Articles on cosmetic surgery

Cosmetic and Plastic Surgeries

Dr. Parthasarathi Dutta Roy, Dermatologist
Being beautiful and charming is very important in every stage of today’s life. Most of people become upset for not receiving attractive physical structure, nose alignment, slim physic and many more. But medical science creates revolution for establishing two significant surgeries named cosmetic surgery and plastic surgery. These are very helpful for treating any kinds of physical disorders.Effectiveness of Cosmetic and Plastic SurgeryThrough cosmetic surgery anybody can change their facial or body structure which is not desired. Plus from ageing lines to wrinkles can be reduced through method of cosmetic surgery.Plastic Surgery is basically used for reconstructing the facial or body features. Any kinds of birth defects, injury imperfection and disease feature can beautifully be repaired by plastic surgery.Features of Cosmetic SurgeryTwo types of cosmetic surgery are categorized in medical science- addition and deletion. Through cosmetic surgery with collagen injection something can be added for giving proper shape and size of the body parts if one is not satisfied with their parts, size and shape of the body. Breast augmentation and lips plumping are the best examples. Alternatively excess mass on some parts looks ugly; the cosmetic surgery helps to delete the volume to give the perfect shape.Procedures of Plastic Surgery:Many procedures can be performed through plastic surgery. But here are some most popular procedures which is remarkable possible to treat are described below.Breast Augmentation: The women having small breast can get beautiful and attractive big breast through breast augmentation procedure of plastic surgery.Rhinoplasty: Defect of nose can be treated through rhinoplasty.Blepharoplasty: To give redesign and shape of the eye lids, blepharoplasty is just incomparable plastic surgery.Liposuction: Excess fat is cut down through this liposuction procedure for giving attractive body structure.

Liposuction: The Most Misunderstood Surgery in the World

Dr Deepali Agarwal
The procedure involves fat removal but is not an alternative to dieting and exercise. It is not a means of weight reduction but body contouring and sculpting. Although following a good healthy diet and a daily exercise is a better idea but localized fatty deposits such as on thighs, hips and abdomen etc may be inherited traits and may not be corrected by just a good lifestyle. In such cases liposuction rather we should say liposculpting is a good option.Some fast facts about the surgery are as follows:The length of the surgery varies from 30minutes to 5 hours depending on the extent of fat removal.It is done under local anesthesia, intravenous sedation, epidural block or general anesthesia.The length of the stay at the hospital is usually 1 day.Initially there is mild to moderate discomfort. You can go back to work after 10 days but sternous exercises should be avoided for atleast a month.Most of the swelling subsides within a week while mild residual swelling goes after 3 months.The scars are minute and inconspicuously placed.Complications are possible but unlikely if done by a well trained and experienced plastic surgeon.To conclude would like to emphasize on the point that the success of the procedure lies in the understanding of the patient that the procedure is not for weight reduction but spot reduction i.e. localized fatty deposits. It is the most frequently done aesthetic procedure in the USA and worldwide which seems to be a truly magical procedure than any other aesthetic procedure.

Breast Reduction Surgery

Dr. Kapil Agarwal, Cosmetic/Plastic Surgeon
Breast reduction, or reduction mammoplasty, is for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts. The main complains are backache, neck pain and skin rashes or itching along with difficulty in carrying large breasts. The goal is to give the woman a more attractive contour with smaller, better-shaped breasts in proportion with the rest of her body. She will then benefit from freedom of health problems associated with large breasts and an improved self-image.Medical problems associated with very large breasts include-back and neck pain caused by the excessive weight, skin irritation, skeletal deformities and breathing problems. Bra straps may leave shoulder indentations. Large, heavy breasts also contribute to poor posture, and can interfere with normal daily activities such as exercise. Excessive breast size may also lead to a decreased sense of attractiveness and self-confidence.THE PROCEDUREBreast reduction is done under general anesthesia on an outpatient basis or in the hospital. The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.Incisions are made around the pigmented nipple-areolar complex and extend vertically below the nipple and in the fold under the breast. The nipple-areolar complex is moved upward to the desired location. The incisions are covered with a light dressing.Afterward, the breasts are placed in a surgical bra that will hold them symmetrically during initial healing. Initial discomfort subsides daily and can be controlled with oral medications. Scars will fade in 6-18 months. Surgery will likely reduce, but not eliminate the ability to breast-feed.RECOVERY: WHAT TO EXPECTWhen performed by a qualified plastic surgeon, breast reduction is a safe procedure. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.Much of the swelling and bruising disappears in the first few weeks following the surgery. Breasts may appear slightly mismatched, or have unevenly positioned nipples. Their new shape will be apparent within 6 months to a year, and will depend on hormonal fluctuations, weight changes and pregnancy.Although your surgeon will make your scars as inconspicuous as possible, some permanent scarring is inevitable. Smokers are more likely to experience poor healing and wider scars. The scars will be red and lumpy in the months following the surgery, but the redness will fade and in time the scars will be less obvious.ABILITY TO BREASTFEEDBecause the surgery removes many of the milk ducts leading to the nipples, breast-feeding may no longer be an option.Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)THE END RESULTBreast reduction produces the most dramatic results of all plastic surgeries. It ends the physical discomfort or large breasts and makes your body appear more evenly proportioned, and clothes fit better. Your new image will take some getting used to, as much as you desired the change. Give yourself—and your family and friends—time to adjust to the new you and, like most women, you will enjoy the

All You Need to Know About Liposuction!

Dr. Aamod Rao
The benefits of removing excess fat can be enormous, literally and figuratively! Liposuction is among the cosmetic surgery procedures with the highest rate of patient satisfaction. Many patients experience an immediate improvement in their self-esteem and overall confidence.Liposuction may be performed alone or with plastic surgery procedures such as a face and neck lift, breast reduction or tummy tuck. The procedure was first performed in 1974 and there have been many advances in techniques over the enduing 38 years, making it one of the most predictable and popular body-contouring surgeries in the world. Who is a suitable candidate?The ideal liposuction candidate is at, or near their ideal weight, with good skin elasticity and is seeking reduction of diet- and exercise-resistant localised pockets of fat. Common sites include the upper arms, hips, outer thighs, abdomen, mid back, buttocks, knees, neck and chin. Some men have excess fatty tissue in and around the breast, or gynaecomastia, which can also be removed.Liposuction is not a way of losing weight. If you have excess loose skin, liposuction can actually make it worse. If this is the case, a surgical body lift procedure may be required instead. Your surgeon will advise the best options. It should also be noted that liposuction does not improve cellulite (the dimpled appearance of the skin of commonly seen on the buttocks and thighs) or stretch marks (caused by pregnancy or rapid weight gain). What does it involve?Liposuction surgically removes deposits of subcutaneous fat from specific areas of the body such as the thighs, hips, abdomen, buttocks, knees, upper arms, neck and chin. While the terms are often used interchangeably, liposculpture implies more subtle shaping and contouring. There are generally three ways to remove the fat: the traditional cannula method, the syringe technique and the energy-assisted method, which can further be broken into numerous sub-categories. The basic procedure involves the insertion of a small tube-like instrument, called a cannula, into the layer of subcutaneous fat via tiny incisions made by the surgeon. The cannula is connected to a clear plastic hose that leads to a suction source. The surgeon moves in a specific pattern through the fat layer to break up fat cells, which are then vacuumed or suctioned out.The overlying skin remains attached to the connective tissue and underlying muscles of the skin during the operation. A thin blanket of fat is left under the skin to help prevent rippling or bumpy skin occurring afterwards.There are two main layers of subcutaneous fat: superficial and deep. Liposuction is primarily focused on the deeper layer of fat, since suctioning is thought to be safer and easier there. Suctioning in the superficial layer allows the surgeon to achieve subtle benefits in the procedure but, because of its proximity to blood vessels and nerve endings, it can increase the risk of contour irregularities and injury to the skin. Some surgeons believe superficial liposuction enhances skin retraction. Although the cannula is designed to slide through fat tissue and cause minimum damage to blood vessels and nerves, some may be injured during the procedure. If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anaesthetic, usually in conjunction with intravenous sedation. If a large volume of fat is being removed, some patients prefer general anaesthetic. In addition to fat, body fluid is also removed during the procedure. Because of this, patients are given fluids intravenously during the operation.The aim of liposuction is to decrease the bulk of fat in a specific area, but not to remove all fat. Removing too much can cause loose skin and surface irregularities. Depending on the size and number of the areas being treated, as well as the technique employed by the surgeon, the procedure can last from around 1-5 hours.

Hair Transplant - How to Decide for or Against

Dr.MK AGARWALA, Dermatologist
Hair Transplant industry is the next big financial revolution happening in our country. The profits involved are large and the risk minimum as compared to most of the other organ transplant. It has made every Tom, Dick and Harry thinking that it is in their domain and when a complication happens such unlicensed clinics get the limelight as the recent death of a medical student post hair transplant in Chennai. The prospective patients should utilize their wisdom before making such an important decision. DO NOT FALL PREY TO CHEEKY HEADLINES AND BIG ADVERTISEMENTS.  The cause of hair fall needs to be established before proceeding for a hair fall therapy and it is easily done by a clinical examination alone most of the times. In a minority of cases, where clinical dilemma happens, a skin biopsy should be performed to prognosticate the success of hair transplant. Hair transplant is mainly performed for a condition called pattern baldness. There are certain things to understand before deciding for or against the procedure. Most of us would have done a basic research before thinking of the procedure. If you have done your research & understanding and are willing to step ahead with surgery, then the surgical options of FUE and FUT has to be discussed with your doctor. There are minor modifications done in these two techniques in an attempt to increase end results but technically they fall into FUE or FUT. You can take opinion from the hair transplant surgeon or there are various websites to make you understand the same. FUE and FUT are good standard protocols with independent merit and demerits; you should discuss this during your consultation. Coming back to pre-transplant decision stage, hair transplant is not a treatment to the core cause of male pattern baldness and you must understand this. The hairs from the back of your scalp are redistributed to the front and sides to cover those bald areas. The hairs from the back of the scalp have an advantage that they are not affected by hormones which cause hair loss in form of male pattern baldness. However they do have a natural life and will die out eventually. Second the hair follicles removed from the back will not re-grow. You may have apprehensions that the areas from which hair have been plucked will appear bald but this is not true as your hair transplant surgeon does the art that even after removing a few thousand follicles, the baldness is not evident. Third, the standard medications for baldness will still have to be continued for many reasons- to increase the life of transplanted hair, to preserve other hairs and the most obvious reason that hair transplant is not a cure for the underlying pathology. It is good to have a few sessions of platelet rich plasma (PRP) treatment along with a hair transplant as they increase the likelihood of graft survival. Certain centers offer them in package and you can strike a bargain. Hair transplant centers have mushroomed in our country, so be careful in your choice of a hair transplant surgeon. It also involves good amount of cost, so discuss and understand all pros and cons. Having said all that, cases where hair transplant is needed and if done perfectly, final results are encouraging and make a huge difference to the personality. Complications in hair transplant can happen in any part of the operative procedure, during anesthesia or later but that is so for all other transplant operations as well. Discuss the same with your doctor.

Choosing the Right Cosmetic Dentist

Dr. Rainy Surana, Dentist
In the clinic the other day, I happened to read this incredible book by Dr. Ronald Goldstein – ” Change Your Smile ” Such a beauty, this book! Concise, detailed knowlege on all cosmetic procedures imparted through simple use of language. This book is a must-read for not only patients but all those in the dental field.Most of us have thought about improving our smile, but dont know where to start! Here are  some tips on choosing the right Cosmetic Dentist.THE FAMILY DENTIST:Your own dentist may be the best person to see for your cosmetic dental treatment. If your happy with the preventive treatment your general dentist has provided, ask about his or her experience and qualifications in the area of cosmetic dentistry.LOCATION:For the sake of convenience, most people choose to visit a neighborhood dentist for their routine dental treatment. When seeking a cosmetic dentist, however, don’t let location alone be a deciding factor. Do some research to find the very best- you’ll be glad you did!HOW TO SELECT A GOOD COSMETIC DENTIST:Contact professionals in appearance related fields. These include plastic surgeons, cosmetologists, hair stylists, and modeling or theatrical agencies.Contact local dental specialists. These include orthodontists, oral surgeons, endodontists, prosthodontists, periodontists, and dental technitians. These specislists, who are familiar with the dentists in their communities, often can provide recommendations.Contact the Indian Academy of Cosmetic Dentistry (IACD)or other similar national academies for cosmetic dentists in your area.Ask friends and business associates.Use the internet to research specific areas your interested in, but use caution (most internet sites are not governed or overseen by state board)Do your Homework! Don’t rely on advertisements and magazines.HOW TO EVALUATE A COSMETIC DENTIST:Once you have several referrals, evaluate each dentists website. Compare credentials, treatment photos, educational background, and any professional teaching positions. Beware of Hype!Ask for a consultation. Expect to pay a fee for the dentist’s time, as well as for any x-rays, computer imaging, intra-oral exams, models, photographs and other records.Outline your expectations in a wish-list before your first meeting with the dentist.Bring photographs of yourself showing what u used to look like (if you want to have your teeth restored to a previous condition) or pictures of others who have the look you want to achieve.Ask to see photographs of patients the dentist has treated with similar conditions.Don’t shop for bargains. Instead, look for a dentist who will spend the time it takes to give you what you want. Otherwise, you may end up spending twice the money and time fixing mistakes.Get a wax-up. In this procedure, your dentist applies a special wax either to a cast made from your teeth or directly to your mouth to give you an idea how the final result may look.Consider a trial smile, Removable “snap in” teeth made of acrylic or composite resin allow you to actually ‘wear your new smile before any treatment is done.Ask if the dentist is able to obtain digital images of various treatment alternatives using computer imaging.Be aware of your problems and their potential treatment alternatives before seeing the dentist by performing the smile analysis.Arrive at your appointment early. You will need time to complete your forms and communicate your desires unhurriedly and in a relaxed atmosphere.Bring any x rays or study models you have made.Be upfront about budget restrictions. Also, bring your dental insurance information to the appointment. Although typically insurance does not pay for cosmetic treatment, the restorative portions of the treatment, such as crowns and bridges, may be at least partially covered.Be willing to invest in second or third opinion.WHAT ABOUT THE FEES?Time and expense are two factors that you must consider when seeking cosmetic dental treatment. Although it may be tempting to opt for shortcuts and bargains, remember the old saying-‘ you get what you pay for’The best esthetic dentistry requires a highly personalized artistic approach and thus typically is neither offered at discount prices nor covered by insurance.WHEN ASSESSING FEES FOR COSMETIC DENTISTRY:Take into account Dentist’s artistic skill and experience.Ask to see photos of patients who have undergone treatment similar to what your considering.Find how much time the dentist is willing to spend on your treatment. Make sure the fee reflects an adequate amount of time to satisfy your needs.Keep in mind that cosmetic dentistry is a team effort. The skill of the dentists support staff- available dental specialists, the dental hygienist, the dental assistant, and especially the laboratory technician who fabricates your restorations- is critical.Don’t base your decision solely on price. Instead, match your need for a believably natural result with what your willing to pay.Make sure you aren’t rushed during your consultation- see the fees as a long term investment. The most important goal of any consultation is to have the entire dental team thoroughly understand your vision of the esthetic result you seek.QUESTIONS TO ASK YOUR COSMETIC DENTIST:What are my cosmetic options?What compromises may I have to accept?What will the final result look like?Can I see before and after photographs of patients you’ve treated with similar problems?How long will my restorations last?How well will the restorations stand up to wear?What type of maintenance is required?How closely will the restorations match my natural teeth?Will I have to change my eating habits?What guarantees or warrantees do I have?What are my payment options?TRUST YOUR INSTINCTS:Trust is a major factor in choosing a cosmetic dentist. Your esthetic restorations may initially appear beautiful, and your expectations may be met esthetically, but will their beauty stand the test of time? Were they designed to fit precisely and thereby not irritate the soft tissue? Because its almost impossible for you, as the patient, to make these determinations, it is essential to find a dentist who has the training, experience, and willingness to dedicate the time needed to get exceptional , long lasting results. In short, the dentist must earn your trust.

Everything You Need to Know About Nose Reshaping (Rhinoplasty)

Dr. Kapil Agarwal, Cosmetic/Plastic Surgeon
As the nose has the highest aesthetic value in the making of a good face, nose reshaping (rhinoplasty) is the most sought after aesthetic procedure by common man. Rhinoplasty consists of two words, RHINO meaning NOSE and PLASTY meaning SHAPING. This procedure was 1st performed by Sushruta (Father of Indian Plastic Surgery)in 800 B.C. Rhinoplasty enhances facial harmony and the proportions of nose. It can also correct impaired breathing caused by structural defects in the nose. Rhinoplasty surgery employs reduction, augmentation or refinement of the patient's nose to give a balanced and proportioned nose. Reduction rhinoplasty commonly involves the removal of a nasal hump along with re-breaking the nose to reduce the width. The tip of the nose may be asymmetrical, depressed or the nose itself may need building up. Augmentation which can be achieved using tissue moved from another part of the patient's body such as skin or cartilage from the ear or rib. Alternatively synthetic material can be used (gortex, silastic) but there is a greater risk of rejection or infection.When It Is Done?Rhinoplasty is most often performed for cosmetic reasons. A nose that is too large, crooked, misshapen, malformed at birth, or deformed by an injury or cancer surgery can be given a more pleasing appearance. If breathing is impaired due to the form of the nose or to an injury, it can often be improved with rhinoplasty. The majority of individuals who undergo nose reshaping surgery are dissatisfied with the appearance of their noses and wish to improve the proportions of their facial features. A smaller percentage of rhinoplasty candidates are patients who deal with discomfort or breathing difficulties due to structural abnormalities or previous nose injuries. The optimal candidates for rhinoplasty are in good general health, understand the risks associated with surgery, and have realistic expectations regarding the surgery results.Indications of RhinoplastyRhinoplasties are done for different reasons- Conginental defects like secondary cleft lip nose deformityTraumatic disruption of normal structure of nose so that the nose is asymmetrical.Purely cosmetic reasons like hump correction, length correction, or for decrease in height of nose etc.Correction of structural as well as functional deformity (deviated nasal septum with crooked or off-center dorsum , or damaged valves)Nasal tip ; drooping, rotating, boxy, bulbous or bifid.Excessively flared or pinched nostrilsHow It Is Done?Nose surgery is done by two methodsOpen ClosedAdvantage of open rhinoplasty is good visibility of all the defects but at the same time it is more difficult and requires training and expertise.Closed rhinoplasty is comparatively easier but field of vision is restricted and so all the deformities cannot be corrected by this. It has got limitation of vision as well as surgical outcome.Primary Rhinoplasty:Surgery for reshaping of nose in a patient who has never undergone nasal surgery. It can be either a cosmetic procedure performed to improve the appearance of the nose, a medically necessary procedure to improve nasal breathing, or a combination of both.Secondary Rhinoplasty: Corrective reshaping of a nose which was operated earlier by a different surgeon. It requires exceptional analytical and surgical skill. Only surgeons with extensive training and significant rhinoplasty experience can restore breathing function and improve less-than-desirable results from previous nose surgery. Revision Rhinoplasty: Further changes/augmentation or reduction by same surgeon in a previously operated nose.Who Can Opt For Rhinoplasty?(Rhinoplasty candidates)Any adult (>18 years of age) with perceived aesthetic issues or birth defect can opt for it. As the nasal cartilage is growing till the age of 18 years it is advisable to delay any corrective surgery of nose till this time. In extreme cases where there is severe breathing difficulty it can be performed at 16 years of age. Regardless of the reason for surgery, we recommend that girls wait until age 14 or 15, and that boys wait a few additional years to undergo rhinoplasty. By this time, the nose should have finished growing.The best way for a patient to determine his or her candidacy for rhinoplasty is to schedule a consultation with a qualified rhinoplastic surgeon.Pre-op Preparation / Pre RequisitesFirst and foremost thing is detailed consultation to know about patient's desires and expectations to evaluate the patient's nose and to discuss the procedure, down time and expected/unexpected complications with the patient. Proper evaluation by an anaesthetist as it is done under general anaesthesia is a must. Depending on the patient's age and medical history, blood investigations, chest X-Ray is ordered and if the anaesthetist finds the patient fit for anaesthesia, operation is scheduled.In preparing for rhinoplasty surgery few instructions are must Stop smoking and avoid taking aspirin, anti-inflammatory drugs, and herbal supplements atleast a week prior to date of surgery as they can increase bleeding.About The SurgeryThere is nothing like one nose fits all. So depending upon the evaluation and discussion with patient open/closed approach is chosen. If augmentation is to be done then the patient is given the option of conchal /septal /costal cartilage graft or implant. Different combinations of procedures like augmentation with ala correction and tip plasty or septal correction or only lengthening is done. Pre-op and post-op photographs are taken to compare and to audit the results.Rhinoplasty recoveryPost procedure nasal pack is kept for 48 hours and nasal splint is placed for 2 weeks to support and protect the new structures during initial healing. Patient is called for suture removal and if required plaster change on 7th post-op day. Cold exposure /swimming /strenuous exercise /face wash during this period is strictly not allowed for the patient. Once the wounds have healed, regular cleaning of nose is advised and patient can resume his normal activities. While initial swelling subsides within a few weeks, it may take up to a year new nasal contour to fully refine. During this time one may notice gradual changes in the appearance of the nose as it refines to a more permanent outcome. Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery. Few don't's for patients are-No blowing and nose picking for 4 weeks. At the time of sneezing mouth should be kept open to avoid stress on inflamed nasal mucosa which may bleed.Patient should not use specs (eye glasses)for 4-6 weeks.Donor site recoveryDue to donor site (chest) pain/discomfort patient needs atleast 48 hours of hospital stay and regular chest physiotherapy and breathing exercise. It also takes a bit longer to perform this type of rhinoplasty procedure, and the nose will usually be more swollen after surgery. Complications/Side effectsThough this surgery can be done as day care surgery, but it needs a good hospital with OT staff and anaesthesia facilities. This surgery shouldn't be tried in places with inadequate facilities as complications do occur and may require multi-specialty care. Swelling and bruising on the nose, cheeks and eyelids are normal side effects. They usually resolve within 2 to 3 weeks after the procedure. Bleeding, asymmetry, possible recurrence of deformity and difficulty in breathing are few usual complications. A touch up procedure may require refining the results. If all pre-op, operative and post-op precautions are taken, complications are negligible.ResultsResults are permanent, but aging may affect. Nasal anatomy and proportions are quite varied and final look of any rhinoplasty operation is the result of the patient's anatomy, as well as of the surgeon's skill. A cosmetic change in the shape of the nose changes a person's appearance as well as improves the self esteem. Surgical goal is to avoid the "operated look" and produce a nose that looks natural, functions properly, and in balance and harmony with other facial features.www.Clinicrhinoplasty.Comwww.Kapilsmakeover.Com

Facts About Liposuction

Dr. Al Farabi Jaafar, Cosmetic/Plastic Surgeon
Liposuction or Lipoplasty is one of the most common plastic cosmetic surgery procedures worldwide. But did you know that there are different types in terms of the devices and process being used?1. Classic Tumescent Liposuction - involves only the use of specially prepared cocktail of "tumescent fluid" (saline, local anesthetic, blood vessel constricting agent) that is used to infiltrate the targeted fat (to loosen and anesthesize) then later on suctioned using blunt liposuction cannulas.2. Power-Assisted Liposuction or PAL (Tickle Lipo, Micro-Aire) - uses the same "tumescent fluid" as a pre-suctioning preparation followed by the use of specially designed vibrating cannulas which breaks the fats while being suctioned. This machine allows more removal of fats with less bleeding and bruising.3. Ultrasonic-Assisted Liposuction or UAL (Vaser) - involves 3 steps:a. Tumescent fluid infiltrationb. Insertion through a small incision of a special thin stick-like probe connected to an ultrasonic machine. This process transmits the ultrasonic energy to the tip of the probe and to the fat resulting to its dissolution (melting).c. Liposuction proper of the dissolved (melted) fats using common cannulas.4. Laser-Assisted Liposuction (Smart Lipo) - this requires the same steps with UAL except for the second step where a thin laser fiber is inserted to the fat being targeted to initially deliver the burst of light energy to liquefy fats. The next steps are the same.Prices of liposuction will vary depending on the special device you choose and the number of areas you want to be treated.

Cosmetic Dentistry - For The WOW Smile!

Dr. Shail Jaggi, Dentist
Smile!A simple 5 letter word but just the  sound of this word can light up our eyes ,make us feel light and happy and suddenly this world is a much better place ! I'm writing this today for some of us who are reading this and don't like something about their Smile or Teeth. It could be simple dark tooth ,broken teeth,decayed teeth or just badly shaped teeth ,too much gum while smiling ! The list could go on and on! But read on the good news is there are simple solutions to the most complex looking problems!10 Quick Simple Steps To A Great Smile!1. Evaluate your smile: Cosmetic Dentistry has come a long way from the simple drilling to filling days ! Look at your smile in the mirror and identify what you don't like .2. Review and Pick A Cosmetic Dentist: Most dentists today offer Cosmetic Dentistry in their office which is great, so make an appointment with a dentist you trust or go online and pick a dentist with some great reviews as a starting point.3. Cosmetic Dentistry Needs Advanced Training :Most cosmetic procedures can be completely non invasive and painless...your consulting Cosmetic Dentist should be able to give you multiple options with a range of techniques and costing for your procedures .4. Insist on Non-Invasive Dentistry:Remember the most complex treatment plan for the most complicated dental work can also be simple ,non invasive and painless .5. Teeth need to be Beautiful and Functional : Just great looking teeth is not enough!You should be able to eat with your teeth too! Make sure the dental office is adequately equipped for advanced and precise Cosmetic dental work.Remember its your teeth that are meant to last you a life time work should strengthen your teeth,not damage them further .6. Dental Damage is Irreversible: If your proposed treatment plan involves plenty of crowns and root canals take a second opinion .Today any well trained Cosmetic Dentist dentist can make you look amazing with Veneers and Bonded Dentistry!7. Ask for Documented cosmetic Work: Ask your dentist for documented cosmetic work done by the team and look at the results to see if you like them! Your dental work will be similar! If you like what you see go ahead !8. The Trial Smile :Always ask for a' Trial Smile' before you start any dental work .This can easily be done in your mouth or on dental models! It gives you an idea as to what the final look is going to be! Making it easier to decide .9. Good Tools Guarantee Great Dental Work: A dental office doing Cosmetic Dentistry should be well equipped with good cameras, cosmetic Imaging software, great tools for non invasive work and the communication with a very good lab for super cosmetic results!10. Patience and Communication: And last ...remember for that Fantastic Smile ...your dentist needs precision and perfection. Be patient and work with your dentist .Communication is the key--If you do not like something during the trial smile communicate with your dentist .So go ahead and make your choice to smile confidently ! Happy Smiling !

Hair Restoration Surgery in Young Patients

Dr. Amrendra kumar, Dermatologist
Many patients come to look for hair transplantation at a very young age as early as 16 to 18 years; these people may have low self-esteem and also come in distress because of peer pressure most of these patients actually looking for rapid results, with unrealistic expectation managing this kind of situation often becomes challenging for the treating physician. Every case may be a different case so before embarking on the treatment it is important to look after all the factors and expectations. Some may need even consultation with psychiatrist.Expectations must be confronted with the reality and the treatment should be explained well before with realistic results emphasizing that there are no miracle or magical treatment available.Conservative treatments like medications, platelet rich plasma therapy or low level laser light therapy must be taken into consideration before embarking on hair transplantation in such patients. Most of these patients have very little temporal regression of thinning in the frontal area which can be managed with these treatments.Future hair loss is possible with younger patients. It should be explained that even after hair transplantation further hair loss may be possible and hair transplantation is not the end treatment or have quick results.As the number of hair restoration surgeons are increasing, there is an increase in competition between them naturally and many treating doctors take such case as a challenge which should be discouraged.Before hair transplantation we need to understand the cause of Hair loss - beside androgenetic alopecia, other factors that might contribute to hair loss like health conditions, diet and genetics.If it is caused by pattern hair loss, it is not possible to determine the pattern of hair loss at such a young age and future progression. Family history may play a crucial role as it might give the clue about future progression.Before surgery, Patients can try the oral drug Finasteride and /or topical minoxidil to slow hair loss. He can re-examine the patient at regular interval to see the progression or if the drugs have slowed further progression.If even after that the progression continues and a surgeon determines to go for the surgery he should go for the minimum grafts need for the correction and try to avoid transplantation in the vertex area. Risk of  future hair loss will always be factor so the best way is to  wait until the condition has progressed, at least enough for a physician to identify a surgical plan and till then, managing the case  with medications or other adjutant therapies is a good idea.