including Asian blepharoplasty
  • Breast augmentations (“breast implant”): augmentation of the breasts by means of silicone gel/ saline implants, via inframammary incisions, which is performed in women with micromastia, or those desiring larger, fuller breasts.
  • Reduction mammoplasty (“breast reduction”): removal of skin and glandular tissue, which is done to reduce breast size and reshaping them, as well as back and shoulder pain in women with gigantomastia.
  • Mastopexy (“breast lift”): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue.
  • Gynecomastia ( removal of male enlarged breasts) with a combination of liposuction & gland removal.
  • Buttock augmentation (“butt implant”): enhancement of the buttocks using silicone implants or fat grafting (“Brazilian butt lift”) and transfer from other areas of the body .
  • Buttock lift: lifting, and tightening of the buttocks by excision of redundant skin.
  • Lip enhancement: surgical improvement of lips’ fullness through enlargement.
  • Rhinoplasty (“nose job”): reshaping of the nose, for enhancing appearance.
  • Otoplasty (“ear surgery”/”ear pinning”): reshaping of the ear, most often done by pinning the protruding ear closer to the head.
  • Rhytidectomy (“face lift”): removal of wrinkles and signs of aging from the face.
  • Browplasty (“brow lift” or “forehead lift”): elevates eyebrows, smoothes forehead skin.
  • Midface lift (“cheek lift” or a miniface lift): tightening of the cheeks.
  • Chin augmentation (“chin implant”): augmentation of the chin with an implant, Porexor silicone, or by sliding genioplasty of the jawbone.
  • Cheek augmentation (“cheek implant”): implants to the cheek, or with fillers.
  • Liposuction (“suction lipectomy”): removal of fat deposits by traditional suction technique or ultrasonic energy -VASER ( ultrasound assisted liposuction, sculpturing, definition)to aid fat removal as a tool for body contouring , and not for correction of obesity.
  • Orthognathic Surgery: manipulation of the facial bones through controlled fracturing to correct facial & jaw disproportions to get a more pleasing appearance.
  • Botox injections : for rejuvenation- reducing dynamic wrinkles, eyebrow & jawline shaping, for facial balancing , for hyperhidrosis etc.
  • Fillers injections: hyaluronic acid ,fat, and other tissue filler injections, for facial contouring, volumisation of midface, augmentation of cheekbones, chin, nose , lips etc., and smoothening out creases and folds.
  • Lasers , Radiofrequency & other devices: for hair removal, for rejuvenation, for skin tightening, for pigmentary disorders- developmental or acquired, and for Fractional resurfacing for scar improvement.
  • Gynecologic Aesthetic surgery ( including surgical reduction and reshaping of the labia, monsetc)
Burn surgery generally takes place in two phases. Acute burn surgery is the treatment immediately after a burn. Reconstructive burn surgery takes place after the burn wounds have healed.
Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. Scar tissue formation after surgery can be problematic on the delicate hand, causing loss of dexterity and digit function if severe enough.
Microsurgery is generally concerned with the reconstruction of missing tissues by transferring a piece of tissue to the reconstruction site and reconnecting blood vessels. Popular subspecialty areas are breast reconstruction, head and neck reconstruction, hand surgery/replantation, and brachial plexus surgery.
Craniofacial surgery is divided into pediatric and adult craniofacial surgery. Pediatric craniofacial surgery mostly revolves around the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures. Adult craniofacial surgery deals mostly with fractures and secondary surgeries (such as orbital reconstruction) along with orthognathic surgery. Craniofacial surgery is an important part of all plastic surgery training programs, further training and subspecialisation is obtained via a craniofacial fellowship.
Post Cancer surgery reconstructions after cancer surgeons have removed tissues for cancer, the plastic surgery team moves in to plan & execute reconstruction of the missing tissue. This is done for cancer of the breast, head & neck & other regions.