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Cancer Surgery INR 0 INR 0
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Cancer Surgery

Post cancer surgery reconstruction Cancers of head and neck region accounts for majority of all cancers in our country. Tobbaco chewing and alcohol are the major risk factors associated with these cancers. Resection of such cancerous lesions results in facial deformities which are not only cosmetically disfiguring but also functionally debilitating. Conventional reconstructive techniques lead to suboptimal results and significant donor site morbidity.However the advent of microsurgical reconstructive techniques has helped to adress the pitfalls associated with conventional reconstructive techniques.The development of microsurgical reconstruction and multidisciplinary team approach in treating malignancies has resulted in significant improvements in the quality of life of these patients following such surgical procedures . Tissues are harvested along with the associated blood vessels in such a way so as to result in minimal donor site morbidity. Advantages of Microsurgical Reconstruction Include Early rehabilitation Better cosmetic appearance Earlier radiotherapy Better application of prosthesis(dentures) Less donor site problems.

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Face Surgery INR 0 INR 0
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Face Surgery

As people age, the effects of gravity, exposure to the sun, and the facesurgerystresses of daily life can be seen in their faces. Deep creases form between the nose and mouth (nasolabial fold). The jawline grows slack and jowls emerge. Folds and fat deposits appear around the neck. A facelift (rhytidectomy) is the name for a group of operations that address these issues. Surgery cannot stop the aging process. What it can do is “set back the clock,” improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. The ideal candidates for facelifts are men and women who have some excess and sagging skin on their face and neck. Sun exposure, stress, and even gravity contribute to the aging process in the face. Typically, people are between the ages of forty and sixty, but facelifts can be performed on patients much older with very successful results. Facelift surgery generally takes between two and four hours, though it may take longer when combined with other procedures. More extensive procedures may require two separate sessions. The surgery is performed in above mentioned clinic, and is most typically done on an outpatient basis while the patient is under some combination of local anesthesia, mild sedative, and/or mild intravenous anesthesia. The surgeon will begin by making the incisions. While the exact placement of incisions may vary, they are typically hidden behind the hairline or within the scalp, inside of the ear, and/or behind the ear, thus allowing for minimal visible scarring. The incision line typically begins in the area of the temples about the hairline and just above the ear, extending downward in a natural line either in front of the ear or just inside of the cartilage at the front of ear, then continuing around and behind the earlobe and ending at the lower scalp. If the neck needs additional work, small incisions may also be made beneath the chin. Once the incision is made, the skin is raised outward and separated from the fat and muscle below. Fat may be trimmed from or suctioned out of the areas around the neck and chin, while underlying muscle and connective tissue may be tightened or repositioned. The surgeon will then pull the skin back, lifting it and bringing it tighter, then trim any excess skin before closing the incisions. Stitches will secure the layers of tissue and hold the incisions closed. Metal clips may be used on the scalp, reducing the need to shave any hair from the incision sites. For men, incisions are typically placed in such a way as to accommodate the natural beard lines. Following surgery, a dressing is typically applied to protect the entire area where the incisions have been made. This may include wrapping the head loosely in bandages, which helps to minimize bruising and swelling. A small tube may be temporarily placed underneath the skin behind the ear in order to drain any blood that can collect there. Patient is discharge 4-6 hours after surgery. Patient needs to be in Pune for 4 days. After 48 hours dressing is removed & if necessary reapplied.

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Nose Surgery INR 0 INR 0
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Nose Surgery

The aesthetics of the face are often said to be in the eye of the nose-surgerybeholder, but some aspects appear to be accepted universally.It is not possible to enhance a nose cosmetically without understanding of nasal anatomy,patient aspirations,available techniques and possible ethnic characters,cultural trends & surgical pitfalls. It is said that if Cleopatra’s nose would have been less sharp;world history Would have been different. Concepts of beauty cannot be defined scientifically. They change ethnically, regionwise, societywise. They Change from time to time. Aesthetics of nose In our society,young people want nose to be straight, long,narrow with sharp pointed tip if possible.it is very important to remember that cosmetic surgery can improve/enhance your looks but it cannot change your face totally to look like some actress or actor whom you adore. From the side, the bridge is straight in the male and may be straight or have a mild sloping in the female. The tip comes straight out or has a slight upturn. From the side, the tip makes a 100 degree angle with the upper lipThe tip is no wider than the bridge. From the front, the bridge is well-defined. The nose is straight and symmetrical . The outer skin of the nostrils is no wider than the inner corners of the eye. The shape of the skin that forms the nostrils has a roundness that compliments the tip. The tip is defined. The edges of cartilage bring it to a clear point. COMMENT: In no other structure than the nose are the rules of beauty so variable. In general, the smaller the nose the better. Classically, the nose is meant to breath and not be seen. We adorn the eyes and the lips to increase their beauty, but the nose is not considered a center of beauty. Again, ethnic variations and different characteristics may lend unique positive qualities to different noses. Exceptions to these rules are common. Common Problems Reasons for rhinoplasty can be few or many. It is important to know what can and cannot be changed and what rhinoplasty can and cannot do for you. Just remember, be sure to have proper communication with your surgeon – it is easier to take away than to add after the fact. We will cover the most common reasons for rhinoplasty – both realistically and irrationally. We will start with the common complaints regarding physical attributes. Typical complaints Too large Hanging columella “Piggish” Too flat Breathing problems Pointy Too humped crooked Bulbous Too wide or fat Asymmetry, in general Not angled enough Too thin Bumps Angled too much Too long Deficient chin A bifid (BEYE-fid) tip (where there is a ditch between the two tip cartilages, sometimes horribly referred to as “buttnose”) Too short Dents Deficient jaw/mandible Too pinched looking Scar tissue build up from breaks Weak or prominent maxilla (upper jaw) Scooped Hooked

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Micro Vascular Surgery INR 0 INR 0
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Micro Vascular Surgery

Peripheral vascular disease (PVD), also known as peripheral artery bypass-surgerydisease (PAD) or peripheral artery occlusive disease (PAOD), includes all diseases caused by the obstruction of large arteries in the arms and legs. PVD can result from atherosclerosis, inflammatory processes leading to stenosis, an embolism or thrombus formation. It causes either acute or chronic ischemia (lack of blood supply), typically of the legs. Amputation is the most likely outcome in patients with critical limb ischaemia (ulceration, gangrene, rest pain), who do not have bypass surgery to improve the blood supply to the leg. In patients with critical limb ischaemia, ulceration and gangrene will not resolve without some form of intervention. Improving the blood supply to the leg can allow healing to take place, but the gangrenous areas still need removal to enable healing to take place. Arterial bypass surgery is indicated in patients with a threatened leg likely to require amputation, if left untreated (critical limb ischaemia). It can also be considered in patients with very severe disabling claudication. Arterial bypass surgery can save the leg or reverse severe disability

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Hair Transplantation INR 0 INR 0
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Hair Transplantation

Saundarya City, leading hair transplants and patient care. From initial consultation to completed hair transplant, you’ll be attended to by professional, courteous, knowledgeable staff, whose sole aim is to provide you the best care possible

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TMJ INR 0 INR 0
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TMJ

Because of the many differences in the structure and shape of the human skull, it is difficult to replace a jaw joint successfully with anything other than a highly customized prosthesis (artificial joint). By contrast, prostheses for knees and hips are fairly similar and vary little, except for the size of the patient. We have performed Indias first TMJ replacement with artificial joint designed and made by me which is cost-effective and a perfect fit for the patient.

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SMF INR 0 INR 0
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SMF

Oral submucosal fibrosis is characterized by gradually increasing fibrosis of the submucosal oral cavity and pharynx, mainly the soft palate and cheek resulting in trismus.There is no definite treatment for this condition. Many medical and surgical modalities have been tried. We are presenting unique technique of treating SMF with Bilateral temporoparietal flap without any facial scars.

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Maxilla INR 0 INR 0
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Maxilla

Extensive defects that involve the vertical dimension of the maxilla, such as the orbital rim or zygoma, are poorly managed by prosthetic restoration. Failure to address the vertical dimension of the defect inevitably results in displacement of the globe, ectropion, and a significant midface contour defect. Our innovative method of reconstruction of the palatomaxillary complex with free fibular flap and iliac crest graft is new concept; It proved that midface reconstruction offer patients improved function, cosmesis and qualality of life

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