Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area becomes flaccid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In men and women who have fat that is concentrated in the abdomen, the procedure will remove excess skin and fat. The surgery will not eliminate minor wrinkling or take the place of dieting, but it can improve a loss of skin elasticity in combination with localized fat accumulation.

This operation may be performed on an outpatient basis or during a brief hospital stay. To smooth out the abdomen, the surgeon works through a low abdominal incision that spans the hips. Because sagging skin will be pulled down over the abdomen before it is removed, it may be necessary to release the navel from its surrounding skin and bring it out through a new skin opening. Resulting scars across the public area and around the navel are permanent but flatten and lighten in color over time.

Sometimes, abdominoplasty may be combined with liposuction to achieve the best result. In some instances, when skin laxity and muscle weakness are limited to the area below the navel, a modified abdominoplasty may be recommended. This procedure usually leaves a shorter scar and no scarring around the navel. Endoscopic abdominoplasty is another technique for limiting scars and is useful when patients have only a minimal amount of excess skin and muscle laxity.

Following abdominoplasty, you will be advised to wear a light support garment during the recovery period and to avoid strenuous activity for a few weeks.

Lipoplasty
A procedure introduced in the United States in 1982, liposuction can remove localized collections of tiny fatty tissue in many areas of the body. By using a high vaccum device, the surgeon can suction fat from the legs, buttocks, hips, abdomen, back, arms, face and neck.

The popularity of liposuction is due to the effectiveness of the technique (in the hands of a qualified surgeon) and the fact that it leaves only tiny scars, often less than one-half inch in length.

Liposuction is neither a substitute for proper diet and exercise nor a cure for obesity. To get the most from this procedure, you should be of average weight with extra fat localized in specific areas. It is also important that you have healthy, elastic skin with the capacity to shrink evenly after surgery. Since liposuction removes only fat, it cannot eliminate dimpling or correct skin laxity. The tumescent technique, superficial liposculpture, ultrasound-assisted lipoplasty (UAL) or other variations of conventional liposuction may be recommended by your surgeon., depending on the specific needs and the surgeon's preferred methods of treatment.

If your skin has lost much of its elasticity, your plastic surgeon may recommend a skin tightening procedure (abdominoplasty, thigh lift, buttock lift or arm lift). These procedures are effective but leave more extensive scars.

Following surgery, you will wear a snug dressing or garment, possibly up to several weeks, to promote skin shrinkage and to minimize swelling and skin discoloration. If you have had surgery below the waist, you may be advised to wear a long-legged girdle for a few weeks as you resume your normal routine.

Vaser Liposuction
Vaser or Vibration Amplification of Sound Energy at Resonance is the trade name for an ultrasound-assisted liposuction system. During Vaser liposuction procedure, fatty tissues are extracted from your body by using sound waves. These sound waves emulsify targeted fat cells. The sound energy gets transmitted through small probes. These sound waves enter the holes and vibrate rapidly to produce ultrasound energy. This energy that penetrates inside your body breaks the cellular membrane and discharges the lipid content.

Vaser liposuction has the advantages of lower blood loss & improved skin retraction & is being offered at the Image Medical Center

Surgery for the Nose
Surgery for the Nose Rhinoplasty (surgery to improve the shape and or function of the nose or ‘nose job’) is one of the most popular cosmetic surgery procedure worldwide.

From what is known, the first successful rhinoplasty was carried out in India in 600 B.C. An Indian surgeon named Sushata Samhita used surgery and skin reconstructions to improve the shape of noses that had been injured or cut off as a way of punishment for thieves in India during this period of time.

It is a surgical procedure to reshape your nose to improve its appearance and proportion in relation to your other facial features. People most often elect surgery to alter the size and shape of the bridge and tip of the nose. This can be just because they do not like the shape of the nose, or damage due to trauma to the nose or a birth defect.

The earliest recommended age for Rhinoplasty is the mid-teens, a time when the nose is near full development. There is no upper age limit for Rhinoplasty. For older individuals, good health is the primary consideration.

Rhinoplasty can be done by the open or closed technique. This will depend on where the incisions are made. The surgeon will follow the technique which he feels would be best suitable for you.

Reshaping is generally done through incisions inside the nose. There may also be an incision passing across the central portion of the nose between the nostrils. This entails removing small wedges of skin at the base of the nostrils. The resulting scars usually fade very well and ultimately should be barely noticeable.

The nose is reduced, or in some cases built up, by adjusting it's supporting structures-either removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new scaffolding.

In some instances, there may be an internal deformity of the nose that can affect the breathing. This may be due to an irregularity in the septum (the central structure of cartilage and bone that separates the two sides of the nose) or the turbinates (structures protruding internally from the lateral walls of the nose). Adjustment of these structures to improve the nasal airway may be made at the same time as alterations to the external appearance of the nose.

After surgery, some pain, swelling and bruising of the nose are to be expected, but they will subside gradually. You will wear a splint for approximately a week or longer and can wear cosmetics after it is removed. Your routine will be severely restricted for only a day or two, but you should curtail activities that raise your blood pressure-such as bending, lifting or exercise-for a few weeks.

Reserve judgement on your Rhinoplasty for several months, even a year, until your nose has had an opportunity to fully heal and settle. Often the best compliment you can receive from your family and friends is that your nose does not appear very different. Remember-the intention of Rhinoplasty is for your "new nose" to blend in naturally with your face.

Revision Rhinoplasty
Revision rhinoplasty is performed to correct problems that develop or continue after a previous rhinoplasty. Also known as Tertiary or Secondary Rhinoplasty, this procedure is to correct a previous unsuccessful surgery of the nose.

Sometimes the problems are minor and easily corrected, but if they are major a revision rhinoplasty is always more difficult and requires more expertise than the first surgery. This is due to the fact that the normal nose is no longer intact and the tissue before the first surgery is now filled with scar tissue. This makes it difficult to separate and reposition the remaining bones and cartilage. Usually a revision rhinoplasty will give significant improvement

Revision rhinoplasty, or secondary rhinoplasty, is considered one of the most challenging subjects in the field of facial plastic surgery and is being successtully done at Image Medical Center.

Dr. Anup Dhir is one of the leading surgeons performing rhinoplasty in India.