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Burn Surgery INR 0 INR 0
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Burn Surgery

Post bums scars and contractures leads to great morbidity and loss of burn-surgeryfunction. Because of deformity and scared face these peoples lose their esteem. Society also hates them. (Faces and body parts are deformed and hence not able to stand in society with high esteem.). Rut plastic surgery can leads them to have near normal functional and aesthetic life with high esteem. Rathi Nursing Home is situated in the heart oi Nagpur city, Dhantoli, the hub of all medical activities and facilities. An elegantly designed 20 bedded hospital, Rathi Nursing Home is just at walking distance from A j ni railway station and just 3 km from main Railway station and Bus Stand. ICU Services 24 hours emergency sendees 24×7 resident doctors Experienced and dedicated staff In-house X-Ray, Pathology and Ultrasound facilities State of the art Twin O.T. complex with multipara monitors to facilitate prolonged and complex surgeries In-house pharmacy Centrally air-cooled Electric supply backup with two inverters and 25 kva generator ensures uninterrupted quality work-service 24×7 State of the art Stretcher-lift

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Abdominoplasty INR 0 INR 0
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Abdominoplasty

Sudden massive weight loss and pregnancy can cause the skin over abdominoplasty-before-afterthe abdomen to droop. This can also occur in people who have had BARIATRIC SURGERY to lose weight. Looseness of the abdominal muscles which can lead to hernias can also be treated at the same time. Unlike liposuction which is meant for removing fat only, abdominoplasty is more extensive and involves removal of fat, tightening of the musculature and removal of excess skin. In some cases, liposuction surgery can be combined with excision of just the excess abdominal skin below the belly button ( this is called Mini Tummy Tuck). When a full tummy tuck is planned, contour liposuction is best performed at the same time. Liposuction (SAL) helps shape the thighs, back and sides. Abdominoplasty takes care of the loose abdominal skin. Occasionally minor touch up Liposuction is required later. The Procedure Thorough liposuction of the abdominal skin is first carried out. The excess skin then moves more easily and the skin to be removed is marked. The incision is marked within the bikini line and the excess skin is excised, the belly button is then cored out. The abdominal muscles are tightened in the midline and if required in the lower abdomen. If there is a hernia that is also repaired at the same time. The belly button is brought through good skin and the incision closed in layers over a suction drain. Contrary to what you may think, the belly button is not removed during the operation.

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Breast Surgery INR 0 INR 0
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Breast Surgery

Breast Augmentationbreast-reduction Size This is why the vast majority of women have breast augmentation, because we want to increase our size and/or have our breasts more proportionate to the rest of our bodies. This can be very distressing, because we tend to obsess over getting the perfect size, which is about not going big enough. Trying on size prior to your consultation with your cosmetic surgeon is a very good idea. If you’re very flat-chested, ANYTHING seems big, but you will be amazed at how quickly you adjust to the new, larger size. It also gives you an idea of what you’d like to look like, as well as a rough idea of how many cc’s it may take to get that result. You can try the Rice Test which is a do it yourself sizing method. It’s not 100% accurate, but it’s pretty close. To do the rice test, do the following Use thin socks/stocking, and fill them with the desired amount of cc’s. (cc conversions are available below). Once you have them filled, try them on under a sports bra. The sports bra is helpful, especially if you plan on having your implants placed under the muscle. The sports bra compresses the pretend breast implants much like the muscle will compress the real implants. How to measure for cc amount / Rice Test The conversions below, which are approximate, will help you when doing the rice test. 1/8 cup = 30cc 1/4 cup = 59cc 1/3 cup = 78cc 1/2 cup = 118cc 2/3 cup = 156cc 3/4 cup = 177cc 1 cup = 236cc The amounts above can be used in different combinations to achieve the cc amount you desire. It’s important to remember that you should not solely rely on cc amounts. For instance, if you like the way 400cc looks on one person, that does not mean that 400cc will give you the same look. This is due to several things, including, but not limited to: amount of breast tissue, shape of chest wall and weight to name a few. Basically, your existing breast tissue and anatomy dictate how many cc’s you will need. Therefore, you should do the rice test to give you an idea of how many cc’s you may need to get the size you want. Again, this is just a rough estimate, as the rice test is not an exact science. Measuring your Bra Size ? Measuring your ribspan: To measure your ribspan, use a soft measuring tape. Measure from where the breast begins on one side (at the outer portion, toward the arm), all the way across the chest to where the breast tissue of the other breast ends. The measuring tape should be placed in the crease area of the breast. This is your ribspan measurement. we Ribcage measurements are taken in much the same way. The only difference is that you will measure all the way around your chest. Again, the measuring tape should be placed in the crease of the breast. If your ribcage measurement is an odd #, add 5 to get your band width. Example: 29 ribcage + 5 = 34 band. If your ribcage measurement is an even #, add 4 to get your band width. Example: 28 ribcage + 4 = 32 band. Measuring cup size: Using a soft measuring tape, measure from where the breast begins (in the cleavage area) to where it ends, towards the arm. This is your cup size. Breast Implants: Placement and Incision Sites The breast consists of milk ducts and glands, surrounded by fatty tissue that provides its shape and soft feel. Skin elasticity also contributes to breast shape. Factors such as pregnancy (when milk glands are temporarily enlarged) and the inevitable effects of gravity as you age combine to stretch the skin, causing the breast to droop or sag. The breast implant can be placed either partially under the pectoralis major muscle (submuscular) or on top of the muscle and under the breast glands (subglandular) depending on the thickness of your breast tissue and its ability to adequately cover the breast implant. You should discuss with your surgeon the pros and cons of the breast implant placement selected for you. The submuscular placement may make surgery last longer, may make recovery longer, may be more painful, and may make it more difficult to have some reoperation procedures than the subglandular placement. The possible benefits of this placement are that it may result in less palpable implants, less capsular contracture, and easier imaging of the breast with mammography. The subglandular placement may make surgery and recovery shorter, may be less painful, and may be easier to access for reoperation than the submuscular placement. However, this placement may result in more palpable implants, more capsular contracture, and more difficult imaging of the breast with mammography. Incision Sites To permit the smallest possible incision, the breast implant is typically inserted empty, and then filled with saline. You should discuss with your cosmetic surgeon, the pros and cons for the incision site specifically recommended for you. There are three common incision sites: under the arm (axillary), around the nipple (periareolar), or within the breast fold (inframammary). If the incision is made under the arm, the surgeon may use a probe fitted with a miniature camera, along with minimally invasive (very small) instruments, to create a pocket for the breast implant. Periareolar This incision is most concealed, but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites. Inframammary This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. Axillary This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. ? Umbilical / endoscopic This incision site has not been studied and is not recommended.

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Gynaecomastia Surgery (Male Breast) INR 0 INR 0
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Gynaecomastia Surgery (Male Breast)

Having breasts can be very embarrassing for a man. During puberty, mail-breasthormonal changes take place in the body (unopposed female hormones or low levels of male hormone) due to which, breast tissue enlarges in some boys. This may disappear in many cases over time. But if it does not, the residual breast tissue and fat together form the male breast. This can very well be removed in an aesthetic manner with liposuction only using certain special instruments. This is termed KEY HOLE MALE BREAST SURGERY. The scars are minimal and fade in time. This is a day care surgery and one can return to work in a couple of days. The results are permanent. Swelling in the operated area takes about three weeks to settle down. A pressure garment is to be worn for 3 weeks after the procedure to support the skin during the healing period. IMPROVED RESULTS Traditional method of treating male breast entailed making a big cut below the nipple area and cutting off the breast tissue only. Although this would improve appearance, results would fall short of an aesthetic ideal as it would leave a scar. Often, there would be an area of shallowness surrounded by fat deposits (saucer deformity). This can be corrected surgically, but it is better to avoid such a problem by selecting a more sensible option. Liposuction not only removes the breast tissue, it can remove the excess fat deposits on the chest at the same time and achieve a normal desirable contour.

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Ear/Cleft & Palate/Craniofacial Surgery INR 0 INR 0
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Ear/Cleft & Palate/Craniofacial Surgery

Ear Shapingear-reconstruction Otoplasty Probably no other physical characteristic cries out for cosmetic surgery more than protruding ears. Children, long the victims of cruel nicknames like bat ears;elephant ears are the most likely candidates for otoplasty, but this surgery can be performed at any age after the ears have reached full size, usually around five to six years of age. Even if the ears are only mildly distorted, the condition can lead to self-consciousness and poor adaptation to school. When it comes to otoplasty, conventional wisdom is the earlier the better. Adults may also benefit from this procedure, which improves self-esteem with relative ease. Often, adults choose this surgery in conjunction with other facial cosmetic surgical procedures. Not only is it possible to pin back ears, but ears can also be reshaped, reduced in size, or made more symmetrical

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Liposuction (Fat Reduction) INR 0 INR 0
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Liposuction (Fat Reduction)

For many of us, the battle of the bulge is often a long, hard fight. fat-reductionWhen diet and exercise fail, liposuction can be a safe, effective alternative for removing localized pockets of excess fat. Liposuction improves the appearance of body areas that have concentrated amounts of visible unwanted fat. Through a vacuum suction like process, the fat is removed, creating a smoother, more attractive body contour and better self image. Various liposuction methods include the tumescent, fluid injection, ultrasound-assisted, and super-wet techniques & powered. Common areas of treatment include the abdomen, flanks, back, hips, waist, thighs, buttocks, upper arms, neck, chest, and calves. Advantages: Day surgery based procedure, does not involve clinic stay more than 8-10 hours. Good cosmetic results in properly selected cases where patient has realistic expectations Permanent lasting results Affordable

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White Paches (Vitiligo) INR 0 INR 0
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White Paches (Vitiligo)

Vitiligo is a chronic disorder that causes depigmentation in patches of whitepacthcesskin. It occurs when the melanocytes, the cells responsible for skin pigmentation which are derived from the neural crest, die or are unable to function. The precise pathogenesis, or cause, of vitiligo is complex and not yet fully understood. There is some evidence suggesting it is caused by a combination of autoimmune, genetic, and environmental factors. It is also common in people with thyroid disorders. The population incidence worldwide is considered to be less than 1 percent. [1] Non-segmental vitiligo has a greater prevalence than the disorder’s other form(s). Signs and symptoms The most notable symptom of vitiligo is depigmentation of patches of skin that occurs on the extremities. Although patches are initially small, they often enlarge and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists. Depigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils, genitalia and umbilicus. Some lesions have hyperpigmentation around the edges. [2] In regards to psychological damage, vitiligo can have a significant effect on the mental health of a patient. [3] Psychological stress may even result in an individual becoming more susceptible to vitiligo. Patients who are stigmatised for their condition may experience depression and similar mood disorders. Non-segmental vitiligo In Non-segmental vitiligo (NSV), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time, and can be generalised over large portions of the body, or localised to a particular area. Vitiligo where little pigmented skin remains is referred to as vitiligo universalis. NSV can come about at any age, unlike segmental vitiligo which is far more prevalent in teenage years. Segmental vitiligo Segmental vitiligo (SV) differs in appearance, aetiology and prevalence of associated illnesses. Its treatment is also different to that of NSV. It tends to affect areas of skin that are associated with dorsal roots from the spine. It spreads much more rapidly than NSV and, without treatment, patches of depigmented skin remain throughout life. Pathogenesis Vitiligo is associated with autoimmune and inflammatory diseases, commonly thyroid overexpression and underexpression. A study comparing 656 people with and without vitiligo in 114 families found several mutations (single-nucleotide polymorphisms) in the NALP1 gene.The NALP1 gene, which is on chromosome 17 located at 17p13, is on a cascade that regulates inflammation and cell death, including myeloid and lymphoid cells, which are white cells that are part of the immune response. NALP1 is expressed at high levels in T cells and Langerhan cells, white blood cells that are involved in skin autoimmunity. Among the inflammatory products of NALP1 are caspase 1 and caspase 5, which activate the inflammatory cytokine interleukin-1β. Interleukin-1β is expressed at high levels in patients with vitiligo. There are compounds which inhibit caspase and interleukin-1β, and so might be useful drugs for vitiligo and associated autoimmune diseases. In one of the mutations, the amino acid leucine in the NALP1 protein was replaced by histidine (Leu155->His). The original protein and sequence is highly conserved in evolution, and found in humans, chimpanzee, rhesus monkey, and bush baby, which means that it is an important protein and an alteration is likely to be harmful. Addison’s disease (typically an autoimmune destruction of the adrenal glands) may cause vitiligo

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Scars and Keloids INR 0 INR 0
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Scars and Keloids

Any injury to the face, however small it may be causes aprehension in scarsandkeloridesthe mind of the injured person. They fear scarring and deformity. The fear is justifiable, because even a ‘small’ injury can cause a ‘scar which attracts attention’ No body can operate without a scar but the we at Saundarya City try to minimise the effects of scarring as far as possible. We try to use sutures which are less reactive, scars supporting techniques to prevent stretching of scars, silicone gel sheets and compression garments to prevent scar thickening. We cannot prevent scars but we try to make them less noticeable. It is much better to manage even small wounds well than to attempt subsequent scar revision. It is better to get even a small wound taken care of well the first time than attempt to correct the scar.

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