Undoubtedly, exercise and nutrition are important elements of weight management. Incorporation of these into one’s lifestyle is long term solution for excess weight deposition.
However, stubborn fat, resistant areas, unaesthetic bulges impart a negative body image to some. Your plastic surgeon may have the answer to your problem. A skilled plastic surgeon can simply remove the fat from the stubborn, resistant areas and give the CURVES you have always dreamt for. And once fat is gone, it's gone forever.
Liposuction
Liposuction is the most popular procedure world wide. Liposuction can be a dream comes true because it removes fat that diet and exercise have little impact on.
Liposuction is appropriate for disproportionately large hips, buttocks, thighs, tummies, and "love-handles," as well as fat deposits on arms, calves, knees, ankles, back, and under the chin.
Liposculpturing for :
Face and Neck Contouring
Tummy and Waist Contouring
Buttock contouring
Thigh, Knee and Ankle contouring
Recent advances in liposuction have led us to routinely perform what is referred to as the "Tumescent technique” where we infuse quantities of highly dilute anesthetic solution into the operative area. This liquid helps to disperse the fat, significantly reduce the blood loss and permits easier removal of more fat than would otherwise be possible.
In addition, post-operative bruising is greatly reduced, recovery is much faster and the whole experience is more comfortable than in the past.
Better understanding of the science, finer instruments and advanced technique has made liposuction more safe & effective.
Ultrasonic and power assisted liposuction are additional tools to the conventional technique indicated in certain special situations where fat is more fibrous and difficult to remove.
Laser Lipolysis
Laser lipolysis & laser assisted liposculpture is an advanced technique used in the removal of excess fatty tissue.
Laser Lipolysis promotes the breaking up of the membranes of fat cells, transforming them into an oily substance that is absorbed and eliminated in a natural manner from the body.
The advantages of Laser Lipolysis:
Minimal invasiveness
Virtually no blood loss
Fat may be removed naturally
Minimal recovery time and no bandages
Improves cellulite and aids in skin tightening
Can be performed as “walk in and walk out” procedure for most treated areas
After Liposuction, a firm fitting pressure garment is applied on the treated areas. This will help to reduce swelling and encourage a smoother contour. You will be up and around one or two days after surgery, but strenuous activities should be limited for the first couple of weeks. For several days following the procedure, you may have some soreness, but this is very well controlled with the prescriptions provided. As you recover, there may be some tingling, soreness, and tenderness in the treated areas, but this is temporary. Incision sites are barely noticeable and will soon seem to disappear. THERE ARE NO STITCHES INVOLVED. Bruising usually resolves in ten to fourteen days and some swelling tends to remain for 2-3 months.
Obese patients benefit from liposuction however they may require more than one treatment session. They have to follow weight management protocol to have a good long term benefit. For normal weight patients with isolated pockets of fat, this procedure can give excellent result and give them the curve they are looking for. The results can be dramatic one can see saddlebags disappear, legs and hips become thinner and curvaceous, tummy becomes flatter and firmer and Double chins can be streamlined. Remember, though, that liposuction is not a substitute for exercise or weight loss. The best candidates are at or near their ideal weight — but almost anyone can realize an improvement in their body image through this procedure. Dr. Sanjay invites you to call today to schedule your in-office consultation.
Tummy Tuck
Pregnancies, weight gain, and weight loss take a tremendous toll on the muscles of the abdomen and the elasticity of the overlying skin. When the problem is stretched muscles and loose overlying skin, than a tummy tuck helps to remove the excess skin and tightens up the underlying musculature giving you a flatter, firmer, tummy along with a thinner waist as well.
The most common approach to performing this procedure involves a horizontal incision across the lower abdomen — just below the bikini line and just above the pubic area. The skin is elevated and the bellybutton is separated from its skin attachment. The abdominal muscles are tightened in the midline to make the abdomen firmer and the waist thinner.
The skin is then pulled downward and the excess removed. A new opening is made for the bellybutton at the proper position. The incisions are closed with buried sutures that will not require removal. A firm, elastic-support garment is placed at the end of the procedure.
There will be some post-operative discomfort that can be controlled by medication. You will be up and around in a day or two, but you must avoid strenuous activity for three to four weeks. This procedure is performed in the hospital, under general anesthesia. Every effort is made to minimize the scar, which though permanent, gradually fades over time. By removing the sagging, excess skin and accumulated fatty tissue, you'll almost immediately enjoy a flatter, firmer abdomen and thinner waist.
Mini Tummy Tuck
Mini Tummy Tuck is designed for patients with only a small amount of loose, redundant skin in the lower abdomen, and for patients with lax abdominal muscles. It involves a smaller incision placed just above the pubic hairline to remove excess skin, tighten the muscles if needed, and carefully close the incision with buried, self-absorbing sutures, so suture removal is unnecessary. Discomfort is mild and easily controlled with medications and recovery is quicker. This procedure can be performed in selected situation under local anaesthesia with sedation.
Most of our patients return to work and to moderate physical activity after four to seven days.
Dr. Sanjay invites you to call today to schedule your in-office consultation.
BODY LIFT SURGERY
Excessive weight loss after dieting or Bariatric surgery can result into excess skin folds in the face& neck area, chest, abdomen, sides, back, thighs & arms. Body lift procedures are designed to remove excess skin folds to improve body contour. A lower body lift surgery combines the Tummy Tuck sculpture of the stomach, with Thigh Lift, and Buttock Lift sculpting the entire body in a band about the waist or a Belt Lipectomy.
Excess skin and fat are removed, the stomach muscle wall tightened, and the Superficial Fascia Suspension System (SFS) resuspended (Lockwood’s procedure). This connective tissue network in the fat contributes greatly to holding tissues elevated. The tone of this SFS is what gives a more youthful appearance and support to the entire sculpture. Liposuction is often combined with Body Lift Surgery to refine nearby regions of localized fat.
Fluctuations in weight, growing older and even heredity can cause your upper arms to have a drooping, sagging appearance.
Exercise may strengthen and improve the underlying muscle tone of the upper arm, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits.
If the underside of your upper arms are sagging or appear loose and full due to excess skin and fat, an arm lift may be right for you.
An arm lift:
Reduces excess skin and fat between the underarm and the elbow
Reshapes your arm to result in smoother skin and contours
Results in a more toned and proportionate appearance
Incision length and pattern depend on the amount and location of excess skin to be removed, as well as the best judgment of your plastic surgeon.
Arm lift surgery may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital.
Incisions are generally placed on the inside of the arm or on the back of the arm, depending on the surgeon’s preference, and may extend from the underarm (axilla) to just above the elbow. If fat is to be reduced during your arm lift, it will be excised or treated with liposuction.
Minimal Incision Technique
In this technique the incisions are smaller and entirely hidden in the axilla or underarms. This method is used in selected individuals with moderate skin laxity and it is often combined with Liposculptuing.
Following your surgery, dressings or bandages may be applied to your incisions, and your arms may be wrapped in an elastic bandage or a compression garment to minimize swelling. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
Thigh Lift:
Thigh lift surgery is an excellent way to achieve firmer and more attractive-looking upper legs. Especially helpful for those who have loose, excess skin as a result of weight loss, thigh lift, or thighplasty, can help tone and refine your legs so you can show off a new, thinner you!
It is often performed under twilight anesthesia but if it is combined with the body lift procedures then general anesthesia is required.
It is often combined with liposculpturing and the incisions are placed at the inner thigh crease. Thigh lifts do leave scars. However, thigh lift scars are usually located in a relatively inconspicuous location and, in the minds of many patients, pale in comparison to the benefits provided by the procedure. In many cases, thigh lift scars are easily concealed by underwear or bathing suits. Scars are, unfortunately, one aspect of thigh lift surgery that patients must weigh against the benefits of eliminating excess fat and skin tissue.
Certain anatomical parts of the body can be enhanced if it is disproportionately smaller or ill defined as compared to rest of the body features.
The materials used for body enhancement depends on individual needs.
Male Pectoral Implants
There are many reasons for getting pectoral implants, both genetic and cosmetic. Primarily, they are used in a self-esteem enhancing cosmetic manner, whereby, even after exercise, sometimes people still aren't able to achieve the chest development they desire.
It will enhance the appearance, size and muscular definition of pectoral muscles in men and is also frequently used to correct pre-existing congenital and physical defects.
Surgery is carried out under general anaesthesia and the incision is hidden under the arms. A solid silicone implant is inserted under the muscle or the fascia overlying the muscle. Endoscopic technique helps in precise location of the implants.
Calf Implants (Calf Augmentation)
It is a very popular procedure, which will create cosmetic fullness in the lower leg and can help those men and women who, even after extensive muscular development, can’t achieve the calf muscle toning they desire. Calf implants are best suited for lower leg sculpting, and also can correct muscle imbalance as a result of both physical and congenital defects.
Calf implants enhance the shape and size of the calf muscles by placing soft, solid silicone implants in pockets overlying the existing gastrocnemius muscles. The calf muscle is a two-headed muscle (one head on the upper inside of the leg and the other on the upper outside of the leg) on the back of the leg that attaches on each side of the femoral bone just above the knee and extends down the leg ending as the Achilles tendon at the heel.
These implants which may be one to each leg or two depending on the desired effect are placed through small incisions in the creases behind the knee. A person may desire to have only the inner head of the muscle enlarged, the outer head, or both. The result is that the existing musculature is made to appear larger and more defined.
Procedure is performed under general anaesthetic and requires 4-6 weeks for complete recovery.
Alternative technique is Fat Transfer
Fat cells are harvested from areas of reserve that has excess fat eg. Outer thighs, abdomen and or flanks. The fat cells are processed and injected into the area to be treated.
One may require 2-3 sessions to achieve a desired result. The procedure is performed under local anesthetics.
Buttock/ Gluteal Enhancement
Gluteal Implants, commonly referred to by consumers as buttock or butt implants, are primarily used for augmentation surgery (enlargement of the buttock region) and occasionally for reconstruction or treatment of asymmetry.
Buttock implants are usually placed beneath the fascia—or what is termed subfascially—beneath the fibrous lining that encases the buttock muscles. The implants may also be placed in the intra-muscular plane (within the muscle such as the gluteus maximus). The intra-muscular plane of insertion is commonly used when the patient is thin and has little body fat. Both implantation sites are well tolerated by the body.
Since this is an area of the body that is required for walking, sitting, and so many other movements, patients might experience greater pain during the recovery period than other common cosmetic surgery procedures and the recovery time is usually longer. Pain medications typically are prescribed to help with the discomfort, but after approximately 5-7 days the patient is able to be up and about; moving, walking, and sitting more comfortably.
There is generally very little swelling and bruising after buttock augmentation so the results may be seen very soon after surgery. Full physical activities are usually permitted within a month after surgery.
Alternatively
Buttock enhancement can be achieved by Liposculpuring.
In this technique fat around the buttock region such as flanks, lower back and outer thighs are removed and transferred into more desirable areas of buttock.
Patient may require 2-3 sessions to achieve a desirable result.
Excessive weight loss after dieting or Bariatric surgery can result into excess skin folds in the face& neck area, chest, abdomen, sides, back, thighs & arms. Body lift procedures are designed to remove excess skin folds to improve body contour. A lower body lift surgery combines the Tummy Tuck sculpture of the stomach, with Thigh Lift, and Buttock Lift sculpting the entire body in a band about the waist or a Belt Lipectomy.
Excess skin and fat are removed, the stomach muscle wall tightened, and the Superficial Fascia Suspension System (SFS) resuspended (Lockwood’s procedure). This connective tissue network in the fat contributes greatly to holding tissues elevated. The tone of this SFS is what gives a more youthful appearance and support to the entire sculpture. Liposuction is often combined with Body Lift Surgery to refine nearby regions of localized fat.
Breast Contours
There are millions of women who are unhappy with their breasts either because it is too small or too big. Often they are disappointed because the shape and size of their breasts have deteriorated over the years. Whatever the problem, it often has a very negative impact on a women's self-esteem. And there are no exercises, devices, or medications that have any real effect on breast size.
Well, the good news is Medicine and plastic surgery have advanced to the point where almost anyone's breasts can be readily changed in almost any manner. Small breasts can be enlarged, large breasts can be reduced to a more proportional, comfortable size, sagging and shrinking breasts can be lifted. And even breasts that have been removed during mastectomy procedures can be totally reconstructed to restore a full, natural, and beautiful figure. Virtually every problem can be addressed, and the benefits are obvious. The return of self-esteem. And confidence. A new figure. A new outlook. A new you.
Breast enlargement is by far the most popular. The options of implants we use today are saline filled bag or upgraded new generation silicone implant that is totally harmless to your body. These implants are soft, supple, and available in different sizes and contours, they give a natural feminine feel and shape.
In addition, breast implants do not prohibit you from future breast feeding. The procedure itself takes about an hour and a half to perform and is done on an outpatient basis in the hospital. The implants may be placed either above or beneath the chest muscles or Dual Plane (new technique) depending on your build and special needs. Incisions are usually placed at the lower edge of the areola (the darker skin around the nipple), underneath the breasts or in the armpit using Endoscope (New Technique) - again depending on your individual needs.
The incisions are closed with buried sutures that never have to be removed and give you the best possible wound healing. Most women following breast augmentation are back to work in five days.
As the years go by, almost every woman notices a gradual deterioration in the size, shape, and firmness of her breasts. Gravity, pregnancy, breast feeding, weight gain and loss all take their toll and can cause the breasts to sag, droop, shrink and flatten out. The breasts loose its elasticity and youthfulness.
A breast lift can reshape and rejuvenate the breasts. In the breast-lift procedure, as we perform it, the incision is a circular one, around the areola with or without a midline vertical incision to the crease. Excess skin is removed from the lower part of the breast, and the nipple, areola, and underlying breast tissue are elevated to a new, higher position. Incisions are closed with very precise, buried sutures that never need to be removed. The procedure takes about two hours, after which a dressing and surgical bra are applied.
Post-operative discomfort is well controlled with the prescribed medications. Swelling and bruising usually subside within a few days. Most patients are back to work within one week. Most patients will experience some degree of temporary loss of sensation. This will improve with time, as will the scars, which gradually fade.
Although the incision sites may always remain visible to some degree, patients who choose to have this procedure are very happy with their firmer, younger looking appearance.
New Technique – In some selected individuals this procedure can be done by using incision around the areolar skin only without an extension into the breast. The breast is lifted and contoured from under the skin flap, however with this technique it takes few months for the overlying skin to redrape on the new breast mound.
For most mastectomy patients, the physical loss of a breast is a severe emotional loss as well. A loss of self-esteem; A loss of femininity.
There are many different approaches for breast reconstruction that vary according to the type of mastectomy that was performed, and to the condition of the breast skin. In some cases, reconstruction can be achieved through a simple implant or prosthesis alone. In other instances, there is not enough skin to accommodate an implant, and a "flap" of donor tissue must be brought into the area. This flap contains skin, muscle, and the blood vessels needed to nourish it and are usually taken from the back or the abdomen to provide adequate skin covering for an implant. In some flap procedures, an implant may not be necessary.
Another technique involves placement of a balloon-like device called a tissue expander, which is placed beneath the chest muscle and gradually filled with saline to stretch the overlying skin until it is able to accommodate an implant. Additional surgery is often needed to reconstruct the nipple and areola. These reconstructive procedures are usually performed in the hospital under general anesthesia and may require a few days of hospitalization.
Post-operative discomfort is well managed by medications, and most patients are up and about within one week. Although some scarring is an inevitable part of this procedure, every effort is made to make scars as inconspicuous as possible.
The newly created breast will not be an exact duplicate of the previous breast nor will it have the same exact contour as the other breast. But the results provide a great improvement and yield considerable emotional and psychological benefits.
Large, oversized breasts can not only look unaesthetic but are also quite a physical burden. They distort the posture, cause difficulty in breathing, backache, neck ache, cause irritation in the skin crease, and make exercise very difficult. Because large breasts cause such physical problems, breast reduction is one of the few procedures generally covered by medical insurance.
This procedure can reduce and reshape large breasts by removing excess skin and underlying tissue. An oversized areola can be made smaller at the same time. The results of this procedure are permanent, although significant weight gain or pregnancy can cause some later enlargement of the breasts.
If you have large, sagging breasts, you are a good candidate for breast reduction. Patients with sagging breasts that are not overly large may need only a lift. Women of all ages can benefit from breast reduction, but it is generally only performed after the breasts are fully formed. This procedure may impair your ability to breast feed, and this possibility must be considered in your decision.
Breast reduction is performed in either the hospital or the office surgical facility depending on the extent of the procedure, and is done under general anesthesia. There are a number of incision options that are tailored to individual needs. Our latest improvement is to perform a more minimal incision (the Lejour technique) that improves the cosmetic quality of the result. This procedure takes two to three hours to perform. Post-operative discomfort is well controlled by the prescriptions we provide. And you should be up and around, in a day or two. Most women are able to return to work within one or two weeks after surgery.
A fat transfer can be used to correct skin irregularities such as deep furrows and wrinkles on the face and other depressions on other areas of the body. This procedure re-contours the face and corrects facial or body deformities.
It is also indicated to enhance body areas such as cheeks, chin, buttocks and calves.
The Procedure For Fat Transfer involves local anaesthesia in both the donor site (area from which fat is taken) and the recipient site (area to be treated. A needle attached to a syringe is inserted onto the donor site in a location which has a thick layer of fat such as the lower stomach, thigh or buttocks. Fat cells, are aspirated or drawn into the syringe are purified and then carefully re-injected into the recipient site. The process is repeated until the desired amount of fat has been transferred and the defect corrected.
There is always some percentage of fat resorption depending upon the areas treated hence 2-3 sessions may be needed to achieve the desired result.
Excessive breast tissue on men is remarkably common. At least one in three have some noticeable excess, affecting either one or both sides of the chest. In the vast majority, the cause is harmless, being due to local tissue hormone sensitivity and excess fat deposition. However, it may occasionally be due to medical problems or certain drugs. Your doctor or plastic surgeon will be able to provide you with an assessment. Medical causes if present need to be corrected before any type of breast reduction procedure is performed.
Treatment Options
The excess fat in smaller male breasts may be removed by liposuction alone. This technique involves the aspiration of breast fat via tiny incisions. Liposuction alone is very effective in mild to moderate cases, but one needs good quality elastic skin, to get the best result. When there is poor skin elasticity, then the excess skin may need to be surgically removed in addition to the underlying breast tissue. Very large breasts are best dealt with surgical reduction, or at least in combination with liposuction. This entails creating a certain amount of permanent scarring on the chest, however this is often much preferred to large breasts. Your plastic surgeon will be able to make a full assessment and recommend the most appropriate treatment option with the least amount of associated scarring.
Post Operatively
Irrespective of the procedure used, the chest will be bruised and swollen for several weeks. Pressure garments are recommended to reduce the swelling and bruising, and facilitate healing. Most patients return to their work within one to two weeks and gradually increase their physical activities as the chest becomes more comfortable. However, it may take two to three months before the chest fully settles down and you see the final result.
The results are significant and permanent. Normally, there is a high level of patient satisfaction with reduction of male breasts. Therefore, if your expectations are realistic the chances are good that you will be very satisfied with the procedure and your new look.
It is a method designed to treat localized fat deposits in the body. It has been scientifically proven to break down the fat cell walls. The fat is dissolved into liquid and eliminated from the body.
Treatment session:
4-5 sessions per body area every fortnight
Indications:
Localized fat deposit tummy, love handles & chin For patient who cannot undergo Liposuction for various reason
Contarindications:
Pregnancy
Insulin dependent Diabetics
History of strokes
History of recent cancer
History of blood clots
Patients on multiple medications from heart disease
Laser lipolysis & laser assisted liposculpture is an advanced technique used in the removal of excess fatty tissue.
Laser Lipolysis promotes the breaking up of the membranes of fat cells, transforming them into an oily substance that is absorbed and eliminated in a natural manner from the body.
The advantages of Laser Lipolysis:
Minimal invasiveness
Virtually no blood loss
Fat may be removed naturally
Minimal recovery time and no bandages
Improves cellulite and aids in skin tightening
Can be performed as “walk in and walk out” procedure for most treated areas
After Liposuction, a firm fitting pressure garment is applied on the treated areas. This will help to reduce swelling and encourage a smoother contour. You will be up and around one or two days after surgery, but strenuous activities should be limited for the first couple of weeks. For several days following the procedure, you may have some soreness, but this is very well controlled with the prescriptions provided. As you recover, there may be some tingling, soreness, and tenderness in the treated areas, but this is temporary. Incision sites are barely noticeable and will soon seem to disappear. THERE ARE NO STITCHES INVOLVED. Bruising usually resolves in ten to fourteen days and some swelling tends to remain for 2-3 months.
Obese patients benefit from liposuction however they may require more than one treatment session. They have to follow weight management protocol to have a good long term benefit. For normal weight patients with isolated pockets of fat, this procedure can give excellent result and give them the curve they are looking for. The results can be dramatic one can see saddlebags disappear, legs and hips become thinner and curvaceous, tummy becomes flatter and firmer and Double chins can be streamlined. Remember, though, that liposuction is not a substitute for exercise or weight loss. The best candidates are at or near their ideal weight — but almost anyone can realize an improvement in their body image through this procedure. Dr. Sanjay invites you to call today to schedule your in-office consultation.
Recent advances in liposuction have led us to routinely perform what is referred to as the "Tumescent technique” where we infuse quantities of highly dilute anesthetic solution into the operative area. This liquid helps to disperse the fat, significantly reduce the blood loss and permits easier removal of more fat than would otherwise be possible.
In addition, post-operative bruising is greatly reduced, recovery is much faster and the whole experience is more comfortable than in the past.
Better understanding of the science, finer instruments and advanced technique has made liposuction more safe & effective.
Ultrasonic and power assisted liposuction are additional tools to the conventional technique indicated in certain special situations where fat is more fibrous and difficult to remove.
Liposuction is the most popular procedure world wide. Liposuction can be a dream comes true because it removes fat that diet and exercise have little impact on.
Liposuction is appropriate for disproportionately large hips, buttocks, thighs, tummies, and "love-handles," as well as fat deposits on arms, calves, knees, ankles, back, and under the chin.
Pregnancies, weight gain, and weight loss take a tremendous toll on the muscles of the abdomen and the elasticity of the overlying skin. When the problem is stretched muscles and loose overlying skin, than a tummy tuck helps to remove the excess skin and tightens up the underlying musculature giving you a flatter, firmer, tummy along with a thinner waist as well.
The most common approach to performing this procedure involves a horizontal incision across the lower abdomen — just below the bikini line and just above the pubic area. The skin is elevated and the bellybutton is separated from its skin attachment. The abdominal muscles are tightened in the midline to make the abdomen firmer and the waist thinner.
The skin is then pulled downward and the excess removed. A new opening is made for the bellybutton at the proper position. The incisions are closed with buried sutures that will not require removal. A firm, elastic-support garment is placed at the end of the procedure.
There will be some post-operative discomfort that can be controlled by medication. You will be up and around in a day or two, but you must avoid strenuous activity for three to four weeks. This procedure is performed in the hospital, under general anesthesia. Every effort is made to minimize the scar, which though permanent, gradually fades over time. By removing the sagging, excess skin and accumulated fatty tissue, you'll almost immediately enjoy a flatter, firmer abdomen and thinner waist.
Mini Tummy Tuck is designed for patients with only a small amount of loose, redundant skin in the lower abdomen, and for patients with lax abdominal muscles. It involves a smaller incision placed just above the pubic hairline to remove excess skin, tighten the muscles if needed, and carefully close the incision with buried, self-absorbing sutures, so suture removal is unnecessary. Discomfort is mild and easily controlled with medications and recovery is quicker. This procedure can be performed in selected situation under local anaesthesia with sedation.
Most of our patients return to work and to moderate physical activity after four to seven days.
Dr. Sanjay invites you to call today to schedule your in-office consultation.
Body Contouring & Body Fat Reduction
