1.Melanocyte transfer for leucoderma patches (vitiligo)

Melanocyte transfer is the state of the art and a gold standard procedure to treat white patches on the skin. Leucoderma or white patches can be genetic due to vitiligo, naevus depigmentosus or piebaldism or may be post traumatic especially after healing of deep burns. Leucoderma occurs due to destruction, absence or due to function of melanocytes. In deep burns, the skin is totally destroyed, and the healed scars completely lack melanocytes leading to a white patch. In vitiligo, there is self destruction of melanocytes by body cells of the patient. In piebaldism, there is complete absence of melanocytes. All the above conditions can be treated with melanocyte transfer. Here a small thin skin graft is taken from the thigh and treated chemically to extract melanocytes which are then concentrated. These mealanocytes are then transferred to the white patches. Repigmentation results can be seen only after 3 to 6 months.

2.Liposuction and abdominoplasty (tummy tuck)

Liposuction is nothing but sucking away of unwanted resistant fat in the body. The abdomen, arms, thighs, back and chest are the common areas of fat deposition which can be managed with liposuction. Though large amounts of fat can be removed at a time, it is not an alternative to weight loss. Liposuction is just a technique of removing excess resistant body fat and not a technique to reduce obesity. Abdominoplasty is the procedure of removing excess fat along with the excess lower abdominal skin. Excess lower abdomen skin is a common problem after massive weight loss and after pregnancy.It is commonly performed in patients with excess skin in lower abdomen, those with rapid weight loss and those desirous of a slimmer abdomen.Both procedures are performed under general anaesthesia and requires one day admission to a hospital. Use of pressure garments is recommended for at least one month after the surgery.

3.Breast reconstructive surgery. (breast implant/ breast reduction)

Breast surgery can be aesthetic or reconstructive. Aesthetic/ cosmetic breast surgeries include those which are done to increase the size of the breast or those which are done which are done to correct ptotic (sagging) breasts. Breast augmentation or breast implants are done to increase the size of small breasts in patients who want the size to be augmented. This is done with the help of silicone implants. There is ample literature to prove the safety of silicone implants. Mastopexy is the surgery done to correct ptotic or sagging breasts. Mastopexy can be combined with implantsto correct the ptosis with the advantage of augmentation.Breast reconstructive surgeries are performed to correct the abnormal fat deposition, skin and tissue laxity that is evident after massive weight loss and childbirth. Large and heavy breasts are frequent cause of backache which can be corrected with breast reduction. Not only does it enhance the body but gives immensely gratifying results. A rapidly evolving role of breast reconstruction is evident in cancers of the breast. Total mastectomies (removal of the entire breast) due to cancer is a major psychological trauma to a woman. Entire breast can be reconstructed by using the patients’ own body tissue.

4.Rhinoplasty (nose job)

Rhinoplasty is the procedure done for improving the features of the nose. The shape of the nose is altered in conditions that can be genetic like, cleft lip and palate or can be post traumatic like facial or nasal bone fractures. Rhinoplasty It is performed under general anaesthesia with a very small incision that is almost invisible. There are various procedures that can be done in rhinoplasty that depends on the nasal patients deformity as well as what the patients wants to get corrected in his/her nose. It results in a beautifully shaped nose that complements the shape of the patient’s face. A beautifully shaped nose plays an important role in improving the overall aesthetics of the face as well as improving the self confidence in the patients.

5.Gynaecomastia

Gynaecomastia (enlarged male breasts) is a very common condition seen in young adolescent males and can be a cause of considerable embarrassment to the patients. It is a completely treatable condition by liposuction. Liposuction is a simple procedure performed by plastic surgeons under general anaesthesia and takes an hour to perform. It is considered as a gold standard procedure and gives excellent results in gynaecomastia. The hospital stay and post operative pain is minimal. The patient can resume his normal activities in a day or two. Use of pressure garments is recommended for one month after the surgery.

6.Cosmetic suturing of facial wounds

Facial trauma, cuts and wounds are very common in children because of their curiosity and misadventure. Such wounds if left unattended can lead to very poor scars. If promptly sutured, it can result in cosmetically acceptable and superior scars. With proper management, the scars heal well and can be almost imperceptible at conversational distance.

7.Ear lobe repair and ear reconstruction

Split ear lobule is a very common condition noted in Indian ladies due to long term use of heavy earrings. Though harmless, it is cosmetically concerning to the patients. It is very easily managed with ear lobe repairs done under local aneasthesia. Procedure lasts hardly 15 mins and use of ear rings can be resumed as early as two months after the surgery. Use of “glues” and other beauty parlour procedures should be avoided as it can lead to allergy, keloid and cyst formation, and ugly scars. Ear deformities can be congenital or post traumatic. All ear deformities need specialist management with plastic surgery leading to an almostnormal looking ear.

8.Dimple creation

Dimple is depression appearingon the cheek while smiling. Dimple is considered to enhance the beauty and charm of one’s smile. It is a genetic defect in the muscles of face. They can be surgically created with a simple procedure under local anesthesia. It is a day care procedure and takes around 30 minutes to perform and does not require admission to the hospital.

9.Body contouring

Apart from abdomen, body contouring includes shaping the arms, thighs, back, chest and buttocks. Procedures involves removing the excess fat and skin and resulting in a more contoured, and youthful body. The excess skin is removed in a way taking care that the suture line is placed in a location that can be easily hidden by clothing or placed in the natural skin crease of the body. The procedure is done under general anaesthesiaand recovery time is average of 1 week.

10.Surgical tattoo removal

Tattoos look great but they can be a major issue if they pose a hurdle for admission to armed forces, police, or a major airline company. Tattoos can be easily removed surgically under local anesthesia in a single. Larger tattoos may need more than one surgery and some may even need skin grafting.Lasers is another alternative for tattoo removal but requires multiple sessions. Few tattoo pigments cannot be corrected by lasers and such tattoos can be corrected surgically.

11.Botox and fillers

These procedures are included in non surgical facial rejuvenation. Wrinkles are inevitable due to age and Botox and fillers is a unique way to reduce wrinkles in an aging face making the face look youthful and fresh. Fillers help in volumizing the aged face making clients look much younger andenergetic. Fillers is an extremely effective and rapid technique to reduce the volume loss noted in the face due to aging. Fillers can be safely used to reduce sunken eyes and nasolabial folds. Thin lips can not only be augmented but can be given a desirable pout. Recent advances have made fillers very safe and easy to use and its effect can be reversed. The effect of fillers generally last 6 months to 2 years depending on the product and the site of use. The canula used for the injection is very fine and the injection is almost painless. Botox is effective in reducing forehead wrinkles, “crow’s feet” around the eyes and depressed angles of mouth. Fullness in the lower jaws due to increase in the size of muscles can also be reduced by botox. The effects of botox last for 6 to 9 months and needs top-up to maintain its effect.

12.Chemical peeling

Chemical peeling is another technique to reduce facial wrinkles as well as freckles and unwanted pigmentations. Chemical peels as the name suggests are chemicals like gycolic acid, salicylic acid and trichloroacetic acid which are used to peel off the superficial sun-damaged dead skin. All the dead skin peels off slowly over one week and is replaced by healthier new skin resulting in a glowing and a fresh face. It is a effective way to remove superficial wrinkles and pigmentations. Sun protection and moisturization is mandatory after skin peels.

13.Scar revision

Scars are inevitable!!! Where there is a wound, there is bound to be a scar. All wounds ultimately result in a scar but few can be unsightly. Wounds sutured during childhood generally stretches when the person grows up. Some sutures wounds become hypertrophied or become keloids. Such scars can be removed or improved by scar revision procedure. It is a day care procedure done under local aneasthesia and certainly results in a much better and improved scar.

14.Hymen repair, Genital aesthetic surgery and vaginal tightening

Hymen can be repaired if the patient so desires. It is a minor procedure done under local anesthesia. Hymen tags are resutured to each other leaving an opening big enough for the menstrual flow to pass. This procedure does not require admission to hospital. It must be noted that the repair is likely to breakdown after excess physical activity. Genital aesthetic surgery is indicated if the patient so desires. This includes the procedures like removing the clitoral hood, decreasing the size of the vulva and/or the labia majora. Vaginal tighteningcan be non-surgical or surgical. Non-surgical vaginal tightening can be done with the help of lasers. this does not require any aesthesia and is completed in 15 minutes. Multiple sessions may be needed 2 weeks apart. Surgical vaginal tightening is indicated after the family is completed. It is done under anesthesia and requires admission to hospital. Above procedures can be of benefit for the sexual health of the patient and spouse.

15.Hair transplant, PRP and nutritional therapy for hair growth

Who doesn’t love hair?? Platelet rich plasma (PRP) is a technique of providing growth factors for hair growth which are prepared by using the patient’s own blood. Approx 15-20 ml of blood is enough for a single sitting of PRP. When injected directly into the scalp, PRP is proven to increase hair growth and stop hair fall. It is relatively painless and quick procedure and gives great results.
Nutritional therapy for hair growth is introduced few years back and is available with us to improve hair growth. It is scientifically proven to be of great benefit to initiate and maintain the hair growth without any surgery.